(a) If a Program recipient has a cause of action against a person, the Department shall be subrogated to that cause of action to the extent of any payments made by the Department on behalf of the Program recipient that result from the occurrence that gave rise to the cause of action.
(b) (1) An attorney representing a Program recipient in a cause of action to which the Department has a right of subrogation shall notify the Department prior to filing a claim, commencing an action, or negotiating a settlement.
(2) The attorney shall notify the Department in advance of the resolution of a cause of action and shall allow the Department 3 business days from the receipt of the notice to establish its subrogated interest.
(3) This subsection may not be construed to create a cause of action for notifying or failing to notify the Department.
(c) (1) Any Program recipient or attorney, guardian, or personal representative of a Program recipient who receives money in settlement of or under a judgment or award in a cause of action in which the Department has a subrogation claim shall, after receiving written notice of the subrogation claim, hold that money, for the benefit of the Department, to the extent required for the subrogation claim, after deducting applicable attorney’s fees and litigation costs.
(2) A person who, after written notice of a subrogation claim and possible liability under this paragraph, disposes of the money, without the written approval of the Department, is liable to the Department for any amount that, because of the disposition, is not recoverable by the Department.
(3) The Department may compromise or settle and release its subrogation claim if, in its judgment, collection of the claim will cause substantial hardship:
(i) To the Program recipient; or
(ii) In a wrongful death action, to the surviving dependents of a deceased Program recipient.
(4) (i) The Department is not liable for payment of or contribution to any attorney’s fees or litigation costs of any Program recipient or attorney, guardian, or personal representative of any Program recipient.
(ii) The deduction of applicable attorney’s fees and litigation costs under paragraph (1) of this subsection may not be considered as payment for or contribution to those fees or costs by the Department.
(d) Any action brought under this section is not exclusive and is independent of and in addition to any right, remedy, or cause of action available to the State, the Department, any other State agency, or a Program recipient or any other individual.
(e) (1) (i) In this subsection the following words have the meanings indicated.
(ii) “Cigarette” means any roll of tobacco wrapped in:
1. Paper;
2. A substance not containing tobacco; or
3. A substance containing tobacco which because of its appearance, the type of tobacco used in the filler, or its packaging and labeling, is likely to be used by the consumers of ordinary paper–wrapped cigarettes.
(iii) 1. “Manufacturer of a tobacco product” means a designer, producer, or processor of a tobacco product engaged in the marketing or promotion of a tobacco product.
2. “Manufacturer of a tobacco product” includes an entity not otherwise a manufacturer of a tobacco product that imports a tobacco product or otherwise holds itself out as a manufacturer of a tobacco product.
3. “Manufacturer of a tobacco product” does not include:
A. A grower, buyer, dealer, distributor, or wholesaler of leaf tobacco; or
B. A retailer, distributor, or wholesaler of a tobacco product.
(iv) “Smokeless tobacco” means a product that consists of cut, ground, powdered, or leaf tobacco that is intended to be placed in the oral cavity.
(v) “Tobacco product” means cigarettes or smokeless tobacco.
(2) In any action under this section or pursuant to any other right, remedy, or cause of action brought by the State against a manufacturer of a tobacco product, the causation and the amount of medical assistance expenditures attributable to the use of a tobacco product may be proved or disproved by evidence of statistical analysis, without proof of the causation or the amount of expenditures for any particular Program recipient or any other individual.
(3) Nothing contained in paragraph (2) of this subsection prohibits or limits the right of any party to introduce any other evidence, otherwise admissible, that supports or rebuts the evidence of statistical analysis described in paragraph (2) of this subsection.
Structure Maryland Statutes
Title 15 - Assistance Programs
Subtitle 1 - Medical and Pharmacy Assistance Programs
Section 15-101.1 - Applicability of Other Provisions to a Managed Care Organization
Section 15-102.1 - Indigent and Medically Indigent -- Comprehensive System of Health Care
Section 15-102.2 - Applicability of Certain Provisions -- Claims of Subrogation
Section 15-102.4 - Surplus Requirements
Section 15-102.5 - Mechanism to Provide for Equitable Distribution of Enrollees
Section 15-102.6 - Applicability of Other Provisions; Regulations
Section 15-102.7 - Applicability of Certain Premium Tax Provisions
Section 15-103 - Medical Assistance Program
Section 15-103.1 - Promotion of Cost Effectiveness of State Health Care System
Section 15-103.2 - Rfps for Comparing Performance and Cost of Different Managed Care Dental Programs
Section 15-103.3 - Healthchoice Performance Incentive Fund
Section 15-103.4 - Credentialing of Health Care Providers
Section 15-103.5 - Rate Review and Comparison; Reports
Section 15-104 - Contracts With Department of Human Services
Section 15-105 - Reimbursement Procedures Under Program
Section 15-105.1 - Reimbursement Procedures Under Program -- Electronic Reimbursement
Section 15-105.2 - Reimbursement to Health Care Providers
Section 15-106 - Review of Health Care Under Program
Section 15-107 - Cost Reports of Program Participants
Section 15-108 - Field Verification of Program Participants
Section 15-109 - Eligibility; Admissibility of Long-Term Care Transaction Forms
Section 15-109.1 - Plan for Dissemination of Advance Directive Information
Section 15-109.2 - Benefits and Services for Incarcerated or Institutionalized Individuals.
Section 15-110 - Reimbursement -- Acute General and Chronic Care Hospitals
Section 15-111 - Reimbursement -- Day Care for the Elderly and Medically Handicapped Adults
Section 15-112 - Reimbursement -- Physicians
Section 15-113 - Reimbursement -- Public Institutions
Section 15-114 - Reimbursement -- Related Institutions
Section 15-114.1 - Emergency Service Transporters
Section 15-115 - Placement in Skilled or Intermediate Nursing Facility
Section 15-116 - Reimbursement -- Skilled Nursing Facilities
Section 15-117 - Reimbursement -- Reserved Beds
Section 15-118.1 - Certain Prescribed Drugs Not Specialty Drugs
Section 15-120 - Subrogation Claims
Section 15-121 - Claims Against Estates
Section 15-121.3 - Assignment of Subrogation Right
Section 15-122 - Responsibility of Spouse Under Program
Section 15-122.1 - Certain Providers Excluded From Repaying Depreciation Allowance
Section 15-122.2 - Intercepting State Tax Refund for Converted Funds
Section 15-122.3 - Personal Needs Allowance -- Disabled Person With Guardian
Section 15-124.2 - Maryland Medbank Program
Section 15-124.3 - Medicare Option Prescription Drug Program
Section 15-125 - Program for Children With Special Health Care Needs
Section 15-126 - Educational Programs for Handicapped Children
Section 15-128 - Reimbursement for Services Provided by Hospice Care Program
Section 15-129 - Durable Medical Equipment
Section 15-130.1 - Psychiatric Residential Treatment Demonstration Waiver Application
Section 15-132 - Home and Community Based Services for Impaired Individuals; Medicaid Waiver
Section 15-132.1 - Voluntary Tax Withholding
Section 15-133 - Grants to Improve Home- and Community-Based Service Systems
Section 15-134 - Maryland Medical Assistance Program Waiver
Section 15-134.1 - Military Families
Section 15-135 - Home-Based and Community Services for Residents of Nursing Facilities
Section 15-136 - Maryland Pharmacy Access Hotline
Section 15-138 - Employed Persons With Disabilities Program
Section 15-139 - Amendment of State Medical Assistance Program to Receive Federal Matching Funds
Section 15-140 - State Plan Amendment to the Family Planning Program
Section 15-141.1 - Collaborative Care Pilot Program
Section 15-141.2 - Telehealth Defined -- Pilot Program -- Outcome Data -- Reports Required
Section 15-142 - Fair Share Health Care Fund
Section 15-143 - Legal Immigrants -- Pregnant Women and Children
Section 15-145 - Information From and Liability of Health Insurance Carriers
Section 15-146 - Report -- Change to Medical Eligibility for Nursing Facility Level of Care
Section 15-147 - Former Officials or Employees -- Participation in Contracts
Section 15-148 - Prior Authorization Not Required for Contraceptive Drug or Devices