19-712.5.

(F) IF A HEALTH MAINTENANCE ORGANIZATION AUTHORIZES, DIRECTS,
REFERS, OR OTHERWISE ALLOWS A MEMBER OR SUBSCRIBER TO ACCESS A HOSPITAL
EMERGENCY FACILITY OR OTHER' URGENT CARE FACILITY FOR A MEDICAL
CONDITION THAT REQUIRES EMERGENCY SURGERY, THE HEALTH MAINTENANCE
ORGANIZATION:

(1) SHALL REIMBURSE THE PHYSICIAN, ORAL SURGEON, PERIODONTIST,
OR PODIATRIST, WHO PERFORMED THE SURGICAL PROCEDURE, FOR FOLLOW-UP
CARE THAT IS:

(I) MEDICALLY NECESSARY;

(II) DIRECTLY RELATED TO THE CONDITION FOR WHICH THE
SURGICAL PROCEDURE WAS PERFORMED; AND

(III) PROVIDED IN CONSULTATION WITH THE MEMBER'S OR
SUBSCRIBER'S PRIMARY CARE PHYSICIAN; AND

(2)  MAY NOT IMPOSE ON ' THE MEMBER OR SUBSCRIBER ANY
CO-PAYMENT OR OTHER COST-SHARING REQUIREMENT FOR ANY FOLLOW-UP CARE
THAT EXCEEDS WHAT A MEMBER OR SUBSCRIBER IS REQUIRED TO PAY FOR
SERVICES RENDERED BY A PHYSICIAN, ORAL SURGEON, PERIODONTIST, OR
PODIATRIST WHO IS A MEMBER OF THE PROVIDER PANEL OF THE HEALTH
MAINTENANCE ORGANIZATION.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all
policies; contracts, and health benefit plans issued, delivered, or renewed in the State
on or after October 1, 1999. Any policy or health benefit plan in effect before October
1, 1999, shall comply with the provisions of this Act no later than October 1, 2000.

SECTION 2. 3. 2. AND BE IT FURTHER ENACTED, That this Act shall take
effect October 1, 1999.

May 27, 1999

The Honorable Thomas V. Mike Miller, Jr.
President of the Senate
State House
Annapolis MD 21401

Dear Mr. President:

In accordance with Article II, Section 17 of the Maryland Constitution, I have today
vetoed Senate Bill 477.

This bill allows Baltimore County to grant a property tax credit against the county
property tax imposed on personal property owned by the Genesee Valley Outdoor
Learning Center, Inc.

House Bill 155, which was passed by the General Assembly and signed by me on May