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PARRIS N. GLENDENING, Governor
Ch. 577
BY adding to
Article - Health Occupations
Section 14-509
Annotated Code of Maryland
(1994 Replacement Volume)
BY adding to
Article 48A - Insurance Code
Section 354LL(c), 351PP, 361F(d), 470S(d), 470BB(c), 470FF, 477Y(d), 477LL(c),
Section 35PP. 354Z(h), 470FF, 470U(h), 477AA(h) 354PP, 470FF, 477PP, and
490BB
Annotated Code of Maryland
(1994 Replacement Volume and 1994 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
17-215.1.
(A) A LABORATORY THAT REQUIRES A HEALTH CARE PROVIDER TO SUBMIT
A WRITTEN REFERRAL TO RECEIVE LABORATORY SERVICES SHALL ACCEPT THE
UNIFORM LABORATORY REFERRAL FORM ADOPTED BY THE INSURANCE
COMMISSIONER UNDER ARTICLE 48A, § 490BB OF THE CODE AS THE SOLE
INSTRUMENT FOR REFERRALS FOR LABORATORY SERVICES.
(B) A LABORATORY MAY NOT IMPOSE ANY REQUIREMENT TO:
(1) MODIFY THE UNIFORM LABORATORY REFERRAL FORM; OR
(2) SUBMIT ADDITIONAL LABORATORY REFERRAL FORMS.
19-713.1.
(a) A contract between a health maintenance organization and its subscribers or a
group of subscribers may contain nonduplication provisions or provisions to coordinate
the coverage with subscriber contracts of other health maintenance organizations, health
insurance policies, including those of nonprofit health service plans, and with other
established programs under which the subscriber or member may make a claim.
(B) (1) IF A CONTRACT BETWEEN A HEALTH MAINTENANCE
ORGANIZATION AND ITS SUBSCRIBERS OR A GROUP OF SUBSCRIBERS CONTAINS A
NONDUPLICATION PROVISION OR A PROVISION TO COORDINATE THE COVERAGE
WITH OTHER SUBSCRIBER CONTRACTS OF OTHER HEALTH MAINTENANCE
ORGANIZATIONS, HEALTH INSURANCE POLICIES, AND OTHER ESTABLISHED
PROGRAMS UNDER WHICH THE SUBSCRIBER OR MEMBER MAY MAKE A CLAIM, THE
HEALTH MAINTENANCE ORGANIZATION SHALL USE THE UNIFORM COORDINATION
OF BENEFITS FORM ADOPTED BY THE INSURANCE COMMISSIONER UNDER ARTICLE
48A, § 490BB OF THE CODE AS THE SOLE INSTRUMENT FOR DETERMINING
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