|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PARRIS N. GLENDENING, Governor
|
|
|
|
|
|
Ch. 153
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(D) (1) IN ADDITION TO THE OPERATION AND ADMINISTRATION OF THE
PLAN, THE FUND SHALL BE USED FOR THE OPERATION AND ADMINISTRATION OF
THE SENIOR PRESCRIPTION DRUG PROGRAM ESTABLISHED UNDER PART II OF THIS
SUBTITLE.
(2) THE BOARD SHALL MAINTAIN SEPARATE ACCOUNTS WITHIN THE
FUND FOR THE SENIOR PRESCRIPTION DRUG PROGRAM AND THE MARYLAND
HEALTH INSURANCE PLAN.
(3) ACCOUNTS WITHIN THE FUND SHALL CONTAIN THOSE MONEYS
THAT ARE INTENDED TO SUPPORT THE OPERATION OF THE PROGRAM FOR WHICH
THE ACCOUNT IS DESIGNATED.
(E) A DEBT OR OBLIGATION OF THE PLAN IS NOT A DEBT OF THE STATE OR A
PLEDGE OF CREDIT OF THE STATE.
14-505.
(A) (1) THE MARYLAND HEALTH CARE COMMISSION BOARD SHALL
ESTABLISH A STANDARD BENEFIT PACKAGE TO BE OFFERED BY THE PLAN.
(2) THE MARYLAND HEALTH CARE COMMISSION BOARD MAY EXCLUDE
FROM THE BENEFIT PACKAGE:
(I) A HEALTH CARE SERVICE, BENEFIT, COVERAGE, OR
REIMBURSEMENT FOR COVERED HEALTH CARE SERVICES THAT IS REQUIRED
UNDER THIS ARTICLE OR THE HEALTH - GENERAL ARTICLE TO BE PROVIDED OR
OFFERED IN A HEALTH BENEFIT PLAN THAT IS ISSUED OR DELIVERED IN THE STATE
BY A CARRIER; OR
(II) REIMBURSEMENT REQUIRED BY STATUTE, BY A HEALTH
BENEFIT PLAN FOR A SERVICE WHEN THAT SERVICE IS PERFORMED BY A HEALTH
CARE PROVIDER WHO IS LICENSED UNDER THE HEALTH OCCUPATIONS ARTICLE AND
WHOSE SCOPE OF PRACTICE INCLUDES THAT SERVICE.
(B) (1) THE BOARD SHALL ESTABLISH A PREMIUM RATES RATE FOR THE
PLAN COVERAGE SUBJECT TO REVIEW AND APPROVAL BY THE COMMISSIONER
(2) THE PREMIUM RATE MAY VARY ONLY ON THE BASIS OF FAMILY
COMPOSITION.
(C) (1) THE BOARD SHALL DETERMINE A STANDARD RISK RATE BY
CONSIDERING THE PREMIUM RATES CHARGED BY CARRIERS IN THE STATE FOR
COVERAGE COMPARABLE TO THAT OF THE PLAN.
(2) (I) THE PREMIUM RATES RATE FOR PLAN COVERAGE:
(I) MAY NOT BE LESS THAN 110% OF THE RATES STANDARD RISK
RATE ESTABLISHED UNDER PARAGRAPH (1) OF THIS SUBSECTION; AND.
(II) PLAN RATES SHALL MAY NOT EXCEED 200% OF THE RATES
ESTABLISHED UNDER PARAGRAPH (1) OF THIS SUBSECTION STANDARD RISK RATE.
|
|
|
|
|
|
|
|
|
|
- 1547 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
