Ch. 470

LAWS OF MARYLAND

Each hospital or major medical insurance policy written on
an expense-incurred basis, which is delivered or issued for
delivery in the State, OR WHICH COVERS PERSONS WHO RESIDE OR AND
WORK WITHIN 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
the same extent as benefits provided for other pregnancy-related
procedures;

(2)  The patient is a policyholder or covered
dependent of the policyholder;

(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

(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 DES; 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 Obstetricians and Gynecologists guidelines for in
vitro fertilization clinics or to the American Fertility Society
minimal standards for programs of in vitro fertilization.

477EE.

Each group or blanket health insurance policy issued or
delivered within the State, OR COVERING PERSONS WHO RESIDE OR AND
WORK WITHIN THE STATE, WRITTEN 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:

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