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<regulation prefix="Regulation" num=".02" citation="COMAR 10.14.05.02" title_num="10" subtitle_num="14" chapter_num="05" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Annual family income” means the total amount received per year from all sources before taxes are withheld.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Applicant” means a person who has applied to receive a grant under the Maryland Cancer Fund.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Applied research” means research that is undertaken to determine:</text>
      <paragraph num="(a)">
        <text>Possible uses for the findings of basic research; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>New ways of achieving some specific objective.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Authorized representative” means an individual or organization that has received permission from an individual diagnosed with cancer to perform certain tasks on the individual's behalf.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Basic research” means experimental or theoretical work undertaken to acquire new knowledge or understanding of cancer.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Case management” means the coordination of services by a health care professional for an individual for cancer:</text>
      <paragraph num="(a)">
        <text>Screening;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Diagnosis; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Treatment.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Capital expenditures” means money spent to add or expand property, equipment, and assets that will benefit an organization in the long term.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>"Center for Cancer Prevention and Control (CCPC)" means a unit of the Maryland Department of Health within the Prevention and Health Promotion Administration.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Clinical research” means research:</text>
      <paragraph num="(a)">
        <text>Conducted primarily on patients; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Designed to answer questions about the etiology, prevention, early detection, diagnosis, or treatment of cancer.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Community-based participatory research” means a collaborative, partnership approach to research that equitably involves community members, organizational representatives, and researchers in all aspects of the research process.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Comptroller” means the Comptroller of the Treasury.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Coinsurance” means the percent of allowable charges for a medical service that an individual with health insurance is responsible for paying.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Copayment (copay)” means the set amount of money that an individual with health insurance is responsible for paying each time the individual receives a medical service.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“County” means a county of this State or Baltimore City.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Current Procedure Terminology (CPT)” means the uniform descriptive terms and identifying codes for reporting medical services and procedures performed by physicians.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Deductible” means the amount of money that an individual with health insurance is required to pay before the individual's health insurance starts coverage.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Diagnosis” means a histopathologic finding of cancer in a:</text>
      <paragraph num="(a)">
        <text>Biopsy; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Surgical specimen.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>Educational Institution.</text>
      <paragraph num="(a)">
        <text>“Educational institution” means an organization whose primary mission is to educate individuals.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Educational institution” includes:</text>
        <paragraph num="(i)">
          <text>Private and public elementary schools;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Middle schools;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>High schools;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Colleges;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Universities;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Graduate schools; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Research institutions.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>“Family” means the unit comprised of all of the following that apply:</text>
      <paragraph num="(a)">
        <text>For a financially independent adult 18 years old or older diagnosed with cancer, the adult diagnosed with cancer or the adult diagnosed with cancer and one or more of the following:</text>
        <paragraph num="(i)">
          <text>Spouse;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Financially dependent child; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Financially dependent relative; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>For a financially dependent child, the child and one or more of the following:</text>
        <paragraph num="(i)">
          <text>Parent, foster parent, or guardian;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Sibling living in the household; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Half brother or half sister living in the household.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(21)">
      <text>“Federal poverty level” means the poverty guidelines, as amended, which are updated periodically in the Federal Register by the U.S. Department of Health and Human Services and which are incorporated by reference by COMAR 10.11.03.01–1.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Fund” means the Maryland Cancer Fund.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>Grant.</text>
      <paragraph num="(a)">
        <text>“Grant” means financial assistance from the State to support an applicant's activities related to cancer:</text>
        <paragraph num="(i)">
          <text>Research;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Primary prevention;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Secondary prevention; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Treatment.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Grant” does not mean a contract.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(24)">
      <text>“Governmental entity” means a federal, State, or local governmental organization.</text>
    </paragraph>
    <paragraph num="(25)">
      <text>“Health Services Cost Review Commission (HSCRC)” means the independent organization within the Department that is responsible for reviewing and approving rates for hospitals pursuant to Health-General Article, Title 19, Subtitle 2, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Hospital” means an institution that:</text>
      <paragraph num="(a)">
        <text>Operates within the jurisdiction of Health-General Article, Title 19, Subtitle 3, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is licensed pursuant to COMAR 10.07.01 or other applicable standards established by the jurisdiction in which the service is provided.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(27)">
      <text>“Laboratory” means a licensed or certified facility operated for the examination of material derived from the human body for the purpose of obtaining information for the diagnosis, treatment, and management of a disease.</text>
    </paragraph>
    <paragraph num="(28)">
      <text>“Local health department” means a governmental entity in a county in Maryland that provides public health services.</text>
    </paragraph>
    <paragraph num="(29)">
      <text>“Major medical equipment” means equipment that:</text>
      <paragraph num="(a)">
        <text>Costs in excess of $500; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is used for the provision of medical or health services.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(30)">
      <text>“Maryland Comprehensive Cancer Control Plan” means the most recent edition of the cancer plan developed by the Department.</text>
    </paragraph>
    <paragraph num="(31)">
      <text>“Maryland Health Insurance Plan (MHIP)” means a State-administered program that:</text>
      <paragraph num="(a)">
        <text>Is operated by a unit within the Maryland Insurance Administration under Insurance Article, Title 14, Subtitle 5, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provides health insurance coverage to medically uninsurable Maryland residents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(32)">
      <text>“Medical Assistance” means the program administered by the State under Title XIX of the Social Security Act, 42 U.S.C. §§1396 — 1396v, which provides comprehensive medical and other health-related care for eligible categorically and medically needy persons.</text>
    </paragraph>
    <paragraph num="(33)">
      <text>“Medicare” means the medical insurance program administered by the federal government under Title XVIII of the Social Security Act, 42 U.S.C. §§1395 — 1395hhh.</text>
    </paragraph>
    <paragraph num="(34)">
      <text>“Patient contribution amount” means the amount of money required by an individual’s health insurance policy to be paid by the individual for a given medical procedure or service received, excluding the deductible.</text>
    </paragraph>
    <paragraph num="(35)">
      <text>“Physician” means an individual who is licensed to practice medicine in the jurisdiction in which the service is provided.</text>
    </paragraph>
    <paragraph num="(36)">
      <text>“Premium” means the amount of money than an individual pays in regular installments to a health insurer for a health insurance policy.</text>
    </paragraph>
    <paragraph num="(37)">
      <text>Primary Prevention.</text>
      <paragraph num="(a)">
        <text>“Primary prevention” means activities to prevent or reduce the development of cancer.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Primary prevention” includes interventions such as:</text>
        <paragraph num="(i)">
          <text>Tobacco use prevention and cessation;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Protection from ultraviolet light;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Proper nutrition and physical activity; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Reduction of exposure to environmental and occupational carcinogens.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(38)">
      <text>Research.</text>
      <paragraph num="(a)">
        <text>“Research” means activities to develop or advance the understanding of cancer or the techniques or modalities effective in the prevention, cure, screening, diagnosis, or treatment of cancer.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Research” includes basic, clinical, applied, translational, and community-based participatory research.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(39)">
      <text>“Secondary prevention” means activities to detect and diagnose cancer in its early stages, when the chances of treatment and control are the greatest.</text>
    </paragraph>
    <paragraph num="(40)">
      <text>“Secretary” means the Secretary of Health.</text>
    </paragraph>
    <paragraph num="(41)">
      <text>“Translational research” means using or applying new discoveries to benefit patient care.</text>
    </paragraph>
    <paragraph num="(42)">
      <text>“Treatment” means the medical management and care of a patient that is provided for:</text>
      <paragraph num="(a)">
        <text>Obtaining a cancer diagnosis, determining the full extent of the cancer spread, or treating the cancer, including:</text>
        <paragraph num="(i)">
          <text>Surgery;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Chemotherapy;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Radiation therapy;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Hormonal therapy;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Biopsy;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Imaging procedures;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Laboratory testing;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Home health services; and</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Medical supplies or medical equipment;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Treating medical complications resulting from cancer screening or treatment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Treating other co-morbid conditions in order to treat cancer; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Providing palliative or end-of-life care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(43)">
      <text>“Uninsured” means that an individual:</text>
      <paragraph num="(a)">
        <text>Does not have any health insurance; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has health insurance that does not cover the cancer prevention, screening, diagnosis, or treatment services provided under the Fund.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>