1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb1243* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 1243 |
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8 | 8 | | J1 2lr3065 |
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9 | 9 | | |
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10 | 10 | | By: Delegate Howard |
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11 | 11 | | Introduced and read first time: February 11, 2022 |
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12 | 12 | | Assigned to: Health and Government Operations |
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13 | 13 | | |
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14 | 14 | | A BILL ENTITLED |
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15 | 15 | | |
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16 | 16 | | AN ACT concerning 1 |
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17 | 17 | | |
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18 | 18 | | Public Health – Rural Nonemergency Medical Transportation Program 2 |
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19 | 19 | | |
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20 | 20 | | FOR the purpose of establishing the Rural Nonemergency Medical Transportation 3 |
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21 | 21 | | Program; and generally relating to the Rural Nonemergency Medical Transportation 4 |
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22 | 22 | | Program. 5 |
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23 | 23 | | |
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24 | 24 | | BY adding to 6 |
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25 | 25 | | Article – Health – General 7 |
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26 | 26 | | Section 13–4401 through 13–4405 to be under the new subtitle “Subtitle 44. Rural 8 |
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27 | 27 | | Nonemergency Medical Transportation Program” 9 |
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28 | 28 | | Annotated Code of Maryland 10 |
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29 | 29 | | (2019 Replacement Volume and 2021 Supplement) 11 |
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30 | 30 | | |
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31 | 31 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 |
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32 | 32 | | That the Laws of Maryland read as follows: 13 |
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33 | 33 | | |
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34 | 34 | | Article – Health – General 14 |
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35 | 35 | | |
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36 | 36 | | SUBTITLE 44. RURAL NONEMERGENCY MEDICAL TRANSPORTATION PROGRAM. 15 |
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37 | 37 | | |
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38 | 38 | | 13–4401. 16 |
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39 | 39 | | |
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40 | 40 | | (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE ME ANINGS 17 |
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41 | 41 | | INDICATED. 18 |
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42 | 42 | | |
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43 | 43 | | (B) “ELIGIBLE INDIVIDUAL ” MEANS AN INDIVIDUAL WHO: 19 |
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44 | 44 | | |
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45 | 45 | | (1) DOES NOT QUALIFY TO R ECEIVE STATE OR FEDERAL FUNDING 20 |
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46 | 46 | | FOR TRANSPORTATION R ELATED TO RECEIVING MEDICAL SERVICES BEC AUSE THE 21 |
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47 | 47 | | INDIVIDUAL: 22 2 HOUSE BILL 1243 |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | (I) RESIDES IN A LOC ATION THAT DISQUALIF IES THE 1 |
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52 | 52 | | INDIVIDUAL FROM QUAL IFYING FOR THE FUNDI NG; 2 |
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53 | 53 | | |
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54 | 54 | | (II) OWNS A CAR; 3 |
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55 | 55 | | |
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56 | 56 | | (III) RECEIVED TRANSPORTATI ON FROM A VOLUNTEER , BUT 4 |
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57 | 57 | | THE INDIVIDUAL NO LO NGER HAS ACCESS TO T HAT TRANSPORTATION ; 5 |
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58 | 58 | | |
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59 | 59 | | (IV) HAD A MEDICAL PROCEDU RE THAT DOES NOT QUA LIFY THE 6 |
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60 | 60 | | INDIVIDUAL FOR THE FUNDING; 7 |
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61 | 61 | | |
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62 | 62 | | (V) HAS A TEMPORARY DISAB ILITY THAT DOES NOT QUALIFY 8 |
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63 | 63 | | THE INDIVIDUAL FOR THE FUNDING; OR 9 |
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64 | 64 | | |
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65 | 65 | | (VI) DOES NOT LIVE WITHIN THE REQUIRED DISTANC E OF A 10 |
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66 | 66 | | PUBLIC BUS STOP TO Q UALIFY THE INDIVIDUA L FOR THE FUNDING ; 11 |
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67 | 67 | | |
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68 | 68 | | (2) NEEDS TRANSPORTATION TO OR FROM MEDICAL S ERVICES 12 |
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69 | 69 | | WHERE EACH TRIP EITH ER BEGINS OR ENDS IN A RURAL COUNTY ; AND 13 |
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70 | 70 | | |
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71 | 71 | | (3) A HOSPITAL CARE COORDI NATOR DETERMINES HAS A MEDICAL 14 |
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72 | 72 | | NEED FOR WHICH THE I NDIVIDUAL REQUIRES T RANSPORTATION SERVIC ES 15 |
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73 | 73 | | THROUGH THE PROGRAM. 16 |
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74 | 74 | | |
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75 | 75 | | (C) “HOSPITAL” HAS THE MEANING STAT ED IN § 19–301 OF THIS ARTICLE. 17 |
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76 | 76 | | |
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77 | 77 | | (D) “HOSPITAL CARE COORDIN ATOR” MEANS AN EMPLOYEE OF A HOSPITAL 18 |
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78 | 78 | | WHO COOR DINATES TRANSPORTATI ON RELATED TO MEDICA L SERVICES FOR 19 |
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79 | 79 | | ELIGIBLE INDIVIDUALS IN ACCORDANCE WITH T HIS SUBTITLE. 20 |
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80 | 80 | | |
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81 | 81 | | (E) “NONPROFIT ORGANIZATIO N” MEANS AN ORGANIZATIO N THAT: 21 |
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82 | 82 | | |
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83 | 83 | | (1) IS: 22 |
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84 | 84 | | |
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85 | 85 | | (I) DESCRIBED IN § 501(C)(3) OF THE INTERNAL REVENUE 23 |
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86 | 86 | | CODE; AND 24 |
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87 | 87 | | |
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88 | 88 | | (II) EXEMPT FROM INCOME TA X UNDER § 501(A) OF THE 25 |
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89 | 89 | | INTERNAL REVENUE CODE; AND 26 |
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90 | 90 | | |
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91 | 91 | | (2) PROVIDES TRANSPORTATI ON SERVICES TO ELIGI BLE 27 |
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92 | 92 | | INDIVIDUALS THROUGH A PROGRAM ADOPTED BY A HOSPITAL. 28 HOUSE BILL 1243 3 |
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93 | 93 | | |
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94 | 94 | | |
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95 | 95 | | |
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96 | 96 | | (F) “PROGRAM” MEANS THE RURAL NONEMERGENCY MEDICAL 1 |
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97 | 97 | | TRANSPORTATION PROGRAM. 2 |
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98 | 98 | | |
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99 | 99 | | (G) “RURAL COUNTY ” MEANS: 3 |
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100 | 100 | | |
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101 | 101 | | (1) ALLEGANY COUNTY; 4 |
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102 | 102 | | |
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103 | 103 | | (2) CALVERT COUNTY; 5 |
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104 | 104 | | |
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105 | 105 | | (3) CAROLINE COUNTY; 6 |
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106 | 106 | | |
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107 | 107 | | (4) CARROLL COUNTY; 7 |
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108 | 108 | | |
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109 | 109 | | (5) CECIL COUNTY; 8 |
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110 | 110 | | |
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111 | 111 | | (6) CHARLES COUNTY; 9 |
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112 | 112 | | |
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113 | 113 | | (7) DORCHESTER COUNTY; 10 |
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114 | 114 | | |
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115 | 115 | | (8) FREDERICK COUNTY; 11 |
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116 | 116 | | |
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117 | 117 | | (9) GARRETT COUNTY; 12 |
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118 | 118 | | |
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119 | 119 | | (10) HARFORD COUNTY; 13 |
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120 | 120 | | |
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121 | 121 | | (11) KENT COUNTY; 14 |
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122 | 122 | | |
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123 | 123 | | (12) QUEEN ANNE’S COUNTY; 15 |
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124 | 124 | | |
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125 | 125 | | (13) SOMERSET COUNTY; 16 |
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126 | 126 | | |
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127 | 127 | | (14) ST. MARY’S COUNTY; 17 |
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128 | 128 | | |
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129 | 129 | | (15) TALBOT COUNTY; 18 |
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130 | 130 | | |
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131 | 131 | | (16) WASHINGTON COUNTY; 19 |
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132 | 132 | | |
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133 | 133 | | (17) WICOMICO COUNTY; OR 20 |
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134 | 134 | | |
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135 | 135 | | (18) WORCESTER COUNTY. 21 |
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136 | 136 | | |
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137 | 137 | | 13–4402. 22 4 HOUSE BILL 1243 |
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138 | 138 | | |
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139 | 139 | | |
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140 | 140 | | |
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141 | 141 | | (A) THERE IS A RURAL NONEMERGENCY MEDICAL TRANSPORTATION 1 |
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142 | 142 | | PROGRAM. 2 |
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143 | 143 | | |
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144 | 144 | | (B) THE PURPOSE OF THE PROGRAM IS FOR HOSPITALS TO COORDINATE 3 |
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145 | 145 | | TRANSPORTATION PROVIDED BY A NONPROFIT ORGANIZATI ON TO OR FROM 4 |
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146 | 146 | | MEDICAL SERVICES FOR ELIGIBLE INDIVIDUALS . 5 |
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147 | 147 | | |
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148 | 148 | | 13–4403. 6 |
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149 | 149 | | |
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150 | 150 | | (A) A PROGRAM ADOPTED UNDER THIS SUBTITLE SHALL : 7 |
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151 | 151 | | |
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152 | 152 | | (1) COORDINATE TRANSPORTA TION PROVIDED BY A NONPROFIT 8 |
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153 | 153 | | ORGANIZATION FOR AN ELIGIBLE INDI VIDUAL TO TRAVEL TO OR FROM MEDICAL 9 |
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154 | 154 | | SERVICES; 10 |
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155 | 155 | | |
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156 | 156 | | (2) INCLUDE A MONTHLY BUDGET SET B Y EACH NONPROFIT 11 |
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157 | 157 | | ORGANIZATION PARTICIPATING IN A PROGRAM ADOPTED BY A HOSPITAL 12 |
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158 | 158 | | ESTABLISHING THE TOTAL AMOUNT OF TRANSPORTATION SERVI CES THE 13 |
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159 | 159 | | ORGANIZATION WILL PROVIDE TO ELIG IBLE INDIVIDUALS WHO ARE PATIENTS AT 14 |
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160 | 160 | | THE HOSPITAL THROUGH THE PROGRAM; AND 15 |
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161 | 161 | | |
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162 | 162 | | (3) PROVIDE INFORMATION T O A NONPROFIT ORGANIZATION ABOUT 16 |
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163 | 163 | | ELIGIBLE INDIVIDUALS THAT THE CARE COORDINATOR HAS SELECTED TO RECE IVE 17 |
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164 | 164 | | TRANSPORTATION SERVI CES THROUGH THE PROGRAM IN A MANNER THAT 18 |
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165 | 165 | | COMPLIES WITH STATE AND FEDERAL PRI VACY LAWS. 19 |
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166 | 166 | | |
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167 | 167 | | (B) A PROGRAM MAY NOT PROVIDE TRAN SPORTATION: 20 |
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168 | 168 | | |
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169 | 169 | | (1) TO AN ELIGIBLE INDIVI DUAL FOR MORE THAN 120 DAYS AT A 21 |
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170 | 170 | | TIME; OR 22 |
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171 | 171 | | |
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172 | 172 | | (2) TO AN INDIVIDUAL WHO REQUESTS TRANSPORTAT ION BUT DOES 23 |
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173 | 173 | | NOT USE THE TRANSPORTATION PROVI DED ON MORE THAN ONE OCC ASION. 24 |
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174 | 174 | | |
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175 | 175 | | 13–4404. 25 |
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176 | 176 | | |
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177 | 177 | | (A) A HOSPITAL MAY ADOPT A PROGRAM IN ACCORDANCE WITH T HIS 26 |
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178 | 178 | | SUBTITLE. 27 |
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179 | 179 | | |
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180 | 180 | | (B) IF A HOSPITAL ADOPTS A PROGRAM, THE HOSPITAL SHALL: 28 |
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181 | 181 | | HOUSE BILL 1243 5 |
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182 | 182 | | |
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183 | 183 | | |
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184 | 184 | | (1) CONTRACT WITH A NONPROFIT ORGANIZATI ON TO PROVIDE 1 |
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185 | 185 | | TRANSPORTATION TO ELIGIBLE INDIVIDUALS WHO ARE PATIENTS AT THE HOSPITAL 2 |
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186 | 186 | | IN ACCORDANCE WITH T HIS SUBTITLE; AND 3 |
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187 | 187 | | |
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188 | 188 | | (2) ESTABLISH AND ADOPT A PROCESS OF NOTIFYING PATIENTS AT 4 |
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189 | 189 | | THE HOSPITAL ABOUT S ERVICES AVAILABLE TH ROUGH THE PROGRAM. 5 |
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190 | 190 | | |
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191 | 191 | | (C) A HOSPITAL CARE COORDI NATOR SHALL: 6 |
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192 | 192 | | |
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193 | 193 | | (1) DETERMINE WHICH PATIE NTS OF THE HOSPITAL WHO ARE 7 |
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194 | 194 | | INTERESTED IN RECEIV ING TRANSPORTATION S ERVICES THROUGH THE PROGRAM 8 |
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195 | 195 | | ARE ELIGIBLE INDIVID UALS; 9 |
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196 | 196 | | |
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197 | 197 | | (2) DETERMINE WHICH ELIGI BLE INDIVIDUALS WILL RECEIVE 10 |
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198 | 198 | | TRANSPORTATION THROU GH THE PROGRAM IN ACCORDANCE WITH T HE BUDGET 11 |
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199 | 199 | | PROVIDED BY THE NONP ROFIT ORGANI ZATION; AND 12 |
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200 | 200 | | |
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201 | 201 | | (3) COORDINATE TRANSPORTA TION FOR AN ELIGIBLE INDI VIDUAL 13 |
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202 | 202 | | WHO THE HOSPITAL CAR E COORDINATOR SELECT S TO RECEIVE TRANSPORTATION 14 |
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203 | 203 | | TO TRAVEL TO AND FRO M RECEIVING MEDICAL SERVICES IN ACCORDANCE WITH 15 |
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204 | 204 | | THIS SUBTITLE. 16 |
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205 | 205 | | |
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206 | 206 | | (D) IF A HOSPITAL ENTERS INTO A CONTRACT WITH A NONPROFIT 17 |
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207 | 207 | | ORGANIZATION FOR THE PURPOSES OF PROVIDING TRANSPORTA TION THROUGH 18 |
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208 | 208 | | THE PROGRAM, A HOSPITAL SHALL REPOR T THE NAME AND CONTACT INFORMAT ION 19 |
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209 | 209 | | OF THE NONPROFIT ORGANIZATI ON TO THE DEPARTMENT WITHIN 30 DAYS AFTER 20 |
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210 | 210 | | THE DATE ON WHICH TH E CONTRACT IS SIGNED . 21 |
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211 | 211 | | |
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212 | 212 | | 13–4405. 22 |
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213 | 213 | | |
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214 | 214 | | (A) IN FISCAL YEAR 2024 AND EACH FISCAL YEAR THEREAFTER , THE 23 |
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215 | 215 | | GOVERNOR SHALL INCLUD E IN THE ANNUAL BUDG ET BILL AN APPROPRIA TION OF 24 |
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216 | 216 | | AT LEAST $1,000,000 TO THE DEPARTMENT FOR THE PU RPOSES OF CARRYING OUT 25 |
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217 | 217 | | THIS SUBTITLE. 26 |
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218 | 218 | | |
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219 | 219 | | (B) EACH FISCAL YEAR , THE DEPARTMENT SHALL DIST RIBUTE THE FUND S 27 |
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220 | 220 | | APPROPRIATED UNDER S UBSECTION (A) OF THIS SECTION: 28 |
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221 | 221 | | |
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222 | 222 | | (1) TO EACH NONPROFIT ORGANIZATI ON THAT PROVIDES SERVICES 29 |
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223 | 223 | | THROUGH THE PROGRAM, AS REPORTED UNDER § 13–4404(D) OF THIS SUBTITLE; 30 |
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224 | 224 | | AND 31 |
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225 | 225 | | 6 HOUSE BILL 1243 |
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226 | 226 | | |
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227 | 227 | | |
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228 | 228 | | (2) IN AN AMOUNT PROPORTI ONAL TO THE NONPROFIT 1 |
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229 | 229 | | ORGANIZATION ’S ESTIMATED ANNUAL BUDGET FOR PROVIDING TRANSPORTATION 2 |
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230 | 230 | | UNDER THE PROGRAM. 3 |
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231 | 231 | | |
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232 | 232 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 4 |
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233 | 233 | | October 1, 2022. 5 |
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