WILLIAM DONALD SCHAEFER, Governor

Ch. 10

health; or before an abortion can
be performed on the grounds of
mental health there must be
certification in writing by the
physician or surgeon that in his
or her professional judgment
there exists medical evidence
that continuation of the
pregnancy is creating a serious
effect on the woman's present
mental health and if carried to
term there is a substantial risk
of a serious or long lasting
effect on the woman's future
mental health....................

Special Fund Appropriation.........

Federal Fund Appropriation.........

All appropriations provided for the

program Medical Assistance

Provider Reimbursements -

32.17.01.03 are to be used only

for the purposes herein

appropriated, and there shall be
no budgetary transfer by budget
amendment or otherwise from this
program without the approval of
the budget committees.

Furthermore, it is the intent of
the General Assembly that the
appropriations for the Medical

Assistance Provider

Reimbursements program be

expended in accordance with the
budget detail as presented to and
approved by the General Assembly.

Deviation from the budget

presentation should be solely due
to fluctuations in service cost,

enrollee utilization, or

enrollment. The department may
not make a regulatory, policy, or
procedural change which has an
impact greater than $250,000 on
the program's budget, except to
the extent previously approved

through the appropriations

process. Changes in regulations

for the Medical Assistance

Program that require additional
expenditures for the subprogram,

551,958,049
8,273,426
412,644,944	972,876,419

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