HB 1365 Maryland House of Delegates · 2026 Regular Session

Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care

HB 1365 requires healthcare providers (like doctors and nurses) to complete menopause-specific training to earn continuing education credits, with licensing boards mandated to grant double credit (2 hours for every 1 hour of training). It also requires insurers, nonprofit health plans, and health maintenance organizations to cover the evaluation and management of menopause and related symptoms. The law applies to all relevant providers and insurers in Maryland, effective January 1, 2027. The Department must identify a standardized training program after consulting with professional associations like The Menopause Society.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House of Delegates Passage

Apr 2026

Senate Passage

Apr 2026

Signed into Law

May 2026

Introduced Feb 13, 2026 Signed May 26, 2026

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What changed between versions

First - Health Occupations and Insurance - Menopause - Provider Training and Coverage Requirements → Third - Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care · 4 edits

MODERATE

The bill was amended to expand its scope by adding provisions for the Maryland Commission for Women and the Department of Health to address perimenopausal and menopausal conditions. Additionally, the bill was reorganized to repeal and reenact the State Advisory Council membership section, which now includes new term limits and a broader range of public and professional representatives.

Scope change

The bill's scope expanded from solely health occupations and insurance to include public health initiatives and policy regarding access to care for menopause-related conditions.

SCOPE

Added requirements for the Maryland Commission for Women and the Department of Health to take specific actions regarding perimenopausal, menopausal, and postmenopausal conditions.

REQUIREMENT

Repealed and reenacted the State Advisory Council section with new term limits (4 years, two consecutive terms) and a revised list of voting members to include public representatives and specific health organizations.

Added a new member category requiring expertise in perimenopausal, menopausal, and postmenopausal evaluation and treatment.

TECHNICAL

Updated the bill title to reflect the expanded scope including policy initiatives and access to care, and changed the effective date references in the text.

Floor votes · Senate Mar 24, 2026 · House of Delegates Mar 5, 2026

How they voted

44–0

Passed · 5 other

Total votes 49

Mar 24, 2026

D Democratic36

33 Yea 3

91% Yea

R Republican13

11 Yea 2

84% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 26, 2026

Signed into law

Approved by the Governor - Chapter 606

executive

Apr 11, 2026

Lower · Passed

Returned Passed

lower

Apr 10, 2026

Upper · Passed

Third Reading Passed

upper

Apr 8, 2026

Upper · Passed

Favorable Adopted

upper

Apr 8, 2026

Upper · Passed

Favorable Report by Finance

upper

Mar 24, 2026

Senate · Passed

Senate Vote: pass (44-0-5)

senate

Mar 19, 2026

Committee

Referred Finance

upper

Mar 18, 2026

Lower · Passed

Third Reading Passed

lower

Mar 17, 2026

Lower · Passed

Favorable with Amendments {

lower

Mar 16, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 5, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (133-2-7)

house of delegates

Feb 13, 2026

Committee

First Reading Health

lower

21 primary · 0 co-sponsors