Maryland Statutes
Subtitle 7 - Required Reimbursement for Services of Health Care Providers
Section 15-709 - Nurse Midwives

(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.

Structure Maryland Statutes