HB 666 Maryland House of Delegates · 2025 Regular Session

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
Maddy AI version diff · 1 comparison

What changed between versions

First - Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing Third - Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing · 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

415
Passed
Total votes 46
Mar 12, 2025
D Democratic33
33 Yea
100% Yea
R Republican13
8 Yea 5 Nay
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
Photo of Aaron Kaufman
Aaron Kaufman
DDemocratic
MD
18
P
Photo of Aletheia McCaskill
Aletheia McCaskill
DDemocratic
MD
44B
P
Photo of Andrea Harrison
Andrea Harrison
DDemocratic
MD
24
P
Photo of Anne Kaiser
Anne Kaiser
DDemocratic
MD
14
P
Photo of Bernice Mireku-North
Bernice Mireku-North
DDemocratic
MD
14
P
Photo of Bonnie Cullison
Bonnie Cullison
DDemocratic
MD
19
P
Photo of Charlotte Crutchfield
Charlotte Crutchfield
DDemocratic
MD
19
P
Photo of Cheryl Pasteur
Cheryl Pasteur
DDemocratic
MD
11A
P
Photo of Debra Davis
Debra Davis
DDemocratic
MD
28
P
Photo of Deni Taveras
Deni Taveras
DDemocratic
MD
47B
P
Photo of Denise Roberts
Denise Roberts
DDemocratic
MD
25
P
Photo of Edith Patterson
Edith Patterson
DDemocratic
MD
28
P
Photo of Frank Conaway
Frank Conaway
DDemocratic
MD
40
P
Photo of Gabriel Acevero
Gabriel Acevero
DDemocratic
MD
39
P
Photo of Gary Simmons
Gary Simmons
DDemocratic
MD
12B
P
Photo of Greg Wims
Greg Wims
DDemocratic
MD
39
P
Photo of Harry Bhandari
Harry Bhandari
DDemocratic
MD
8
P
Photo of Heather Bagnall Tudball
Heather Bagnall Tudball
DDemocratic
MD
33C
P
Photo of Jackie Addison
Jackie Addison
DDemocratic
MD
45
P
Photo of Jamila Woods
Jamila Woods
DDemocratic
MD
26
P
Photo of Jared Solomon
Jared Solomon
DDemocratic
MD
18
P
Photo of Jeff Ghrist
Jeff Ghrist
RRepublican
MD
36
P
Photo of Jeff Long
Jeff Long
DDemocratic
MD
27B
P
Photo of Jennifer White Holland
Jennifer White Holland
DDemocratic
MD
10
P
Photo of Jessica Feldmark
Jessica Feldmark
DDemocratic
MD
12A
P
Photo of Jheanelle Wilkins
Jheanelle Wilkins
DDemocratic
MD
20
P
JP
Joseline Peña-Melnyk
DDemocratic
MD
21
P
Photo of Julian Ivey
Julian Ivey
DDemocratic
MD
47A
P
Photo of Karen Toles
Karen Toles
DDemocratic
MD
25
P
Photo of Ken Kerr
Ken Kerr
DDemocratic
MD
3
P
Photo of Kent Roberson
Kent Roberson
DDemocratic
MD
25
P
Photo of Kevin Harris
Kevin Harris
DDemocratic
MD
27
P
Photo of Kim Ross
Kim Ross
DDemocratic
MD
8
P
Photo of Kris Valderrama
Kris Valderrama
DDemocratic
MD
26
P
Photo of Kym Taylor
Kym Taylor
DDemocratic
MD
23
P
Photo of Lesley Lopez
Lesley Lopez
DDemocratic
MD
39
P
Photo of Malcolm Ruff
Malcolm Ruff
DDemocratic
MD
41
P
Photo of Mark Fisher
Mark Fisher
RRepublican
MD
27C
P
Photo of Marlon Amprey
Marlon Amprey
DDemocratic
MD
40
P
Photo of Marvin Holmes
Marvin Holmes
DDemocratic
MD
23
P
Photo of Mary Lehman
Mary Lehman
DDemocratic
MD
21
P
Photo of Melissa Wells
Melissa Wells
DDemocratic
MD
40
P
Photo of Mike Rogers
Mike Rogers
DDemocratic
MD
32
P
Photo of Nicole Williams
Nicole Williams
DDemocratic
MD
22
P
Photo of Pam Guzzone
Pam Guzzone
DDemocratic
MD
13
P
Photo of Pam Queen
Pam Queen
DDemocratic
MD
14
P
Photo of Regina Boyce
Regina Boyce
DDemocratic
MD
43A
P
Photo of Robbyn Lewis
Robbyn Lewis
DDemocratic
MD
46
P
Photo of Sandy Rosenberg
Sandy Rosenberg
DDemocratic
MD
41
P
Photo of Scott Phillips
Scott Phillips
DDemocratic
MD
10
P
Photo of Sheila Ruth
Sheila Ruth
DDemocratic
MD
44B
P
Photo of Steve Johnson
Steve Johnson
DDemocratic
MD
34A
P
Photo of Teresa Woorman
Teresa Woorman
DDemocratic
MD
16
P
Photo of Terri Hill
Terri Hill
DDemocratic
MD
12A
P
Photo of Tiffany Alston
Tiffany Alston
DDemocratic
MD
24
P
Photo of Veronica Turner
Veronica Turner
DDemocratic
MD
26