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S.B. 190 VETOES
15-10B-10.
(a) A certificate expires on the second anniversary of its effective date unless
the certificate is renewed for a 2-year term as provided in this section.
(b) Before the certificate expires, a certificate may be renewed for an
additional 2-year term if the applicant:
(1) otherwise is entitled to the certificate;
(2) pays to the Commissioner the renewal fee set by the Commissioner
through regulation; and
(3) submits to the Commissioner:
(i) a renewal application on the form that the Commissioner
requires; and
(ii) satisfactory evidence of compliance with any requirement under
this subtitle for certificate renewal.
(c) If the requirements of this section are met, the Commissioner shall renew
a certificate.
[15-10B-11.
(a) (1) The Commissioner shall deny a certificate to any applicant if, upon
review of the application, the Commissioner finds that the applicant proposing to
conduct utilization review does not:
(i) have available the services of sufficient numbers of registered
nurses, medical records technicians or similarly qualified persons supported and
supervised by appropriate physicians to carry out its utilization review activities; and
(ii) meet any applicable regulations the Commissioner adopts
under this subtitle relating to the qualifications of private review agents or the
performance of utilization review.
(2) The Commissioner shall deny a certificate to any applicant that does
not provide assurances satisfactory to the Commissioner that:
(i) the procedures and policies of the private review agent will
protect the confidentiality of medical records in accordance with applicable State and
federal laws; and
(ii) the private review agent will be accessible to patients and
providers 5 working days a week during normal business hours in this State.
(b) The Commissioner may revoke a certificate if the holder does not comply
with performance assurances under this section, violates any provision of this
subtitle, or violates any regulation adopted under any provision of this subtitle.
(c) (1) Before denying or revoking a certificate under this section, the
Commissioner shall provide the applicant or certificate holder with reasonable time
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