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§ 19-703. Scope of Subtitle

West's Annotated Code of MarylandHealth--GeneralEffective: April 14, 2015

West's Annotated Code of Maryland
Health--General
Title 19. Health Care Facilities (Refs & Annos)
Subtitle 7. Health Maintenance Organizations (Refs & Annos)
Effective: April 14, 2015
MD Code, Health - General, § 19-703
§ 19-703. Scope of Subtitle
Currentness
Actions not within scope of Subtitle
(a) This subtitle does not:
(1) Authorize any person to engage directly or indirectly in the practice of any health occupation except as otherwise authorized by law;
(2) Authorize any person to regulate, interfere, or intervene in the relationship between any provider of health care services and the patients of the provider; or
(3) Prohibit any health maintenance organization from meeting the requirements of any federal law that authorizes the health maintenance organization to:
(i) Receive federal financial assistance; or
(ii) Enroll beneficiaries assisted by federal funds.
Community health centers
(b) A health maintenance organization or a part of it that is also a community health center organized under the federal Public Health Service Act1 and receives federal funds under 42 U.S.C. § 254c is not required to provide hospitalization for individuals for whom services are provided by those funds.
Hospice services
(c) Health maintenance organizations shall offer as an option to all of their members or subscribers benefits for hospice services provided by a hospice care program, as defined in § 19-901(c) of this title.
Continuation coverage
(d) Health maintenance organizations shall provide continuation coverage required under §§ 15-407 through 15-409 of the Insurance Article.
Limited set of health benefits
(e) Notwithstanding any other provision of this subtitle, a health maintenance organization may provide a limited set of health benefits if the limited set of health benefits is for subscribers or members who are enrolled in a county program to provide health care services for low-income individuals.
Additional hospitalization of newborns
(f)(1) In addition to the requirements of § 15-10B-09 of the Insurance Article, whenever a mother is required to remain hospitalized after childbirth for medical reasons and the mother requests that the newborn remain in the hospital, a health maintenance organization shall provide as part of its hospitalization services provided to members and subscribers payment for the cost of additional hospitalization for the newborn for up to 4 days.
(2) The attending physician or certified nurse midwife of the mother, or the designee of the attending physician or certified nurse midwife, shall provide notice to the mother of the provisions of paragraph (1) of this subsection.

Credits

Added by Acts 1982, c. 21, § 2, eff. July 1, 1982. Amended by Acts 1982, c. 499, § 2, eff. July 1, 1982; Acts 1986, c. 681, § 1, eff. July 1, 1986; Acts 1986, c. 751, § 1, eff. Jan. 1, 1987; Acts 1986, c. 756, § 1, eff. July 1, 1986; Acts 1987, c. 11, § 1, eff. April 2, 1987; Acts 1991, c. 434, § 1, eff. July 1, 1991; Acts 1993, c. 633, § 1, eff. Jan. 1, 1994; Acts 1994, c. 2, § 1, eff. Feb. 28, 1994; Acts 1994, c. 3, § 1, eff. Feb. 28, 1994; Acts 1995, c. 333, § 1, eff. May 9, 1995; Acts 1996, c. 396, § 1, eff. July 1, 1996; Acts 1996, c. 397, § 1, eff. July 1, 1996; Acts 1997, c. 70, § 4, eff. Oct. 1, 1997; Acts 2000, c. 61, § 1, eff. April 25, 2000; Acts 2001, c. 29, § 1, eff. April 10, 2001; Acts 2013, c. 106, § 1, eff. Jan. 1, 2014; Acts 2015, c. 22, § 1, eff. April 14, 2015.
Formerly Art. 43, §§ 842, 857, 858.

Footnotes

1
July 1, 1944, ch. 373, 58 Stat. 682, codified at 42 U.S.C.A. § 201 et seq.
MD Code, Health - General, § 19-703, MD HEALTH GEN § 19-703
Current through legislation effective through April 25, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document