VETOES

(B) (1) THE PROGRAM SHALL, AS APPROPRIATE, INCLUDE MANAGED
CARE PILOT PROGRAMS FOR THOSE GROUPS OF PROGRAM RECIPIENTS WHO
MAY BENEFIT FROM A MANAGED CARE PROGRAM TO MEET THEIR HEALTH CARE
NEEDS.                                                             

(2)  TO THE EXTENT DEEMED FEASIBLE AND APPROPRIATE,
ALL MANAGED CARE PILOT PROGRAMS DEVELOPED UNDER THE PROVISIONS OF
PARAGRAPH (1) OF THIS SUBSECTION SHALL:

(I)  DESIGNATE 1 PERSON TO BE RESPONSIBLE FOR
MANAGING THE DELIVERY OF HEALTH CARE SERVICES TO THE PROGRAM
RECIPIENT;

(II)  PROMOTE ACCESS TO AND CONTINUITY OF HEALTH
CARE TO PROGRAM RECIPIENTS;

(III)  PREVENT UNNECESSARY UTILIZATION OF HEALTH
CARE SERVICES BY PROGRAM RECIPIENTS;

(IV)  EDUCATE PROGRAM RECIPIENTS ON HEALTH CARE
PREVENTION AND GOOD HEALTH HABITS;

(V)  PROVIDE SUFFICIENT FLEXIBILITY TO ENABLE
THE MANAGED CARE PROGRAM TO BE TAILORED TO MEET THE INDIVIDUAL
HEALTH CARE NEEDS OF PROGRAM RECIPIENTS; AND

(VI)  PROMOTE ASSISTANCE FOR PROGRAM RECIPIENTS
IN SECURING NECESSARY HEALTH CARE SERVICES.

(3)  (I) ALL MANAGED CARE PILOT PROGRAMS DEVELOPED
UNDER THE PROVISIONS OF PARAGRAPH (1) OF THIS SUBSECTION SHALL BE
CAREFULLY CONTROLLED AND HAVE THEIR THEIR COST SAVINGS CONVINCINGLY
DEMONSTRATED EVALUATED AS TO THEIR HEALTH CARE OUTCOMES AND COST
EFFECTIVENESS.

(II) THE DEPARTMENT SHALL ANNUALLY INFORM THE GENERAL
ASSEMBLY OF THE HEALTH CARE OUTCOMES AND COST EFFECTIVENESS OF
MANAGED CARE PILOT PROGRAMS.

[(b)] (C) (1) (i) In this subsection the following words
have the meanings indicated.

(ii) "Certified nurse practitioner" means a
registered nurse who is licensed in this State, has completed a
nurse practitioner program approved by the State Board of
Nursing, and has passed an examination approved by that Board.

(iii) "Nurse anesthetist" means a registered
nurse who is:

1. Certified under the Health Occupations
Article to practice nurse anesthesia; and

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