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S.B. 953
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2007 Vetoed Bills and Messages
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SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
15-144.
(A) IN THIS SECTION, "CARRIER" MEANS:
(1) A HEALTH INSURER;
(2) A NONPROFIT HEALTH SERVICE PLAN;
(3) A HEALTH MAINTENANCE ORGANIZATION;
(4) A DENTAL PLAN ORGANIZATION; AND
(5) ANY OTHER PERSON INCLUDED AS A THIRD PARTY IN §
1902(A)(25)(A) OF THE SOCIAL SECURITY ACT, AS AMENDED BY THE FEDERAL
DEFICIT REDUCTION ACT OF 2005.
(B) (1) A CARRIER SHALL PROVIDE, AT THE REQUEST OF THE
DEPARTMENT, INFORMATION ABOUT INDIVIDUALS WHO ARE ELIGIBLE FOR
BENEFITS UNDER THE PROGRAM OR ARE PROGRAM RECIPIENTS SO THAT THE
DEPARTMENT MAY DETERMINE WHETHER AN INDIVIDUAL, THE SPOUSE OF AN
INDIVIDUAL, OR THE DEPENDENT OF AN INDIVIDUAL IS RECEIVING HEALTH
CARE COVERAGE FROM A CARRIER AND THE NATURE OF THAT COVERAGE.
(2) A CARRIER SHALL PROVIDE THE INFORMATION REQUIRED
UNDER THIS SUBSECTION IN A MANNER PRESCRIBED BY THE DEPARTMENT.
(C) A CARRIER SHALL ACCEPT THE PROGRAM'S RIGHT OF RECOVERY
AND THE ASSIGNMENT TO THE PROGRAM OF ANY RIGHT OF AN INDIVIDUAL OR
OTHER ENTITY TO PAYMENT FROM THE CARRIER FOR AN ITEM OR SERVICE FOR
WHICH PAYMENT HAS BEEN MADE UNDER THE PROGRAM IF THE CARRIER HAS A
LEGAL OBLIGATION TO MAKE PAYMENT FOR THE ITEM OR SERVICE.
(D) A CARRIER SHALL RESPOND TO ANY INQUIRY BY THE DEPARTMENT
REGARDING A CLAIM FOR PAYMENT FOR ANY HEALTH CARE ITEM OR SERVICE
THAT IS SUBMITTED NOT LATER THAN 3 YEARS AFTER THE DATE OF THE
PROVISION OF THE HEALTH CARE ITEM OR SERVICE.
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- 4506 -
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