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Ch. 443 2005 LAWS OF MARYLAND
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legislation authorizing special funds from
the premium tax exemption on nonprofit
health service plans to be used for this
program effective January 1, 2006.
Further provided that $3,150,000 of this
appropriation may not be expended for
any program or purpose except that the
funds may be expended to purchase case
management services for individuals with
conditions that meet the medical
eligibility criteria that were utilized in
fiscal 2005 for the Rare and Expensive
Case Management Program (REM).
Further provided that no funds in this
appropriation may be expended for
payments to managed care organizations
for services for individuals who
participated in REM in fiscal 2005 unless
the REM participant voluntarily chooses
to enroll with a managed care
organization. Further provided that the
Department of Health and Mental
Hygiene shall report to the budget
committees. the Senate Finance
Committee, and the House Health and
Government Operations Committee by
October 1, 2005, on options for reducing
future REM costs. The report shall be
developed in consultation with REM
stakeholders and should include specific
cost saving proposals including the
transition of some or all REM enrollees to
managed care
appropriation shall be reduced contingent
upon the enactment of legislation
increasing the copay, in the Maryland
Pharmacy Assistance Program, by $1 for
prescription drugs that are not on the
Preferred Drug List.
Further provided that $18,500,000 of this
appropriation may only be expended for
rate increases for physician services for
the medical specialties of obstetrics,
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