1998                                          LAWS OF MARYLAND                                     Ch. 237

DELIVERED WITHIN THE STATE ON AN EXPENSE INCURRED BASIS AND WHICH
PROVIDES PREGNANCY-RELATED BENEFITS, MAY NOT EXCLUDE BENEFITS FOR
ALL OUTPATIENT EXPENSES ARISING FROM IN VITRO FERTILIZATION
PROCEDURES PERFORMED ON THE CERTIFICATE HOLDER OR THE CERTIFICATE
HOLDER'S DEPENDENT SPOUSE, PROVIDED THAT:                                   

(1) BENEFITS UNDER THIS SECTION SHALL BE PROVIDED TO
THE SAME EXTENT AS THE BENEFITS PROVIDED FOR OTHER
PREGNANCY-RELATED PROCEDURES;

(2) THE PATIENT IS A CERTIFICATE HOLDER OR COVERED
DEPENDENT OF THE CERTIFICATE HOLDER;

(3) THE PATIENT'S OOCYTES ARE FERTILIZED WITH THE
PATIENT'S SPOUSE'S SPERM?

(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
POLICY; 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.

SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall
take effect July 1, 1985.

Approved May 21, 1985.