PARRIS N. GLENDENING, Governor                                 Ch. 3

Occurred: The stylistic errors in § 19-115(j)(5)(viii)3 and 4 and (ix) of the
Health - General Article occurred in Chs. 688 and 767, Acts of 1988 and the
stylistic error in § 19-115(1)(3) of the Health - General Article occurred in Ch.
109, Acts of 1985.

19-4A-01.

(e) (3) "Residential service agency" does not include:

(iii) A [home based] HOME-BASED hospice care program that is
licensed under the provisions of Subtitle 9 of this title;

DRAFTER'S NOTE:

Error: Grammatical error in § 19-4A-01(e)(3)(iii) of the Health - General
Article.

Occurred: Ch. 529, Acts of 1990.

19-705.1.

(b) The standards of quality of care shall include:

(2) (i) A requirement that a health maintenance organization shall have a
system for providing a member with 24-hour access to a physician in cases where there is
an immediate need for medical services, including providing 24-hour access by telephone
to a person who is able to appropriately respond to calls from members and providers
concerning after-hours care;

(ii) To meet this requirement for off-hour services, the health
maintenance organization may provide for access to a physician who does not have a
contract with the health maintenance organization or a facility, such as a hospital
emergency room; and

(iii) If a physician who does not have a contract with a health
maintenance organization is used or a facility that is not connected with a health
maintenance organization is used, the health maintenance organization shall:

1.       Develop and publicize procedures to assure that the health
maintenance organization is notified of the services and receives adequate documentation
of the services;

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;

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