BLAIR LEE III, Acting Governor                           2115

INSURANCE POLICY WHICH IS WRITTEN ON AN EXPENSE INCURRED
BASIS TO INCLUDE OFFER THE OPTION OF PROVIDING BENEFITS FOR
EXPENSES ARISING FROM CARE, TREATMENT, OR SERVICES RENDERED
BY A NURSE MIDWIFE.

(E)    UTILIZATION OF HEALTH INSURANCE BENEFITS BY A
NURSE MIDWIFE IS SUBJECT TO REVIEW BY A PEER REVIEW
COMMITTEE APPOINTED BY THE STATE BOARD OF EXAMINERS OF
NURSES.

(F)    NOTWITHSTANDING ANY PROVISION OF A GROUP OR
INDIVIDUAL POLICY, OR CONTRACT, OR ANY CERTIFICATE ISSUED
THEREUNDER, OF HEALTH AND/OR SICKNESS, AND/OR ACCIDENT,
AND/OR DISABILITY INSURANCE WHICH IS WRITTEN ON AN EXPENSE
INCURRED BASIS, DELIVERED WITHIN THE STATE, OR ISSUED TO A
GROUP WHICH IS INCORPORATED OR HAS A MAIN OFFICE LOCATED IN
THE STATE, OR COVERING PERSONS WHO RESIDE OR WORK WITHIN THE
STATE, WHENEVER SUCH POLICY, CONTRACT, OR CERTIFICATE
PROVIDES FOR REIMBURSEMENT FOR ANY SERVICE WHICH IS WITHIN
THE LAWFUL SCOPE OF PRACTICE OF A DULY CERTIFIED NURSE
MIDWIFE, THE INSURED, OR ANY OTHER PERSON COVERED BY THE
POLICY, CONTRACT, OR CERTIFICATE, SHALL BE ENTITLED TO
REIMBURSEMENT FOR SUCH SERVICE, WHETHER THE SERVICE IS
PERFORMED BY A DOCTOR OF MEDICINE OR A DULY CERTIFIED NURSE
MIDWIFE. THE PROVISIONS OF THIS SECTION SHALL APPLY TO ALL
SUCH POLICIES, CONTRACTS, OR CERTIFICATES ISSUED, RENEWED,
MODIFIED, ALTERED, AMENDED, OR REISSUED ON OR AFTER JULY 1,
1979.

477Q.

(A) IN THIS SECTION "NURSE MIDWIFE" MEANS A LICENSED
REGISTERED NURSE WHO HAS BEEN CERTIFIED BY THE AMERICAN
COLLEGE OF NURSE-MIDWIVES AS A NURSE MIDWIFE.

(E) AFTER JULY 1, 1979 EVERY GROUP OR BLANKET HEALTH
INSURER WHO PROPOSES TO ISSUE, RENEW, MODIFY, ALTER, AMEND,
OR REISSUE ANY HEALTH INSURANCE POLICY IN MARYLAND WHICH IS
WRITTEN ON AN EXPENSE INCURRED BASIS SHALL INCLUDE OFFER THE
OPTION OF PROVIDING BENEFITS FOR EXPENSES ARISING FROM
CARE, TREATMENT, OF SERVICES RENDERED BY A NURSE MIDWIFE.

(C)    ANY INSURANCE POLICY ISSUED IN ACCORDANCE WITH
THIS SECTION MAY NOT REQUIRE THAT, AS A CONDITION FOR THE
PAYMENT OF BENEFITS, THE NURSE MIDWIFE MUST BE EMPLOYED BY A
PHYSICIAN OR MUST ACT PURSUANT TO A PHYSICIAN'S ORDERS.

(D)    AFTER JULY 1, 1979 A GROUP OR BLANKET HEALTH
INSURER SHALL RENEW, MODIFY, ALTER, AMEND, OR REISSUE ANY
EXISTING HEALTH INSURANCE POLICY WHICH IS WRITTEN ON AN
EXPENSE INCURRED BASIS TO INCLUDE OFFER THE OPTION OF
PROVIDING BENEFITS FOR EXPENSES ARISING FROM CARE,
TREATMENT, OR SERVICES RENDERED BY A NURSE MIDWIFE.

(E)    UTILIZATION OF GROUP OR BLANKET HEALTH     INSURANCE
BENEFITS BY A NURSE MIDWIFE IS SUBJECT TO REVIEW   BY A PEER
REVIEW COMMITTEE APPOINTED BY THE STATE BOARD OF      EXAMINERS
OF NURSES.