H.B. 1370                                               VETOES

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

19-705.6.

(A)    THERE IS AN ADVISORY COMMITTEE ON HEALTH MAINTENANCE
ORGANIZATION PERFORMANCE

(B)     THE PURPOSE OF THE ADVISORY COMMITTEE IS TO:

(1)     PROMOTE THE DISSEMINATION OF HEALTH MAINTENANCE
ORGANIZATION PERFORMANCE INFORMATION TO CONSUMERS INCLUDING:

(I)      THE FINDINGS OF THE ANNUAL EVALUATION CONDUCTED BY
THE HEALTH CARE ACCESS AND COST COMMISSION ON THE QUALITY OF CARE
OUTCOMES AND PERFORMANCE MEASUREMENTS OF HEALTH MAINTENANCE
ORGANIZATION BENEFIT PLANS AND SERVICES UNDER § 19-1508(C) OF THIS TITLE;

(II)   INFORMATION ON THE FINANCIAL CONDITION OF HEALTH
MAINTENANCE ORGANIZATIONS AS REPORTED TO THE COMMISSIONER UNDER §
19-717 OF THIS TITLE;

(III) THE MEDICAL-LOSS RATIO FOR EACH HEALTH MAINTENANCE
ORGANIZATION; AND

(IV) AGGREGATE INFORMATION OBTAINED AS A RESULT OF THE
COMPLAINT SYSTEM FOR MEMBERS OR SUBSCRIBERS ESTABLISHED UNDER §
19-705.2 OF THIS TITLE; AND

(2)     RECEIVE AND FACILITATE THE INVESTIGATION OF COMPLAINTS OF
HEALTH CARE PROVIDERS CONCERNING THE OPERATION OF ANY HEALTH
MAINTENANCE ORGANIZATION IN THE STATE

(C)     (1) THE ADVISORY COMMITTEE SHALL CONSIST OF 13 MEMBERS
APPOINTED BY THE GOVERNOR.

(2) OF THE 13 MEMBERS:

(I)      FOUR SHALL BE PUBLIC MEMBERS;

(II)    THREE SHALL REPRESENT HEALTH MAINTENANCE
ORGANIZATIONS;

(HI) TWO SHALL REPRESENT LICENSED HEALTH CARE
PRACTITIONERS;

(IV)   ONE SHALL REPRESENT HOSPITALS;

(V)     ONE SHALL REPRESENT THE DEPARTMENT OF HEALTH AND
MENTAL HYGIENE;

(VI)   ONE SHALL REPRESENT THE MARYLAND INSURANCE
ADMINISTRATION; AND

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