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Ch. 638
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Martin O'Malley, Governor
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(2006 Replacement Volume and 2006 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
19-706.
(JJJ) THE PROVISIONS OF § 15-842 OF THE INSURANCE ARTICLE APPLY
TO HEALTH MAINTENANCE ORGANIZATIONS.
Article - Insurance
15-842.
(A) (l) THIS SECTION APPLIES TO:
(I) INSURERS AND NONPROFIT HEALTH SERVICE PLANS
THAT PROVIDE COVERAGE FOR PRESCRIPTION DRUGS AND DEVICES UNDER
HEALTH INSURANCE POLICIES OR CONTRACTS THAT ARE ISSUED OR DELIVERED
IN THE STATE; AND
(II) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE
COVERAGE FOR PRESCRIPTION DRUGS AND DEVICES UNDER CONTRACTS THAT
ARE ISSUED OR DELIVERED IN THE STATE.
(2) AN INSURER, NONPROFIT HEALTH SERVICE PLAN, OR HEALTH
MAINTENANCE ORGANIZATION THAT PROVIDES COVERAGE FOR PRESCRIPTION
DRUGS AND DEVICES THROUGH A PHARMACY BENEFIT MANAGER IS SUBJECT TO
THE REQUIREMENTS OF THIS SECTION.
(B) AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A
COPAYMENT OR COINSURANCE REQUIREMENT FOR A COVERED PRESCRIPTION
DRUG OR DEVICE THAT EXCEEDS THE RETAIL PRICE OF THE PRESCRIPTION
DRUG OR DEVICE.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2007.
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Approved by the Governor, May 17, 2007.
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- 4029 -
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