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Ch. 345
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ROBERT L. EHRLICH, JR., Governor
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14-512.
(a) The Program shall:
(1) [subject to the moneys available in the segregated account under §
14-504 of this subtitle, provide benefits to the maximum number of individuals
eligible for enrollment in the Program; and] PROVIDE A PRESCRIPTION DRUG
BENEFIT SUBSIDY, AS DETERMINED BY THE BOARD, THAT MAY PAY ALL OR SOME OF
THE DEDUCTIBLES, COINSURANCE PAYMENTS, PREMIUMS, AND COPAYMENTS
UNDER THE FEDERAL MEDICARE PART D PHARMACEUTICAL ASSISTANCE PROGRAM
FOR ENROLLEES OF THE PROGRAM; AND
(2) [provide a State subsidy for a portion of the cost of Medicare Part D
and Medicare Advantage Plan drug-related premiums and deductibles] PROVIDE
THE SUBSIDY TO THE MAXIMUM NUMBER OF INDIVIDUALS ELIGIBLE FOR
ENROLLMENT IN THE PROGRAM, SUBJECT TO THE MONEYS AVAILABLE IN THE
SEGREGATED ACCOUNT UNDER § 14-504 OF THIS SUBTITLE.
[(b) The subsidy required under subsection (a) of this section shall be equal to:
(1) for the Medicare Part D prescription drug plan or Medicare
Advantage Plan drug-related premium:
(i) for individuals who do not qualify for a federal low-income
subsidy, at least $25 per enrollee per month; and
(ii) for individuals who qualify for a partial federal low—income
subsidy, the lesser of:
1. the amount provided under item (i) of this item; or
2. the full amount of the enrollee share of the premium; and
(2) for the Medicare Part D prescription drug plan or Medicare
Advantage Plan drug-related deductible, the total amount of the deductible, less the
copayment or coinsurance amount specified in subsection (c) of this section.
(c) An enrollee shall pay a copayment or coinsurance amount, instead of a
deductible, equal to the initial copayment or coinsurance amount for which the
enrollee is responsible under the enrollee's Medicare Part D prescription drug plan or
Medicare Advantage Plan after the deductible is satisfied.
(d) The Program shall establish an annual subsidy limit for an enrollee.]
(B) THE PROGRAM MAY ANNUALLY PROVIDE AN ADDITIONAL SUBSIDY, UP TO
THE FULL AMOUNT OF THE MEDICARE PART D PRESCRIPTION DRUG PLAN PREMIUM,
FOR INDIVIDUALS WHO QUALIFY FOR A PARTIAL FEDERAL LOW-INCOME SUBSIDY.
(C) THE PROGRAM SHALL MAINTAIN A WAITING LIST OF INDIVIDUALS WHO
MEET THE ELIGIBILITY REQUIREMENTS FOR THE PROGRAM BUT WHO ARE NOT
SERVED BY THE PROGRAM DUE TO FUNDING LIMITATIONS.
(C) (D) THE BOARD SHALL DETERMINE ANNUALLY:
- 1819 -
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