Ch. 35

1997 LAWS OF MARYLAND

plans" to contain nonduplication provisions or provisions to coordinate
coverage is added for clarity.

Also in the introductory language of subsection (b) of this section, the former
introductory language, "[e]xcept as otherwise provided in this section", is
deleted as unnecessary in light of the introductory language of subsection (c)
of this section.

In subsection (c) of this section, the reference to an "individual" health
insurance policy is added to clarify the applicability of this provision.

Defined terms: "Commissioner" § 1-101
"Health insurance" § 1-101
"Policy" § 1-101

15-105. COVERAGE INFORMATION ABOUT BREAST IMPLANTS.

(A) DEFINITIONS.

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

(2) "BREAST IMPLANT" MEANS A POCKET OR ENVELOPE THAT IS
SURGICALLY INSERTED UNDER THE SKIN AND CONTAINS SOFT SILICONE GEL,
SALINE SOLUTION, OR A COMBINATION OF SOFT SILICONE GEL AND SALINE
SOLUTION.

(3) "BREAST IMPLANT-RELATED CONDITION" MEANS A CONDITION
THAT THE FEDERAL FOOD AND DRUG ADMINISTRATION RECOGNIZES AS POSSIBLY
LINKED TO BREAST IMPLANTS.

(B) SCOPE OF SECTION.
THIS SECTION APPLIES TO:

(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT PROVIDE
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS ON AN
EXPENSE-INCURRED BASIS UNDER HEALTH INSURANCE POLICIES THAT ARE ISSUED
OR DELIVERED IN THE STATE; AND

(2) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE HOSPITAL,
MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UNDER
CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE.

(C) INFORMATION PROVIDED TO COMMISSIONER.

AN ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE INFORMATION TO THE
COMMISSIONER ABOUT THE ENTITY'S:

(1) COVERAGE FOR BREAST IMPLANT REMOVALS AND BREAST
IMPLANT-RELATED CONDITIONS; AND

(2) PREEXISTING CONDITION PROVISIONS IN POLICIES FOR
INDIVIDUALS WITH BREAST IMPLANTS.

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