Md. Code Ann., Health-Gen. § 15-1003
Program benefits and premiums
Effective Oct 1, 2024Added 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; Acts 2024, c. 48, § 1, eff. Oct. 1, 2024.State of Maryland
(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.
- (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.
- (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.
- (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.
(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.
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; Acts 2024, c. 48, § 1, eff. Oct. 1, 2024.