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PARRIS N. GLENDENING, Governor S.B. 190
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(4) a facility that is organized primarily to help in the rehabilitation of
disabled individuals;
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(5) a home health agency as defined in § 19-401 of the Health - General
Article;
(6) a hospice as defined in § 19-901 of the Health - General Article;
(7) a facility that provides radiological or other diagnostic imagery
services;
(8) a medical laboratory as defined in § 17-201 of the Health - General
Article; or
(9) an alcohol abuse and drug abuse treatment program as defined in §
8-403 of the Health - General Article.
(H) "HEALTH CARE PROVIDER" MEANS:
(1) AN INDIVIDUAL WHO:
(I) IS LICENSED OR OTHERWISE AUTHORIZED IN THE STATE TO
PROVIDE HEALTH CARE SERVICES IN THE ORDINARY COURSE OF BUSINESS OR
PRACTICE OF A PROFESSION; AND
(II) IS A TREATING PROVIDER OF A MEMBER PATIENT; OR
(2) A HOSPITAL, AS DEFINED IN § 19-301 OF THE HEALTH - GENERAL
ARTICLE.
[(f)] (I) "Health care service" means [any] A health or medical CARE
procedure or service rendered by a health care provider LICENSED OR AUTHORIZED
TO PROVIDE HEALTH CARE SERVICES that:
(1) provides testing, diagnosis, or treatment of a human disease or
dysfunction; or
(2) dispenses drugs, medical devices, medical appliances, or medical
goods for the treatment of a human disease or dysfunction; OR
(3) PROVIDES ANY OTHER CARE, SERVICE, OR TREATMENT OF DISEASE
OR INJURY, THE CORRECTION OF DEFECTS, OR THE MAINTENANCE OF THE
PHYSICAL AND MENTAL WELL-BEING OF HUMAN BEINGS.
(J) "HEALTH CARE SERVICE REVIEWER" MEANS AN INDIVIDUAL WHO IS
LICENSED OR OTHERWISE AUTHORIZED TO PROVIDE HEALTH CARE SERVICES IN
THE ORDINARY COURSE OF BUSINESS OR PRACTICE OF A PROFESSION.
[(g)] (K) "Private review agent" means:
(1) a nonhospital-affiliated person or entity performing utilization
review that is either affiliated with, under contract with, or acting on behalf of:
(i) a Maryland business entity; or
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- 3753 -
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