Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement
HB 1094 requires Maryland health insurers to reimburse individuals for services provided by graduate-level clinical interns in counseling, social work, and psychology under specific conditions. It applies to insureds covered by policies meeting Maryland’s jurisdictional requirements (e.g., issued in-state or covering Maryland residents). Reimbursement is mandated only when interns work under direct supervision of licensed professionals at outpatient facilities and services are billed by the supervising clinician. The bill amends existing insurance codes to ensure coverage for these supervised intern services, directly affecting insurers, interns, and patients seeking mental health care.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 11, 2026
Signed Apr 14, 2026
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4 edits
MODERATE
This bill adds new provisions to Maryland's health insurance laws to require reimbursement for services provided by graduate-level clinical interns in counseling, social work, and psychology. The changes expand eligibility for these intern services and introduce new supervision and billing requirements to ensure quality care.
Scope change
The bill expands the scope of covered health insurance services to explicitly include graduate-level clinical interns for counseling, social work, and psychology, alongside existing provisions for licensed professionals.
ELIGIBILITY
Added new subsections requiring health insurance policies to reimburse for services provided by graduate-level counseling, social work, and psychology clinical interns.
REQUIREMENT
Established specific requirements for intern services, including that they must be provided at outpatient facilities under the direct supervision of a licensed professional.
Added new billing requirements stating that services must be billed by the supervising licensed professional or a board-approved supervisor meeting specific qualifications.
DEFINITION
Clarified supervision requirements by referencing specific state regulations (COMAR) for board-approved supervisors and their qualifications.
Floor votes · House of Delegates Mar 8, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
16
Key actions
9
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 44
executive
Apr 7, 2026
Lower · Passed
Returned Passed
lower
Apr 6, 2026
Upper · Passed
Third Reading Passed
upper
Mar 31, 2026
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 30, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 23, 2026
Committee
Referred Finance
upper
Mar 20, 2026
Lower · Passed
Third Reading Passed
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 8, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (133-0-9)
house of delegates
Feb 11, 2026
Committee
First Reading Health
lower
19 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aaron Kaufman
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Chris Adams
RRepublican
P
Deni Taveras
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jennifer White Holland
DDemocratic
P
Kathy Szeliga
RRepublican
P
Kim Ross
DDemocratic
P
Lesley Lopez
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
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