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PARRIS N. GLENDENING, Governor
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Ch. 17
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(11) UP TO 100 DAYS OF SKILLED NURSING CARE PER YEAR;
(12) EMERGENCY AMBULANCE SERVICE;
(13) ONE ROUTINE EYE EXAM PER YEAR AND ONE PAIR OF EYE GLASSES
PER YEAR;
(14) ALCOHOL AND DRUG ABUSE EDUCATION CLASSES AND OUTPATIENT
TREATMENT;
(15) ANNUAL MAMMOGRAMS, PAP SMEARS, AND COLORECTAL
SCREENING EXAMS FOR CANCER;
(16) HEPATITIS B AND FLU VACCINES;
(17) HEARING EXAMS;
(18) TWO PREVENTIVE DENTAL EXAMS PER YEAR; AND
(19) EMERGENCY MEDICAL OUTPATIENT TREATMENT.
15-604.
THE MANAGED CARE PROVIDER MAY:
(1) REQUIRE A DEDUCTIBLE TO APPLY TO PRESCRIPTION BENEFITS AND
CO-PAYMENTS THAT ARE EQUAL OR LESS THAN THOSE REQUIRED BY THE
MEDICARE PART "B" BENEFITS PROVIDED UNDER TITLE XVIII OF THE SOCIAL
SECURITY ACT, AS AMENDED;
(2) ESTABLISH A RESTRICTED FORMULARY OF EXPERIMENTAL DRUGS
THAT WILL NOT BE REIMBURSED BY THE PROGRAM; AND
(3) ESTABLISH A CO PAYMENT SYSTEM FOR PRESCRIPTION DRUGS
BASED ON THE USE OF BRAND OR GENERIC DRUGS.
15-605.
THE SECRETARY SHALL:
(1) PAY A MANAGED CARE PROVIDER WITHIN 30 DAYS AFTER RECEIPT
OF A CLAIM FOR PAYMENT OF SUBSIDIES;
(2) SUBMIT A REPORT TO THE GENERAL ASSEMBLY ON OR BEFORE JUNE
30, 2001, AND IN EACH SUCCESSIVE YEAR, THAT INCLUDES A SUMMARY OF THE
PROGRAM ACTIVITIES FOR THE YEAR AND ANY RECOMMENDATIONS OR
SUGGESTIONS FOR CONSIDERATION BY THE GENERAL ASSEMBLY; AND
(3) ADOPT ANY REGULATIONS NECESSARY TO CARRY OUT THE
PROVISIONS OF THIS SUBTITLE.
SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall
remain effective for a period of 2 years and, at the end of June 30, 2002, or the
passage of a prescription pharmacy benefit program provided by Medicare under Title
XVIII of the Social Security Act, an amended, whichever occurs sooner, and with no
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- 241 -
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