962                                       LAWS OF MARYLAND                                Ch. 94

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 the woman is

a victim of rape, sexual

offense, or incest which has

been reported to a law

enforcement agency or a
public health or social

agency; or where it can be

ascertained by the physician
with a reasonable degree of
medical certainty that the
fetus is affected by genetic
defect or serious deformity

or abnormality; or where it

can be ascertained by the

physician with a reasonable
degree of medical certainty

that termination of

pregnancy is medically

necessary because there is
substantial risk that

continuation of the

pregnancy could have a
serious and adverse effect
on the woman's present or
future physical health; or
before an abortion can be
performed on the grounds of
mental health there must be
certification in writing by

the physician or surgeon
that in his or her
professional judgment there
exists medical evidence that

continuation of the

pregnancy is creating a

serious effect on the

woman's present mental

health and if carried to
term there is substantial
risk of a serious or long
lasting effect on the
woman's future mental
health.

General fund Appropriation,
provided that $15,000,000

11,000,000 of this

appropriation shall be

restricted to the payment of

invoices received, in F.Y.

1983, for services rendered