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<section article="gin" article_name="Insurance" number="31-106" title_number="31" title_name="Maryland Health Benefit Exchange" subtitle_number="1" subtitle_name="Maryland Health Benefit Exchange">
  <level label="a">
    <text>Subject to any limitations under this subtitle or other applicable law, the Board shall have all powers necessary or convenient to carry out the functions authorized by the Affordable Care Act and consistent with the purposes of the Exchange.</text>
  </level>
  <level label="b">
    <text>The enumeration of specific powers in this subtitle is not intended to restrict the Board’s power to take any lawful action that the Board determines is necessary or convenient to carry out the functions authorized by the Affordable Care Act and consistent with the purposes of the Exchange.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>In addition to the powers set forth elsewhere in this subtitle, the Board may:</text>
      <level label="i">
        <text>adopt and alter an official seal;</text>
      </level>
      <level label="ii">
        <text>sue, be sued, plead, and be impleaded;</text>
      </level>
      <level label="iii">
        <text>adopt bylaws, rules, and policies;</text>
      </level>
      <level label="iv">
        <text>subject to paragraph (2) of this subsection, adopt regulations to carry out this subtitle:</text>
        <level label="1">
          <text>in accordance with Title 10, Subtitle 1 of the State Government Article; and</text>
        </level>
        <level label="2">
          <text>without conflicting with or preventing application of regulations adopted by the Secretary under Title 1, Subtitle D of the Affordable Care Act;</text>
        </level>
      </level>
      <level label="v">
        <text>maintain an office at the place designated by the Board;</text>
      </level>
      <level label="vi">
        <text>enter into any agreements or contracts and execute the instruments necessary or convenient to manage its own affairs and carry out the purposes of this subtitle;</text>
      </level>
      <level label="vii">
        <text>apply for and receive grants, contracts, or other public or private funding; and</text>
      </level>
      <level label="viii">
        <text>do all things necessary or convenient to carry out the powers granted by this subtitle.</text>
      </level>
    </level>
    <level label="2">
      <text>Unless waived by the chairs of the committees, at least 30 days before submitting any proposed regulation to the Maryland Register for publication, the Board shall submit the proposed regulation to the Senate Finance Committee and the House Health Committee.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>To carry out the purposes of this subtitle or perform any of its functions under this subtitle, the Board may contract or enter into memoranda of understanding with eligible entities, including:</text>
      <level label="i">
        <text>the Maryland Medical Assistance Program;</text>
      </level>
      <level label="ii">
        <text>the family investment unit of the Department of Human Services;</text>
      </level>
      <level label="iii">
        <text>insurance producers and third party administrators registered in the State; and</text>
      </level>
      <level label="iv">
        <text>any other entities that have experience in individual and small group public and private health insurance plans or facilitating enrollment in those plans.</text>
      </level>
    </level>
    <level label="2">
      <text>The operations of the Exchange are subject to the provisions of this subtitle whether the operations are performed directly by the Exchange or through an entity under a contract with the Exchange.</text>
    </level>
    <level label="3">
      <text>The Board shall ensure that any entity under a contract with the Exchange complies with the provisions of this subtitle when performing services that are subject to this subtitle on behalf of the Exchange.</text>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>The Board may enter into information–sharing agreements with federal and state agencies, and other state health insurance exchanges, to carry out the provisions of this subtitle.</text>
    </level>
    <level label="2">
      <text>An information–sharing agreement entered into under paragraph (1) of this subsection shall:</text>
      <level label="i">
        <text>include adequate protections with respect to the confidentiality of information; and</text>
      </level>
      <level label="ii">
        <text>comply with all State and federal laws and regulations.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <level label="1">
      <text>The Board, in accordance with Title 12, Subtitle 4 of the State Finance and Procurement Article, shall adopt written policies and procedures governing all procurements of the Exchange.</text>
    </level>
    <level label="2">
      <text>To the fullest extent practicable, and in a manner that does not impair the Exchange’s ability to carry out the purposes of this subtitle, the Board’s procurement policies and procedures shall establish an open and transparent process that:</text>
      <level label="i">
        <text>promotes public confidence in the procurements of the Exchange;</text>
      </level>
      <level label="ii">
        <text>ensures fair and equitable treatment of all persons and entities that participate in the procurement system of the Exchange;</text>
      </level>
      <level label="iii">
        <text>fosters appropriate competition and provides safeguards for maintaining a procurement system of quality and integrity;</text>
      </level>
      <level label="iv">
        <text>promotes increased economic efficiency and responsibility on the part of the Exchange;</text>
      </level>
      <level label="v">
        <text>achieves the maximum benefit from the purchasing power of the Exchange; and</text>
      </level>
      <level label="vi">
        <text>provides clarity and simplicity in the rules and procedures governing the procurements of the Exchange.</text>
      </level>
    </level>
  </level>
  <level label="g">
    <level label="1">
      <text>To carry out the purposes of this subtitle, the Board shall:</text>
      <level label="i">
        <text>create and consult with ad hoc advisory committees; and</text>
      </level>
      <level label="ii">
        <text>appoint to the ad hoc advisory committees representatives of:</text>
        <level label="1">
          <text>insurers or health maintenance organizations offering health benefit plans in the State;</text>
        </level>
        <level label="2">
          <text>nonprofit health service plans offering health benefit plans in the State;</text>
        </level>
        <level label="3">
          <text>licensed health insurance producers and advisers;</text>
        </level>
        <level label="4">
          <text>third–party administrators;</text>
        </level>
        <level label="5">
          <text>health care providers, including:</text>
        </level>
        <level label="A">
          <text>hospitals;</text>
        </level>
        <level label="B">
          <text>long–term care facilities;</text>
        </level>
        <level label="C">
          <text>mental health providers;</text>
        </level>
        <level label="D">
          <text>developmental disability providers;</text>
        </level>
        <level label="E">
          <text>substance abuse treatment providers;</text>
        </level>
        <level label="F">
          <text>Federally Qualified Health Centers;</text>
        </level>
        <level label="G">
          <text>physicians;</text>
        </level>
        <level label="H">
          <text>nurses;</text>
        </level>
        <level label="I">
          <text>experts in services and care coordination for criminal and juvenile justice populations;</text>
        </level>
        <level label="J">
          <text>licensed hospice providers; and</text>
        </level>
        <level label="K">
          <text>other health care professionals;</text>
        </level>
        <level label="6">
          <text>managed care organizations;</text>
        </level>
        <level label="7">
          <text>employers, including large, small, and minority–owned employers;</text>
        </level>
        <level label="8">
          <text>public employee unions, including public employee union members who are caseworkers in local departments of social services with direct knowledge of information technology systems used for Medicaid eligibility determination;</text>
        </level>
        <level label="9">
          <text>consumers, including individuals who:</text>
        </level>
        <level label="A">
          <text>reside in lower–income and racial or ethnic minority communities;</text>
        </level>
        <level label="B">
          <text>have chronic diseases or disabilities; or</text>
        </level>
        <level label="C">
          <text>belong to other hard–to–reach or special populations;</text>
        </level>
        <level label="10">
          <text>individuals with knowledge and expertise in advocacy for consumers described in item 9 of this item;</text>
        </level>
        <level label="11">
          <text>public health researchers and other academic experts with knowledge and background relevant to the functions and goals of the Exchange, including knowledge of the health needs and health disparities among the State’s diverse communities; and</text>
        </level>
        <level label="12">
          <text>any other stakeholders identified by the Exchange as having knowledge or representing interests relevant to the functions and duties of the Exchange.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>In addition to the ad hoc advisory committees created under paragraph (1) of this subsection, the Board, on or before March 15, 2014, shall create a standing advisory committee that:</text>
      <level label="i">
        <text>consists of members who, to the extent practicable:</text>
        <level label="1">
          <text>reflect the gender, racial, ethnic, and geographic diversity of the State;</text>
        </level>
        <level label="2">
          <text>constitute a diverse cross–section of stakeholders broadly representative of the individuals and entities described in paragraph (1)(ii) of this subsection; and</text>
        </level>
        <level label="3">
          <text>are appointed by the Board for a term of no more than 3 years in a manner that provides continuity and rotation;</text>
        </level>
      </level>
      <level label="ii">
        <text>has a liaison to the Board who is a member of the Board and is appointed by the chair of the Board; and</text>
      </level>
      <level label="iii">
        <text>is charged with the responsibility of addressing the broad range of policy issues:</text>
        <level label="1">
          <text>on which the Board may seek its input and advice; and</text>
        </level>
        <level label="2">
          <text>that may be proposed by the liaison to the Board, in consultation with the standing advisory committee chair and members.</text>
        </level>
      </level>
    </level>
  </level>
</section>
