Ch.

2007 Laws of Maryland

Program made available under § 15-103(a)(2)(x) of the Health - General Article, as
enacted by Section 1 of this Act, shall be phased in as follows:

(1)       in fiscal year 2010, specialty medical care and hospital emergency
department services if the combined total of general fund revenues and Education
Trust Fund revenues as submitted with the Governor's proposed budget is greater
than $16,241,000,000;

(2)       in fiscal year 2011, outpatient hospital services, if the combined
total of general fund revenues and Education Trust Fund revenues as submitted with
the Governor's proposed budget is greater than $16,918,000,000;

(3)       in fiscal year 2012, inpatient hospital services, with limits either
on the benefits covered or the number of individuals receiving the benefits, if the
combined total of general fund revenues and Education Trust Fund revenues as
submitted with the Governor's proposed budget is greater than $18,069,000,000; and

(4)       in fiscal year 2013, full Medicaid benefits, with limits either on the
benefits covered or the number of individuals receiving the benefits.

SECTION 7. AND BE IT FURTHER ENACTED, That, on or before March 1,
2008, the Department of Health and Mental Hygiene shall submit to the federal
Centers for Medicare and Medicaid Services an amendment to the Medicaid waiver
that implements the changes to §§ 15-103(a)(2)(x) and (3) and 15-140 of the Health -
General Article, as enacted by Section 1 of this Act. The changes to §§ 15-103(a)(2)(x)
and (3) and 15-140 of the Health - General Article, as enacted by Section 1 of this Act,
shall take effect on the date that the federal Centers for Medicare and Medicaid
Services approves the waiver amendment. If the waiver amendment is denied, the
changes to §§ 15-103(a)(2)(x) and (3) and 15-140 of the Health - General Article, as
enacted by Section 1 of this Act, shall be null and void without the necessity of further
action by the General Assembly. The Department of Health and Mental Hygiene,
within 5 days after receiving notice of approval or denial of a waiver, shall forward a
copy of the notice to the Department of Legislative Services, 90 State Circle,
Annapolis, Maryland 21401.

SECTION 8. AND BE IT FURTHER ENACTED, That an individual who is
enrolled in the Primary Adult Care Program and becomes eligible for Maryland
Medical Assistance Program benefits under § 15-103(a) of the Health - General
Article shall be automatically enrolled in the same managed care organization unless
the individual selects another participating managed care organization. Individuals
who disenroll from the Primary Adult Care Program and, within 120 days of
disenrolling, enroll in the Maryland Medical Assistance Program in a category of
eligibility under § 15-103(a) of the Health - General Article, shall be assigned to the
managed care organization in which the individual was most recently enrolled.

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