HARRY HUGHES, Governor

2469

CERTIFICATE PROVIDES FOR REIMBURSEMENT FOR ANESTHESIA OR ANY
SERVICE WHICH 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.

26. Group and Blanket Health Insurance

4772.

(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 ANESTHETIST AS A NURSE
ANESTHETISTS.

(B) AFTER JULY 1, 1984, EVERY GROUP OR BLANKET 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
ANESTHETISTS.

(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 A PHYSICIAN'S ORDERS.

(D) AFTER JULY 1, 1984 A GROUP OR BLANKET 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 ANESTHETIST.

(E) (C) UTILIZATION OF GROUP OR BLANKET 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.

490A-3.

(A) (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 WHICH 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
CERTIFICATE PROVIDES FOR REIMBURSEMENT FOR ANESTHESIA OR ANY
SERVICE WHICH IS WITHIN THE LAWFUL SCOPE OF PRACTICE OF A DULY
CERTIFIED NURSE ANESTHETIST, THE INSURED, OR ANY OTHER PERSON