WILLIAM DONALD SCHAEFER, Governor Ch. 636
.1. Develop and publicize procedures to assure that the health
maintenance organization is notified of the services and receives adequate documentation
of the services; [and]
2. Develop and provide informational materials to all
subscribers and enrollees of the health maintenance organization that clearly describe
and inform subscribers and enrollees of their potential responsibility for payment for
services rendered by a health care provider, including a physician or hospital, that does
not have a written contract with the health maintenance organization; AND
3. DEVELOP AND PROVIDE SPECIFIC INFORMATION TO ALL
SUBSCRIBERS AND ENROLLEES OF THE HEALTH MAINTENANCE ORGANIZATION
THAT CLEARLY DESCRIBES THE PROCEDURES TO BE FOLLOWED FOR EMERGENCY
SERVICES, INCLUDING:
A. THE APPROPRIATE USE OF HOSPITAL EMERGENCY
ROOMS;
B. THE APPROPRIATE USE, LOCATION, AND HOURS OF
OPERATION OF ANY URGENT CARE FACILITIES OPERATED BY THE HEALTH
MAINTENANCE ORGANIZATION; AND
C. THE POTENTIAL RESPONSIBILITY OF SUBSCRIBERS AND
ENROLLEES FOR PAYMENT FOR EMERGENCY SERVICES OR NONEMERGENCY
SERVICES RENDERED IN A HOSPITAL EMERGENCY FACILITY PURSUANT TO §
19-710(Q) OF THIS SUBTITLE.
19-71.0.
(Q) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SECTION, A
HOSPITAL EMERGENCY FACILITY MAY COLLECT OR ATTEMPT TO COLLECT
PAYMENT FROM A SUBSCRIBER OR ENROLLEE FOR HEALTH CARE SERVICES
PROVIDED TO THAT SUBSCRIBER OR ENROLLEE FOR A MEDICAL CONDITION THAT
IS DETERMINED NOT TO BE AN EMERGENCY AS DEFINED IN § 19-701(D) OF THIS
SUBTITLE.
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1993.
Approved May 27, 1993.
CHAPTER 636
(Senate Bill 788)
AN ACT concerning
University of Maryland System—Capital Expenditures—Autonomy
FOR the purpose of exempting certain contracts for capital expenditures for a University
of Maryland System facility from review by the Secretary of General Services and,
- 3099 -
|