HB 813 Maryland House of Delegates · 2026 Regular Session

Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization

HB 813 authorizes Maryland's Medicaid program (Maryland Medical Assistance Program) to cover comprehensive obesity treatment, including intensive behavioral therapy, bariatric surgery, and FDA-approved weight management medications, starting January 1, 2027. The bill requires the Maryland Department of Health to notify Medicaid recipients if it chooses to provide this coverage and mandates a report to the legislature by November 1, 2027, on implementation progress. This directly affects Medicaid recipients with obesity by expanding covered treatments beyond current scope. The program may use standard utilization management processes (like for other conditions) to assess medical necessity but is not required to offer the coverage.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House of Delegates Passage
Feb 2026
Senate Passage
Apr 2026
Governor
Introduced Feb 4, 2026 Last action Apr 9, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Maryland Medical Assistance Program - Coverage for the Treatment of Obesity Third - Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization · 4 edits
MODERATE
The bill was amended to add new sponsors and include a favorable committee report, while the core text was reorganized to clarify the legislative intent. The most significant policy change is the addition of a requirement for the Department of Health to apply to the federal government for approval before providing coverage, alongside a revised reporting deadline.
Scope change
The bill's scope was expanded to include a mandatory federal approval process and a specific reporting timeline, shifting the implementation from an immediate option to a federally authorized one.
REQUIREMENT

Added a requirement for the Department of Health to apply to the Centers for Medicare and Medicaid Services for a State plan amendment authorizing obesity coverage.

TIMELINE

Changed the reporting deadline from November 1, 2027, to January 1, 2027, to coincide with the federal application requirement.

SCOPE

Added new sponsors to the bill, including White Holland, Bagnall, Cullison, S. Johnson, and Lopez.

TECHNICAL

Added a 'Committee Report: Favorable with amendments' and 'House action: Adopted' status to the header.

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

How they voted

430
Passed · 6 other
Total votes 49
Mar 20, 2026
D Democratic36
30 Yea 6
83% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
9
Committee
7
Amendments
1
Apr 9, 2026
Lower · Passed
House Conference Committee Appointed (Delegates Hill, Martinez and Hutchinson)
lower
Apr 9, 2026
Introduced
House Refuses Concur Senate Amendments
lower
Apr 8, 2026
Upper · Passed
Third Reading Passed
upper
Apr 7, 2026
Upper · Passed
Favorable with Amendments {
upper
Apr 6, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 20, 2026
Senate · Passed
Senate Vote: pass (43-0-6)
senate
Feb 27, 2026
Committee
Referred Finance
upper
Feb 26, 2026
Lower · Passed
Third Reading Passed
lower
Feb 24, 2026
Lower · Passed
Favorable with Amendments {
lower
Feb 23, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Feb 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (111-26-5)
house of delegates
Feb 4, 2026
Committee
First Reading Health
lower
13 primary · 0 co-sponsors

Sponsors