372                                  LAWS OF MARYLAND                         [CH. 298

in the event that the Board of Public Works deems such action to be desir-
able; further, all or any portion of this appropriation may be used for such
matching purposes; and in the event such a transfer of this appropriation
from the State Department of Health to the State Department of Public
Welfare is made, the Board of Public Works shall approve a plan for con-
tinuing the programs of Medical Care under the provisions of Article 43,
Sections 42 and 43 of the Annotated Code of Maryland, 1957 edition. Of
the total General Fund Appropriations for this program $4,251,211 is for
payment for regular services for residents of Baltimore City and $3,276,364
is for payment for regular services for residents of the Counties and
$250,000 $50,000 is for Statewide special services to nursing home patients.
This distribution of funds between the program for Baltimore City and the
program for Counties and the program for State-wide special services to
nursing home patients may be adjusted upon recommendation of the Com-
missioner of Health and the approval of the Governor.

10.01.03.04 Hospital In-Patient Program

General Fund Appropriation, for the purchase
of hospital in-patient care in the forty-two
(42) General Hospitals and four (4) Special
Hospitals listed in the program and perform-
ance statement for individuals whose financial
status is determined by the local Department
of Public Welfare under policies established
jointly by the State Department of Public
Welfare and the State Department of Health;
and for the purchase of nursing home care for
patients previously certified by the Depart-
ment of Public Welfare for care under the In-
Patient program who are discharged from one
of the listed hospitals prior to Department of
Public Welfare's determination of eligibility
for a grant for nursing home care.

Payments for care rendered in General Hospi-
tals shall be the lesser of billings to other
patients for like services or 80% of each
hospital's verified average per diem cost of
the 1965 fiscal year.

Payments for care rendered in Special Hospi-
tals shall be the lesser of billings to other
patients for like services or 80% of each
hospital's certified average per diem cost of
the 1965 fiscal year.

Payments for post hospital care in nursing
homes shall be at the rates established by the
Department of Public Welfare grant for
clients with comparable needs.

The State Board of Health and Mental Hygiene
is authorized to promulgate rules and regula-
tions for the operation of this program. In the
event that the Federal Government makes
funds available to the State for hospitaliza-
tion of the indigent, any part of this appro-
priation may be used for matching purposes
by mutual consent of the institution and the
State Department of Health............................ 14,514,271