HB 1167 Maryland House of Delegates · 2026 Regular Session

Department of Information Technology - Workgroup on the Medicaid Management Information System Mainframe System Replacement

HB 1167 requires Maryland's Department of Health to replace its outdated Medicaid computer system with a modern, flexible system by 2028. The new system must maintain all current Medicaid functions - including processing medical/dental/pharmacy claims, provider enrollment, and beneficiary inquiries - while meeting federal security and performance standards. The bill mandates integration with existing Medicaid systems by January 2027 and full replacement of the old system by January 2028, subject to federal approval. This change directly affects Medicaid beneficiaries and healthcare providers through more reliable service delivery.

Issues: ✓ Healthcare ✓ Technology

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House of Delegates Passage

Apr 2026

Senate Passage

Governor

Introduced Feb 11, 2026 Last action Apr 10, 2026

Maddy AI version diff · 1 comparison

What changed between versions

First - Maryland Department of Health - Medicaid Management Information System - Mainframe System Replacement → Third - Department of Information Technology - Workgroup on the Medicaid Management Information System Mainframe System Replacement · 5 edits

MODERATE

The bill was significantly amended to expand the scope of the Medicaid system replacement project by establishing a formal workgroup that includes representatives from the Department of Information Technology, Department of Human Services, and the Health Benefit Exchange, in addition to the Department of Health. The primary purpose of this workgroup is to oversee the procurement and transition of the new modular system while ensuring alignment with IT standards and broader state health goals. Additionally, the bill was amended to include a sunset clause, ensuring the legislation automatically expires after a specific period if not extended.

Scope change

The bill's scope expanded from a single-department initiative to a multi-agency collaborative effort involving the Department of Information Technology and other stakeholders via a mandated workgroup.

REQUIREMENT

Added a requirement for the Department of Information Technology to convene a workgroup to oversee the system replacement.

Defined the workgroup composition to include representatives from the Department of Health, Department of Human Services, Health Benefit Exchange, Office of the Comptroller, and legislative leaders.

Mandated quarterly reporting to various legislative committees on the progress of the workgroup and system procurement.

TIMELINE

Extended the implementation deadline for the replacement system to July 1, 2029, and added a sunset provision for the Act to expire on June 30, 2030.

TECHNICAL

Updated the bill title and purpose to reflect the involvement of the Department of Information Technology and the creation of the workgroup.

Floor votes · House of Delegates Mar 22, 2026

How they voted

127–0

Passed · 15 other

Total votes 142

Mar 22, 2026

D Democratic103

94 Yea 9

91% Yea

R Republican39

33 Yea 6

84% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 10, 2026

Committee

Rereferred to Education, Energy, and the Environment and Finance

upper

Apr 9, 2026

Committee

Referred Rules

upper

Apr 8, 2026

Lower · Passed

Third Reading Passed

lower

Apr 8, 2026

Lower · Passed

Favorable with Amendments {

lower

Apr 8, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 22, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (127-0-15)

house of delegates

Feb 11, 2026

Committee

First Reading Health

lower

11 primary · 0 co-sponsors