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Ch. 280 2005 LAWS OF MARYLAND
Article, as enacted by Section 1 Section 4 of this Act, shall be null and void without the
necessity of any further action by the General Assembly.
SECTION 11. AND BE IT FURTHER ENACTED, That:
(a) For the calendar year prior to the report date under subsection (b) of this
section, the Department of Health and Mental Hygiene shall review the rates paid to
providers under the federal Medicare fee schedule and compare the rates under the
Medicare fee schedule to the fee-for-service rates paid to similar providers for the
same services under the Medical Assistance Program and the rates paid to managed
care organization providers for the same services under the Medical Assistance
Program.
(b) On or before January 1, 2006, and each January 1 thereafter, the
Department shall report to the Senate Finance Committee and the House Health and
Government Operations Committee on:
(1) the review and comparison under subsection (a) of this section; and
(2) whether the fee-for-service rates and managed care organization
provider rates will exceed the rates paid under the Medicare fee schedule for the period
covered by the report required under subsection (a) of this section.
SECTION 8. 12. AND BE IT FURTHER ENACTED, That:
(a) The Maryland Health Care Commission and the Health Services Cost
Review Commission jointly shall assess:
(1) the level and underlying causes of uncompensated and
undercompensated care provided by physicians who provide at least 25% of their
services in a hospital setting, as determined by reporting on the most currently
available complete year of data from the Medical Care Data Base; and
(2) the level of reimbursement provided by commercial payers in the
State as a percentage of provider costs compared to reimbursement provided by
Medicare as a percentage of provider costs,
(b) (1) The Commissions shall make recommendations on:
(i) alternative methods of distributing the reasonable costs of
uncompensated and undercompensated care provided by physicians who provide at
least 25% of their services in a hospital setting, as determined by reporting on the
most currently available complete year of data from the Medical Care Data Base; and
(ii) including the feasibility of establishing an uncompensated and
undercompensated care fund patterned after the Maryland Trauma Physician
Services Fund.
(2) To determine the percentage of services provided by a physician in a
hospital setting, the Commissions shall use data from the Medical Care Data Base for
the most recent calendar year for which there is a complete year of data.
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