PARRIS N. GLENDENING, Governor

Ch. 605

(ii) do Do not use the design of their health care provider network or
marketing efforts to discourage enrollment from high risk or special needs populations;
and

(7) in In consultation with the Office of the Attorney General, the need to
amend existing State laws to remove current barriers or disincentives to the promotion
and formation of health care delivery networks; and

(b) On or before December 15, 1995, submit a report to the Governor and, subject
to § 2-1312 of the State Government Article, the General Assembly on the results of its
study.

SECTION 4. 5. AND BE IT FURTHER ENACTED, That the provisions of Article
48A, §§ 490BB and 490CC of the Code and § 19-710.2 of the Health - General Article
are applicable to self-funded plans and federally qualified health maintenance organizations
to the extent permitted under federal law.

SECTION 5. 6. AND BE IT FURTHER ENACTED, That:

(a)     The provisions of § 19-710.2 of the Health - General Article shall apply to
contracts issued or renewed on or after January 1, 1996; and

(b)     The provisions of Article 48A, § 490CC of the Code shall apply to contracts issued
or renewed on or after July 1, 1996; and

(b) (c) On or before January March 1, 1996, the Health Care Access and Cost
Commission shall implement as an additional benefit the provisions of § 19-710.2 of the
Health - General Article for employers that have at least two, but no more than 50,
eligible employees.

SECTION 6. AND BE IT FURTHER ENACTED, That:

(a) The Insurance Administration, in conjunction with the Department of Health
and Mental Hygiene, shall study:

(1) arrangements between carriers and providers involving the withholding
of payments, or the payment of bonuses, based on performance; and

(2) the effect of those arrangements on access to and quality of care; and

(b) On or before December 31. 1995, the Insurance Administration, in
conjunction with the Department of Health and Mental Hygiene, shall report the findings
of its the study under subsection (a) of this section to the Senate Finance Committee and
the House Economic Matters Committee and submit a copy of the report to the library of
the Department of Legislative Reference.

SECTION 2. 7. 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.

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