H.B. 837

VETOES

(ii) shall notify the appropriate professional licensing board or
disciplinary body of evidence of insurance fraud that involves professionals; [and]

(iii) shall notify the appropriate professional licensing board of
evidence of gross overutilization of health care services; AND

(IV) SHALL NOTIFY THE WORKERS' COMPENSATION COMMISSION
OF SUSPECTED CASES OF INSURANCE FRAUD REFERRED TO THE OFFICE OF THE
ATTORNEY GENERAL OR APPROPRIATE LOCAL STATE'S ATTORNEY UNDER
SUBPARAGRAPH (I) OF THIS PARAGRAPH THAT INVOLVE THE PAYMENT OF
COMPENSATION, FEES, OR EXPENSES UNDER THE WORKERS' COMPENSATION LAW;

(3)     shall compile and abstract information that includes the number of
confirmed acts of insurance fraud and the type of acts of insurance fraud;

(4)     in exercising its authority under this subtitle, shall cooperate with
the Department of State Police, Office of the Attorney General, local State's Attorney
in the .jurisdiction in which the alleged acts of insurance fraud took place, and
appropriate federal and local law enforcement authorities;

(5)     shall operate or provide for a toll-free insurance fraud hot line to
receive and record information about alleged acts of insurance fraud; and

(6)     in cooperation with the Office of the Attorney General and
Department of State Police, shall conduct public outreach and awareness programs
on the costs of insurance fraud to the public.

Article - Labor and Employment

9-310.1.

(a)     In any administrative action before the Commission, if it is established by
a preponderance of the evidence that a person has knowingly obtained benefits under
this title to which the person is not entitled, the Commission shall order the person to
reimburse the insurer, self-insured employer, the Injured Workers' Insurance Fund,
the Uninsured Employers' Fund, or the Subsequent Injury Fund for the amount of all
benefits that the person knowingly obtained and to which the person is not entitled.

(b)     An order of reimbursement required under subsection (a) of this section
shall include interest on the amount ordered to be reimbursed at a rate of 1.5% per
month from the date the Commission notifies the person of the amount to be
reimbursed.

(C) IF A GOOD FAITH BELIEF EXISTS THAT A PERSON HAS KNOWINGLY
OBTAINED BENEFITS UNDER THIS TITLE TO WHICH THE PERSON IS NOT ENTITLED
UNDER SUBSECTION (A) OF THIS SECTION, THE COMMISSION SHALL REFER THE
PERSON TO THE INSURANCE FRAUD DIVISION IN THE MARYLAND INSURANCE
ADMINISTRATION.

(D) THE COMMISSION SHALL COMPILE AND ABSTRACT INFORMATION THAT
INCLUDES THE NUMBER AND THE TYPE OF CONFIRMED ACTS OF INSURANCE
FRAUD.

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