<?xml version='1.0' encoding='utf-8'?>
<section article="ghg" article_name="Health - General" number="19-142" title_number="19" title_name="Health Care Facilities" subtitle_number="1" subtitle_name="Health Care Planning and Systems Regulation">
  <level label="a">
    <text>In this Part IV of this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Carrier” means:</text>
    <level label="1">
      <text>An insurer;</text>
    </level>
    <level label="2">
      <text>A nonprofit health service plan;</text>
    </level>
    <level label="3">
      <text>A health maintenance organization; or</text>
    </level>
    <level label="4">
      <text>Any other person that provides health benefit plans subject to regulation by the State.</text>
    </level>
  </level>
  <level label="c">
    <text>“Electronic health record” means an electronic record of health–related information on an individual that:</text>
    <level label="1">
      <text>Includes patient demographic and clinical health information; and</text>
    </level>
    <level label="2">
      <text>Has the capacity to:</text>
      <level label="i">
        <text>Provide clinical decision support;</text>
      </level>
      <level label="ii">
        <text>Support physician order entry;</text>
      </level>
      <level label="iii">
        <text>Capture and query information relevant to health care quality; and</text>
      </level>
      <level label="iv">
        <text>Exchange electronic health information with and integrate the information from other sources.</text>
      </level>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>“Health benefit plan” means a hospital or medical policy, contract, or certificate issued by a carrier.</text>
    </level>
    <level label="2">
      <text>“Health benefit plan” does not include:</text>
      <level label="i">
        <text>Coverage for accident or disability income insurance;</text>
      </level>
      <level label="ii">
        <text>Coverage issued as a supplement to liability insurance;</text>
      </level>
      <level label="iii">
        <text>Liability insurance, including general liability insurance and automobile liability insurance;</text>
      </level>
      <level label="iv">
        <text>Workers’ compensation or similar insurance;</text>
      </level>
      <level label="v">
        <text>Automobile or property medical payment insurance;</text>
      </level>
      <level label="vi">
        <text>Credit–only insurance;</text>
      </level>
      <level label="vii">
        <text>Coverage for on–site medical clinics;</text>
      </level>
      <level label="viii">
        <text>Dental or vision insurance;</text>
      </level>
      <level label="ix">
        <text>Long–term care insurance or benefits for nursing home care, home health care, community–based care, or any combination of these;</text>
      </level>
      <level label="x">
        <text>Coverage only for a specified disease or illness;</text>
      </level>
      <level label="xi">
        <text>Hospital indemnity or other fixed indemnity insurance; or</text>
      </level>
      <level label="xii">
        <text>The following benefits if offered as a separate insurance policy:</text>
        <level label="1">
          <text>Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act;</text>
        </level>
        <level label="2">
          <text>Coverage supplemental to the coverage provided under Chapter 55 of Title 10, U.S.C.; or</text>
        </level>
        <level label="3">
          <text>Similar supplemental coverage provided to coverage under an employer–sponsored plan.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>“Health care provider” means:</text>
      <level label="i">
        <text>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</text>
      </level>
      <level label="ii">
        <text>A facility where health care is provided to patients or recipients, including:</text>
        <level label="1">
          <text>A facility, as defined in § 10–101(g) of this article;</text>
        </level>
        <level label="2">
          <text>A hospital, as defined in § 19–301 of this title;</text>
        </level>
        <level label="3">
          <text>A related institution, as defined in § 19–301 of this title;</text>
        </level>
        <level label="4">
          <text>An outpatient clinic;</text>
        </level>
        <level label="5">
          <text>A freestanding medical facility, as defined in § 19–3A–01 of this title;</text>
        </level>
        <level label="6">
          <text>An ambulatory surgical facility, as defined in § 19–3B–01 of this title; and</text>
        </level>
        <level label="7">
          <text>A nursing home, as defined in § 19–1401 of this title.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <text>“Health care provider” does not include a health maintenance organization as defined in § 19–701 of this title.</text>
    </level>
  </level>
  <level label="f">
    <text>“Health information exchange” has the meaning stated in § 4–301 of this article.</text>
  </level>
  <level label="g">
    <text>“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.</text>
  </level>
  <level label="h">
    <text>“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.</text>
  </level>
  <level label="i">
    <level label="1">
      <text>“State–regulated payor” means a carrier issuing or delivering health benefit plans in the State.</text>
    </level>
    <level label="2">
      <text>“State–regulated payor” does not include a managed care organization as defined in Title 15, Subtitle 1 of this article.</text>
    </level>
  </level>
</section>
