For purposes of this subtitle, to the extent necessary, the Commissioner shall adopt regulations that:
(1) establish criteria that a health benefit plan must meet to be considered a health benefit plan that covers essential health benefits; and
(2) are consistent with 45 C.F.R. Part 156 Subpart B and any corresponding federal rules and guidance as those provisions were in effect December 1, 2019.
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