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<section article="ghg" article_name="Health - General" number="15-102.1" title_number="15" title_name="Assistance Programs" subtitle_number="1" subtitle_name="Medical and Pharmacy Assistance Programs">
  <level label="a">
    <text>The General Assembly finds that it is a goal of this State to promote the development of a health care system that provides adequate and appropriate health care services to indigent and medically indigent individuals.</text>
  </level>
  <level label="b">
    <text>The Department shall, to the extent permitted, subject to the limitations of the State budget:</text>
    <level label="1">
      <text>Provide a comprehensive system of quality health care services with an emphasis on prevention, education, individualized care, and appropriate case management;</text>
    </level>
    <level label="2">
      <text>Develop a prenatal care program for Program recipients and encourage its utilization;</text>
    </level>
    <level label="3">
      <text>Allocate State resources for the Program to provide a balanced system of health care services to the population served by the Program;</text>
    </level>
    <level label="4">
      <text>Seek to coordinate the Program activities with other State programs and initiatives that are necessary to address the health care needs of the population served by the Program;</text>
    </level>
    <level label="5">
      <text>Promote Program policies that facilitate access to and continuity of care by encouraging:</text>
      <level label="i">
        <text>Provider availability throughout the State;</text>
      </level>
      <level label="ii">
        <text>Consumer education;</text>
      </level>
      <level label="iii">
        <text>The development of ongoing relationships between Program recipients and primary health care providers; and</text>
      </level>
      <level label="iv">
        <text>The regular review of the Program’s regulations to determine whether the administrative requirements of those regulations are unnecessarily burdensome on Program providers;</text>
      </level>
    </level>
    <level label="6">
      <text>Ensure access to and the continuity of services provided by family planning providers that were family planning providers in the Program as of December 31, 2024, and were discontinued as recipients of federal funding under federal law or regulation because of the scope of services offered by the provider or the scope of services for which the provider offered referrals, by:</text>
      <level label="i">
        <text>Reimbursing for the Program services provided; and</text>
      </level>
      <level label="ii">
        <text>Establishing Program requirements for the family planning providers that:</text>
        <level label="1">
          <text>Are similar to the requirements for other providers of the same services;</text>
        </level>
        <level label="2">
          <text>Do not prohibit a provider from offering a service if the service is within the scope of practice of the provider as established under the Health Occupations Article; and</text>
        </level>
        <level label="3">
          <text>Do not limit the scope of services for which a provider may offer referrals;</text>
        </level>
      </level>
    </level>
    <level label="7">
      <text>Strongly urge health care providers to participate in the Program and thereby address the needs of Program recipients;</text>
    </level>
    <level label="8">
      <text>Require health care providers who participate in the Program to provide access to Program recipients on a nondiscriminatory basis in accordance with State and federal law;</text>
    </level>
    <level label="9">
      <text>Seek to provide appropriate levels of reimbursement for providers to encourage greater participation by providers in the Program;</text>
    </level>
    <level label="10">
      <text>Promote individual responsibility for maintaining good health habits;</text>
    </level>
    <level label="11">
      <text>Encourage the Program and Maryland’s health care regulatory system to work to cooperatively promote the development of an appropriate mix of health care providers, limit cost increases for the delivery of health care to Program recipients, and ensure the delivery of quality health care to Program recipients;</text>
    </level>
    <level label="12">
      <text>Encourage the development and utilization of cost–effective and preventive alternatives to the delivery of health care services to appropriate Program recipients in inpatient institutional settings;</text>
    </level>
    <level label="13">
      <text>Encourage the appropriate executive agencies to coordinate the eligibility determination, policy, operations, and compliance components of the Program;</text>
    </level>
    <level label="14">
      <text>Work with representatives of inpatient institutions, third party payors, and the appropriate State agencies to contain Program costs;</text>
    </level>
    <level label="15">
      <text>Identify and seek to develop an optimal mix of State, federal, and privately financed health care services for Program recipients, within available resources through cooperative interagency efforts;</text>
    </level>
    <level label="16">
      <text>Develop joint Legislative and Executive Branch strategies to persuade the federal government to reconsider those policies that discourage the delivery of cost–effective health care services to Program recipients;</text>
    </level>
    <level label="17">
      <text>Evaluate departmental recommendations as to those persons whose financial need or health care needs are most acute;</text>
    </level>
    <level label="18">
      <text>Establish mechanisms for aggressively pursuing recoveries against third parties permitted under current law and exploring additional methods for seeking to recover other money expended by the Program;</text>
    </level>
    <level label="19">
      <text>Take appropriate measures to assure the quality of health care services provided by managed care organizations; and</text>
    </level>
    <level label="20">
      <text>Develop a process for providing information about the availability of the State’s earned income tax credit established under § 10–704 of the Tax – General Article to each Program enrollee or potential Program enrollee when providing information about the Program.</text>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>The Department shall collaborate with the Office of the Comptroller or the Office of the State Treasurer to:</text>
      <level label="i">
        <text>Form a one–sentence statement advising that individuals who cannot afford health insurance may be eligible to enroll in a medical assistance program; and</text>
      </level>
      <level label="ii">
        <text>Print the statement formed under item (i) of this paragraph:</text>
        <level label="1">
          <text>On each State–issued tax refund check stub;</text>
        </level>
        <level label="2">
          <text>Once each pay quarter, on each State–issued employee paycheck stub; and</text>
        </level>
        <level label="3">
          <text>On each State–issued child support payment check stub.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>The statement shall include a telephone number or other contact information that an individual may use to receive more information on eligibility for medical assistance programs.</text>
    </level>
    <level label="3">
      <text>The statement may be altered by the Department in collaboration with the Office of the Comptroller or the Office of the State Treasurer to:</text>
      <level label="i">
        <text>Provide the most current information;</text>
      </level>
      <level label="ii">
        <text>Fit within the space constraints of the different types of checks listed in paragraph (1)(ii) of this subsection; or</text>
      </level>
      <level label="iii">
        <text>Combine it with the statement required under § 15–304(c) of this title, if appropriate.</text>
      </level>
    </level>
  </level>
</section>
