Ch. 499                                    1995 LAWS OF MARYLAND

with the contested case procedures of the Administrative Procedure Act at the
request of any party or interested person; altering the definition of an "aggrieved
party" for purposes of appealing an adverse decision of the Commission; requiring
standards of quality for health maintenance organizations to include provisions for
accessibility with reasonable safeguards with respect to geographic locations; requiring
the Health Resources Planning Commission to examine certain options related to the
location of health care services in certain areas of the State; declaring certain findings
and the intent of the General Assembly relating to the development of a strategic plan for
the health care delivery system in this State; requiring the Department of Fiscal
Services, in consultation with the Health Services Cost Review Commission, to study
certain uncompensated care and make certain recommendations by a certain date;
authorizing the Health Services Cost Review Commission, under certain
circumstances, to adopt certain regulations to establish a certain method and
mechanism for financing the costs of graduate medical education; specifying the use
of the funds generated through the method and mechanism adopted by the
Commission; requiring the Department of Fiscal Services, in conjunction with the
Health Services Cost Review Commission, to study the financing of certain graduate
medical education and make certain recommendations by a certain date; providing for
the taking effect of certain regulations; requiring freestanding ambulatory care
facilities to be licensed by the Secretary of Health and Mental Hygiene before
operating in the State; establishing certain requirements for licensed freestanding
ambulatory care facilities; requiring the Secretary to adopt certain regulations;
authorizing the Secretary to conduct certain investigations, impose certain
penalties, and deny, restrict, suspend, or revoke certain licenses under certain
circumstances; repealing certain provisions of law related to the licensing of certain
health care facilities; requiring the Health Resources Planning Commission to
adopt certain regulations by a certain date; requiring the Commission to evaluate
and, under certain circumstances, revise certain regulations; permitting, under
certain circumstances, all gynecological care under a health insurance plan to be
provided by an in network obstetrician/gynecologist without first requiring a visit to
a primary care provider; requiring certain persons to conduct annual patient
survey; establishing a task force to make a certain study; repealing a certain provision
of law that is inconsistent with provisions of law related to the Maryland medical
care database; requiring the Health Resources Planning Commission to give certain
consideration to a certain certificate of need application; defining certain terms;
altering certain definitions; providing for the effective date of this Act; providing for
the termination of a section of this Act; making provisions of this Act severable; and
generally relating to the licensing of freestanding ambulatory care facilities,
hospital based subacute care units or services, certificate of need applications,
gynecological care, and the regulation of health care health care planning, regulation,
evaluation, insurance coverage, and provider payments.

BY repealing and reenacting, with amendments,
Article 48A - Insurance Code
Section 490Z

Annotated Code of Maryland
(1994 Replacement Volume and 1994 Supplement)

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