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204
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2000 LAWS OF MARYLAND
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(1) an annual, actuarial adjusted
trend factor, (2) regional adjustments,
(3) an outdated fiscal 1997
fee-for-service (FFS) base, (4)
carve-outs, (5) the use and impact of a
new ACG Grouper, (6) the level of
managed care savings. (7) substance
abuse, (8) HIV rates, (9) the cost of
newborns and deliveries, and (10) the
FFS provider reimbursement levels.
General Fund Appropriation, provided that
no part of this general fund appropriation
may be paid to any physician or surgeon
or any hospital, clinic, or other medical
facility for or in connection with the
performance of any abortion, except upon
certification by a physician or surgeon,
based upon his or her professional
judgment that the procedure is necessary,
provided one of the following conditions
exists: where continuation of the
pregnancy is likely to result in the death
of the woman; or where the woman is a
victim of rape, sexual offense, or incest
which has been reported to a law
enforcement agency or a public health or
social agency; or where it can be
ascertained by the physician with a
reasonable degree of medical certainty
that the fetus is affected by genetic defect
or serious deformity or abnormality; or
where it can be ascertained by the
physician with a reasonable degree of
medical certainty that termination of
pregnancy is medically necessary because
there is substantial risk that continuation
of the pregnancy could have a serious and
adverse effect on the woman's present or
future physical health; or before an
abortion can be performed on the grounds
of mental health there must be
certification in writing by the physician or
surgeon that in his or her professional
judgment there exists medical evidence
that continuation of the pregnancy is
creating a serious effect on the woman's
present mental health and if carried to
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