Specialty care network

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    // EFFECTIVE UNTIL JUNE 30, 2025 PER CHAPTER 368 OF 2014 //

    (a)    The Commission, in collaboration with community health resources and local health departments, shall develop a specialty care network for individuals:

        (1)    With family income that does not exceed 200% of the federal poverty level; and

        (2)    Who are referred through a community health resource.

    (b)    The specialty care network shall:

        (1)    Consist of health care practitioners who agree to provide care to individuals referred through a community health resource for a discounted fee established by the Commission; and

        (2)    Include health care practitioners who historically have served the uninsured.

    (c)    Individuals receiving health care through the specialty care network shall pay for specialty care according to a sliding fee scale developed by the Commission.

    (d)    In addition to patient fees, office–based specialty care visits, diagnostic testing, and laboratory tests shall be subsidized by funds provided from:

        (1)    General funds; and

        (2)    Money collected from a nonprofit health maintenance organization in accordance with § 6–121(b)(3) of the Insurance Article.

    (e)    Subject to available funding, the Commission shall provide subsidies to community health resources for office–based specialty care visits, diagnostic testing, and laboratory tests.


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