HARRY HUGHES, Governor

1601

(E) NOTWITHSTANDING ANY PROVISION OF A GROUP OR

INDIVIDUAL POLICY OR CONTRACT, OR ANY CERTIFICATE ISSUED

THEREUNDER, OF HEALTH,-----SICKNESS, ACCIDENT, OR DISABILITY

INSURANCE, 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 -----NURSE-----PRACTITIONER, 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 NURSE PRACTITIONER. 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, 1980.

470N.

(A)    IN THIS SECTION "CERTIFIED NURSE PRACTITIONER"
MEANS A LICENSED REGISTERED NORSE WHO HAS COMPLETED A NURSE
PRACTITIONER PROGRAM APPROVED BY THE MARYLAND STATE BOARD OF
EXAMINERS OF NURSES AND WHO HAS PASSED A BOARD APPROVED

EXAMINATION, AND HAS BEEN CERTIFIED UNDER THE JOINT

REGULATIONS OF THE BOARD OF MEDICAL EXAMINERS AND THE BOARD
OF EXAMINERS OF NURSES.

(B)    AFTER JULY 1, 1980, EVERY HEALTH INSURER WHO
PROPOSES TO ISSUE, RENEW, MODIFY, ALTER, AMEND, OR REISSUE
ANY HEALTH INSURANCE POLICY IN MARYLAND THAT IS WRITTEN ON
AN EXPENSE INCURRED BASIS SHALL INCLUDE OFFER THE OPTION OF
PROVIDING BENEFITS FOR EXPENSES ARISING FROM CARE,
TREATMENT, OR SERVICES RENDERED BY A CERTIFIED NURSE
PRACTITIONER. THE HEALTH INSURER MAY LIMIT THE COVERAGE
OFFERED TO FOR THOSE SERVICES PROVIDED BY A - NURSE
PRACTITIONER WHO WORKS WHILE WORKING DIRECTLY UNDER THE
SUPERVISION OF A PHYSICIAN.

(C)    AFTER JULY 1, 1980, A HEALTH INSURER SHALL RENEW,
MODIFY, ALTER, AMEND, OR REISSUE ANY EXISTING HEALTH
INSURANCE POLICY THAT 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 CERTIFIED NURSE PRACTITIONER. THE HEALTH INSURER MAY
LIMIT THE COVERAGE OFFERED TO FOR THOSE SERVICES PROVIDED BY
A NURSE PRACTITIONER WHO WORKS WHILE WORKING DIRECTLY, UNDER
THE SUPERVISION OF A PHYSICIAN.

(D)    UTILIZATION OF HEALTH INSURANCE BENEFITS BY A
CERTIFIED NURSE PRACTITIONER IS SUBJECT TO REVIEW BY A PEER
REVIEW COMMITTEE APPOINTED BY THE STATE BOARD OF EXAMINERS