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§ 15-810.1. Iatrogenic infertility; coverage for standard fertility preservation procedures

West's Annotated Code of MarylandInsuranceEffective: January 1, 2019

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
Effective: January 1, 2019
MD Code, Insurance, § 15-810.1
§ 15-810.1. Iatrogenic infertility; coverage for standard fertility preservation procedures
Currentness
Definitions
(a)(1) In this section the following words have the meanings indicated.
(2) “Iatrogenic infertility” means an impairment of fertility caused directly or indirectly by surgery, chemotherapy, radiation, or other medical treatment affecting the reproductive organs or processes.
(3) “Medical treatment that may directly or indirectly cause iatrogenic infertility” means medical treatment with a likely side effect of infertility as established by the American Society for Reproductive Medicine, the American College of Obstetricians and Gynecologists, or the American Society of Clinical Oncology.
(4)(i) “Standard fertility preservation procedures” means procedures to preserve fertility that are consistent with established medical practices and professional guidelines published by the American Society for Reproductive Medicine, the American College of Obstetricians and Gynecologists, or the American Society of Clinical Oncology.
(ii) “Standard fertility preservation procedures” includes sperm and oocyte cryopreservation and evaluations, laboratory assessments, medications, and treatments associated with sperm and oocyte cryopreservation.
(iii) “Standard fertility preservation procedures” does not include the storage of sperm or oocytes.
Application of section
(b) 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.
Covered procedures
(c) Except as provided in subsection (d) of this section, an entity subject to this section shall provide coverage for standard fertility preservation procedures:
(1) performed on a policyholder or subscriber or on the covered dependent of a policyholder or subscriber; and
(2) that are medically necessary to preserve fertility for a policyholder or subscriber or for the covered dependent of a policyholder or subscriber due to a need for medical treatment that may directly or indirectly cause iatrogenic infertility.
Exclusion on religious grounds of coverage for in vitro fertilization
(d) An entity subject to this section may not be required to provide coverage under subsection (c) of this section to a religious organization that requests and receives an exclusion from in vitro fertilization coverage under § 15-810(i) of this subtitle.

Credits

Added by Acts 2018, c. 715, § 1, eff. Jan. 1, 2019; Acts 2018, c. 716, § 1, eff. Jan. 1, 2019.
MD Code, Insurance, § 15-810.1, MD INSURANCE § 15-810.1
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
End of Document