HB 1314 Maryland House of Delegates · 2025 Regular Session

Health Care - Prior Authorizations - Prohibiting Fees

HB 1314 prohibits health insurers, nonprofit health service plans, and health maintenance organizations (collectively "carriers") from using artificial intelligence to automatically deny prior authorizations for medical treatments. It also bans healthcare providers from charging patients or facilities fees to obtain prior authorizations from these carriers. The bill directly affects patients seeking medical care, healthcare providers (like doctors and hospitals), and insurance companies. Key provisions take effect January 1, 2026, for all new or renewed health benefit plans in Maryland. The law aims to reduce administrative barriers to care by eliminating both AI-driven denials and out-of-pocket fees for authorization requests.

Issues: ✓ Healthcare ✗ Technology

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Mar 2025

House of Delegates Passage

Mar 2025

Senate Passage

Governor

Introduced Feb 7, 2025 Last action Mar 20, 2025

Maddy AI version diff · 1 comparison

What changed between versions

First - Health Care - Prior Authorizations - Prohibiting Fees and Use of Artificial Intelligence → Third - Health Care - Prior Authorizations - Prohibiting Fees · 6 edits

MODERATE

The bill was amended to add several new sponsors and include committee approval and house adoption status. The substantive policy language regarding prior authorization fees and AI restrictions remains largely unchanged, though some formatting and line numbering adjustments were made throughout the document.

TECHNICAL

Added names of additional sponsors to the bill (Tomlinson, Bagnall, Bhandari, Chisholm, Cullison, Guzzone, Hutchinson, S. Johnson, Kaiser, Kerr, Kipke, Lopez, Martinez, M. Morgan, Pena-Melnyk, Reilly, Rosenberg, Ross, Szeliga, Taveras, White Holland, Woods, and Woorman).

Added committee report status showing favorable with amendments and house action showing adopted.

Changed the bill title from 'A BILL ENTITLED' to 'CHAPTER ______' to reflect standard legislative formatting.

Adjusted line numbering and formatting throughout the document to align with standard state amendment markup conventions.

Reformatted Section 1 of the bill with adjusted line numbers and spacing while maintaining the same substantive content.

Minor formatting adjustments to the definitions section and applicability section without changing the actual policy language.

Floor votes · House of Delegates Mar 4, 2025

How they voted

135–3

Passed · 1 other

Total votes 139

Mar 4, 2025

D Democratic100

99 Yea 1

99% Yea

R Republican39

36 Yea 3 Nay

92% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 17, 2025

Committee

Referred Finance

upper

Mar 14, 2025

Lower · Passed

Third Reading Passed

lower

Mar 13, 2025

Lower · Passed

Favorable with Amendments {

lower

Mar 13, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Mar 4, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (135-3-1)

house of delegates

Feb 7, 2025

Committee

First Reading Health and Government Operations

lower

28 primary · 0 co-sponsors