1542                                          LAWS OF MARYLAND                                      Ch. 111

SECTION 4. AND BE IT FURTHER ENACTED, That Sections 354CC,
470V, and 477CC of Article 48A, as enacted by this Act, may not
be construed so as to require an insurer to provide reimbursement
for outpatient services that would not otherwise be reimbursed on
an inpatient basis.

SECTION 5. AND BE IT FURTHER ENACTED, That the provisions
of Section 19-319(d)(1), (2), (4), (5) and (6) of the Health -
General Article shall take effect on October 1, 1985, and that
the remaining provisions of this Act shall take effect June 1,
1985.

Approved May 21, 1985.

CHAPTER 112

(House Bill 1072)

AN ACT concerning

Health Care Cost Containment - Health Services Cost
Review Commission State Affordability Limit

FOR the purpose of containing the rising costs of health care
within limits affordable to the citizens of this State by

creating an incentive to improve health care system

efficiencies by requiring the Health Service Cost Review
Commission to establish a State affordability limit on
certain hospital service patient revenues by a certain date;
providing the Commission may take into account certain
factors in establishing the State affordability limit;
requiring the Commission to establish procedures to monitor
total hospital net patient service revenue levels subject to
the State affordability limit; providing that if total
affordability may be exceeded the Commission shall take
certain actions; providing that the Commission is not
required to set rates for hospitals that will in the
aggregate equal the State affordability limit; requiring the
Commission to assure that total net patient revenues of
certain hospitals do not exceed the State affordability
limit; requiring the Health Resources Planning Commission to
suspend review of certain certificate of need applications
when the State affordability limit may be exceeded and the
application is for a project requiring additional revenues;
defining the jurisdiction of the Health Services Cost Review
Commission; defining a certain term; setting certain limits
on the rate approved for an identified physician service;