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S.B. 716 VETOES
(II) A NONPROFIT HEALTH SERVICE PLAN;
(III) A HEALTH MAINTENANCE ORGANIZATION;
(IV) A DENTAL PLAN ORGANIZATION; OR
(V) ANY OTHER PERSON THAT PROVIDES HEALTH BENEFIT PLANS
SUBJECT TO REGULATION BY THE STATE.
(2) "CARRIER" INCLUDES AN ENTITY THAT ARRANGES A PROVIDER
PANEL FOR THE CARRIER
(B) TO THE EXTENT REQUIRED UNDER FEDERAL LAW, A CARRIER SHALL
REIMBURSE A COMMUNITY HEALTH RESOURCE, AS DEFINED IN § 19-2101 OF THE
HEALTH GENERAL ARTICLE, FOR COVERED SERVICES PROVIDED TO AN ENROLLEE
OR SUBSCRIBER OF THE CARRIER.
15-715.
(A) THIS SECTION APPLIES TO EACH INDIVIDUAL OR GROUP HEALTH
INSURANCE POLICY OR CONTRACT OF AN INSURER THAT IS ISSUED OR DELIVERED
IN THE STATE BY AN INSURER NONPROFIT HEALTH SERVICE PLAN, OR HEALTH
MAINTENANCE ORGANIZATION
(B) TO THE EXTENT REQUIRED UNDER FEDERAL LAW, AN INSURER
NONPROFIT HEALTH SERVICE PLAN, OR HEALTH MAINTENANCE ORGANIZATION
SHALL REIMBURSE A COMMUNITY HEALTH RESOURCE, AS DEFINED IN § 19-2101 OF
THE HEALTH - GENERAL ARTICLE, FOR COVERED SERVICES PROVIDED TO THE
INSURED OR ANY OTHER PERSON COVERED BY THE POLICY OR CONTRACT.
19-807.
(a) (1) The Commissioner shall disburse money from the Medical Assistance
Program account to the Secretary.
(2) THE SECRETARY SHALL TRANSFER TO THE COMMUNITY HEALTH
RESOURCES COMMISSION FUND ESTABLISHED UNDER § 19-2201 OF THE HEALTH -
GENERAL ARTICLE, WITHIN 30 DAYS FOLLOWING THE END OF EACH QUARTER
DURING FISCAL YEAR 2008 AND EACH FISCAL YEAR THEREAFTER THE MONEY
COLLECTED FROM A NONPROFIT HEALTH MAINTENANCE ORGANIZATION IN
ACCORDANCE WITH § 6-12(B)(3) OF THIS ARTICLE.
(b) (3) Portions of the Medical Assistance Program Account that exceed the
amount provided under paragraph (2) of this subsection shall be used by the Secretary
only to:
(iv) after fiscal year [2009] 2008:
1. maintain increased capitation payments to managed care
organizations;
2. maintain increased rates for health care providers; [and]
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- 3824 -
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