Current with changes from the 2024 Legislative Session
Section 19-142 - Definitions(a) In this Part IV of this subtitle the following words have the meanings indicated.(b) "Carrier" means: (2) A nonprofit health service plan;(3) A health maintenance organization; or(4) Any other person that provides health benefit plans subject to regulation by the State.(c) "Electronic health record" means an electronic record of health-related information on an individual that:(1) Includes patient demographic and clinical health information; and(2) Has the capacity to: (i) Provide clinical decision support;(ii) Support physician order entry;(iii) Capture and query information relevant to health care quality; and(iv) Exchange electronic health information with and integrate the information from other sources.(d)(1) "Health benefit plan" means a hospital or medical policy, contract, or certificate issued by a carrier.(2) "Health benefit plan" does not include: (i) Coverage for accident or disability income insurance;(ii) Coverage issued as a supplement to liability insurance;(iii) Liability insurance, including general liability insurance and automobile liability insurance;(iv) Workers' compensation or similar insurance;(v) Automobile or property medical payment insurance;(vi) Credit-only insurance;(vii) Coverage for on-site medical clinics;(viii) Dental or vision insurance;(ix) Long-term care insurance or benefits for nursing home care, home health care, community-based care, or any combination of these;(x) Coverage only for a specified disease or illness;(xi) Hospital indemnity or other fixed indemnity insurance; or(xii) The following benefits if offered as a separate insurance policy:1. Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act;2. Coverage supplemental to the coverage provided under Chapter 55 of Title 10, U.S.C.; or3. Similar supplemental coverage provided to coverage under an employer-sponsored plan.(e)(1) "Health care provider" means: (i) A person who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care in the ordinary course of business or practice of a profession or in an approved education or training program; or(ii) A facility where health care is provided to patients or recipients, including: 1. A facility, as defined in § 10-101(g) of this article;2. A hospital, as defined in § 19-301 of this title;3. A related institution, as defined in § 19-301 of this title;5. A freestanding medical facility, as defined in § 19-3A-01 of this title;6. An ambulatory surgical facility, as defined in § 19-3B-01 of this title; and7. A nursing home, as defined in § 19-1401 of this title.(2) "Health care provider" does not include a health maintenance organization as defined in § 19-701 of this title.(f) "Health information exchange" has the meaning stated in § 4-301 of this article.(g) "Management service organization" means an organization that offers one or more hosted electronic health record solutions and other management services to multiple health care providers.(h) "State-designated health information exchange" means the health information exchange designated by the Maryland Health Care Commission and the Health Services Cost Review Commission under § 19-143 of this subtitle.(i)(1) "State-regulated payor" means a carrier issuing or delivering health benefit plans in the State.(2) "State-regulated payor" does not include a managed care organization as defined in Title 15, Subtitle 1 of this article.Amended by 2021 Md. Laws, Ch. 798, Sec. 1, eff. 10/1/2021.