WILLIAM DONALD SCHAEFER, Governor                        H.B. 1563

(11)    THE EFFECT OF DISCRIMINATORY DRUG PRICING ON HEALTH CARE
SERVICE DELIVERY AND ON COST CONTAINMENT BOTH WITHIN AND OUTSIDE
NETWORKS; AND

(12)    THE COST CONTAINMENT DIFFERENCES OF PROVIDING HEALTH
SERVICES THROUGH HEALTH CARE NETWORKS RELATIVE TO PROVIDING THOSE
SERVICES OUTSIDE A NETWORK.

(G) THE STUDY REQUIRED UNDER THIS SECTION SHALL BE SUBMITTED TO
THE GOVERNOR AND THE GENERAL ASSEMBLY BY DECEMBER 15, 1994 JUNE 1, 1995.

57. MARYLAND HEALTH INSURANCE ACCESS ACT

734. DEFINITIONS.

(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(B) "BOARD" MEANS THE BOARD OF DIRECTORS OF A REGIONAL HEALTH
COOPERATIVE ESTABLISHED UNDER THIS SUBTITLE.

(C) "CARRIER" MEANS:

(1) AN INSURER THAT HOLDS A CERTIFICATE OF AUTHORITY IN THIS
STATE AND PROVIDES HEALTH INSURANCE IN THIS STATE;

(2) A HEALTH MAINTENANCE ORGANIZATION THAT IS LICENSED TO
OPERATE IN THIS STATE;

(3) A NONPROFIT HEALTH SERVICE PLAN THAT IS ISSUED A
CERTIFICATE OF AUTHORITY TO OPERATE IN THIS STATE; OR

(4) ANY OTHER PERSON OR ENTITY THAT PROVIDES HEALTH BENEFITS

SUBJECT TO REGULATION UNDER THIS ARTICLE OR THE HEALTH - GENERAL

ARTICLE.

(D) "DEPENDENT" MEANS AN ELIGIBLE EMPLOYEE'S OR AN INDIVIDUAL'S
SPOUSE OR DEPENDENT CHILD.

(E) (1) "ELIGIBLE EMPLOYEE" MEANS AN EMPLOYEE WHO IS NOT
COVERED UNDER A PUBLIC OR PRIVATE HEALTH INSURANCE PLAN OR OTHER
HEALTH BENEFIT ARRANGEMENT AND WORKS FOR ONE EMPLOYER;

(I) ON A FULL TIME BASIS; OR

(II) WITH A NORMAL WORKWEEK OF AT LEAST 30 HOURS.

(2) "ELIGIBLE EMPLOYEE" INCLUDES:

(I) A SOLE PROPRIETOR, A PARTNER OF A PARTNERSHIP, OR AN
INDEPENDENT CONTRACTOR, WHO IS INCLUDED AS AN EMPLOYEE UNDER A
HEALTH BENEFIT PLAN UNDER THIS SUBTITLE;

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