reglab/housing_qa huggingface dataset:
MD. Insurance Code Ann. §  15-702 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-702 - Dentists, Physicians, and Podiatrists Under Self-Funded Group Insurance Plans

    (a)    This section applies to each self-funded group insurance plan that:        (1)    (i)    is formed by an order, society, or association that is incorporated or has a main office in the State; or            (ii)    covers individuals who reside or work in the State; and        (2)    is issued, renewed, amended, or reissued on or after July 1, 1972.    (b)    Notwithstanding any other provision of a self-funded group insurance plan subject to this section, if the plan provides for reimbursement for a service that is within the lawful scope of practice of a physician, dentist, or podiatrist, the plan may not prohibit a person covered by the plan from being reimbursed for the service regardless of whether the service is performed by a physician, dentist, or podiatrist.
MD. Insurance Code Ann. §  15-703 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-703 - Certified Nurse Practitioners

    (a)    In this section, “certified nurse practitioner” means a licensed registered nurse who has:        (1)    completed a nurse practitioner program approved by the State Board of Nursing; and        (2)    passed an examination approved by the State Board of Nursing.    (b)    Each insurer that proposes to issue, renew, amend, or reissue an individual, group, or blanket health insurance policy in the State that is written on an expense-incurred basis shall offer the option of providing benefits for expenses that arise from services rendered by a certified nurse practitioner.    (c)    Each nonprofit health service plan that proposes to issue, renew, amend, or reissue a health insurance policy in the State shall offer the option of providing benefits for expenses that arise from services rendered by a certified nurse practitioner.    (d)    The insurer or nonprofit health service plan may limit the coverage offered under this section for services provided by a certified nurse practitioner while working under the direct supervision of a physician.    (e)    The utilization of health insurance benefits provided under this section for services rendered by a certified nurse practitioner is subject to review by a peer review committee appointed by the State Board of Nursing.
MD. Insurance Code Ann. §  15-704 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-704 - Licensed Professional Counselors

    (a)    This section applies to each individual, group, or blanket health insurance policy, contract, or certificate of an insurer or nonprofit health service plan that:        (1)    (i)    is delivered or issued for delivery in the State;            (ii)    is issued to a group that is incorporated or has a main office in the State; or            (iii)    covers individuals who reside or work in the State; and        (2)    is issued, renewed, amended, or reissued on or after October 1, 2003.    (b)    If a policy, contract, or certificate subject to this section provides for reimbursement for a service that is within the lawful scope of practice of a licensed clinical professional counselor, a licensed clinical marriage and family therapist, a licensed clinical alcohol and drug counselor, or a licensed clinical professional art therapist, the insured or any other person covered by the policy or certificate is entitled to reimbursement for the service.
MD. Insurance Code Ann. §  15-705 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-705 - Chiropractors

    For the purposes of a policy of health insurance or other insurance, a chiropractor is entitled to compensation for those services that the chiropractor is licensed to perform under the Health Occupations Article and that the chiropractor has rendered to an insured.
MD. Insurance Code Ann. §  15-706 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-706 - Dietitians and Nutritionists

    (a)    (1)    Subject to subsection (c) of this section, a policy, contract, or certificate described in § 15–701(a) of this subtitle may provide for reimbursement under § 15–701(a) of this subtitle for usual, customary, and reasonable charges for services rendered by a dietitian or nutritionist licensed under the Health Occupations Article if a licensed physician determines that the services are medically necessary for the treatment of cardiovascular disease, diabetes, prediabetes, obesity, malnutrition, cancer, cerebral vascular disease, or kidney disease.        (2)    Application of this subsection is limited to six visits with a dietitian or nutritionist during a 12–month period for each condition described in paragraph (1) of this subsection and to services for the treatment of obesity only if provided in conjunction with the treatment of a condition described in paragraph (1) of this subsection.    (b)    This section does not require a policy, contract, or certificate described in § 15–701(a) of this subtitle to provide coverage for services rendered by a nutritionist or dietitian.    (c)    If a service covered under a policy, contract, or certificate described in § 15–701(a) of this subtitle is provided to a hospital patient by a dietitian or nutritionist:        (1)    the usual, customary, and reasonable charges of the dietitian or nutritionist shall be included in the patient’s hospital charges; and        (2)    the dietitian or nutritionist may not bill the patient separately for the service.
MD. Insurance Code Ann. §  15-707 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-707 - Licensed Certified Social Workers

    (a)    This section applies to each individual, group, or blanket health insurance policy of an insurer or nonprofit health service plan that:        (1)    (i)    is delivered or issued for delivery in the State;            (ii)    is issued to a group that is incorporated or has a main office in the State; or            (iii)    covers individuals who reside or work in the State; and        (2)    is issued, renewed, amended, or reissued on or after January 1, 1978.    (b)    If a policy or certificate subject to this section provides for reimbursement for a service that is within the lawful scope of practice of a licensed certified social worker, the insured or any other person covered by the policy or certificate is entitled to reimbursement for the service regardless of whether the service is performed by a physician or licensed certified social worker-clinical.
MD. Insurance Code Ann. §  15-708 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-708 - Nurse Anesthetists

    (a)    In this section, “nurse anesthetist” means a registered nurse who is certified as a nurse anesthetist by:        (1)    the Council on Certification of Nurse Anesthetists; or        (2)    the Council on Recertification of Nurse Anesthetists.    (b)    This section applies to each individual, group, or blanket health insurance policy, contract, or certificate of an insurer or nonprofit health service plan that:        (1)    (i)    is issued or delivered in the State;            (ii)    is issued to a group that is incorporated or has a main office in the State; or            (iii)    covers individuals who reside or work in the State;        (2)    is issued, renewed, amended, or reissued on or after July 1, 1984; and        (3)    if issued by an insurer, is written on an expense-incurred basis.    (c)    Notwithstanding any other provision of a policy, contract, or certificate subject to this section, if the policy, contract, or certificate provides for reimbursement for a service that is within the lawful scope of practice of a nurse anesthetist, the insured or any other person covered by the policy, contract, or certificate is entitled to reimbursement for the service regardless of whether the service is performed by a physician or nurse anesthetist.    (d)    A policy that provides benefits under this section for services rendered by a nurse anesthetist may not require, as a condition for the payment of benefits, that the nurse anesthetist be employed by a physician.    (e)    The utilization of health insurance benefits provided under this section for services rendered by a nurse anesthetist is subject to review by a peer review committee appointed by the State Board of Nursing.
MD. Insurance Code Ann. §  15-709 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-709 - Nurse Midwives

    (a)    In this section, “nurse midwife” means a licensed registered nurse who is certified as a nurse midwife by the American College of Nurse-Midwives.    (b)    Each insurer that proposes to issue, renew, amend, or reissue an individual, group, or blanket health insurance policy in the State that is written on an expense-incurred basis shall offer the option of providing benefits for expenses that arise from services rendered by a nurse midwife.    (c)    Each nonprofit health service plan that proposes to issue, renew, amend, or reissue a health insurance policy in the State shall offer the option of providing benefits for expenses that arise from services rendered by a nurse midwife.    (d)    (1)    This subsection applies to each individual, group, or blanket health insurance policy, contract, or certificate of an insurer or nonprofit health service plan that:            (i)    1.    is issued or delivered in the State;                2.    is issued to a group that is incorporated or has a main office in the State; or                3.    covers individuals who reside or work in the State;            (ii)    is issued, renewed, amended, or reissued on or after July 1, 1979; and            (iii)    if issued by an insurer, is written on an expense-incurred basis.        (2)    Notwithstanding any other provision of a policy, contract, or certificate subject to this subsection, if the policy, contract, or certificate provides for reimbursement for a service that is within the lawful scope of practice of a nurse midwife, the insured or any other person covered by the policy, contract, or certificate is entitled to reimbursement for the service regardless of whether the service is performed by a physician or nurse midwife.    (e)    A policy that provides benefits under this section for services rendered by a nurse midwife may not require, as a condition for the payment of benefits, that the nurse midwife be employed by a physician or act under a physician’s orders.    (f)    The utilization of health insurance benefits provided under this section for services rendered by a nurse midwife is subject to review by a peer review committee appointed by the State Board of Nursing.
MD. Insurance Code Ann. §  15-710 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-710 - Optometrists

    (a)    This section applies to each individual or group health insurance policy or certificate of an insurer that:        (1)    is issued or delivered in the State;        (2)    is issued to a group that is incorporated or has a main office in the State; or        (3)    covers individuals who reside or work in the State.    (b)    Each policy or certificate subject to this section that provides for reimbursement for a service that is within the lawful scope of practice of an optometrist licensed under the Health Occupations Article shall require the insurer to reimburse the insured or any other person covered by the policy or certificate for the service performed by the optometrist in accordance with the other provisions of the policy or certificate.
MD. Insurance Code Ann. §  15-711 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-711 - Physical Therapists

    (a)    This section applies to each individual or group health insurance policy or contract that is:        (1)    delivered or issued for delivery in the State by an insurer or nonprofit health service plan; and        (2)    issued, renewed, amended, or reissued on or after October 1, 1993.    (b)    An insurer or nonprofit health service plan may not impose a time limit on the receipt of services covered under a policy or contract subject to this section that are provided during the policy or contract period by a physical therapist licensed under the Health Occupations Article.    (c)    This section does not prohibit an insurer or nonprofit health service plan from imposing a limit on the number of visits with a licensed physical therapist that are allowed under a policy or contract.
MD. Insurance Code Ann. §  15-712 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-712 - Physician Assistants

    Notwithstanding § 15-701(a) of this subtitle, unless a policy, contract, or certificate described in § 15-701(a) of this subtitle expressly provides for reimbursement for a service that is within the lawful scope of practice of a physician assistant certified under the Health Occupations Article, the provisions of the Health Occupations Article that govern the certification and regulation of physician assistants may not be construed to entitle the insured or any other person covered by the policy, contract, or certificate to reimbursement for the service.
MD. Insurance Code Ann. §  15-713 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-713 - Podiatrists

    (a)    This section applies to individual, group, or blanket health insurance policies and contracts delivered or issued for delivery in the State by insurers, nonprofit health service plans, and health maintenance organizations.    (b)    Notwithstanding any other provision of an individual, group, or blanket health insurance policy or contract subject to this section, if the policy or contract provides for reimbursement for a service that is within the lawful scope of practice of a licensed podiatrist, the insured or any other person covered by or entitled to reimbursement under the policy or contract is entitled to the same amount of reimbursement for the service regardless of whether the service is performed by a physician or licensed podiatrist.    (c)    This section does not prohibit, and may not be construed as prohibiting, the determination of reimbursement based on the geographic location of the delivery of service, the preeminent qualifications of a physician or podiatrist, or the need to provide services in an underserved area of the State.
MD. Insurance Code Ann. §  15-714 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-714 - Psychologists

    (a)    This section applies to each individual or group health insurance policy, contract, or certificate that:        (1)    (i)    is issued or delivered in the State;            (ii)    is issued to a group that is incorporated or has a main office in the State; or            (iii)    covers individuals who reside or work in the State; and        (2)    is issued, renewed, amended, or reissued on or after July 1, 1972.    (b)    Notwithstanding any other provision of a policy, contract, or certificate subject to this section, if the policy, contract, or certificate provides for reimbursement for a service that is within the lawful scope of practice of a licensed psychologist, the insured or any other person covered by the policy, contract, or certificate is entitled to reimbursement for the service regardless of whether the service is performed by a physician or licensed psychologist.
MD. Insurance Code Ann. §  15-715 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 7 - Required Reimbursement for Services of Health Care Providers|Section 15-715 - Community Health Resource

    (a)    This section applies to each individual or group health insurance policy or contract that is issued or delivered in the State by an insurer, nonprofit health service plan, or health maintenance organization.    (b)    To the extent required under federal law, an insurer, nonprofit health service plan, or health maintenance organization shall reimburse a community health resource, as defined in § 19-2101 of the Health - General Article, for covered services provided to the insured or any other person covered by the policy or contract.
MD. Insurance Code Ann. §  15-801 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 8 - Required Health Insurance Benefits|Section 15-801 - Benefits for Alzheimer's Disease and Care of Elderly Individuals

    (a)    This section applies to:        (1)    insurers that propose to issue or deliver in the State group or blanket health insurance policies that are written on an expense-incurred basis; and        (2)    nonprofit health service plans that propose to issue or deliver in the State group medical or major medical contracts that are written on an expense-incurred basis.    (b)    An entity subject to this section shall offer the policyholder the option of providing benefits for expenses arising from the care, including nursing home care and intermediate or custodial nursing care, of individuals who have Alzheimer’s disease.    (c)    An entity subject to this section shall offer the policyholder the option of providing benefits for expenses arising from the care of elderly individuals, including nursing home care and intermediate or custodial nursing care of elderly individuals who have any disease, other than Alzheimer’s disease, that is designated in regulations adopted by the Commissioner.    (d)    An entity subject to this section may establish reasonable limits on the benefits offered under this section, including copayment and deductible provisions and maximum annual and lifetime dollar limits.
MD. Insurance Code Ann. §  15-803 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 8 - Required Health Insurance Benefits|Section 15-803 - Payments for Blood Products

    (a)    An insurer or nonprofit health service plan that issues or delivers an individual, group, or blanket health insurance policy or contract in the State, or a health maintenance organization that issues or delivers an individual or group contract in the State, may not exclude payments for blood products, both derivatives and components, that otherwise would be covered under the health insurance contract.    (b)    This section does not apply to whole blood or concentrated red blood cells.
MD. Insurance Code Ann. §  15-804 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 8 - Required Health Insurance Benefits|Section 15-804 - Coverage for Off-Label Use of Drugs

    (a)    (1)    In this section the following words have the meanings indicated.        (2)    “Medical literature” means scientific studies published in a peer–reviewed national professional medical journal.        (3)    “Off–label use” means the prescription of a drug for a treatment other than those treatments stated in the labeling approved by the federal Food and Drug Administration.        (4)    “Standard reference compendia” means any authoritative compendia as recognized periodically by the federal Secretary of Health and Human Services or the Commissioner.    (b)    This section does not:        (1)    alter any law that limits the coverage of drugs that have not been approved by the federal Food and Drug Administration;        (2)    require coverage of a drug if the federal Food and Drug Administration has determined use of the drug to be contraindicated; or        (3)    require coverage of experimental drugs not approved for any indication by the federal Food and Drug Administration.    (c)    (1)    This subsection applies to each health insurance policy or contract that is delivered or issued for delivery in the State to an employer or individual on a group or individual basis, including a contract issued by a health maintenance organization.        (2)    A policy or contract subject to this subsection that provides coverage for drugs may not exclude coverage of a drug for an off–label use of the drug if the drug is recognized for treatment in any of the standard reference compendia or in the medical literature.        (3)    Coverage of a drug required by this subsection also includes medically necessary services associated with the administration of the drug.    (d)    The Commissioner may direct a person, including a health maintenance organization, that issues a health insurance policy or contract to make payments required by this section.
MD. Insurance Code Ann. §  15-805 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 8 - Required Health Insurance Benefits|Section 15-805 - Reimbursement for Pharmaceutical Products

    (a)    (1)    In this section the following words have the meanings indicated.        (2)    “Authorized prescriber” means a licensed dentist, licensed physician, or licensed podiatrist who is authorized under the Health Occupations Article to prescribe a pharmaceutical product.        (3)    “Pharmaceutical product” means a drug or medicine that may be prescribed by an authorized prescriber.    (b)    This section does not apply to a policy or contract that is issued to an employer under a collective bargaining agreement.    (c)    (1)    This subsection applies to each policy or contract that is issued or delivered in the State to an employer or individual by an insurer or nonprofit health service plan and that provides group or individual hospital, medical, or surgical benefits.        (2)    A policy or contract subject to this subsection that provides reimbursement for a pharmaceutical product prescribed by an authorized prescriber may not establish the amount of reimbursement to the insured or the insured’s beneficiary, including copayments and deductibles, based on the identity, practicing specialty, or occupation of the authorized prescriber.    (d)    (1)    This subsection applies to each individual or group policy or contract that is issued or delivered in the State to an employer or individual by an insurer or nonprofit health service plan and that provides benefits for pharmaceutical products.        (2)    A policy or contract subject to this subsection may not impose a copayment, deductible, or other condition on an insured or certificate holder who uses the services of a community pharmacy that is not imposed when the insured or certificate holder uses the services of a mail order pharmacy, if the benefits are provided under the same program, policy, or contract.
MD. Insurance Code Ann. §  15-806 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 8 - Required Health Insurance Benefits|Section 15-806 - Choice of Pharmacy for Filling Prescriptions

    A nonprofit health service plan that provides pharmaceutical services shall allow a subscriber, member, or beneficiary to fill prescriptions at the pharmacy of the subscriber’s, member’s, or beneficiary’s choice.