1602

LAWS OF MARYLAND

Ch.

564

     (B) NOTWITHSTANDING ANY PROVISION OF A GROUP OR

INDIVIDUAL POLICY OR CONTRACT, OR ANY CERTIFICATE ISSUED

INSURANCE THAT 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 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 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, 1980.

477T.

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

(E)          AFTER JULY 1, 1980, EVERY GROUP OR BLANKET 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 GROUP OR BLANKET 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 GROUP OR BLANKET 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 GROUP OR BLANKET 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 GROUP OR BLANKET HEALTH INSURANCE
BENEFITS BY A CERTIFIED NURSE PRACTITIONER IS SUBJECT TO
REVIEW BY A PEER REVIEW COMMITTEE APPOINTED BY THE STATE
BOARD OF EXAMINERS OF NURSES IN ACCORDANCE WITH THE JOINT
REGULATIONS OF THE BOARD OF MEDICAL EXAMINERS AND THE BOARD

OF EXAMINERS OF NURSES.