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H.B. 354 VETOES
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(2) "Bodily injury" means:
(i) A cut, abrasion, bruise, burn, or disfigurement;
(ii) Illness;
(iii) Impairment of the function of a body part, organ, or mental
faculty;
(iv) Physical pain; or
(v) Any other injury to the body.
(3) "False representation" means:
(i) Knowingly and willfully concealing, falsifying, or omitting a
material fact; or
(ii) Knowingly and willfully making a materially false or
fraudulent statement or using a document that contains a materially false or
fraudulent statement.
(4) (i) "Health care service" means any health or medical care
procedure, good, or service that:
1. Provides testing, diagnosis, or treatment of human disease
or dysfunction; or
2. Dispenses drugs, medical devices, medical appliances, or
medical goods for the treatment of human disease or dysfunction.
(ii) "Health care service" includes any procedure, good, or service
that is a required benefit of the program.
(5) (i) "Medicaid health plan" means:
1. A state plan established by Title XIX of the Social Security
Act; or
2. A private health insurance carrier, health maintenance
organization, managed care organization, as defined in § 15-101(e) of this subtitle,
health care cooperative or alliance, or other person that provides or contracts to
provide health care services that, in whole or in part, are reimbursed by or are a
required benefit of a state plan established by Title XIX of the Social Security Act.
(ii) "Medicaid health plan" includes a person that provides or
contracts or subcontracts to provide health care services for an entity described in
subparagraph (i) of this paragraph.
(6) "Medicaid health plan fraud" means:
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- 4432 -
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