PARRIS N. GLENDENING, Governor

Ch. 35

HEALTH SERVICE PLAN TO PROVIDE OR OFFER A PARTICULAR HEALTH CARE
SERVICE, BENEFIT, COVERAGE, OR REIMBURSEMENT FOR COVERED HEALTH CARE
SERVICES.

REVISOR'S NOTE: This subsection is new language derived without substantive
change from former Art. 48A, § 490M(a)(2).

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

(D) NONDISCRIMINATION PROVISION.

"NONDISCRIMINATION PROVISION" MEANS A LEGISLATIVE PROPOSAL OR
STATUTE THAT PROHIBITS A COMMERCIAL INSURER OR NONPROFIT HEALTH
SERVICE PLAN THAT PROVIDES OR OFFERS A PARTICULAR HEALTH CARE SERVICE,
BENEFIT, COVERAGE, OR REIMBURSEMENT FOR COVERED HEALTH CARE SERVICES

FROM:

(1) EXCLUDING A SUBCATEGORY FROM COVERAGE; OR

(2) SUBJECTING A SUBCATEGORY TO LIMITATIONS OR CONDITIONS
NOT IMPOSED ON OTHER SUBCATEGORIES.

REVISOR'S NOTE: This subsection is new language derived without substantive
change from former Art. 48A, § 490M(a)(3).

In the introductory language of this subsection, the reference to a "health
care" service is added for clarity and consistency within this subsection and
with subsection (c) of this section.

In item (2) of this subsection, the word "subjecting" is substituted for the
former word "subjects" to clarify that a nondiscrimination provision is one that
prohibits a commercial insurer or nonprofit health service plan from placing
limitations or conditions on some subcategories of coverage that are not
imposed on other subcategories.

Defined term: "Insurer" § 1-101
REVISOR'S NOTE TO SECTION:

Former Art. 48A, § 490M(a)(4), which defined "[p]anel" to mean an "expert review
panel", is deleted as unnecessary in the revision. The substance of the definition is
incorporated into the substantive provisions of this subtitle.

15-1302. EFFECT OF SUBTITLE.

THIS SUBTITLE DOES NOT AFFECT THE ABILITY OF THE GENERAL ASSEMBLY
TO ENACT LEGISLATION ON MANDATED HEALTH INSURANCE BENEFITS,
NONDISCRIMINATION PROVISIONS, OR BENEFICIARY OR LENGTH OF COVERAGE
PROVISIONS.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 490M(c)(3).

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