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Ch. 275
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2000 LAWS OF MARYLAND
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(iv) Except for kidney transplant services or programs, the kidney
disease treatment stations and services provided by or on behalf of a hospital or
related institution; or
(v) The office of one or more individuals licensed to practice
dentistry under Title 4 of the Health Occupations Article, for the purposes of
practicing dentistry.
SECTION 2. AND BE IT FURTHER ENACTED, That the Department of
Health and Mental Hygiene shall report on the effects of the provisions of this Act on
the long-term care industry, along with any findings and recommendations, as
provided in § 2-1246 of the State Government Article, to the General Assembly and to
the Governor on or before January 1, 2002.
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2000.
Approved May 11, 2000.
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CHAPTER 275
(Senate Bill 405)
AN ACT concerning
Health Maintenance Organizations - Subscribers and Enrollees Private
Contracts for Health Care Services Reimbursement of Non-Contracting
Providers
FOR the purpose of authorizing health care providers or representatives to collect
certain payments or charges from subscribers of enrollees of health
maintenance organizations under certain circumstances; establishing the usual,
customary, and reasonable rate of payment to health care providers by health
maintenance organizations under certain circumstances; providing that health
maintenance organizations shall bear the burden of proving that their payments
are at the usual, customary, and reasonable rate; authorizing subscribers or
enrollees of health maintenance organizations to enter into certain private
contracts for health care services with health care providers under which the
subscribers or enrollees accept financial responsibility for health care services
under certain circumstances; requiring the Health Education and Advocacy Unit
in the Consumer Protection Division of the Office of the Attorney General to
develop a certain form; authorizing the enforcement of the provisions of this Act
in a certain manner under certain circumstances; altering the reimbursement
that a health maintenance organization must pay a non-contracting health care
provider for certain services delivered to an enrollee or subscriber; requiring a
health maintenance organization to reimburse a non-contracting health care
provider at a certain rate; requiring a health maintenance organization to
disclose a certain reimbursement rate on request of a certain health care
provider; authorizing the enforcement of certain provisions of this Act in a
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