Maryland Insurance Section 19-804

Article - Insurance

§ 19-804.

      (a)      The order of preference for distribution from the Fund shall be as follows:

            (1)      disbursements from the Rate Stabilization Account to subsidize health care provider rates under § 19-805 of this subtitle;

            (2)      disbursements from the Medical Assistance Program Account sufficient to:

                  (i)      pay for increased rates to health care providers identified under § 19-807(b)(2) of this subtitle; and

                  (ii)      pay managed care organization health care providers identified under § 19-807(b)(2) of this subtitle consistent with the fee-for-service health care provider rate increases;

            (3)      disbursements to maintain the increase in health care provider reimbursements under § 19-807(b)(2) of this subtitle;

            (4)      disbursements to increase capitation payments to managed care organizations participating in the Maryland Medical Assistance Program consistent with § 15-103(b)(18) of the Health - General Article; and

            (5)      disbursements from the Medical Assistance Program Account to:

                  (i)      increase fee-for-service health care provider rates under § 19-807 of this subtitle; and

                  (ii)      pay managed care organization health care providers consistent with fee-for-service health care provider rates under § 19-807(b)(3) of this subtitle.

      (b)      Disbursements from the Rate Stabilization Account to a medical professional liability insurer may not exceed the amount necessary to provide a rate reduction, credit, or refund to health care providers.

      (c)      (1)      Portions of the Rate Stabilization Account that exceed the amount necessary to pay for health care provider subsidies shall remain in the Rate Stabilization Account to be used:

                  (i)      to pay for health care provider subsidies in calendar years 2006 through 2008; and

                  (ii)      after the fiscal year 2009 allocation to the Rate Stabilization Account under § 19-803(b) of this subtitle, by the Medical Assistance Program Account for the purposes specified under § 19-807(b) of this subtitle.

            (2)      Any disbursements from the Rate Stabilization Account to a medical professional liability insurer that is not used to provide a rate reduction, credit, or refund to a health care provider shall be returned to the State Treasurer for reversion to the Fund.

      (d)      A medical professional liability insurer shall reduce the subsidy paid to each health care provider electing to receive a subsidy if the balance of the Rate Stabilization Account is insufficient to pay health care provider subsidies.



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