Ch. 2                                           1994 LAWS OF MARYLAND

(II)     SEPARATE DEDUCTIBLES AND COINSURANCE AMOUNTS FOR
PHYSICAL ILLNESSES AND ILLNESSES COVERED UNDER THIS SECTION; OR

(III)    SEPARATE OUT-OF-POCKET LIMITS IN A BENEFIT PERIOD OF
NOT MORE THAN 12 MONTHS FOR PHYSICAL ILLNESSES AND ILLNESSES COVERED
UNDER THIS SECTION.                                                                                                   

(6) ANY COPAYMENTS REQUIRED UNDER A CONTRACT OR
CERTIFICATE FOR BENEFITS FOR ILLNESSES COVERED UNDER THIS SECTION SHALL
BE:

(I)       ACTUARIALLY EQUIVALENT TO ANY COINSURANCE
REQUIREMENTS UNDER THIS SECTION; OR

(II)     WHERE THERE ARE NO COINSURANCE REQUIREMENTS, NOT
GREATER THAN A COPAYMENT REQUIRED FOR BENEFITS A BENEFIT UNDER THE
CONTRACT OR A CERTIFICATE FOR PHYSICAL ILLNESSES A PHYSICAL ILLNESS.

(D)     NOTWITHSTANDING THE PROVISIONS OF SUBSECTION (B)(2)(I)1 OF THIS
SECTION, UNTIL JULY 1, 1995, A CONTRACT OR CERTIFICATE THAT IS SUBJECT TO
THIS SECTION THAT OFFERS LESS THAN 60 DAYS COVERAGE FOR INPATIENT CARE
FOR HEALTH CARE FOR PHYSICAL ILLNESS MUST ONLY INCLUDE COVERAGE FOR
MENTAL ILLNESS, EMOTIONAL DISORDERS, DRUG ABUSE AND ALCOHOL ABUSE
THAT IS AT LEAST EQUAL TO THE BENEFIT OFFERED FOR THOSE OTHER TYPES OF
HEALTH CARE. ON AND AFTER JULY 1, 1995, THE PROVISIONS OF SUBSECTION
(B)(2)(I)2 OF THIS SECTION SHALL APPLY.

(E)     AN OFFICE VISIT TO A PHYSICIAN OR OTHER HEALTH CARE PROVIDER
FOR THE PURPOSE OF MEDICATION MANAGEMENT MAY NOT BE COUNTED AGAINST
THE NUMBER OF VISITS REQUIRED TO BE COVERED AS A PART OF THE BENEFITS
REQUIRED UNDER SUBSECTION (B)(2)(III) OF THIS SECTION AND. SHALL BE
REIMBURSED UNDER THE SAME TERMS AND CONDITIONS AS AN OFFICE VISIT. FOR
PHYSICAL ILLNESSES COVERED UNDER THE CONTRACT OR CERTIFICATE.

(F)      NOTHING IN THIS SECTION SHALL BE CONSTRUED TO PROHIBIT
EXCEEDING THE MINIMUM BENEFITS REQUIRED UNDER SUBSECTION (B)(2)(II) OF
THIS SECTION FOR ANY PARTIAL HOSPITALIZATION DAY THAT IS MEDICALLY
NECESSARY AND WOULD SERVE TO PREVENT INPATIENT HOSPITALIZATION.

SECTION 3. AND BE IT FURTHER ENACTED, That the Laws of Maryland
read as follows:

Chapter 843 of the Acts of 1986, as amended by Chapter 552 of the Acts of 1989, as
amended by Chapter 300 of the Acts of 1991, as amended by Chapter 585 of the Acts of

1992

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
July 1, 1986. [It shall remain effective for a period of 9 years and, at the end of June 30,
1995, and with no further action required by the General Assembly, Sections 354D(a),
470E(a), and 477E(a) of Article 48A of the Annotated Code of Maryland as enacted by
this Act shall be abrogated and of no further force and effect. On July 1, 1995, Sections
354D(a), 470E(a), and 477E(a) of Article 48A of the Code as enacted by this Act shall be

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