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§ 15-1003. Program benefits and premiums

West's Annotated Code of MarylandHealth--GeneralEffective: January 1, 2020

West's Annotated Code of Maryland
Health--General
Title 15. Assistance Programs (Refs & Annos)
Subtitle 10. Senior Prescription Drug Assistance Program (Refs & Annos)
Effective: January 1, 2020
MD Code, Health - General, § 15-1003
Formerly cited as MD INSURANCE § 14-512
§ 15-1003. Program benefits and premiums
In general
(a) The Program shall:
(1) Provide a prescription drug benefit subsidy, as determined by the Department, that may pay all or some of the deductibles, coinsurance payments, premiums, and copayments under the federal Medicare Part D Pharmaceutical Assistance Program for enrollees of the Program; and
(2) Provide the subsidy to the maximum number of individuals eligible for enrollment in the Program, subject to the money available in the Fund.
Restrictions relating to payment of subsidies
(b) The Program may limit payment of any subsidy by paying the subsidy only on behalf of eligible individuals enrolled in a Medicare Part D Prescription Drug Plan or Medicare Advantage Plan that coordinates with the Program in accordance with federal requirements.
Additional subsidies to qualified individuals
(c) The Program may annually provide an additional subsidy, up to the full amount of the Medicare Part D Prescription Drug Plan premium, for individuals who qualify for a partial federal low-income subsidy.
Maintenance of waiting list of individuals
(d) The Department shall maintain a waiting list of individuals who meet the eligibility requirements for the Program but who are not served by the Program due to funding limitations.
Number of enrollees and amount of subsidies provided
(e) The Department shall determine annually:
(1) The number of individuals to be enrolled in the Program;
(2) The amount of subsidy to be provided under subsection (a) of this section; and
(3) The amount of any additional subsidy provided under subsection (c) of this section.

Credits

Added as Insurance § 14-512 by Acts 2002, c. 153, § 7, eff. July 1, 2002. Amended by Acts 2005, c. 281, § 1, eff. Jan. 1, 2006; Acts 2005, c. 282, § 1, eff. Jan. 1, 2006; Acts 2006, c. 345, § 1, eff. May 2, 2006; Acts 2007, c. 508, § 1, eff. June 1, 2007; Acts 2007, c. 509, § 1, eff. June 1, 2007; Acts 2008, c. 557, § 1, eff. Oct. 1, 2008; Acts 2008, c. 558, § 1, eff. Oct. 1, 2008. Transferred to Health-General § 15-1003 by Acts 2016, c. 321, § 2, eff. July 1, 2016. Amended by Acts 2016, c. 321, § 3, eff. July 1, 2016; Acts 2017, c. 62, § 1, eff. April 11, 2017; Acts 2018, c. 462, § 2, eff. Jan. 1, 2020; Acts 2018, c. 463, § 2, eff. Jan. 1, 2020.
MD Code, Health - General, § 15-1003, MD HEALTH GEN § 15-1003
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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