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Ch. 359
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2000 LAWS OF MARYLAND
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CHAPTER 359
(House Bill 316)
AN ACT concerning
Health Insurance Carriers - Standing Referral to Obstetrician for
Pregnancy
FOR the purpose of requiring certain health insurance carriers that do not allow
direct access to specialists to provide members, certain members under a policy
or plan, who are pregnant with a standing referral to an obstetrician; providing
that the obstetrician is responsible for the primary management of the member
for a certain period of time; providing that a certain written treatment plan may
not be required when a standing referral is to an obstetrician; and generally
relating to standing referrals to obstetricians for pregnancy by health insurance
carriers.
BY repealing and reenacting, with amendments,
Article - Insurance
Section 15-830
Annotated Code of Maryland
(1997 Volume and 1999 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
15-830.
(a) (1) In this section the following words have the meanings indicated.
(2) "Carrier" means:
(i) an insurer that offers health insurance other than long-term
care insurance or disability insurance;
(ii) a nonprofit health service plan;
(iii) a health maintenance organization;
(iv) a dental plan organization; or
(v) except for a managed care organization as defined in Title 15,
Subtitle 1 of the Health - General Article, any other person that provides health
benefit plans subject to State regulation.
(3) (i) "Member" means an individual entitled to health care benefits
under a policy or plan issued or delivered in the State by a carrier.
(ii) "Member" includes a subscriber.
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- 2054 -
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