Subtitle 6. Health Care [Decision] DECISIONS Act.

5-601.

(a) In this subtitle the following words have the meanings indicated.

DRAFTER'S NOTE:

Error: Incorrect word in subtitle heading immediately preceding § 5-601 of
the Health - General Article.

Occurred: Ch. 372, Acts of 1993.

15-301.

(f) (4) (i) A carrier that intends to participate in the Children and
Families Health Care Program under subsection (d) of this section shall submit its
health benefit plan to the Secretary.

(ii) The Secretary, in consultation with the Commissioner, shall
certify, within a reasonable time, if the employer sponsored health benefit plan or
individual health benefit plan meets the coverage requirements under Title XXI of
the Social Security Act and any other federal requirements, and includes a benefit
that is substantially equivalent to the early and periodic screening diagnosis and
treatment program.

(iii) If the Secretary determines that the employer sponsored health
benefit plan or individual health benefit plan does not meet the requirements of
subparagraph (ii) of this paragraph, the Secretary shall notify the carrier of that
determination within a reasonable time.

(iv) As part of the certification review under subparagraph (ii) of
this paragraph, the Secretary shall ensure that the premium payment for the eligible
individual's portion of the benefit cost to be paid by the State in accordance with
paragraph (6)(ii) of this subsection, does not exceed the cost that the State would
incur if the individual [was] WERE enrolled in the program under Subtitle 1 of this
title.

(v) A carrier participating in the Children and Families Health
Care Program shall offer its health benefit plans:

1. For employer sponsored health benefit plans to each
employer that has employees with dependents who may qualify for the program
under subsection (d) of this section; or

2. For individual health benefit plans to each individual who
may qualify for the program under subsection (d) of this section.

DRAFTER'S NOTE:

Error: Grammatical error in § 15-301(f)(4)(iv) of the Health - General
Article.