(2) 34 HOURS OF INPATIENT HOSPITALIZATION CARE AFTER A LYMPH
NODE DISSECTION OR LUMPECTOMY FOR THE TREATMENT OF BREAST CANCER.

(D) THIS SECTION MAY NOT BE CONSTRUED TO REQUIRE THE PROVISION OF
INPATIENT HOSPITALIZATION SERVICES IN ACCORDANCE WITH SUBSECTION (C) OF
THIS SECTION IF A PATIENT DETERMINES, IN CONSULTATION WITH THE PATIENT'S
ATTENDING PHYSICIAN, THAT:

(1) A SHORTER PERIOD OF INPATIENT HOSPITALIZATION IS
APPROPRIATE FOR RECOVERY; OR

(2) THE MASTECTOMY, REMOVAL OF A TESTICLE, LYMPH NODE
DISSECTION, OR LUMPECTOMY CAN BE PERFORMED ON AN OUTPATIENT BASIS.

(E) FOR A PATIENT WHO HAS A SHORTER LENGTH OF STAY THAN THAT
PROVIDED UNDER SUBSECTION (C) OF THIS SECTION OR DECIDES THAT THE
MASTECTOMY, REMOVAL OF A TESTICLE, LYMPH NODE DISSECTION, OR
LUMPECTOMY CAN BE PERFORMED ON AN OUTPATIENT BASIS, AN ENTITY SUBJECT
TO THIS SECTION SHALL PROVIDE COVERAGE FOR:

(1) ONE HOME VISIT SCHEDULED TO OCCUR WITHIN 24 HOURS AFTER
DISCHARGE FROM THE HOSPITAL OR OUTPATIENT HEALTH CARE FACILITY; AND

(2) AN ADDITIONAL HOME VISIT IF PRESCRIBED BY THE PATIENT'S
ATTENDING PHYSICIAN.

(F) EACH ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE NOTICE
ANNUALLY TO ITS ENROLLEES AND INSUREDS ABOUT THE COVERAGE REQUIRED
UNDER THIS SECTION.

SECTION 3. SECTION 2. 3. AND BE IT FURTHER ENACTED, That this Act
shall apply to all new policies or health benefit plans issued or delivered in the State
on or after July 1, 1999, and to the renewal of all policies in effect before July 1, 1999,
except that any policy or health benefit plan in effect before July 1, 1999, shall comply
with the provisions of this Act no later than July 1, 2000 policies, contracts, and
health benefit plans issued, delivered, or renewed in the State on or after July
October 1, 1999. Any policy, contract, or health benefit plan in effect before July
October 1, 1999, shall comply with the provisions of this Act no later than July
October 1, 2000.

SECTION 4. AND BE IT FURTHER ENACTED, That the Secretary of Health
and Mental Hygiene shall review the extent to which managed care organizations in
the Medical Assistance Program are required to meet the same or similar requirements
imposed on carriers under this Act, and, subject to § 2-1246 of the State Government
Article, shall report the findings of the review by November 1, 1999 to the Senate
Finance Committee and the House Economic Matters Committee. If the Secretary finds
that managed care organizations are not required to meet the same or similar
requirements, the Secretary shall also report the cost of imposing those requirements
on the managed care organizations.

SECTION 5. AND BE IT FURTHER ENACTED, That the Maryland Insurance
Administration, in consultation with the Health Care Access and Cost Commission,