Medicare Supplement Policies - Issuance - Requirements
HB 275 requires Maryland insurance carriers to issue Medicare supplement policies without discrimination based on health status during specific enrollment periods. It directly affects Medicare beneficiaries transitioning from Maryland Medical Assistance (Medicaid), disabled individuals under 65 eligible for Medicare, and those with certain federal special enrollment rights. Key provisions include banning denials or higher premiums due to health conditions during a 63-day window after Medicaid termination or qualifying events, and mandating equal or lower-benefit policy options during birthday renewals starting in 2026. The bill ensures these groups can access coverage without health-based barriers, effective July 1, 2026.
Bill status
signed
all 5 stages cleared
Introduction
Sep 2025
Committee Review
Mar 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Sep 16, 2025
Signed Apr 14, 2026
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What changed between versions
First - Medicare Supplement Policies - Issuance - Requirements
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Third - Medicare Supplement Policies - Issuance - Requirements
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3 edits
MINOR
The bill text was reformatted to align with official chapter numbering and included a new favorable committee report. Substantively, the requirements for insurers issuing Medicare supplement policies to individuals under 65 with disabilities were reorganized and clarified, ensuring consistent rules for when these plans must be offered and how they must be priced.
Scope change
The bill's scope remains focused on regulating the issuance and pricing of Medicare supplement policies, specifically for individuals under 65 eligible due to disability, though the internal structure of the eligibility rules was reorganized.
TECHNICAL
Added a favorable committee report and house adoption status, indicating the bill has passed its initial stages in the legislative process.
REQUIREMENT
Reorganized the rules regarding when insurers must offer specific Medicare supplement plans to disabled individuals under 65, clarifying the timelines for enrollment and evidence submission.
Adjusted the numbering and structure of the statute to correct cross-references and ensure consistency with existing legal formatting.
Floor votes · House of Delegates Feb 12, 2026
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
13
Key actions
8
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 139
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
Feb 13, 2026
Committee
Referred Finance
upper
Feb 12, 2026
Lower · Passed
Third Reading Passed
lower
Feb 10, 2026
Lower · Passed
Favorable Adopted
lower
Feb 9, 2026
Lower · Passed
Favorable Report by Health
lower
Jan 14, 2026
Committee
First Reading Health
lower
Sep 16, 2025
Introduced
Pre-filed
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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