Del. Sandy Rosenberg

Maddy summaryHB 11 updates Maryland health insurance rules to improve access to nonparticipating health providers, particularly for mental health and substance use disorder services. The bill requires insurers to establish a referral process that helps members connect with specialists not on their provider panel when needed, and to provide additional assistance if standard referrals fail. It also prohibits insurers from demanding prior authorization for scheduling appointments with nonparticipating providers for these services. Additionally, the Maryland Health Care Commission must set reimbursement rates for nonparticipating providers to ensure fair payment. This directly affects health insurance carriers and their members seeking specialized care outside their network.

Maddy summaryHB 776 updates Maryland's laws regulating physicians, physician assistants, and allied health professionals by revising outdated or inconsistent language in the Medical Practice Act and Physician Assistants Act. The bill clarifies licensure requirements, disciplinary procedures, and reporting rules for these healthcare professionals, while also modifying grounds for discipline and administrative penalties. It affects licensed medical practitioners, the State Board of Physicians, and allied health advisory committees by streamlining regulatory processes. The bill focuses on administrative modernization rather than creating new policy, removing redundant provisions and aligning existing rules across the statutes.

Maddy summaryHB 334 establishes a statewide program requiring the Maryland Department of Health to provide universal newborn nurse home visiting services to all families with newborns (up to 12 weeks old) residing in Maryland. The program must be evidence-based, offered by licensed nurses, and delivered in homes or virtually, focusing on infant health, maternal well-being, family support, and child development. Crucially, the bill mandates that health insurers, nonprofit health plans, and health maintenance organizations cover and reimburse these services under existing policies. The program is voluntary for families, with no penalties for declining participation, and requires data collection on outcomes across key domains like reducing child maltreatment and improving school readiness.

Maddy summaryHB 1066 restructures Maryland's Commission on Behavioral Health Care Treatment and Access by expanding its membership from 19 to 48 members. It adds 29 new appointed members representing specific stakeholders, including consumers of behavioral health services, substance use treatment providers, housing specialists, and experts in areas like drug policy reform. The bill also requires the Commission to establish a dedicated workgroup focused on improving health, social, and economic outcomes related to substance use. This change directly affects the Commission's composition and operational structure, aiming to enhance diverse representation in behavioral health policy development.

Maddy summaryHB 820 requires health insurance companies, pharmacy benefits managers, and private review agents to follow specific rules when using artificial intelligence (AI) for medical coverage decisions (utilization review). It mandates that AI tools base decisions on individual patient medical records - not just group data - and cannot replace healthcare providers in review processes. The bill also prohibits AI from causing prohibited discrimination and requires insurers to report whether AI was used in denied claims. This directly affects insurers and review entities that use AI to approve or deny treatments, hospital stays, or medications.

Maddy summaryHB 850 requires Maryland's Commissioner of Labor and Industry to create and maintain a public data dashboard tracking information about contractors and apprentices working on state public work projects. Contractors must submit weekly data on employee wages, staffing levels, and apprentice details - including trade, certification, demographics, and registration dates - to the Commissioner. The dashboard must be updated monthly, posted prominently on the Labor Department website, and retain 24 months of historical data. This law directly affects all contractors awarded state public work contracts, aiming to increase transparency around wage practices and workforce composition.

Maddy summaryHB 757 redirects funds from oil transfer license fees to establish a dedicated program for professional and volunteer firefighters' cancer screening. Starting in fiscal year 2026, $4 of the $9 per barrel oil transfer fee (collected under Maryland's Environment Article) will be transferred annually to the Professional and Volunteer Firefighter Innovative Cancer Screening Technologies Program. The Secretary of Health must use these funds exclusively for this program, including supporting academic medical centers for screening purposes. This bill directly affects Maryland firefighters by creating a new, ongoing funding source for innovative cancer screening technologies.

Maddy summaryHB 406 changes how hearing aid dispensers are appointed to Maryland's State Board of Examiners. The bill requires the Board to notify all licensed hearing aid dispensers in the state when a vacancy occurs, instead of relying solely on a pre-submitted list. It also mandates that the list of candidates provided to the Governor must include at least three times the number of available positions. This applies specifically to the three hearing aid dispenser members on the 15-member board, directly affecting licensed hearing aid dispensers seeking board appointments. The bill takes effect July 1, 2025.

Maddy summaryHB 813 requires pharmacy benefits managers (PBMs) to reimburse pharmacies at least the national average drug cost plus a professional dispensing fee for drugs covered under Maryland's Medicaid program (Maryland Medical Assistance Program). It directly affects pharmacies, PBMs, and managed care organizations that contract with PBMs for prescription drug coverage. Key provisions include expanding the definition of "purchaser" to include certain insurers and health plans, while excluding pharmacy-owned operations and mail-order pharmacies from the reimbursement rules. The bill aims to standardize payment rates for pharmacies serving Medicaid patients by tying reimbursements to nationally recognized cost benchmarks.

Maddy summaryHB 718 establishes the Maryland Health Insurance Coverage Protection Commission to monitor and assess how federal changes to health care programs like the ACA, Medicaid, Medicare, and Maryland's All-Payer Model might affect residents' access to affordable coverage. The Commission, composed of state officials, health care industry representatives, and public members, will track federal policy shifts and evaluate their potential impacts on Marylanders. It will then provide state and local recommendations to protect health coverage access, particularly for vulnerable groups like low-income households and communities of color. This bill directly affects all Maryland residents by creating a dedicated body to safeguard health care access amid federal policy uncertainty.