MARVIN MANDEL, Governor

755

CHAPTER 248

(Senate Bill 69)

AN ACT concerning

Insurance — Home Health Care

FOR the purpose of extending the coverage of accident and
sickness insurance to home health care.

BY adding to

Article 48A — Insurance Code

Section 470J

Annotated Code of Maryland

(1972 Replacement Volume and 1975 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That new Section 470J be and it is hereby added
to Article 48A — Insurance Code, of the Annotated Code of
Maryland (1972 Replacement Volume and 1975 Supplement) to
read as follows;

Article 48A — Insurance Code
[[407]] 470J.

(A)    AS USED IN THIS SECTION HOME HEALTH CARE MEANS
THE CONTINUED CARE AND TREATMENT OF A COVERED PERSON IF:

(1)    THE INSTITUTIONALIZATION OF THE INSURED
WOULD OTHERWISE HAVE BEEN REQUIRED IF HOME HEALTH CARE
HAS NOT PROVIDED; AND

(2)    THE PLAN OF TREATMENT COVERING THE HOME
HEALTH CARE SERVICE IS ESTABLISHED AND APPROVED IN
WRITING BY THE PHYSICIAN.

(B)    AFTER JULY 1, [[1976]] 1977, EVERY INSURER
ISSUING A POLICY OF HEALTH INSURANCE FOR DELIVERY IN THIS
STATE WHICH PROVIDES COVERAGE FOR IN-PATIENT HOSPITAL

CARE[[,]] SHALL MAKE KNOWN TO ITS INSURED THE

AVAILABILITY OF HOME HEALTH CARE AND SHALL MAKE AVAILABLE
COVERAGE FOR THIS CARE UNDER SUCH POLICY IF REQUESTED BY
THE INSURED[[ COVERAGE FOR HOME CARE]].

(C)    HOME HEALTH CARE SHALL BE PROVIDED:

(1) BY A HOSPITAL POSSESSING A VALID
OPERATING CERTIFICATE, AND CERTIFIED TO PROVIDE HOME
HEALTH SERVICES; OR