This bill proposes establishing the Maryland Health System to provide universal healthcare coverage to all state residents. Key aspects include:
- All state residents would be members eligible to receive benefits through the system.
- A package of benefits would be established including comprehensive services with no deductibles, coinsurance or copays.
- Multiple boards would oversee different aspects like administration, funding, health planning and patient advocacy.
- Global budgets would cover all system expenditures including capital, purchasing, transition costs and other areas.
Final Exposure Draft Regs 12 March 2010OrthoSearch
The document is the Healthcare Identifiers Regulations 2010 from Australia. It establishes regulations under the Healthcare Identifiers Act 2010, including defining key terms, specifying classes of healthcare providers, and outlining information that can be requested and rules around disclosing healthcare identifiers. The regulations cover topics such as national registration authorities, classes of individual and organizational healthcare providers, and requirements for maintaining and updating healthcare identifier information.
This bill aims to provide affordable healthcare to all legal American citizens while excluding abortion services and providers. It establishes a Bureau of Vital Healthcare to oversee healthcare agencies that would receive federal grants. The bill defines key terms and outlines the process for citizens to access and provide feedback on essential healthcare services through medical feedback centers and public voting/surveillance systems. It also addresses maintaining the private healthcare sector and providing subsidies for medical educators.
A pro-life healthcare bill providing universal healthcare by imitating the free market. The Vital Healthcare Act uses a grant process to sponsor hospitals to provide basic government healthcare, with patients voting on the quality of that care so that higher rated hospitals receive more funding and retain grant status. Also included are tort reform solutions which mandate liability sharing of medical lawsuit expenses by hospitals based on hours worked by doctors at the time of malpractice incidents and payment of legal costs by the losing parties in medical lawsuits to discourage frivolous lawsuits. The private sector is left intact apart from the prohibition of discriminating based on pre-existing conditions.
Bill No. 28 0071 Amendment To Enact The Virgin Islands Uniform Emergenc...Genevieve Whitaker
Sponsors: Craig W. Barshinger
CoSponsors: Louis P. Hill
Subject: An Act amending title 23 Virgin Islands Code, chapter 12 to enact the Virgin Islands Uniform Emergency Volunteer Health Practitioners Act
This document amends the Internal Revenue Code to modify provisions for first-time homebuyers who are members of the armed forces or federal employees. It also makes several amendments to the Public Health Service Act relating to provisions in the Affordable Care Act. Specifically, it strikes certain lines and inserts new text, amends several sections to modify requirements for annual and lifetime limits, nondiscrimination, and data collection and to add protections for gun rights.
Act # 1 of 2015 Millennium Heights Medical ComplexOPM Saint Lucia
This document establishes the Millennium Heights Medical Complex Act which creates a new public medical complex corporation called the Millennium Heights Medical Complex. The Act outlines the governance structure of the complex including establishing a Board to administer the complex, the roles and responsibilities of the Board and senior management positions, financial provisions, and various administrative rules and regulations. Key aspects include establishing the Board, its composition and duties, appointing a CEO and other senior officers, and granting the Board powers to manage the facilities, set fees, hire staff, and make rules for the administration and operations of the medical complex.
Hipaa. health insurance portability and accountability act of 1996.Chuck Thompson
The complete copy of Hippa Health Insurance portability and accountability Act. Brought to you by; Gloucester County, Virginia Links and News web site.
“The reason this ordinance (Ordinance 960) was passed is
the State has not stepped up to protect the people as they should.” --- Paul Achitoff, Esq., Managing Attorney, Earth Justice Mid-Pacific Regional Office
The State of Hawaii: The Hawaii Legislature, The Hawaii Department of Agriculture and The Hawaii Department of Health have deferred to the County Governments to take affirmative action for their Communities.
Final Exposure Draft Regs 12 March 2010OrthoSearch
The document is the Healthcare Identifiers Regulations 2010 from Australia. It establishes regulations under the Healthcare Identifiers Act 2010, including defining key terms, specifying classes of healthcare providers, and outlining information that can be requested and rules around disclosing healthcare identifiers. The regulations cover topics such as national registration authorities, classes of individual and organizational healthcare providers, and requirements for maintaining and updating healthcare identifier information.
This bill aims to provide affordable healthcare to all legal American citizens while excluding abortion services and providers. It establishes a Bureau of Vital Healthcare to oversee healthcare agencies that would receive federal grants. The bill defines key terms and outlines the process for citizens to access and provide feedback on essential healthcare services through medical feedback centers and public voting/surveillance systems. It also addresses maintaining the private healthcare sector and providing subsidies for medical educators.
A pro-life healthcare bill providing universal healthcare by imitating the free market. The Vital Healthcare Act uses a grant process to sponsor hospitals to provide basic government healthcare, with patients voting on the quality of that care so that higher rated hospitals receive more funding and retain grant status. Also included are tort reform solutions which mandate liability sharing of medical lawsuit expenses by hospitals based on hours worked by doctors at the time of malpractice incidents and payment of legal costs by the losing parties in medical lawsuits to discourage frivolous lawsuits. The private sector is left intact apart from the prohibition of discriminating based on pre-existing conditions.
Bill No. 28 0071 Amendment To Enact The Virgin Islands Uniform Emergenc...Genevieve Whitaker
Sponsors: Craig W. Barshinger
CoSponsors: Louis P. Hill
Subject: An Act amending title 23 Virgin Islands Code, chapter 12 to enact the Virgin Islands Uniform Emergency Volunteer Health Practitioners Act
This document amends the Internal Revenue Code to modify provisions for first-time homebuyers who are members of the armed forces or federal employees. It also makes several amendments to the Public Health Service Act relating to provisions in the Affordable Care Act. Specifically, it strikes certain lines and inserts new text, amends several sections to modify requirements for annual and lifetime limits, nondiscrimination, and data collection and to add protections for gun rights.
Act # 1 of 2015 Millennium Heights Medical ComplexOPM Saint Lucia
This document establishes the Millennium Heights Medical Complex Act which creates a new public medical complex corporation called the Millennium Heights Medical Complex. The Act outlines the governance structure of the complex including establishing a Board to administer the complex, the roles and responsibilities of the Board and senior management positions, financial provisions, and various administrative rules and regulations. Key aspects include establishing the Board, its composition and duties, appointing a CEO and other senior officers, and granting the Board powers to manage the facilities, set fees, hire staff, and make rules for the administration and operations of the medical complex.
Hipaa. health insurance portability and accountability act of 1996.Chuck Thompson
The complete copy of Hippa Health Insurance portability and accountability Act. Brought to you by; Gloucester County, Virginia Links and News web site.
“The reason this ordinance (Ordinance 960) was passed is
the State has not stepped up to protect the people as they should.” --- Paul Achitoff, Esq., Managing Attorney, Earth Justice Mid-Pacific Regional Office
The State of Hawaii: The Hawaii Legislature, The Hawaii Department of Agriculture and The Hawaii Department of Health have deferred to the County Governments to take affirmative action for their Communities.
This newsletter from the Cecil Land Use Alliance provides information on upcoming events related to land use and government in Cecil County, Maryland. It also includes reports from the CLUA Charter Government Committee on their discussions with the Charter Board regarding the proposed county charter. Additionally, it requests membership dues to support CLUA's work. Brief updates are given on light pollution observations, watershed activities, and state and federal legislation impacting the Chesapeake Bay watershed.
The newsletter discusses two upcoming power line projects - PATH and MAPP - that could impact Cecil County. It notes concerns about increased electromagnetic fields and a lack of comprehensive energy planning. It also discusses the county government backing down from restrictions on fly ash disposal, particularly at the Stancill quarry near Furnace Bay. Readers are asked to help map light pollution and pursue the fly ash issue.
The Brinkley/Pipkin Alternative Budget Proposal aims to address the imbalance between state revenues and spending in Maryland. It proposes eliminating built-in spending increases, sharing costs with counties, and achieving efficiencies in education, state government, and transportation through measures like deleting funding formulas, increasing employee retirement contributions, and raising farebox recovery rates. The goal is to bring ongoing spending in line with existing revenues over multiple years without requiring tax increases.
This bill proposes establishing early voting in Maryland by allowing voters to cast ballots at designated early voting polling places before election day. It requires the State Board of Elections to designate early voting periods and locations, in collaboration with local boards. Early voting locations would have to meet certain requirements. The bill also allows voters to cast provisional ballots at any polling place on election day. It makes changes to election laws to accommodate early voting procedures and requirements.
This document provides a budgetary report for Cecil County Government for 2008. It summarizes budget appropriations, transfers, revised budgets, year-to-date actual spending, encumbrances, and available budgets for various county departments and accounts. Some highlights include that the County Commissioners department spent 95.9% of its revised budget. The Office of Administrator spent 97.3% of its budget. The total spent for General Government was 93.4% of the revised budget.
This newsletter from the Cecil Land Use Alliance provides information on upcoming events related to land use and development in Cecil County, Maryland. It introduces the new board members and officers for CLUA, including the new president Julia Belknap. It also summarizes discussions and priorities for CLUA in the upcoming year, including emphasizing educational meetings and organizing a public forum on the new county comprehensive plan. Additional articles provide updates on related issues like protecting the environment in the Maryland general assembly, the county budget schedule, and an open letter to the new EPA administrator regarding protecting America's water and the Chesapeake Bay.
The General Assembly Compensation Commission makes recommendations every 4 years regarding salaries, allowances, and benefits for Maryland legislators. The most recent recommendations included increases to in-district travel allowances and salary increases tied to unemployment rates. This joint resolution rejects the commission's recommendations and maintains the provisions from previous resolutions in 2006 and 2002. The fiscal impact would be minimal if the recommendations were rejected.
This document contains budget request forms for Cecil County Government for the fiscal year 2010. It includes schedules for machinery and equipment requests (Schedule A), revenue sources (Schedule B), operating expenditures excluding salaries and benefits (Schedule C), and staffing summaries (Schedule D). For Schedule C, the department provides details of current and requested budgets for line items such as health insurance, travel expenses, training and education, and telephone costs. The total requested operating budget for the department for FY2010 is $110,868, which is the same as the base budget.
This document contains budget request forms for the Purchasing Department of Cecil County Government for fiscal year 2010. It includes schedules for machinery and equipment purchases (Schedule A), anticipated revenue sources (Schedule B), operating expenditures excluding salaries (Schedule C), and current and requested staffing levels (Schedule D). The Purchasing Department is requesting a total budget of $216,074, an increase of $500 from the base budget, to cover additional temporary labor costs. It does not anticipate any changes to existing staffing levels.
End of Life Option Act - Maryland House BillDeirdre Byrne
This bill proposes legislation to authorize aid in dying in Maryland. It establishes requirements for individuals seeking aid in dying, including that they must make two oral and one written requests, be diagnosed with a terminal illness expected to cause death within 6 months, and have the capacity to make medical decisions. Attending physicians must determine eligibility, refer patients to consulting physicians, and fulfill documentation requirements. The bill also prohibits retaliation against health care providers who participate or refuse to participate in aid in dying.
The document discusses the regulatory framework around healthcare ACOs, including three key laws: the Stark Law prohibiting physician self-referrals, the Federal Anti-Kickback Statute prohibiting payments to induce referrals, and the Civil Monetary Penalties Law prohibiting payments to limit care. It outlines exceptions and sanctions under these laws. It also discusses the False Claims Act which enables whistleblower suits for fraudulent claims and its role in cases involving regulatory violations.
Equity Transactions In The Ambulatory Surgical CenterJerrySokol
In today's market, there are a myriad of equity transactions taking place in the ambulatory surgical center (ASC) industry. These transactions typically fall into one of three categories. The first is the sale of ownership interests in an ASC to physicians who use or will be using the ASC. These transactions can involve the initial syndication of equity interests to physicians in a new ASC or the sale of equity interests to physicians in an existing ASC. Second is the redemption (i.e., buy-back) of a physician's equity interest in an ASC. Third is the sale of an equity interest to a corporate investor (e.g., ASC management companies and health systems).
The document establishes the Ekiti State Primary Health Care Development Agency Law of 2012. It outlines the establishment, powers, and functions of the Agency. Key points include:
- It establishes the Ekiti State Primary Health Care Development Agency as a corporate body responsible for coordinating primary health care services in the state.
- It establishes a Governing Board to manage and supervise the affairs of the Agency, as well as an Inter-Agency Technical Committee to provide collaboration with stakeholders.
- It outlines the organizational structure of the Agency, including departments, zonal offices, and local government health authorities to deliver primary health care services.
- It grants the Agency wide-ranging powers to coordinate
This document provides an overview of the Stark Law, including:
- The Stark Law prohibits physician self-referrals of Medicare patients for designated health services if the physician has a financial relationship with the entity providing those services.
- It addresses questions about who enforces the law, why the law was created, what activities it prohibits, and differences between it, the Anti-Kickback Statute, and the False Claims Act.
- The document outlines penalties for Stark Law violations and lists 17 areas of compliance risk identified by the Office of Inspector General related to healthcare fraud and abuse.
HCAD 650 group 2 project oral presentation for the role of a compliance offi...Modupe Sarratt
This document summarizes a group project presentation on healthcare compliance laws that was never actually presented. It introduces four speakers who were each assigned topics on compliance officer duties, the Stark Law and Anti-Kickback Statute, corporate integrity agreements and compensation agreements, and how these laws aim to resolve false claims act issues. The document provides details on the assigned topics for each speaker in slide format.
Legal and policy frameworks for Universal Healthcare Coverage in KenyaMaurice Oduor
This slides looks at the legal and policy bases for universal healthcare coverage in Kenya. It considers the manner in which the law and policy supports or hinders the attainment of UHC in Kenya.
Canada Health Act & BC Conversation on HealthPaul Gallant
The Canada Health Act (CHA) was passed in 1984 and establishes national standards for publicly funded health care insurance. The Act outlines rules that provinces must follow to receive federal health funding, including requirements for public administration, comprehensiveness, universality, portability, and accessibility of coverage. For most Canadians, the CHA has become synonymous with the concept of universal health care. The Act was introduced to address concerns about direct medical fees being charged to patients. A conversation in British Columbia around envisioning a healthy province focused on empowering healthy choices, supporting community health and vulnerable groups.
This document proposes legislation to establish a pediatric medical device innovation program in Minnesota. The program would provide grants to qualified businesses developing pediatric medical devices. An advisory board would review grant applications and recommend projects to the Health Commissioner for approval. The bill appropriates $10 million for fiscal year 2016 to fund grants under the new program. The goal is to support development of new medical devices that diagnose, treat or prevent diseases in children.
This newsletter from the Cecil Land Use Alliance provides information on upcoming events related to land use and government in Cecil County, Maryland. It also includes reports from the CLUA Charter Government Committee on their discussions with the Charter Board regarding the proposed county charter. Additionally, it requests membership dues to support CLUA's work. Brief updates are given on light pollution observations, watershed activities, and state and federal legislation impacting the Chesapeake Bay watershed.
The newsletter discusses two upcoming power line projects - PATH and MAPP - that could impact Cecil County. It notes concerns about increased electromagnetic fields and a lack of comprehensive energy planning. It also discusses the county government backing down from restrictions on fly ash disposal, particularly at the Stancill quarry near Furnace Bay. Readers are asked to help map light pollution and pursue the fly ash issue.
The Brinkley/Pipkin Alternative Budget Proposal aims to address the imbalance between state revenues and spending in Maryland. It proposes eliminating built-in spending increases, sharing costs with counties, and achieving efficiencies in education, state government, and transportation through measures like deleting funding formulas, increasing employee retirement contributions, and raising farebox recovery rates. The goal is to bring ongoing spending in line with existing revenues over multiple years without requiring tax increases.
This bill proposes establishing early voting in Maryland by allowing voters to cast ballots at designated early voting polling places before election day. It requires the State Board of Elections to designate early voting periods and locations, in collaboration with local boards. Early voting locations would have to meet certain requirements. The bill also allows voters to cast provisional ballots at any polling place on election day. It makes changes to election laws to accommodate early voting procedures and requirements.
This document provides a budgetary report for Cecil County Government for 2008. It summarizes budget appropriations, transfers, revised budgets, year-to-date actual spending, encumbrances, and available budgets for various county departments and accounts. Some highlights include that the County Commissioners department spent 95.9% of its revised budget. The Office of Administrator spent 97.3% of its budget. The total spent for General Government was 93.4% of the revised budget.
This newsletter from the Cecil Land Use Alliance provides information on upcoming events related to land use and development in Cecil County, Maryland. It introduces the new board members and officers for CLUA, including the new president Julia Belknap. It also summarizes discussions and priorities for CLUA in the upcoming year, including emphasizing educational meetings and organizing a public forum on the new county comprehensive plan. Additional articles provide updates on related issues like protecting the environment in the Maryland general assembly, the county budget schedule, and an open letter to the new EPA administrator regarding protecting America's water and the Chesapeake Bay.
The General Assembly Compensation Commission makes recommendations every 4 years regarding salaries, allowances, and benefits for Maryland legislators. The most recent recommendations included increases to in-district travel allowances and salary increases tied to unemployment rates. This joint resolution rejects the commission's recommendations and maintains the provisions from previous resolutions in 2006 and 2002. The fiscal impact would be minimal if the recommendations were rejected.
This document contains budget request forms for Cecil County Government for the fiscal year 2010. It includes schedules for machinery and equipment requests (Schedule A), revenue sources (Schedule B), operating expenditures excluding salaries and benefits (Schedule C), and staffing summaries (Schedule D). For Schedule C, the department provides details of current and requested budgets for line items such as health insurance, travel expenses, training and education, and telephone costs. The total requested operating budget for the department for FY2010 is $110,868, which is the same as the base budget.
This document contains budget request forms for the Purchasing Department of Cecil County Government for fiscal year 2010. It includes schedules for machinery and equipment purchases (Schedule A), anticipated revenue sources (Schedule B), operating expenditures excluding salaries (Schedule C), and current and requested staffing levels (Schedule D). The Purchasing Department is requesting a total budget of $216,074, an increase of $500 from the base budget, to cover additional temporary labor costs. It does not anticipate any changes to existing staffing levels.
End of Life Option Act - Maryland House BillDeirdre Byrne
This bill proposes legislation to authorize aid in dying in Maryland. It establishes requirements for individuals seeking aid in dying, including that they must make two oral and one written requests, be diagnosed with a terminal illness expected to cause death within 6 months, and have the capacity to make medical decisions. Attending physicians must determine eligibility, refer patients to consulting physicians, and fulfill documentation requirements. The bill also prohibits retaliation against health care providers who participate or refuse to participate in aid in dying.
The document discusses the regulatory framework around healthcare ACOs, including three key laws: the Stark Law prohibiting physician self-referrals, the Federal Anti-Kickback Statute prohibiting payments to induce referrals, and the Civil Monetary Penalties Law prohibiting payments to limit care. It outlines exceptions and sanctions under these laws. It also discusses the False Claims Act which enables whistleblower suits for fraudulent claims and its role in cases involving regulatory violations.
Equity Transactions In The Ambulatory Surgical CenterJerrySokol
In today's market, there are a myriad of equity transactions taking place in the ambulatory surgical center (ASC) industry. These transactions typically fall into one of three categories. The first is the sale of ownership interests in an ASC to physicians who use or will be using the ASC. These transactions can involve the initial syndication of equity interests to physicians in a new ASC or the sale of equity interests to physicians in an existing ASC. Second is the redemption (i.e., buy-back) of a physician's equity interest in an ASC. Third is the sale of an equity interest to a corporate investor (e.g., ASC management companies and health systems).
The document establishes the Ekiti State Primary Health Care Development Agency Law of 2012. It outlines the establishment, powers, and functions of the Agency. Key points include:
- It establishes the Ekiti State Primary Health Care Development Agency as a corporate body responsible for coordinating primary health care services in the state.
- It establishes a Governing Board to manage and supervise the affairs of the Agency, as well as an Inter-Agency Technical Committee to provide collaboration with stakeholders.
- It outlines the organizational structure of the Agency, including departments, zonal offices, and local government health authorities to deliver primary health care services.
- It grants the Agency wide-ranging powers to coordinate
This document provides an overview of the Stark Law, including:
- The Stark Law prohibits physician self-referrals of Medicare patients for designated health services if the physician has a financial relationship with the entity providing those services.
- It addresses questions about who enforces the law, why the law was created, what activities it prohibits, and differences between it, the Anti-Kickback Statute, and the False Claims Act.
- The document outlines penalties for Stark Law violations and lists 17 areas of compliance risk identified by the Office of Inspector General related to healthcare fraud and abuse.
HCAD 650 group 2 project oral presentation for the role of a compliance offi...Modupe Sarratt
This document summarizes a group project presentation on healthcare compliance laws that was never actually presented. It introduces four speakers who were each assigned topics on compliance officer duties, the Stark Law and Anti-Kickback Statute, corporate integrity agreements and compensation agreements, and how these laws aim to resolve false claims act issues. The document provides details on the assigned topics for each speaker in slide format.
Legal and policy frameworks for Universal Healthcare Coverage in KenyaMaurice Oduor
This slides looks at the legal and policy bases for universal healthcare coverage in Kenya. It considers the manner in which the law and policy supports or hinders the attainment of UHC in Kenya.
Canada Health Act & BC Conversation on HealthPaul Gallant
The Canada Health Act (CHA) was passed in 1984 and establishes national standards for publicly funded health care insurance. The Act outlines rules that provinces must follow to receive federal health funding, including requirements for public administration, comprehensiveness, universality, portability, and accessibility of coverage. For most Canadians, the CHA has become synonymous with the concept of universal health care. The Act was introduced to address concerns about direct medical fees being charged to patients. A conversation in British Columbia around envisioning a healthy province focused on empowering healthy choices, supporting community health and vulnerable groups.
This document proposes legislation to establish a pediatric medical device innovation program in Minnesota. The program would provide grants to qualified businesses developing pediatric medical devices. An advisory board would review grant applications and recommend projects to the Health Commissioner for approval. The bill appropriates $10 million for fiscal year 2016 to fund grants under the new program. The goal is to support development of new medical devices that diagnose, treat or prevent diseases in children.
This lecture discusses how health care is regulated in the United States. It covers laws related to the Affordable Care Act, standards of care, informed consent, medical malpractice, and fraud/abuse. Providers must follow numerous complicated laws, obtain informed consent from patients, meet reasonable standards of care, and avoid fraudulent billing practices. The system is changing rapidly due to reforms like the Affordable Care Act and tort law proposals.
001a leela mhm us uk hlth care sys 24 sep 2014Bobba Leeladhar
This document provides an overview of the health care systems of the United States, United Kingdom, and India. It begins with brief descriptions of each country, including population statistics and economic indicators. The document then discusses key aspects of the US health system, including its large private sector, lack of universal coverage, and public programs like Medicare and Medicaid. It also describes the UK's National Health System, which provides universal coverage. Finally, it previews a discussion comparing features of the Indian health system to those in the US and UK.
Jugement cour suprême pour travailleurs de santéSociété Tripalio
The document is a Supreme Court opinion regarding applications from the Biden administration to stay preliminary injunctions issued by two district courts blocking the enforcement of a Centers for Medicare and Medicaid Services rule requiring that staff at healthcare facilities participating in Medicare and Medicaid be vaccinated against COVID-19.
The Supreme Court grants the applications for stay, finding that the Secretary of Health and Human Services had the statutory authority to issue the vaccine mandate as a condition of participation in Medicare and Medicaid. The Court also finds that the mandate is not arbitrary or capricious and that the Secretary had good cause to delay the typical notice and comment procedures due to the need to address the COVID-19 pandemic.
The document discusses the HIPAA Privacy Rule, which establishes national standards for protecting individuals' personal health information. It requires covered entities like health plans and healthcare providers to keep protected health information private. The Rule balances allowing information sharing needed for healthcare treatment and operations while protecting individuals' privacy. It outlines permitted uses and disclosures of health information for treatment, payment and operations without requiring individual authorization. The Rule is flexible to address various uses while still comprehensively regulating protected health information.
The Clinical Establishments (Registration & Regulation) Act mithun kherdemithun.kherde
The document discusses the history and need for regulation of clinical establishments in India. It outlines key constitutional provisions related to public health and various laws enacted over time to regulate medical professionals and institutions. The Clinical Establishments Act of 2010 was enacted to address ongoing issues of inadequate oversight and create a uniform system for registration, minimum standards, and monitoring of all clinical establishments across India. The Act established mechanisms like the National and State Councils for Clinical Establishments and District Registering Authorities to classify, register, and ensure compliance of healthcare facilities.
Defense Presentation: Who Gets the Cure? Regulating Hepatitis C Drugs in a St...Leah DB Carter
This document discusses regulations around state Medicaid programs providing access to hepatitis C drugs. It notes that while the federal government mandates coverage, states administer Medicaid which has led to non-compliance issues. It analyzes prior authorization restrictions states put on hepatitis C drugs and how these may violate federal law. It recommends developing a supplemental federal model like the Ryan White HIV/AIDS Program to address disconnects between federal and state administrations.
The document discusses Pakistan's health care system and health districts. It defines a district health system as a vehicle for providing primary health care to a defined geographical area through participation of communities and health care providers. A health district is a well-defined part of an area in which primary health care is delivered by one authority. The document also outlines responsibilities in health care delivery, and describes issues like inequitable rural/urban services, ineffective services, lack of sanitation and funding. It identifies facilities from basic health units to teaching hospitals and discusses problems in rural and urban health areas as well as the role of district management teams.
This webinar presentation summarized the history and current state of health insurance regulation in the United States. It explained that while states originally had primary authority over insurance, federal programs and laws have increasingly shaped the system. Key federal programs discussed included Medicare, Medicaid, the Affordable Care Act, and laws governing ERISA, COBRA, EMTALA, Stark, and HIPAA. The presentation concluded that health care regulation now involves both state and federal oversight in a complex hybrid system.
Cdc revises medical screening of aliens cdc 15-0623RepentSinner
The Centers for Disease Control and Prevention (CDC) is proposing revisions to regulations governing medical examinations for aliens seeking admission to the United States. The proposed revisions include removing certain diseases as grounds for inadmissibility, updating vaccination requirements to align with existing law, revising definitions and criteria for mental health conditions and substance abuse, clarifying tuberculosis evaluation, and revising the medical review board process. The CDC is seeking public comment on these proposed changes.
The Cecil County Tea Party is holding a peaceful assembly on April 17th from 11am to 1pm next to a McDonalds on Routes 40 and 213 to protest out of control government spending, higher taxes, and broken promises from politicians, believing that the government should work for the people rather than the other way around.
1) The document argues that the March 31, 2010 healthcare vote was not actually about healthcare but was instead about government control and redistribution of wealth.
2) It claims the new healthcare law will lead to higher taxes, government overreach into personal medical records and bank accounts, and rationing of care.
3) The document calls on Americans to fight back against this "unconstitutional monstrosity" by educating others, voting, and joining efforts to repeal the new law.
Andre Bauer, the Lieutenant Governor of South Carolina, wrote to his colleagues in the state legislature urging them to support a resolution calling for a constitutional convention to overturn the new federal healthcare law. He argues that planned lawsuits and repeal efforts will not be successful, but that a constitutional convention as allowed under Article V could amend the Constitution to reverse the law, if 34 states pass a similar resolution. Bauer asks the legislators to quickly sponsor the resolution and help "move NOW to reverse this law" which he says oppresses basic freedoms.
This document outlines an alternative budget plan for Maryland's general fund from FY 2011 to FY 2014. It estimates the general fund balance each year and lists additional revenues and expenditure savings that could balance the budget. Revenues would come from returning sales tax funds to the general fund and shifting funds from other sources. Expenditure savings are identified from reducing funding to universities, community colleges, grants, and state agencies through measures like consolidations and position eliminations. The plan estimates additional savings each year, resulting in a positive general fund balance in FY 2011 and FY 2012 before estimated shortfalls in the later years.
This document provides a legislative update on state and national issues from the Cecil County Patriots organization. It urges support for bills in Maryland protecting state sovereignty and opposing new gun restrictions. It also opposes federal health care mandates and stimulus spending that benefits foreign countries like China over American jobs. Contact information is given for relevant Maryland legislators to voice support or opposition on these issues.
The Cecil County Patriots held several events in January that were well attended. They participated in a budget hearing, protested excessive state spending in Annapolis with thousands of others, and hosted a congressional candidate forum. Members encouraged fiscal responsibility from county commissioners in creating the 2010 budget and reducing the tax burden on citizens.
The Cecil County Public Schools Board of Education held a meeting on February 22, 2010 to discuss the proposed FY11 budget. The meeting included a public comment period and a presentation from Education Services on the proposed budget for various instructional programs and student services. Items discussed included funding for principals' offices, career and technology education, special education, student personnel services, and student health services. The board then held a general discussion before adjourning the work session.
The calendar lists the monthly meeting dates for the Cecil County Board of Education for the 2009-2010 school year. Business meetings are held on the first Tuesday of each month at 4:30 PM in executive session and 6:00 PM for informal discussion. Formal sessions begin at 6:45 PM. Work sessions are at 5:30 PM and the FY11 budget hearing is scheduled for 6:30 PM. Meeting dates and times are subject to change by the board. Accommodations for disabilities can be requested by contacting the ADA coordinator.
Unveiling the Dynamic Personalities, Key Dates, and Horoscope Insights: Gemin...my Pandit
Explore the fascinating world of the Gemini Zodiac Sign. Discover the unique personality traits, key dates, and horoscope insights of Gemini individuals. Learn how their sociable, communicative nature and boundless curiosity make them the dynamic explorers of the zodiac. Dive into the duality of the Gemini sign and understand their intellectual and adventurous spirit.
Best Competitive Marble Pricing in Dubai - ☎ 9928909666Stone Art Hub
Stone Art Hub offers the best competitive Marble Pricing in Dubai, ensuring affordability without compromising quality. With a wide range of exquisite marble options to choose from, you can enhance your spaces with elegance and sophistication. For inquiries or orders, contact us at ☎ 9928909666. Experience luxury at unbeatable prices.
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The Most Inspiring Entrepreneurs to Follow in 2024.pdfthesiliconleaders
In a world where the potential of youth innovation remains vastly untouched, there emerges a guiding light in the form of Norm Goldstein, the Founder and CEO of EduNetwork Partners. His dedication to this cause has earned him recognition as a Congressional Leadership Award recipient.
How are Lilac French Bulldogs Beauty Charming the World and Capturing Hearts....Lacey Max
“After being the most listed dog breed in the United States for 31
years in a row, the Labrador Retriever has dropped to second place
in the American Kennel Club's annual survey of the country's most
popular canines. The French Bulldog is the new top dog in the
United States as of 2022. The stylish puppy has ascended the
rankings in rapid time despite having health concerns and limited
color choices.”
Brian Fitzsimmons on the Business Strategy and Content Flywheel of Barstool S...Neil Horowitz
On episode 272 of the Digital and Social Media Sports Podcast, Neil chatted with Brian Fitzsimmons, Director of Licensing and Business Development for Barstool Sports.
What follows is a collection of snippets from the podcast. To hear the full interview and more, check out the podcast on all podcast platforms and at www.dsmsports.net
NIMA2024 | De toegevoegde waarde van DEI en ESG in campagnes | Nathalie Lam |...BBPMedia1
Nathalie zal delen hoe DEI en ESG een fundamentele rol kunnen spelen in je merkstrategie en je de juiste aansluiting kan creëren met je doelgroep. Door middel van voorbeelden en simpele handvatten toont ze hoe dit in jouw organisatie toegepast kan worden.
Cover Story - China's Investment Leader - Dr. Alyce SUmsthrill
In World Expo 2010 Shanghai – the most visited Expo in the World History
https://www.britannica.com/event/Expo-Shanghai-2010
China’s official organizer of the Expo, CCPIT (China Council for the Promotion of International Trade https://en.ccpit.org/) has chosen Dr. Alyce Su as the Cover Person with Cover Story, in the Expo’s official magazine distributed throughout the Expo, showcasing China’s New Generation of Leaders to the World.
Industrial Tech SW: Category Renewal and CreationChristian Dahlen
Every industrial revolution has created a new set of categories and a new set of players.
Multiple new technologies have emerged, but Samsara and C3.ai are only two companies which have gone public so far.
Manufacturing startups constitute the largest pipeline share of unicorns and IPO candidates in the SF Bay Area, and software startups dominate in Germany.
Discover timeless style with the 2022 Vintage Roman Numerals Men's Ring. Crafted from premium stainless steel, this 6mm wide ring embodies elegance and durability. Perfect as a gift, it seamlessly blends classic Roman numeral detailing with modern sophistication, making it an ideal accessory for any occasion.
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𝐔𝐧𝐯𝐞𝐢𝐥 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐄𝐧𝐞𝐫𝐠𝐲 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐰𝐢𝐭𝐡 𝐍𝐄𝐖𝐍𝐓𝐈𝐃𝐄’𝐬 𝐋𝐚𝐭𝐞𝐬𝐭 𝐎𝐟𝐟𝐞𝐫𝐢𝐧𝐠𝐬
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1. HOUSE BILL 767
J1 0lr1151
HB 1186/09 – HGO
By: Delegates Montgomery, Manno, Hucker, Ali, Anderson, Barkley, Benson,
Bobo, Bronrott, Carr, Carter, G. Clagett, V. Clagett, Conaway, Frick,
Frush, Gaines, Gilchrist, Gutierrez, Hixson, Howard, Hubbard, Ivey,
Kaiser, Lee, Nathan–Pulliam, Niemann, Oaks, Pena–Melnyk, Ramirez,
Reznik, Rice, Robinson, Rosenberg, Taylor, F. Turner, V. Turner, and
Waldstreicher
Introduced and read first time: February 5, 2010
Assigned to: Health and Government Operations
A BILL ENTITLED
1 AN ACT concerning
2 Maryland Health Security Act of 2010
3 FOR the purpose of establishing the Maryland Health System; specifying the purposes
4 of the Health System; stating a certain intention of the General Assembly;
5 providing that certain residents of the State are members of the Health System
6 and are eligible to receive certain benefits; prohibiting certain health care
7 providers from using preexisting medical conditions to determine the eligibility
8 of a member to receive benefits; prohibiting certain health care providers from
9 refusing to provide services to a member on the basis of certain factors;
10 requiring the Maryland Health System Policy Board to establish a certain
11 package of benefits including certain services to be provided by the Health
12 System; providing that certain coverage may not be subject to co–insurance,
13 deductibles, or co–payments; authorizing certain insurers, nonprofit health
14 service plans, and health maintenance organizations to offer benefits that do
15 not duplicate the services covered by the Health System; authorizing a member
16 to choose any participating health care provider; requiring the Health System to
17 make certain reimbursements to certain members; authorizing a participating
18 health care provider to charge a member directly for certain services;
19 prohibiting a participating health care provider from imposing certain charges;
20 requiring the Health System to institute and use an electronic claim and
21 payment system; requiring a participating health care provider to use the
22 electronic claim and payment system to file claims; providing for certain
23 budgets and payments for certain health care providers; establishing the
24 Maryland Health System Policy Board; specifying the membership of the Board
25 and the terms, duties, and powers of the members of the Board; establishing the
26 Maryland Health System Administrative Board; specifying the membership of
EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
[Brackets] indicate matter deleted from existing law.
*hb0767*
2. 2 HOUSE BILL 767
1 the Board and the terms, duties, and powers of the members of the Board;
2 establishing the Maryland Health System Health Needs, Planning, and
3 Improvement Board; specifying the membership of the Board and the terms,
4 duties, and powers of the members of the Board; establishing the Maryland
5 Health Quality Board; specifying the membership of the Board and the terms,
6 duties, and powers of the members of the Board; establishing the Maryland
7 Patient Advocacy Board; specifying the membership of the Board and the terms,
8 duties, and powers of the members of the Board; establishing the Maryland
9 Health System Trust Fund; specifying the purposes, contents, and uses of the
10 Fund; establishing the Maryland Health System Fund Board; specifying the
11 membership of the Fund Board and the terms, duties, and powers of the
12 members of the Fund Board; establishing the Maryland Health System
13 Payment Board; specifying the membership of the Board and the terms, duties,
14 and powers of the members of the Board; establishing the Office of the Health
15 Inspector General; specifying the duties of the Health Inspector General;
16 specifying the initial terms of the appointed members of the Maryland Health
17 System Policy Board; requiring the Department of Health and Mental Hygiene
18 to apply to the Secretary of Health and Human Services for certain waivers
19 from certain federal requirements on or before a certain date; requiring the
20 Maryland Health System Policy Board to seek certain waivers on or before a
21 certain date; requiring the Maryland Health System Policy Board to submit a
22 certain report to the Governor and the General Assembly on or before a certain
23 date; providing that negotiated health insurance contributions made by
24 employers on behalf of employees who are working in the State temporarily but
25 who reside outside the State may not be abridged by this Act; defining certain
26 terms; providing for a delayed effective date for certain provisions of this Act;
27 and generally relating to the Maryland Health System.
28 BY adding to
29 Article – Health – General
30 Section 25–101 through 25–1001 to be under the new title “Title 25. Maryland
31 Health System”
32 Annotated Code of Maryland
33 (2009 Replacement Volume)
34 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
35 MARYLAND, That the Laws of Maryland read as follows:
36 Article – Health – General
37 TITLE 25. MARYLAND HEALTH SYSTEM.
38 SUBTITLE 1. DEFINITIONS.
39 25–101.
3. HOUSE BILL 767 3
1 (A) IN THIS TITLE THE FOLLOWING WORDS HAVE THE MEANINGS
2 INDICATED.
3 (B) “ADMINISTRATIVE BOARD” MEANS THE MARYLAND HEALTH
4 SYSTEM ADMINISTRATIVE BOARD.
5 (C) “FUND” MEANS THE MARYLAND HEALTH SYSTEM TRUST FUND.
6 (D) “FUND BOARD” MEANS THE MARYLAND HEALTH SYSTEM FUND
7 BOARD.
8 (E) (1)
“GLOBAL BUDGET” MEANS A COMPREHENSIVE BUDGET
9 COVERING ALL EXPENDITURES OF THE HEALTH SYSTEM.
10 (2) “GLOBAL BUDGET” INCLUDES:
11 (I) A CAPITAL INVESTMENT BUDGET;
12 (II) A PURCHASING BUDGET;
13 (III) A BUDGET TO TRANSITION TO THE HEALTH SYSTEM;
14 (IV) A PUBLIC HEALTH BUDGET;
15 (V) A MEDICAL EDUCATION BUDGET; AND
16 (VI) A RESEARCH AND INNOVATION BUDGET.
17 (F) “HEALTH CARE PROVIDER” MEANS:
18 (1) AN INDIVIDUAL LICENSED, CERTIFIED, OR OTHERWISE
19 AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE
20 HEALTH CARE SERVICES; AND
21 (2) A HEALTH CARE FACILITY LICENSED BY THE DEPARTMENT.
22 (G) “HEALTH NEEDS, PLANNING, AND IMPROVEMENT BOARD” MEANS
23 THE MARYLAND HEALTH SYSTEM HEALTH NEEDS, PLANNING, AND
24 IMPROVEMENT BOARD.
25 (H) “HEALTH POLICY BOARD” MEANS THE MARYLAND HEALTH
26 SYSTEM POLICY BOARD.
4. 4 HOUSE BILL 767
1 (I) “HEALTH QUALITY BOARD” MEANS THE MARYLAND HEALTH
2 SYSTEM QUALITY BOARD.
3 (J) “HEALTH SYSTEM” MEANS THE MARYLAND HEALTH SYSTEM.
4 (K) “MEMBER” MEANS A MEMBER OF THE HEALTH SYSTEM.
5 (L) “PATIENT ADVOCACY BOARD” MEANS THE MARYLAND HEALTH
6 SYSTEM PATIENT ADVOCACY BOARD.
7 (M) “PAYMENT BOARD” MEANS THE MARYLAND HEALTH SYSTEM
8 PAYMENT BOARD.
9 (N) “RESIDENT” MEANS AN INDIVIDUAL WHO IS DOMICILED IN THE
10 STATE.
11 SUBTITLE 2. MARYLAND HEALTH SYSTEM.
12 25–201.
13 (A) THERE IS A MARYLAND HEALTH SYSTEM.
14 (B) THE PURPOSES OF THE HEALTH SYSTEM ARE TO:
15 (1) PROVIDE:
16 (I)HEALTH CARE SERVICES TO ALL RESIDENTS OF THE
17 STATE UNDER A SINGLE SYSTEM THAT IS NOT DEPENDENT ON EMPLOYMENT;
18 (II)CHOICE OF AND ACCESS TO A HEALTH CARE PROVIDER
19 TO ALL RESIDENTS OF THE STATE;
20 (III) A COMPREHENSIVE AND COORDINATED SYSTEM OF
21 HEALTH CARE SERVICES FOR ALL RESIDENTS OF THE STATE; AND
22 (IV)PUBLIC FINANCING OF HEALTH CARE SERVICES FOR
23 ALL RESIDENTS OF THE STATE;
24 (2) REDUCE THE COST OF HEALTH CARE THROUGH IMPROVED
25 QUALITY OF CARE AND PROMOTION OF PREVENTIVE HEALTH CARE SERVICES
26 AND PUBLIC HEALTH MEASURES; AND
27 (3) ESTABLISH MECHANISMS TO:
5. HOUSE BILL 767 5
1 (I) REDUCE MEDICAL ERRORS;
2 (II) DECREASE DISPARITIES IN HEALTH OUTCOMES;
3 (III) RESOLVE HEALTH CARE PROVIDER SHORTAGES; AND
4 (IV) ENSURE TRANSPARENCY AND ACCOUNTABILITY TO THE
5 PUBLIC.
6 (C) IT IS THE INTENTION OF THE GENERAL ASSEMBLY THAT IF A
7 NATIONAL HEALTH PLAN IS DEVELOPED, THE HEALTH SYSTEM WILL BECOME A
8 PART OF THE NATIONAL HEALTH PLAN.
9 25–202.
10 (A) EACH RESIDENT OF THE STATE IS:
11 (1) A MEMBER OF THE HEALTH SYSTEM; AND
12 (2) ELIGIBLE TO RECEIVE BENEFITS FOR HEALTH CARE
13 SERVICES COVERED BY THE HEALTH SYSTEM.
14 (B) A PARTICIPATING HEALTH CARE PROVIDER MAY NOT:
15 (1) USE PREEXISTING MEDICAL CONDITIONS TO DETERMINE THE
16 ELIGIBILITY OF A MEMBER TO RECEIVE BENEFITS FOR HEALTH CARE SERVICES
17 COVERED BY THE HEALTH SYSTEM; OR
18 (2) REFUSE TO PROVIDE HEALTH CARE SERVICES TO A MEMBER
19 ON THE BASIS OF RACE, COLOR, INCOME LEVEL, NATIONAL ORIGIN, RELIGION,
20 GENDER, HEALTH CONDITION, AGE, LANGUAGE, SEXUAL ORIENTATION, FAMILY
21 STATUS, OR GEOGRAPHY.
22 25–203.
23 THE HEALTH POLICY BOARD SHALL ESTABLISH A COMPREHENSIVE
24 PACKAGE OF BENEFITS TO BE PROVIDED BY THE HEALTH SYSTEM, INCLUDING:
25 (1) ALL MEDICALLY NECESSARY CARE;
26 (2) PREVENTIVE CARE;
27 (3) INTEGRATED HEALTH SERVICES;
6. 6 HOUSE BILL 767
1 (4) MENTAL HEALTH SERVICES;
2 (5) SUBSTANCE ABUSE TREATMENT SERVICES;
3 (6) HOME– AND COMMUNITY–BASED SERVICES;
4 (7) DENTAL SERVICES;
5 (8) BASIC VISION SERVICES; AND
6 (9) PRESCRIPTION DRUGS AND DEVICES.
7 25–204.
8 COVERAGE FOR HEALTH CARE SERVICES PROVIDED BY THE HEALTH
9 SYSTEM MAY NOT BE SUBJECT TO CO–INSURANCE, DEDUCTIBLES, OR
10 CO–PAYMENTS.
11 25–205.
12 (A) AN INSURER, NONPROFIT HEALTH SERVICE PLAN, OR HEALTH
13 MAINTENANCE ORGANIZATION THAT IS ISSUED A CERTIFICATE OF AUTHORITY
14 BY THE MARYLAND INSURANCE COMMISSIONER MAY OFFER BENEFITS THAT DO
15 NOT DUPLICATE THE HEALTH CARE SERVICES COVERED BY THE HEALTH
16 SYSTEM.
17 (B) THIS TITLE DOES NOT PROHIBIT:
18 (1) AN INSURER, NONPROFIT HEALTH SERVICE PLAN, OR HEALTH
19 MAINTENANCE ORGANIZATION FROM OFFERING BENEFITS TO OR FOR
20 INDIVIDUALS AND DEPENDENTS WHO ARE EMPLOYED OR
21 SELF–EMPLOYED IN THE STATE BUT WHO ARE NOT RESIDENTS OF THE STATE;
22 OR
23 (2) A RESIDENT WHO IS EMPLOYED OUTSIDE THE STATE FROM
24 CHOOSING TO RECEIVE HEALTH INSURANCE BENEFITS THROUGH THE
25 RESIDENT’S EMPLOYER AND OPTING OUT OF PARTICIPATION IN THE HEALTH
26 SYSTEM.
27 25–206.
28 (A) A MEMBER MAY CHOOSE ANY PARTICIPATING HEALTH CARE
29 PROVIDER.
7. HOUSE BILL 767 7
1 (B) THE ADMINISTRATIVE BOARD SHALL ESTABLISH PROCEDURES FOR
2 MEMBERS ENROLLED IN A PRACTICE THAT PROVIDES SERVICES ON A
3 CAPITATED BASIS TO DISENROLL FROM OR SEEK SERVICES OUTSIDE THE
4 PRACTICE.
5 (C) (1) THE HEALTH SYSTEM SHALL REIMBURSE A MEMBER WHO
6 RECEIVES HEALTH CARE SERVICES FROM AN OUT–OF–STATE HEALTH CARE
7 PROVIDER IF THE SERVICES RECEIVED ARE COVERED BY THE HEALTH SYSTEM.
8 (2) THE MAXIMUM REIMBURSEMENT FOR A HEALTH CARE
9 SERVICE PROVIDED BY AN OUT–OF–STATE HEALTH CARE PROVIDER SHALL BE
10 THE AMOUNT PAYABLE TO A PARTICIPATING HEALTH CARE PROVIDER FOR THE
11 SERVICE.
12 (3) A MEMBER MAY BE CHARGED BY AN OUT–OF–STATE HEALTH
13 CARE PROVIDER FOR HEALTH CARE SERVICES THAT ARE NOT COVERED BY THE
14 HEALTH SYSTEM.
15 (D) A PARTICIPATING HEALTH CARE PROVIDER:
16 (1) MAY NOT IMPOSE ADDITIONAL CHARGES FOR HEALTH CARE
17 SERVICES COVERED BY THE HEALTH SYSTEM; AND
18 (2) MAY CHARGE MEMBERS DIRECTLY FOR HEALTH CARE
19 SERVICES RENDERED THAT ARE NOT COVERED BY THE HEALTH SYSTEM.
20 (E) (1) THE HEALTH SYSTEM SHALL INSTITUTE:
21 (I) AN ELECTRONIC CLAIM AND PAYMENT SYSTEM; AND
22 (II) STANDARDIZED CLAIM FORMS AND REPORTING
23 METHODS TO THE EXTENT PERMITTED BY FEDERAL LAW.
24 (2) IF IT IS MORE COST–EFFECTIVE, THE HEALTH SYSTEM MAY
25 CONTRACT WITH A THIRD PARTY TO PROCESS CLAIMS AND ADMINISTER
26 PAYMENTS USING AN ELECTRONIC CLAIM AND PAYMENT SYSTEM.
27 (3) A PARTICIPATING HEALTH CARE PROVIDER SHALL FILE ALL
28 CLAIMS THROUGH THE ELECTRONIC CLAIM AND PAYMENT SYSTEM.
29 (4) THE HEALTH SYSTEM SHALL MAKE ALL PAYMENTS TO A
30 PARTICIPATING HEALTH CARE PROVIDER THROUGH THE ELECTRONIC CLAIM
31 AND PAYMENT SYSTEM.
8. 8 HOUSE BILL 767
1 25–207.
2 (A) (1)A HOSPITAL OR LONG–TERM HEALTH CARE FACILITY SHALL
3 RECEIVE AN OPERATING BUDGET FROM THE HEALTH SYSTEM.
4 (2) OPERATING EXPENSES MAY NOT BE USED BY A HOSPITAL OR
5 A LONG–TERM HEALTH CARE FACILITY FOR A CAPITAL PROJECT THAT IS
6 FUNDED BY CHARITABLE DONATIONS.
7 (3) ADMINISTRATIVE SALARIES AND BENEFITS AND A CAPITAL
8 BUDGET FOR A HOSPITAL OR LONG–TERM HEALTH CARE FACILITY SHALL BE
9 NEGOTIATED BY THE HEALTH POLICY BOARD.
10 (B) A MENTAL HEALTH OR SUBSTANCE ABUSE FACILITY SHALL RECEIVE
11 AN OPERATING BUDGET FROM THE HEALTH SYSTEM.
12 (C) PAYMENTS TO A PHYSICIAN OR AN OUTPATIENT FACILITY MAY BE
13 STRUCTURED AS AN OPERATING BUDGET OR ON A FEE–FOR–SERVICE BASIS.
14 (D) A HEALTH MAINTENANCE ORGANIZATION THAT OWNS ITS
15 FACILITIES AND EMPLOYS ITS OWN HEALTH CARE PROVIDERS MAY RECEIVE AN
16 OPERATING BUDGET FROM THE HEALTH SYSTEM.
17 (E) A FREESTANDING HEALTH CARE DIAGNOSTIC FACILITY SHALL BE
18 REIMBURSED ON A FEE–FOR–SERVICE BASIS FOR SERVICES THAT ARE COVERED
19 BY THE HEALTH SYSTEM.
20 SUBTITLE 3. MARYLAND HEALTH SYSTEM POLICY BOARD.
21 25–301.
22 THERE IS A MARYLAND HEALTH SYSTEM POLICY BOARD.
23 25–302.
24 (A) THE HEALTH POLICY BOARD CONSISTS OF THE FOLLOWING
25 MEMBERS:
26 (1) THE GOVERNOR, OR THE GOVERNOR’S DESIGNEE;
27 (2)
ONE MEMBER OF THE HOUSE OF DELEGATES WITH HEALTH
28 POLICY EXPERIENCE, APPOINTED BY THE SPEAKER OF THE HOUSE OF
29 DELEGATES;
9. HOUSE BILL 767 9
1 (3) ONE MEMBER OF THE SENATE WITH HEALTH POLICY
2 EXPERIENCE, APPOINTED BY THE PRESIDENT OF THE SENATE; AND
3 (4) THE FOLLOWING MEMBERS, APPOINTED BY THE GOVERNOR:
4 (I) FOUR REPRESENTATIVES OF STATEWIDE OR REGIONAL
5 PATIENT ADVOCACY ORGANIZATIONS WHO HAVE BEEN INVOLVED IN ISSUES
6 RELATED TO PATIENT ADVOCACY, INCLUDING ISSUES OF INTEREST TO
7 CHILDREN, THE DISABLED, AND THE HOMELESS;
8 (II)
TWO REPRESENTATIVES OF ORGANIZED LABOR IN THE
9 STATE, INCLUDING A UNION REPRESENTING HEALTH CARE EMPLOYEES;
10 (III) TWO REPRESENTATIVES OF BUSINESS AND INDUSTRY IN
11 THE STATE;
12 (IV)
TWO REPRESENTATIVES OF HOSPITALS IN THE STATE,
13 INCLUDING ONE FROM THE MARYLAND HOSPITAL ASSOCIATION;
14 (V) TWO LICENSED NURSES;
15 (VI) TWO LICENSED PHYSICIANS;
16 (VII) TWO LICENSED NONPHYSICIAN HEALTH CARE
17 PROVIDERS;
18 (VIII) ONE LICENSED DENTIST;
19 (IX) ONE LICENSED MENTAL HEALTH PROVIDER;
20 (X) ONE REPRESENTATIVE FROM EACH BOARD
21 ESTABLISHED UNDER THIS TITLE; AND
22 (XI) FOUR MEMBERS CHOSEN AT THE DISCRETION OF THE
23 GOVERNOR.
24 (B) (1) A MEMBER OF THE HEALTH POLICY BOARD MAY NOT BE
25 EMPLOYED, OR HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE
26 2–YEAR PERIOD IMMEDIATELY PRECEDING THE MEMBER’S APPOINTMENT, BY:
27 (I) A PHARMACEUTICAL COMPANY;
28 (II) A MEDICAL EQUIPMENT COMPANY; OR
10. 10 HOUSE BILL 767
1 (III) A FOR PROFIT INSURANCE COMPANY.
2 (2) A MEMBER OF THE HEALTH POLICY BOARD MAY NOT ACCEPT
3 EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
4 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
5 (C) (1) THE TERM OF A MEMBER IS 5 YEARS.
6 (2) THE TERMS OF THE MEMBERS ARE STAGGERED AS REQUIRED
7 BY THE TERMS PROVIDED FOR MEMBERS OF THE HEALTH POLICY BOARD ON
8 OCTOBER 1, 2010.
9 (3) AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
10 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
11 (4) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
12 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
13 APPOINTED AND QUALIFIES.
14 (5) (I) IF A VACANCY OCCURS AMONG THE MEMBERS
15 APPOINTED BY THE GOVERNOR, THE GOVERNOR PROMPTLY SHALL APPOINT A
16 SUCCESSOR WHO SHALL SERVE UNTIL THE TERM EXPIRES.
17 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
18 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
19 (6) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
20 (D) FROM AMONG ITS MEMBERS, THE HEALTH POLICY BOARD SHALL
21 ELECT A CHAIR AND A VICE CHAIR.
22 25–303.
23 THE HEALTH POLICY BOARD SHALL:
24 (1) SOLICIT INPUT FROM THE BOARDS ESTABLISHED UNDER THIS
25 TITLE AND ANY OTHER PERSON AS THE BOARD DETERMINES IS APPROPRIATE;
26 (2) ESTABLISH A GLOBAL BUDGET FOR THE HEALTH SYSTEM;
27 (3) ENSURE THAT THERE IS ADEQUATE FUNDING TO MEET THE
28 HEALTH CARE NEEDS OF THE RESIDENTS AND TO COMPENSATE HEALTH CARE
29 PROVIDERS WHO PARTICIPATE IN THE HEALTH SYSTEM;
11. HOUSE BILL 767 11
1 (4) EVALUATE REQUESTS FOR CAPITAL EXPENSES REQUIRED TO
2 MEET THE HEALTH CARE NEEDS OF THE RESIDENTS;
3 (5) APPROVE:
4 (I) ANY CHANGES IN THE SOURCE OF FUNDING FOR THE
5 HEALTH SYSTEM; AND
6 (II) THE BENEFITS PROVIDED BY THE HEALTH SYSTEM;
7 (6) EVALUATE THE PERFORMANCE OF THE HEALTH SYSTEM;
8 (7) EVALUATE AND MAKE RECOMMENDATIONS TO THE GENERAL
9 ASSEMBLY ON ANY LEGISLATION RELATED TO THE HEALTH SYSTEM;
10 (8) GUARANTEE THAT MECHANISMS FOR PUBLIC FEEDBACK ARE
11 ACCESSIBLE AND NONDISCRIMINATORY;
12 (9) GUARANTEE MECHANISMS FOR THE DEVELOPMENT AND
13 IMPLEMENTATION OF STANDARDS OF CARE;
14 (10) DECIDE ON GOALS AND PRIORITIES FOR THE HEALTH
15 SYSTEM;
16 (11) DEVELOP:
17 (I)A PLAN TO COORDINATE THE ACTIVITIES OF THE
18 HEALTH SYSTEM WITH THE ACTIVITIES OF THE MARYLAND HEALTH CARE
19 COMMISSION, THE HEALTH SERVICES COST REVIEW COMMISSION, AND THE
20 MARYLAND BOARD OF PHYSICIANS TO ENSURE APPROPRIATE PLANNING FOR
21 THE ADEQUATE DELIVERY AND DISTRIBUTION OF HEALTH CARE SERVICES
22 THROUGHOUT THE STATE;
23 (II)
A PLAN TO PROVIDE MALPRACTICE INSURANCE TO ALL
24 LICENSED HEALTH CARE PROVIDERS WHO ARE PARTICIPANTS IN THE HEALTH
25 SYSTEM;
26 (III) A PLAN TO COORDINATE WITH MEDICAL EDUCATION
27 INSTITUTIONS LOCATED IN THE STATE TO DECREASE DEFICIENCIES IN
28 CATEGORIES OF MEDICAL PROVIDERS INCLUDING PRIMARY CARE AND
29 GENERAL SURGERY; AND
30 (IV) COMMUNITY HEALTH CARE PROGRAMS WITHIN
31 MEDICAL INSTITUTIONS TO PROMOTE THE ACQUISITION OF COMMUNITY–BASED
12. 12 HOUSE BILL 767
1 PRACTICE SKILLS WITH AN EMPHASIS ON DISEASE PREVENTION AND PUBLIC
2 HEALTH; AND
3 (12) OVERSEE THE MEMBERS OF:
4 (I) THE ADMINISTRATIVE BOARD;
5 (II) THE HEALTH NEEDS, PLANNING, AND IMPROVEMENT
6 BOARD;
7 (III) THE HEALTH QUALITY BOARD;
8 (IV) THE PATIENT ADVOCACY BOARD;
9 (V) THE PUBLIC ADVISORY COMMITTEE;
10 (VI) THE OFFICE OF THE HEALTH INSPECTOR GENERAL;
11 (VII) THE FUND BOARD;
12 (VIII) THE PAYMENT BOARD; AND
13 (IX) ANY
OTHER BOARDS THAT ARE RELEVANT TO
14 CARRYING OUT THE PURPOSES OF THE HEALTH SYSTEM, AS DETERMINED BY
15 THE HEALTH POLICY BOARD.
16 SUBTITLE 4. MARYLAND HEALTH SYSTEM ADMINISTRATIVE BOARD.
17 25–401.
18 THERE IS A MARYLAND HEALTH SYSTEM ADMINISTRATIVE BOARD.
19 25–402.
20 (A) THE ADMINISTRATIVE BOARD CONSISTS OF 15 MEMBERS,
21 APPOINTED BY THE GOVERNOR.
22 (B) (1) A MEMBER OF THE ADMINISTRATIVE BOARD MAY NOT BE
23 EMPLOYED, OR HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE
24 2–YEAR PERIOD IMMEDIATELY PRECEDING THE MEMBER’S APPOINTMENT, BY:
25 (I) A PHARMACEUTICAL COMPANY;
26 (II) A MEDICAL EQUIPMENT COMPANY; OR
13. HOUSE BILL 767 13
1 (III) A FOR PROFIT INSURANCE COMPANY.
2 (2) A MEMBER OF THE ADMINISTRATIVE BOARD MAY NOT
3 ACCEPT EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
4 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
5 (C) (1) THE TERM OF A MEMBER IS 5 YEARS.
6 (2) AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
7 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
8 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
9 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
10 APPOINTED AND QUALIFIES.
11 (4) (I) WITHIN 30 DAYS AFTER A VACANCY OCCURS, THE
12 GOVERNOR SHALL APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM
13 EXPIRES.
14 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
15 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
16 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
17 (D) FROM AMONG ITS MEMBERS, THE ADMINISTRATIVE BOARD SHALL
18 ELECT A CHAIR AND A VICE CHAIR.
19 25–403.
20 THE ADMINISTRATIVE BOARD SHALL:
21 (1) PLAN FOR AND OVERSEE THE TRANSITION TO THE HEALTH
22 SYSTEM;
23 (2) IMPLEMENT A PLAN TO DECREASE ADMINISTRATIVE COSTS
24 OF THE HEALTH SYSTEM TO:
25 (I)
10% OR LESS OF THE TOTAL HEALTH CARE
26 EXPENDITURES OF THE HEALTH SYSTEM WITHIN THE FIRST 5 YEARS OF
27 OPERATION; AND
14. 14 HOUSE BILL 767
1 (II)
5% OR LESS OF THE TOTAL HEALTH CARE
2 EXPENDITURES OF THE HEALTH SYSTEM WITHIN THE FIRST 10 YEARS OF
3 OPERATION;
4 (3) PROVIDE AN APPROPRIATE LEVEL OF SUPPORT DURING THE
5 TRANSITION FOR TRAINING AND JOB PLACEMENT FOR INDIVIDUALS WHO ARE
6 DISPLACED FROM EMPLOYMENT AS A RESULT OF THE IMPLEMENTATION OF THE
7 HEALTH SYSTEM;
8 (4) ADMINISTER:
9 (I) PAYMENTS FOR THE PROVISION OF COVERED HEALTH
10 CARE SERVICES; AND
11 (II) A
STATEWIDE SYSTEM OF SECURE ELECTRONIC
12 MEDICAL RECORDS THAT COMPLIES WITH STATE AND FEDERAL PRIVACY LAWS;
13 (5) INVESTIGATE
THE COSTS, BENEFITS, AND MEANS OF
14 SUPPORTING HEALTH CARE PROVIDERS IN OBTAINING ELECTRONIC SYSTEMS
15 FOR CLAIM AND PAYMENT TRANSACTIONS;
16 (6) STUDY AND EVALUATE THE OPERATION OF THE HEALTH
17 SYSTEM; AND
18 (7) TRAIN HEALTH CARE PROVIDERS AND NECESSARY
19 PERSONNEL TO USE THE STATEWIDE SYSTEM OF SECURE ELECTRONIC MEDICAL
20 RECORDS.
21 SUBTITLE 5. MARYLAND HEALTH SYSTEM HEALTH NEEDS, PLANNING, AND
22 IMPROVEMENT BOARD.
23 25–501.
24 THERE IS A MARYLAND HEALTH SYSTEM HEALTH NEEDS, PLANNING,
25 AND IMPROVEMENT BOARD.
26 25–502.
27 (A) THE HEALTH NEEDS, PLANNING, AND IMPROVEMENT BOARD
28 CONSISTS OF THE FOLLOWING MEMBERS:
29 (1) THE HEALTH OFFICER FOR EACH COUNTY, OR THE HEALTH
30 OFFICER’S DESIGNEE; AND
15. HOUSE BILL 767 15
1 (2) OTHER MEMBERS AS APPOINTED BY THE SECRETARY.
2 (B) AT THE TIMES AND PLACES THAT IT DETERMINES, THE BOARD
3 SHALL MEET AT LEAST TWICE A YEAR.
4 (C) (1)A MEMBER OF THE HEALTH NEEDS, PLANNING, AND
5 IMPROVEMENT BOARD MAY NOT BE EMPLOYED, OR HAVE BEEN EMPLOYED IN
6 ANY CAPACITY WITHIN THE 2–YEAR PERIOD IMMEDIATELY PRECEDING THE
7 MEMBER’S APPOINTMENT, BY:
8 (I) A PHARMACEUTICAL COMPANY;
9 (II) A MEDICAL EQUIPMENT COMPANY; OR
10 (III) A FOR PROFIT INSURANCE COMPANY.
11 (2) A MEMBER OF THE HEALTH NEEDS, PLANNING, AND
12 IMPROVEMENT BOARD MAY NOT ACCEPT EMPLOYMENT WITH A COMPANY
13 LISTED IN PARAGRAPH (1) OF THIS SUBSECTION FOR 2 YEARS AFTER THE END
14 OF THE MEMBER’S TERM.
15 (D) (1) THE TERM OF A MEMBER IS 5 YEARS.
16 (2) AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
17 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
18 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
19 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
20 APPOINTED AND QUALIFIES.
21 (4) (I) WITHIN 10 DAYS AFTER A VACANCY OCCURS AMONG
22 THE MEMBERS APPOINTED BY THE SECRETARY, THE SECRETARY SHALL
23 APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM EXPIRES.
24 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
25 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
26 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
27 (E) FROM AMONG ITS MEMBERS, THE HEALTH NEEDS, PLANNING, AND
28 IMPROVEMENT BOARD SHALL ELECT A CHAIR AND A VICE CHAIR.
29 25–503.
16. 16 HOUSE BILL 767
1 THE HEALTH NEEDS, PLANNING, AND IMPROVEMENT BOARD SHALL:
2 (1) RECEIVE INPUT BY THE BOARDS ESTABLISHED UNDER THIS
3 TITLE AND ANY OTHER RELEVANT BOARD;
4 (2) RECOMMEND THE HEALTH CARE SERVICES THAT SHOULD BE
5 PROVIDED BY THE HEALTH SYSTEM;
6 (3) ESTABLISH A PROCEDURE TO REVIEW REQUESTS BY
7 MEMBERS AND HEALTH CARE PROVIDERS FOR CARE THAT IS NOT COVERED BY
8 THE HEALTH SYSTEM THAT ALLOWS ONLY HEALTH CARE PROVIDERS WITH
9 KNOWLEDGE IN THE SPECIFIC AREA OF CARE TO REVIEW A CASE AND MAKE
10 RECOMMENDATIONS;
11 (4) ON OR BEFORE OCTOBER 1, 2015, DEVELOP A PROPOSAL FOR
12 THE PROVISION AND FUNDING OF LONG–TERM CARE COVERAGE FOR THE
13 HEALTH SYSTEM;
14 (5) DEVELOP AN INTEGRATED POPULATION–BASED HEALTH
15 DATABASE IN COORDINATION WITH HEALTH CARE PROVIDERS;
16 (6) IDENTIFY AND PRIORITIZE REGIONAL HEALTH CARE NEEDS
17 AND GOALS THAT MAY INCLUDE NEW CONSTRUCTION OR REHABILITATION OF
18 FACILITIES AND INCENTIVES TO HEALTH CARE PROVIDERS;
19 (7) DEVELOP A COMPREHENSIVE SYSTEM OF COMMUNITY
20 HEALTH CENTERS TO PROVIDE PRIMARY CARE AND COORDINATE MEDICAL
21 CARE WITH LOCAL TERTIARY CENTERS AND SPECIALISTS IN UNDERSERVED
22 AREAS;
23 (8) TRAIN HEALTH EDUCATION OUTREACH WORKERS TO
24 EDUCATE PATIENTS AND PROVIDE INFORMATION TO THE HEALTH SYSTEM
25 ABOUT HEALTH NEEDS THAT ARE NOT ADDRESSED BY THE HEALTH SYSTEM;
26 (9) COORDINATE THE RESOURCES OF EACH REGION OF THE
27 STATE TO MEET THE HEALTH NEEDS OF THE RESIDENTS OF THE REGION;
28 (10) PROVIDE MATERIALS AND DEVELOP PROGRAMS TO EDUCATE
29 THE PUBLIC ABOUT HEALTH MAINTENANCE AND PREVENTION OF DISEASE;
30 (11) PREPARE A YEARLY REGIONAL OPERATING AND CAPITAL
31 BUDGET REQUEST THAT MEETS THE HEALTH NEEDS OF EACH REGION IN THE
32 STATE FOR SUBMISSION TO THE POLICY BOARD;
17. HOUSE BILL 767 17
1 (12) SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF
2 INNOVATIVE MEANS TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES; AND
3 (13) APPROVE GRANTS TO INDIVIDUALS OR ORGANIZATIONS WITH
4 INNOVATIVE IDEAS TO IMPROVE THE HEALTH OF LOCAL COMMUNITIES.
5 SUBTITLE 6. MARYLAND HEALTH SYSTEM QUALITY BOARD.
6 25–601.
7 THERE IS A MARYLAND HEALTH SYSTEM QUALITY BOARD.
8 25–602.
9 (A) THE HEALTH QUALITY BOARD CONSISTS OF 15 MEMBERS,
10 APPOINTED BY THE GOVERNOR.
11 (B) (1)
A MEMBER OF THE HEALTH QUALITY BOARD MAY NOT BE
12 EMPLOYED, OR HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE 2–YEAR
13 PERIOD IMMEDIATELY PRECEDING THE MEMBER’S APPOINTMENT, BY:
14 (I) A PHARMACEUTICAL COMPANY;
15 (II) A MEDICAL EQUIPMENT COMPANY; OR
16 (III) A FOR PROFIT INSURANCE COMPANY.
17 (2)A MEMBER OF THE HEALTH QUALITY BOARD MAY NOT
18 ACCEPT EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
19 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
20 (C) (1) THE TERM OF A MEMBER IS 5 YEARS.
21 (2)AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
22 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
23 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
24 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
25 APPOINTED AND QUALIFIES.
26 (4) (I) WITHIN 10 DAYS AFTER A VACANCY OCCURS, THE
27 GOVERNOR SHALL APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM
28 EXPIRES.
18. 18 HOUSE BILL 767
1 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
2 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
3 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
4 (D) FROM AMONG ITS MEMBERS, THE HEALTH QUALITY BOARD SHALL
5 ELECT A CHAIR AND A VICE CHAIR.
6 25–603.
7 THE HEALTH QUALITY BOARD SHALL:
8 (1) IDENTIFY AREAS OF MEDICAL PRACTICE WHERE STANDARDS
9 HAVE NOT BEEN ESTABLISHED AND SET PRIORITIES AND A TIME LINE FOR
10 DEVELOPING NEEDED STANDARDS;
11 (2)
EVALUATE AVAILABLE MEDICAL DEVICES AND PROVIDE
12 RECOMMENDATIONS FOR USAGE;
13 (3) ORGANIZE RELEVANT CONTINUING MEDICAL EDUCATION
14 PROGRAMS AND ASSIST HEALTH CARE PROVIDERS IN IMPROVING THE QUALITY
15 OF HEALTH CARE SERVICES DELIVERY THROUGH THE USE OF APPROPRIATE
16 TOOLS; AND
17 (4) ESTABLISH:
18 (I) STANDARDS BASED ON CLINICAL EFFICACY TO GUIDE
19 THE DELIVERY OF HEALTH CARE SERVICES AND ENSURE A SMOOTH TRANSITION
20 TO CLINICAL DECISION MAKING UNDER STATEWIDE STANDARDS;
21 (II) A FORMULARY BASED ON CLINICAL EFFICACY FOR ALL
22 PRESCRIPTION DRUGS AND DURABLE AND NONDURABLE MEDICAL EQUIPMENT
23 FOR USE BY THE HEALTH SYSTEM;
24 (III) GUIDELINES FOR PRESCRIBING MEDICATIONS,
25 NUTRITIONAL SUPPLEMENTS, AND DURABLE MEDICAL EQUIPMENT THAT ARE
26 NOT INCLUDED IN THE HEALTH SYSTEM FORMULARIES;
27 (IV)
PROGRAMS TO MONITOR AND DECREASE MEDICAL
28 ERRORS, INCLUDING THE CREATION OF A TOLL–FREE HOTLINE FOR REPORTING
29 MEDICAL ERRORS;
19. HOUSE BILL 767 19
1 (V) PROGRAMSTO COMMUNICATE QUICKLY AND
2 EFFICIENTLY WITH HEALTH CARE PROVIDERS TO PROVIDE INFORMATION
3 NECESSARY TO PREVENT MEDICAL ERRORS;
4 (VI) GUIDELINESFOR EFFECTIVE MEDICAL CARE
5 COORDINATION, PARTICULARLY FOR PATIENTS WITH CHRONIC AND SERIOUS
6 DISEASES AND CONDITIONS, TO ENHANCE TREATMENT AND AVOID DUPLICATIVE
7 CARE; AND
8 (VII) PROGRAMS TO REVIEW HEALTH CARE PROVIDERS TO
9 MONITOR ADHERENCE TO BEST PRACTICES OF CARE, IDENTIFY BARRIERS TO
10 ADHERENCE, AND IMPROVE ADHERENCE.
11 SUBTITLE 7. MARYLAND HEALTH SYSTEM PATIENT ADVOCACY BOARD.
12 25–701.
13 THERE IS A MARYLAND HEALTH SYSTEM PATIENT ADVOCACY BOARD.
14 25–702.
15 (A) THE PATIENT ADVOCACY BOARD CONSISTS OF 15 MEMBERS,
16 APPOINTED BY THE GOVERNOR.
17 (B) (1)A MEMBER OF THE PATIENT ADVOCACY BOARD MAY NOT BE
18 EMPLOYED, OR HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE 2–YEAR
19 PERIOD IMMEDIATELY PRECEDING THE MEMBER’S APPOINTMENT, BY:
20 (I) A PHARMACEUTICAL COMPANY;
21 (II) A MEDICAL EQUIPMENT COMPANY; OR
22 (III) A FOR PROFIT INSURANCE COMPANY.
23 (2) A MEMBER OF THE PATIENT ADVOCACY BOARD MAY NOT
24 ACCEPT EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
25 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
26 (C) (1) THE TERM OF A MEMBER IS 5 YEARS.
27 (2) AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
28 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
20. 20 HOUSE BILL 767
1 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
2 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
3 APPOINTED AND QUALIFIES.
4 (4) (I) WITHIN 10 DAYS AFTER A VACANCY OCCURS, THE
5 GOVERNOR SHALL APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM
6 EXPIRES.
7 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
8 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
9 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
10 (D) FROM AMONG ITS MEMBERS, THE PATIENT ADVOCACY BOARD
11 SHALL ELECT A CHAIR AND A VICE CHAIR.
12 25–703.
13 THE PATIENT ADVOCACY BOARD SHALL:
14 (1) ADVOCATE FOR AND EDUCATE RESIDENTS REGARDING THE
15 HEALTH SYSTEM;
16 (2) PREPARE MATERIALS ON MEMBER BENEFITS AND RIGHTS,
17 HOW TO ACCESS HEALTH CARE SERVICES, AND HOW TO FILE COMPLAINTS WITH
18 AND PROVIDE FEEDBACK TO THE HEALTH SYSTEM;
19 (3) ESTABLISH:
20 (I)
A TOLL–FREE HOTLINE FOR QUESTIONS, COMPLAINTS,
21 AND FEEDBACK REGARDING THE HEALTH SYSTEM; AND
22 (II)
AN INTERACTIVE WEBSITE FOR EASY ACCESS BY THE
23 PUBLIC TO INFORMATION ABOUT THE HEALTH SYSTEM;
24 (4) ESTABLISH AND MAINTAIN A GRIEVANCE SYSTEM THAT
25 PROVIDES REASONABLE PROCEDURES TO ENSURE ADEQUATE CONSIDERATION
26 AND RESOLUTION OF MEMBER GRIEVANCES;
27 (5) DEVELOP INFORMATIONAL MATERIALS IN MULTIPLE
28 LANGUAGES;
29 (6)FACILITATE THE DELIVERY BY HEALTH CARE PROVIDERS OF
30 CULTURALLY AND LINGUISTICALLY SENSITIVE AND APPROPRIATE CARE; AND
21. HOUSE BILL 767 21
1 (7) CREATE A PUBLIC ADVISORY COMMITTEE THAT:
2 (I) HOLDS SIX MEETINGS EACH YEAR THAT ARE OPEN TO
3 THE PUBLIC;
4 (II) SERVES AS A LINK BETWEEN THE HEALTH SYSTEM AND
5 THE PUBLIC;
6 (III) HAS A DIVERSE MEMBERSHIP THAT IS APPOINTED BY
7 THE GOVERNOR;
8 (IV) REPORTS TO THE PUBLIC ON CHANGES TO THE HEALTH
9 SYSTEM;
10 (V) RECEIVES FEEDBACK FROM THE PUBLIC; AND
11 (VI) MAKES RECOMMENDATIONS FOR IMPROVEMENTS TO
12 THE HEALTH SYSTEM.
13 SUBTITLE 8. MARYLAND HEALTH SYSTEM TRUST FUND.
14 25–801.
15 (A) THERE IS A MARYLAND HEALTH SYSTEM TRUST FUND.
16 (B) (1) THE FUND CONSISTS OF:
17 (I)MONEY ATTRIBUTABLE TO STATE AND FEDERAL
18 FINANCIAL PARTICIPATION IN THE MARYLAND MEDICAL ASSISTANCE
19 PROGRAM, THE MARYLAND CHILDREN’S HEALTH PROGRAM, AND MEDICARE
20 THAT IS TRANSFERRED TO THE FUND;
21 (II) MONEY FROM OTHER FEDERAL PROGRAMS THAT
22 PROVIDE FUNDS FOR THE PAYMENT OF HEALTH CARE SERVICES THAT ARE
23 PROVIDED UNDER THIS TITLE;
24 (III) STATE AND LOCAL FUNDS APPROPRIATED FOR HEALTH
25 CARE SERVICES AND BENEFITS THAT ARE PROVIDED UNDER THIS TITLE;
26 (IV)
ANY OTHER MONEY FROM ANY OTHER SOURCE
27 ACCEPTED FOR THE BENEFIT OF THE FUND; AND
28 (V) INVESTMENT EARNINGS OF THE FUND.
22. 22 HOUSE BILL 767
1 (2)
PAYMENTS TO THE FUND UNDER PARAGRAPH (1)(III) OF THIS
2 SUBSECTION SHALL EQUAL THE MONEY APPROPRIATED TO STATE AND LOCAL
3 GOVERNMENTS FOR THE PROVISION OF THOSE HEALTH CARE SERVICES AND
4 BENEFITS IN FISCAL YEAR 2011, INCREASED IN EACH FISCAL YEAR BY THE
5 AVERAGE ANNUAL PERCENTAGE GROWTH IN THE GROSS STATE PERSONAL
6 INCOME FOR THE 3 PRECEDING CALENDAR YEARS.
7 (C) (1) THE FUND MAY BE USED ONLY:
8 (I)
TO PAY FOR THE PROVISION OF HEALTH CARE
9 SERVICES COVERED BY THE HEALTH SYSTEM; AND
10 (II)
SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION, FOR
11 ANY PURPOSE APPROVED BY THE HEALTH POLICY BOARD.
12 (2) (I)
THE FUND SHALL PROVIDE SUFFICIENT FUNDS FOR
13 HEALTH PROMOTION AND PRIMARY CARE PREVENTIVE PROGRAMS.
14 (II) AT LEAST ONE–FOURTH OF 1% OF THE MONEY IN THE
15 FUND SHALL BE ALLOCATED TO EDUCATING AND TRAINING WORKERS IN THE
16 HEALTH CARE FIELD AND RETRAINING WORKERS WHO EXPERIENCE JOB LOSS
17 OR DISLOCATION DUE TO IMPLEMENTATION OF THE HEALTH SYSTEM.
18 (D) (1) THE FUND IS A SPECIAL, NONLAPSING FUND THAT IS NOT
19 SUBJECT TO § 7–302 OF THE STATE FINANCE AND PROCUREMENT ARTICLE.
20 (2) INVESTMENT EARNINGS OF THE FUND SHALL BE PAID INTO
21 THE FUND.
22 (3) ANY UNSPENT MONEY IN THE FUND MAY NOT BE
23 TRANSFERRED OR REVERT TO THE GENERAL FUND OF THE STATE, BUT SHALL
24 REMAIN IN THE FUND TO BE USED FOR THE PURPOSES SPECIFIED IN THIS
25 TITLE.
26 (E) THE LEGISLATIVE AUDITOR SHALL AUDIT THE ACCOUNTS AND
27 TRANSACTIONS OF THE FUND AS PROVIDED IN § 2–1220 OF THE STATE
28 GOVERNMENT ARTICLE.
29 25–802.
30 (A) THERE IS A MARYLAND HEALTH SYSTEM FUND BOARD.
23. HOUSE BILL 767 23
1 (B)THE FUND BOARD CONSISTS OF 15 MEMBERS, APPOINTED BY THE
2 GOVERNOR.
3 (C) (1)A MEMBER OF THE FUND BOARD MAY NOT BE EMPLOYED, OR
4 HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE 2–YEAR PERIOD
5 IMMEDIATELY PRECEDING THE MEMBER’S APPOINTMENT, BY:
6 (I) A PHARMACEUTICAL COMPANY;
7 (II) A MEDICAL EQUIPMENT COMPANY; OR
8 (III) A FOR PROFIT INSURANCE COMPANY.
9 (2) A MEMBER OF THE FUND BOARD MAY NOT ACCEPT
10 EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
11 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
12 (D) (1) THE TERM OF A MEMBER IS 5 YEARS.
13 (2) AT THE END OF A TERM, A MEMBER CONTINUES TO SERVE
14 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
15 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
16 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
17 APPOINTED AND QUALIFIES.
18 (4) (I) WITHIN 10 DAYS AFTER A VACANCY OCCURS, THE
19 GOVERNOR SHALL APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM
20 EXPIRES.
21 (II) A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
22 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
23 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
24 (E) FROM AMONG ITS MEMBERS, THE FUND BOARD SHALL ELECT A
25 CHAIR AND A VICE CHAIR.
26 25–803.
27 THE FUND BOARD SHALL:
28 (1) MANAGE THE FUND;
24. 24 HOUSE BILL 767
1 (2)
ENSURE THAT THE FUND IS SUFFICIENT TO MEET THE NEEDS
2 OF THE RESIDENTS;
3 (3) ENSURE THAT THE FUND IS USED EXCLUSIVELY BY THE
4 HEALTH SYSTEM;
5 (4)
ESTABLISH A SUFFICIENT RESERVE ACCOUNT AND REPORT
6 IMMEDIATELY TO THE HEALTH POLICY BOARD IF IT IS NOT SUFFICIENT;
7 (5) CONVENE IMMEDIATELY IF COST CONTROL MEASURES
8 BECOME NECESSARY TO MAKE RECOMMENDATIONS TO THE HEALTH POLICY
9 BOARD AND ANY OTHER RELEVANT BOARDS; AND
10 (6)
RECOMMEND FUNDING SOURCES, WHICH MAY INCLUDE
11 PROGRESSIVE PAYROLL PREMIUMS.
12 SUBTITLE 9. MARYLAND HEALTH SYSTEM PAYMENT BOARD.
13 25–901.
14 THERE IS A MARYLAND HEALTH SYSTEM PAYMENT BOARD.
15 25–902.
16 (A) THE PAYMENT BOARD CONSISTS OF 15 MEMBERS, APPOINTED BY
17 THE GOVERNOR.
18 (B) (1)
A MEMBER OF THE PAYMENT BOARD MAY NOT BE EMPLOYED,
19 OR HAVE BEEN EMPLOYED IN ANY CAPACITY WITHIN THE 2–YEAR PERIOD
20 PRECEDING THE MEMBER’S APPOINTMENT, BY:
21 (I) A PHARMACEUTICAL COMPANY;
22 (II) A MEDICAL EQUIPMENT COMPANY; OR
23 (III) A FOR PROFIT INSURANCE COMPANY.
24 (2)
A MEMBER OF THE PAYMENT BOARD MAY NOT ACCEPT
25 EMPLOYMENT WITH A COMPANY LISTED IN PARAGRAPH (1) OF THIS
26 SUBSECTION FOR 2 YEARS AFTER THE END OF THE MEMBER’S TERM.
27 (C) (1) THE TERM OF A MEMBER IS 5 YEARS.
25. HOUSE BILL 767 25
1 (2)AT THE END OF A TERM, THE MEMBER CONTINUES TO SERVE
2 UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIES.
3 (3) A MEMBER WHO IS APPOINTED AFTER A TERM HAS BEGUN
4 SERVES ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS
5 APPOINTED AND QUALIFIES.
6 (4) (I) WITHIN 10 DAYS AFTER A VACANCY OCCURS, THE
7 GOVERNOR SHALL APPOINT A SUCCESSOR WHO SHALL SERVE UNTIL THE TERM
8 EXPIRES.
9 (II)
A MEMBER APPOINTED UNDER SUBPARAGRAPH (I) OF
10 THIS PARAGRAPH MAY BE REAPPOINTED FOR A FULL TERM.
11 (5) A MEMBER MAY NOT SERVE FOR MORE THAN TWO TERMS.
12 (D) FROM AMONG ITS MEMBERS, THE PAYMENT BOARD SHALL ELECT A
13 CHAIR AND A VICE CHAIR.
14 25–903.
15 THE PAYMENT BOARD SHALL:
16 (1)ESTABLISH PAYMENT RATES FOR HEALTH CARE PROVIDERS
17 AND FOR ALL HEALTH CARE SERVICES PROVIDED BY THE HEALTH SYSTEM;
18 (2) ADJUST HEALTH CARE PROVIDER PAYMENTS TO DECREASE
19 DISCREPANCIES BETWEEN PRIMARY CARE PROVIDERS AND OTHER MEDICAL
20 SPECIALTIES;
21 (3) USE THE PURCHASING POWER OF THE STATE TO NEGOTIATE
22 PRICE DISCOUNTS FOR PRESCRIPTION DRUGS AND DURABLE AND NONDURABLE
23 MEDICAL EQUIPMENT COVERED BY THE HEALTH SYSTEM;
24 (4) OVERSEE A PROGRAM TO PROVIDE STIPENDS, LOAN
25 FORGIVENESS, AND TUITION REIMBURSEMENT FOR THE EDUCATION OF HEALTH
26 CARE PROVIDERS TO ATTRACT PROFESSIONALS INTO NEEDED PRACTICE
27 FIELDS AND GEOGRAPHICAL AREAS; AND
28 (5) NEGOTIATE REIMBURSEMENT RATES WITH
29 REPRESENTATIVES FROM HEALTH CARE PROFESSIONAL ORGANIZATIONS IN
30 THE STATE.
31 SUBTITLE 10. OFFICE OF THE HEALTH INSPECTOR GENERAL.
26. 26 HOUSE BILL 767
1 25–1001.
2 (A) THERE IS AN OFFICE OF THE HEALTH INSPECTOR GENERAL IN THE
3 OFFICE OF THE ATTORNEY GENERAL.
4 (B) THE HEAD OF THE OFFICE OF THE HEALTH INSPECTOR GENERAL
5 IS THE HEALTH INSPECTOR GENERAL WHO SHALL BE APPOINTED BY THE
6 GOVERNOR.
7 (C) THE OFFICE OF THE HEALTH INSPECTOR GENERAL SHALL:
8 (1)REVIEW, AUDIT, AND INVESTIGATE THE FINANCIAL RECORDS
9 OF INDIVIDUALS, AGENCIES, AND INSTITUTIONS REIMBURSED BY THE HEALTH
10 SYSTEM TO ENSURE THERE IS NO MISCONDUCT OR FRAUD; AND
11 (2)
INVESTIGATE COMPLAINTS ABOUT THE HEALTH SYSTEM
12 WHEN APPROPRIATE.
13 SECTION 2. AND BE IT FURTHER ENACTED, That the terms of the initial
14 appointed members of the Maryland Health System Policy Board of the Maryland
15 Health System shall expire as follows:
16 (1) Seven members in 2015;
17 (2) Seven members in 2016;
18 (3) Eight members in 2017; and
19 (4) Eight members in 2018.
20 SECTION 3. AND BE IT FURTHER ENACTED, That, on or before October 1,
21 2011, the Department of Health and Mental Hygiene shall apply to the Secretary of
22 Health and Human Services for all waivers of requirements of health care programs
23 established under Titles XVIII and XIX of the Social Security Act, as amended, that
24 are necessary to enable the State to deposit federal payments under those programs in
25 the State Treasury to the credit of the Maryland Health System established under
26 Section 1 of this Act.
27 SECTION 4. AND BE IT FURTHER ENACTED, That, on or before October 1,
28 2011, the Maryland Health System Policy Board of the Maryland Health System
29 established under Section 1 of this Act shall seek all waivers from the provisions of the
30 Employment Retirement Income Security Act, as amended, necessary to ensure total
31 participation of all residents of the State in the Health System.
27. HOUSE BILL 767 27
1 SECTION 5. AND BE IT FURTHER ENACTED, That, on or before October 1,
2 2011, the Maryland Health Policy Board of the Maryland Health System established
3 under Section 1 of this Act shall report to the Governor and, in accordance with §
4 2–1246 of the State Government Article, the General Assembly on any changes to the
5 laws of the State and units of State government necessary to most effectively carry out
6 the provisions of this Act.
7 SECTION 6. AND BE IT FURTHER ENACTED, That negotiated health
8 insurance contributions made by employers on behalf of employees who are working in
9 the State temporarily but who reside outside the State may not be abridged by this
10 Act.
11 SECTION 7. AND BE IT FURTHER ENACTED, That Title 25, Subtitle 2 of
12 the Health – General Article, as enacted by Section 1 of this Act, shall take effect July
13 1, 2012.
14 SECTION 8. AND BE IT FURTHER ENACTED, That, except as otherwise
15 provided in Section 7 of this Act, this Act shall take effect October 1, 2010.