reglab/housing_qa huggingface dataset:
MD. Insurance Code Ann. §  15-1622 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part IV - Disclosures to Purchasers|Section 15-1622 - Scope of Part

    The provisions of §§ 15–1623 and 15–1624 of this part do not apply to a pharmacy benefits manager when providing pharmacy benefits management services to a purchaser that is affiliated with the pharmacy benefits manager through common ownership within an insurance holding company.
MD. Insurance Code Ann. §  15-1623 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part IV - Disclosures to Purchasers|Section 15-1623 - Requirements Before Entering Into Contract

    (a)    Before entering into a contract with a purchaser, a pharmacy benefits manager:        (1)    as applicable, shall inform the purchaser that the pharmacy benefits manager may:            (i)    solicit and receive manufacturer payments;            (ii)    pass through or retain the manufacturer payments depending on the contract terms with a purchaser;            (iii)    sell aggregate utilization information; and            (iv)    share aggregate utilization information with other entities; and        (2)    shall offer to provide to the purchaser a report that contains the:            (i)    net revenue of the pharmacy benefits manager from sales of prescription drugs to purchasers made through the pharmacy benefits manager’s network of contractually affiliated retail pharmacies or through the pharmacy benefits manager’s mail order pharmacies, with respect to the pharmacy benefits manager’s entire client base of purchasers; and            (ii)    amount of all manufacturer payments earned by the pharmacy benefits manager.    (b)    (1)    If a purchaser requests the information described in subsection (a)(2) of this section, a pharmacy benefits manager shall provide the information before entering into a contract with the purchaser.        (2)    Notwithstanding the provisions of paragraph (1) of this subsection, if a pharmacy benefits manager requires a nondisclosure agreement under which a purchaser agrees that the information described in subsection (a)(2) of this section is proprietary information, the pharmacy benefits manager may not be required to provide the information until the purchaser has signed the nondisclosure agreement.
MD. Insurance Code Ann. §  15-1624 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part IV - Disclosures to Purchasers|Section 15-1624 - Rebate Sharing Contract

    (a)    If a purchaser has a rebate sharing contract, a pharmacy benefits manager shall offer to provide the purchaser a report for each fiscal quarter and each fiscal year that contains the amount of the:        (1)    net revenue of the pharmacy benefits manager from sales of prescription drugs to purchasers made through the pharmacy benefits manager’s network of contractually affiliated retail pharmacies or through the pharmacy benefits manager’s mail order pharmacies, with respect to the pharmacy benefits manager’s entire client base of purchasers;        (2)    total prescription drug expenditures applicable to the purchaser;        (3)    total manufacturer payments earned by the pharmacy benefits manager during the applicable reporting period; and        (4)    total rebates applicable to the purchaser during the applicable reporting period.    (b)    If the exact amount of each item to be reported under subsection (a) of this section is not known by the pharmacy benefits manager at the time of its report, the pharmacy benefits manager shall offer to provide:        (1)    its current best estimate of the amount of each item; and        (2)    an updated report containing the exact amount of each item immediately after it becomes available.    (c)    (1)    A pharmacy benefits manager shall provide the information described in subsections (a) and (b) of this section if requested by the purchaser.        (2)    Notwithstanding the provisions of paragraph (1) of this subsection, if a pharmacy benefits manager requires a nondisclosure agreement under which a purchaser agrees that the information in subsections (a) and (b) of this section is proprietary information, the pharmacy benefits manager may not be required to provide the information until the purchaser has signed the nondisclosure agreement.
MD. Insurance Code Ann. §  15-1625 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part IV - Disclosures to Purchasers|Section 15-1625 - Effect of Part

    This part does not diminish the authority of the Office of the Attorney General or the Commissioner to obtain information relating to a pharmacy benefits manager and use the information in any proceeding.
MD. Insurance Code Ann. §  15-1628.3 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part V - Contracts With Pharmacies and Pharmacists; Audits|Section 15-1628.3 - Fee or Performance-Based Reimbursement Related to Claim Adjudication

    (a)    A pharmacy benefits manager or a purchaser may not directly or indirectly charge a contracted pharmacy, or hold a contracted pharmacy responsible for, a fee or performance–based reimbursement related to the adjudication of a claim or an incentive program.    (b)    A pharmacy benefits manager or purchaser may not make or allow any reduction in payment for pharmacy services by a pharmacy benefits manager or purchaser or directly or indirectly reduce a payment for a pharmacy service under a reconciliation process to an effective rate of reimbursement, including generic effective rates, brand effective rates, direct and indirect remuneration fees, or any other reduction or aggregate reduction of payments.
MD. Insurance Code Ann. §  15-1630 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part V - Contracts With Pharmacies and Pharmacists; Audits|Section 15-1630 - Internal Review Process

    (a)    A pharmacy benefits manager shall establish a reasonable internal review process for a pharmacy to request the review of a failure to pay the contractual reimbursement amount of a submitted claim.    (b)    A pharmacy may request a pharmacy benefits manager to review a failure to pay the contractual reimbursement amount of a claim within 180 calendar days after the date the submitted claim was paid by the pharmacy benefits manager.    (c)    The pharmacy benefits manager shall give written notice of its review decision within 90 calendar days after receipt of a request for review from a pharmacy under this section.    (d)    If the pharmacy benefits manager determines through the internal review process established under subsection (a) of this section that the pharmacy benefits manager underpaid a pharmacy, the pharmacy benefits manager shall pay any money due to the pharmacy within 30 working days after completion of the internal review process.    (e)    This section may not be construed to limit the ability of a pharmacy and a pharmacy benefits manager to contractually agree that a pharmacy may have more than 180 calendar days to request an internal review of a failure of the pharmacy benefits manager to pay the contractual amount of a submitted claim.
MD. Insurance Code Ann. §  15-1631 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part V - Contracts With Pharmacies and Pharmacists; Audits|Section 15-1631 - Retroactive Denial or Modification of Reimbursement for Approved Claim

    Except for an overpayment as defined in § 15–1629(h) of this subtitle, if a claim has been approved by a pharmacy benefits manager through adjudication, the pharmacy benefits manager may not retroactively deny or modify reimbursement to a pharmacy or pharmacist for the approved claim unless:        (1)    the claim was fraudulent;        (2)    the pharmacy or pharmacist had been reimbursed for the claim previously; or        (3)    the services reimbursed were not rendered by the pharmacy or pharmacist.
MD. Insurance Code Ann. §  15-1633 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1633 - When Request Allowed

    A pharmacy benefits manager or its agent may not request a therapeutic interchange unless:        (1)    the proposed therapeutic interchange is for medical reasons that benefit the beneficiary; or        (2)    the proposed therapeutic interchange will result in financial savings and benefits to the purchaser or the beneficiary.
MD. Insurance Code Ann. §  15-1634 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1634 - Authorization; Disclosures; Money-Saving Claims; Payment for Interchange

    (a)    Before making a therapeutic interchange, a pharmacy benefits manager or its agent shall obtain authorization from a prescriber or an individual authorized by the prescriber.    (b)    In any therapeutic interchange solicitation, the following shall be disclosed to the prescriber:        (1)    that a therapeutic interchange is being solicited;        (2)    the circumstances under which the originally prescribed drug will be covered by the purchaser;        (3)    the difference in copayments or coinsurance to be paid by the beneficiary to obtain the proposed drug;        (4)    the circumstances and extent to which health care costs related to the therapeutic interchange will be compensated; and        (5)    any clinically significant differences, as determined by a pharmacy and therapeutics committee of the pharmacy benefits manager, with respect to efficacy, side effects, and potential impact on health and safety.    (c)    When soliciting a therapeutic interchange from a prescriber, a pharmacy benefits manager or its agent may not make a claim that the therapeutic interchange will save the purchaser money unless the claim can be substantiated.    (d)    If the pharmacy benefits manager or its agent receives payment for making a therapeutic interchange from a pharmaceutical manufacturer or other person, including the pharmacy benefits manager, that is not reflected in cost savings to the purchaser, the existence of the payment shall be communicated to the prescriber at the time of the therapeutic interchange solicitation.
MD. Insurance Code Ann. §  15-1635 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1635 - Requirements When Interchange Occurs

    If a therapeutic interchange occurs, the pharmacy benefits manager or its agent shall:        (1)    disclose to the beneficiary, orally or in writing:            (i)    that the pharmacy benefits manager or its agent requested a therapeutic interchange by contacting the beneficiary’s prescriber;            (ii)    the prescriber approved the therapeutic interchange;            (iii)    the names of the originally prescribed drug and the drug dispensed pursuant to the therapeutic interchange;            (iv)    the difference in copayments or coinsurance to be paid by the beneficiary to obtain the drug dispensed pursuant to the therapeutic interchange;            (v)    the circumstances under which the originally prescribed drug will be covered;            (vi)    the circumstances under and the extent to which health care costs related to the therapeutic interchange will be compensated; and            (vii)    that the beneficiary may decline the therapeutic interchange if the originally prescribed drug remains on the beneficiary’s formulary, and the beneficiary is willing to pay any difference in the copayment or coinsurance; and        (2)    include with the prescription drug dispensed:            (i)    a patient package insert about potential side effects; and            (ii)    a toll–free telephone number to communicate with the pharmacy benefits manager.
MD. Insurance Code Ann. §  15-1636 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1636 - Cancellation and Reversal

    (a)    A pharmacy benefits manager or its agent shall cancel and reverse a therapeutic interchange on written or verbal instructions from a prescriber, the beneficiary, or the beneficiary’s representative.    (b)    If a therapeutic interchange is reversed, the pharmacy benefits manager or its agent shall:        (1)    obtain a prescription for and dispense the originally prescribed prescription drug; and        (2)    charge the beneficiary no more than one copayment.    (c)    If the therapeutic interchange occurred through a mail order pharmacy and a beneficiary will exhaust an existing supply of the originally prescribed prescription drug before a replacement shipment will arrive to the beneficiary, the pharmacy benefits manager or its agent shall arrange for dispensing of an appropriate quantity of replacement prescription drugs at a local community pharmacy at no additional cost to the beneficiary.    (d)    A pharmacy benefits manager or its agent may not be required to cancel and reverse a therapeutic interchange if a beneficiary is unwilling to pay a higher copayment or coinsurance associated with the originally prescribed prescription drug.
MD. Insurance Code Ann. §  15-1637 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1637 - Maintenance of Toll-Free Telephone Number

    (a)    A pharmacy benefits manager shall maintain a toll–free telephone number Monday through Saturday for prescribers, pharmacies, pharmacists, and beneficiaries to request information regarding a therapeutic interchange.    (b)    The toll–free telephone number shall be accessible from 8 a.m. until at least 8 p.m. Eastern Standard Time.
MD. Insurance Code Ann. §  15-1638 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1638 - Privacy Standards

    All disclosures made under this part shall comply with the privacy standards set forth in State and federal law.
MD. Insurance Code Ann. §  15-1639 (2021)
2021 Maryland Statutes|Insurance|Title 15 - Health Insurance|Subtitle 16 - Pharmacy Benefits Managers|Part VI - Therapeutic Interchanges|Section 15-1639 - Policies and Procedures

    A pharmacy benefits manager shall establish appropriate policies and procedures to implement the requirements of this part.
MD. Labor and Employment Code Ann. §  3-401 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part I - Definitions; General Provisions|Section 3-401 - Definitions

    (a)    In this subtitle the following words have the meanings indicated.    (b)    “Employer” includes a person who acts directly or indirectly in the interest of another employer with an employee.    (c)    “Federal Act” means the federal Fair Labor Standards Act of 1938.    (d)    “Wage” means all compensation that is due to an employee for employment.
MD. Labor and Employment Code Ann. §  3-402 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part I - Definitions; General Provisions|Section 3-402 - Legislative Findings and Purpose

    (a)    The General Assembly finds that wages in some occupations in the State have been insufficient to provide adequate maintenance and to protect health.    (b)    The purpose of this subtitle is to set minimum wage standards in the State to:        (1)    provide a maintenance level that is consistent with the needs of the population for their efficiency, general well-being, and health;        (2)    safeguard employers and employees against unfair competition;        (3)    increase the stability of industry;        (4)    increase the buying power of employees; and        (5)    decrease the need to spend public money for the relief of employees.
MD. Labor and Employment Code Ann. §  3-403 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part I - Definitions; General Provisions|Section 3-403 - Scope of Subtitle

    This subtitle does not apply to an individual who:        (1)    is employed in a capacity that the Commissioner defines, by regulation, to be administrative, executive, or professional;        (2)    is employed in a nonadministrative capacity at an organized camp, including a resident or day camp;        (3)    is under the age of 16 years and is employed no more than 20 hours in a week;        (4)    is employed as an outside salesman;        (5)    is compensated on a commission basis;        (6)    is a child, parent, spouse, or other member of the immediate family of the employer;        (7)    is employed in a drive–in theater;        (8)    is employed as part of the training in a special education program for emotionally, mentally, or physically handicapped students under a public school system;        (9)    is employed by an employer who is engaged in canning, freezing, packing, or first processing of perishable or seasonal fresh fruits, vegetables, or horticultural commodities, poultry, or seafood;        (10)    engages in the activities of a charitable, educational, nonprofit, or religious organization if:            (i)    the service is provided gratuitously; and            (ii)    there is, in fact, no employer–employee relationship;        (11)    is employed in a cafe, drive–in, drugstore, restaurant, tavern, or other similar establishment that:            (i)    sells food and drink for consumption on the premises; and            (ii)    has an annual gross income of $400,000 or less;        (12)    is employed in agriculture if, during each quarter of the preceding calendar year, the employer used no more than 500 agricultural–worker days;        (13)    is engaged principally in the range production of livestock; or        (14)    is employed as a hand–harvest laborer and is paid on a piece–rate basis in an operation that, in the region of employment, has been and customarily and generally is recognized as having been paid on that basis, if:            (i)    the individual:                1.    commutes daily from the permanent residence of the individual to the farm where the individual is employed; and                2.    during the preceding calendar year, was employed in agriculture less than 13 weeks; or            (ii)    the individual:                1.    is under the age of 17;                2.    is employed on the same farm as a parent of the individual or a person standing in the place of the parent; and                3.    is paid at the same rate that an employee who is at least 17 years old is paid on the same farm.
MD. Labor and Employment Code Ann. §  3-404 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part I - Definitions; General Provisions|Section 3-404 - Effect of Subtitle

    This subtitle does not diminish:         (1)    the right of employees to bargain collectively with their employers through representatives whom the employees choose to establish wages or other conditions of employment in excess of the applicable minimum under this subtitle; or        (2)    a right of an employee that is granted under the federal Act.
MD. Labor and Employment Code Ann. §  3-405 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part I - Definitions; General Provisions|Section 3-405 - Void Agreements

    An agreement to work for less than the wage required under this subtitle is void.
MD. Labor and Employment Code Ann. §  3-408 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part II - Administration|Section 3-408 - Powers to Ascertain Wages and Obtain Evidence

    (a)    The Commissioner may ascertain what wage is paid in any occupation in the State.    (b)    (1)    In an investigation under this subtitle, the Commissioner shall try to negotiate with an employer to obtain the testimony or documentary evidence that is needed to determine whether a violation exists.        (2)    If the Commissioner is unable to obtain evidence by negotiation, the Commissioner may issue a subpoena for the attendance of a witness to testify or the production of documentary evidence that relates to the subject matter of the complaint.        (3)    Each application for a subpoena under this subsection shall:            (i)    be under oath; and            (ii)    describe in detail:                1.    the nature, purpose, and scope of the investigation;                2.    each witness to be subpoenaed; and                3.    each record to be inspected.        (4)    A subpoena may not be issued unless the application is approved by the Attorney General as to form and substance.        (5)    If a person fails to comply with a subpoena issued under this subsection, on a complaint filed by the Commissioner, a circuit court may compel compliance with the subpoena.
MD. Labor and Employment Code Ann. §  3-410 (2021)
2021 Maryland Statutes|Labor and Employment|Title 3 - Employment Standards and Conditions|Subtitle 4 - Wages and Hours|Part II - Administration|Section 3-410 - Regulations

    In addition to any regulation specifically required by this subtitle, regulations that the Commissioner adopts to carry out this subtitle may include:         (1)    definitions of the terms “administrative capacity”, “executive capacity”, “professional capacity”, and “outside salesman”;        (2)    a scale of wages that is suitable for learners and apprentices but is at least 80% of the minimum wage under this subtitle; and        (3)    a wage for a special case or class of case if the Commissioner finds the wage appropriate to:            (i)    avoid undue hardship;            (ii)    prevent the curtailment of employment opportunity; and            (iii)    safeguard the minimum wage under this subtitle.