Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 139: Insurance - Third Party Administrators - Enforcement

SB 139 amends Maryland law to strengthen oversight of third-party administrators (TPAs) who manage insurance claims for employers or insurers. It expands grounds for the Insurance Commissioner to deny, suspend, or revoke a TPA’s registration (including violations of insurance laws or regulations) and updates civil penalty rules. The bill sets a maximum $10,000 penalty per violation for TPA misconduct, with daily penalties up to $1,000 for ongoing violations. Penalties are determined based on factors like violation severity, the TPA’s history, and harm to policyholders, ensuring enforcement considers context and impact.

Topics ✓ HealthcareSupports HealthcareStrengthens oversight of insurance claim managers to prevent misconduct, protecting patient access to coverage under insurance laws.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 277: Insurance – Third Party Administrators – Enforcement

HB 277 strengthens oversight of third-party administrators (TPAs) in Maryland’s insurance industry. It expands grounds for the Insurance Commissioner to deny, suspend, or revoke a TPA’s registration - including violations of insurance laws - and increases civil penalties for violations from $1,000 per day to a maximum of $10,000 per violation. The bill also requires the Commissioner to consider factors like the seriousness of the violation, the TPA’s history, and harm to plan participants when setting penalties. This directly affects TPAs managing insurance claims and benefits, imposing stricter accountability for compliance with Maryland’s insurance regulations, effective October 1, 2026.

Topics ✓ HealthcareSupports HealthcareStrengthens oversight of TPAs to prevent violations harming plan participants, aligning with patient protection in healthcare coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 134: Medicare Supplement Policies - Issuance - Requirements

SB 134 requires Maryland insurance carriers to issue Medicare supplement policies (Medigap) to specific eligible individuals without denying coverage or charging higher premiums based on health status. It directly affects: (1) people transitioning from Maryland Medicaid to Medicare Part B, (2) individuals who became Medicare-eligible before January 2020, and (3) disabled people under 65 who qualify for Medicare. Key provisions mandate that carriers must sell these policies during defined 63-day enrollment periods following Medicaid disenrollment or qualifying events, and prohibit health-based pricing or denial for plans A and D. The law also requires carriers to offer comparable or lower-benefit plans during birthday renewals starting July 2026.

Topics ✓ HealthcareSupports HealthcareMandates insurers to issue Medigap without health-based denial or premium hikes, expanding coverage access for vulnerable Medicare-eligible groups transitioning from Medicaid or with disabilities.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 275: Medicare Supplement Policies - Issuance - Requirements

HB 275 requires Maryland insurance carriers to issue Medicare supplement policies without discrimination based on health status during specific enrollment periods. It directly affects Medicare beneficiaries transitioning from Maryland Medical Assistance (Medicaid), disabled individuals under 65 eligible for Medicare, and those with certain federal special enrollment rights. Key provisions include banning denials or higher premiums due to health conditions during a 63-day window after Medicaid termination or qualifying events, and mandating equal or lower-benefit policy options during birthday renewals starting in 2026. The bill ensures these groups can access coverage without health-based barriers, effective July 1, 2026.

Topics ✓ HealthcareSupports HealthcareBans health-based discrimination in Medicare supplement policies, ensuring access for Medicaid beneficiaries and disabled individuals transitioning to Medicare.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 205: Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements

SB 205 codifies federal mental health parity requirements into Maryland law, requiring health insurance carriers to comply with the Paul Wellstone and Pete Domenici Mental Health Parity Act. It mandates carriers to collect and report data on access to mental health and substance use disorder benefits, explain differences in care access, and undergo comparative analyses of nonquantitative treatment limitations. The Maryland Insurance Commissioner gains authority to review carrier reports and address noncompliance. This bill directly affects all health insurance carriers operating in Maryland, ensuring their coverage aligns with federal parity standards for mental health and substance use disorder benefits. It clarifies enforcement mechanisms without creating new benefit requirements.

Topics ✓ HealthcareSupports HealthcareMandates equal insurance coverage for mental health/substance use disorders per federal law, requiring data reporting and Commissioner oversight to prevent discrimination in benefits.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 280: Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements

HB 280 codifies Maryland’s health insurance requirements for mental health and substance use disorder coverage to align with federal parity laws. It requires health insurers to collect and report data on access to these services, explain differences in coverage rules, and comply with federal standards for equal treatment. The Maryland Insurance Commissioner will review insurer reports and address noncompliance. This bill directly affects health insurance companies and their policyholders seeking mental health or substance use disorder care.

Topics ✓ HealthcareSupports HealthcareCodifies federal parity laws for mental health/substance use coverage, requiring insurers to comply with equal treatment standards and report data, strengthening patient access to services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 88: State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists, and Music Therapists - Authority to Issue Limited Licenses to Practice Music Therapy

SB 88 creates a limited license for music therapists in Maryland who are completing full licensure requirements. It allows the State Board of Examiners to issue these licenses to applicants who meet education standards (including American Music Therapy Association certification), pay fees, and practice under supervision of a fully licensed music therapist. The limited license is valid for one year, renewable once, but expires if full licensure isn't obtained within two years. This does not replace existing services by audiologists or speech-language pathologists, and the practice of music therapy is defined as using music-based interventions within a therapeutic relationship. The bill directly affects aspiring music therapists seeking licensure and the State Board of Examiners.

Topics ✓ HealthcareSupports HealthcareEnables provisional licensing for music therapists, expanding access to mental health services through regulated practice pathways while ensuring professional standards.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 272: Health Insurance - Scalp Cooling Systems - Required Coverage

SB 272 requires health insurance plans that cover chemotherapy for cancer treatment to also cover scalp cooling systems. These systems are devices designed to prevent or reduce hair loss during chemotherapy by cooling the scalp. The law applies to insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations offering such coverage in Maryland. It takes effect for all policies issued, delivered, or renewed on or after January 1, 2027.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for scalp cooling during chemo, expanding patient access to quality-of-life treatment beyond standard chemotherapy coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 385: Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)

SB 385 (The Vax Act) requires Maryland’s Secretary of Health to issue evidence-based recommendations for immunizations, screenings, and preventive services, aligning with guidance from major medical organizations like the CDC and U.S. Preventive Services Task Force. It expands pharmacists’ authority to administer vaccines (including those recommended by CDC or the Secretary) to patients aged 3+ after completing specific training and certification, while mandating health insurers to cover these services without cost-sharing. The bill also repeals outdated pertussis-related provisions and updates reporting requirements for pharmacists. This directly affects pharmacists, health insurers, and patients seeking preventive care, aiming to improve access to vaccinations and screenings.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage for preventive services and expands pharmacist vaccine administration, increasing access and coverage - clear support.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 333: Interstate Podiatric Medical Licensure Compact

SB 333 creates the Interstate Podiatric Medical Licensure Compact, allowing podiatrists (foot and ankle specialists) licensed in Maryland to practice in other participating states more easily. The bill establishes a streamlined process for obtaining an "expedited license" in multiple states without altering existing state licensing laws, requiring podiatrists to pass national exams and pass background checks. Crucially, it mandates that podiatrists follow the rules of the state where the patient is located during treatment, not where the provider is licensed. This compact directly affects licensed podiatrists seeking multi-state practice and state licensing boards overseeing medical practice.

Topics ✓ HealthcareSupports HealthcareStreamlines podiatrist licensure across states, improving access to specialized foot/ankle care without altering state laws.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare