VETOES

A PERSON MAY NOT CONDUCT UTILIZATION REVIEW IN THIS STATE
UNLESS THE PERSON IS A CERTIFIED PRIVATE REVIEW AGENT.

19-1315.

A PERSON WHO VIOLATES ANY PROVISION OF THIS SUBTITLE OR ANY
REGULATION ADOPTED UNDER THIS SUBTITLE IS GUILTY OF A MISDEMEANOR
AND ON CONVICTION IS SUBJECT TO A PENALTY NOT EXCEEDING $1,000.
EACH DAY A VIOLATION IS CONTINUED AFTER THE FIRST CONVICTION IS A
SEPARATE OFFENSE.

SECTION 2. AND BE IT FURTHER ENACTED, That the Department
of Health and Mental Hygiene report to the General Assembly, in
accordance with § 2-1312 of the State Government Article, on or
before November 1, 1988 and each year thereafter: (1) the number
of private review agents conducting utilization review; (2) the
type of criteria used to perform utilization review; and (3) the
feasibility of adopting uniform standards for one or more aspects
of utilization review, including standardized forms for data
collection, and the medical procedures for which preauthorization
and second surgical opinions would be required.

SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of
this Act shall take effect December 1, 1988 and Section 2 of this
Act shall take effect July 1 November 1, 1988.

May 27, 1988

The Honorable Thomas V. Mike Miller, Jr.

President of the Senate

State House

Annapolis, Maryland 21401

Dear Mr. President:

In accordance with Article II, Section 17 of the Maryland
Constitution, I have today vetoed Senate Bill 686.

This bill authorizes the Carroll County Commissioners to issue
$3.0 million in general obligation bonds to finance Northern
Landfill and John Owings Landfill.

House Bill 1149, which was passed by the General Assembly and
signed by me on May 17, 1988, accomplishes the same purpose.
Therefore, it is not necessary for me to sign Senate Bill 686.

- 5260 -