HARRY HUGHES, Governor                                       2809

NONPREFERRED PROVIDERS AFTER ALL DEDUCTIBLE AND COPAYMENT
PROVISIONS HAVE BEEN APPLIED may not ON THE AVERAGE be less than
80% of the amount that would have been paid AGGREGATE PAYMENTS IN
THAT FULL CALENDAR YEAR to preferred providers for similar
services in the same geographic area PURSUANT TO THE PREFERRED
PROVIDERS' AGREEMENTS TO PROVIDE THE SERVICES.

(II) ALL COPAYMENT AND DEDUCTIBLE PROVISIONS
CONTAINED IN PREFERRED PROVIDER POLICIES OF PREFERRED PROVIDER
CONTRACTS OFFERED UNDER THIS SECTION WHICH ARE APPLICABLE TO

CLAIMS FOR PAYMENT FOR SERVICES RENDERED BY NONPREFERRED

PROVIDERS SHALL BE THE SAME AS THE COPAYMENT AND DEDUCTIBLE
PROVISIONS APPLICABLE TO CLAIMS FOR PAYMENT FOR SIMILAR SERVICES
RENDERED BY PREFERRED PROVIDERS.

SECTION 2. AND BE IT FURTHER ENACTED, The provisions of this
Act apply only to all preferred provider policies or contracts
issued, renewed, modified, altered, amended, or reissued on or
after July 1, 1986.

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall
take effect July 1, 1986.

Approved May 27, 1986.

CHAPTER 740

(House Bill 695)

AN ACT concerning

Hereditary and Congenital Disorders

FOR the purpose of expanding the mandate of the Commission on
Hereditary Disorders to include congenital disorders;
defining congenital disorders; altering the definition of

hereditary disorder; altering the membership of the

Commission; permitting the Governor to appoint certain
persons to the Commission under specified circumstances;
modifying the powers and duties of the Commission; expanding
the authority of the Secretary of Health and Mental Hygiene
to adopt regulations for hereditary and congenital
disorders; repealing the authority of the Commission to
promulgate regulations for hereditary and congenital
disorders; altering the disclosure of information criteria
for individuals with hereditary or congenital disorders;
expanding the duties of the Secretary to include enforcement
of the rules, regulations, and standards that the Department
adopts concerning hereditary and congenital disorders