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PARRIS N. GLENDENING, Governor Ch. 153
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CARRIERS OF THE SUBSTANTIAL, AVAILABLE, AND AFFORDABLE COVERAGE
PURCHASER DIFFERENTIAL AS DETERMINED BY THE COMMISSION FOR THE
CALENDAR YEAR 2002.
(2) THE COMMISSION, IN ACCORDANCE WITH THIS SUBSECTION, SHALL
DETERMINE AND COLLECT FUNDS NECESSARY TO OPERATE AND ADMINISTER THE
MARYLAND HEALTH INSURANCE PLAN ESTABLISHED UNDER TITLE 14, SUBTITLE 5
OF THE INSURANCE ARTICLE.
(3) (I) THE COMMISSION SHALL DETERMINE THE PERCENTAGE OF
TOTAL NET PATIENT REVENUE RECEIVED IN CALENDAR YEAR 2002 BY ALL
HOSPITALS FOR WHICH THE COMMISSION APPROVED HOSPITAL RATES THAT IS
REPRESENTED BY THE BASE HOSPITAL RATE.
(II) THE PERCENTAGE UNDER SUBPARAGRAPH (I) OF THIS
PARAGRAPH SHALL BE DETERMINED BY DIVIDING THE BASE HOSPITAL RATE BY THE
TOTAL NET PATIENT REVENUE RECEIVED IN CALENDAR YEAR 2002 BY ALL
HOSPITALS FOR WHICH THE COMMISSION APPROVED HOSPITAL RATES.
(4) ON OR BEFORE MAY 1 OF EACH YEAR THE COMMISSION SHALL:
(I) DETERMINE THE AMOUNT OF FUNDING TO ALLOCATE TO THE
MARYLAND HEALTH INSURANCE PLAN BY MULTIPLYING THE PERCENTAGE
DETERMINED UNDER PARAGRAPH (3) OF THIS SUBSECTION BY THE VALUE OF THE
TOTAL NET PATIENT REVENUES RECEIVED IN THE IMMEDIATELY PRECEDING
FISCAL YEAR BY ALL HOSPITALS FOR WHICH RATES WERE APPROVED BY THE
COMMISSION; AND
(II) DETERMINE THE SHARE OF TOTAL FUNDING OWED BY EACH
HOSPITAL FOR WHICH RATES HAVE BEEN APPROVED BY THE COMMISSION
PROPORTIONATE TO THE PERCENTAGE OF THE BASE HOSPITAL RATE
ATTRIBUTABLE TO EACH HOSPITAL.
(5) EACH HOSPITAL SHALL REMIT MONTHLY ONE-TWELFTH OF THE
AMOUNT DETERMINED UNDER PARAGRAPH (4)(II) OF THIS SUBSECTION TO THE
MARYLAND HEALTH INSURANCE PLAN FUND.
(E) (1) THE COMMISSION SHALL ADJUST HOSPITAL RATES TO TAKE INTO
ACCOUNT THE ASSESSMENT REQUIRED UNDER SUBSECTION (D) OF THIS SECTION
ENSURE THAT THE ASSESSMENT COLLECTED UNDER SUBSECTION (D) OF THIS
SECTION IS REVENUE NEUTRAL TO EACH HOSPITAL.
(2) THE COMMISSION MAY NOT CONSIDER THE ASSESSMENT REQUIRED
UNDER SUBSECTION (D) OF THIS SECTION IN DETERMINING:
(I) THE REASONABLENESS OF RATES UNDER THIS SECTION; OR
(II) HOSPITAL FINANCIAL PERFORMANCE.
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- 1537 -
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