1996

LAWS OF MARYLAND

Ch. 237

(4) (I) THE PATIENT AND THE PATIENT'S SPOUSE HAVE A
HISTORY OF INFERTILITY OF AT LEAST 5 YEARS' DURATION; OR

(II) THE INFERTILITY IS ASSOCIATED WITH 1 OR
MORE OF THE FOLLOWING MEDICAL CONDITIONS:

1. ENDOMETRIOSIS;

2. EXPOSURE IN UTERO TO

DIETHYLSTILBESTROL, COMMONLY KNOWN AS PES; OR

3. BLOCKAGE OF, OR SURGICAL REMOVAL OF, 1
OR BOTH FALLOPIAN TUBES (LATERAL OR BILATERAL SALPINGECTOMY);

(5) THE PATIENT HAS BEEN UNABLE TO ATTAIN A
SUCCESSFUL PREGNANCY THROUGH ANY LESS COSTLY APPLICABLE
INFERTILITY TREATMENTS FOR WHICH COVERAGE IS AVAILABLE UNDER THE
CONTRACT OR CERTIFICATION; AND

(6) THE IN VITRO FERTILIZATION PROCEDURES ARE
PERFORMED AT MEDICAL FACILITIES THAT CONFORM TO THE AMERICAN
COLLEGE OF OBSTETRIC AND GYNECOLOGY GUIDELINES FOR IN VITRO
FERTILIZATION CLINICS OR TO THE AMERICAN FERTILITY SOCIETY
MINIMAL STANDARDS FOR PROGRAMS OF IN VITRO FERTILIZATION.

470V.

EACH HOSPITAL OR MAJOR MEDICAL INSURANCE POLICY WRITTEN ON
AN EXPENSE INCURRED BASIS, WHICH IS DELIVERED OR ISSUED FOR
DELIVERY IN THE STATE, SHALL INCLUDE BENEFITS FOR INPATIENT OR

OUTPATIENT EXPENSES ARISING FROM IN VITRO FERTILIZATION

PROCEDURES PERFORMED ON THE POLICY HOLDER OR THE POLICY HOLDER'S
DEPENDENT SPOUSE.

EVERY INDIVIDUAL POLICY OF HOSPITAL OR MEDICAL INSURANCE
DELIVERED OR ISSUED FOR DELIVERY IN THIS STATE ON AN EXPENSE
INCURRED BASIS UNDER WHICH MATERNITY BENEFITS ARE PROVIDED FOR
EXPENSES ARISING FROM PREGNANCY AND CHILDBIRTH SHALL PROVIDE

BENEFITS FOR EXPENSES ARISING FROM IN VITRO FERTILIZATION

PROCEDURES PERFORMED ON:

(1) THE POLICYHOLDER; OR

(2) THE DEPENDENT SPOUSE OF THE POLICYHOLDER IF THE
POLICY OTHERWISE COVERS THE DEPENDENT SPOUSE.

EACH HOSPITAL OR MAJOR MEDICAL INSURANCE POLICY WRITTEN ON
AN EXPENSE INCURRED BASIS, WHICH IS DELIVERED OR ISSUED FOR
DELIVERY IN THE STATE, AND WHICH PROVIDES PREGNANCY-RELATED
BENEFITS, MAY NOT EXCLUDE BENEFITS FOR ALL OUTPATIENT EXPENSES
ARISING FROM IN VITRO FERTILIZATION PROCEDURES PERFORMED ON THE
POLICYHOLDER OR THE POLICYHOLDER'S DEPENDENT SPOUSE, PROVIDED
THAT:

(1) BENEFITS UNDER THIS SECTION SHALL BE PROVIDED TO