HB 746 Maryland House of Delegates · 2026 Regular Session

Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition and Coverage Requirements

HB 746 prohibits Maryland Medicaid (Medical Assistance Program) and private health insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services into primary care through coordinated care, regular outcome monitoring, and specialist consultations. The law applies to all Medicaid recipients and covers services under private health insurance plans (including nonprofit health plans and health maintenance organizations) issued in Maryland, with an exception for high-deductible health plans. It takes effect January 1, 2027, ensuring no cost-sharing for these integrated care services.

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 4, 2026 Signed May 26, 2026

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What changed between versions

First - Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition → Third - Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition and Coverage Requirements · 4 edits

MODERATE

The bill was expanded to require insurers to cover Collaborative Care Model services rather than just prohibiting cost-sharing fees. It also added a mandate for the Maryland Health Care Commission to study the impact of eliminating these fees and report findings to the legislature by December 1, 2026.

Scope change

The bill's scope was broadened to include a requirement for coverage of services and a new study requirement for the Health Care Commission, in addition to the existing prohibition on copays and deductibles.

REQUIREMENT

Added a requirement for insurers, nonprofit health plans, and HMOs to provide coverage for services provided under the Collaborative Care Model.

Added a mandate for the Maryland Health Care Commission to conduct a study on the impact of eliminating cost-sharing for these services and report findings to the Senate Finance and House Health Committees by December 1, 2026.

ELIGIBILITY

Modified the definition of applicable insurance policies to explicitly include 'blanket hospital, medical, or surgical benefits' in addition to individual and group policies.

TECHNICAL

Updated the bill title to reflect the new coverage requirements and study mandate, and added the sponsor list for Delegates Alston, Cullison, Guzzone, Hill, S. Johnson, Kaufman, Lopez, Martinez, Rosenberg, Ross, Taveras, White Holland, and Woorman.

Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 5, 2026

How they voted

46–0

Passed · 3 other

Total votes 49

Mar 20, 2026

D Democratic36

33 Yea 3

91% Yea

R Republican13

13 Yea

100% 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 615

executive

Apr 9, 2026

Lower · Passed

Returned Passed

lower

Apr 8, 2026

Upper · Passed

Third Reading Passed

upper

Apr 7, 2026

Upper · Passed

Favorable Adopted

upper

Apr 6, 2026

Upper · Passed

Favorable Report by Finance

upper

Mar 20, 2026

Senate · Passed

Senate Vote: pass (46-0-3)

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 (128-2-12)

house of delegates

Feb 4, 2026

Committee

First Reading Health

lower

13 primary · 0 co-sponsors