| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | ||
| 2 | 2 | ||
| 3 | 3 | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. | |
| 4 | 4 | [Brackets] indicate matter deleted from existing law. | |
| 5 | - | Underlining indicates amendments to bill. | |
| 6 | - | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
| 7 | - | amendment. | |
| 8 | 5 | *sb0890* | |
| 9 | 6 | ||
| 10 | 7 | SENATE BILL 890 | |
| 11 | 8 | J1, J2, J5 2lr1202 | |
| 12 | - | CF | |
| 9 | + | CF 2lr0314 | |
| 13 | 10 | By: Senators Kelley, Feldman, and Hettleman | |
| 14 | 11 | Introduced and read first time: February 7, 2022 | |
| 15 | 12 | Assigned to: Finance and Budget and Taxation | |
| 16 | - | Committee Report: Favorable with amendments | |
| 17 | - | Senate action: Adopted | |
| 18 | - | Read second time: March 14, 2022 | |
| 19 | 13 | ||
| 20 | - | ||
| 14 | + | A BILL ENTITLED | |
| 21 | 15 | ||
| 22 | 16 | AN ACT concerning 1 | |
| 23 | 17 | ||
| 24 | 18 | Abortion Care Access Act 2 | |
| 25 | 19 | ||
| 26 | 20 | FOR the purpose of establishing the Abortion Clinical Care Training Program in the 3 | |
| 27 | 21 | Maryland Department of Health; establishing the Abortion Care Clinical Training 4 | |
| 28 | 22 | Program Fund; requiring interest earnings of the Fund to be credited to the Fund; 5 | |
| 29 | 23 | establishing and altering certain requirements regarding abortion services, 6 | |
| 30 | - | including requirements a requirement related to who may perform abortions in the 7 | |
| 31 | - | State and the provision and coverage of abortion care services by the Maryland 8 | |
| 32 | - | Medical Assistance Program and certain insurers, nonprofit health service plans, 9 | |
| 33 | - | and health maintenance organizations; authorizing the Maryland Insurance 10 | |
| 34 | - | Commissioner to grant a certain exemption to certain abortion care service 11 | |
| 35 | - | requirements under certain circumstances; requiring the Maryland Health Benefit 12 | |
| 36 | - | Exchange to adopt regulations to provide a certain subsidy to cover the cost of 13 | |
| 37 | - | insurance premiums for certain young adults; establishing certain requirements 14 | |
| 38 | - | regarding abortion care services, including provision and coverage requirements on 15 | |
| 39 | - | the Maryland Medical Assistance Program and certain insurers, nonprofit health 16 | |
| 40 | - | service plans, and health maintenance organizations; authorizing certain 17 | |
| 41 | - | organizations to obtain from certain entities an exclusion from certain abortion care 18 | |
| 42 | - | coverage and information requirements under certain circumstances; authorizing 19 | |
| 43 | - | the Maryland Insurance Commissioner to grant a certain exemption to certain 20 | |
| 44 | - | abortion care service requirements under certain circumstances; requiring the 21 | |
| 45 | - | Maryland Health Benefit Exchange to adopt regulations to provide a certain subsidy 22 | |
| 46 | - | to cover the cost of insurance premiums for certain young adults; requiring the 23 | |
| 47 | - | Exchange to study extending last dollar coverage to certain enrollees; and generally 24 2 SENATE BILL 890 | |
| 24 | + | including requirements related to who may perform abortions in the State and the 7 | |
| 25 | + | provision and coverage of abortion care services by the Maryland Medical Assistance 8 | |
| 26 | + | Program and certain insurers, nonprofit health service plans, and health 9 | |
| 27 | + | maintenance organizations; authorizing the Maryland Insurance Commissioner to 10 | |
| 28 | + | grant a certain exemption to certain abortion care service requirements under 11 | |
| 29 | + | certain circumstances; requiring the Maryland Health Benefit Exchange to adopt 12 | |
| 30 | + | regulations to provide a certain subsidy to cover the cost of insurance premiums for 13 | |
| 31 | + | certain young adults; and generally relating to abortion care. 14 | |
| 32 | + | ||
| 33 | + | BY adding to 15 | |
| 34 | + | Article – Health – General 16 | |
| 35 | + | Section 13–4401 through 13–4407 to be under the new subtitle “Subtitle 44. Abortion 17 | |
| 36 | + | Care Clinical Training Program”; and 15–103(a)(2)(xviii) 18 | |
| 37 | + | Annotated Code of Maryland 19 | |
| 38 | + | (2019 Replacement Volume and 2021 Supplement) 20 | |
| 39 | + | ||
| 40 | + | BY repealing and reenacting, without amendments, 21 | |
| 41 | + | Article – Health – General 22 | |
| 42 | + | Section 15–103(a)(1) 23 | |
| 43 | + | Annotated Code of Maryland 24 | |
| 44 | + | (2019 Replacement Volume and 2021 Supplement) 25 | |
| 45 | + | ||
| 46 | + | BY repealing and reenacting, with amendments, 26 | |
| 47 | + | Article – Health – General 27 | |
| 48 | + | Section 15–103(a)(2)(xvi) and (xvii), 20–103, and 20–207 through 20–209 28 2 SENATE BILL 890 | |
| 48 | 49 | ||
| 49 | 50 | ||
| 50 | - | ||
| 51 | - | ||
| 51 | + | Annotated Code of Maryland 1 | |
| 52 | + | (2019 Replacement Volume and 2021 Supplement) 2 | |
| 52 | 53 | ||
| 53 | 54 | BY adding to 3 | |
| 54 | - | Article – Health – General 4 | |
| 55 | - | Section 13–4401 through 13–4407 to be under the new subtitle “Subtitle 44. Abortion 5 | |
| 56 | - | Care Clinical Training Program”; and 15–103(a)(2)(xviii) 6 | |
| 57 | - | Annotated Code of Maryland 7 | |
| 58 | - | (2019 Replacement Volume and 2021 Supplement) 8 | |
| 55 | + | Article – Insurance 4 | |
| 56 | + | Section 15–857 5 | |
| 57 | + | Annotated Code of Maryland 6 | |
| 58 | + | (2017 Replacement Volume and 2021 Supplement) 7 | |
| 59 | 59 | ||
| 60 | - | BY repealing and reenacting, | |
| 61 | - | Article – | |
| 62 | - | Section | |
| 63 | - | Annotated Code of Maryland | |
| 64 | - | ( | |
| 60 | + | BY repealing and reenacting, with amendments, 8 | |
| 61 | + | Article – Insurance 9 | |
| 62 | + | Section 31–122 10 | |
| 63 | + | Annotated Code of Maryland 11 | |
| 64 | + | (2017 Replacement Volume and 2021 Supplement) 12 | |
| 65 | 65 | ||
| 66 | - | BY repealing and reenacting, | |
| 67 | - | Article – | |
| 68 | - | Section | |
| 69 | - | Annotated Code of Maryland | |
| 70 | - | ( | |
| 66 | + | BY repealing and reenacting, without amendments, 13 | |
| 67 | + | Article – State Finance and Procurement 14 | |
| 68 | + | Section 6–226(a)(2)(i) 15 | |
| 69 | + | Annotated Code of Maryland 16 | |
| 70 | + | (2021 Replacement Volume) 17 | |
| 71 | 71 | ||
| 72 | - | BY | |
| 73 | - | Article – | |
| 74 | - | Section | |
| 75 | - | Annotated Code of Maryland | |
| 76 | - | ( | |
| 72 | + | BY repealing and reenacting, with amendments, 18 | |
| 73 | + | Article – State Finance and Procurement 19 | |
| 74 | + | Section 6–226(a)(2)(ii)144. and 145. 20 | |
| 75 | + | Annotated Code of Maryland 21 | |
| 76 | + | (2021 Replacement Volume) 22 | |
| 77 | 77 | ||
| 78 | - | BY | |
| 79 | - | Article – | |
| 80 | - | Section | |
| 81 | - | Annotated Code of Maryland | |
| 82 | - | ( | |
| 78 | + | BY adding to 23 | |
| 79 | + | Article – State Finance and Procurement 24 | |
| 80 | + | Section 6–226(a)(2)(ii)146. 25 | |
| 81 | + | Annotated Code of Maryland 26 | |
| 82 | + | (2021 Replacement Volume) 27 | |
| 83 | 83 | ||
| 84 | - | BY repealing and reenacting, without amendments, 29 | |
| 85 | - | Article – State Finance and Procurement 30 | |
| 86 | - | Section 6–226(a)(2)(i) 31 | |
| 87 | - | Annotated Code of Maryland 32 | |
| 88 | - | (2021 Replacement Volume) 33 | |
| 84 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 28 | |
| 85 | + | That the Laws of Maryland read as follows: 29 | |
| 89 | 86 | ||
| 90 | - | BY repealing and reenacting, with amendments, 34 | |
| 91 | - | Article – State Finance and Procurement 35 | |
| 92 | - | Section 6–226(a)(2)(ii)144. and 145. 36 | |
| 93 | - | Annotated Code of Maryland 37 | |
| 94 | - | (2021 Replacement Volume) 38 | |
| 87 | + | Article – Health – General 30 | |
| 95 | 88 | ||
| 96 | - | BY adding to 39 SENATE BILL 890 3 | |
| 89 | + | SUBTITLE 44. ABORTION CARE CLINICAL TRAINING PROGRAM. 31 | |
| 90 | + | ||
| 91 | + | 13–4401. 32 | |
| 92 | + | ||
| 93 | + | (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 33 | |
| 94 | + | INDICATED. 34 | |
| 95 | + | ||
| 96 | + | (B) “FUND” MEANS THE ABORTION CARE CLINICAL TRAINING PROGRAM 35 SENATE BILL 890 3 | |
| 97 | 97 | ||
| 98 | 98 | ||
| 99 | - | Article – State Finance and Procurement 1 | |
| 100 | - | Section 6–226(a)(2)(ii)146. 2 | |
| 101 | - | Annotated Code of Maryland 3 | |
| 102 | - | (2021 Replacement Volume) 4 | |
| 99 | + | FUND. 1 | |
| 103 | 100 | ||
| 104 | - | | |
| 105 | - | ||
| 101 | + | (C) “PROGRAM” MEANS THE ABORTION CARE CLINICAL TRAINING 2 | |
| 102 | + | PROGRAM. 3 | |
| 106 | 103 | ||
| 107 | - | ||
| 104 | + | 13–4402. 4 | |
| 108 | 105 | ||
| 109 | - | SUBTITLE 44. ABORTION CARE CLINICAL TRAINING PROGRAM. 8 | |
| 106 | + | THERE IS AN ABORTION CARE CLINICAL TRAINING PROGRAM IN THE 5 | |
| 107 | + | DEPARTMENT . 6 | |
| 110 | 108 | ||
| 111 | - | 13– | |
| 109 | + | 13–4403. 7 | |
| 112 | 110 | ||
| 113 | - | (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 10 | |
| 114 | - | INDICATED. 11 | |
| 111 | + | THE PURPOSE OF THE PROGRAM IS TO PROTECT ACCESS TO ABORTION C ARE 8 | |
| 112 | + | BY ENSURING THAT THE RE ARE A SUFFICIENT NUMBER OF HEALTH PRO FESSIONALS 9 | |
| 113 | + | TO PROVIDE ABORTION CARE. 10 | |
| 115 | 114 | ||
| 116 | - | (B) “FUND” MEANS THE ABORTION CARE CLINICAL TRAINING PROGRAM 12 | |
| 117 | - | FUND. 13 | |
| 115 | + | 13–4404. 11 | |
| 118 | 116 | ||
| 119 | - | ( | |
| 120 | - | PROGRAM. | |
| 117 | + | (A) (1) THE DEPARTMENT SH ALL CONTRACT WITH A COORDINATING 12 | |
| 118 | + | ORGANIZATION TO ADMI NISTER THE PROGRAM. 13 | |
| 121 | 119 | ||
| 122 | - | 13–4402. 16 | |
| 120 | + | (2) THE DEPARTMENT SHALL USE FUNDS APPROPRIATED I N THE 14 | |
| 121 | + | BUDGET FOR THE PROGRAM TO CONTRACT W ITH THE COORDINATING 15 | |
| 122 | + | ORGANIZATION UNDER P ARAGRAPH (1) OF THIS SUBSECTION . 16 | |
| 123 | 123 | ||
| 124 | - | THERE IS AN ABORTION CARE CLINICAL TRAINING PROGRAM IN THE 17 | |
| 125 | - | DEPARTMENT . 18 | |
| 124 | + | (B) THE COORDINATING ORGANIZ ATION SHALL: 17 | |
| 126 | 125 | ||
| 127 | - | 13–4403. 19 | |
| 126 | + | (1) HAVE DEMONSTRATED EXP ERIENCE IN COORDINAT ING 18 | |
| 127 | + | ABORTION CARE TRAINI NG PROGRAMS AT COMMU NITY–BASED AND 19 | |
| 128 | + | HOSPITAL–BASED PROVIDER SITES ; 20 | |
| 128 | 129 | ||
| 129 | - | THE PURPOSE OF THE PROGRAM IS TO PROTECT ACCESS TO ABORTION C ARE 20 | |
| 130 | - | BY ENSURING THAT THE RE ARE A SUFFICIENT NUMBER OF HEALTH PRO FESSIONALS 21 | |
| 131 | - | TO PROVIDE ABORTION CARE. 22 | |
| 130 | + | (2) BE A NONPROFIT ENTITY ; 21 | |
| 132 | 131 | ||
| 133 | - | 13–4404. 23 | |
| 132 | + | (3) BE IN GOOD STANDING I N ANY STATE OR JURIS DICTION IN WHICH 22 | |
| 133 | + | THE ORGANIZATION IS REGISTERED OR INCORP ORATED; 23 | |
| 134 | 134 | ||
| 135 | - | ( | |
| 136 | - | ||
| 135 | + | (4) SUBMIT AN ANNUAL REPO RT TO THE DEPARTMENT ON THE 24 | |
| 136 | + | PERFORMANCE OF THE PROGRAM; 25 | |
| 137 | 137 | ||
| 138 | - | (2) THE DEPARTMENT SHALL USE FUNDS APPROPRIATED I N THE 26 | |
| 139 | - | BUDGET FOR THE PROGRAM TO CONTRACT W ITH THE COORDINATING 27 | |
| 140 | - | ORGANIZATION UNDER P ARAGRAPH (1) OF THIS SUBSECTION . 28 | |
| 141 | - | ||
| 142 | - | (B) THE COORDINATING ORGA NIZATION SHALL : 29 | |
| 138 | + | (5) MEET ANY OTHER REQUIR EMENTS ESTABLISHED B Y THE 26 | |
| 139 | + | DEPARTMENT IF THE REQ UIREMENTS ARE NOT IN CONSISTENT WITH TITLE 20, 27 | |
| 140 | + | SUBTITLE 2 OF THE HEALTH – GENERAL ARTICLE; AND 28 | |
| 143 | 141 | 4 SENATE BILL 890 | |
| 144 | 142 | ||
| 145 | 143 | ||
| 146 | - | (1) HAVE DEMONSTRATED EX PERIENCE IN COORDINA TING 1 | |
| 147 | - | ABORTION CARE TRAINI NG PROGRAMS AT COMMU NITY–BASED AND 2 | |
| 148 | - | HOSPITAL–BASED PROVIDER SITES ; 3 | |
| 144 | + | (6) PERFORM THE FOLLOWING FUNCTIONS: 1 | |
| 149 | 145 | ||
| 150 | - | (2) BE A NONPROFIT ENTITY ; 4 | |
| 146 | + | (I) ADMINISTER GRANTS TO DEVELOP AND SUSTAIN ABORTION 2 | |
| 147 | + | CARE TRAINING PROGRA MS AT A MINIMUM OF T WO COMMUNITY –BASED PROVIDER 3 | |
| 148 | + | SITES; 4 | |
| 151 | 149 | ||
| 152 | - | (3) BE IN GOOD STANDING I N ANY STATE OR JURIS DICTION IN WHICH 5 | |
| 153 | - | THE ORGANIZATION IS REGISTERED OR INCORP ORATED; 6 | |
| 150 | + | (II) ADMINISTER GRAN TS IF FUNDING IS AVA ILABLE TO: 5 | |
| 154 | 151 | ||
| 155 | - | (4) SUBMIT AN ANNUAL REPO RT TO THE DEPARTMENT ON THE 7 | |
| 156 | - | PERFORMANCE OF THE PROGRAM; 8 | |
| 152 | + | 1. OTHER COMMUNITY –BASED SITES; 6 | |
| 157 | 153 | ||
| 158 | - | (5) MEET ANY OTHER REQUIR EMENTS ESTABLISHED B Y THE 9 | |
| 159 | - | DEPARTMENT IF THE REQ UIREMENTS ARE NOT IN CONSISTENT WITH TITLE 20, 10 | |
| 160 | - | SUBTITLE 2 OF THE HEALTH – GENERAL ARTICLE; AND 11 | |
| 154 | + | 2. HOSPITAL–BASED PROVIDER SITES ; 7 | |
| 161 | 155 | ||
| 162 | - | (6) PERFORM THE FOLLOWING FUNCTIONS: 12 | |
| 156 | + | 3. CONTINUING EDUCATION PROGRAMS FOR QUALIFI ED 8 | |
| 157 | + | PROVIDERS THROUGH PR OFESSIONAL ASSOCIATI ONS OR OTHER CLINICA L 9 | |
| 158 | + | EDUCATION PROGRAMS ; AND 10 | |
| 163 | 159 | ||
| 164 | - | (I) ADMINISTER GRANTS TO DEVELOP AND SUSTAIN ABORTION 13 | |
| 165 | - | CARE TRAINING PROGRA MS AT A MINIMUM OF T WO COMMUNITY –BASED PROVIDER 14 | |
| 166 | - | SITES; 15 | |
| 160 | + | 4. ESTABLISH TRAINING PROG RAM REQUIREMENTS 11 | |
| 161 | + | THAT: 12 | |
| 167 | 162 | ||
| 168 | - | (II) ADMINISTER GRANTS IF FUNDING IS AVAILABLE TO: 16 | |
| 163 | + | A. ARE CONSISTENT WITH E VIDENCE–BASED TRAINING 13 | |
| 164 | + | STANDARDS; AND 14 | |
| 169 | 165 | ||
| 170 | - | 1. OTHER COMMUNITY –BASED SITES; 17 | |
| 166 | + | B. COMPLY WITH ANY APPLI CABLE STATE LAW AND 15 | |
| 167 | + | REGULATIONS ; 16 | |
| 171 | 168 | ||
| 172 | - | 2. HOSPITAL–BASED PROVIDER SITES ; 18 | |
| 169 | + | (III) SUPPORT ABORTION CARE CLINICAL TRAINING TO 17 | |
| 170 | + | QUALIFIED PROVIDERS AS DEFINED IN § 20–103 OF THIS ARTICLE AND TO THE 18 | |
| 171 | + | CLINICAL CARE TEAMS OF THE QUALIFIED PRO VIDERS TO: 19 | |
| 173 | 172 | ||
| 174 | - | 3. CONTINUING EDUCATION PROGRAMS FOR QUALIFI ED 19 | |
| 175 | - | PROVIDERS THROUGH PR OFESSIONAL ASSOCIATI ONS OR OTHER CLINICA L 20 | |
| 176 | - | EDUCATION PROGRAMS ; AND 21 | |
| 173 | + | 1. EXPAND THE NUMBER OF HEALTH CARE 20 | |
| 174 | + | PROFESSIONALS WITH A BORTION CARE TRAININ G; AND 21 | |
| 177 | 175 | ||
| 178 | - | | |
| 179 | - | ||
| 176 | + | 2. INCREASE THE RACIAL A ND ETHNIC DIVERSITY 22 | |
| 177 | + | AMONG HEALTH CARE PR OFESSIONALS WITH ABORTION CAR E TRAINING; AND 23 | |
| 180 | 178 | ||
| 181 | - | | |
| 182 | - | ||
| 179 | + | (IV) SUPPORT THE IDENTIFIC ATION, SCREENING, AND 24 | |
| 180 | + | PLACEMENT OF QUALIFI ED PROVIDERS AT TRAI NING SITES. 25 | |
| 183 | 181 | ||
| 184 | - | B. COMPLY WITH ANY APPLI CABLE STATE LAW AND 26 | |
| 185 | - | REGULATIONS ; AND 27 | |
| 186 | - | ||
| 187 | - | C. FOCUS ON THE PROVISIO N OF CULTURALLY 28 | |
| 188 | - | CONGRUENT CARE AND I NCLUDE IMPLICIT BIAS TRAINING; 29 | |
| 182 | + | (C) (1) THE DEPARTMENT SHALL RELE ASE THE NAME OF THE 26 | |
| 183 | + | COORDINATING ORGANIZ ATION THAT THE DEPARTMENT CONTRACTS WITH UNDER 27 | |
| 184 | + | SUBSECTION (A) OF THIS SECTION AND ANY ENTITY RECEIVING FUNDS THROUGH 28 | |
| 185 | + | THE COORDINATION ORG ANIZATION. 29 | |
| 189 | 186 | SENATE BILL 890 5 | |
| 190 | 187 | ||
| 191 | 188 | ||
| 192 | - | ( | |
| 193 | - | ||
| 194 | - | ||
| 189 | + | (2) THE DEPARTMENT MAY NOT RE LEASE THE NAME OF AN Y 1 | |
| 190 | + | INDIVIDUAL OR PERSON ADMINISTERING SERVIC ES THROUGH OR PARTIC IPATING 2 | |
| 191 | + | IN THE PROGRAM. 3 | |
| 195 | 192 | ||
| 196 | - | 1. EXPAND THE NUMBER OF HEALTH CARE 4 | |
| 197 | - | PROFESSIONALS WITH A BORTION CARE TRAININ G; AND 5 | |
| 193 | + | 13–4405. 4 | |
| 198 | 194 | ||
| 199 | - | | |
| 200 | - | ||
| 195 | + | FOR EACH FISCAL YEAR , THE GOVERNOR SHALL INCLUD E IN THE ANNUAL 5 | |
| 196 | + | BUDGET BILL AN APPRO PRIATION OF $3,500,000 TO THE PROGRAM. 6 | |
| 201 | 197 | ||
| 202 | - | (IV) SUPPORT THE IDENTIFIC ATION, SCREENING, AND 8 | |
| 203 | - | PLACEMENT OF QUALIFI ED PROVIDERS AT TRAI NING SITES. 9 | |
| 198 | + | 13–4406. 7 | |
| 204 | 199 | ||
| 205 | - | (C) (1) THE DEPARTMENT SHALL RELE ASE THE NAME OF THE 10 | |
| 206 | - | COORDINATING ORGANIZATION THAT TH E DEPARTMENT CONTRACTS WITH UNDER 11 | |
| 207 | - | SUBSECTION (A) OF THIS SECTION AND ANY ENTITY RECEIVING FUNDS THROUGH 12 | |
| 208 | - | THE COORDINATION ORG ANIZATION. 13 | |
| 200 | + | (A) THERE IS AN ABORTION CARE CLINICAL TRAINING PROGRAM FUND. 8 | |
| 209 | 201 | ||
| 210 | - | (2) THE DEPARTMENT MAY NOT RE LEASE THE NAME OF AN Y 14 | |
| 211 | - | INDIVIDUAL OR PERSON ADMINISTERING SERVIC ES THROUGH OR PARTICIPATIN G 15 | |
| 212 | - | IN THE PROGRAM. 16 | |
| 202 | + | (B) THE PURPOSE OF THE FUND IS TO SUPPORT TH E PROGRAM. 9 | |
| 213 | 203 | ||
| 214 | - | ||
| 204 | + | (C) THE DEPARTMENT SHALL ADMI NISTER THE FUND. 10 | |
| 215 | 205 | ||
| 216 | - | | |
| 217 | - | ||
| 206 | + | (D) THE FUND IS A SPECIAL, NONLAPSING FUND THAT IS NOT SUBJECT TO 11 | |
| 207 | + | § 7–302 OF THE STATE FINANCE AND PROCUREMENT ARTICLE. 12 | |
| 218 | 208 | ||
| 219 | - | 13–4406. 20 | |
| 209 | + | (E) THE STATE TREASURER SHALL HOLD THE FUND SEPARATELY , AND THE 13 | |
| 210 | + | COMPTROLLER SHALL ACC OUNT FOR THE FUND. 14 | |
| 220 | 211 | ||
| 221 | - | ( | |
| 212 | + | (F) THE FUND CONSISTS OF : 15 | |
| 222 | 213 | ||
| 223 | - | (B) THE PURPOSE OF THE FUND IS TO SUPPORT TH E PROGRAM. 22 | |
| 214 | + | (1) ANY MONEY APPROPRIATE D IN THE STATE BUDGET TO THE 16 | |
| 215 | + | FUND; 17 | |
| 224 | 216 | ||
| 225 | - | ( | |
| 217 | + | (2) INTEREST EARNINGS ; AND 18 | |
| 226 | 218 | ||
| 227 | - | ( | |
| 228 | - | ||
| 219 | + | (3) ANY OTHER MONEY FROM ANY OTHER SOURCE ACCEPTE D FOR 19 | |
| 220 | + | THE BENEFIT OF THE FUND. 20 | |
| 229 | 221 | ||
| 230 | - | (E) THE STATE TREASURER SHALL HOLD THE FUND SEPARATELY , AND THE 26 | |
| 231 | - | COMPTROLLER SHALL ACC OUNT FOR THE FUND. 27 | |
| 222 | + | (G) THE FUND MAY BE USED ONLY FOR THE PROGRAM. 21 | |
| 232 | 223 | ||
| 233 | - | (F) THE FUND CONSISTS OF : 28 | |
| 234 | - | 6 SENATE BILL 890 | |
| 224 | + | (H) (1) THE STATE TREASURER SHALL INVES T AND REINVEST THE 22 | |
| 225 | + | MONEY OF THE FUND IN THE SAME MANN ER AS OTHER STATE MONEY MAY BE 23 | |
| 226 | + | INVESTED. 24 | |
| 227 | + | ||
| 228 | + | (2) ANY INVESTM ENT EARNINGS OF THE FUND SHALL BE PAID IN TO 25 | |
| 229 | + | THE FUND. 26 | |
| 230 | + | ||
| 231 | + | (I) THE COMPTROLLER SHALL PAY OUT MONEY FROM THE FUND AS 27 6 SENATE BILL 890 | |
| 235 | 232 | ||
| 236 | 233 | ||
| 237 | - | (1) ANY MONEY APPROPRIATE D IN THE STATE BUDGET TO THE 1 | |
| 238 | - | FUND; 2 | |
| 234 | + | DIRECTED BY THE SECRETARY. 1 | |
| 239 | 235 | ||
| 240 | - | ( | |
| 236 | + | (J) NO PART OF THE FUND MAY REVERT OR BE CREDITED TO: 2 | |
| 241 | 237 | ||
| 242 | - | (3) ANY OTHER MONEY FROM ANY OTHER SOURCE ACC EPTED FOR 4 | |
| 243 | - | THE BENEFIT OF THE FUND. 5 | |
| 238 | + | (1) THE GENERAL FUND OF THE STATE; OR 3 | |
| 244 | 239 | ||
| 245 | - | ( | |
| 240 | + | (2) ANY OTHER SPECIAL FUND OF TH E STATE. 4 | |
| 246 | 241 | ||
| 247 | - | (H) (1) THE STATE TREASURER SHALL INVES T AND REINVEST THE 7 | |
| 248 | - | MONEY OF THE FUND IN THE SAME MANN ER AS OTHER STATE MONEY MAY BE 8 | |
| 249 | - | INVESTED. 9 | |
| 242 | + | (K) EXPENDITURES FROM THE FUND MAY BE MADE ONLY IN ACCORDANCE 5 | |
| 243 | + | WITH THE STATE BUDGET . 6 | |
| 250 | 244 | ||
| 251 | - | (2) ANY INVESTMENT EARNIN GS OF THE FUND SHALL BE PAID INTO 10 | |
| 252 | - | THE FUND. 11 | |
| 245 | + | 13–4407. 7 | |
| 253 | 246 | ||
| 254 | - | (I) THE COMPTROLLER SHALL PAY OUT MONEY FROM THE FUND AS 12 | |
| 255 | - | DIRECTED BY THE SECRETARY. 13 | |
| 247 | + | ON OR BEFORE JULY 1 EACH YEAR, THE DEPARTMENT SHALL SUBM IT AN 8 | |
| 248 | + | ANNUAL REPORT ON THE PROGRAM TO THE GOVERNOR AND , IN ACCORDANCE WITH 9 | |
| 249 | + | § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE GENERAL ASSEMBLY. 10 | |
| 256 | 250 | ||
| 257 | - | ||
| 251 | + | 15–103. 11 | |
| 258 | 252 | ||
| 259 | - | (1) THE GENERAL FUND OF THE STATE; OR 15 | |
| 253 | + | (a) (1) The Secretary shall administer the Maryland Medical Assistance 12 | |
| 254 | + | Program. 13 | |
| 260 | 255 | ||
| 261 | - | (2) | |
| 256 | + | (2) The Program: 14 | |
| 262 | 257 | ||
| 263 | - | (K) EXPENDITURES FROM THE FUND MAY BE MADE ONLY IN ACCORDANCE 17 | |
| 264 | - | WITH THE STATE BUDGET . 18 | |
| 258 | + | (xvi) Beginning on January 1, 2021, shall provide, subject to the 15 | |
| 259 | + | limitations of the State budget and § 15–855(b)(2) of the Insurance Article, and as permitted 16 | |
| 260 | + | by federal law, services for pediatric autoimmune neuropsychiatric disorders associated 17 | |
| 261 | + | with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, 18 | |
| 262 | + | including the use of intravenous immunoglobulin therapy, for eligible Program recipients, 19 | |
| 263 | + | if pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections 20 | |
| 264 | + | and pediatric acute onset neuropsychiatric syndrome are coded for billing and diagnosis 21 | |
| 265 | + | purposes in accordance with § 15–855(d) of the Insurance Article; [and] 22 | |
| 265 | 266 | ||
| 266 | - | 13–4407. 19 | |
| 267 | + | (xvii) Beginning on January 1, 2022, may not include, subject to federal 23 | |
| 268 | + | approval and limitations of the State budget, a frequency limitation on covered dental 24 | |
| 269 | + | prophylaxis care or oral health exams that requires the dental prophylaxis care or oral 25 | |
| 270 | + | health exams to be provided at an interval greater than 120 days within a plan year; AND 26 | |
| 267 | 271 | ||
| 268 | - | | |
| 269 | - | ||
| 270 | - | ||
| 272 | + | (XVIII) SHALL PROVIDE COVERAG E OF ABORTION CARE 27 | |
| 273 | + | SERVICES TO PROGRAM RECIPIENTS IN THE MANNER DESCRI BED IN § 28 | |
| 274 | + | 15–857(B)(1)(II) AND (2) OF THE INSURANCE ARTICLE. 29 | |
| 271 | 275 | ||
| 272 | - | SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 23 | |
| 273 | - | as follows: 24 | |
| 276 | + | 20–103. 30 | |
| 274 | 277 | ||
| 275 | - | Article – Health – General 25 | |
| 276 | - | ||
| 277 | - | 15–103. 26 | |
| 278 | - | ||
| 279 | - | (a) (1) The Secretary shall administer the Maryland Medical Assistance 27 | |
| 280 | - | Program. 28 | |
| 281 | - | SENATE BILL 890 7 | |
| 278 | + | (A) IN THIS SECTION, “QUALIFIED PROVIDER ” MEANS A PHYSICIAN , NURSE 31 SENATE BILL 890 7 | |
| 282 | 279 | ||
| 283 | 280 | ||
| 284 | - | (2) The Program: 1 | |
| 281 | + | PRACTITIONER , NURSE–MIDWIFE, LICENSED CERTIFIED M IDWIFE, PHYSICIAN 1 | |
| 282 | + | ASSISTANT, OR ANY OTHER INDIV IDUAL: 2 | |
| 285 | 283 | ||
| 286 | - | (xvi) Beginning on January 1, 2021, shall provide, subject to the 2 | |
| 287 | - | limitations of the State budget and § 15–855(b)(2) of the Insurance Article, and as permitted 3 | |
| 288 | - | by federal law, services for pediatric autoimmune neuropsychiatric disorders associated 4 | |
| 289 | - | with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, 5 | |
| 290 | - | including the use of intravenous immunoglobulin therapy, for eligible Program recipients, 6 | |
| 291 | - | if pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections 7 | |
| 292 | - | and pediatric acute onset neuropsychiatric syndrome are coded for billing and diagnosis 8 | |
| 293 | - | purposes in accordance with § 15–855(d) of the Insurance Article; [and] 9 | |
| 284 | + | (1) WHO IS LICENSED, CERTIFIED, OR OTHERWISE AUTHORI ZED BY 3 | |
| 285 | + | LAW TO PRACTICE IN T HE STATE; AND 4 | |
| 294 | 286 | ||
| 295 | - | (xvii) Beginning on January 1, 2022, may not include, subject to federal 10 | |
| 296 | - | approval and limitations of the State budget, a frequency limitation on covered dental 11 | |
| 297 | - | prophylaxis care or oral health exams that requires the dental prophylaxis care or oral 12 | |
| 298 | - | health exams to be provided at an interval greater than 120 days within a plan year; AND 13 | |
| 287 | + | (2) FOR WHOM THE PERFORMA NCE OF AN ABORTION I S WITHIN THE 5 | |
| 288 | + | SCOPE OF THE INDIVID UAL’S LICENSE OR CERTIFI CATION. 6 | |
| 299 | 289 | ||
| 300 | - | (XVIII) SHALL PROVIDE COVERAG E OF ABORTION CARE 14 | |
| 301 | - | SERVICES TO PROGRAM RECIPIENTS IN THE MANNER DESCRIBED IN § 15 | |
| 302 | - | 15–857(B)(1)(II) AND (2) OF THE INSURANCE ARTICLE. 16 | |
| 290 | + | [(a)] (B) Except as provided in subsections [(b) and] (c) AND (D) of this section, 7 | |
| 291 | + | a [physician] QUALIFIED PROVIDER may not perform an abortion on an unmarried minor 8 | |
| 292 | + | unless the [physician] QUALIFIED PROVIDER first gives notice to a parent or guardian of 9 | |
| 293 | + | the minor. 10 | |
| 303 | 294 | ||
| 304 | - | | |
| 305 | - | ||
| 295 | + | [(b)] (C) The [physician] QUALIFIED PROVIDER may perform the abortion 11 | |
| 296 | + | without notice to a parent or guardian if: 12 | |
| 306 | 297 | ||
| 307 | - | ||
| 298 | + | (1) The minor does not live with a parent or guardian; and 13 | |
| 308 | 299 | ||
| 309 | - | 20–103. 20 | |
| 300 | + | (2) A reasonable effort to give notice to a parent or guardian is 14 | |
| 301 | + | unsuccessful. 15 | |
| 310 | 302 | ||
| 311 | - | ( | |
| 312 | - | ||
| 313 | - | ||
| 303 | + | [(c)] (D) (1) The [physician] QUALIFIED PROVIDER may perform the 16 | |
| 304 | + | abortion, without notice to a parent or guardian of a minor if, in the professional judgment 17 | |
| 305 | + | of the [physician] QUALIFIED PROVIDER : 18 | |
| 314 | 306 | ||
| 315 | - | ( | |
| 316 | - | ||
| 307 | + | (i) Notice to the parent or guardian may lead to physical or 19 | |
| 308 | + | emotional abuse of the minor; 20 | |
| 317 | 309 | ||
| 318 | - | ( | |
| 319 | - | ||
| 310 | + | (ii) The minor is mature and capable of giving informed consent to 21 | |
| 311 | + | an abortion; or 22 | |
| 320 | 312 | ||
| 321 | - | [(a)] (B) Except as provided in subsections [(b) and] (c) AND (D) of this section, 28 | |
| 322 | - | a [physician] QUALIFIED PROVIDER may not perform an abortion on an unmarried minor 29 | |
| 323 | - | unless the [physician] QUALIFIED PROVIDER first gives notice to a parent or guardian of 30 | |
| 324 | - | the minor. 31 | |
| 313 | + | (iii) Notification would not be in the best interest of the minor. 23 | |
| 325 | 314 | ||
| 326 | - | ||
| 327 | - | ||
| 315 | + | (2) The [physician] QUALIFIED PROVIDER is not liable for civil damages 24 | |
| 316 | + | or subject to a criminal penalty for a decision under this subsection not to give notice. 25 | |
| 328 | 317 | ||
| 329 | - | (1) The minor does not live with a parent or guardian; and 34 8 SENATE BILL 890 | |
| 318 | + | [(d)] (E) THE FOLLOWING SHALL B E CONCLUSIVE EVIDENC E OF NOTICE OR 26 | |
| 319 | + | A REASONABLE ATTEMPT TO GIVE NOTICE: 27 | |
| 320 | + | ||
| 321 | + | (1) The postal receipt that shows an article of mail was sent by certified 28 | |
| 322 | + | mail, return receipt requested, bearing a postmark from the United States Postal Service, 29 | |
| 323 | + | to the last known address of a parent or guardian and that is attached to a copy of the notice 30 | |
| 324 | + | letter that was sent in that article of mail [shall be conclusive evidence of notice or a 31 | |
| 325 | + | reasonable effort to give notice, as the case may be]; OR 32 8 SENATE BILL 890 | |
| 330 | 326 | ||
| 331 | 327 | ||
| 332 | 328 | ||
| 333 | - | (2) A reasonable effort to give notice to a parent or guardian is 1 | |
| 334 | - | unsuccessful. 2 | |
| 329 | + | (2) DOCUMENTATION IN THE HEALTH RECORD OF THE MINOR THAT 1 | |
| 330 | + | NOTIFICATION OF THE PARENT OR GUARDIAN W AS ATTEMPTED BY USIN G THE 2 | |
| 331 | + | CONTACT INFORMATION AVA ILABLE TO THE QUALIF IED PROVIDER . 3 | |
| 335 | 332 | ||
| 336 | - | [(c)] (D) (1) The [physician] QUALIFIED PROVIDER may perform the 3 | |
| 337 | - | abortion, without notice to a parent or guardian of a minor if, in the professional judgment 4 | |
| 338 | - | of the [physician] QUALIFIED PROVIDER : 5 | |
| 333 | + | [(e)] (F) A [physician] QUALIFIED PROVIDER may not provide notice to a 4 | |
| 334 | + | parent or guardian if the minor decides not to have the abortion. 5 | |
| 339 | 335 | ||
| 340 | - | (i) Notice to the parent or guardian may lead to physical or 6 | |
| 341 | - | emotional abuse of the minor; 7 | |
| 336 | + | 20–207. 6 | |
| 342 | 337 | ||
| 343 | - | | |
| 344 | - | an | |
| 338 | + | In Part II of this subtitle, [the word “physician”] “QUALIFIED PROVIDER ” means 7 | |
| 339 | + | [any person, including a doctor of osteopathy,] AN INDIVIDUAL: 8 | |
| 345 | 340 | ||
| 346 | - | (iii) Notification would not be in the best interest of the minor. 10 | |
| 341 | + | (1) WHO IS licensed, CERTIFIED, OR OTHERWISE AUTHORI ZED BY LAW 9 | |
| 342 | + | to practice [medicine] in the State [of Maryland in compliance with the provisions of Title 10 | |
| 343 | + | 14 of the Health Occupations Article]; AND 11 | |
| 347 | 344 | ||
| 348 | - | (2) The | |
| 349 | - | or | |
| 345 | + | (2) FOR WHOM THE PERFORMA NCE OF AN ABORTION I S WITHIN THE 12 | |
| 346 | + | SCOPE OF THE INDIVID UAL’S LICENSE OR CERTIFI CATION. 13 | |
| 350 | 347 | ||
| 351 | - | [(d)] (E) THE FOLLOWING SHALL B E CONCLUSIVE EVIDENC E OF NOTICE OR 13 | |
| 352 | - | A REASONABLE ATTEMPT TO GIVE NOTICE: 14 | |
| 348 | + | 20–208. 14 | |
| 353 | 349 | ||
| 354 | - | (1) The postal receipt that shows an article of mail was sent by certified 15 | |
| 355 | - | mail, return receipt requested, bearing a postmark from the United States Postal Service, 16 | |
| 356 | - | to the last known address of a parent or guardian and that is attached to a copy of the notice 17 | |
| 357 | - | letter that was sent in that article of mail [shall be conclusive evidence of notice or a 18 | |
| 358 | - | reasonable effort to give notice, as the case may be]; OR. 19 | |
| 350 | + | An abortion must be performed by a [licensed physician] QUALIFIED PROVIDER . 15 | |
| 359 | 351 | ||
| 360 | - | (2) DOCUMENTATION IN THE HEALTH RECORD OF THE MINOR THAT 20 | |
| 361 | - | NOTIFICATION OF THE PARENT OR GUARDIAN W AS ATTEMPTED BY USIN G THE 21 | |
| 362 | - | CONTACT INFORMATION AV AILABLE TO THE QUALI FIED PROVIDER . 22 | |
| 352 | + | 20–209. 16 | |
| 363 | 353 | ||
| 364 | - | [(e)] (F) A [physician] QUALIFIED PROVIDER may not provide notice to a 23 | |
| 365 | - | parent or guardian if the minor decides not to have the abortion. 24 | |
| 354 | + | (a) In this section, “viable” means that stage when, in the best [medical] 17 | |
| 355 | + | CLINICAL judgment of the [attending physician] QUALIFIED PROVIDER based on the 18 | |
| 356 | + | particular facts of the case before the [physician] QUALIFIED PROVIDER , there is a 19 | |
| 357 | + | reasonable likelihood of the fetus’s sustained survival outside the womb. 20 | |
| 366 | 358 | ||
| 367 | - | 20–207. 25 | |
| 359 | + | (b) Except as otherwise provided in this subtitle, the State may not interfere with 21 | |
| 360 | + | the decision of a woman to terminate a pregnancy: 22 | |
| 368 | 361 | ||
| 369 | - | In Part II of this subtitle, [the word “physician”] “QUALIFIED PROVIDER ” means 26 | |
| 370 | - | [any person, including a doctor of osteopathy,] AN INDIVIDUAL: 27 | |
| 362 | + | (1) Before the fetus is viable; or 23 | |
| 371 | 363 | ||
| 372 | - | (1) WHO IS licensed, CERTIFIED, OR OTHERWISE AUTHORI ZED BY LAW 28 | |
| 373 | - | to practice [medicine] in the State [of Maryland in compliance with the provisions of Title 29 | |
| 374 | - | 14 of the Health Occupations Article]; AND 30 | |
| 364 | + | (2) At any time during the woman’s pregnancy, if: 24 | |
| 365 | + | ||
| 366 | + | (i) The termination procedure is necessary to protect the life or 25 | |
| 367 | + | health of the woman; or 26 | |
| 368 | + | ||
| 369 | + | (ii) The fetus is affected by genetic defect or serious deformity or 27 | |
| 370 | + | abnormality. 28 | |
| 371 | + | ||
| 372 | + | (c) The Department may adopt regulations that: 29 | |
| 375 | 373 | SENATE BILL 890 9 | |
| 376 | 374 | ||
| 377 | 375 | ||
| 378 | - | ( | |
| 379 | - | ||
| 376 | + | (1) Are both necessary and the least intrusive method to protect the life or 1 | |
| 377 | + | health of the woman; and 2 | |
| 380 | 378 | ||
| 381 | - | ||
| 379 | + | (2) Are not inconsistent with established [medical] CLINICAL practice. 3 | |
| 382 | 380 | ||
| 383 | - | An abortion must be performed by a [licensed physician] QUALIFIED PROVIDER . 4 | |
| 381 | + | (d) The [physician] QUALIFIED PROVIDER is not liable for civil damages or 4 | |
| 382 | + | subject to a criminal penalty for a decision to perform an abortion under this section made 5 | |
| 383 | + | in good faith and in the [physician’s] QUALIFIED PROVIDER ’S best [medical] CLINICAL 6 | |
| 384 | + | judgment in accordance with accepted standards of [medical] CLINICAL practice. 7 | |
| 384 | 385 | ||
| 385 | - | ||
| 386 | + | Article – Insurance 8 | |
| 386 | 387 | ||
| 387 | - | (a) In this section, “viable” means that stage when, in the best [medical] 6 | |
| 388 | - | CLINICAL judgment of the [attending physician] QUALIFIED PROVIDER based on the 7 | |
| 389 | - | particular facts of the case before the [physician] QUALIFIED PROVIDER , there is a 8 | |
| 390 | - | reasonable likelihood of the fetus’s sustained survival outside the womb. 9 | |
| 388 | + | 15–857. 9 | |
| 391 | 389 | ||
| 392 | - | (b) Except as otherwise provided in this subtitle, the State may not interfere with 10 | |
| 393 | - | the decision of a woman to terminate a pregnancy: 11 | |
| 390 | + | (A) (1) THIS SECTION APPLIES TO: 10 | |
| 394 | 391 | ||
| 395 | - | (1) Before the fetus is viable; or 12 | |
| 392 | + | (I) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 11 | |
| 393 | + | PROVIDE LABOR AND DE LIVERY COVERAGE TO I NDIVIDUALS OR GROUPS ON AN 12 | |
| 394 | + | EXPENSE–INCURRED BASIS UNDER HEALTH INSURANCE POLICI ES OR CONTRACTS 13 | |
| 395 | + | THAT ARE ISSUED OR D ELIVERED IN THE STATE; AND 14 | |
| 396 | 396 | ||
| 397 | - | (2) At any time during the woman’s pregnancy, if: 13 | |
| 397 | + | (II) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 15 | |
| 398 | + | LABOR AND DELIVERY C OVERAGE TO INDIVIDUA LS OR GROUPS UNDER C ONTRACTS 16 | |
| 399 | + | THAT ARE ISSUED OR D ELIVERED IN THE STATE. 17 | |
| 398 | 400 | ||
| 399 | - | (i) The termination procedure is necessary to protect the life or 14 | |
| 400 | - | health of the woman; or 15 | |
| 401 | + | (2) THIS SECTION DOES NOT APPLY TO: 18 | |
| 401 | 402 | ||
| 402 | - | ( | |
| 403 | - | ||
| 403 | + | (I) AN ORGANIZATION THAT IS EXEMPT FROM COVER AGE AS 19 | |
| 404 | + | ALLOWED UNDER § 15–826 OF THIS SUBTITLE ; 20 | |
| 404 | 405 | ||
| 405 | - | (c) The Department may adopt regulations that: 18 | |
| 406 | + | (II) A MULTISTATE PLAN TH AT DOES NOT PROVIDE COVERAGE 21 | |
| 407 | + | FOR ABORTIONS IN ACC ORDANCE WITH 42 U.S.C. § 18054(A)(6); OR 22 | |
| 406 | 408 | ||
| 407 | - | (1) Are both necessary and the least intrusive method to protect the life or 19 | |
| 408 | - | health of the woman; and 20 | |
| 409 | + | (III) A HIGH–DEDUCTIBLE PLAN AS D EFINED IN 26 U.S.C. § 23 | |
| 410 | + | 223(C)(2)(C) OF THE INTERNAL REVENUE CODE UNLESS THE COMMISSIONER 24 | |
| 411 | + | DETERMINES THAT ABOR TION CARE IS NOT EXC LUDED FROM THE SAFE HARBOR 25 | |
| 412 | + | PROVISIONS FOR PREVE NTIVE CARE UNDER § 223(C)(2)(C) OF THE INTERNAL 26 | |
| 413 | + | REVENUE CODE. 27 | |
| 409 | 414 | ||
| 410 | - | (2) Are not inconsistent with established [medical] CLINICAL practice. 21 | |
| 415 | + | (B) EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS SECTION, AN ENTITY 28 | |
| 416 | + | SUBJECT TO THIS SECT ION SHALL: 29 | |
| 411 | 417 | ||
| 412 | - | (d) The [physician] QUALIFIED PROVIDER is not liable for civil damages or 22 | |
| 413 | - | subject to a criminal penalty for a decision to perform an abortion under this section made 23 | |
| 414 | - | in good faith and in the [physician’s] QUALIFIED PROVIDER ’S best [medical] CLINICAL 24 | |
| 415 | - | judgment in accordance with accepted standards of [medical] CLINICAL practice. 25 | |
| 416 | - | ||
| 417 | - | SECTION 4. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 26 | |
| 418 | - | as follows: 27 | |
| 419 | - | ||
| 420 | - | Article – Insurance 28 | |
| 421 | - | ||
| 422 | - | 15–857. 29 | |
| 418 | + | (1) COVER ABORTION CARE SERVICES WITHOUT : 30 | |
| 423 | 419 | 10 SENATE BILL 890 | |
| 424 | 420 | ||
| 425 | 421 | ||
| 426 | - | (A) (1) THIS SECTION APPLIES TO: 1 | |
| 422 | + | (I) A DEDUCTIBLE , COINSURANCE , COPAYMENT , OR ANY 1 | |
| 423 | + | OTHER COST–SHARING REQUIREMENT ; AND 2 | |
| 427 | 424 | ||
| 428 | - | (I) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 2 | |
| 429 | - | PROVIDE LABOR AND DE LIVERY COVERAGE TO I NDIVIDUALS OR GROUPS ON AN 3 | |
| 430 | - | EXPENSE–INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR CONTRACTS 4 | |
| 431 | - | THAT ARE ISSUED OR D ELIVERED IN THE STATE; AND 5 | |
| 425 | + | (II) RESTRICTIONS THAT AR E INCONSISTENT WITH THE 3 | |
| 426 | + | PROTECTED RIGHTS UND ER TITLE 20, SUBTITLE 2 OF THE HEALTH – GENERAL 4 | |
| 427 | + | ARTICLE; AND 5 | |
| 432 | 428 | ||
| 433 | - | (II) HEALTH MAINTENA NCE ORGANIZATIONS TH AT PROVIDE 6 | |
| 434 | - | LABOR AND DELIVERY C OVERAGE TO INDIVIDUA LS OR GROUPS UNDER C ONTRACTS 7 | |
| 435 | - | THAT ARE ISSUED OR D ELIVERED IN THE STATE. 8 | |
| 429 | + | (2) PROVIDE INFORMATION TO CONSUMERS ABOUT A BORTION CARE 6 | |
| 430 | + | COVERAGE USING THE T ERMINOLOGY “ABORTION CARE ” TO DESCRIBE COVERAG E. 7 | |
| 436 | 431 | ||
| 437 | - | (2) THIS SECTION DOES NOT APPLY TO: 9 | |
| 432 | + | (C) IF THE COMMISSIONER DETERMIN ES THAT ENFORCEMENT OF THIS 8 | |
| 433 | + | SECTION MAY AFFECT A DVERSELY THE ALLOCAT ION OF FEDERAL FUNDS TO THE 9 | |
| 434 | + | STATE, THE COMMISSIONER MAY GRAN T AN EXEMPTION TO TH E REQUIREMENTS OF 10 | |
| 435 | + | THIS SECTION TO THE MINIMUM EXTENT NECES SARY TO ENSUR E THE CONTINUED 11 | |
| 436 | + | RECEIPT OF FEDERAL F UNDS. 12 | |
| 438 | 437 | ||
| 439 | - | (I) AN ORGANIZATION THAT IS EXEMPT FROM COVER AGE AS 10 | |
| 440 | - | ALLOWED UNDER § 15–826 OF THIS SUBTITLE ; 11 | |
| 438 | + | 31–122. 13 | |
| 441 | 439 | ||
| 442 | - | ( | |
| 443 | - | ||
| 440 | + | (a) In this section, “Pilot Program” means the State–Based Young Adult Health 14 | |
| 441 | + | Insurance Subsidies Pilot Program. 15 | |
| 444 | 442 | ||
| 445 | - | (III) (II) A HIGH–DEDUCTIBLE PLAN AS D EFINED IN 26 U.S.C. 14 | |
| 446 | - | § 223(C)(2)(C) OF THE INTERNAL REVENUE CODE UNLESS THE COMMISSIONER 15 | |
| 447 | - | DETERMINES THAT ABOR TION CARE IS NOT EXC LUDED FROM THE SAFE HARBOR 16 | |
| 448 | - | PROVISIONS FOR PREVE NTIVE CARE UNDER § 223(C)(2)(C) OF THE INTERNAL 17 | |
| 449 | - | REVENUE CODE. 18 | |
| 443 | + | (b) The Exchange, in consultation with the Commissioner and as approved by the 16 | |
| 444 | + | Board, shall establish and implement a State–Based Young Adult Health Insurance 17 | |
| 445 | + | Subsidies Pilot Program to provide subsidies to young adults for the purchase of health 18 | |
| 446 | + | benefit plans in the individual health insurance market. 19 | |
| 450 | 447 | ||
| 451 | - | (3) AN ORGANIZATION THAT IS ELIGIBLE TO OBTAI N AN EXCLUSION 19 | |
| 452 | - | FROM THE COVERAGE RE QUIREMENTS UNDER § 15–826 OF THIS SUBTITLE MAY 20 | |
| 453 | - | OBTAIN FROM AN ENTIT Y SUBJECT TO THIS SE CTION AN EXCLUSION F ROM THE 21 | |
| 454 | - | COVERAGE AND NOTICE REQUIREMENTS OF THIS SECTION IF THE REQUI REMENTS 22 | |
| 455 | - | CONFLICT WITH THE OR GANIZATION’S BONA FIDE RELIGIOU S BELIEFS AND 23 | |
| 456 | - | PRACTICES. 24 | |
| 448 | + | (c) The Pilot Program required under this section shall be designed to: 20 | |
| 457 | 449 | ||
| 458 | - | ( | |
| 459 | - | ||
| 450 | + | (1) reduce the amount that young adults pay for health benefit plans in the 21 | |
| 451 | + | individual health insurance market; and 22 | |
| 460 | 452 | ||
| 461 | - | (1) COVER ABORTION CARE SERVICES WITHOUT : 27 | |
| 453 | + | (2) target young adults who are not directly impacted by the State 23 | |
| 454 | + | Reinsurance Program. 24 | |
| 462 | 455 | ||
| 463 | - | (I) A DEDUCTIBLE , COINSURANCE , COPAYMENT , OR ANY 28 | |
| 464 | - | OTHER COST–SHARING REQUIREMENT ; AND 29 | |
| 456 | + | (d) (1) For calendar years 2022 and 2023, the Exchange, in consultation with 25 | |
| 457 | + | the Commissioner and as approved by the Board, shall establish subsidy eligibility and 26 | |
| 458 | + | payment parameters for the Pilot Program. 27 | |
| 465 | 459 | ||
| 466 | - | (II) RESTRICTIONS THAT ARE INCONSISTEN T WITH THE 30 | |
| 467 | - | PROTECTED RIGHTS UND ER TITLE 20, SUBTITLE 2 OF THE HEALTH – GENERAL 31 | |
| 468 | - | ARTICLE; AND 32 | |
| 469 | - | SENATE BILL 890 11 | |
| 460 | + | (2) In determining the subsidy eligibility and payment parameters 28 | |
| 461 | + | required under paragraph (1) of this subsection, the Exchange shall consider: 29 | |
| 470 | 462 | ||
| 463 | + | (i) young adults at least 18 years old and under the age of 41 years; 30 | |
| 464 | + | and 31 | |
| 471 | 465 | ||
| 472 | - | (2) PROVIDE INFORMATION TO CONSUMERS ABOUT A BORTION CARE 1 | |
| 473 | - | COVERAGE USING THE T ERMINOLOGY “ABORTION CARE ” TO DESCRIBE COVERAGE . 2 | |
| 474 | - | ||
| 475 | - | (C) IF THE COMMISSIONER DETERMINE S THAT ENFORCEMENT O F THIS 3 | |
| 476 | - | SECTION MAY AFFECT A DVERSELY THE ALLOCAT ION OF FEDERAL FUNDS TO THE 4 | |
| 477 | - | STATE, THE COMMISSIONER MAY GRAN T AN EXEMPTION TO TH E REQUIREMENTS OF 5 | |
| 478 | - | THIS SECTION TO THE MINIMUM EXTENT NECES SARY TO ENSURE THE C ONTINUED 6 | |
| 479 | - | RECEIPT OF FEDERAL FUN DS. 7 | |
| 480 | - | ||
| 481 | - | 31–122. 8 | |
| 482 | - | ||
| 483 | - | (a) In this section, “Pilot Program” means the State–Based Young Adult Health 9 | |
| 484 | - | Insurance Subsidies Pilot Program. 10 | |
| 485 | - | ||
| 486 | - | (b) The Exchange, in consultation with the Commissioner and as approved by the 11 | |
| 487 | - | Board, shall establish and implement a State–Based Young Adult Health Insurance 12 | |
| 488 | - | Subsidies Pilot Program to provide subsidies to young adults for the purchase of health 13 | |
| 489 | - | benefit plans in the individual health insurance market. 14 | |
| 490 | - | ||
| 491 | - | (c) The Pilot Program required under this section shall be designed to: 15 | |
| 492 | - | ||
| 493 | - | (1) reduce the amount that young adults pay for health benefit plans in the 16 | |
| 494 | - | individual health insurance market; and 17 | |
| 495 | - | ||
| 496 | - | (2) target young adults who are not directly impacted by the State 18 | |
| 497 | - | Reinsurance Program. 19 | |
| 498 | - | ||
| 499 | - | (d) (1) For calendar years 2022 and 2023, the Exchange, in consultation with 20 | |
| 500 | - | the Commissioner and as approved by the Board, shall establish subsidy eligibility and 21 | |
| 501 | - | payment parameters for the Pilot Program. 22 | |
| 502 | - | ||
| 503 | - | (2) In determining the subsidy eligibility and payment parameters 23 | |
| 504 | - | required under paragraph (1) of this subsection, the Exchange shall consider: 24 | |
| 505 | - | ||
| 506 | - | (i) young adults at least 18 years old and under the age of 41 years; 25 | |
| 507 | - | and 26 | |
| 508 | - | ||
| 509 | - | (ii) income groups between 133% and 400% of the federal poverty 27 | |
| 510 | - | level. 28 | |
| 511 | - | ||
| 512 | - | (e) Subject to available funds, in each of fiscal years 2022 through 2024, the 29 | |
| 513 | - | Exchange may designate funds from the Fund to be used for the Pilot Program so that not 30 | |
| 514 | - | more than $20,000,000 in annual subsidies may be provided to young adults who meet the 31 | |
| 515 | - | subsidy eligibility and payment parameters established under subsection (d) of this section 32 | |
| 516 | - | in calendar years 2022 and 2023. 33 | |
| 517 | - | 12 SENATE BILL 890 | |
| 518 | - | ||
| 519 | - | ||
| 520 | - | (f) On or before January 1, 2022, the Exchange shall adopt regulations 1 | |
| 521 | - | implementing the provisions of this section. 2 | |
| 522 | - | ||
| 523 | - | (G) ON OR BEFORE JANUARY 1, 2023, THE EXCHANGE SHALL ADOPT 3 | |
| 524 | - | REGULATIONS TO PROVI DE A SUBSIDY TO COVE R 100% OF THE COST OF THE 4 | |
| 525 | - | PREMIUM FOR YOUNG AD ULTS WHO MEET HAVE A 0% EXPECTED CONTRIBUTIO N 5 | |
| 526 | - | UNDER THE SUBSIDY ELIGIBIL ITY PARAMETERS ESTAB LISHED UNDER SUBSECT ION 6 | |
| 527 | - | (D) OF THIS SECTION IN C ALENDAR YEAR 2023. 7 | |
| 528 | - | ||
| 529 | - | [(g)] (H) (1) The Exchange shall track on a monthly basis expenditures on 8 | |
| 530 | - | subsidies provided under the Pilot Program, including: 9 | |
| 531 | - | ||
| 532 | - | (i) the average number of young adults receiving subsidies under 10 | |
| 533 | - | the Pilot Program; and 11 | |
| 534 | - | ||
| 535 | - | (ii) the average subsidy amount received by young adults under the 12 | |
| 536 | - | Pilot Program. 13 | |
| 537 | - | ||
| 538 | - | (2) The Exchange shall track: 14 | |
| 539 | - | ||
| 540 | - | (I) the impact the Pilot Program has on rates in the individual 15 | |
| 541 | - | insurance market; AND 16 | |
| 542 | - | ||
| 543 | - | (II) THE IMPACT OF COVERI NG 100% OF THE COST OF 17 | |
| 544 | - | PREMIUMS FOR QUALIFI ED PARTICIPANTS ON E FFECTUATION RATES AN D 18 | |
| 545 | - | TERMINATION FOR NONP AYMENT RATES . 19 | |
| 546 | - | ||
| 547 | - | (3) The information tracked by the Exchange under paragraphs (1) and (2) 20 | |
| 548 | - | of this subsection shall be: 21 | |
| 549 | - | ||
| 550 | - | (i) posted on the website of the Exchange; and 22 | |
| 551 | - | ||
| 552 | - | (ii) included in the annual report required under § 31–119(d) of this 23 | |
| 553 | - | subtitle. 24 | |
| 554 | - | ||
| 555 | - | SECTION 5. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 25 | |
| 556 | - | as follows: 26 | |
| 557 | - | ||
| 558 | - | Article – State Finance and Procurement 27 | |
| 559 | - | ||
| 560 | - | 6–226. 28 | |
| 561 | - | ||
| 562 | - | (a) (2) (i) Notwithstanding any other provision of law, and unless 29 | |
| 563 | - | inconsistent with a federal law, grant agreement, or other federal requirement or with the 30 | |
| 564 | - | terms of a gift or settlement agreement, net interest on all State money allocated by the 31 | |
| 565 | - | State Treasurer under this section to special funds or accounts, and otherwise entitled to 32 SENATE BILL 890 13 | |
| 566 | - | ||
| 567 | - | ||
| 568 | - | receive interest earnings, as accounted for by the Comptroller, shall accrue to the General 1 | |
| 569 | - | Fund of the State. 2 | |
| 570 | - | ||
| 571 | - | (ii) The provisions of subparagraph (i) of this paragraph do not apply 3 | |
| 572 | - | to the following funds: 4 | |
| 573 | - | ||
| 574 | - | 144. the Health Equity Resource Community Reserve Fund; 5 | |
| 575 | - | [and] 6 | |
| 576 | - | ||
| 577 | - | 145. the Access to Counsel in Evictions Special Fund; AND 7 | |
| 578 | - | ||
| 579 | - | 146. THE ABORTION CARE CLINICAL TRAINING PROGRAM 8 | |
| 580 | - | FUND. 9 | |
| 581 | - | ||
| 582 | - | SECTION 2. 6. AND BE IT FURTHER ENACTE D, That: 10 | |
| 583 | - | ||
| 584 | - | (a) The Maryland Health Benefit Exchange, in consultation with the Maryland 11 | |
| 585 | - | Insurance Administration, shall convene a workgroup of interested stakeholders to make 12 | |
| 586 | - | recommendations to improve the transparency and accessibility of consumer information 13 | |
| 587 | - | about abortion care coverage for consideration for plan certification standards beginning in 14 | |
| 588 | - | plan year 2024. 15 | |
| 589 | - | ||
| 590 | - | (b) On or before January 1, 2023, the Maryland Health Benefit Exchange shall 16 | |
| 591 | - | report the recommendations made by the workgroup convened under subsection (a) of this 17 | |
| 592 | - | section to the Senate Finance Committee and the House Health and Government 18 | |
| 593 | - | Operations Committee, in accordance with § 2–1257 of the State Government Article. 19 | |
| 594 | - | ||
| 595 | - | SECTION 3. 7. AND BE IT FURTHER ENACTED, That: 20 | |
| 596 | - | ||
| 597 | - | (a) The Maryland Insurance Administration shall collect data from 21 | |
| 598 | - | State–regulated plans on receipts, disbursements, and ending balances for segregated 22 | |
| 599 | - | accounts established under § 1303(b)(2)(B) and (C) of the federal Patient Protection and 23 | |
| 600 | - | Affordable Care Act and 45 C.F.R. § 156.280. 24 | |
| 601 | - | ||
| 602 | - | (b) The Maryland Insurance Administration shall report to the Senate Finance 25 | |
| 603 | - | Committee and the House Health and Government Operations Committee, in accordance 26 | |
| 604 | - | with § 2–1257 of the State Government Article, as follows: 27 | |
| 605 | - | ||
| 606 | - | (1) on or before January 1, 2023, aggregate data collected for the period 28 | |
| 607 | - | from January 1, 2014, to December 31, 2021, both inclusive; 29 | |
| 608 | - | ||
| 609 | - | (2) on or before January 1, 2024, aggregate data collected for the period 30 | |
| 610 | - | from January 1, 2022, to December 31, 2022, both inclusive; 31 | |
| 611 | - | ||
| 612 | - | (3) on or before January 1, 2025, aggregate data collected for the period 32 | |
| 613 | - | from January 1, 2023, to December 31, 2023, both inclusive; and 33 | |
| 614 | - | 14 SENATE BILL 890 | |
| 615 | - | ||
| 616 | - | ||
| 617 | - | (4) on or before January 1, 2026, aggregate data collected for the period 1 | |
| 618 | - | from January 1, 2024, to December 31, 2024, both inclusive. 2 | |
| 619 | - | ||
| 620 | - | SECTION 4. 8. AND BE IT FURTHER ENACTED, That: 3 | |
| 621 | - | ||
| 622 | - | (a) The Maryland Health Benefit Exchange shall study extending the last dollar 4 | |
| 623 | - | coverage to other enrollees in addition to the enrollees receiving last dollar coverage 5 | |
| 624 | - | through the program established under § 31–122 of the Insurance Article. 6 | |
| 625 | - | ||
| 626 | - | (b) On or before January 1, 2023 2024, the Maryland Health Benefit Exchange 7 | |
| 627 | - | shall report, in accordance with § 2–1257 of the State Government Article, to the Senate 8 | |
| 628 | - | Finance Committee and the House Health and Government Operations Committee, on the 9 | |
| 629 | - | findings of the study required under subsection (a) of this section. 10 | |
| 630 | - | ||
| 631 | - | SECTION 9. AND BE IT FURTHER ENACTED, That Sections 2 and 4 of this Act 11 | |
| 632 | - | shall apply to all policies, contracts, and health benefit plans issued, delivered, or renewed 12 | |
| 633 | - | in the State on or after January 1, 2023. 13 | |
| 634 | - | ||
| 635 | - | SECTION 5. 10. AND BE IT FURTHER ENACTED, That this Act shall take effect 14 | |
| 636 | - | July 1, 2022. 15 | |
| 466 | + | (ii) income groups between 133% and 400% of the federal poverty 32 | |
| 467 | + | level. 33 SENATE BILL 890 11 | |
| 637 | 468 | ||
| 638 | 469 | ||
| 639 | 470 | ||
| 471 | + | (e) Subject to available funds, in each of fiscal years 2022 through 2024, the 1 | |
| 472 | + | Exchange may designate funds from the Fund to be used for the Pilot Program so that not 2 | |
| 473 | + | more than $20,000,000 in annual subsidies may be provided to young adults who meet the 3 | |
| 474 | + | subsidy eligibility and payment parameters established under subsection (d) of this section 4 | |
| 475 | + | in calendar years 2022 and 2023. 5 | |
| 476 | + | ||
| 477 | + | (f) On or before January 1, 2022, the Exchange shall adopt regulations 6 | |
| 478 | + | implementing the provisions of this section. 7 | |
| 479 | + | ||
| 480 | + | (G) ON OR BEFORE JANUARY 1, 2023, THE EXCHANGE SHALL ADOPT 8 | |
| 481 | + | REGULATIONS TO PROVI DE A SUBSIDY TO COVE R 100% OF THE COST OF THE 9 | |
| 482 | + | PREMIUM FOR YOUNG AD ULTS WHO MEET THE SU BSIDY ELIGIBILITY PA RAMETERS 10 | |
| 483 | + | ESTABLISHED UNDER SU BSECTION (D) OF THIS SECTION IN C ALENDAR YEAR 2023. 11 | |
| 484 | + | ||
| 485 | + | [(g)] (H) (1) The Exchange shall track on a monthly basis expenditures on 12 | |
| 486 | + | subsidies provided under the Pilot Program, including: 13 | |
| 487 | + | ||
| 488 | + | (i) the average number of young adults receiving subsidies under 14 | |
| 489 | + | the Pilot Program; and 15 | |
| 490 | + | ||
| 491 | + | (ii) the average subsidy amount received by young adults under the 16 | |
| 492 | + | Pilot Program. 17 | |
| 493 | + | ||
| 494 | + | (2) The Exchange shall track: 18 | |
| 495 | + | ||
| 496 | + | (I) the impact the Pilot Program has on rates in the individual 19 | |
| 497 | + | insurance market; AND 20 | |
| 498 | + | ||
| 499 | + | (II) THE IMPACT OF COVERI NG 100% OF THE COST OF 21 | |
| 500 | + | PREMIUMS FOR QUALIFI ED PARTICIPANTS ON E FFECTUATION RATES AND 22 | |
| 501 | + | TERMINATION FOR NONP AYMENT RATES . 23 | |
| 502 | + | ||
| 503 | + | (3) The information tracked by the Exchange under paragraphs (1) and (2) 24 | |
| 504 | + | of this subsection shall be: 25 | |
| 505 | + | ||
| 506 | + | (i) posted on the website of the Exchange; and 26 | |
| 507 | + | ||
| 508 | + | (ii) included in the annual report required under § 31–119(d) of this 27 | |
| 509 | + | subtitle. 28 | |
| 510 | + | ||
| 511 | + | Article – State Finance and Procurement 29 | |
| 512 | + | ||
| 513 | + | 6–226. 30 | |
| 514 | + | ||
| 515 | + | (a) (2) (i) Notwithstanding any other provision of law, and unless 31 12 SENATE BILL 890 | |
| 640 | 516 | ||
| 641 | 517 | ||
| 642 | - | Approved: | |
| 643 | - | ________________________________________________________________________________ | |
| 644 | - | Governor. | |
| 645 | - | ________________________________________________________________________________ | |
| 646 | - | President of the Senate. | |
| 647 | - | ________________________________________________________________________________ | |
| 648 | - | Speaker of the House of Delegates. | |
| 518 | + | inconsistent with a federal law, grant agreement, or other federal requirement or with the 1 | |
| 519 | + | terms of a gift or settlement agreement, net interest on all State money allocated by the 2 | |
| 520 | + | State Treasurer under this section to special funds or accounts, and otherwise entitled to 3 | |
| 521 | + | receive interest earnings, as accounted for by the Comptroller, shall accrue to the General 4 | |
| 522 | + | Fund of the State. 5 | |
| 523 | + | ||
| 524 | + | (ii) The provisions of subparagraph (i) of this paragraph do not apply 6 | |
| 525 | + | to the following funds: 7 | |
| 526 | + | ||
| 527 | + | 144. the Health Equity Resource Community Reserve Fund; 8 | |
| 528 | + | [and] 9 | |
| 529 | + | ||
| 530 | + | 145. the Access to Counsel in Evictions Special Fund; AND 10 | |
| 531 | + | ||
| 532 | + | 146. THE ABORTION CARE CLINICAL TRAINING PROGRAM 11 | |
| 533 | + | FUND. 12 | |
| 534 | + | ||
| 535 | + | SECTION 2. AND BE IT FURTHER ENACTED, That: 13 | |
| 536 | + | ||
| 537 | + | (a) The Maryland Health Benefit Exchange, in consultation with the Maryland 14 | |
| 538 | + | Insurance Administration, shall convene a workgroup of interested stakeholders to make 15 | |
| 539 | + | recommendations to improve the transparency and accessibility of consumer information 16 | |
| 540 | + | about abortion care coverage for consideration for plan certification standards beginning in 17 | |
| 541 | + | plan year 2024. 18 | |
| 542 | + | ||
| 543 | + | (b) On or before January 1, 2023, the Maryland Health Benefit Exchange shall 19 | |
| 544 | + | report the recommendations made by the workgroup convened under subsection (a) of this 20 | |
| 545 | + | section to the Senate Finance Committee and the House Health and Government 21 | |
| 546 | + | Operations Committee, in accordance with § 2–1257 of the State Government Article. 22 | |
| 547 | + | ||
| 548 | + | SECTION 3. AND BE IT FURTHER ENACTED, That: 23 | |
| 549 | + | ||
| 550 | + | (a) The Maryland Insurance Administration shall collect data from 24 | |
| 551 | + | State–regulated plans on receipts, disbursements, and ending balances for segregated 25 | |
| 552 | + | accounts established under § 1303(b)(2)(B) and (C) of the federal Patient Protection and 26 | |
| 553 | + | Affordable Care Act and 45 C.F.R. § 156.280. 27 | |
| 554 | + | ||
| 555 | + | (b) The Maryland Insurance Administration shall report to the Senate Finance 28 | |
| 556 | + | Committee and the House Health and Government Operations Committee, in accordance 29 | |
| 557 | + | with § 2–1257 of the State Government Article, as follows: 30 | |
| 558 | + | ||
| 559 | + | (1) on or before January 1, 2023, aggregate data collected for the period 31 | |
| 560 | + | from January 1, 2014, to December 31, 2021, both inclusive; 32 | |
| 561 | + | ||
| 562 | + | (2) on or before January 1, 2024, aggregate data collected for the period 33 | |
| 563 | + | from January 1, 2022, to December 31, 2022, both inclusive; 34 | |
| 564 | + | SENATE BILL 890 13 | |
| 565 | + | ||
| 566 | + | ||
| 567 | + | (3) on or before January 1, 2025, aggregate data collected for the period 1 | |
| 568 | + | from January 1, 2023, to December 31, 2023, both inclusive; and 2 | |
| 569 | + | ||
| 570 | + | (4) on or before January 1, 2026, aggregate data collected for the period 3 | |
| 571 | + | from January 1, 2024, to December 31, 2024, both inclusive. 4 | |
| 572 | + | ||
| 573 | + | SECTION 4. AND BE IT FURTHER ENACTED, That: 5 | |
| 574 | + | ||
| 575 | + | (a) The Maryland Health Benefit Exchange shall study extending the last dollar 6 | |
| 576 | + | coverage to other enrollees in addition to the enrollees receiving last dollar coverage 7 | |
| 577 | + | through the program established under § 31–122 of the Insurance Article. 8 | |
| 578 | + | ||
| 579 | + | (b) On or before January 1, 2023, the Maryland Health Benefit Exchange shall 9 | |
| 580 | + | report, in accordance with § 2–1257 of the State Government Article, to the Senate Finance 10 | |
| 581 | + | Committee and the House Health and Government Operations Committee, on the findings 11 | |
| 582 | + | of the study required under subsection (a) of this section. 12 | |
| 583 | + | ||
| 584 | + | SECTION 5. AND BE IT FURTHER ENACTED, That this Act shal l take effect July 13 | |
| 585 | + | 1, 2022. 14 | |
| 586 | + |