2468

LAWS OF MARYLAND

Ch. 424

(F) (D) (1) NOTWITHSTANDING ANY PROVISION OF A GROUP OR
INDIVIDUAL POLICY, CONTRACT, OR ANY CERTIFICATE ISSUED
THEREUNDER, OF HEALTH, SICKNESS, ACCIDENT, OR DISABILITY
INSURANCE, DELIVERED WITHIN THE STATE, OR ISSUED TO A GROUP THAT
IS INCORPORATED OR HAS A MAIN OFFICE LOCATED IN THE STATE, OR
COVERING PERSONS WHO RESIDE OR WORK WITHIN THE STATE, WHEN SUCH A
POLICY, CONTRACT, OR CERTIFICATE PROVIDES FOR REIMBURSEMENT FOR
ANESTHESIA OR ANY SERVICE THAT IS WITHIN THE LAWFUL SCOPE OF
PRACTICE OF A DULY CERTIFIED NURSE ANESTHETIST, THE INSURED, OR
ANY OTHER PERSON COVERED BY THE POLICY, CONTRACT, OR CERTIFICATE,
IS ENTITLED TO REIMBURSEMENT FOR SUCH SERVICE, WHETHER THE
SERVICE IS PERFORMED BY A DOCTOR OF MEDICINE OR A DULY CERTIFIED
NURSE ANESTHETIST.

(2) THE PROVISIONS OF THIS SECTION APPLY TO ALL SUCH
POLICIES, CONTRACTS, OR CERTIFICATES ISSUED, RENEWED, MODIFIED,
ALTERED, AMENDED, OR REISSUED ON OR AFTER JULY 1, 1984.

25. Health Insurance

470T.

(A) IN THIS SECTION "NURSE ANESTHETIST" MEANS A REGISTERED
NURSE WHO HAS BEEN CERTIFIED BY THE COUNCIL ON CERTIFICATION OR
THE COUNCIL ON RECERTIFICATION OF NURSE ANESTHETISTS AS A NURSE
ANESTHETIST.

(B) AFTER JULY 1, 1984 EVERY 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 BENEFITS FOR EXPENSES ARISING FROM
CARE, TREATMENT, OR SERVICES RENDERED BY A NURSE ANESTHETIST.

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

(D) AFTER JULY 1, 1984 A HEALTH INSURER SHALL RENEW,
MODIFY, ALTER, AMEND, OR REISSUE ANY EXISTING HEALTH INSURANCE
POLICY WHICH IS WRITTEN ON AN EXPENSE INCURRED BASIS TO INCLUDE
BENEFITS FOR EXPENSES ARISING FROM CARE, TREATMENT, OR SERVICES
RENDERED BY A NURSE ANESTHETISTS.

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

(F) (D) (1) NOTWITHSTANDING ANY PROVISION OF A GROUP OR
INDIVIDUAL POLICY, CONTRACT, OR ANY CERTIFICATE ISSUED
THEREUNDER, OF HEALTH OR SICKNESS, OR ACCIDENT, OR DISABILITY
INSURANCE THAT IS WRITTEN ON AN EXPENSE INCURRED BASIS, DELIVERED
WITHIN THE STATE, OR ISSUED TO A GROUP THAT IS INCORPORATED OR
HAS A MAIN OFFICE LOCATED IN THE STATE, OR COVERING PERSONS WHO
RESIDE OR WORK WITHIN THE STATE, WHEN SUCH POLICY, CONTRACT, OR