Ch. 500

1995 LAWS OF MARYLAND

(I) IN AREAS THAT HAVE BEEN SERVED HISTORICALLY BY A
COMMUNITY HEALTH CENTER, THE SECRETARY MAY REQUIRE A MANAGED CARE PLAN
TO INCLUDE THAT COMMUNITY HEALTH CENTER IN ITS DELIVERY OF SERVICE TO
PROGRAM RECIPIENTS WHO HAVE TRADITIONALLY OBTAINED HEALTH CARE SERVICES
THROUGH THAT COMMUNITY HEALTH CENTER;

(II)     FOR PROVIDERS WITH RESIDENCY PROGRAMS FOR THE TRAINING
OF HEALTH CARE PROFESSIONALS, THE SECRETARY MAY REQUIRE A MANAGED CARE
PLAN TO INCLUDE THOSE PROVIDERS IN ITS DELIVERY OF SERVICE TO PROGRAM
RECIPIENTS; AND                                                                                                    .

(III)   IN OTHER CIRCUMSTANCES TO MEET PARTICULAR NEEDS OF
PROGRAM RECIPIENTS OR THE COMMUNITY BEING SERVED AS PROVIDED IN
REGULATIONS ADOPTED BY THE SECRETARY.

[(d) (1) In this subsection, "alcohol abuse and drug abuse treatment program"
has the meaning stated in § 8-403(a) of this article.

(2) For health maintenance organizations under contract with the Secretary
to provide services to eligible program recipients, the Secretary shall:

(i) 1. Develop a procedure that would enable a substance abusing
pregnant women enrolled in a health maintenance organization to disenroll from the
health maintenance organization and enter an alcohol abuse and drug abuse treatment
program during the same 24-hour period; or

2. Provide coverage for alcohol abuse and drug abuse treatment
program services for a substance abusing pregnant women through the health
maintenance organization; and

(ii) Develop a procedure to provide, prior to enrollment in a health
maintenance organization, notice to eligible program recipients of the provisions of
subparagraph (i) of this paragraph.]

SECTION 3. 2. AND BE IT FURTHER ENACTED, That Section 3 7 of this Act
may not take effect until the beginning of the period covered by a waiver approved by the
U.S. Department of Health and Human Services under § 1115 of the Social Security Act
and shall be effective only for as long as the period covered under the waiver.

SECTION 4. 3. AND BE IT FURTHER ENACTED, That if Section 2 1 of this
Act takes effect, the Secretary of Health and Mental Hygiene shall report to the Senate
Finance Committee and House Environmental Matters Committee of the General
Assembly on the effectiveness of this Act and the managed care plans in which program
recipients are enrolled under this Act. The Secretary shall submit the report to the
Committees no later than 1 year after the date Section 2 1 of this Act takes effect. The
report shall include information about the number of program recipients enrolled in
managed care plans, the quality assurance programs for the managed care plans, a
comprehensive financial assessment of the management of care of program recipients in the

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