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Outpatient Mental Health Centers (OMHCs), directly affecting behavioral health providers facing financial strain due to outdated rates.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.
HB 628 establishes a program providing $1,000 monthly payments for three years to young adults who were in out-of-home care (like foster care) on their 18th birthday, with birthdays on or after October 1, 2026. Payments cannot be counted as income for Medicaid, the Maryland Earned Income Tax Credit, or state/federal financial aid for education. The Department of Human Services must report annually on participants' income, location, employment, and housing status starting October 2027. The program will run from October 1, 2026, through September 30, 2031, with automatic termination after that date.
SB 428 prohibits the Maryland Department of Health and certain insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services with primary care in clinics serving Medicaid recipients (Maryland Medical Assistance Program). The law applies to all health insurance plans (including nonprofit plans and health maintenance organizations) covering these services, with one exception: high-deductible health plans may still require deductibles for these services. The bill takes effect January 1, 2027, for new insurance policies and July 1, 2026, for the law itself.
HB 671 requires Maryland's Governor to allocate at least 3% of funds collected from a Medicaid quality assessment on qualifying nursing facilities (45+ beds operating in the state) to fund the Office of the Long-Term Care Ombudsman starting in fiscal year 2027. This directly affects nursing facilities that pay the assessment and ensures dedicated, supplemental funding for the Ombudsman office, which advocates for residents' rights in long-term care settings. The bill updates existing law to mandate this specific allocation from the assessment pool, specifying that these funds must be "in addition to" and not replace existing Ombudsman funding. It does not change the assessment rate (capped at 6% of facility revenue) or the reporting requirements for the Department.
HB 224 would have established a voluntary program to help individuals released from Maryland state prisons access essential benefits before their release. It required coordination between three state agencies to create a standardized prerelease application process for SNAP (food assistance), Temporary Cash Assistance, and Medicaid. The program would have provided in-person help at correctional facilities to gather required documents like birth certificates and income proof, ensuring benefits were available immediately upon release. The bill was withdrawn by its sponsor on February 9, 2026, and never became law.
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.
SB 340 requires the Governor to allocate at least 3% of funds collected from nursing facilities' Medicaid quality assessments toward the Office of the Long-Term Care Ombudsman's operations in the state budget. It directly affects nursing facilities with 45 or more beds operating in Maryland, which must pay the quality assessment. The bill mandates that these funds - collected quarterly based on non-Medicare patient days - must be used solely for the Ombudsman office, with no reduction to existing funding for this purpose. This creates a dedicated, ongoing funding source to support the Ombudsman's role in investigating resident complaints and advocating for long-term care rights.
