SB 898 requires Maryland’s Medical Assistance Program to reimburse applied behavior analysis (ABA) services provided by registered behavior technicians (RBTs) to Medicaid recipients diagnosed with autism spectrum disorder. The bill prohibits the state health department from mandating a specific certification (e.g., from the Behavior Analyst Certification Board) as a condition for reimbursement, except for a 150-day transition period during which RBTs must obtain certification. This directly affects Medicaid beneficiaries with autism and RBTs who deliver ABA services under supervision of certified professionals, streamlining access to care without immediate certification barriers. The law takes effect October 1, 2026, and applies prospectively only.
HB 1087 requires Maryland health care facilities performing surgeries that generate surgical smoke (like hospitals, ambulatory surgical centers, and freestanding medical facilities) to adopt policies mandating the use of smoke evacuation systems by January 1, 2028. These systems must capture and filter harmful surgical smoke particles at the source before they reach medical staff or patients. The bill defines "surgical smoke" as the gaseous byproducts from energy-generating surgical tools, including bio-aerosols and lung-damaging particles. This policy change aims to protect health care workers and patients from exposure to potentially hazardous smoke during procedures.
SB 892 modifies Maryland's State Advisory Council on Health and Wellness to include a member with expertise in perimenopausal, menopausal, and postmenopausal care. It requires health occupations boards (like those for nurses or doctors) to grant at least two continuing education credits for every hour of training on these conditions, directly affecting healthcare professionals renewing their licenses. The bill also mandates the Maryland Health Care Commission, Commission for Women, and Department of Health to take specific actions related to these health conditions. These changes aim to improve provider knowledge and care for women experiencing these common health transitions.
SB 813 prohibits dental insurers and plan organizations from blocking direct payments to dentists (nonpreferred providers) when patients assign benefits to them, instead of paying patients who then pay dentists. It requires dentists to provide patients with clear cost disclosures - including potential balance billing - before services and submit a disclosure form to insurers. The bill applies specifically to dental care under Maryland law, amending sections 14-205.3 and adding 14-410.1 to the Insurance Article. Insurers may refuse direct payment only in limited cases, such as if a patient paid the dentist upfront or withdrew assignment after payment. This aims to simplify reimbursement for dental patients and dentists outside insurance networks.
SB 839 requires Maryland's Department of Health to conduct a survey of pharmacy dispensing costs in the state every three years starting in 2026. Within six months after each survey, the Department must establish a fee charged to pharmacies for dispensing drugs under the state's Medical Assistance Program (Medicaid). This fee will be based directly on the survey results, aiming to reflect actual dispensing costs. The bill applies specifically to pharmacies participating in Maryland's Medicaid program and takes effect October 1, 2026.
HB 1470 requires Maryland's Department of Health to conduct an in-state cost-of-dispensing survey for Medicaid drugs at least once every three years, starting in 2026. Within six months after each survey, the Department must set a fee-for-service reimbursement rate for pharmacists dispensing Medicaid-covered drugs based on the survey results. This directly affects pharmacies participating in Maryland's Medical Assistance Program (Medicaid), as the new fee structure will determine their reimbursement for drug dispensing services. The bill establishes a regular, data-driven process to update these fees, ensuring they reflect actual dispensing costs.
HB 1091 requires health insurers and dental plan organizations to directly reimburse dentists not in their network (nonpreferred dentists) when a patient assigns their insurance benefits to the dentist, and prohibits them from blocking such assignments. It also mandates that nonpreferred dentists inform patients about their non-network status, potential out-of-pocket costs, and payment terms before providing care, and submit a disclosure form to the insurer for the assignment. Insurers may still refuse direct payment only in specific cases, such as if the assignment was received too late, an error occurred, the patient withdrew the assignment, or the patient paid the dentist at the time of service. The bill directly affects non-network dentists, their patients, and insurance companies covering dental services.
HB 1365 requires healthcare providers (like doctors and nurses) to complete menopause-specific training to earn continuing education credits, with licensing boards mandated to grant double credit (2 hours for every 1 hour of training). It also requires insurers, nonprofit health plans, and health maintenance organizations to cover the evaluation and management of menopause and related symptoms. The law applies to all relevant providers and insurers in Maryland, effective January 1, 2027. The Department must identify a standardized training program after consulting with professional associations like The Menopause Society.
HB 1075 expands eligibility for Maryland's Graduate and Professional Scholarship Program to include students at the University of Maryland Eastern Shore (UMES) enrolled in four specific degree programs: Master of Medical Science in Physician Assistant Studies, Doctor of Pharmacy, Doctor of Physical Therapy, and Doctor of Veterinary Medicine. This change directly affects UMES students in these fields who previously could not qualify for the scholarship. The bill amends the existing law by adding UMES to the list of eligible institutions under the program's criteria, which requires applicants to be Maryland residents attending approved institutions in designated health-related fields. The policy change takes effect July 1, 2026, allowing UMES students to access this financial aid for the first time.
HB 746 prohibits Maryland Medicaid (Medical Assistance Program) and private health insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services into primary care through coordinated care, regular outcome monitoring, and specialist consultations. The law applies to all Medicaid recipients and covers services under private health insurance plans (including nonprofit health plans and health maintenance organizations) issued in Maryland, with an exception for high-deductible health plans. It takes effect January 1, 2027, ensuring no cost-sharing for these integrated care services.