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Martin O'Malley, Governor
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Ch. 629
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1. IS SPONSORED, OFFERED, OR PROVIDED FOR BY A
PHARMACEUTICAL MANUFACTURER; AND
2. IS NOT PROVIDED IN EXCHANGE FOR FEES, DUES,
CHARGES, OR OTHER FINANCIAL CONSIDERATION.
(C) "DISCOUNT DRUG PLAN ORGANIZATION" MEANS AN ENTITY THAT:
(1) CONTRACTS DIRECTLY OR INDIRECTLY WITH PROVIDERS OR
PROVIDER NETWORKS TO PROVIDE PHARMACEUTICAL SUPPLIES,
PRESCRIPTION DRUGS, OR MEDICAL EQUIPMENT AND SUPPLIES AT A DISCOUNT
TO PLAN MEMBERS; AND
(2) DETERMINES THE CHARGE TO PLAN MEMBERS.
(D) "DISCOUNT MEDICAL PLAN" MEANS A BUSINESS ARRANGEMENT OR
CONTRACT IN WHICH A PERSON, IN EXCHANGE FOR FEES, DUES, CHARGES, OR
OTHER FINANCIAL CONSIDERATION PAID BY OR ON BEHALF OF A PLAN
MEMBER, PROVIDES THE RIGHT TO RECEIVE DISCOUNTS ON SPECIFIED
MEDICAL SERVICES FROM SPECIFIED PROVIDERS.
(E) "DISCOUNT MEDICAL PLAN ORGANIZATION" MEANS AN ENTITY
THAT:
(1) CONTRACTS DIRECTLY OR INDIRECTLY WITH PROVIDERS OR
PROVIDER NETWORKS TO PROVIDE MEDICAL SERVICES AT A DISCOUNT TO PLAN
MEMBERS; AND
(2) DETERMINES THE CHARGE TO PLAN MEMBERS.
(F) "HOSPITAL SERVICES" HAS THE MEANING STATED IN § 19-201 OF
THE HEALTH - GENERAL ARTICLE.
(G) "MEDICAL SERVICES" MEANS ANY CARE, SERVICE, OR TREATMENT
OF ILLNESS OR DYSFUNCTION OF, OR INJURY TO, THE HUMAN BODY, INCLUDING
PHYSICIAN CARE, OUTPATIENT SERVICES, AMBULANCE SERVICES, DENTAL
CARE SERVICES, VISION CARE SERVICES, MENTAL HEALTH SERVICES,
SUBSTANCE ABUSE SERVICES, CHIROPRACTIC SERVICES, PODIATRIC CARE
SERVICES, AND LABORATORY SERVICES.
(H) "MEDICARE PRESCRIPTION DRUG PLAN" MEANS A PLAN THAT
PROVIDES A MEDICARE PART D PRESCRIPTION DRUG BENEFIT IN
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- 3985 -
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