Maryland Health - General Section 13-1115

      (a)      (1)      Subject to the other provisions of this section, the University of Maryland Medical Group and the Johns Hopkins Institutions may each apply for a Statewide Academic Health Center Public Health Grant.

            (2)      For fiscal year 2007 and any subsequent fiscal year, the amount of each Statewide Academic Health Center Public Health Grant that is distributed to the University of Maryland Medical Group or the Johns Hopkins Institutions, respectively, shall be equal to the sum of:

                  (i)      At least 9.5% of the total local public health component moneys distributed under § 13-1108(b) of this subtitle; and

                  (ii)      One-half of any money that is transferred from the Local Public Health Component to the Statewide Academic Health Center Component under § 13-1108(c) of this subtitle.

      (b)      Before applying for a Statewide Academic Health Center Public Health Grant, the University of Maryland Medical Group and the Johns Hopkins Institutions, acting jointly in collaboration with the Baltimore City Health Department, shall:

            (1)      Establish a Baltimore City Community Health Coalition, as provided under § 13-1111 of this subtitle, that reflects the demographics of Baltimore City and includes representatives of community-based groups, including minority and medically underserved populations, that, taken together, are familiar with all of the different communities and cultures in Baltimore City; and

            (2)      With the assistance of the Baltimore City Community Health Coalition:

                  (i)      Identify all existing cancer prevention, education, screening, and treatment programs that relate to targeted cancers in Baltimore City that are publicly funded;

                  (ii)      Evaluate the effectiveness of the publicly funded programs identified under item (i) of this paragraph; and

                  (iii)      Develop a Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment that outlines a strategy for meeting the cancer prevention, education, screening, and treatment goals and requirements established for Baltimore City under § 13-1108 of this subtitle.

      (c)      The Baltimore City Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment shall:

            (1)      Include a list of the members of the Baltimore City Community Health Coalition and their organizational affiliations;

            (2)      Include the evaluation of any program funded with a Statewide Academic Health Center Public Health Grant in the prior year;

            (3)      Each year, after the first year of funding, demonstrate that progress has been made toward meeting the cancer prevention, education, screening, and treatment goals established for Baltimore City under § 13-1108 of this subtitle;

            (4)      Include a budget plan that provides specific levels of funding for each initiative described in the Plan and an explanation as to how each initiative is expected to help meet the cancer prevention, education, screening, and treatment goals and requirements established for Baltimore City under § 13-1108 of this subtitle;

            (5)      Demonstrate that Baltimore City has met the base-year funding requirement established under subsection (h) of this section;

            (6)      Demonstrate that any early detection or screening program that is or will be funded under a Statewide Academic Health Center Public Health Grant provides necessary treatment or linkages to necessary treatment for uninsured individuals who are diagnosed with a targeted and non-targeted cancer as a result of the screening process;

            (7)      State that the Statewide Academic Health Center Public Health Grant will not be used to supplant any existing funding at the University of Maryland Medical Group or the Johns Hopkins Institutions for any cancer prevention, education, screening, or treatment programs that relate to targeted cancers;

            (8)      Each year, after the first year of funding, identify all persons who received money under the Statewide Academic Health Center Public Health Grant in the prior year and state the amount of money that was received by each person under the Grant;

            (9)      Each year, after the first year of funding, state the amount of money that was received by the University of Maryland Medical Group and the Johns Hopkins Institutions under a Statewide Academic Health Center Public Health Grant in the prior fiscal year that remained unspent and unobligated at the end of that year;

            (10)      Describe how the Plan will help to eliminate the greater incidence of and higher morbidity rates for cancer in minority populations, with particular emphasis on how the Plan seeks to address the relevant findings and recommendations of the Task Force Report;

            (11)      Describe how the Plan will help to increase availability of and access to health care services for uninsured individuals and medically underserved populations, with particular emphasis on how the Plan seeks to address the relevant findings and recommendations of the Task Force Report;

            (12)      Demonstrate that priority consideration was given to persons, including federally qualified health centers, that have a demonstrated commitment to providing cancer prevention, education, screening, and treatment services to uninsured individuals in the city and a proven ability to do so;

            (13)      Include a specific plan as to how the major community hospital or hospitals that are included in the Community Health Coalition, as required under § 13-1111 of this subtitle, will be used to achieve the goals established for Baltimore City under § 13-1108 of this subtitle as they relate to enhancing the capacity for cancer screening and treatment in the city; and

            (14)      Contain any data or other information required by the Department.

      (d)      To apply for a Statewide Academic Health Center Public Health Grant, the University of Maryland Medical Group and the Johns Hopkins Institutions shall submit to the Department a copy of Baltimore City's Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment for approval.

      (e)      Each year, the University of Maryland Medical Group and the Johns Hopkins Institutions, acting jointly in collaboration with the Baltimore City Health Department, in consultation with the Baltimore City Community Health Coalition, shall update the Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment.

      (f)      (1)      Rather than distributing a Statewide Academic Health Center Public Health Grant to the University of Maryland Medical Group or the Johns Hopkins Institutions under this section, the Department may distribute to the Baltimore City Health Department or another person designated by the Department a Local Public Health Cancer Grant for the purpose of coordinating Baltimore City's cancer prevention, education, screening, and treatment efforts if:

                  (i)      The University of Maryland Medical Group or the Johns Hopkins Institutions are unwilling to coordinate these efforts;

                  (ii)      The University of Maryland Medical Group or the Johns Hopkins Institutions have been unsuccessful in implementing cancer prevention, education, screening, and treatment initiatives that satisfy performance standards established by the Department; or

                  (iii)      The University of Maryland Medical Group or the Johns Hopkins Institutions lack sufficient staff or resources to coordinate these efforts.

            (2)      If the Department distributes a Local Public Health Cancer Grant to the Baltimore City Health Department or another person designated by the Department under this subsection rather than distributing a Statewide Academic Health Center Public Health Grant to the University of Maryland Medical Group, the amount of the Grant shall equal the sum of:

                  (i)      $2,000,000; and

                  (ii)      One-half of any money that is transferred from the Local Public Health Component to the Statewide Academic Health Center Component under § 13-1108(c) of this subtitle.

            (3)      If the Department distributes a Local Public Health Cancer Grant to the Baltimore City Health Department or another person designated by the Department under this subsection rather than distributing a Statewide Academic Health Center Public Health Grant to the Johns Hopkins Institutions, the amount of the Grant shall equal the sum of:

                  (i)      $2,000,000; and

                  (ii)      One-half of any money that is transferred from the Local Public Health Component to the Statewide Academic Health Center Component under § 13-1108(c) of this subtitle.

            (4)      The Department shall use money that is allocated to the Statewide Academic Health Center Component in the State budget or transferred to the Statewide Academic Health Center Component under § 13-1108(c) of this subtitle to fund a Local Public Health Cancer Grant that is distributed to the Baltimore City Health Department or another person designated by the Department under this subsection.

            (5)      If the Baltimore City Health Department or another person designated by the Department applies for a Local Public Health Cancer Grant as authorized under this subsection, the Baltimore City Health Department or other person shall comply with the requirements of §§ 13-1107 through 13-1113 of this subtitle.

            (6)      Subject to paragraph (7) of this subsection, the Department shall establish procedures for making a designation under this subsection.

            (7)      If the Department determines that it is necessary to designate a person other than the Baltimore City Health Department to coordinate the city's cancer prevention, education, screening, and treatment efforts as authorized under this subsection, the Department may designate the Department as the entity that will coordinate the city's efforts.

      (g)      (1)      (i)      Before the University of Maryland Medical Group or the Johns Hopkins Institutions may receive a Statewide Academic Health Center Public Health Grant, the Baltimore City Health Department shall submit to the Department an inventory of all existing publicly funded cancer prevention, education, screening, and treatment programs that relate to targeted cancers in Baltimore City that are identified under subsection (b) of this section.

                  (ii)      The inventory prepared under subparagraph (i) of this paragraph shall specify the amount of funds that are being spent by Baltimore City on each of the programs included in the inventory.

            (2)      The level of funding specified under paragraph (1)(ii) of this subsection shall be Baltimore City's base-year funding for cancer prevention, education, screening, and treatment programs that relate to targeted cancers.

            (3)      A Statewide Academic Health Center Public Health Grant may not be used to supplant:

                  (i)      Baltimore City's base-year funding for cancer prevention, education, screening, and treatment programs that relate to targeted cancers; or

                  (ii)      Any existing funding at the University of Maryland Medical Group or the Johns Hopkins Institutions for cancer prevention, education, screening, and treatment programs that relate to targeted cancers.

      (h)      (1)      Subject to paragraph (2) of this subsection, the Department may not distribute a Statewide Academic Health Center Public Health Grant under this section until after the Baseline Cancer Study has been completed.

            (2)      Before the Baseline Cancer Study is completed, the Department may use money that is allocated to the Statewide Academic Health Center Component in the State budget to fund a planning grant of not more than $10,000 that may be distributed to and used collectively by the University of Maryland Medical Group, the Johns Hopkins Institutions, and the Baltimore City Health Department.

      (i)      (1)      The Department shall review a Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment submitted under this section and determine whether:

                  (i)      The Plan addresses the goals and requirements established for Baltimore City under § 13-1108 of this subtitle; and

                  (ii)      All other requirements of this section have been met.

            (2)      If the Department determines that the requirements of this section have not been met, the Department may not distribute:

                  (i)      A Statewide Academic Health Center Public Health Grant to the University of Maryland Medical Group or the Johns Hopkins Institutions; or

                  (ii)      A Local Public Health Cancer Grant to the Baltimore City Health Department or another person designated by the Department under subsection (f) of this section.