Hospital services rendered, all insurers required to pay hospitals on
the basis of the rate approved by the Health Services Cost Review
Commission, provisions clarified .......................................................
Long Term Care Insurance -
Maryland Partnership for Long-Term Care Program, established .
Minimum regulatory requirements, revised ......................................
Preexisting condition limitation altered; policy summaries and
monthly reports when benefits are provided through a life
insurance policy, requirements added ...........................................
Maintenance of coverage for spouses pending divorce, allocation of
costs, or continuation or reinstatement required, provisions added .
Mammography screening and child wellness benefits, imposition of
deductibles, prohibited ......................................................................
Mental illness diagnosis and treatment, coverage on the same terms
and conditions as coverage for physical illness, required ................
Nonprofit health service plans, regulation under the insurance code
with regard to assets, business activities, annual statements,
affiliates and subsidiaries, solvency, officers and directors, and
penalties, provisions added ................................................................
Not-for-profit organization receiving over one-third of its operating
expenses from the Department of Health and Mental Hygiene,
allowed to participate in the State health insurance program as a
satellite organization, provisions added ............................................
Participation in State health program by employees of "satellite
organizations" without any State subsidy and upon payment of
administrative costs, provisions added ..............................................
Pharmacy Assistance Program, limitations of coverage and
copayment requirements, termination date extended ......................
Physical therapy services, health insurers prohibited from imposing
time limitations on receipt of, provisions added ..............................
Pregnant and post-partum women, alcohol and drug abuse treatment
services, and services to medical assistance recipients,
requirements added ...........................................................................
Purchase, merger, consolidation, or acquisition of a foreign nonprofit
health service plan or health maintenance organization,
requirements added; financing moneys provided to a hospital in
return for discounted rates, deemed to be security, provisions
added ..................................................................................................
Referral of patients by a health care practitioner to an entity in which
the practitioner has a beneficial interest or a compensation
agreement, and their reimbursement through insurance,
prohibitions added .............................................................................
State retired employees with a disability retirement allowance,
participation in the State employees health insurance program,
provisions clarified .............................................................................
State subsidy for coverage of spouse and dependent children of
retired faculty or professional employees of a State institution of
higher education, provisions added ..................................................
- 3813 -
INDEX
41
|
983
|
513
242
|
2612
1617
|
350
|
1929
|
297
|
1793
|
437
|
2374
|
633
|
3094
|
507
|
2574
|
536
|
2676
|
482
|
2522
|
98
|
1209
|
554
|
2773
|
446
601
|
2392
2989
|
617
|
3031
|
376
|
2068
|
190
|
1380
|
1479
535
|
2509
2674
|
|