Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing
HB 666 requires Maryland's Medicaid program (Maryland Medical Assistance Program) and most health insurance plans to cover calcium score testing for individuals with specific heart disease risk factors. It directly affects people with diabetes, high blood pressure, high cholesterol, or a family history of early heart disease - requiring coverage if they have at least three of these risk factors. The law mandates coverage starting January 1, 2026, for Medicaid and all health insurance policies issued or renewed after that date. This change applies to insurers, nonprofit health plans, health maintenance organizations, and managed care organizations operating in Maryland. The bill does not alter coverage for other medical services but specifically adds calcium scoring to required benefits.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House of Delegates Passage
Apr 2025
Senate Passage
Mar 2025
Signed into Law
May 2025
Introduced Jan 24, 2025
Signed May 20, 2025
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What changed between versions
First - Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing
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Third - Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing
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3 edits
MINOR
This bill has advanced through the legislative process with amendments that clarify how calcium score testing coverage applies. The main substantive change adds language requiring coverage to follow the most recent guidelines issued by the American College of Cardiology, expanding how the scope of preventive care is defined for consumers.
Scope change
The bill's scope was modified to explicitly tie calcium score testing coverage to current American College of Cardiology guidelines rather than a fixed statutory description, allowing the coverage criteria to evolve with medical best practices.
REQUIREMENT
Added language requiring calcium score testing coverage to be provided in accordance with the most recent guidelines issued by the American College of Cardiology that expand preventive care services.
TECHNICAL
Updated sponsor list and committee status information to reflect the bill's progression through the House with favorable amendments.
Reorganized the bill text structure to align with standard legislative formatting conventions for repealing and reenacting existing sections.
Floor votes · Senate Mar 12, 2025 · House of Delegates Mar 1, 2025
How they voted
41–5
Passed
Total votes 46
Mar 12, 2025
D
Democratic33
100% Yea
R
Republican13
61% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
13
Key actions
9
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 684
executive
Apr 1, 2025
Lower · Passed
Returned Passed
lower
Mar 31, 2025
Upper · Passed
Third Reading Passed
upper
Mar 25, 2025
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 24, 2025
Upper · Passed
Favorable Report by Finance
upper
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 (106-31-2)
house of delegates
Jan 24, 2025
Committee
First Reading Health and Government Operations
lower
56 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aaron Kaufman
DDemocratic
P
Aletheia McCaskill
DDemocratic
P
Andrea Harrison
DDemocratic
P
Anne Kaiser
DDemocratic
P
Bernice Mireku-North
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Charlotte Crutchfield
DDemocratic
P
Cheryl Pasteur
DDemocratic
P
Debra Davis
DDemocratic
P
Deni Taveras
DDemocratic
P
Denise Roberts
DDemocratic
P
Edith Patterson
DDemocratic
P
Frank Conaway
DDemocratic
P
Gabriel Acevero
DDemocratic
P
Gary Simmons
DDemocratic
P
Greg Wims
DDemocratic
P
Harry Bhandari
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jackie Addison
DDemocratic
P
Jamila Woods
DDemocratic
P
Jared Solomon
DDemocratic
P
Jeff Ghrist
RRepublican
P
Jeff Long
DDemocratic
P
Jennifer White Holland
DDemocratic
P
Jessica Feldmark
DDemocratic
P
Jheanelle Wilkins
DDemocratic
P
JP
Joseline Peña-Melnyk
DDemocratic
P
Julian Ivey
DDemocratic
P
Karen Toles
DDemocratic
P
Ken Kerr
DDemocratic
P
Kent Roberson
DDemocratic
P
Kevin Harris
DDemocratic
P
Kim Ross
DDemocratic
P
Kris Valderrama
DDemocratic
P
Kym Taylor
DDemocratic
P
Lesley Lopez
DDemocratic
P
Malcolm Ruff
DDemocratic
P
Mark Fisher
RRepublican
P
Marlon Amprey
DDemocratic
P
Marvin Holmes
DDemocratic
P
Mary Lehman
DDemocratic
P
Melissa Wells
DDemocratic
P
Mike Rogers
DDemocratic
P
Nicole Williams
DDemocratic
P
Pam Guzzone
DDemocratic
P
Pam Queen
DDemocratic
P
Regina Boyce
DDemocratic
P
Robbyn Lewis
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Scott Phillips
DDemocratic
P
Sheila Ruth
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
P
Veronica Turner
DDemocratic
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