(ii)] the information submitted to the private review agent
regarding the services to be delivered to the patient was fraudulent or intentionally
misrepresentative or critical information requested by the private review agent
regarding services to be delivered to the patient was omitted such that the private
review agent's determination would have been different had it known the critical
information; OR

[(iii) except for determinations of appropriateness or medical
necessity of the covered services that were preauthorized, the services would not be
covered in whole or in part under the policy or contract; or

(iv)] (II) the planned course of treatment for the patient that was
approved by the private review agent was not substantially followed by the provider.

Article - Health - General

19-706.

(FF) THE PROVISIONS OF § 15-303(F) OF THE INSURANCE ARTICLE APPLY TO
HEALTH MAINTENANCE ORGANIZATIONS.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 1999.

Approved May 27, 1999.

CHAPTER 555
(Senate Bill 353)

AN ACT concerning

Creation of a State Debt - Baltimore City - Community Initiatives Academy

FOR the purpose of authorizing the creation of a State Debt not to exceed $900,000
$300,000 $200,000, the proceeds to be used as a grant to the Board of Directors
of Community Initiatives, Inc. for certain development or improvement
purposes; providing for disbursement of the loan proceeds, subject to a
requirement that the grantee provide and expend a matching fund; prohibiting
the grantee from expending any of the proceeds of the bonds or the matching
funds for sectarian religious purposes; and providing generally for the issuance
and sale of bonds evidencing the loan.

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That:

(1) The Board of Public Works may borrow money and incur indebtedness on
behalf of the State of Maryland through a State loan to be known as the Baltimore
City - Community Initiatives Academy Loan of 1999 in a total principal amount equal
to the lesser of (i) $900,000 $300,000 $200,000 or (ii) the amount of the matching fund
provided in accordance with Section 1(5) below. This loan shall be evidenced by the