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Session Laws, 1999
Volume 796, Page 4308   View pdf image
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(13) DETERMINE THE COST OF MANDATED HEALTH INSURANCE
SERVICES IN THE STATE IN ACCORDANCE WITH TITLE 15, SUBTITLE 15 OF THE
INSURANCE ARTICLE.

Article - Insurance

15-1501.

(a) (1) In this [section] SUBTITLE the following words have the meanings
indicated.

(2) "Commission" means the Health Care Access and Cost Commission.

(3) (i) "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.

(ii) "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 the Health - General Article.

(b) This [section] SUBTITLE does not affect the ability of the General
Assembly to enact legislation on mandated health insurance services.

(c) (1) The Commission shall assess the social, medical, and financial
impacts of a proposed mandated health insurance service.

(2) In assessing a proposed mandated health insurance service and to
the extent that information is available, the Commission shall consider:

(i) social impacts, including:

1. the extent to which the service is generally utilized by a
significant portion of the population;

2. the extent to which the insurance coverage is already

generally available;

3. if coverage is not generally available, the extent to which
the lack of coverage results in individuals avoiding necessary health care treatments;

4. if coverage is not generally available, the extent to which
the lack of coverage results in unreasonable financial hardship;

5. the level of public demand for the service;

6. the level of public demand for insurance coverage of the

service;

7. the level of interest of collective bargaining agents in
negotiating privately for inclusion of this coverage in group contracts; and

 

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Session Laws, 1999
Volume 796, Page 4308   View pdf image
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