Ch. 372                                     1993 LAWS OF MARYLAND

20A-108. CONFLICT AMONG ADVANCE MEDICAL DIRECTIVES.

A HEALTH-CARE DECISION IN THE LAST VALID ADVANCE MEDICAL DIRECTIVE
OF AN INDIVIDUAL SHALL BE GIVEN EFFECT IF THE ADVANCE MEDICAL
DIRECTIVES OF AN INDIVIDUAL ARE INCONSISTENT.

20A-109. PROHIBITED ACTS; REQUIRED ADVANCE MEDICAL DIRECTIVE.

(A) A HEALTH CARE PROVIDER MAY NOT REQUIRE AN INDIVIDUAL TO
EXECUTE AN ADVANCE MEDICAL DIRECTIVE AS A CONDITION FOR THE PROVISION
OF HEALTH CARE OR FOR ADMISSION TO A HEALTH CARE FACILITY.

(B) AN INSURER, NONPROFIT HEALTH SERVICE PLAN, HEALTH

MAINTENANCE ORGANIZATION, OR OTHER PERSON THAT PROVIDES HEALTH
BENEFITS COVERAGE SUBJECT TO REGULATION UNDER THE CODE MAY NOT
REQUIRE AN INDIVIDUAL TO EXECUTE AN ADVANCE MEDICAL DIRECTIVE AS A
CONDITION OF PROVIDING HEALTH BENEFITS COVERAGE.

20A-110. SAME; LIFE INSURERS.

A LIFE INSURER, AS DEFINED IN ARTICLE 48A, § 64 OF THE CODE, BECAUSE OF
THE EXECUTION OR IMPLEMENTATION OF AN ADVANCE MEDICAL DIRECTIVE, MAY
NOT:

(1) DECLINE TO PROVIDE OR CONTINUE COVERAGE TO AN
INDIVIDUAL;

(2) CONSIDER THE TERMS OF AN EXISTING POLICY OF LIFE INSURANCE
TO HAVE BEEN BREACHED OR MODIFIED; OR

(3) INVOKE ANY SUICIDE OR INTENTIONAL DEATH EXEMPTION OR
EXCLUSION IN ANY POLICY COVERING THE INDIVIDUAL.

20A-111. SAME; PENALTIES.

(A) A PERSON MAY NOT:

(1) FORGE OR FALSIFY AN ADVANCE MEDICAL DIRECTIVE OR
REVOCATION OF AN ADVANCE MEDICAL DIRECTIVE;

(2) WILLFULLY CONCEAL AN ADVANCE MEDICAL DIRECTIVE OR THE
REVOCATION OF AN ADVANCE MEDICAL DIRECTIVE; OR

(3) COERCE OR FRAUDULENTLY INDUCE THE EXECUTION,

MODIFICATION, OR REVOCATION OF AN ADVANCE MEDICAL DIRECTIVE.

(B) ANY PERSON WHO VIOLATES THIS SECTION IS GUILTY OF A
MISDEMEANOR AND ON CONVICTION IS SUBJECT TO A FINE NOT EXCEEDING $5,000
OR IMPRISONMENT NOT EXCEEDING 1 YEAR OR BOTH.

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