1088                             Laws of Maryland                      [Ch. 493

or the District of Columbia. , OR IN AN APPROVED HOME
DIALYSIS PROGRAM. The Commission may formulate rules relat-
ing to payment for such treatment outside the State of Maryland,
and may include therein approval or disapproval of any outside
center for purposes of State payment under this subtitle.

789.

(a)  Any certified patient for whose treatment the State has paid,
or the person or persons liable for the debts of such patient, shall
reimburse the State for the cost of treatment subject to the limita-
tions in subsection (b) of this section.

(b)  No person or persons liable for repayment under subsection
(a) shall be liable for more than the sum of:

(1)  any proceeds of insurance, group health plan, or prepaid
medical care, provided that such proceeds are paid to the insured and
are paid by the insurer by reason of liability for the payment of the
cost of medical treatment, and

(2)  five percent of the adjusted gross income, as defined in the
United States Internal Revenue Code for purposes of the federal
income tax and as amended from time to time, of such person or per-
sons, less the yearly premiums such person or persons have paid on
insurance which resulted in proceeds under subsection (b) (1) hereof.

Nothing in this section shall be construed to affect any arrange-
ment for payment of costs directly to a medical provider by an
insurance company, group health plan, or prepaid medical care plan.

(c)  If a patient loses his certification as a patient under this sub-
title, the person or persons liable for repayment to the State of the
cost of care shall repay to the date of such loss as provided in sub-
sections (1) and (2) of this section, but the person or persons so
liable shall not be liable for any payment based on the portion of
insurance proceeds or adjusted gross income received after the date
of the loss of certification.

790.

An appropriation of funds shall be made each year as necessary to
carry out the provisions of this subtitle.

Sec. 2. And be it further enacted, That this Act shall take effect
July 1, 1971.

Approved May 17, 1971.

CHAPTER 493
(Senate Bill 793)

AN ACT to repeal and re-enact, with amendments, Sections 277 (a),
(e), (f), (j), (k), (1), (m), (p), (q), and (t), 278 (a), 279, 281
(a), (f), and (h), 282 (c), 283, 285 (b), and (c), 286 (b), 287 (d),
288 (a), and 302 (c) and (f), and to add new Section 302 (h)