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PARRIS N. GLENDENING, Governor
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Ch. 123
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(3) PROVIDE FOR DIFFERENT INSURANCE COVERAGE OR BENEFITS
BASED ON RECEIVING THE SERVICE FROM A HEALTH CARE FACILITY OR HEALTH
CARE PROVIDER IN WHICH THE PRIVATE REVIEW AGENT OWNS A SIGNIFICANT
BENEFICIAL INTEREST.
(C) A PRIVATE REVIEW AGENT OR ANY INDIVIDUAL WHO IS EITHER
AFFILIATED WITH, UNDER CONTRACT WITH, OR ACTING ON BEHALF OF A PRIVATE
REVIEW AGENT MAY REFER A PATIENT WHO HAS UNDERGONE UTILIZATION REVIEW
BY THE PRIVATE REVIEW AGENT TO ANOTHER HEALTH CARE PROVIDER REGULATED
UNDER THE HEALTH OCCUPATIONS ARTICLE IF:
(1) (I) THE PATIENT OR PROVIDER REQUESTS THE PRIVATE REVIEW
AGENT TO PROVIDE THE PATIENT WITH THE NAME OF A HEALTH CARE PROVIDER
APPROPRIATE TO MEET THE HEALTH CARE NEEDS OF THE PATIENT; OR
(II) THE PATIENT HAS NO ATTENDING PHYSICIAN; AND
(2) THE PRIVATE REVIEW AGENT PROVIDES THE PATIENT WITH THE
NAMES OF AT LEAST TWO HEALTH CARE PROVIDERS APPROPRIATE TO MEET THE
HEALTH CARE NEEDS OF THE PATIENT.
[15-10B-18.
(a) Any person aggrieved by a final decision of the Commissioner in a
contested case under this subtitle may take a direct judicial appeal.
(b) The appeal shall be made as provided for the judicial review of final
decisions under Title 10, Subtitle 2 of the State Government Article.]
15-10B-18.
(A) A PRIVATE REVIEW AGENT SHALL ADVISE THE COMMISSIONER, IN
WRITING, OF ITS INTENTION TO WITHDRAW ITS CERTIFICATE WITHIN 60 DAYS OF
INTENTION TO CEASE OPERATIONS AS A PRIVATE REVIEW AGENT.
(B) A PRIVATE REVIEW AGENT SHALL SUBMIT ITS CERTIFICATE TO THE
ADMINISTRATION WITHIN 30 DAYS AFTER THE DATE THAT THE PRIVATE REVIEW
AGENT CEASED OPERATIONS.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
January 1, 2001.
Approved April 25, 2000.
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- 767 -
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