402                                           LAWS OF MARYLAND                                    Ch. 86

the pregnancy is medically
necessary or there is a
risk of the birth of a
child —with permanent
physical deformity,

genetic defect, or mental

retardation; or where the
woman is a victim of rape,
sexual offense, or incest
which has been reported to
a law enforcement agency
or a public or private
health or social agency.
that no part of this
general fund appropriation
may be paid to any
physician or surgeon or
any hospital, clinic or
other medical facility for
or in connection with the

performance of any

abortion, except upon

certification by a

physician or surgeon,

based upon his or her

professional judgment that

the procedure is

necessary, provided one of
the following conditions

exists: where

continuation of the

pregnancy is likely to
result in the death of the
woman; or where it can be

ascertained by the

physician within a

reasonable degree of

medical certainty that the

continuation of the

pregnancy could have an
adverse effect on the
woman's present or future
physical health; or where
it can be ascertained by
the physician within a

reasonable degree of

medical certainty that

continuation of the

pregnancy could have a
serious and adverse effect
on the woman's present or
future mental health; or

where it can be

ascertained by the

physician within a

reasonable degree of

medical certainty that the