SB 39 Maryland Senate · 2026 Regular Session

Behavioral Health Rate Methodology Modernization - Workgroup Establishment and Study

SB 39 establishes a workgroup to develop a sustainable reimbursement rate methodology for Maryland's Certified Community Behavioral Health Clinics (CCBHCs) and Outpatient Mental Health Centers (OMHCs), directly affecting behavioral health providers facing financial strain due to outdated rates. The bill requires the Maryland Department of Health to conduct a cost study of OMHC services, form an advisory panel to review rate recommendations, and increase Medicaid reimbursement rates for OMHCs in fiscal years 2026 and 2027. Key provisions include evaluating provider costs, workforce needs, and alignment with somatic health care parity, while addressing closures like those in Frederick County. The workgroup must report findings by December 2027, aiming to stabilize provider finances and ensure continued access to community mental health care.
Bill status signed all 5 stages cleared
Introduction
Nov 2025
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Nov 1, 2025 Signed Apr 28, 2026
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What changed between versions

First - Behavioral Health - Certified Community Behavioral Health Clinics and Outpatient Mental Health Centers - Reimbursement Rates Third - Behavioral Health Rate Methodology Modernization - Workgroup Establishment and Study · 5 edits
MODERATE
The bill was amended to shift responsibility for conducting the behavioral health rate study from the Behavioral Health Administration to the Maryland Department of Health. It also established a new Workgroup focused on modernizing rate methodologies and clarified the roles of the Health Care Commission in assisting with the study and overseeing provider submissions.
Scope change
The bill's scope expanded to include the establishment of a new Workgroup on Rate Methodology Modernization and shifted the primary agency responsible for the rate study from the Behavioral Health Administration to the Department of Health.
REQUIREMENT

The agency responsible for conducting the rate-setting study changed from the Behavioral Health Administration and Medical Care Programs Administration to the Maryland Department of Health.

A new Workgroup on Certified Behavioral Health Clinic Implementation and Rate Methodology Modernization was established within the Behavioral Health Administration to develop reimbursement methodologies.

The Maryland Health Care Commission was assigned new duties to assist the Department of Health with the study and to require community providers to submit information, replacing the Department's previous authority in this area.

The Secretary of Health is now authorized to designate a technical liaison from the Administration to support the study process.

TIMELINE

The deadline for completing the rate-setting study was altered to June 30, 2028, and the timeline for submitting interim and annual reports was changed.

Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 31, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 20, 2026
D Democratic36
31 Yea 5
86% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
10
Committee
7
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 218
executive
Apr 13, 2026
Upper · Passed
Returned Passed
upper
Apr 13, 2026
Lower · Passed
Third Reading Passed
lower
Apr 11, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 11, 2026
Lower · Passed
Favorable Report by Health
lower
Apr 10, 2026
Committee
Rereferred to Health
lower
Apr 9, 2026
Committee
Referred Rules and Executive Nominations
lower
Apr 8, 2026
Upper · Passed
Third Reading Passed
upper
Apr 8, 2026
Upper · Passed
Favorable with Amendments {
upper
Apr 8, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 31, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (135-3-4)
house of delegates
Mar 20, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Jan 14, 2026
Committee
First Reading Finance
upper
Nov 1, 2025
Introduced
Pre-filed
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Clarence Lam
Clarence Lam
DDemocratic
MD
12