Ch. 604                                    1995 LAWS OF MARYLAND

circumstances; authorizing now enrollees in a carrier's health benefit plan to remain
with a nonparticipating provider for a certain period under certain circumstances;
requiring the Insurance Commissioner and, in consultation with the Secretary of
Health and Mental Hygiene Hygiene, to adopt certain regulations; prohibiting a
carrier that reimburses a health care practitioner in a certain manner from
reimbursing the practitioner in an amount less than the negotiated sum or rate;
requiring a health maintenance organization with which an employer, association,
or other group arrangement is contracting to offer health insurance benefits or
contract with another carrier to offer under certain circumstances a
point-of-service option as an additional benefit that an employee or individual may
accept or reject; authorizing an employer, association, or other group arrangement
to require the employee or individual to pay the difference in the amount of the
premium; authorizing a carrier to impose different cost sharing provisions for the
point-of-service option under certain circumstances; requiring a carrier with which
an employer, association, or other private group arrangement is contracting to offer
under certain circumstances a dental point-of-service option as an additional benefit
that an employee or individual may accept or reject; requiring the Secretary of Health
and Mental Hygiene, jointly with certain other persons, to conduct a certain study related
to Maryland Medical Assistance Program recipients and submit a certain report by a
certain date; requiring the Governor's Task Force on Community Health Networks
to conduct a certain study of health care delivery networks and submit a report on
the results of the study on or before a certain date; defining certain terms; providing
for the application of this Act; requiring the Health Care Access and Cost Commission
to implement as an additional benefit certain provisions of this Act for certain employers;
providing for the effective date of certain provisions of this Act; making provisions of
this Act severable; and generally relating to access to health care in this State.

BY adding to

Article 48A - Insurance Code

Section 361-I and 490BB and 490CC 490CC, and 490DD

Annotated Code of Maryland

(1994 Replacement Volume and 1994 Supplement)

BY repealing and reenacting, without amendments,
Article 48A—Insurance Code
Section 657(a)

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

BY repealing and reenacting, with amendments,
Article 48A—Insurance Code
Section 657(b)

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

BY repealing and reenacting, with amendments,
Article - Health - General

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