1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTING LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb1283* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 1283 |
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8 | 8 | | J5, C4, J4 4lr1854 |
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9 | 9 | | |
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10 | 10 | | By: Delegates Martinez, Acevero, Bagnall, Cullison, Fair, Fennell, Foley, Kaiser, |
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11 | 11 | | R. Lewis, Roberts, Taylor, and Vogel |
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12 | 12 | | Introduced and read first time: February 9, 2024 |
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13 | 13 | | Assigned to: Economic Matters |
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14 | 14 | | |
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15 | 15 | | A BILL ENTITLED |
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16 | 16 | | |
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17 | 17 | | AN ACT concerning 1 |
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18 | 18 | | |
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19 | 19 | | Insurance – Discrimination – Sexual Orientation and Gender Identity 2 |
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20 | 20 | | |
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21 | 21 | | FOR the purpose of prohibiting discrimination based on an individual’s sexual orientation 3 |
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22 | 22 | | or gender identity by an insurer, an insurance producer, a surety insurer, and a 4 |
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23 | 23 | | health network when engaging in certain insurance–related business practices; and 5 |
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24 | 24 | | generally relating to discrimination based on sexual orientation and gender identity 6 |
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25 | 25 | | and insurance. 7 |
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26 | 26 | | |
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27 | 27 | | BY repealing and reenacting, without amendments, 8 |
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28 | 28 | | Article – Insurance 9 |
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29 | 29 | | Section 15–1A–22 10 |
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30 | 30 | | Annotated Code of Maryland 11 |
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31 | 31 | | (2017 Replacement Volume and 2023 Supplement) 12 |
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32 | 32 | | |
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33 | 33 | | BY repealing and reenacting, with amendments, 13 |
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34 | 34 | | Article – Insurance 14 |
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35 | 35 | | Section 27–501(a)(1) and (b), 27–502(a), (b), and (e), 27–503(d), and 27–910(b) 15 |
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36 | 36 | | Annotated Code of Maryland 16 |
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37 | 37 | | (2017 Replacement Volume and 2023 Supplement) 17 |
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38 | 38 | | |
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39 | 39 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 18 |
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40 | 40 | | That the Laws of Maryland read as follows: 19 |
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41 | 41 | | |
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42 | 42 | | Article – Insurance 20 |
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43 | 43 | | |
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44 | 44 | | 15–1A–22. 21 |
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45 | 45 | | |
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46 | 46 | | (a) (1) In this section the following words have the meanings indicated. 22 |
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47 | 47 | | |
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48 | 48 | | (2) “Gender identity” has the meaning stated in § 20–101 of the State 23 2 HOUSE BILL 1283 |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | Government Article. 1 |
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52 | 52 | | |
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53 | 53 | | (3) “Sexual orientation” has the meaning stated in § 20–101 of the State 2 |
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54 | 54 | | Government Article. 3 |
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55 | 55 | | |
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56 | 56 | | (b) This section does not prohibit a carrier from refusing, withholding, or denying 4 |
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57 | 57 | | coverage under a health benefit plan to any individual for failure to conform to the usual 5 |
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58 | 58 | | and regular requirements, standards, and regulations of the carrier, unless the denial is 6 |
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59 | 59 | | based on discrimination on the grounds of race, sex, color, creed, national origin, marital 7 |
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60 | 60 | | status, sexual orientation, age, gender identity, or disability. 8 |
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61 | 61 | | |
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62 | 62 | | (c) This section does not apply to limitations or restrictions related to age or 9 |
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63 | 63 | | marital status that are specifically authorized or required under this article to limit or 10 |
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64 | 64 | | restrict eligibility for insurance coverage or benefits. 11 |
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65 | 65 | | |
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66 | 66 | | (d) A carrier may not refuse, withhold, or deny any individual coverage under a 12 |
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67 | 67 | | health benefit plan offered by the carrier or otherwise discriminate against any individual 13 |
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68 | 68 | | because of the individual’s race, sex, creed, color, national origin, marital status, sexual 14 |
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69 | 69 | | orientation, age, gender identity, or disability. 15 |
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70 | 70 | | |
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71 | 71 | | (e) The Commission on Civil Rights shall enforce the provisions of this section as 16 |
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72 | 72 | | provided for in § 2–202 of this article. 17 |
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73 | 73 | | |
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74 | 74 | | 27–501. 18 |
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75 | 75 | | |
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76 | 76 | | (a) (1) An insurer or insurance producer may not cancel or refuse to 19 |
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77 | 77 | | underwrite or renew a particular insurance risk or class of risk for a reason based wholly 20 |
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78 | 78 | | or partly on race, color, creed, sex, SEXUAL ORIENTATION , GENDER IDENTITY , or 21 |
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79 | 79 | | blindness of an applicant or policyholder or for any arbitrary, capricious, or unfairly 22 |
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80 | 80 | | discriminatory reason. 23 |
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81 | 81 | | |
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82 | 82 | | (b) (1) An insurer may not require special conditions, facts, or situations as a 24 |
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83 | 83 | | condition to its acceptance or renewal of a particular insurance risk or class of risks in an 25 |
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84 | 84 | | arbitrary, capricious, unfair, or discriminatory manner based wholly or partly on race, 26 |
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85 | 85 | | creed, color, sex, SEXUAL ORIENTATION , GENDER IDENTITY , religion, national origin, 27 |
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86 | 86 | | place of residency, blindness, or other physical handicap or disability. 28 |
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87 | 87 | | |
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88 | 88 | | (2) Actuarial justification may be considered with respect to sex. 29 |
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89 | 89 | | |
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90 | 90 | | 27–502. 30 |
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91 | 91 | | |
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92 | 92 | | (a) A surety insurer may not cancel or refuse to issue or renew a surety bond for 31 |
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93 | 93 | | a reason based wholly or partly on race, color, creed, sex, SEXUAL ORIENTATION , GENDER 32 |
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94 | 94 | | IDENTITY, or physical handicap or disability of an applicant or principal or for any other 33 |
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95 | 95 | | arbitrary, capricious, or unfairly discriminatory reason. 34 |
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96 | 96 | | |
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97 | 97 | | (b) A surety insurer may not require special conditions, facts, or situations as a 35 HOUSE BILL 1283 3 |
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98 | 98 | | |
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99 | 99 | | |
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100 | 100 | | condition to its acceptance or renewal of a particular surety risk in an arbitrary, capricious, 1 |
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101 | 101 | | unfair, or discriminatory manner based wholly or partly on race, creed, color, sex, SEXUAL 2 |
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102 | 102 | | ORIENTATION , GENDER IDENTITY , religion, national origin, place of residence, or 3 |
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103 | 103 | | physical handicap or disability. 4 |
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104 | 104 | | |
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105 | 105 | | (e) (1) A person aggrieved under this section shall notify the Commissioner in 5 |
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106 | 106 | | writing within 30 days after the occurrence giving rise to the complaint and shall state the 6 |
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107 | 107 | | facts giving rise to the complaint. 7 |
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108 | 108 | | |
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109 | 109 | | (2) On receipt of a complaint, the Commissioner shall forward a copy of the 8 |
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110 | 110 | | complaint to the surety insurer. 9 |
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111 | 111 | | |
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112 | 112 | | (3) If the Commissioner finds that the complaint is without merit, the 10 |
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113 | 113 | | Commissioner shall dismiss the complaint without a hearing and shall notify the surety 11 |
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114 | 114 | | insurer and complainant promptly in writing. 12 |
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115 | 115 | | |
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116 | 116 | | (4) If the complaint is not dismissed without a hearing, the Commissioner 13 |
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117 | 117 | | shall: 14 |
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118 | 118 | | |
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119 | 119 | | (i) hold a hearing on the complaint within 30 days after receipt of 15 |
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120 | 120 | | the complaint; and 16 |
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121 | 121 | | |
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122 | 122 | | (ii) give written notice of the time and place of the hearing to all 17 |
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123 | 123 | | parties at least 10 days before the hearing. 18 |
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124 | 124 | | |
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125 | 125 | | (5) At a hearing to determine whether this section has been violated, the 19 |
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126 | 126 | | burden of persuasion is on the surety insurer to show that the cancellation or refusal to 20 |
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127 | 127 | | underwrite or renew is not based wholly or partly on race, color, creed, sex, SEXUAL 21 |
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128 | 128 | | ORIENTATION , GENDER IDENTITY, or physical handicap or disability of an applicant or 22 |
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129 | 129 | | principal or for any unfairly discriminatory reason. 23 |
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130 | 130 | | |
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131 | 131 | | (6) If, after the hearing, the Commissioner finds that the surety insurer 24 |
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132 | 132 | | has violated this section, the Commissioner may issue an appropriate order that: 25 |
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133 | 133 | | |
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134 | 134 | | (i) states the manner in which the surety insurer has violated this 26 |
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135 | 135 | | section; 27 |
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136 | 136 | | |
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137 | 137 | | (ii) provides relief under subsection (g) or (h) of this section; and 28 |
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138 | 138 | | |
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139 | 139 | | (iii) states when, within a reasonable period but not less than 10 days 29 |
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140 | 140 | | after the hearing, the order shall be effective. 30 |
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141 | 141 | | |
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142 | 142 | | 27–503. 31 |
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143 | 143 | | |
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144 | 144 | | (d) Notwithstanding any other provision of this section, an insurer may not cancel 32 |
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145 | 145 | | or amend a written agreement with an insurance producer or refuse to accept business from 33 |
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146 | 146 | | the insurance producer if the cancellation, amendment, or refusal is arbitrary, capricious, 34 4 HOUSE BILL 1283 |
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147 | 147 | | |
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148 | 148 | | |
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149 | 149 | | unfair, or discriminatory or is based wholly or partly on the race, creed, color, sex, SEXUAL 1 |
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150 | 150 | | ORIENTATION , GENDER IDENTITY , religion, national origin, or place of residency of the 2 |
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151 | 151 | | insurance producer or the applicants or policyholders of the insurance producer. 3 |
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152 | 152 | | |
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153 | 153 | | 27–910. 4 |
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154 | 154 | | |
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155 | 155 | | (b) A health network may not deny health care services to an enrollee on the basis 5 |
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156 | 156 | | of gender, SEXUAL ORIENTATION , GENDER IDENTITY , race, age, religion, national origin, 6 |
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157 | 157 | | or a protected category under the Americans with Disabilities Act. 7 |
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158 | 158 | | |
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159 | 159 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 8 |
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160 | 160 | | October 1, 2024. 9 |
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