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S.B. 324
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VETOES
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BY adding to
Article - Health - General
Section 19-706(ddd)
Annotated Code of Maryland
(2000 Replacement Volume and 2004 Supplement)
BY adding to
Article - Insurance
Section 15-131
Annotated Code of Maryland
(2002 Replacement Volume and 2004 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
19-706.
(DDD) THE PROVISIONS OF § 15-131 OF THE INSURANCE ARTICLE APPLY TO
HEALTH MAINTENANCE ORGANIZATIONS.
Article - Insurance
15-131.
(A) THIS SECTION APPLIES TO:
(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT PROVIDE,
DIRECTLY OR THROUGH A PHARMACY BENEFIT MANAGER, COVERAGE FOR
PRESCRIPTION DRUGS UNDER HEALTH INSURANCE POLICIES OR CONTRACTS THAT
ARE ISSUED OR DELIVERED IN THE STATE; AND
(2) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE, DIRECTLY
OR THROUGH A PHARMACY BENEFIT MANAGER, COVERAGE FOR PRESCRIPTION
DRUGS UNDER CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE.
(B) IF AN ENTITY SUBJECT TO THIS SECTION REQUIRES A PHARMACY TO
SUBMIT A REQUEST FOR PAYMENT ELECTRONICALLY, THEN THE PHARMACY OR
DESIGNATED AGENT MAY CHOOSE TO BE REIMBURSED ELECTRONICALLY, AND IN
THAT EVENT THE ENTITY SHALL REIMBURSE THE PHARMACY ELECTRONICALLY,
AND SHALL PROVIDE THE APPROPRIATE PAYMENT DATA ELECTRONICALLY.
(C) AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A PROCESSING
FEE FOR THE ELECTRONIC REIMBURSEMENT OR FOR PROVIDING PAYMENT DATA
ELECTRONICALLY.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2005 2006.
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May 20, 2005
- 3592-
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