HB 1563 Maryland House of Delegates · 2026 Regular Session

Emergency Room Services and Post-Acute Care - Coverage and Facility Studies

This bill prohibits insurers, nonprofit health plans, and health maintenance organizations from denying emergency room coverage solely because a patient did not experience a diagnosed emergency medical condition. It requires two key studies: one to quantify hospital and post-acute care bed capacity across Maryland, and another to identify ways to improve transitions from emergency to post-acute care settings. These provisions directly affect patients receiving emergency care and healthcare providers treating them, ensuring coverage isn't denied based on diagnosis alone. The studies aim to inform data-driven recommendations for future policy improvements in emergency and post-acute care access.
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
Apr 2026
Introduced Feb 13, 2026 Signed Apr 28, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Emergency Room Services and Post-Acute Care - Coverage and Facility Studies Third - Emergency Room Services and Post-Acute Care - Coverage and Facility Studies · 3 edits
MINOR
The bill was amended to expand the list of sponsors and add a committee report indicating favorable passage. Substantively, the text was reorganized to repeal and reenact existing sections, which added a new provision authorizing the Maryland Insurance Commissioner to independently review certain adverse decisions regarding claims or authorization requests in emergency departments.
Scope change
The bill's scope regarding emergency services definitions and coverage requirements remained consistent with the original text, but the procedural mechanism for the Insurance Commissioner to review claims was newly added through the reenactment process.
ENFORCEMENT

Authorized the Maryland Insurance Commissioner to conduct examinations and independently review specific adverse decisions related to emergency department claims or authorization requests.

TECHNICAL

Added a list of additional sponsors and a favorable committee report status to the bill header.

Reorganized the bill structure to explicitly repeal and reenact existing sections rather than just adding new ones, while retaining the original substantive definitions for emergency services and coverage.

Floor votes · Senate Mar 26, 2026 · House of Delegates Mar 5, 2026

How they voted

480
Passed · 1 other
Total votes 49
Mar 26, 2026
D Democratic36
35 Yea 1
97% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
10
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 165
executive
Apr 13, 2026
Lower · Passed
Returned Passed
lower
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 10, 2026
Upper · Passed
Favorable Adopted
upper
Apr 10, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 26, 2026
Senate · Passed
Senate Vote: pass (48-0-1)
senate
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 13, 2026
Committee
First Reading Health
lower
16 primary · 0 co-sponsors

Sponsors