(a) The Commissioner may enforce:
(1) the provisions of this subtitle; and
(2) notwithstanding any other provisions of law, the following provisions of Title 1, Subtitles A, C, and D of the Affordable Care Act as they apply to individual health insurance coverage and health insurance coverage offered in the small group and large group markets as those terms are defined in the federal Public Health Service Act, issued or delivered in the State by an authorized insurer, nonprofit health service plan, or health maintenance organization:
(i) coverage of children up to the age of 26 years;
(ii) preexisting condition exclusions;
(iii) policy rescissions;
(iv) bona fide wellness programs;
(v) lifetime limits;
(vi) annual limits for essential benefits;
(vii) waiting periods;
(viii) designation of primary care providers;
(ix) access to obstetrical and gynecological services;
(x) emergency services;
(xi) summary of benefits and coverage explanation;
(xii) minimum loss ratio requirements and premium rebates;
(xiii) disclosure of information;
(xiv) annual limitations on cost–sharing;
(xv) child–only plan offerings in the individual market;
(xvi) minimum benefit requirements for catastrophic plans;
(xvii) health insurance premium rates;
(xviii) coverage for individuals participating in approved clinical trials;
(xix) contract requirements for stand–alone dental plans sold on the Maryland Health Benefit Exchange;
(xx) guaranteed availability of coverage;
(xxi) prescription drug benefit requirements; and
(xxii) preventive and wellness services and chronic disease management.
(b) The Commissioner may enforce the provisions identified under subsection (a) of this section under any applicable powers granted to the Commissioner under this article.
Structure Maryland Statutes
Subtitle 1A - Consumer Protections
Section 15-1A-01 - Definitions
Section 15-1A-02 - Enforcement of Provisions by Commissioner
Section 15-1A-04 - Criteria for Health Benefit Plans -- Consistent With Federal Law
Section 15-1A-06 - Certain Factors Prohibited in Consideration -- Extra Premiums Prohibited
Section 15-1A-07 - Premium Rates Review -- Basis -- Ratio of Premium Rate Variation
Section 15-1A-09 - Acceptance of All Employers and Individuals -- Exceptions
Section 15-1A-11 - Lifetime or Annual Limits on Benefits
Section 15-1A-12 - Limit on Waiting Period for Otherwise Eligible Individual
Section 15-1A-14 - Emergency Services -- Coverages
Section 15-1A-16 - Acceptable Medical Loss Ratio -- Calculation
Section 15-1A-18 - Catastrophic Plans -- Regulations Governing
Section 15-1A-20 - Prescription Drug Essential Health Benefits for Individual and Small Group Plans
Section 15-1A-21 - Rescission of Coverage Under Health Benefit Plans -- Exceptions