Ch. 270                                    1995 LAWS OF MARYLAND

(2)     (I) "INHERITED METABOLIC DISEASE" MEANS A DISEASE CAUSED
BY AN INHERITED ABNORMALITY OF BODY CHEMISTRY.

(II) "INHERITED METABOLIC DISEASE" INCLUDES A DISEASE FOR
WHICH THE STATE SCREENS NEWBORN BABIES.

(3)     (I) "LOW PROTEIN MODIFIED FOOD PRODUCT" MEANS A FOOD
PRODUCT THAT IS:

1. SPECIALLY FORMULATED TO HAVE LESS THAN 1 GRAM
OF PROTEIN PER SERVING: AND

2. INTENDED TO BE USED UNDER THE DIRECTION OF A
PHYSICIAN FOR THE DIETARY TREATMENT OF AN INHERITED METABOLIC DISEASE.

(II) "LOW PROTEIN MODIFIED FOOD PRODUCT" DOES NOT
INCLUDE A NATURAL FOOD THAT IS NATURALLY LOW IN PROTEIN.

(4) "MEDICAL FOOD" MEANS A FOOD THAT IS:

(I) INTENDED FOR THE DIETARY TREATMENT OF A DISEASE OR
CONDITION FOR WHICH NUTRITIONAL REQUIREMENTS ARE ESTABLISHED BY
MEDICAL EVALUATION; AND

(II) FORMULATED TO BE CONSUMED OR ADMINISTERED
ENTERALLY UNDER THE DIRECTION OF A PHYSICIAN.

(B) A HEALTH MAINTENANCE ORGANIZATION SHALL INCLUDE AS PART OF
ITS BENEFIT PACKAGE OF HEALTH CARE SERVICES TO BE PROVIDED TO MEMBERS
AND SUBSCRIBERS COVERAGE FOR MEDICAL FOODS AND LOW PROTEIN MODIFIED
FOOD PRODUCTS FOR THE TREATMENT OF INHERITED METABOLIC DISEASES IF
THE MEDICAL FOODS AND LOW PROTEIN MODIFIED FOOD PRODUCTS ARE:

(1) PRESCRIBED AS MEDICALLY NECESSARY FOR THE THERAPEUTIC
TREATMENT OF INHERITED METABOLIC DISEASES; AND

(2) ADMINISTERED UNDER THE DIRECTION OF A PHYSICIAN.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1995.

Approved May 9, 1995.

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