Maryland Code, Insurance § 15-826.2

(a)(1) In this subsection, “group” means a group that is not a group covered under a health insurance policy or contract or under a health maintenance organization contract issued or delivered to a small employer, as defined in § 31-101 of this article.

(2) This subsection applies to:

(3) This subsection does not apply to an organization that requests and receives an exclusion from coverage under § 15-826(c) of this subtitle.

(4) An entity subject to this subsection shall provide coverage for male sterilization.

(b)(1) This subsection applies to:

(2) Except as provided in paragraph (3) of this subsection and except with respect to a health benefit plan that is a grandfathered health plan, as defined in § 1251 of the Affordable Care Act, an entity subject to this subsection may not apply a copayment, coinsurance requirement, or deductible to coverage for male sterilization.

(3) If an insured or enrollee is covered under a high-deductible health plan, as defined in 26 U.S.C. § 223, an entity subject to this subsection may subject male sterilization to the deductible requirement of the high-deductible health plan.