PARRIS N. GLENDENING, Governor                             Ch. 397

(III) INCLUDE ANY SERVICES REQUIRED BY THE ATTENDING
PROVIDER.

(3) THE HOME VISIT PROVIDED UNDER PARAGRAPH (2) OF THIS
SUBSECTION:

(I) SHALL BE SCHEDULED TO OCCUR WITHIN 24 HOURS AFTER
HOSPITAL DISCHARGE; AND

(II) SHALL INCLUDE ANY SERVICES REQUIRED BY THE
ATTENDING PROVIDER.

(E) (1) THE PRIVATE REVIEW AGENT OR HEALTH MAINTENANCE
ORGANIZATION MAY NOT REQUIRE ADDITIONAL DOCUMENTATION FROM,
REQUIRE ADDITIONAL UTILIZATION REVIEW OF, OR OTHERWISE PROVIDE
FINANCIAL DISINCENTIVES FOR AN ATTENDING PROVIDER WHO ORDERS CARE
CONSISTENT WITH THE TERMS OF THIS SECTION OR WITH THE TERMS OF § 19 703 OF
THIS ARTICLE OR ARTICLE 48A, §§ 354F, 470H, OR 477-I RELATED TO
HOSPITALIZATION OF A NEWBORN FOR WHICH COVERAGE IS REQUIRED TO BE
PROVIDED UNDER THIS SECTION, § 19-703 OF THIS ARTICLE, OR ARTICLE 48A, §§ 354F,
470H, OR 477-I OF THE CODE.

(2) THE PRIVATE REVIEW AGENT, HOSPITAL, OR HEALTH
MAINTENANCE ORGANIZATION MAY NOT DENY, LIMIT, OR OTHERWISE IMPAIR THE
PARTICIPATION OF AN ATTENDING PROVIDER UNDER A CONTRACT OR ANY
PRIVILEGE GRANTED AN ATTENDING PROVIDER WHO ADVOCATES MORE THAN 48
HOURS OF INPATIENT HOSPITAL CARE FOLLOWING A COMPLICATED VAGINAL
DELIVERY OR MORE THAN 96 HOURS OF INPATIENT HOSPITAL CARE FOLLOWING A
COMPLICATED CESAREAN SECTION.

SECTION 2. AND BE IT FURTHER ENACTED, That, in addition to the
requirements of Article 48A, § 490FF(e)(2) of the Code as enacted by this Act, an insurer,
nonprofit health service plan, or health maintenance organization subject to the requirements
of Article 48A, § 490FF(e)(2) shall send to insureds or enrollees the notice required under
Article 48A, § 490FF(e)(l) of the Code, as enacted by this Act by January 1, 1997.

SECTION 3. AND BE IT FURTHER ENACTED, That all health insurance or other
health benefit plans subject to the provisions of this Act shall make the benefits under this Act
available on and after its effective date, notwithstanding any policy or benefit statement to the
contrary.

SECTION 2. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect
October July 1, 1996.

Approved May 14, 1996.

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