SENATE BILL 774

File Code: Public Health Crossfiled with: HOUSE BILL 1104

Sponsored By:

Senator Pugh

Entitled:

Maryland Medical Assistance Program - Managed Care Organization - Hospital Ancillary Services

Synopsis:

Requiring a managed care organization participating in the Maryland Medical Assistance Program to separately and independently determine the medical necessity of ancillary services provided during a hospitalization from the medical necessity of the hospitalization or part of the hospitalization; and prohibiting managed care organizations from basing the denial of payments for ancillary services provided during a hospitalization on a determination of the medical necessity of all or part of the hospitalization.

History by Legislative and Calendar Date

Legislative date is used to record history occuring in the Chambers otherwise Calendar date is used.

Senate Action

2/1

First Reading Finance

2/6

Hearing 2/27 at 1:00 p.m.

House Action

No Action

Bill indexed under the following Subjects:

Hospitals -see also- Clinics; State Hospitals

Managed Care Organizations -see also- Health Maint Orgs

Medical Assistance

Bill affects the following Statutes:

Health - General

( 15-103 , 15-103 )

Documents:

Bill Text (Displayed in PDF Format): First Reading, Third Reading, Enrolled

Fiscal and Policy Note (Displayed in PDF Format): Available

Amendments: None offered