|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ROBERT L. EHRLICH, JR., Governor
|
|
|
|
|
|
S.B. 716
|
|
|
|
|
|
|
|
|
|
|
|
|
CONTRACT DIRECTLY WITH A COMMUNITY HEALTH RESOURCE THAT IS ALSO A
MARYLAND QUALIFIED HEALTH CENTER OR A SCHOOL-BASED HEALTH CENTER;
AND
|
|
|
|
|
|
|
|
|
|
(18) ESTABLISH CRITERIA AND MECHANISMS TO PAY FOR
OFFICE-BASED SPECIALTY CARE VISITS, DIAGNOSTIC TESTING, AND LABORATORY
TESTS FOR UNINSURED INDIVIDUALS WITH FAMILY INCOME THAT DOES NOT
EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES WHO ARE REFERRED
THROUGH COMMUNITY HEALTH RESOURCES.
(B) THE COMMISSION SHALL CONSIDER GEOGRAPHIC BALANCE AS A FACTOR
IN DEVELOPING CRITERIA UNDER SUBSECTION (A)(5) OF THIS SECTION FOR
COMMUNITY HEALTH RESOURCES TO QUALIFY FOR CAPITAL AND OPERATING
GRANTS.
(C) (B) THE REVERSE REFERRAL PILOT PROGRAM ESTABLISHED UNDER
SUBSECTION (A)(10) OF THIS SECTION SHALL INCLUDE AT LEAST A ONE HOSPITAL
AND A ONE COMMUNITY HEALTH RESOURCE FROM A RURAL, URBAN, AND
SUBURBAN AREA OF THIS STATE.
(D) (C) THE COMMISSION, IN DEVELOPING AND IMPLEMENTING THE
OUTREACH PROGRAM ESTABLISHED UNDER SUBSECTION (A)(14) OF THIS SECTION,
SHALL CONSULT AND COORDINATE WITH THE MOTOR VEHICLE ADMINISTRATION,
WORKFORCE INVESTMENT BOARDS, LOCAL DEPARTMENTS OF SOCIAL SERVICES,
LOCAL HEALTH DEPARTMENTS, MEDBANK INC., THE COMPTROLLER, THE MARYLAND
HEALTH CARE COMMISSION, HOSPITALS, COMMUNITY HEALTH RESOURCES, AND
PHYSICIANS TO PROVIDE OUTREACH AND CONSUMER INFORMATION.
(E) (D) THE COMMISSION, IN CONDUCTING THE SCHOOL-BASED CLINIC
HEALTH CENTER STUDY REQUIRED UNDER SUBSECTION (A)(15) OF THIS SECTION,
SHALL:
(1) SOLICIT INPUT FROM AND CONSULT WITH LOCAL GOVERNMENTS
THAT OPERATE SCHOOL-BASED HEALTH CENTERS, THE STATE DEPARTMENT OF
EDUCATION, THE MARYLAND INSURANCE COMMISSIONER, REPRESENTATIVES FROM
SCHOOL-BASED HEALTH CENTERS, PROVIDERS, AND INSURERS- AND
(2) IDENTIFY THE FOLLOWING:
(I) A SCHEDULE FOR PREMIUM PAYMENTS TO BE PAID BY A FEE
SCHEDULE FOR INDIVIDUALS ACCESSING A SCHOOL-BASED COMMUNITY HEALTH
CENTER;
(II) A SCHEDULE FOR THE REIMBURSEMENT REIMBURSEMENT
RATES TO BE PAID BY MANAGED CARE ORGANIZATIONS AND PRIVATE INSURERS
INSURERS, NONPROFIT HEALTH SERVICE PLANS, AND HEALTH MAINTENANCE
ORGANIZATIONS TO THE SCHOOL-BASED COMMUNITY HEALTH CENTER;
(III) INSURANCE PAYMENTS OWED TO SCHOOL-BASED COMMUNITY
HEALTH CENTERS AND HOW MUCH OF THE PAYMENTS SHOULD BE COLLECTED TO
OFFSET ANY STATE SUBSIDY;
- 3807 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
