SB 834 (see companion bill HB 990) – Maryland

Status: Inactive / Dead
Year Introduced: 2016

RELATING TO THE CERTIFICATION OF QUALIFIED HEALTH PLANS (QHPs): would require that a QHP meet specified requirements related to network adequacy and that the QHP have a benefit design that does not discriminate against an individual or use discriminatory medical management techniques. With respect to the network adequacy component, a QHP must annual submit information to the Insurance Commissioner regarding actions taken to ensure network adequacy. If the network falls below the adequacy standards during the plan year, the plan must authorize the receipt of covered services by an out-of-network provider at the same cost sharing level as an in-network provider.

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