Maryland Medical Assistance Program and Health Insurance - Coverage for Anesthesia - Prohibiting Time Limitations
HB 1086 requires Maryland's Medicaid program (Maryland Medical Assistance Program), managed care organizations, and certain health insurers to cover anesthesia services without time limits. It mandates that if a licensed medical professional orders anesthesia for a procedure, coverage must extend for the entire procedure duration, and insurers cannot impose any time restrictions on this coverage. The bill applies to all policies issued or renewed in Maryland on or after January 1, 2026, directly affecting Medicaid beneficiaries and insured patients needing anesthesia for medical procedures. This change aligns anesthesia coverage requirements with existing standards for other health services under Maryland law.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 5, 2025
Signed May 20, 2025
Maddy AI version diff · 1 comparison
What changed between versions
First - Maryland Medical Assistance Program and Health Insurance - Coverage for Anesthesia - Prohibiting Time Limitations
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Third - Maryland Medical Assistance Program and Health Insurance - Coverage for Anesthesia - Prohibiting Time Limitations
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3 edits
MINOR
The bill expanded the list of sponsors and added committee approval and adoption status. The substantive policy content regarding anesthesia coverage remains unchanged, maintaining requirements for full duration coverage and prohibiting time limitations.
Scope change
None - the core provisions regarding anesthesia coverage under the Maryland Medical Assistance Program and Insurance Article remain identical to the previous version.
TECHNICAL
Added additional delegate names to the sponsor list (Turner, Bagnall, Bhandari, Cullison, Guzzone, Hill, Hutchinson, S. Johnson, Kaiser, Kerr, Kipke, Lopez, M. Morgan, Reilly, Rosenberg, Ross, Szeliga, White Holland, Woods, and Woorman).
Added committee report status showing favorable with amendments and House action showing adopted.
Changed header from 'A BILL ENTITLED' to 'CHAPTER ______' indicating bill progression.
Floor votes · Senate Mar 23, 2025 · House of Delegates Mar 3, 2025
How they voted
46–0
Passed
Total votes 46
Mar 23, 2025
D
Democratic33
100% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
20
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 683
executive
Apr 7, 2025
Lower · Passed
Returned Passed
lower
Apr 7, 2025
Upper · Passed
Third Reading Passed
upper
Apr 4, 2025
Upper · Passed
Favorable Adopted
upper
Apr 4, 2025
Upper · Passed
Favorable Report by Finance
upper
Mar 23, 2025
Senate · Passed
Senate Vote: pass (46-0)
senate
Mar 17, 2025
Committee
Referred Finance
upper
Mar 13, 2025
Lower · Passed
Third Reading Passed
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 3, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (137-1-1)
house of delegates
Feb 5, 2025
Committee
First Reading Health and Government Operations
lower
26 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Anne Kaiser
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Deni Taveras
DDemocratic
P
Denise Roberts
DDemocratic
P
Harry Bhandari
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jamila Woods
DDemocratic
P
Jennifer White Holland
DDemocratic
P
JP
Joseline Peña-Melnyk
DDemocratic
P
Kathy Szeliga
RRepublican
P
Ken Kerr
DDemocratic
P
Kim Ross
DDemocratic
P
Kym Taylor
DDemocratic
P
Lesley Lopez
DDemocratic
P
Mary Lehman
DDemocratic
P
Matt Morgan
RRepublican
P
Nic Kipke
RRepublican
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Reilly
RRepublican
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
P
Tom Hutchinson
RRepublican
P
Veronica Turner
DDemocratic
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