BLAIR LEE III, Acting Governor

1113

Insurance Coverage - Medical Assistance

FOR the purpose of prohibiting in certain, specified
insurance policies and certificates inclusion of any
denial or reduction in health care benefits because
services are rendered to the holder or beneficiary
under the medical assistance program.

BY adding to

Article 48A — Insurance Code

Section 354M, 470L, and 477Q

Annotated Code of Maryland

(1972 Replacement Volume and 1977 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That section(s) of the Annotated Code of Maryland
be repealed, amended, or enacted to read as follows:

Article 48A — Insurance Code

354M.

(A)    A CERTIFICATE OR POLICY OF SICKNESS AND ACCIDENT
INSURANCE OR OF AUTOMOBILE INSURANCE THAT PROVIDES OR PAYS
FOR HEALTH CARE BENEFITS MAY NOT CONTAIN ANY PROVISION THAT
DENIES OR REDUCES BENEFITS BECAUSE SERVICES ARE RENDERED TO
A CERTIFICATE OR POLICY HOLDER OR A BENEFICIARY WHO IS
ELIGIBLE FOR OR RECEIVING MEDICAL ASSISTANCE UNDER ARTICLE
43, §42 OF THE CODE.

(B)    THIS SECTION APPLIES TO:

(1)    ANY INDIVIDUAL CERTIFICATE OR POLICY AND
ANY GROUP CERTIFICATE OR POLICY DELIVERED OR ISSUED FOR
DELIVERY TO A PERSON IN THIS STATE; AND

(2)    ALL OF THESE POLICIES AND CERTIFICATES THAT
ARE ISSUED, RENEWED, MODIFIED, ALTERED, AMENDED, OR REISSUED
ON OR AFTER JULY 1, 1978.

470L.

(A)    A CERTIFICATE OR POLICY OF SICKNESS AND ACCIDENT
INSURANCE OR OF AUTOMOBILE INSURANCE THAT PROVIDES OR PAYS
FOR HEALTH CARE BENEFITS MAY NOT CONTAIN ANY PROVISION THAT
DENIES OR REDUCES BENEFITS BECAUSE SERVICES ARE RENDERED TO
A CERTIFICATE OR POLICY HOLDER OR A BENEFICIARY WHO IS
ELIGIBLE FOR OR RECEIVING MEDICAL ASSISTANCE UNDER ARTICLE
43, §42 OF THE CODE.

(B)    THIS SECTION APPLIES TO:

(1) ANY INDIVIDUAL CERTIFICATE OR POLICY AND
ANY GROUP CERTIFICATE OR POLICY DELIVERED OR ISSUED FOR
DELIVERY TO A PERSON IN THIS STATE; AND