<?xml version='1.0' encoding='utf-8'?>
<chapter num="08" heading="Maryland HIV Prevention Case Management Program" title_num="10" subtitle_num="52">
  <regulation prefix="Regulation" num=".01" heading="Scope and Purpose.">
    <text>This chapter:</text>
    <paragraph num="A.">
      <text>Defines the Maryland AIDS Drug Assistance Program Fund;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Sets forth the responsibilities of the Maryland Department of Health with respect to the Maryland AIDS Drug Assistance Program Fund; and</text>
    </paragraph>
    <paragraph num="C.">
      <text>Establishes eligibility criteria for receipt of HIV prevention and care services from the Fund.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" 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>“Acquired immunodeficiency syndrome (AIDS)” means the medical condition caused by the human immunodeficiency virus.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“Department” means the Maryland Department of Health.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Fund” means the Maryland AIDS Assistance Program Fund.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Human immunodeficiency virus (HIV)” means the virus that causes AIDS.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Ryan White HIV/AIDS Program (RWHAP)” means the federal HIV/AIDS initiative administered by the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB).</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Maryland AIDS Drug Assistance Program Fund.">
    <paragraph num="A.">
      <text>The Maryland AIDS Drug Assistance Program Fund is a nonlapsing, special fund created by Health-General Article, §24-1801, Annotated Code of Maryland, for HIV treatment and care, which is generated from:</text>
      <paragraph num="(1)">
        <text>The 340B Drug Pricing Program and any supplemental rebate dollars; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Interest earned on the balance of the Fund.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>The Department may only expend funds in accordance with Title 26 of the Public Health Service Act governing the allowable uses of RWHAP funds or to meet State-identified HIV priorities.</text>
    </paragraph>
    <paragraph num="C.">
      <text>The Department may make grant awards under the Fund.</text>
    </paragraph>
    <paragraph num="D.">
      <text>Any unspent portions of the Fund shall remain in the Fund and may not revert to the General Fund of the State.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Money expended from the Fund is additive to, and is not intended to take the place of, funding that would otherwise be appropriated to the Department for HIV:</text>
      <paragraph num="(1)">
        <text>Surveillance;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Prevention;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Treatment; or</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Care.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Responsibilities of the Department.">
    <text>The Department:</text>
    <paragraph num="A.">
      <text>Shall administer the Fund; and</text>
    </paragraph>
    <paragraph num="B.">
      <text>May spend the Fund on statutorily permitted purposes under the RWHAP or State-identified HIV priorities.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Eligibility Criteria.">
    <paragraph num="A.">
      <text>The Fund shall be the reasonable payor of last resort for receipt of HIV prevention and care services; and</text>
    </paragraph>
    <paragraph num="B.">
      <text>Eligible individuals shall have exhausted all other potential payors, including but not limited to:</text>
      <paragraph num="(1)">
        <text>Third-party insurance;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Medicaid; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Medicare.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">: Health-General Article, §24-1801, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: May 20, 2019 (46:10 Md. R. 490)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.16 under Maryland HIV Prevention Case Management Program repealed and new Regulations .01—.05 under Maryland AIDS Drug Assistance Program Fund adopted effective December 25, 2023 (50:25 Md. R. 1088)</annotation>
  </annotations>
</chapter>