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Session Laws, 1997
Volume 795, Page 1064   View pdf image
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Ch. 35

1997 LAWS OF MARYLAND

covered by the policy or certificate for the service" is substituted for the
former requirement to "insure" the "expenses".

Defined terms: "Health insurance" § 1-101
"Insurer" § 1-101
"Person" § 1-101
"Policy" § 1-101

15-711. PHYSICAL THERAPISTS.

(A) SCOPE OF SECTION.

THIS SECTION APPLIES TO EACH INDIVIDUAL OR GROUP HEALTH INSURANCE
POLICY OR CONTRACT THAT IS:

(1) DELIVERED OR ISSUED FOR DELIVERY IN THE STATE BY AN
INSURER OR NONPROFIT HEALTH SERVICE PLAN; AND

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

OCTOBER 1, 1993.

(B) TIME LIMIT ON RECEIPT OF SERVICES PROHIBITED.

AN INSURER OR NONPROFIT HEALTH SERVICE PLAN MAY NOT IMPOSE A TIME
LIMIT ON THE RECEIPT OF SERVICES COVERED UNDER A POLICY OR CONTRACT
SUBJECT TO THIS SECTION THAT ARE PROVIDED DURING THE POLICY OR
CONTRACT PERIOD BY A PHYSICAL THERAPIST LICENSED UNDER THE HEALTH
OCCUPATIONS ARTICLE.

(C) EFFECT OF SECTION.

THIS SECTION DOES NOT PROHIBIT AN INSURER OR NONPROFIT HEALTH
SERVICE PLAN FROM IMPOSING A LIMIT ON THE NUMBER OF VISITS WITH A
LICENSED PHYSICAL THERAPIST THAT ARE ALLOWED UNDER A POLICY OR
CONTRACT.

REVISOR'S NOTE: Subsection (a) of this section is new language added to clarify
the applicability of this section. It is based on the references in former Art.
48A, §§ 354Z(a), 470U(a), and 477AA(a) to those policies and contracts to
which former §§ 354Z, 470U, and 477AA applied.

Subsections (b) and (c) of this section are new language derived without
substantive change from former Art. 48A, §§ 354Z(g), 470U(g), and
477AA(g).

In subsection (b) of this section, the reference to "services covered under a
policy or contract subject to this section" is substituted for the former
references to "covered services" for clarity.

In subsection (c) of this section, the reference to visits "with a licensed
physical therapist" is added for clarity.

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Session Laws, 1997
Volume 795, Page 1064   View pdf image
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