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ROBERT L. EHRLICH, JR., Governor Ch. 301
(b) This section applies to:
(1) insurers and nonprofit health service plans that provide hospital,
medical, or surgical benefits to individuals or groups on an expense-incurred basis
under health insurance policies or contracts that are issued or delivered in the State;
(2) health maintenance organizations that provide hospital, medical, or
surgical benefits to individuals or groups under contracts that are issued or delivered
in the State; and
(3) managed care organizations, as defined in § 15-101 of the Health -
General Article.
(c) An entity subject to this section shall provide coverage for the surgical
treatment of morbid obesity that is:
(1) recognized by the National Institutes of Health as effective for the
long-term reversal of morbid obesity; and
(2) consistent with guidelines approved by the National Institutes of
Health.
(d) An entity subject to this section shall provide the benefits required under
this section to the same extent as for other medically necessary surgical procedures
under the enrollee's or insured's contract or policy with the entity.
Chapter 486 of the Acts of 2004
SECTION 2. AND BE IT FURTHER ENACTED, That:
(a) There is a Task Force to Study Utilization Review of the Surgical
Treatment of Morbid Obesity.
(b) The Task Force consists of the following members:
(1) two representatives of the Maryland Hospital Association, appointed
by the Maryland Hospital Association;
(2) four members, appointed by the Maryland Insurance Administration,
as follows:
(i) two representatives of health maintenance organizations in the
State;
(ii) one representative of a nonprofit health service plan in the
State; and
(iii) one representative of a health insurer in the State;
(3) five physicians appointed by the Department of Health and Mental
Hygiene, including:
(i) two endocrinologists or internists with special expertise in
bariatric medicine; and
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