Ch. 375

1996 LAWS OF MARYLAND

terms; providing for the application of this Act; and generally relating to the
provision of coverage for certain reconstructive breast surgery.

BY adding to

Article 48A - Insurance Code

Section 490FF

Annotated Code of Maryland

(1994 Replacement Volume and 1995 Supplement)

BY repealing and reenacting, with amendments,
Article - Health - General
Section 19-706(d)
Annotated Code of Maryland
(1990 Replacement Volume and 1995 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article 48A — Insurance Code

490FF.

(A) (1) IN THIS SECTION, "RECONSTRUCTIVE BREAST SURGERY" MEANS
SURGERY PERFORMED, FOLLOWING A MASTECTOMY, ON ONE BREAST OR BOTH
BREASTS TO REESTABLISH SYMMETRY BETWEEN THE TWO BREASTS.

(2) "RECONSTRUCTIVE BREAST SURGERY" INCLUDES AUGMENTATION
MAMMOPLASTY, REDUCTION MAMMOPLASTY, AND MASTOPEXY.

(A)    (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2) "MASTECTOMY' MEANS THE SURGICAL REMOVAL OF ALL OR PART
OF A BREAST AS A RESULT OF BREAST CANCER

(3) (I) "RECONSTRUCTIVE BREAST SURGERY" MEANS SURGERY
PERFORMED AS A RESULT OF A MASTECTOMY TO REESTABLISH SYMMETRY
BETWEEN THE TWO BREASTS.

(II) "RECONSTRUCTIVE BREAST SURGERY" INCLUDES
AUGMENTATION MAMMOPLASTY. REDUCTION MAMMOPLASTY, AND MASTOPEXY.

(B)     AN INSURER OR NONPROFIT HEALTH SERVICE PLAN THAT PROVIDES
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS FOR ISSUANCE OR DELIVERY IN THE
STATE TO ANY GROUP OR INDIVIDUAL ON AN EXPENSE-INCURRED BASIS,
INCLUDING A HEALTH MAINTENANCE ORGANIZATION, SHALL PROVIDE COVERAGE
FOR RECONSTRUCTIVE BREAST SURGERY RESULTING FROM A MASTECTOMY.

(C) THE COVERAGE REQUIRED UNDER SUBSECTION (B) OF THIS SECTION
SHALL INCLUDE COVERAGE FOR ALL STAGES OF RECONSTRUCTIVE BREAST

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