PARRIS N. GLENDENING, Governor

Ch. 35

condition described in paragraph (1) of this subsection are added for clarity.

In the introductory language of subsection (c) of this section, the reference to
a "service covered under a policy, contract, or certificate described in §
15-701(a) of this subtitle" is substituted for the former references to "covered
services" for clarity.

In subsection (c)(1) of this section, the reference to the "patient's" hospital
charges is added for clarity.

Defined term: "Policy" § 1-101
15-707. LICENSED CERTIFIED SOCIAL WORKERS.

(A) SCOPE OF SECTION.

THIS SECTION APPLIES TO EACH INDIVIDUAL, GROUP, OR BLANKET HEALTH
INSURANCE POLICY OF AN INSURER OR NONPROFIT HEALTH SERVICE PLAN THAT:

(1) (I) IS DELIVERED OR ISSUED FOR DELIVERY IN THE STATE;

(II) IS ISSUED TO A GROUP THAT IS INCORPORATED OR HAS A
MAIN OFFICE IN THE STATE; OR

(III) COVERS INDIVIDUALS WHO RESIDE OR WORK IN THE STATE;

AND

(2) IS ISSUED, RENEWED, AMENDED, OR REISSUED ON OR AFTER

JANUARY 1, 1978.

(B) REIMBURSEMENT FOR SERVICES.

IF A POLICY OR CERTIFICATE SUBJECT TO THIS SECTION PROVIDES FOR
REIMBURSEMENT FOR A SERVICE THAT IS WITHIN' THE LAWFUL SCOPE OF
PRACTICE OF A LICENSED CERTIFIED SOCIAL WORKER, THE INSURED OR ANY
OTHER PERSON COVERED BY THE POLICY OR CERTIFICATE IS ENTITLED TO
REIMBURSEMENT FOR THE SERVICE REGARDLESS OF WHETHER THE SERVICE IS
PERFORMED BY A PHYSICIAN OR LICENSED CERTIFIED SOCIAL WORKER-CLINICAL.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 354L, 470K, and 477-O.

In the introductory language of subsection (a) of this section, the references to
an "individual," group, or blanket health insurance policy "of an insurer or
nonprofit health service plan" are added to clarify the applicability of this
section.

In subsection (a)(1)(iii) of this section, the reference to "individuals" who
reside or work in the State is substituted for the former references to
"persons" since only an individual can reside or work in the State.

In subsection (a)(2) of this section, the former references to a policy or
certificate that is "modified" or "altered" are deleted as included in the
reference to a policy or certificate that is "amended".

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