706

LAWS OF MARYLAND

Ch. 21

disburses funds for this program. Similarly,
subsection (c) of this section is revised to
restrict payments by the Secretary, for
conformity.

In subsection (c)(3) of this section, the phrase
"{a}fter July 1, 1978" is deleted as
unnecessary.

The Commission to Revise the Annotated Code
notes, for consideration by the General Assembly,
that, e.g., the District of Columbia does not
"approve" the dialysis or transplant centers in
the District of Columbia, but instead relies on
federal approval of a center.

Defined terms: "Commission" § 13-301
"Secretary" § 1-101 "State" § 1-101

13-312. REIMBURSEMENT OF STATE.

(A)  DUTY FOR CERTIFIED PATIENTS.

(1)  SUBJECT TO THE LIMITATIONS PROVIDED IN THIS
SUBSECTION, A CERTIFIED PATIENT FOR WHOSE TREATMENT THIS
STATE HAS PAID OR ANY PERSON LIABLE FOR THE DEBTS OF THE
PATIENT SHALL REIMBURSE THIS STATE FOR THE COST OF THE
TREATMENT.

(2)  THE PATIENT OR OTHER PERSON IS NOT LIABLE
UNDER THIS SUBSECTION FOR MORE THAN THE SUM OF:

(I) ANY PROCEEDS OF INSURANCE, GROUP
HEALTH PLAN, OR PREPAID MEDICAL CARE THAT THE INSURER PAYS
TO THE INSURED BECAUSE OF LIABILITY FOR THE PAYMENT OF THE
COST OF TREATMENT; AND

(II) THE LESSER OF:

1.  5 PERCENT OF THE PATIENT'S OR
PERSON'S ADJUSTED GROSS INCOME, AS DEFINED IN THE UNITED
STATES INTERNAL REVENUE CODE FOR FEDERAL INCOME TAX
PURPOSES, LESS THE PREMIUM THAT THE PATIENT OR PERSON PAID
DURING THE YEAR FOR INSURANCE THAT PAID PROCEEDS UNDER
ITEM(I) OF THIS PARAGRAPH; OR

2.  AN AMOUNT THAT THE DEPARTMENT
SETS IN CONFORMITY WITH TITLE 16 OF THIS ARTICLE.

(B)  EFFECT OF LOSS OF CERTIFICATION.

IF A PATIENT LOSES CERTIFICATION UNDER THIS SUBTITLE,
THE PATIENT OR PERSON LIABLE FOR THE DEBTS OF THE PATIENT IS
LIABLE TO THIS STATE FOR THE COST OF TREATMENT GIVEN TO THE
PATIENT DURING THE PERIOD OF CERTIFICATION. HOWEVER, IN