PARRIS N. GLENDENING, Governor Ch. 57

1. A minimum of 1 prenatal office visit per month during the
first 2 trimesters of pregnancy, 2 office visits per month during the 7th and 8th months of
pregnancy, and 1 office visit per week during the 9th month and until term; and

2. All necessary and appropriate screening, physical
examination, laboratory and diagnostic procedures, and prenatal counseling that the
licensed health care provider determines are necessary;

(iv) Reasonable, coverage of obstetrical care, including services by a
licensed health care provider, delivery room, post partum care, and other medically
necessary hospital services;

(v) Reasonable coverage of medically necessary emergency services;

and

(vi) Newborn child care from birth, as provided under [§ 438A of this
article] § 15-401 OF THE INSURANCE ARTICLE.

(2) An insurer or nonprofit health service plan shall offer to the individual
or group the following options for inpatient hospitalization coverage:

(i) The first 10 days of inpatient hospital and professional services
coverage per year, whether for mental or physical illness; or

(ii) The first 10 days of inpatient hospital and professional services
coverage per year, limited to physical illness only.

(3) Benefits under paragraph (l)(i) and (ii) of this subsection shall include
coverage for outpatient surgical procedures provided in a hospital or a freestanding
ambulatory surgical facility.

(4) Benefits under paragraph (l)(ii) of this subsection shall include:

(i) Coverage for the diagnosis and treatment of acute mental
conditions on an outpatient basis; and

(ii) Preventive services.

(5) With the approval of the INSURANCE Commissioner a limited benefits
policy may provide benefits in addition to those required under this subsection.

(d) (1) A limited benefits policy:

(i) Shall contain an exclusion for services that are not medically
necessary or are not covered preventive health services; and

(ii) Subject to the approval of the INSURANCE Commissioner, may
include other managed care provisions to control costs, including:

1. Utilization review by the insurer or nonprofit health service

plan;

2. Second surgical opinions;

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