S.B. 819                                                 VETOES

(M) THE TOTAL YEARLY COST OF ENVIRONMENTAL MODIFICATIONS SHALL
BE EQUAL TO OR LESS THAN THE TOTAL CURRENT MONTHLY ENVIRONMENTAL
MODIFICATION BENEFIT AVAILABLE UNDER THE PROGRAM MULTIPLIED BY 12.

(I) AT LEAST 25% OF THE PROPORTION OF INDIVIDUALS WHO QUALIFY FOR
MEDICAL ASSISTANCE ELIGIBILITY UNDER THE WAIVER UNDER SUBSECTION (B) OF
THIS SECTION SHALL BE PARTICIPANTS IN WHO ARE RESIDENTS OF AREAS OF THE
STATE DESCRIBED IN § 15-141 (B)(3) OF THIS SUBTITLE PRIOR TO IMPLEMENTATION
OF THE PROGRAM DESCRIBED IN § 15-141 OF THIS SUBTITLE SHALL REMAIN THE
SAME AFTER IMPLEMENTATION OF THE PROGRAM DESCRIBED IN § 15-141 OF THIS
SUBTITLE.

[(h)] (N)(J)         The Department, in consultation with representatives of the

affected industry and advocates for waiver candidates, and with the approval of the
Department of Aging [and the Department of Human Resources], shall adopt
regulations to implement this section within 180 days of receipt of approval of the
amended waiver application from the [Health Care Financing Administration]
CENTERS FOR MEDICARE AND MEDICAID SERVICES of the United States Department
of Health and Human Services.

[(i)] (O) (K) Subject to § 2-1246 of the State Government Article[,]:

(1) [the] THE Department shall report to the General Assembly every 6
months concerning the status of the Department's application under subsections [(b)
and (c)] (F) AND (G) (D) of this section; AND

(2) ON OR BEFORE DECEMBER 31, 3004, AND ANNUALLY THEREAFTER,
THE DEPARTMENT OF AGING SHALL REPORT TO THE GENERAL ASSEMBLY ON THE
STATUS OF THE IMPLEMENTATION AND CONTINUATION OF THE SINGLE
POINT OF ENTRY SYSTEM ESTABLISHED UNDER SUBSECTION (L) OF THIS SECTION.

15-141.

(A)     (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2)      "COMMUNITY CARE ORGANIZATION" MEANS AN ORGANIZATION
APPROVED BY THE DEPARTMENT THAT ARRANGES FOR HEALTH CARE SERVICES
WITH THE GOAL OF PROMOTING THE DELIVERY OF SERVICES IN THE MOST
APPROPRIATE, COST-EFFECTIVE SETTING.

(3)      "COMMUNITY CHOICE PROGRAM" MEANS A PROGRAM THAT
DELIVERS SERVICES IN ACCORDANCE WITH THE WAIVER DEVELOPED UNDER THIS
SECTION.

(B)     (1) ON OR BEFORE NOVEMBER 1, 2004, THE DEPARTMENT SHALL APPLY
FOR A WAIVER UNDER THE FEDERAL SOCIAL SECURITY ACT.

(2) AS PERMITTED BY FEDERAL LAW OR WAIVER, THE SECRETARY MAY
ESTABLISH A PROGRAM UNDER WHICH MEDICAID PROGRAM RECIPIENTS ARE
REQUIRED TO ENROLL IN COMMUNITY CARE ORGANIZATIONS.

- 2902 -