Md. Code Ann., Health-Gen. § 19-729
Acts prohibited of health maintenance organizations
Effective Oct 1, 2022Added by Acts 1982, c. 21, § 2, eff. July 1, 1982. Amended by Acts 1986, c. 816, § 1, eff. July 1, 1986; Acts 1993, c. 9, § 2, eff. July 1, 1994; Acts 1997, c. 70, § 4, eff. Oct. 1, 1997; Acts 1998, c. 111, § 2, eff. Jan. 1, 1999; Acts 1998, c. 112, § 2, eff. Jan. 1, 1999; Acts 1999, c. 71, § 1, eff. June 1, 1999; Acts 1999, c. 697, § 1, eff. Oct. 1, 1999; Acts 2001, c. 53, § 1, eff. Jan. 1, 2002; Acts 2022, c. 231, § 1, eff. Oct. 1, 2022.State of Maryland
(a) A health maintenance organization may not:
- (1) Violate any provision of this subtitle or any rule or regulation adopted under it;
- (2) Fail to fulfill its obligations to provide the health care services specified in its contracts with subscribers;
- (3) Make any false statement with respect to any report or statement required by this subtitle or by the Commissioner under this subtitle;
- (4) Advertise, merchandise, or attempt to merchandise its services in a way that misrepresents its services or capacity for service;
- (5) Engage in a deceptive, misleading, unfair, or unauthorized practice as to advertising or merchandising;
- (6) Prevent or attempt to prevent the Commissioner or the Department from performing any duty imposed by this subtitle;
- (7) Fraudulently obtain or fraudulently attempt to obtain any benefit under this subtitle;
- (8) Fail to fulfill the basic requirements to operate as a health maintenance organization as provided in § 19-710 of this subtitle;
- (9) Violate any applicable provision of Title 15, Subtitle 12 of the Insurance Article;
- (10) Fail to provide services to a member in a timely manner as provided in § 19-705.1(b)(1) of this subtitle;
- (11) Fail to comply with the provisions of Title 15, Subtitle 10A, 10B, 10C, or 10D or § 2-112.2 of the Insurance Article;
- (12) Violate any provision of § 19-712.5 of this subtitle; or
- (13) Violate any provision of Title 33 of the Insurance Article.
- (b) If any health maintenance organization violates this section, the Commissioner may pursue any one or more of the courses of action described in § 19-730 of this subtitle.
Added by Acts 1982, c. 21, § 2, eff. July 1, 1982. Amended by Acts 1986, c. 816, § 1, eff. July 1, 1986; Acts 1993, c. 9, § 2, eff. July 1, 1994; Acts 1997, c. 70, § 4, eff. Oct. 1, 1997; Acts 1998, c. 111, § 2, eff. Jan. 1, 1999; Acts 1998, c. 112, § 2, eff. Jan. 1, 1999; Acts 1999, c. 71, § 1, eff. June 1, 1999; Acts 1999, c. 697, § 1, eff. Oct. 1, 1999; Acts 2001, c. 53, § 1, eff. Jan. 1, 2002; Acts 2022, c. 231, § 1, eff. Oct. 1, 2022.
Formerly Art. 43, § 850.