§ 31-110. Duties of Exchange
West's Annotated Code of MarylandInsuranceEffective: May 8, 2020
Effective: May 8, 2020
MD Code, Insurance, § 31-110
§ 31-110. Duties of Exchange
(a) In making qualified plans available to individuals and employers through contracts with carriers, the Exchange first shall seek to:
(b)(1) Subject to subsection (e) of this section, the Exchange, with the market impact and leverage attained through a robust and stable enrollment, may use alternative contracting options and active purchasing strategies to increase affordability and quality of care for consumers and lower costs in the health care system overall.
(2) The Exchange's efforts to increase affordability and quality of care and to lower costs may include pursuing key objectives such as higher standards of care, continuity of care, delivery system reforms, health equity, improved patient experience and outcomes, and meaningful cost controls within the health care system.
(c) In employing contracting strategies to implement this section, the Exchange shall consider, on a continuing basis, the need to balance:
(d) Beginning January 1, 2014, the Exchange:
(e) Subject to subsections (f) and (g) of this section, beginning January 1, 2016, in addition to establishing minimum standards for qualified plans, the Exchange may employ alternative contracting options and active purchasing strategies, including:
(f) During any year in which the Exchange employs alternative contracting options and active purchasing strategies, the participation requirements set forth in §§ 15-1204.1(b) and 15-1303(b) of this article for carriers in the individual and small group markets outside the Exchange shall be suspended.
(g) Before employing an alternative contracting option or active purchasing strategy, the Exchange:
(1) on or after December 1, but not later than the first day of the next regular session of the General Assembly, shall submit to the Senate Finance Committee and the House Health and Government Operations Committee, in accordance with § 2-1257 of the State Government Article, a plan for the use of the alternative contracting option or active purchasing strategy, including an analysis of:
Credits
Added by Acts 2012, c. 152, § 3, eff. June 1, 2012. Amended by Acts 2019, c. 8, § 5; Acts 2020, c. 628, § 1, eff. May 8, 2020; Acts 2021, c. 109, § 5.
MD Code, Insurance, § 31-110, MD INSURANCE § 31-110
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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