PARRIS N. GLENDENING, Governor

Ch. 352

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 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 plans, the scope of program benefits, and the availability of special programs tailored
to meet the individual health care needs of program recipients.]

[SECTION 4. AND BE IT FURTHER ENACTED, That Section 1 of this Act
may not take effect until the General Assembly gives legislative approval to the proposed
plan of the Secretary of Health and Mental Hygiene to implement the program to require
enrollment in managed care plans provided under this Act, including the feasibility of
expanding benefits to unserved individuals who are unable to afford health insurance or
long-term care, or to other populations.]

SECTION 5. AND BE IT FURTHER ENACTED, That[, subject to Sections 2
and 4 of this Act,] this Act shall take effect July 1, 1995.

SECTION 2. AND BE IT FURTHER ENACTED, That the Secretary of Health
and Mental Hygiene shall appear before the Senate Finance Committee and House
Environmental Matters Committee of the General Assembly to report on the
implementation of the Secretary's mandatory managed care program on a quarterly basis
until 2 years after the Program is first implemented. Public testimony shall be permitted
following the Secretary's mandatory managed care program quarterly reports. No later
than 1 year after the implementation date of the program, the Secretary shall submit a
written report to the Committees which shall include information about the number of
Program recipients enrolled in managed care organizations, the quality assurance
programs for the managed care organizations, a comprehensive financial assessment of
the management of care of Program recipients in the organizations, the extent to which
historic providers have been included in managed care organizations, the scope of Program
benefits, and the availability of special programs tailored to meet the individual health
care needs of Program recipients, and the Department's plan to incorporate competitive
bidding.

SECTION 3. AND BE IT FURTHER ENACTED, That no later than 15 days prior
to submitting any proposed regulations implementing the Secretary's mandatory managed
care program to the AELR Committee for review Joint Committee on Administrative,
Executive, and Legislative Review in accordance with Title 10, Subtitle 1 of the State
Government Article, the Secretary shall submit the proposed regulations to the Senate
Finance Committee and the House Environmental Matters Committee of the General
Assembly.

SECTION 4. AND BE IT FURTHER ENACTED, That the Secretary shall apply
for a waiver from the Health Care Financing Administration or take such other steps as
are necessary to enroll a managed care organization whose Medicaid and Medicare
enrollment exceeds 75% of the organization's total enrollment or will exceed 75% of its
total enrollment.

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