(4) THE PROCEDURE THAT A MEMBER MUST UTILIZE WHEN
ATTEMPTING TO OBTAIN BEHAVIORAL HEALTH CARE SERVICES OUTSIDE THE
NETWORK OF PROVIDERS USED BY THE CARRIER OR MANAGED BEHAVIORAL
HEALTH CARE ORGANIZATION.

(C) THE EXPLANATION THAT A CARRIER IS REQUIRED TO DISTRIBUTE UNDER
SUBSECTION (B)(3) OF THIS SECTION SHALL BE CONSISTENT WITH § 15-121(C) OF THIS
SUBTITLE.

(D) THE COMMISSIONER SHALL ADOPT REGULATIONS TO CARRY OUT THE
PROVISIONS OF THIS SECTION.
SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland

read as follows:

Article - Insurance

15-126.

(D) (E) (1) EXCEPT AS PROVIDED UNDER PARAGRAPH (2) OF THIS
SUBSECTION, ON OR BEFORE MARCH 1 OF EACH YEAR, EACH CARRIER THAT
PROVIDES BEHAVIORAL HEALTH CARE SERVICES THROUGH A COMPANY OWNED
WHOLLY OR IN PART BY THE CARRIER OR THROUGH A CONTRACT WITH A MANAGED
BEHAVIORAL HEALTH CARE ORGANIZATION SHALL FILE WITH THE COMMISSIONER,
ON THE FORM REQUIRED BY THE COMMISSIONER, THE MENTAL HEALTH EXPENSE
RATIO FOR THE PROVISION OF BEHAVIORAL HEALTH CARE SERVICES TO MEMBERS.

(2) THE REQUIREMENTS OF PARAGRAPH (1) OF THIS SUBSECTION DO
NOT APPLY WHEN A COMPANY, FOR AN ADMINISTRATIVE FEE ONLY, SOLELY
ARRANGES A PROVIDER PANEL FOR A CARRIER FOR THE PROVISION OF BEHAVIORAL
HEALTH CARE SERVICES ON A DISCOUNTED FEE-FOR-SERVICE BASIS.

(E) THE COMMISSIONER SHALL ADOPT REGULATIONS TO CARRY OUT THE
PROVISIONS OF THIS SECTION.

SECTION 3. AND BE IT FURTHER ENACTED, That:

(a) There is a Task Force to Develop Performance Quality Measures for
Managed Behavioral Health Care Organizations.

(b) The Task Force shall consist of the following 10 members:

(1) The Secretary of the Department of Health and Mental Hygiene, or
the Secretary's designee;

(2) The Executive Director of the Health Care Access and Cost
Commission, or the Executive Director's designee;

(3) The Maryland Insurance Commissioner;

(4) One representative of the managed behavioral health care
organization industry, appointed by the Secretary Health Care Access and Cost
Commission;