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Session Laws, 1999
Volume 796, Page 4306   View pdf image
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(2) "Health care provider" includes the agents and employees of a facility
who are licensed or otherwise authorized to provide health care, the officers and
directors of a facility, and the agents and employees of a health care provider who are
licensed or otherwise authorized to provide health care.

(e) "Health care practitioner" means any person that provides health care
services and is licensed under the Health Occupations Article.

(f) "Health care service" means any health or medical care procedure or
service rendered by a health care practitioner that:

(1) Provides testing, diagnosis, or treatment of human disease or
dysfunction; or

(2) Dispenses drugs, medical devices, medical appliances, or medical
goods for the treatment of human disease or dysfunction.

(G) (1) "MANDATED HEALTH INSURANCE SERVICE" MEANS A LEGISLATIVE
PROPOSAL OR STATUTE THAT WOULD REQUIRE A PARTICULAR HEALTH CARE
SERVICE TO BE PROVIDED OR OFFERED IN A HEALTH BENEFIT PLAN, BY A CARRIER
OR OTHER ORGANIZATION AUTHORIZED TO PROVIDE HEALTH BENEFIT PLANS IN
THE STATE.

(2) "MANDATED HEALTH INSURANCE SERVICE", AS APPLICABLE TO ALL
CARRIERS, DOES NOT INCLUDE SERVICES ENUMERATED TO DESCRIBE A HEALTH
MAINTENANCE ORGANIZATION UNDER § 19-702(F)(2) § 19-701(F)(2) OF THIS TITLE.

[(g)] (H) (1) "Office facility" means the office of one or more health care
practitioners in which health care services are provided to individuals.

(2) "Office facility" includes a facility that provides:

(i) Ambulatory surgery;

(ii) Radiological or diagnostic imagery; or

(iii) Laboratory services.

(3) "Office facility" does not include any office, facility, or service
operated by a hospital and regulated under Subtitle 2 of this title.

[(h)] (I) "Payor" means:

(1) A health insurer or nonprofit health service plan that holds a
certificate of authority and provides health insurance policies or contracts in the
State in accordance with this article or the Insurance Article;

(2) A health maintenance organization that holds a certificate of
authority in the State; or

(3) A third party administrator as defined in §15-111 of the Insurance

 

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Session Laws, 1999
Volume 796, Page 4306   View pdf image
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