HB 1045 Maryland House of Delegates · 2025 Regular Session

Health Insurance, Family Planning Services, and Confidentiality of Medical Records - Consumer Protections - Updates

HB 1045 updates Maryland's health insurance and family planning laws to align with current federal standards. It specifically expands the definition of "family planning providers" to include those who lost federal Title X funding due to service scope (like abortion access or referrals), ensuring Medicaid continues reimbursing them for services. The bill requires the Maryland Medical Assistance Program to maintain access to family planning services for these providers by establishing similar requirements to other providers and prohibiting restrictions on services within a provider's scope of practice. It also clarifies that the Maryland Insurance Commissioner and Civil Rights Commission share enforcement authority over health insurance discrimination.

Issues: ✓ Healthcare

Sub-Topics: Healthcare Workforce Medical Licensing Women's Health

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Apr 2025

Signed into Law

May 2025

Introduced Feb 5, 2025 Signed May 13, 2025

Maddy AI version diff · 1 comparison

What changed between versions

First - Health Insurance and Family Planning Services - Consumer Protections - Updates → Third - Health Insurance, Family Planning Services, and Confidentiality of Medical Records - Consumer Protections - Updates · 6 edits

MODERATE

HB 1045 was amended to expand its scope from health insurance and family planning services to also include confidentiality of medical records. The bill was advanced through committee with a favorable report and adopted by the House, adding several new sponsors. Key substantive changes include expanding definitions of 'family planning providers' to include those who lost federal funding due to service scope issues, adding gender-affirming care to sensitive health services definitions, and updating the bill's title and explanatory language to reflect the new confidentiality focus.

Scope change

The bill's scope was expanded to include confidentiality of medical records, and the definitions of protected health care and sensitive health services were broadened to explicitly include gender-affirming care.

SCOPE

Bill title and subject matter expanded to include 'Confidentiality of Medical Records' in addition to health insurance and family planning services.

DEFINITION

Added 'gender-affirming care' to the definition of 'sensitive health services' for purposes of information disclosure laws.

Modified definition of 'legally protected health care' to include sensitive health services and medications related to abortion care and other reproductive health services.

ELIGIBILITY

Expanded 'family planning providers' definition to include providers who lost Title X federal funding due to the scope of services they offer or referrals they make.

TIMELINE

Bill was introduced February 5, 2025, read second time February 27, 2025, and received a favorable committee report with amendments.

TECHNICAL

Added multiple new sponsors to the bill including Alston, Bagnall, Bhandari, Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez, Rosenberg, Ross, Taveras, Woods, and Woorman.

Floor votes · Senate Mar 15, 2025 · House of Delegates Mar 1, 2025

How they voted

34–11

Passed · 1 other

Total votes 46

Mar 15, 2025

D Democratic33

32 Yea 1

96% Yea

R Republican13

2 Yea 11 Nay

84% Nay

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 13, 2025

Signed into law

Approved by the Governor - Chapter 469

executive

Apr 2, 2025

Lower · Passed

Returned Passed

lower

Apr 2, 2025

Upper · Passed

Third Reading Passed

upper

Apr 1, 2025

Upper · Passed

Favorable Adopted

upper

Mar 31, 2025

Upper · Passed

Favorable Report by Finance

upper

Mar 15, 2025

Senate · Passed

Senate Vote: pass (34-11-1)

senate

Mar 12, 2025

Committee

Referred Finance

upper

Mar 12, 2025

Lower · Passed

Third Reading Passed

lower

Mar 11, 2025

Lower · Passed

Favorable with Amendments {

lower

Mar 10, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Mar 1, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (101-37-2)

house of delegates

Feb 5, 2025

Committee

First Reading Health and Government Operations

lower

17 primary · 0 co-sponsors