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<section article="ghg" article_name="Health - General" number="19-2201" future_version_removed="true" title_number="19" title_name="Health Care Facilities" subtitle_number="22" subtitle_name="Community Health Resources Commission Fund">
  <level label="a">
    <text>In this section, “Fund” means the Community Health Resources Commission Fund.</text>
  </level>
  <level label="b">
    <text>There is a Community Health Resources Commission Fund.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>The Fund is a special, nonlapsing fund that is not subject to § 7–302 of the State Finance and Procurement Article.</text>
    </level>
    <level label="2">
      <text>The Treasurer shall hold the Fund separately, and the Comptroller shall account for the Fund.</text>
    </level>
  </level>
  <level label="d">
    <text>The Fund consists of:</text>
    <level label="1">
      <text>Money collected from a nonprofit health service plan in accordance with § 14–106.1 of the Insurance Article;</text>
    </level>
    <level label="2">
      <text>Money from the Cigarette Restitution Fund, appropriated in accordance with § 7–317 of the State Finance and Procurement Article;</text>
    </level>
    <level label="3">
      <text>Interest earned on investments;</text>
    </level>
    <level label="4">
      <text>Money donated to the Fund;</text>
    </level>
    <level label="5">
      <text>Money awarded to the Fund through grants; and</text>
    </level>
    <level label="6">
      <text>Any other money from any other source accepted for the benefit of the Fund.</text>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>Subject to paragraph (2) of this subsection, the Fund may be used only to:</text>
      <level label="i">
        <text>Cover the administrative costs of the Commission;</text>
      </level>
      <level label="ii">
        <text>Cover the actual documented direct costs of fulfilling the statutory and regulatory duties of the Commission in accordance with the provisions of this subtitle;</text>
      </level>
      <level label="iii">
        <text>Provide operating grants to qualifying community health resources; and</text>
      </level>
      <level label="iv">
        <text>Provide funding for the development, support, and monitoring of a unified data information system among primary and specialty care providers, hospitals, and other providers of services to community health resource members.</text>
      </level>
    </level>
    <level label="2">
      <level label="i">
        <text>For fiscal years 2014, 2015, and 2016, the Fund may be used for any project or initiative authorized under Title 20, Subtitle 14 of this article and approved by the Commission if no less than $4,000,000 of the subsidy required under § 14–106(d)(2)(ii)2 of the Insurance Article is used in each fiscal year for the purposes under paragraph (1) of this subsection.</text>
      </level>
      <level label="ii">
        <text>For fiscal year 2017, the Fund may be used for any project or initiative authorized under Title 20, Subtitle 14 of this article and approved by the Commission if no less than $8,000,000 of the subsidy required under § 14–106(d)(2)(ii)2 of the Insurance Article is used in each fiscal year for the purposes under paragraph (1) of this subsection.</text>
      </level>
      <level label="iii">
        <text>For fiscal year 2018, the Fund may be used for any project or initiative authorized under Title 10, Subtitle 2 and Title 13, Subtitle 3 of this article and approved by the Commission if no less than $4,750,000 of the subsidy required under § 14–106(d)(2)(ii)2 of the Insurance Article is used in that fiscal year for the purposes under paragraph (1) of this subsection.</text>
      </level>
      <level label="iv">
        <text>For fiscal years 2019 through 2021, the Fund may be used for any project or initiative authorized under Title 10, Subtitle 2 and Title 13, Subtitle 3 of this article and approved by the Commission if no less than $8,000,000 of the subsidy required under § 14–106(d)(2)(ii)2 of the Insurance Article is used in each fiscal year for the purposes under paragraph (1) of this subsection.</text>
      </level>
      <level label="v">
        <text>For fiscal year 2022, the Fund may be used for any project or initiative authorized under Title 10, Subtitle 2 and Title 13, Subtitle 3 of this article and approved by the Commission if not more than $8,000,000 of the subsidy required under § 14–106(d)(2)(ii)2 of the Insurance Article is used in that fiscal year for the purposes under paragraph (1) of this subsection.</text>
      </level>
    </level>
    <level label="3">
      <text>The funding for a unified data information system under paragraph (1)(iv) of this subsection shall be limited to:</text>
      <level label="i">
        <text>$500,000 in fiscal year 2006; and</text>
      </level>
      <level label="ii">
        <text>$1,700,000 in fiscal year 2007 and annually thereafter.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>The Commission shall adopt regulations that:</text>
    <level label="1">
      <text>Establish the criteria for a community health resource to qualify for a grant;</text>
    </level>
    <level label="2">
      <text>Establish the procedures for disbursing grants to qualifying community health resources;</text>
    </level>
    <level label="3">
      <text>Develop a formula for disbursing grants to qualifying community health resources;</text>
    </level>
    <level label="4">
      <text>Establish criteria and mechanisms for funding a unified data information system; and</text>
    </level>
    <level label="5">
      <text>In consultation with the Secretary, implement a program to provide subsidies to community health resources for office–based specialty care visits, diagnostic testing, and laboratory tests.</text>
    </level>
  </level>
  <level label="g">
    <text>In developing regulations under subsection (f)(1) of this section, the Commission shall:</text>
    <level label="1">
      <text>Consider geographic balance; and</text>
    </level>
    <level label="2">
      <text>Give priority to community health resources that:</text>
      <level label="i">
        <text>In addition to normal business hours, have evening and weekend hours of operation;</text>
      </level>
      <level label="ii">
        <text>Have partnered with a hospital to establish a reverse referral program at the hospital;</text>
      </level>
      <level label="iii">
        <text>Reduce the use of the hospital emergency department for nonemergency services;</text>
      </level>
      <level label="iv">
        <text>Assist patients in establishing a medical home with a community health resource;</text>
      </level>
      <level label="v">
        <text>Coordinate and integrate the delivery of primary and specialty care services;</text>
      </level>
      <level label="vi">
        <text>Promote the integration of mental and somatic health with federally qualified health centers or other somatic care providers;</text>
      </level>
      <level label="vii">
        <text>Fund medication management or therapy services for uninsured individuals up to 200% of the federal poverty level who meet medical necessity criteria but who are ineligible for the public mental health system;</text>
      </level>
      <level label="viii">
        <text>Provide a clinical home for individuals who access hospital emergency departments for mental health services, substance abuse services, or both; and</text>
      </level>
      <level label="ix">
        <text>Support the implementation of evidence–based clinical practices.</text>
      </level>
    </level>
  </level>
  <level label="h">
    <text>Grants awarded to a community health resource under this section may be used:</text>
    <level label="1">
      <text>To provide operational assistance to a community health resource; and</text>
    </level>
    <level label="2">
      <text>For any other purpose the Commission determines is appropriate to assist a community health resource.</text>
    </level>
  </level>
  <level label="i">
    <level label="1">
      <text>The Treasurer shall invest the money in the Fund in the same manner as other State money may be invested.</text>
    </level>
    <level label="2">
      <text>Any investment earnings of the Fund shall be retained to the credit of the Fund.</text>
    </level>
  </level>
  <level label="j">
    <text>The Fund shall be subject to an audit by the Office of Legislative Audits as provided for in § 2–1220 of the State Government Article.</text>
  </level>
</section>
