PARRIS N. GLENDENING, Governor Ch. 167

EDUCATIONAL SERVICES, INCLUDING MEDICAL NUTRITION THERAPY, THAT THE
INSURED'S OR ENROLLEE'S TREATING PHYSICIAN OR OTHER APPROPRIATELY
LICENSED HEALTH CARE PROVIDER, OR A PHYSICIAN WHO SPECIALIZES IN THE
TREATMENT OF DIABETES, CERTIFIES ARE NECESSARY FOR THE TREATMENT OF:

(1) INSULIN-USING DIABETES;

(2) NONINSULIN-USING DIABETES; OR

(3) ELEVATED BLOOD GLUCOSE LEVELS INDUCED BY PREGNANCY.

(C) IF CERTIFIED AS NECESSARY UNDER SUBSECTION (B) OF THIS SECTION,
THE DIABETES OUTPATIENT SELF-MANAGEMENT TRAINING AND EDUCATIONAL
SERVICES, INCLUDING MEDICAL NUTRITION THERAPY, TO BE PROVIDED TO THE
INSURED OR ENROLLEE SHALL BE PROVIDED THROUGH A PROGRAM SUPERVISED
BY AN APPROPRIATELY LICENSED, REGISTERED, OR CERTIFIED HEALTH CARE
PROVIDER WHOSE SCOPE OF PRACTICE INCLUDES DIABETES EDUCATION OR
MANAGEMENT.

(D) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION, THE COVERAGE
REQUIRED UNDER THIS SECTION MAY BE SUBJECT TO THE ANNUAL DEDUCTIBLES
OR COINSURANCE REQUIREMENTS IMPOSED BY AN ENTITY SUBJECT TO THIS
SECTION FOR SIMILAR COVERAGES UNDER THE SAME HEALTH INSURANCE POLICY
OR CONTRACT.

(2) THE ANNUAL DEDUCTIBLES OR COINSURANCE REQUIREMENTS
IMPOSED UNDER PARAGRAPH (1) OF THIS SUBSECTION FOR THE COVERAGE
REQUIRED UNDER THIS SECTION MAY NOT BE GREATER THAN THE ANNUAL
DEDUCTIBLES OR COINSURANCE REQUIREMENTS IMPOSED BY THE ENTITY FOR
SIMILAR COVERAGES.

(E) AN ENTITY SUBJECT TO THIS SECTION MAY NOT REDUCE OR ELIMINATE
COVERAGES IN ITS HEALTH INSURANCE POLICIES OR CONTRACTS DUE TO THE
REQUIREMENTS OF THIS SECTION.

Article - Health - General

19-706.

(N) THE PROVISIONS OF § 15-822 OF THE INSURANCE ARTICLE SHALL APPLY
TO HEALTH MAINTENANCE ORGANIZATIONS.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all
policies or health benefit plans issued, delivered, or renewed in the State on or after the
effective date of this Act.

SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
January 1, 1998.

Approved April 29, 1997.

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