Ch. 35

1997 LAWS OF MARYLAND

In subsection (a)(2) of this section, the reference to health maintenance
organizations "that provide hospital, medical, or surgical benefits to
individuals or groups under contracts that are issued or delivered in the State"
is added to clarify the applicability of this section. Consequently, the former
reference to insurers and nonprofit health service plans that provide benefits
on an expense-incurred basis as "including" health maintenance organizations
is deleted for accuracy since a health maintenance organization is not
considered to be either an insurer or a nonprofit health service plan and does
not provide benefits on an expense-incurred basis.

In subsections (b)(1) and (2) and (c) of this section, the references to a
primary care "provider" are substituted for the former references to a primary
care "physician" for consistency within this section.

In subsection (c) of this section, the former reference to allowing a woman "to
receive" an annual visit to an in-network obstetrician/gynecologist is deleted
as surplusage.

Also in subsection (c) of this section, the reference to an "entity subject to this
section" and the "entity" is substituted for the former references to an
"insurer or nonprofit health service plan" in light of subsection (a) of this
section, and to clarify that the provisions of subsection (c) of this section also
apply to health maintenance organizations.

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

15-817. COVERAGE FOR CHILD WELLNESS SERVICES.

(A) "CHILD WELLNESS SERVICES" DEFINED.

IN THIS SECTION, "CHILD WELLNESS SERVICES" MEANS PREVENTIVE
ACTIVITIES DESIGNED TO PROTECT CHILDREN FROM MORBIDITY AND MORTALITY
AND PROMOTE CHILD DEVELOPMENT.

(B) SCOPE OF SECTION.

THIS SECTION APPLIES TO EACH INDIVIDUAL HOSPITAL OR MAJOR MEDICAL
INSURANCE POLICY, GROUP OR BLANKET HEALTH INSURANCE POLICY, AND
NONPROFIT HEALTH SERVICE PLAN THAT:

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

(2) IS WRITTEN ON AN EXPENSE-INCURRED BASIS; AND

(3) PROVIDES COVERAGE FOR A FAMILY MEMBER OF THE INSURED.

(C) COVERAGE REQUIRED.

(1) A POLICY OR PLAN SUBJECT TO THIS SECTION SHALL INCLUDE
UNDER THE FAMILY MEMBER COVERAGE A MINIMUM PACKAGE OF CHILD
WELLNESS SERVICES THAT ARE CONSISTENT WITH:

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