Section 31-121 – State Innovation Waiver
(a) The Exchange, in consultation with the Commissioner and as approved by the Board, may submit a State Innovation Waiver application under § 1332 of the Affordable Care Act to allow the State to administer the federal Small Business Health Care Tax Credit to small businesses for monthly premium payments. (b) Before applying for a State Innovation […]
Section 31-122 – State-Based Young Adult Health Insurance Subsidies Pilot Program — Purpose — Subsidy Eligibility and Payment Parameters Established — Funding — Monthly Tracking of Subsidy Expenditures
// EFFECTIVE UNTIL JUNE 30, 2024 PER CHAPTERS 777 AND 778 OF 2021 // (a) In this section, “Pilot Program” means the State–Based Young Adult Health Insurance Subsidies Pilot Program. (b) The Exchange, in consultation with the Commissioner and as approved by the Board, shall establish and implement a State–Based Young Adult Health Insurance Subsidies Pilot Program […]
Section 31-201 – Definitions
(a) In this subtitle the following words have the meanings indicated. (b) “Advisory Workgroup” means the Maryland Easy Enrollment Health Insurance Program Advisory Workgroup established under § 31–203 of this subtitle. (c) “Cost–sharing reduction” means a reduction described in § 1402(c) of the Affordable Care Act. (d) “Department” means the Maryland Department of Health. (e) “Insurance affordability program” means: (1) the […]
Section 31-202 – Maryland Easy Enrollment Health Insurance Program
(a) There is a Maryland Easy Enrollment Health Insurance Program. (b) The purposes of the Program are to: (1) establish a State–based reporting system to provide information about the health insurance status of State residents through the use of State income tax returns to identify uninsured individuals and determine whether an uninsured individual is interested in obtaining minimum […]
Section 31-203 – Maryland Easy Enrollment Health Insurance Program Advisory Workgroup
(a) The Exchange shall establish a Maryland Easy Enrollment Health Insurance Program Advisory Workgroup to provide ongoing advice regarding the implementation of the Program. (b) The Advisory Workgroup shall include representation from: (1) the Office of the Comptroller; (2) consumer groups; (3) employers; (4) insurers; (5) health care providers; (6) navigators or other consumer assisters; (7) insurance brokers or agents; (8) labor organizations; (9) income tax […]
Section 31-204 – Eligibility for Insurance Affordability Programs
(a) The Exchange or the Department, as applicable, shall determine eligibility for insurance affordability programs as soon as possible after an individual files a State income tax return on which the individual chose a checkoff box described in § 2–115(c)(3) of the Tax – General Article indicating that an uninsured individual may be interested in obtaining […]
Section 31-113 – Navigator Program for Individual Exchange
(a) (1) There is a navigator program for the Individual Exchange. (2) The navigator program for the Individual Exchange shall be: (i) administered by the Individual Exchange; and (ii) regulated by the Commissioner. (3) In administering the navigator program, the Individual Exchange shall consult with the Commissioner and the Maryland Department of Health to ensure consistency and compliance with all laws, […]
Section 31-205 – Eligibility for Maryland Medical Assistance Program and Maryland Children’s Health Program
(a) The Exchange or the Department, as applicable, shall make a determination of eligibility, in accordance with § 31–204 of this subtitle, for the Maryland Medical Assistance Program and, if applicable, the Maryland Children’s Health Program under this section, before determining eligibility for any other insurance affordability program. (b) (1) If an uninsured individual is determined to be […]
Section 31-113.1 – Consolidated Services Center
(a) In accordance with the requirement to operate a toll–free hotline under § 1311(d)(4) of the Affordable Care Act and § 31–108(b)(5) of this subtitle, the Exchange may establish a Consolidated Services Center. (b) (1) The CSC may employ individuals to assist the SHOP Exchange. (2) A CSC employee authorized to assist the SHOP Exchange: (i) may provide the services […]
Section 31-206 – Eligibility for Premium Tax Credits or Cost-Sharing Reduction; Enrollment Period
(a) If an uninsured individual is not determined to be eligible for the Maryland Medical Assistance Program or the Maryland Children’s Health Program under § 31–205 of this subtitle, the Exchange shall determine, in accordance with § 31–204 of this subtitle, whether the uninsured individual is eligible for premium tax credits or cost–sharing reductions as determined […]