(i) an insurer;

(ii) a nonprofit health service plan;

(iii) a health maintenance organization;

(iv) a dental plan organization; or

(v) any other person that provides health benefit plans subject to
regulation by the State.

(3) "Health care practitioner" means an individual who is licensed,
certified, or otherwise authorized under the Health Occupations Article to provide
health care services.

(b) A carrier may not reimburse a health care practitioner in an amount less
than the sum or rate negotiated in the carrier's provider contract with the health care
practitioner.

(c) This section does not prohibit a carrier from providing bonuses or other
incentive-based compensation to a health care practitioner if the bonus or other
incentive-based compensation does not:

(1) violate § 19-705.1 of the Health - General Article; or

(2) deter the delivery of medically appropriate care to an enrollee.

(d) (1) Except as provided in paragraph(2) (3) of this subsection, a carrier
may not reimburse a health care practitioner in an amount that is less than the cost
to the health-care practitioner for the cost of an oncology drug, AND SUPPLIES AND
ADMINISTRATIVE SERVICES THAT ARE MEDICALLY NECESSARY FOR USE WITH THE
ONCOLOGY DRUG, covered under the patient's health benefit policy, plan, or
certificate used by the health care practitioner in treating a patient in the office of the
health care practitioner.

(2) A carrier may reimburse a health-care practitioner an amount that is
less than the cost to the health care practitioner for the cost of an oncology drug used
by the health-care practitioner in treating a patient in the office of the health care
practitioner if the carrier provides an alternative mechanism or program for the
health care practitioner to use to obtain the oncology drug.

(3) FOR PURPOSES OF THIS SUBSECTION, THE COST OF AN ONCOLOGY
DRUG ALSO INCLUDES THE COST OF SUPPLIES AND SERVICES THAT ARE MEDICALLY
NECESSARY FOR USE WITH THE ONCOLOGY DRUG IN TREATING A PATIENT IN THE
OFFICE OF THE HEALTH CARE PRACTITIONER

(4) NOTWITHSTANDING ANY OTHER PROVISION OF THIS SUBSECTION, A
CARRIER MAY NOT REQUIRE A HEALTH CARE PRACTITIONER TO OBTAIN FROM A
PARTICULAR SOURCE ANY ONCOLOGY DRUG USED BY THE HEALTH CARE
PRACTITIONER IN TREATING A PATIENT IN THE OFFICE OF THE HEALTH CARE
PRACTITIONER