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Ch. 250
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2002 LAWS OF MARYLAND
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(ii) If a health maintenance organization requires a trauma
physician to include a provider number on the uniform claim form in accordance with
subparagraph (i) of this paragraph, the health maintenance organization shall assign
a provider number to a trauma physician not under contract with the health
maintenance organization at the request of the physician.
(4) A trauma center, on request from a health maintenance organization,
shall verify that a licensed physician is credentialed or otherwise designated by the
trauma center to provide trauma care.
Chapter 275 of the Acts of 2000
SECTION 5. AND BE IT FURTHER ENACTED, That Sections 2 and 4 of this
Act shall take effect October 1, 2000. [Sections 2 and 4 of this Act shall remain
effective for a period of 1 year and 9 months and, at the end of June 30, 2002, 2005,
with no further action required by the General Assembly, Sections 2 and 4 of this Act
shall be abrogated and of no further force and effect.]
Chapter 423 of the Acts of 2001
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2001. [It shall remain effective until the taking effect of the termination
provision specified in Section 5 of Chapter 275 of the Acts of the General Assembly of
2000. If that termination provision takes effect, this Act shall be abrogated and of no
further force and effect. This Act may not be interpreted to have any effect on that
termination provision.]
SECTION 2. AND BE IT FURTHER ENACTED, That:
(a) The Maryland Health Care Commission and the Health Services Cost
Review Commission shall jointly study and make recommendations to the House
Economic Matters and Senate Finance Committees regarding health care provider
reimbursements by commercial insurers, including health maintenance
organizations, and self-pay patients in the State.
(b) In performing the study, the Commissions shall develop recommendations
on the following issues:
(i) whether the State should maintain a prohibition against the balance
billing of health maintenance organization subscribers for noncovered covered
services;
(ii) the feasibility and desirability of the development of a provider rate
setting system that would establish both minimum and maximum reimbursement
levels for health care services delivered in the State;
(iii) the feasibility and desirability of expanding the hospital rate setting
system to include reimbursement of hospital-based and university-based physicians;
(iv) the feasibility of establishing an uncompensated care fund to
subsidize reimbursements to providers that deliver a disproportionate amount of
uncompensated care to State residents, including emergency room physicians,
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- 2006 -
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