Ch. 392

1993 LAWS OF MARYLAND

(1)      COVERAGE FOR BREAST IMPLANT REMOVALS AND BREAST
IMPLANT-RELATED CONDITIONS; AND

(2)      PREEXISTING CONDITION POLICIES FOR INDIVIDUALS WITH BREAST
IMPLANTS.

(C) IN ADDITION TO THE NOTICE REQUIREMENT UNDER SUBSECTION (B) OF
THIS SECTION, WHENEVER AN INSURER OR NONPROFIT HEALTH SERVICE PLAN
DENIES COVERAGE FOR A BREAST IMPLANT REMOVAL OR A BREAST
IMPLANT RELATED CONDITION AS BEING NOT MEDICALLY NECESSARY, THE
INSURER OR NONPROFIT HEALTH SERVICE PLAN SHALL STATE THE REASONS FOR
THE DENIAL OF COVERAGE IN WRITING TO THE SUBSCRIBER OR POLICYHOLDER.

(C) (1) UPON REQUEST, THE COMMISSIONER SHALL MAKE AVAILABLE TO
CONSUMERS AND LICENSED PHYSICIANS THE INFORMATION COLLECTED UNDER
SUBSECTION (B) OF THIS SECTION.

(2) WHEN PROVIDING THE INFORMATION UNDER PARAGRAPH (1) OF
THIS SUBSECTION, THE COMMISSIONER MAY INCLUDE A NOTICE OR STATEMENT
WITH THE INFORMATION THAT THE PROVISION OF THIS INFORMATION BY THE
COMMISSIONER DOES NOT MEAN THAT THE COMMISSIONER GUARANTEES THE
ACCURACY OF THE INFORMATION.

(3) THE COMMISSIONER MAY SET A FEE TO COVER THE COSTS OF
PROVIDING THE INFORMATION TO PERSONS UNDER PARAGRAPH (1) OF THIS
SUBSECTION.

(D) ANY LICENSED PHYSICIAN MAY MAKE THE INFORMATION OBTAINED
FROM THE COMMISSIONER UNDER SUBSECTION (C) OF THIS SECTION AVAILABLE TO
A PATIENT.

(E) THE COMMISSIONER SHALL ADOPT REGULATIONS NECESSARY TO CARRY
OUT THE PROVISIONS OF THIS SECTION, INCLUDING REGULATIONS THAT
DETERMINE THE EXTENT AND FORMAT OF THE INFORMATION REQUIRED BY THE
COMMISSIONER UNDER SUBSECTION (B) OF THIS SECTION.

Article - Health - General

19-706.

(H) THE PROVISIONS OF ARTICLE 48A, § 490R OF THE CODE SHALL APPLY TO
HEALTH MAINTENANCE ORGANIZATIONS.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1993.

Approved May 11, 1993.

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