PARRIS N. GLENDENING, Governor

Ch. 604

(2) THE PROVISIONS OF SUBSECTION (O) OF THIS SECTION DO NOT
APPLY TO ANY CHARGES BY A PROVIDER NOT UNDER A WRITTEN CONTRACT WITH
A HEALTH MAINTENANCE ORGANIZATION FOR PROFESSIONAL SERVICES
RENDERED UNDER THIS SUBSECTION WHO, PRIOR TO PROVIDING SERVICES,
DISCLOSES TO THE PATIENT:

(I) THAT THE PROVIDER IS NOT UNDER A WRITTEN CONTRACT
WITH THE PATIENT'S HEALTH MAINTENANCE ORGANIZATION; AND

(II) THE PROVIDER'S CHARGES FOR THE SERVICES.

(3) PARAGRAPH (1) OF THIS SUBSECTION DOES NOT APPLY TO SERVICES
PROVIDED SOLELY THROUGH EMPLOYEES OF THE HEALTH MAINTENANCE
ORGANIZATION.
SECTION 2. AND BE IT FURTHER ENACTED, That if any provision of this Act
or the application thereof to any person or circumstance is held invalid for any reason in
a court of competent jurisdiction, the invalidity does not affect other provisions or any
other application of this Act which can be given effect without the invalid provision or
application, and for this purpose the provisions of this Act are declared severable.

Article - Health - General

19-706.

(i) The provisions of Article 48A, [§ 490U] §§ 490U, 490BB, AND 490CC of the
Code shall apply to health maintenance organizations.

19-710.2.

(A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2) "CARRIER" MEANS:

(I) AN INSURER;

(II)     A NONPROFIT HEALTH SERVICE PLAN;

(III)   A HEALTH MAINTENANCE ORGANIZATION;

(IV) A PREFERRED PROVIDER ORGANIZATION: OR

(V) (IV) A DENTAL PLAN ORGANIZATION; OR

(V) (VI) (V) ANY OTHER PERSON OR ORGANIZATION THAT
PROVIDES HEALTH BENEFIT PLANS SUBJECT TO STATE REGULATION.

(3) "POINT-OF-SERVICE OPTION" MEANS A DELIVERY SYSTEM THAT
PERMITS A MEMBER OR SUBSCRIBER OF A HEALTH MAINTENANCE ORGANIZATION
TO RECEIVE HEALTH CARE SERVICES OUTSIDE THE PROVIDER PANEL OF THE
HEALTH MAINTENANCE ORGANIZATION UNDER THE TERMS AND CONDITIONS OF THE
MEMBER'S OR SUBSCRIBER'S CONTRACT WITH THE HEALTH MAINTENANCE
ORGANIZATION.

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