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S.B. 497 VETOES
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health maintenance organizations and certain other entities that enter into
administrative service provider contracts to meet certain requirements; clarifying
the responsibility of certain health maintenance organizations for certain claims
and payments for health care services under an administrative service provider
contract; specifying that certain requirements concerning administrative service
provider contracts apply to managed care organizations under the Maryland
Medical Assistance Program; requiring the Insurance Commissioner to consult
with the Secretary of Health and Mental Hygiene before taking certain action;
requiring the Commissioner, in consultation with the Secretary of Health and
Mental Hygiene, to adopt certain regulations for a certain methodology;
specifying that certain provisions of law apply to a certain contract; providing for
a certain exemption; requiring a contracting provider to submit certain
information to a health maintenance organization; specifying the time frames
within which certain reports and financial statements must be filed with a
certain health maintenance organization; requiring a certain health
maintenance organization to establish a certain fund; authorizing the
Commissioner to consider certain facts when determining the sufficiency of a
certain fund; requiring a certain fund to be held in trust; specifying the frequency
of certain reviews and inspections; specifying that a health maintenance
organization shall meet certain requirements regardless of the existence of a
certain fund or certain contract provisions; specifying the contents of a certain
plan to be filed and approved by the Commissioner; requiring certain health
maintenance organizations to file certain information with the Commissioner;
specifying the responsibilities of certain entities upon a contracting provider's
failure to comply with a certain plan; requiring a certain health maintenance
organization to comply with the terms of a certain contract providing that a
certain segregated fund is not the asset of a certain contracting provider for a
certain purpose; establishing a certain registration system for certain contracting
providers; establishing a certain fee; prohibiting a health maintenance
organization from contracting with a certain unregistered contracting provider;
providing for certain application procedures; authorizing the Commissioner to
adopt certain regulations; establishing certain penalties; altering certain
definitions; defining certain terms; providing for the application of this Act; and
generally relating to health maintenance organizations, contracting providers,
and regulation of administrative service provider contract law contracts.
BY renumbering
Article — Health - General
Section 19-713.3 and 19-713.4, respectively
to be Section 19-713.4 and 19-713.5, respectively
Annotated Code of Maryland
(1996 Replacement Volume and 1999 Supplement)
BY repealing and reenacting, with amendments,
Article - Health - General
Section 15-102.3
Annotated Code of Maryland
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- 3910 -
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