<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.14.06.02" title_num="10" subtitle_num="14" chapter_num="06" 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>“Applicant” means an individual who has applied to receive cancer treatment services or tobacco treatment products under this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Cancer Prevention, Education, Screening, and Treatment Program” means the program created by Health-General Article, §§13-1101—13-1119, Annotated Code of Maryland, to provide cancer prevention, education, screening, and treatment services in Maryland.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Cancer treatment service” means a medical service, medical supply, or medical equipment provided to:</text>
      <paragraph num="(a)">
        <text>Treat 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>Home health services; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Medical supplies and medical equipment;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Treat medical complications resulting from cancer screening or treatment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Treat other comorbid conditions in order to treat cancer; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Serve the needs of cancer patients for palliative or end-of-life care.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Federal poverty level” means the amount of household income by family size that a family needs for basic necessities as determined by the federal poverty guidelines, as amended, which are updated annually in the Federal Register by the U.S. Department of Health and Human Services.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Gross annual household income” means the total income of the applicant and any member of the applicant’s household received each year from all sources before taxes are withheld or deductions are taken.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Local health department” means a governmental entity in a county in Maryland that provides public health services.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Maryland Children’s Health Insurance Program” means the program administered by Medical Assistance to provide health insurance coverage to eligible children younger than 19 years old in Maryland.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Medical Assistance” means the program that:</text>
      <paragraph num="(a)">
        <text>Provides comprehensive medical and other health-related care for eligible individuals; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Is administered by the State under Title XIX of the Social Security Act, 42 U.S.C. §§1396—1396v.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <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 et seq.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Statewide academic health center” means:</text>
      <paragraph num="(a)">
        <text>The University of Maryland Medical Group;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Johns Hopkins Institutions;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The organization designated by the Department as stipulated by Health-General Article, §13-1115, Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>One or more of the organizations in §B(11)(a)—(c) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(12)">
      <text>“Tobacco product” means cigarettes, cigars, pipe tobacco, smokeless tobacco, and any other product containing tobacco in any form.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Tobacco treatment product” means all Food and Drug Administration-approved tobacco cessation medications, including both prescription and over-the-counter medications, that assist individuals to stop using tobacco products.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Tobacco Use Prevention and Cessation Program” means the program created by Health-General Article, §§13-1001—13-1014, Annotated Code of Maryland, to provide tobacco use prevention and cessation services in Maryland.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Underinsured” individual means an applicant:</text>
      <paragraph num="(a)">
        <text>Who has private medical insurance, Medical Assistance, Medicare, or Maryland Children’s Health Insurance Program coverage;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For whom the appropriate treatment is not adequately covered due to out-of-pocket costs including:</text>
        <paragraph num="(i)">
          <text>Copayments;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Coinsurance; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Deductibles; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Who the Department determines does not have the financial means to pay for appropriate treatment.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(16)">
      <text>“Uninsured” individual means an applicant who:</text>
      <paragraph num="(a)">
        <text>Either:</text>
        <paragraph num="(i)">
          <text>Does not have private medical insurance, Medical Assistance, Medicare, or Maryland Children's Health Insurance Program coverage; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Has private medical insurance, Medical Assistance, Medicare, or Maryland Children's Health Insurance Program coverage that does not provide insurance coverage for medically necessary services for a cancer treatment service or tobacco treatment product; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Does not have the financial means to pay for a cancer treatment service or tobacco treatment product as defined by the criteria established in this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“University of Maryland Medical Group (UMMG)” means the University of Maryland Medical Systems Corporation, the University of Maryland Medical School, and the University of Maryland, Baltimore.</text>
    </paragraph>
  </paragraph>
</regulation>