VETOES

indefinitely under certain circumstances; shall continue in
effect unless terminated by the Program or by the provider;
providing a certain exception; specifying that the Program
shall use its leverage as a high volume purchaser to
increase the cost effectiveness of the Program; requiring
the Department of Health and Mental Hygiene to review
certain regulations and to amend certain regulations under
certain circumstances; requiring the Program to include
certain managed care pilot programs for certain groups of
Program recipients under certain circumstances; requiring
certain managed care pilot programs to be carefully
controlled and their health care outcomes and cost savings

convincingly demonstrated; requiring changes to the

Program's regulations to be made at regular fixed intervals
and providing a certain exception; requiring the Department
to seek recovery of certain money expended from certain
persons, requiring the Department of Health and Mental

Hygiene to adopt certain regulations; effectiveness

evaluated; establishing a Special Joint Legislative
Committee on the Medical Assistance Program with certain
responsibilities; providing staff for the Committee;
providing for the termination of the Committee by a certain
date; requiring certain studies and directives to be
undertaken by certain persons and the results of those
studies and directives reported to the Committee on or
before certain dates; requiring the Department to annually
evaluate and report to the General Assembly on certain
changes made to the Program; prohibiting the Health
Resources Planning Commission from receiving or acting on
certain Letters of Intent or certain Certificate of Need
applications received on or after a certain date until after
a certain date to permit the Program to reevaluate certain
community-based initiatives; providing for a certain
effective date; and generally relating to the Maryland
Medical Assistance Program.

BY adding to

Article - Health - General

Section 15-102.1, 15-102.2, and 15-103.1, 15-106.1,

15-106.2, and 15-120.1
Annotated Code of Maryland
(1987 Replacement Volume and 1988 Supplement)

BY repealing and reenacting, with amendments,

Article - Health - General

Section 15-102 and 15-103

Annotated Code of Maryland

(1987 Replacement Volume and 1988 Supplement)

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