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S.B. 466 VETOES
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specifying a certain intent of the General Assembly that certain licensed entities
and individuals cooperate with the Commissions in a certain manner; requiring
the State Board of Nursing, in consultation with representatives of certain health
maintenance organizations, to study and report to the Senate Finance and House
Environmental Matters Committees on certain issues concerning nurse
practitioners; and generally relating to health maintenance organizations and
health care provider reimbursement.
BY repealing and reenacting, with amendments,
Article - Health - General
Section 19-710.1(b)
Annotated Code of Maryland
(2000 Replacement Volume and 2001 Supplement)
BY repealing and reenacting, with amendments,
Chapter 275 of the Acts of the General Assembly of 2000
Section 5
BY repealing and reenacting, with without amendments,
Chapter 423 of the Acts of the General Assembly of 2001
Section 3
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
19-710.1.
(b) (1) In addition to any other provisions of this subtitle, for a covered
service rendered to an enrollee of a health maintenance organization by a health care
provider not under written contract with the health maintenance organization, the
health maintenance organization or its agent:
(i) Shall pay the health care provider within 30 days after the
receipt of a claim in accordance with the applicable provisions of this subtitle; and
(ii) Shall pay the claim submitted by:
1. A hospital at the rate approved by the Health Services
Cost Review Commission;
2. A trauma physician for trauma care rendered to a trauma
patient in a trauma center, at the greater of:
A. 140% of the rate paid by the Medicare program, as
published by the [Health Care Financing Administration] CENTERS FOR MEDICARE
& MEDICAID SERVICES, for the same covered service, to a similarly licensed provider;
or
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- 4624 -
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