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<section article="ghg" article_name="Health - General" number="15-103.2" title_number="15" title_name="Assistance Programs" subtitle_number="1" subtitle_name="Medical and Pharmacy Assistance Programs">
  <level label="a">
    <text>In this section, “Committee” means the Maryland Medicaid Advisory Committee.</text>
  </level>
  <level label="b">
    <text>The Department shall establish the Maryland Medicaid Advisory Committee.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>The Committee shall be composed of not more than 25 members.</text>
    </level>
    <level label="2">
      <text>The majority of the members of the Committee shall be enrollees or enrollee advocates.</text>
    </level>
    <level label="3">
      <text>At least five members of the Committee shall be enrollees representative of the entire Medicaid population.</text>
    </level>
    <level label="4">
      <text>The Committee members shall include:</text>
      <level label="i">
        <text>At least five current or former enrollees or the parents or guardians of current or former enrollees;</text>
      </level>
      <level label="ii">
        <text>Providers who are familiar with the medical needs of low–income population groups, including board–certified physicians;</text>
      </level>
      <level label="iii">
        <text>Hospital representatives;</text>
      </level>
      <level label="iv">
        <text>At least five but not more than 10 advocates for the Medicaid population, including representatives of special needs populations, such as:</text>
        <level label="1">
          <text>Children with special needs;</text>
        </level>
        <level label="2">
          <text>Individuals with physical disabilities;</text>
        </level>
        <level label="3">
          <text>Individuals with developmental disabilities;</text>
        </level>
        <level label="4">
          <text>Individuals with mental illness;</text>
        </level>
        <level label="5">
          <text>Individuals with brain injuries;</text>
        </level>
        <level label="6">
          <text>Medicaid and Medicare dual eligibles;</text>
        </level>
        <level label="7">
          <text>Individuals who are homeless or have experienced homelessness;</text>
        </level>
        <level label="8">
          <text>Individuals enrolled in home– and community–based services waivers;</text>
        </level>
        <level label="9">
          <text>Elderly individuals;</text>
        </level>
        <level label="10">
          <text>Low–income individuals and individuals receiving benefits through the Temporary Assistance for Needy Families Program; and</text>
        </level>
        <level label="11">
          <text>Individuals receiving substance use treatment services;</text>
        </level>
      </level>
      <level label="v">
        <text>Two members of the Senate Finance Committee, appointed by the President of the Senate; and</text>
      </level>
      <level label="vi">
        <text>Three members of the House of Delegates, appointed by the Speaker of the House.</text>
      </level>
    </level>
    <level label="5">
      <text>A designee of each of the following shall serve as an ex officio member of the Committee:</text>
      <level label="i">
        <text>The Secretary of Human Services;</text>
      </level>
      <level label="ii">
        <text>The Executive Director of the Maryland Health Care Commission; and</text>
      </level>
      <level label="iii">
        <text>The Maryland Association of County Health Officers.</text>
      </level>
    </level>
    <level label="6">
      <text>The Secretary shall appoint nonvoting members from managed care organizations who may participate in Committee meetings, unless the Committee meets in closed session as provided in § 3–305 of the General Provisions Article.</text>
    </level>
    <level label="7">
      <level label="i">
        <text>Except as specified in paragraphs (4)(v) and (vi) and (5) of this subsection, the members of the Committee shall be appointed by the Secretary and serve for a 4–year term.</text>
      </level>
      <level label="ii">
        <text>In making appointments to the Committee, the Secretary shall provide for continuity and rotation.</text>
      </level>
      <level label="iii">
        <text>In appointing consumer members to the Committee, the Secretary shall seek recommendations from:</text>
        <level label="1">
          <text>The State Protection and Advocacy System Organization;</text>
        </level>
        <level label="2">
          <text>The Statewide Independent Living Council;</text>
        </level>
        <level label="3">
          <text>The Developmental Disabilities Council;</text>
        </level>
        <level label="4">
          <text>The Department of Disabilities;</text>
        </level>
        <level label="5">
          <text>The Department of Aging;</text>
        </level>
        <level label="6">
          <text>Consumer advocacy organizations; and</text>
        </level>
        <level label="7">
          <text>The public.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>Except as provided in paragraph (2) of this subsection, a member of the Committee:</text>
      <level label="i">
        <text>May not receive compensation; but</text>
      </level>
      <level label="ii">
        <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
      </level>
    </level>
    <level label="2">
      <text>A member of the Committee who is an enrollee is entitled to reimbursement for:</text>
      <level label="i">
        <text>Expenses for personal and dependent care incurred during the meeting and during travel time to and from the meeting;</text>
      </level>
      <level label="ii">
        <text>Expenses for cognitive supports related to the meeting; and</text>
      </level>
      <level label="iii">
        <text>Appropriate transportation to and from the meeting.</text>
      </level>
    </level>
    <level label="3">
      <text>On request, the Department shall provide for a dedicated Department staff person:</text>
      <level label="i">
        <text>To review meeting materials with enrollee members in advance of a meeting by telephone or in person; and</text>
      </level>
      <level label="ii">
        <text>To provide referrals to advocacy organizations.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>The Secretary shall appoint the chair of the Committee.</text>
    </level>
    <level label="2">
      <text>The Department shall provide staff for the Committee.</text>
    </level>
    <level label="3">
      <text>The Committee shall determine the times and places of its meetings.</text>
    </level>
    <level label="4">
      <level label="i">
        <text>The chair of the Committee and the staff for the Committee shall provide the agenda, minutes, and any written materials to be presented or discussed at a meeting to the members of the Committee at least 5 days before the meeting.</text>
      </level>
      <level label="ii">
        <text>The agenda, minutes, and written materials shall be provided to members of the Committee in a manner and format that reasonably accommodates the specific needs of the member.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>In addition to any duties imposed by federal law and regulation, the Committee shall:</text>
    <level label="1">
      <text>Advise the Secretary on the implementation, operation, and evaluation of managed care programs under this section;</text>
    </level>
    <level label="2">
      <text>Review and make recommendations on the regulations developed to implement managed care programs under § 15–103.1 of this subtitle;</text>
    </level>
    <level label="3">
      <text>Review and make recommendations on the standards used in contracts between the Department and managed care organizations;</text>
    </level>
    <level label="4">
      <text>Review and make recommendations on the Department’s oversight of quality assurance standards;</text>
    </level>
    <level label="5">
      <text>Review data collected by the Department from managed care organizations participating in the Program and data collected by the Maryland Health Care Commission;</text>
    </level>
    <level label="6">
      <text>Promote the dissemination of managed care organization performance information, including loss ratios, to enrollees in a manner that facilitates quality comparisons and uses layman’s language;</text>
    </level>
    <level label="7">
      <text>Assist the Department in evaluating the enrollment process; and</text>
    </level>
    <level label="8">
      <text>Review reports of the ombudsmen.</text>
    </level>
  </level>
</section>
