clear space clear space clear space white space
A
 r c h i v e s   o f   M a r y l a n d   O n l i n e
  Maryland State Archives | Index | Help | Search search for:
clear space
white space
Session Laws, 1997
Volume 795, Page 4828   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>
clear space clear space clear space white space

H.B. 783                                                 VETOES

Preamble

WHEREAS, Over 10,000 Marylanders, over the age of 65, reside in continuing core
retir
ement communities; and

WHEREAS, Many older citizens choose to live in continuing care retirement
communiti
es for the rest of their lives; and

WHEREAS; Continuing care retirement communities provide the entire continuum
of health
-care services; and

WHEREAS, Continuing care retirement communities arc wellness managed care
organizations that have been in exi
stence for over 20 years; and

WHEREAS, Health care services delivered in one's home are more cost effective
for the individual and the entire health-care system and are better for the phys
ical,
mental, and overall well being of an individual; and

WHEREAS, Geographic separation for married individuals who reside together in
a continuing care retirement community would occur if th
ey could not return to their
continuing
care retirement community for rehabilitation and recuperation; now,
therefore,

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Health - General

19-712.6.

(A) WHENEVER A SUBSCRIBER OR AN ENROLLEE OF A HEALTH
MAINTENANCE ORGANIZATION IS A RESIDENT OF A CONTINUING CARE FACILITY
THAT IS REGULATED UNDER ARTICLE 70B OF THE CODE AND RECEIVED HEALTH
CARE SERVICES IN AN ACUTE CARE HEALTH CARE FACILITY, THE RESIDENT'S
PRIMARY CARE PHYSICIAN SHALL REFER IF MEDICALLY APPROPRIATE, THE
RESIDENT, IF MEDICALLY APPROPRIATE, TO THE RESIDENT'S CONTINUING CARE
FACILITY FOR THE PROVISION OF HEALTH CARE SERVICES, AS PROVIDED IN THE
RESIDENT'S CONTINUING CARE AGREEMENT
SKILLED NURSING UNIT AT THE
RESIDENT'S CONTINUING CARE FACILITY FOR THE PROVISION OF THE HEALTH
CARE SERVICES INCLUDED IN THE RESIDENT'S HEALTH MAINTENANCE
ORGANIZATION MEDICARE CONTRACT. IF:

(1)     THE PRIMARY CARE PHYSICIAN AND THE RESIDENT OR THE
DESIGNATED REPRESENTATIVE OF THE RESIDENT DO NOT CHOOSE AN
ALTERNATIVE COURSE OF TREATMENT;

(2)     THE CONTINUING CARE FACILITY AGREES TO BE REIMBURSED AT
THE CONTRACT RATE NEGOTIATED BY THE HEALTH MAINTENANCE
ORGANIZATION WITH SIMILAR PROVIDERS FOR THE PROVISION OF THE SAME
HEALTH CARE SERVICES AND SUPPLIES; AND
BECOMES A CONTRACTING PROVIDER
IN ACCORDANCE WITH THE HEALTH MAINTENANCE ORGANIZATION'S STANDARD

- 4828 -

 

clear space
clear space
white space

Please view image to verify text. To report an error, please contact us.
Session Laws, 1997
Volume 795, Page 4828   View pdf image
 Jump to  
  << PREVIOUS  NEXT >>


This web site is presented for reference purposes under the doctrine of fair use. When this material is used, in whole or in part, proper citation and credit must be attributed to the Maryland State Archives. PLEASE NOTE: The site may contain material from other sources which may be under copyright. Rights assessment, and full originating source citation, is the responsibility of the user.


Tell Us What You Think About the Maryland State Archives Website!



An Archives of Maryland electronic publication.
For information contact mdlegal@mdarchives.state.md.us.

©Copyright  August 17, 2024
Maryland State Archives