1995 LAWS OF MARYLAND

of any abortion, except upon certification by
a physician or surgeon, based upon his or
her professional judgment that the
procedure is necessary, provided one of the
following conditions exists: where
continuation of the pregnancy is likely to
result in the death of the woman; or where
the woman is a victim of rape, sexual
offense, or incest which has been reported
to a law enforcement agency or a public
health or social agency; or where it can be
ascertained by the physician with a
reasonable degree of medical certainty that
the fetus is affected by genetic defect or
serious deformity or abnormality; or where
it can be ascertained by the physician with a
reasonable degree of medical certainty that
termination of pregnancy is medically
necessary because there is substantial risk
that continuation of the pregnancy could
have a serious and adverse effect on the
woman's present or future physical health;
or before an abortion can be performed on
the grounds of mental health there must be
certification in writing by the physician or
surgeon that in his or her professional
judgment there exists medical evidence that
continuation of the pregnancy is creating a
serious effect on the woman's present
mental health and if carried to term there is
a substantial risk of a serious or long lasting
effect on the woman's future mental health;
and further provided that $8,145,334 of this
amount will be reduced contingent upon the
enactment of legislation repealing the
termination provision for certain limitations
of coverage and copayment requirements in
the Maryland Pharmacy Assistance
Program. Further provided that no funds
shall be expended for the implementation of
any new Medicaid waiver until an
implementation plan for the waiver is
submitted to the Legislative Policy
Committee. The committee shall have 45
days to review and comment on the plan
before it becomes effective. an approved
federal 1115 Medicaid Demonstration
Waiver or a Freedom of Choice Waiver

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Ch. 7