Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 3 › Subtitle 14 - CANCER CONTROL › Chapter 10.14.05 - Maryland Cancer Fund › Section 10.14.05.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Annual family income" means the total
				  amount received per year from all sources before taxes are withheld.
(2) "Applicant" means a person who has
				  applied to receive a grant under the Maryland Cancer Fund.
(3) "Applied research" means research that is
				  undertaken to determine:
(a) Possible uses for
				  the findings of basic research; or
(b) New ways of achieving some specific
				  objective.
(4)
				  "Authorized representative" means an individual or organization that has
				  received permission from an individual diagnosed with cancer to perform certain
				  tasks on the individual's behalf.
(5) "Basic research" means experimental or
				  theoretical work undertaken to acquire new knowledge or understanding of
				  cancer.
(6) "Case management" means
				  the coordination of services by a health care professional for an individual
				  for cancer:
(a) Screening;
(b) Diagnosis; or
(c) Treatment.
(7) "Capital expenditures" means money spent
				  to add or expand property, equipment, and assets that will benefit an
				  organization in the long term.
(8)
				  "Center for Cancer Prevention and Control (CCPC)" means a unit of the
				  Department of Health and Mental Hygiene within the Prevention and Health
				  Promotion Administration.
(9)
				  "Clinical research" means research:
(a)
				  Conducted primarily on patients; and
(b) Designed to answer questions about the
				  etiology, prevention, early detection, diagnosis, or treatment of
				  cancer.
(10)
				  "Community-based participatory research" means a collaborative, partnership
				  approach to research that equitably involves community members, organizational
				  representatives, and researchers in all aspects of the research
				  process.
(11) "Comptroller" means
				  the Comptroller of the Treasury.
(12) "Coinsurance" means the percent of
				  allowable charges for a medical service that an individual with health
				  insurance is responsible for paying.
(13) "Copayment (copay)" means the set amount
				  of money that an individual with health insurance is responsible for paying
				  each time the individual receives a medical service.
(14) "County" means a county of this State or
				  Baltimore City.
(15) "Current
				  Procedure Terminology (CPT)" means the uniform descriptive terms and
				  identifying codes for reporting medical services and procedures performed by
				  physicians.
(16) "Deductible" means
				  the amount of money that an individual with health insurance is required to pay
				  before the individual's health insurance starts coverage.
(17) "Department" means the Department of
				  Health and Mental Hygiene.
(18)
				  "Diagnosis" means a histopathologic finding of cancer in a:
(a) Biopsy; or
(b) Surgical specimen.
(19) Educational Institution.
(a) "Educational institution" means an
				  organization whose primary mission is to educate individuals.
(b) "Educational institution" includes:
(i) Private and public elementary
				  schools;
(ii) Middle
				  schools;
(iii) High
				  schools;
(iv) Colleges;
(v) Universities;
(vi) Graduate schools; and
(vii) Research institutions.
(20) "Family" means the
				  unit comprised of all of the following that apply:
(a) For a financially independent adult 18
				  years old or older diagnosed with cancer, the adult diagnosed with cancer or
				  the adult diagnosed with cancer and one or more of the following:
(i) Spouse;
(ii) Financially dependent child;
				  or
(iii) Financially dependent
				  relative; or
(b) For a
				  financially dependent child, the child and one or more of the following:
(i) Parent, foster parent, or
				  guardian;
(ii) Sibling living in
				  the household; or
(iii) Half
				  brother or half sister living in the household.
(21) "Federal poverty level" means the
				  poverty guidelines, as amended, which are updated periodically in the Federal
				  Register by the U.S. Department of Health and Human Services and which are
				  incorporated by reference by COMAR
				  10.11.03.01"1.
(22) "Fund" means the Maryland Cancer
				  Fund.
(23) Grant.
(a) "Grant" means financial assistance from
				  the State to support an applicant's activities related to cancer:
(i) Research;
(ii) Primary prevention;
(iii) Secondary prevention; and
(iv) Treatment.
(b) "Grant" does not mean a
				  contract.
(24)
				  "Governmental entity" means a federal, State, or local governmental
				  organization.
(25) "Health Services
				  Cost Review Commission (HSCRC)" means the independent organization within the
				  Department that is responsible for reviewing and approving rates for hospitals
				  pursuant to Health-General Article, Title 19, Subtitle 2, Annotated Code of
				  Maryland.
(26) "Hospital" means an
				  institution that:
(a) Operates within the
				  jurisdiction of Health-General Article, Title 19, Subtitle 3, Annotated Code of
				  Maryland; and
(b) Is licensed
				  pursuant to COMAR 10.07.01 or other applicable standards established by the
				  jurisdiction in which the service is provided.
(27) "Laboratory" means a licensed or
				  certified facility operated for the examination of material derived from the
				  human body for the purpose of obtaining information for the diagnosis,
				  treatment, and management of a disease.
(28) "Local health department" means a
				  governmental entity in a county in Maryland that provides public health
				  services.
(29) "Major medical
				  equipment" means equipment that:
(a) Costs in
				  excess of $500; and
(b) Is used for
				  the provision of medical or health services.
(30) "Maryland Comprehensive Cancer Control
				  Plan" means the most recent edition of the cancer plan developed by the
				  Department.
(31) "Maryland Health
				  Insurance Plan (MHIP)" means a State-administered program that:
(a) Is operated by a unit within the Maryland
				  Insurance Administration under Insurance Article, Title 14, Subtitle 5,
				  Annotated Code of Maryland; and
(b)
				  Provides health insurance coverage to medically uninsurable Maryland
				  residents.
(32) "Medical
				  Assistance" means the program administered by the State under Title XIX of the
				  Social Security Act, 42
				  U.S.C. §§
												1396-
				  1396v, which provides
				  comprehensive medical and other health-related care for eligible categorically
				  and medically needy persons.
(33)
				  "Medicare" means the medical insurance program administered by the federal
				  government under Title XVIII of the Social Security Act,
				  42 U.S.C. §§
												1395-
				  1395hhh.
(34) "Patient contribution amount" means the
				  amount of money required by an individual's health insurance policy to be paid
				  by the individual for a given medical procedure or service received, excluding
				  the deductible.
(35) "Physician"
				  means an individual who is licensed to practice medicine in the jurisdiction in
				  which the service is provided.
(36)
				  "Premium" means the amount of money than an individual pays in regular
				  installments to a health insurer for a health insurance policy.
(37) Primary Prevention.
(a) "Primary prevention" means activities to
				  prevent or reduce the development of cancer.
(b) "Primary prevention" includes
				  interventions such as:
(i) Tobacco use
				  prevention and cessation;
(ii)
				  Protection from ultraviolet light;
(iii) Proper nutrition and physical activity;
				  and
(iv) Reduction of exposure to
				  environmental and occupational carcinogens.
(38) Research.
(a) "Research" means activities to develop or
				  advance the understanding of cancer or the techniques or modalities effective
				  in the prevention, cure, screening, diagnosis, or treatment of
				  cancer.
(b) "Research" includes
				  basic, clinical, applied, translational, and community-based participatory
				  research.
(39)
				  "Secondary prevention" means activities to detect and diagnose cancer in its
				  early stages, when the chances of treatment and control are the
				  greatest.
(40) "Secretary" means
				  the Secretary of Health and Mental Hygiene.
(41) "Translational research" means using or
				  applying new discoveries to benefit patient care.
(42) "Treatment" means the medical management
				  and care of a patient that is provided for:
(a) Obtaining a cancer diagnosis, determining
				  the full extent of the cancer spread, or treating the cancer, including:
(i) Surgery;
(ii) Chemotherapy;
(iii) Radiation therapy;
(iv) Hormonal therapy;
(v) Biopsy;
(vi) Imaging procedures;
(vii) Laboratory testing;
(viii) Home health services; and
(ix) Medical supplies or medical
				  equipment;
(b) Treating
				  medical complications resulting from cancer screening or treatment;
(c) Treating other co-morbid conditions in
				  order to treat cancer; or
(d)
				  Providing palliative or end-of-life care.
(43) "Uninsured" means that an individual:
(a) Does not have any health insurance;
				  or
(b) Has health insurance that
				  does not cover the cancer prevention, screening, diagnosis, or treatment
				  services provided under the Fund.