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ROBERT L. EHRLICH, JR., Governor S.B. 716
(I) SHALL BE ALLOCATED DIRECTLY TO THE MEDICAL
ASSISTANCE PROGRAM ACCOUNT; AND
(II) SHALL BE COUNTED TOWARDS THE TOTAL ALLOCATION
REQUIRED TO THE MEDICAL ASSISTANCE PROGRAM ACCOUNT UNDER §
19-803(B)(3)(II)2, (III)2, (IV)2, (V)2, AND (VI) OF THIS ARTICLE.
(3) BEGINNING IN FISCAL YEAR 2008 AND ANNUALLY THEREAFTER THE
AMOUNT UNDER PARAGRAPH (2) OF THIS SUBSECTION THAT IS COUNTED TOWARDS
THE TOTAL ALLOCATION UNDER § 19-803(B)(3)(IV)2, (V)2, AND (VI) OF THIS ARTICLE
THAT EXCEEDS THE AMOUNT NEEDED TO INCREASE BOTH FEE-FOR-SERVICE
HEALTH CARE PROVIDER RATES PAID BY THE MEDICAL ASSISTANCE PROGRAM AND
MANAGED CARE ORGANIZATION HEALTH CARE PROVIDER RATES TO A LEVEL OF
RATES PAID TO SIMILAR PROVIDERS FOR THE SAME SERVICES UNDER THE FEDERAL
MEDICARE FEE SCHEDULE SHALL BE TRANSFERRED, UNLESS OTHERWISE
PROVIDED IN THE STATE BUDGET, TO THE COMMUNITY HEALTH RESOURCES
COMMISSION FUND UNDER TITLE 19, SUBTITLE 22 OF THE HEALTH - GENERAL
ARTICLE FOR THE PURPOSE OF SUPPORTING OFFICE-BASED SPECIALTY CARE,
DIAGNOSTIC TESTING, AND LABORATORY TESTS FOR INDIVIDUALS WITH FAMILY
INCOME THAT DOES NOT EXCEED 200% OF THE FEDERAL POVERTY LEVEL.
(C) A NONPROFIT HEALTH MAINTENANCE ORGANIZATION SHALL TRANSFER
TO THE MEDICAL ASSISTANCE PROGRAM ACCOUNT:
(1) ON OR BEFORE AUGUST 1, 2005, AN AMOUNT EQUAL TO THE
PREMIUM TAX EXEMPTION VALUE OF THE NONPROFIT HEALTH MAINTENANCE
ORGANIZATION FOR THE LAST 6 MONTHS OF FISCAL YEAR 2005; AND
(2) WITHIN 30 DAYS FOLLOWING THE END OF EACH CALENDAR
QUARTER AN AMOUNT EQUAL TO THE PREMIUM TAX EXEMPTION VALUE OF THE
NONPROFIT HEALTH MAINTENANCE ORGANIZATION FOR THE QUARTER
(D) ON OR BEFORE MARCH 1 OF EACH YEAR A NONPROFIT HEALTH
MAINTENANCE ORGANIZATION SHALL FILE A REPORT WITH THE COMMISSIONER
ESTABLISHING THAT THE NONPROFIT HEALTH MAINTENANCE ORGANIZATION
TRANSFERRED FUNDS EQUAL TO ITS PREMIUM TAX EXEMPTION VALUE DURING THE
PRECEDING CALENDAR YEAR AS REQUIRED BY THIS SECTION.
14-102.
(h) The provisions of subsections (d) and (e) of this section and §§ 14-106,
14-106.1, 14-115(d), (e), (f), and (g), and 14-139(d) and (e) of this subtitle do not
apply to a nonprofit health service plan that insures between 1 and 10,000 covered
lives in Maryland or issues contracts for only one of the following services:
(1) podiatric;
(2) chiropractic;
(3) pharmaceutical;
(4) dental;
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