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<section article="ghg" article_name="Health - General" number="19-7A-01" title_number="19" title_name="Health Care Facilities" subtitle_number="7A" subtitle_name="Provider-Sponsored Organizations">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Commissioner” means the Maryland Insurance Commissioner.</text>
  </level>
  <level label="c">
    <text>“Health care services” means a health or medical care procedure or service rendered by a health care provider that:</text>
    <level label="1">
      <text>Provides testing, diagnosis, or treatment of a human disease or dysfunction; or</text>
    </level>
    <level label="2">
      <text>Dispenses drugs, medical devices, medical appliances, or medical goods for the treatment of a human disease or dysfunction.</text>
    </level>
  </level>
  <level label="d">
    <text>“License” includes a certificate of authority, as defined in § 1-101 of the Insurance Article.</text>
  </level>
  <level label="e">
    <text>“Provider” means any person, including a physician or hospital, that is licensed or otherwise authorized in this State to provide health care services.</text>
  </level>
  <level label="f">
    <text>“Provider-sponsored organization” means an entity that:</text>
    <level label="1">
      <text>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;</text>
    </level>
    <level label="2">
      <text>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</text>
    </level>
    <level label="3">
      <text>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.</text>
    </level>
  </level>
</section>
