EXHIBIT B


                            INTEGRAL SYSTEMS, INC.
                            1988 STOCK OPTION PLAN
                            As Amended and Restated
                          Effective as of May 8, 1998



                                    ARTICLE I

                                 PURPOSE OF PLAN

1.1  PURPOSE OF PLAN.  The purpose of the Stock Option Plan is to serve 
as a performance incentive and to encourage the ownership of Common 
Stock by officers, directors, other employees and non-employee 
consultants of the Company so that the person to whom the option is 
granted may acquire a proprietary interest in the success of the 
Company, and to encourage such person to remain in the employ of the 
Company.  This Plan shall consist of grants of incentive stock options, 
which are intended to qualify under section 422 of the Internal Revenue 
Code of 1986, as amended, and of options which are intended not to so 
qualify.

                              ARTICLE II

                              DEFINITIONS

2.1  AWARD means Options granted hereunder.

2.2  BOARD means the Board of Directors of Integral Systems, Inc.

2.3  CODE means the Internal Revenue Code of 1986, as amended.  
Reference in this Plan to any section of the Code shall be deemed to 
include any amendments or successor provisions to such section and any 
regulations promulgated thereunder.

2.4  COMMITTEE means, as designated by the Board, either the full Board 
of Directors or a committee of the Board which shall consist solely of 
two or more members of the Board who are "Non-Employee Directors" within 
the meaning of Rule 16b-3


under the Securities Exchange Act of 1934, as amended, and "Outside 
Directors" within the meaning of Code Section 162(m).

2.5  COMPANY means Integral Systems, Inc. or any successors as described 
in Article XI and any subsidiary of the Company of which the Company 
owns, directly or indirectly, greater than fifty percent (50%) of its 
voting capital stock.

2.6  DATE OF DISABILITY means the date on which a Participant is 
classified Disabled.

2.7  DISABILITY or DISABLED means the classification of a Participant as 
"Disabled" pursuant to a long-term disability plan of the Company, if 
any, or successor to such plan (or, if there is no such plan, as 
determined by the Committee), provided that Participant meets the 
requirements of section 22(e)(3) of the Code.

2.8  EFFECTIVE DATE means May 8, 1998.

2.9  ELIGIBLE EMPLOYEE means any person employed by the Company who 
satisfies all of the requirements of Article VI.

2.10  ELIGIBLE NON-EMPLOYEE means any person performing bona fide 
services for the Company in a capacity other than as an employee, such 
as a non-employee director or consultant.

2.11  FAIR MARKET VALUE means the fair market value of the Stock, as 
determined by the Committee; provided; however, that (i) if the Stock is 
admitted to trading on a national securities exchange on the date the 
Option is granted, Fair Market Value shall not be less than the last 
sale price reported for the Stock on such exchange on such date or, if 
no sales are reported on the date the Option is granted, on the date 
next preceding such date on which a sale was reported, or (ii) if the 
Stock is not admitted to trading on a national securities exchange on 
the date the Option is granted but the Stock is admitted to quotation on 
the National Association of Securities Dealers Automated Quotation 
system on the date the Option is granted, Fair Market Value shall not be 
less than the average of the highest bid and lowest asked prices of the 
stock on such system on such date.

2.12  INCENTIVE STOCK OPTION means an Option which is an "incentive 
stock option" within the meaning of section 422 of the Code and which is 
granted under Article VII.

2.13  INSIDER means an "officer" or "director" of the Company within the 
meaning of Section 16 of the Securities Exchange Act of 1934, as 
amended.

2.14  NON-QUALIFIED STOCK OPTION means an Option which is not an 
Incentive Stock Option and which is granted under Article VII.

2.15  OPTION means either a Non-Qualified Stock Option or an Incentive 
Stock Option granted under Article VII.

2.16  PARTICIPANT means an Eligible Employee or Eligible Non-Employee 
who has been granted an Award under this Plan.

2.17  PLAN means the Integral Systems, Inc. 1988 Stock Option Plan, as 
amended and restated as set forth herein.

2.18  RETIREMENT means the normal retirement by an employee from the 
Company under a pension or retirement plan maintained by the Company.

2.19  RETIREMENT DATE is the employee's date of Retirement from the 
Company.

2.20  STOCK means Common Stock of Integral Systems, Inc., par value $.01 
per share.

2.21  STOCK OPTION AGREEMENT means an agreement with respect to Options, 
as described in Article VIII.

2.22  TERMINATION means resignation or discharge from employment with 
the Company, except in the event of death, Disability or Retirement.

2.23  VESTED OPTION means, at any date, an Option which a Participant is 
then entitled to exercise pursuant to the terms of the Plan and an 
applicable Stock Option Agreement.



                               ARTICLE III

                       EFFECTIVE DATE AND DURATION

3.1  EFFECTIVE DATE.  Subject to the approval by a majority of the 
holders of Stock voted, in person or by proxy, at the 1998 Annual 
Meeting of Stockholders of the Company, this Plan shall be effective as 
of the Effective Date.

3.2  PERIOD FOR GRANTS OF AWARDS.  Awards may be made as provided herein 
for a period of ten (10) years after the Effective Date.

3.3  TERMINATION.  This Plan may be terminated as provided in Article 
XII, but shall continue in effect until all matters relating to the 
payment of the Awards and the administration of the Plan have been 
settled.

                               ARTICLE IV

                             ADMINISTRATION

4.1  ADMINISTRATION.  Except where this Plan expressly reserves 
administrative or other powers to the Company or the Board, this Plan 
shall be administered by the Committee.  All questions or interpretation 
and application of this Plan, or of the terms and conditions pursuant to 
which Awards are granted, exercised or forfeited under the provisions 
hereof, shall be subject to the determination of the Committee.  Such 
determination shall be final and binding upon all parties affected 
thereby.

It is contemplated that Awards granted hereunder will be recommended by 
the management of the Company or the Board to the Committee, and that 
the Committee will determine whether to accept such recommendations.

                                 ARTICLE V

                      GRANT OF AWARDS AND LIMITATION OF 
                      NUMBER OF SHARES OF STOCK AWARDED

5.1  GRANTS OF AWARDS; NUMBER OF SHARES.  The Committee may, from time 
to time, grant Awards of Options to one or more


Eligible Employees or Eligible Non-Employees in its discretion; 
provided, however, that:

     (i)  subject to any adjustment pursuant to Article X or Article XI, the 
aggregate number of shares of Stock subject to Awards under this Plan 
may not exceed Nine Hundred Thousand (900,000) shares of Stock;
	
     (ii)  to the extent that an Award lapses or the rights of the 
Participant to whom it was granted terminate, or to the extent that the 
Award is canceled by mutual agreement of the Committee and the 
Participant (which cancellation opportunities may be offered by the 
Committee to Participants from time to time), any shares of Stock 
subject to such Award shall again be available for the grant of an Award 
hereunder;

     (iii) shares of Stock ceasing to be subject to an Award because of the 
exercise of an Option shall no longer be available for the grant of an 
Award hereunder; and

     (iv)  Eligible Non-Employees shall not be entitled to receive Awards of 
Incentive Stock Options.

In determining the size of Awards, the Committee may take into account 
recommendations by the Board or the Company's management, a 
Participant's responsibility level, performance, potential, and cash 
compensation level, the Fair Market value of the Stock at the time of 
Awards and such other considerations as it deems appropriate.

The maximum number of shares of Stock subject to Options that may be 
granted during any one calendar year to any one individual shall be 
limited to 50,000.  To the extent required by Code Section 162(m), and 
so long as Section 162(m) of the Code is applicable to persons eligible 
to participate in the Plan, shares of Stock subject to the foregoing 
limit with respect to which the related Option is terminated, 
surrendered or canceled shall not again be available for grant to the 
respective grantee under this limit.


                                 ARTICLE VI

                                 ELIGIBILITY

6.1  ELIGIBLE INDIVIDUALS.  All Eligible Employees and Eligible Non-
Employees shall be eligible to receive Awards hereunder.  Subject to the 
provisions of this Plan, the Committee shall from time to time select 
from such Eligible Employees and Eligible Non-Employees those to whom 
Awards shall be granted and determined the size of the Awards.  A 
Participant may hold more than one Option at any one time.  No person 
shall have any right to be granted an Award under this Plan, as all 
Awards granted hereunder are granted in the sole and absolute discretion 
of the Committee, as provided herein.

                                 ARTICLE VII

                                   OPTIONS

7.1  GRANTS OF OPTIONS.  Awards shall be granted to Participants in the 
form of Options to purchase Stock.

7.2  TYPE OF OPTIONS.  The Committee may choose to grant a Participant 
who is an Eligible Employee either Incentive Stock Options or Non-
Qualified Stock Options or both, subject to the limitations contained 
herein.  The Committee shall grant to a Participant who is an Eligible 
Non-Employee only Non-Qualified Stock Options, subject to the 
limitations contained herein.

7.3  INCENTIVE STOCK OPTION DOLLAR LIMITATIONS.  If the Committee grants 
Incentive Stock Options, the aggregate Fair Market Value (determined as 
of the date the Option is granted) of any such Options plus any 
incentive stock options granted under any other plans of the Company 
which shall be first exercisable by any one Participant during any one 
calendar year shall not exceed $100,000, or such other dollar limitation 
as may be provided in the Code.



                                   ARTICLE VIII

                  TERMS AND CONDITIONS OF STOCK OPTION AGREEMENTS

8.1  STOCK OPTION AGREEMENTS.  Awards shall be evidenced by Stock Option 
Agreements in such form as the Committee shall, from time to time, 
approve.  Such Stock Option Agreements, which need not be identical, 
shall comply with and be subject to the following terms and conditions:

  (a)  Medium of Payment.  Upon exercise of the Option, the Option price 
shall be payable either (i) in United States dollars, in cash, or by 
certified check, bank draft or money order payable to the order of the 
Company, or (ii) in the discretion of the Committee, through the 
delivery of shares of Stock (including, for Options granted after the 
date of this amendment and restatement, Stock that would otherwise be 
issued upon exercise of the Option), with the Fair Market Value equal to 
the total Option price, or (iii) by a combination of the methods 
described in (i) and (ii).

In addition to the above, with respect to Options granted after the date 
of this amendment and restatement, the Committee, subject to such 
limitations as it may determine, may authorize payment of the exercise 
price, in whole or in part, by delivery of a properly executed exercise 
notice, together with irrevocable instructions to:  (i) a brokerage firm 
designated by the Company to deliver promptly to the Company the 
aggregate amount of sale or loan proceeds to pay the exercise price and 
any withholding tax obligations that may arise in connection with the 
exercise, and (ii) the Company to deliver the certificates for such 
purchased shares directly to such brokerage firm.

  (b)  Number of Shares.  The Stock Option Agreement shall state the total 
number of shares to which it pertains.

  (c)  Option Price.  With respect to Non-Qualified Stock Options, the 
option price shall be an amount determined by the Committee, which 
amount may be less than, equal to or greater than the Fair Market Value 
of such Shares on the date of the granting of the Option.  With respect 
to Incentive Stock Options, the option price shall be not less than the 
Fair Market Value of such shares on the date of the granting


of the Option (or one hundred ten percent (110%) of such amount if the 
Option is granted to an individual owning stock possessing more than ten 
percent (10%) of the total combined voting power of all classes of stock 
of Integral Systems, Inc. or any subsidiary, within the meaning of Code 
Section 424(f), taking into account the attribution rules of Code 
Section 424(d)).

  (d)  Term of Options.  Each Non-Qualified Option and Incentive Stock 
Option granted under this Plan shall expire not more than ten (10) years 
from the date the Option is granted, except that each Incentive Stock 
Option granted under the Plan to an individual owning stock possessing 
more than ten percent (10%) of the total combined voting power of all 
classes of stock of Integral Systems, Inc. or any subsidiary, within the 
meaning of Code Section 424(f), taking into account the attribution 
rules of Code Section 424(d), shall expire not more than five (5) years 
from the date the Option is granted.

  (e)  Date of Exercise.  Subject to subsection (d) of this Section, an 
Option which becomes a Vested Option may be exercised in whole or in 
part at any time thereafter.  Options which are awarded hereunder shall 
become exercisable as Vested Options, as follows:

     (i)  The aggregate number of shares of Stock subject to any Award shall 
be divided into three installments (equally or unequally at the 
discretion of the Committee), as specified in the Agreement.  The first 
installment shall become Vested Options one year from the date of such 
Award, the second installment shall become Vested Options two years from 
the date of such Award and the third installment shall become Vested 
Options three years from the date of such Award.  Any other vesting 
schedule may be substituted for the above, as specified in the 
Agreement, at the Committee's discretion.

     (ii)  Except as otherwise provided hereunder, the Committee may in its 
discretion accelerate the time at which an Option granted hereunder may 
be exercised. 

  (f) Forfeiture or Exercise of Option.  If a Participant ceases 
employment with the Company, all Options held by him


or her which are not Vested Options shall terminate.  If a Participant 
terminates his or her employment or other service relationship with the 
Company prior to the exercise of the Participant's Non-Qualified Stock 
Options, such Options shall be forfeited (or exercisable after 
termination only as provided in the applicable Stock Option Agreement).  
If a Participant terminates employment with the Company prior to 
exercise of the Participant's Vested Options which are Incentive Stock 
Options, such Vested Options shall be forfeited, or be exercised, as 
follows:

     (i)  Termination and Retirement.  In the event of a Participant's 
Termination or Retirement, the Participant's Vested Options shall be 
forfeited within three (3) months of the Participant's Termination or 
Retirement.

     (ii)  Disability.  Upon the Disability of a Participant, the 
Participant's Vested Options shall be exercisable within twelve (12) 
months (or such shorter period as the Code or the terms of the 
particular Stock Option Agreement may require) of the Participant's Date 
of Disability.

     (iii)  Death.  If the Participant dies while in the employment of the 
Company or within the period of time after Termination or Retirement 
during which the Participant would have been entitled to exercise his or 
her Vested Option rights, the Participant's estate, personal 
representative or beneficiary (as applicable) shall have the right to 
exercise such Vested Options, within one (1) year from the date of the 
Participant's death (or such shorter period as the Code or the terms of 
the particular Stock Option Agreement may require).

     (iv)  Other Restrictions/Forfeiture Events.  The Committee shall have 
complete discretion to prescribe any other events of forfeiture and/or 
conditions of exercisability of Options, as specified in the applicable 
Agreement.

  (g)  Agreement as to Sale of Securities.  If, at the time of the 
exercise of any Option, in the opinion of counsel for the Company,  it 
is necessary or desirable, in order to comply with any applicable laws 
or regulations relating to


the sale of securities, that the Participant exercising the Option shall 
agree to purchase the shares that are subject to the Option for 
investment only and not with any present intention to resell the same 
and that the Participant will dispose of such shares only in compliance 
with such laws and regulations, the Participant will, upon the request 
of the Company, execute and deliver to the Company an agreement to such 
effect.

  (h)  Required Amendments.  Each Award shall be subject to any provision 
necessary to assure compliance with federal and state securities laws.

  (i)  Limitation of Participant Rights.  A Participant shall not be 
deemed to be the holder of, or to have any of the rights of a holder 
with respect to, any shares of Stock subject to an Option unless and 
until the Option shall have been exercised pursuant to the terms 
thereof, the Company shall have issued and delivered the shares to the 
Participant, and the Participant's name shall have been entered as a 
stockholder of record on the books of Integral Systems, Inc.  
Thereafter, the Participant shall have full voting, dividend and other 
ownership rights with respect to such shares of stock.

                                ARTICLE IX

                     GRANTS IN SUBSTITUTION FOR OPTIONS
                        GRANTED BY OTHER CORPORATION

9.1  SUBSTITUTE AWARDS.   Awards may be granted under this Plan from 
time to time in substitution for similar awards held by employees of 
corporations who become or are about to become employees of the Company 
as the result of a merger or consolidation of the employing corporation 
with the Company, or the acquisition by the Company of the assets of the 
employing corporation, or the acquisition by the Company of fifty 
percent (50%) or more of the stock of the employing corporation causing 
it to become a subsidiary of the Company.  Subject to the procurement of 
the approval of the stockholders of the Company as may be required for 
the Plan to satisfy the requirements of Rule 16b-3 under the Securities 
Exchange Act of 1934, as amended, the terms and conditions of the 
substitute Awards so granted may vary from


the terms and conditions set forth in this Plan to such extent as the 
Committee at the time of the grant may deem appropriate to confirm, in 
whole or in part, to the provisions of the options in substitution for 
which they are granted.

                                 ARTICLE X

                        CHANGES IN CAPITAL STRUCTURE

10.1	CAPITAL STRUCTURE CHANGES:

  (a)  In the event of any change  in the number of issued shares of Stock 
resulting from a subdivision or consolidation of shares or other capital 
adjustment, or the payment of a stock dividend or other increase or 
decrease of such shares, then appropriate adjustments shall be made by 
the Committee with respect to outstanding Awards and the aggregate 
number of shares of Stock which may be awarded pursuant to this Plan.  
Additions to Awards issued as a result of any such change shall bear the 
same restrictions and carry the same terms as the Awards to which they 
relate.
 
  (b)  In the event of a change in the Stock which is limited to a change 
in the designation thereof to "capital stock" or other similar 
designation, or in par value to no par value, without increase or 
decrease in the number of issued shares, the shares resulting from any 
such change shall be deemed to be Stock within the meaning of this Plan.

                               ARTICLE XI

                           COMPANY SUCCESSORS

11.1  IN GENERAL

  (a)  If the Company shall be the surviving or resulting corporation in 
any merger, sale of assets or sale of stock, consolidation or corporate 
reorganization (including a reorganization in which the holders of Stock 
receive securities of another corporation), any Award granted hereunder 
shall pertain to and apply to the securities to which a holder of Stock 
would have been entitled.  The Committee shall make such appropriate 
determinations and


adjustments as it deems necessary so as to substantially preserve the 
rights and benefits, both as to number of shares and otherwise, of 
Participants under this Plan.

  (b)	If the Company shall not be the surviving corporation in any 
merger, sale of assets or sale of stock consolidation or corporate 
reorganization (including a reorganization in which the holders of Stock 
receive securities of another corporation) involving the Company, the 
successor corporation shall issue substitute options so as to preserve 
substantially the rights and benefits of the Participants under this 
Plan.

                              ARTICLE XII

                     AMENDMENT OR TERMINATION OF PLAN

12.1	AMENDMENTS AND TERMINATION.  The Plan shall terminate on the tenth 
(10) anniversary of the Effective Date of the Plan.  The Board may at 
any time and from time to time otherwise alter, amend, suspend or 
terminate this Plan in whole or in part; provided, however, that (i) no 
such action may be taken without stockholder approval which materially 
increases the benefits accruing to Participants hereunder, materially 
increases the number of securities which may be issued pursuant to this 
Plan (except as provided in Sections 10.1 and 11.1), materially extends 
the period for granting Awards hereunder, or materially modifies the 
requirements as to eligibility for participation hereunder; and (ii) no 
such action may be taken, without the consent of the Participant to whom 
any Award shall have been granted, which adversely affects the rights of 
such Participant concerning such Award, except as such termination or 
amendment of this Plan is required by statute, or rules and regulations 
promulgated thereunder, or as otherwise permitted hereunder.

                                 ARTICLE XIII

                           MISCELLANEOUS PROVISIONS

13.1  NON-TRANSFERABILITY.  Except by the laws of descent and 
distribution, no benefit provided hereunder shall be subject to 
alienation, assignment or transfer by a Participant (or by any person 
entitled to such benefit pursuant to the terms of


this Plan), nor shall it be subject to attachment or other legal process 
of whatever nature, and any attempted alienation, assignment, attachment 
or transfer shall be void and of no effect whatsoever and, upon any such 
attempt, the benefit shall terminate and be of no force or effect.  
During a Participant's lifetime, Options granted to the Participant 
shall be exercisable only by the Participant.  Shares of Stock shall be 
delivered only into the hands of the Participant entitled to receive the 
same or into the hands of the Participants authorized legal 
representative.

13.2	NO EMPLOYMENT RIGHT.  Neither this Plan nor any action taken 
hereunder shall be construed as giving any right to any individual to be 
retained as an officer, employee, director or independent contractor of 
the Company.

13.3	TAX WITHHOLDING.  The Company shall have the right to deduct from 
all Awards paid any federal, state, local or employment taxes which it 
deems are required by law to be withheld with respect to such payments.  
The Participant receiving Stock pursuant to the exercise of an Option 
may be required to pay to the Company an amount required to be withheld 
with respect to such Stock.  At the request of a Participant, or as 
required by law, such sums as may be required for the payment of any 
estimated or accrued income tax liability may be withheld and paid over 
the governmental entity entitled to receive the same.

13.4	FRACTIONAL SHARES.  Any fractional shares concerning Awards shall 
be eliminated at the time of payment or payout by rounding down for 
fractions of less than one-half (1/2) and rounding up for fractions of 
equal to or greater than one-half (1/2).  No cash settlements shall be 
made with respect to fractional shares eliminated by rounding.

13.5	GOVERNMENT AND OTHER REGULATIONS.  The obligation of the Company 
to make payment of Awards in Stock or otherwise shall be subject to all 
applicable laws, rules and regulations, and to such approvals by any 
government agencies as may be deemed necessary or appropriate by the 
Committee.  If Stock awarded hereunder may in certain circumstances be 
exempt from registration under the Securities Act of 1933, the Company 
may restrict its transfer in such manner as it deems advisable to ensure 
such exempt status.  The Plan is intended


to comply with Rule 16b-3 under the Securities Exchange Act of 1934, as 
amended.  Any provision inconsistent with such Rule shall be inoperative 
and shall not affect the validity of the Plan.  The Plan shall be 
subject to any provision necessary to assure compliance with federal and 
state securities laws.

13.6	INDEMNIFICATION.  Each person who is or at any time serves as a 
member of the Board or the Committee shall be indemnified and held 
harmless by Integral Systems, Inc. against and from (i) any loss, cost, 
liability or expense that may be imposed upon or reasonably incurred by 
such person in connection with or resulting from any claim, action, suit 
or proceeding to which such person may be a party or in which such 
person may be involved by reason of any action or failure to act under 
this Plan; and (ii) any and all amounts paid by such person in 
satisfaction of judgment in any such action, suit or proceeding relating 
to this Plan.  Each person covered by this indemnification shall give 
Integral Systems, Inc. an opportunity, at its own expense, to handle and 
defend the same before such person undertakes to handle and defend the 
same on such person's own behalf.  The foregoing right of 
indemnification shall not be exclusive of any other rights of 
indemnification to which such persons may be entitled under the charter 
or by-laws of Integral Systems, Inc. as a matter of law, or otherwise, 
or any power that Integral Systems, Inc. may have to indemnify such 
person or hold such person harmless.

13.7	RELIANCE ON REPORTS.  Each member of the Board or the Committee 
shall be fully justified in relying or acting in good faith upon any 
report made by the independent public accountants of the Company, and 
upon any other information furnished in connection with this Plan.  In 
no event shall any person who is or shall have been a member of the 
Board or the Committee be liable for any determination made or other 
action taken or any omission to act in reliance upon any such report or 
information, or for any action taken, including the furnishing of 
information, or failure to act, if in good faith.

13.8	GOVERNING LAW.  All matters relating to this Plan or to Awards 
granted hereunder shall be governed by the laws of the State of 
Maryland, without regard to the principles of


conflict of laws thereof, except to the extent preempted by the laws of 
the United States.

13.9	RELATIONSHIP TO OTHER BENEFITS.  No payment under this Plan shall 
be taken into account in determining any benefits under any pension, 
retirement, profit sharing or group insurance plan of the Company.

13.10	EXPENSES.  The expenses of implementing and administering this 
Plan shall be borne by the Company.

13.11	TITLES AND HEADINGS.  The titles and headings of the Articles and 
Sections in this Plan are for convenience of reference only, and in the 
event of any conflict, the text of this Plan, rather than such titles or 
headings, shall control.

13.12	USE OF PROCEEDS.  Proceeds from the sale of Stock pursuant to 
Options granted under the plan shall constitute general funds of the 
Company.

13.13	NON-EXCLUSIVITY OF PLAN.  Neither the adoption of the Plan by the 
Board nor the submission of the Plan to the stockholders of the Company 
for approval shall be construed as creating any limitations on the power 
of the Board to adopt such other incentive arrangements as it may deem 
desirable, including, without limitation, the granting of stock options 
otherwise than under the Plan, and such arrangements may be either 
applicable generally or only in specific cases.