ROBERT L. EHRLICH, JR., Governor                             Ch. 385

(b) In addition to the study required under subsection (a) of this section,
MIEMSS shall: .

(1)     conduct a review of the trauma centers in the State to determine
whether they are operating at appropriate trauma designation levels; and

(2)     make recommendations for any necessary changes in the current
designation levels.                                                                                                 

(c) On or before December 1, 2003, MIEMSS shall submit a report on its
findings and recommendations made under subsections (a) and (b) of this section to
the Governor and, in accordance with § 2-1246 of the State Government Article, to
the Senate Finance Committee and the House Health and Government Operations
Committee.                                                       

SECTION 4. AND BE IT FURTHER ENACTED, That:

(a)     The Health Services Cost Review Commission shall submit reports, in
accordance with § 2-1246 of the State Government Article, to the Senate Finance
Committee and the House Health and Government Operations Committee on
September 1, 2003, and December 31, 2003, on:                                               

(1)     the anticipated time frame in which the Health Services Cost Review
Commission will begin including trauma center stand-by costs in the State's hospital
rate setting system;

(2)     the specific trauma center stand-by costs that may and may not be
included in the State's hospital rate setting system; and

(3)     the trauma costs incurred by a trauma center to meet the Maryland
Institute for Emergency Medical Services Systems trauma center regulatory
requirements that may and may not be included in the State's hospital rate setting
system.

(b)     (1) The Health Services Cost Review Commission shall develop
guidelines for the approval of an annual grant from the Maryland Trauma Physician
Services Fund established under § 19-130 of the Health - General Article, as enacted
by Section 1 of this Act, of up to $275,000 to subsidize the stand-by costs for an
out-of-state pediatric trauma center that has entered into an agreement with the
Maryland Institute for Emergency Services Systems.

(2)     As a condition of receiving a grant under paragraph (1) of this
subsection, an out-of-state pediatric trauma center shall submit any information or
documentation required by the Health Services Cost Review Commission, including
documentation of any stand-by costs recovered through insurer reimbursement.

(3)     On or before September 1, 2004, and on or before September 1 of each
year thereafter, the Health Services Cost Review Commission shall report, in
accordance with § 2-1246 of the State Government Article, to the Senate Finance
Committee and the House Health and Government Operations Committee, on the
amount of any grant awarded by the Commission during the grant year.

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