PARRIS N. GLENDENING, Governor                             Ch. 462

(2)     (i) The total fees assessed by the Commission shall be derived:

1. [one-third] ONE THIRD from health care practitioners;

2. [and two-thirds] EXCEPT FOR THIRD PARTY
ADMINISTRATORS, ONE-THIRD from payors; AND

3. ONE THIRD FROM THIRD PARTY ADMINISTRATORS AND,
AS PROVIDED IN SUBSECTION (D) OF THIS SECTION, OFFICE FACILITIES.

(ii) The Commission may adopt a regulation that waives the fee
assessed under this section for a specific class of health care practitioners.

(3)     The total fees assessed by the Commission may not exceed $5,000,000 in
any fiscal year.

(4)     The Commission shall pay all funds collected from fees assessed in
accordance with this section into the Health Care Access and Cost Fund.

(5)     The fees assessed in accordance with this section shall be used only for
the purposes authorized under this subtitle.

(b)     The fees assessed in accordance with this section on health care practitioners
shall be:

(1)     Included in the licensing fee paid to the Board; and

(2)     Transferred to the Commission on a quarterly basis.

(c)     (1) The fees assessed on [payors] HEALTH INSURERS, NONPROFIT
HEALTH SERVICE PLANS, AND HEALTH MAINTENANCE ORGANIZATIONS in
accordance with Article 48A, § 490R of the Code shall be apportioned [among each
payor] based on the ratio of each SUCH payor's total premiums collected in the State to
the total collected premiums of all SUCH payors in the State.

(2) SUBJECT TO A WAIVER OR REDUCTION AS MAY BE PROVIDED IN

COMMISSION REGULATIONS, THE FEE ASSESSED ON THIRD PARTY

ADMINISTRATORS SHALL BE A FLAT FEE NOT TO EXCEED $5,000 EACH YEAR.

[(2)](3) On or before June 1 of each year, the Commission shall notify the
State Insurance Commissioner by memorandum of the total assessment on payors for that
year.

[(d) The Commission shall determine an appropriate assessment for a self-insured
group based on the number of individuals covered under the group's plan.]

(D) (1) THE OFFICE FACILITIES ON WHICH THE COMMISSION SHALL ASSESS
A FEE ARE:

(I) ALL MULTI-SPECIALTY AMBULATORY SURGICAL CENTERS
THAT ARE NOT REGULATED UNDER SUBTITLE 2 OF THIS TITLE;

(II) ALL RADIOLOGICAL AND DIAGNOSTIC IMAGERY CENTERS
THAT ARE NOT REGULATED UNDER SUBTITLE 2 OF THIS TITLE; AND

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