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Ch. 280
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2005 LAWS OF MARYLAND
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(2) "NONPROFIT HEALTH MAINTENANCE ORGANIZATION" MEANS A
HEALTH MAINTENANCE ORGANIZATION AUTHORIZED BY TITLE 19, SUBTITLE 7 OF
THE HEALTH - GENERAL ARTICLE THAT IS EXEMPT FROM TAXATION UNDER §
501(C)(3) OF THE INTERNAL REVENUE CODE.
(3) "PREMIUM TAX EXEMPTION VALUE" MEANS THE AMOUNT OF
PREMIUM TAXES THAT A NONPROFIT HEALTH MAINTENANCE ORGANIZATION
WOULD HAVE BEEN REQUIRED TO PAY IF THE NONPROFIT HEALTH MAINTENANCE
ORGANIZATION WERE NOT EXEMPT FROM TAXATION UNDER § 6-101(B)(7) OF THIS
SUBTITLE.
(B) (1) A NONPROFIT HEALTH MAINTENANCE ORGANIZATION SHALL
TRANSFER FUNDS IN AN AMOUNT EQUAL TO THE PREMIUM TAX EXEMPTION VALUE
OF THE NONPROFIT HEALTH MAINTENANCE ORGANIZATION: TO THE MEDICAL
ASSISTANCE PROGRAM ACCOUNT ESTABLISHED UNDER TITLE 19, SUBTITLE 8 OF
THIS ARTICLE TO BE USED TO SUPPORT THE PROVISION OF HEALTH CARE TO
ELIGIBLE INDIVIDUALS.
(2) NOTWITHSTANDING THE ALLOCATION PROVIDED UNDER § 19-803(B)
OF THIS ARTICLE, THE AMOUNT TRANSFERRED TO THE MEDICAL ASSISTANCE
PROGRAM ACCOUNT BY A NONPROFIT HEALTH MAINTENANCE ORGANIZATION
UNDER PARAGRAPH (1) OF THIS SUBSECTION:
(I) SHALL BE ALLOCATED DIRECTLY TO THE MEDICAL
ASSISTANCE PROGRAM ACCOUNT; AND
(II) SHALL BE COUNTED TOWARDS THE TOTAL ALLOCATION
REQUIRED TO THE MEDICAL ASSISTANCE PROGRAM ACCOUNT UNDER §
19-803(B)(3)(II)2, (III)2, (IV)2, (V)2, AND (VI) OF THIS ARTICLE.
(3) BEGINNING IN FISCAL YEAR 2008 AND ANNUALLY THEREAFTER THE
AMOUNT UNDER PARAGRAPH (2) OF THIS SUBSECTION THAT IS COUNTED TOWARDS
THE TOTAL ALLOCATION UNDER § 19-803(B)(3)(IV)2, (V)2, AND (VI) OF THIS ARTICLE
THAT EXCEEDS THE AMOUNT NEEDED TO INCREASE BOTH FEE-FOR-SERVICE
HEALTH CARE PROVIDER RATES PAID BY THE MEDICAL ASSISTANCE PROGRAM AND
MANAGED CARE ORGANIZATION HEALTH CARE PROVIDER RATES TO A LEVEL OF
RATES PAID TO SIMILAR PROVIDERS FOR THE SAME SERVICES UNDER THE FEDERAL
MEDICARE FEE SCHEDULE SHALL BE TRANSFERRED, UNLESS OTHERWISE
PROVIDED IN THE STATE BUDGET, TO THE COMMUNITY HEALTH RESOURCES
COMMISSION FUND UNDER TITLE 19, SUBTITLE 22 OF THE HEALTH - GENERAL
ARTICLE FOR THE PURPOSE OF SUPPORTING OFFICE-BASED SPECIALTY CARE,
DIAGNOSTIC TESTING, AND LABORATORY TESTS FOR INDIVIDUALS WITH FAMILY
INCOME THAT DOES NOT EXCEED 200% OF THE FEDERAL POVERTY LEVEL.
(C) A NONPROFIT HEALTH MAINTENANCE ORGANIZATION SHALL TRANSFER
TO THE MEDICAL ASSISTANCE PROGRAM ACCOUNT:
(1) ON OR BEFORE AUGUST 1, 2005, AN AMOUNT EQUAL TO THE
PREMIUM TAX EXEMPTION VALUE OF THE NONPROFIT HEALTH MAINTENANCE
ORGANIZATION FOR THE LAST 6 MONTHS OF FISCAL YEAR 2005; AND
- 1434 -
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