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A Maryland Health Care Commission member says that the long-awaited Prince George’s County regional hospital needs major changes to win state regulatory approval.

The Washington Post reports that Commissioner Robert E. Moffit, who is in charge of reviewing the project, advised project leaders to reduce the hospital’s square footage and decrease the price by more than $100 million so that he could recommend approval.

Dimensions Healthcare Systems and the University of Maryland Medical System say they will modify the application by the end of August. They added that many of Moffit’s concerns may conflict with the project’s goal of adequately addressing the health care needs of Prince George’s residents.

The hospital is projected to cost $651 million.