Ch. 448                                    2003 LAWS OF MARYLAND

(B)     (1) THERE IS A PRIMARY ADULT CARE NETWORK WITHIN THE PROGRAM.
(2) THE PURPOSE OF THE PRIMARY ADULT CARE NETWORK IS TO:

(I)      CONSOLIDATE HEALTH CARE SERVICES PROVIDED TO ADULTS
THROUGH THE PROGRAM; AND

(II)     ACCESS FEDERAL FUNDING TO EXPAND PRIMARY AND
PREVENTIVE CARE TO ADULTS LACKING HEALTH CARE SERVICES.

(2) (3) THE SECRETARY SHALL ADMINISTER THE NETWORK AS
ALLOWED BY FEDERAL LAW OR WAIVER

(C)     SUBJECT TO THE LIMITATIONS OF THE STATE BUDGET AND AS ALLOWED
BY FEDERAL LAW OR WAIVER, THE NETWORK SHALL PROVIDE A HEALTH CARE
BENEFIT PACKAGE OFFERING PRIMARY AND PREVENTIVE CARE FOR AN ADULT:
ADULTS.

(1) WHOSE ANNUAL HOUSEHOLD INCOME IS AT OR BELOW 150% OF THE
FEDERAL POVERTY LEVEL; AND

(2) WHO LACKS HEALTH INSURANCE COVERAGE.

(D) (1) THE PROGRAM MAY REQUIRE COST SHARING AT REASONABLE
LEVELS.

(2) THE TOTAL COST SHARING AUTHORIZED UNDER PARAGRAPH (1) OF
THIS SUBSECTION MAY NOT EXCEED $1,000 ANNUALLY.

(3) THE DEPARTMENT MAY REQUIRE AN ENROLLMENT FEE OF NO
GREATER THAN $50.

(E) THE NETWORK MAY ENTER INTO PARTNERSHIPS WITH COMMUNITY
ENTITIES TO PROVIDE ADDITIONAL COVERAGE FOR NETWORK ENROLLEES.

(F) (D) THE NETWORK SHALL BE FUNDED:

(1)      AS PROVIDED IN THE STATE BUDGET; AND

(2)      WITH FEDERAL MATCHING MONEY.

(G) (E) THE SECRETARY SHALL ADOPT REGULATIONS TO IMPLEMENT THE
NETWORK.

SECTION 2. AND BE IT FURTHER ENACTED, That:

(a) On or before October 1, 2003, the Department of Health and Mental
Hygiene shall conduct a comprehensive review of health care services currently
offered to adults through the Maryland Medical Assistance Program, including the
Maryland Primary Care Program and the Maryland Pharmacy Assistance Program.
The Department also shall review mental health services provided to adults through
the Mental Hygiene Administration and health care services offered to adults with
funds from the Cigarette Restitution Fund. In conducting the review, the Department

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