HB 1118 Maryland House of Delegates · 2026 Regular Session

Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions

HB 1118 requires health insurance carriers in Maryland to provide a standing referral to a mental health care provider for pregnant individuals and for one year after childbirth, without needing a written treatment plan. It mandates that insurers cover screening for perinatal mental health conditions (like postpartum depression) during prenatal visits and other specified times. The bill also directs the Maryland Department of Health to establish a perinatal mental health screening program and requires health care professionals renewing licenses to complete continuing education on perinatal mental health conditions. These changes aim to improve access to mental health support during pregnancy and the postpartum period.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House of Delegates Passage

Apr 2026

Senate Passage

Apr 2026

Signed into Law

May 2026

Introduced Feb 11, 2026 Signed May 26, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Third - Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions → Enrolled - Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions · 3 edits · May 26, 2026

MINOR

The bill was finalized and enrolled by the Governor, changing its title to reflect the Health and Finance committees. The substantive text was reorganized to correct a legislative error where the bill previously attempted to repeal and reenact the wrong sections of the Insurance Article; the final version now correctly targets the Health and Health Occupations Articles. A new requirement was added mandating that health plans cover perinatal behavioral health screenings at 1, 2, 4, and 6-month well visits for children.

Scope change

The bill's scope was corrected to apply to the Health and Health Occupations Articles instead of the Insurance Article, ensuring the new screening mandates are legally placed in the correct statutory location.

TECHNICAL

The bill's title was updated to 'Enrolled' and the committee assignment was changed from 'Health' to 'Health/Finance'.

The legislative instructions were reorganized to fix a classification error, moving the repeal and reenactment of Insurance Article sections to the Health Article and adding new sections to the Health Occupations Article.

REQUIREMENT

A new mandate requires health plans to cover perinatal behavioral health screenings during the 1, 2, 4, and 6-month well visits within a child's first year of life.

Floor votes · Senate Mar 25, 2026 · House of Delegates Mar 30, 2026

How they voted

49–0

Passed

Total votes 49

Mar 25, 2026

D Democratic36

36 Yea

100% Yea

R Republican13

13 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 26, 2026

Signed into law

Approved by the Governor - Chapter 637

executive

Apr 13, 2026

Lower · Passed

Passed Enrolled

lower

Apr 13, 2026

Lower · Passed

Third Reading Passed

lower

Apr 13, 2026

Lower · Passed

Conference Committee Report {

lower

Apr 11, 2026

Lower · Passed

Senate Conference Committee Appointed (Senators Gile, Lam and Mautz)

lower

Apr 10, 2026

Upper · Passed

Senate Conference Committee Appointed (Senators Gile, Lam and Mautz)

upper

Apr 10, 2026

Upper · Passed

House Conference Committee Appointed (Delegates White Holland, Reilly and Woorman)

upper

Apr 10, 2026

Introduced

House Refuses Concur Senate Amendments

upper

Apr 9, 2026

Lower · Passed

House Conference Committee Appointed (Delegates White Holland, Reilly and Woorman)

lower

Apr 9, 2026

Introduced

House Refuses Concur Senate Amendments

lower

Apr 9, 2026

Introduced

Floor Amendment {

upper

Apr 8, 2026

Upper · Passed

Favorable with Amendments {

upper

Apr 8, 2026

Upper · Passed

Favorable with Amendments Report by Finance

upper

Mar 30, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (133-2-7)

house of delegates

Mar 25, 2026

Senate · Passed

Senate Vote: pass (49-0)

senate

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

Feb 11, 2026

Committee

First Reading Health

lower

32 primary · 0 co-sponsors