§ 19–7A-01
Statutes in effect as of October 1, 2026.
Md. Code Ann., Health-Gen. § 19-7A-01 (2026)
Title 19. Health Care Facilities
Subtitle 7A. Provider-Sponsored Organizations
§ 19–7A-01LinkCopy Citation
(a)
In this subtitle the following words have the meanings indicated.
(b)
“Commissioner” means the Maryland Insurance Commissioner.
(c)
“Health care services” means a health or medical care procedure or service rendered by a health care provider that:
(1)
Provides testing, diagnosis, or treatment of a human disease or dysfunction; or
(2)
Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction.
(d)
“License” includes a certificate of authority, as defined in § 1-101 of the Insurance Article.
(e)
“Provider” means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services.
(f)
“Provider-sponsored organization” means an entity that:
(1)
Is a legal aggregation of providers operating collectively for the purpose of providing health care services to Medicare beneficiaries under the federal Medicare+Choice Program;
(2)
Acts through a licensed entity, such as a partnership, corporation, limited liability company, limited liability partnership, or sole proprietorship, that has authority over the entity’s activities and responsibility for satisfying the requirements of § 19-7A-02 of this subtitle; and
(3)
Provides a substantial proportion of the health care services required to be provided under the federal Medicare+Choice Program directly through providers or affiliated groups of providers.