HB 1094 Maryland House of Delegates · 2026 Regular Session

Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement

HB 1094 requires Maryland health insurers to reimburse individuals for services provided by graduate-level clinical interns in counseling, social work, and psychology under specific conditions. It applies to insureds covered by policies meeting Maryland’s jurisdictional requirements (e.g., issued in-state or covering Maryland residents). Reimbursement is mandated only when interns work under direct supervision of licensed professionals at outpatient facilities and services are billed by the supervising clinician. The bill amends existing insurance codes to ensure coverage for these supervised intern services, directly affecting insurers, interns, and patients seeking mental health care.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 11, 2026 Signed Apr 14, 2026
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What changed between versions

First - Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement Third - Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement · 4 edits
MODERATE
This bill adds new provisions to Maryland's health insurance laws to require reimbursement for services provided by graduate-level clinical interns in counseling, social work, and psychology. The changes expand eligibility for these intern services and introduce new supervision and billing requirements to ensure quality care.
Scope change
The bill expands the scope of covered health insurance services to explicitly include graduate-level clinical interns for counseling, social work, and psychology, alongside existing provisions for licensed professionals.
ELIGIBILITY

Added new subsections requiring health insurance policies to reimburse for services provided by graduate-level counseling, social work, and psychology clinical interns.

REQUIREMENT

Established specific requirements for intern services, including that they must be provided at outpatient facilities under the direct supervision of a licensed professional.

Added new billing requirements stating that services must be billed by the supervising licensed professional or a board-approved supervisor meeting specific qualifications.

DEFINITION

Clarified supervision requirements by referencing specific state regulations (COMAR) for board-approved supervisors and their qualifications.

Floor votes · House of Delegates Mar 8, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
16
Key actions
9
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 44
executive
Apr 7, 2026
Lower · Passed
Returned Passed
lower
Apr 6, 2026
Upper · Passed
Third Reading Passed
upper
Mar 31, 2026
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 30, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 23, 2026
Committee
Referred Finance
upper
Mar 20, 2026
Lower · Passed
Third Reading Passed
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 8, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (133-0-9)
house of delegates
Feb 11, 2026
Committee
First Reading Health
lower
19 primary · 0 co-sponsors

Sponsors