Maryland Insurance Section 15-709

Article - Insurance

§ 15-709.

      (a)      In this section, "nurse midwife" means a licensed registered nurse who is certified as a nurse midwife by the American College of Nurse-Midwives.

      (b)      Each insurer that proposes to issue, renew, amend, or reissue an individual, group, or blanket health insurance policy in the State that is written on an expense-incurred basis shall offer the option of providing benefits for expenses that arise from services rendered by a nurse midwife.

      (c)      Each nonprofit health service plan that proposes to issue, renew, amend, or reissue a health insurance policy in the State shall offer the option of providing benefits for expenses that arise from services rendered by a nurse midwife.

      (d)      (1)      This subsection applies to each individual, group, or blanket health insurance policy, contract, or certificate of an insurer or nonprofit health service plan that:

                  (i)      1.      is issued or delivered in the State;

                        2.      is issued to a group that is incorporated or has a main office in the State; or

                        3.      covers individuals who reside or work in the State;

                  (ii)      is issued, renewed, amended, or reissued on or after July 1, 1979; and

                  (iii)      if issued by an insurer, is written on an expense-incurred basis.

            (2)      Notwithstanding any other provision of a policy, contract, or certificate subject to this subsection, if the policy, contract, or certificate provides for reimbursement for a service that is within the lawful scope of practice of a nurse midwife, the insured or any other person covered by the policy, contract, or certificate is entitled to reimbursement for the service regardless of whether the service is performed by a physician or nurse midwife.

      (e)      A policy that provides benefits under this section for services rendered by a nurse midwife may not require, as a condition for the payment of benefits, that the nurse midwife be employed by a physician or act under a physician's orders.

      (f)      The utilization of health insurance benefits provided under this section for services rendered by a nurse midwife is subject to review by a peer review committee appointed by the State Board of Nursing.



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