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ROBERT L. EHRLICH, JR., Governor
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Ch. 282
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14-510.
(a) In Part II of this subtitle the following words have the meanings indicated.
(b) "Eligible individual" means an individual who:
(1) is a resident of Maryland;
(2) is a Medicare beneficiary ENROLLED IN THE MEDICARE PART D
VOLUNTARY PRESCRIPTION DRUG BENEFIT PROGRAM OR A MEDICARE ADVANTAGE
PLAN THAT PROVIDES PART D COVERAGE;
(3) is not enrolled in a Medicare Plus Choice managed care program or
other insurance program HEALTH BENEFIT PLAN, OTHER THAN A MEDICARE PART D
PRESCRIPTION DRUG PLAN OR A MEDICARE ADVANTAGE PLAN, that provides
prescription drug benefits at the time that the individual applies for enrollment in the
Plan PROGRAM;
(4) has an annual household income at or below 300% of the federal
poverty guidelines; and
(5) IS NOT ELIGIBLE FOR A FULL FEDERAL LOW-INCOME SUBSIDY
UNDER 42 C.F.R. § 423.772; AND
(5) (6) pays the premium and copayments, AND COPAYMENTS OR
COINSURANCE, for the Plan PROGRAM.
(c) "Enrollee" means an individual enrolled in the Plan PROGRAM.
(d) "Program" means the Senior Prescription Drug ASSISTANCE Program
established under Part II of this subtitle.
14-511.
(a) There is a Senior Prescription Drug ASSISTANCE Program.
(b) The purpose of the Program is to provide Medicare PART D beneficiaries,
who [lack prescription drug coverage, with access to affordable, medically necessary
prescription drugs until such time as an outpatient prescription drug benefit is
provided through the federal Medicare program] MEET PROGRAM ELIGIBILITY
REQUIREMENTS, WITH A STATE SUBSIDY FOR THEIR MEDICARE PART D PREMIUMS,
DEDUCTIBLES, AND COINSURANCE. A PORTION OF THEIR:
(1) MEDICARE PART D PRESCRIPTION DRUG PLAN PREMIUM AND
DEDUCTIBLE; OR
(2) MEDICARE ADVANTAGE PLAN PREMIUM AND DEDUCTIBLE RELATED
TO A PRESCRIPTION DRUG BENEFIT.
(c) The Program shall be administered by a carrier as provided under §
14-106(d) of this title THE BOARD SHALL CONTRACT WITH A THIRD PARTY TO
ADMINISTER THE PROGRAM.
(d) The carrier that administers ADMINISTRATOR OF the Program shall:
- 1469 -
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