HB 1112 Maryland House of Delegates · 2026 Regular Session

Health Insurance Coverage Protection Commission - Study on Individual and Group Health Insurance Market Stability

HB 1112 requires Maryland's Health Insurance Coverage Protection Commission to study and recommend actions to stabilize individual and group health insurance markets. The Commission must examine specific areas including comparing Medicaid and commercial rates for potential premium savings, exploring regulatory changes for managed care organizations, merging insurance markets, and evaluating interstate purchasing pools. It also directs the Commission to assess prescription drug cost controls, support for health centers, reinsurance funds, and the potential reinstatement of the Maryland Health Insurance Plan. This bill does not create new laws or directly affect residents - it mandates a study to inform future policy decisions. The findings will be reported to the General Assembly by December 2026.

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Mar 2026

House of Delegates Passage

Mar 2026

Senate Passage

Governor

Introduced Feb 11, 2026 Last action Mar 20, 2026

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What changed between versions

First - Health Insurance Coverage Protection Commission - Study on Individual and Group Health Insurance Market Stability → Third - Health Insurance Coverage Protection Commission - Study on Individual and Group Health Insurance Market Stability · 4 edits

MODERATE

The bill was amended to add a new sponsor (Delegates Cullison, Alston, Bagnall, Guzzone, Hill, S. Johnson, Kaufman, Lopez, Martinez, Rosenberg, Ross, Taveras, White Holland, and Woorman) and expanded the Health Insurance Coverage Protection Commission's study mandate to include considering a direct payment system or fee-for-service model for Medicaid services, and identifying ways to sustain and increase premium assistance in the individual market.

Scope change

The bill's scope was expanded to include additional study topics for the Health Insurance Coverage Protection Commission, specifically regarding payment models for Medicaid services and premium assistance in the individual market.

ELIGIBILITY

Added Delegates Cullison, Alston, Bagnall, Guzzone, Hill, S. Johnson, Kaufman, Lopez, Martinez, Rosenberg, Ross, Taveras, White Holland, and Woorman as co-sponsors of the bill.

REQUIREMENT

Added requirement for the Commission to consider whether to adopt a direct payment system or fee-for-service model for all services covered by the Maryland Medical Assistance Program when conducting actuarial analysis.

Added requirement for the Commission to identify ways to sustain and increase premium assistance in the individual market.

TECHNICAL

Added 'Committee Report: Favorable with amendments' and 'House action: Adopted' status indicators, and updated bill header to include Chapter number placeholder.

Floor votes · House of Delegates Mar 5, 2026

How they voted

134–0

Passed · 8 other

Total votes 142

Mar 5, 2026

D Democratic103

99 Yea 4

96% Yea

R Republican39

35 Yea 4

89% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 19, 2026

Committee

Referred Finance

upper

Mar 18, 2026

Lower · Passed

Third Reading Passed

lower

Mar 17, 2026

Lower · Passed

Favorable with Amendments {

lower

Mar 16, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 5, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (134-0-8)

house of delegates

Feb 11, 2026

Committee

First Reading Health

lower

13 primary · 0 co-sponsors