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Ch. 443
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2005 LAWS OF MARYLAND
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and appropriate management of risk
factors can improve health conditions and
prolonged kidney function, thereby
delaying disease progression to End Stage
Renal Disease in those individuals
identified with CKD. DHMH should also
continue to prepare information for
physicians and other health care providers
regarding generally accepted standards of
clinical care in the clinical management of
high risk individuals and should report to
the budget committees by January 1, 2006
on projected cost savings and health
outcomes that result from early
identification and clinical management of
individuals at highest risk for CKD. The
DHMH report should consider the
practicality of calculating the kidney
function known as glomerular filtration
rate (GFR) when the blood test for
creatinine is done.
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Further provided that $443,000,000 of this
appropriation may not be expended for
any program or purpose except that the
funds may be used for payments to
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1,975,642,489
1,933,292,489
1,930,142,489
Special Fund Appropriation........................... 81,800,000
Federal Fund Appropriation, provided that
$18,500,000 of this appropriation may
only be expended for rate increases for
physician services for the medical
specialties of obstetrics, neurosurgery,
orthopedics, surgery and emergency
medicine., provided that $3,150,000 of
this appropriation may not be expended
for any program or purpose except that
the funds may he 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
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- 2198 -
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