S.B. 642

VETOES

Senate Bill No. 642

AN ACT concerning

Advisory Committee on Health Maintenance Organization Performance

FOR the purpose of establishing an Advisory Committee on Health Maintenance
Organization Performance; establishing the purposes of the Committee; specifying
the composition, terms of appointment, and staff services for the Committee; and
generally relating to the establishment of an Advisory Committee on Health
Maintenance Organization Performance.

BY adding to

Article - Health - General

Section 19-705.6

Annotated Code of Maryland

(1990 Replacement Volume and 1995 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

19-705.6.

(A)    THERE IS AN ADVISORY COMMITTEE ON HEALTH MAINTENANCE
ORGANIZATION PERFORMANCE

(B)     THE PURPOSE OF THE ADVISORY COMMITTEE IS TO:

(1)     PROMOTE THE DISSEMINATION OF HEALTH MAINTENANCE
ORGANIZATION PERFORMANCE INFORMATION TO CONSUMERS INCLUDING

(I)      THE FINDINGS OF THE ANNUAL EVALUATION CONDUCTED BY
THE HEALTH CARE ACCESS AND COST COMMISSION ON THE QUALITY OF CARE
OUTCOMES AND PERFORMANCE MEASUREMENTS OF HEALTH MAINTENANCE
ORGANIZATION BENEFIT PLANS AND SERVICES UNDER § 19-1508(C) OF THIS TITLE;

(II)    INFORMATION ON THE FINANCIAL CONDITION OF HEALTH
MAINTENANCE ORGANIZATIONS AS REPORTED TO THE COMMISSIONER UNDER §
19-717 OF THIS TITLE;

(III) THE MEDICAL-LOSS RATIO FOR EACH HEALTH MAINTENANCE
ORGANIZATION; AND

(IV) AGGREGATE INFORMATION OBTAINED AS A RESULT OF THE
COMPLAINT SYSTEM FOR MEMBERS OR SUBSCRIBERS ESTABLISHED UNDER §
19-705.2 OF THIS TITLE; AND

(2)     RECEIVE AND FACILITATE THE INVESTIGATION OF COMPLAINTS OF
HEALTH CARE PROVIDERS CONCERNING THE OPERATION OF ANY HEALTH
MAINTENANCE ORGANIZATION IN THE STATE

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