Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements
SB 205 codifies federal mental health parity requirements into Maryland law, requiring health insurance carriers to comply with the Paul Wellstone and Pete Domenici Mental Health Parity Act. It mandates carriers to collect and report data on access to mental health and substance use disorder benefits, explain differences in care access, and undergo comparative analyses of nonquantitative treatment limitations. The Maryland Insurance Commissioner gains authority to review carrier reports and address noncompliance. This bill directly affects all health insurance carriers operating in Maryland, ensuring their coverage aligns with federal parity standards for mental health and substance use disorder benefits. It clarifies enforcement mechanisms without creating new benefit requirements.
Bill status
signed
all 5 stages cleared
Introduction
Sep 2025
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates 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 - Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements
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Third - Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements
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2 edits
MINOR
The bill text was reorganized to repeal and reenact an existing section rather than adding a new one, ensuring consistency with the bill's title. The substantive definitions for 'Mental Health Benefits' and 'Parity Act' were restored to their original positions in the statute, reversing a previous formatting error that had displaced them. No new policy requirements, funding amounts, or eligibility criteria were introduced in this revision.
Scope change
The bill's scope of applicability remains unchanged; the revision is a structural correction to the bill's text.
TECHNICAL
The bill's introductory text was changed from adding a new section to repealing and reenacting an existing one to match the bill's official title.
The order of the statute's sections was adjusted to place the definitions for 'Mental Health Benefits' and 'Parity Act' in their correct, logical sequence.
Floor votes · Senate Feb 9, 2026 · House of Delegates Mar 17, 2026
How they voted
45–0
Passed · 4 other
Total votes 49
Feb 9, 2026
D
Democratic36
91% Yea
R
Republican13
92% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
18
Key actions
10
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 12
executive
Apr 3, 2026
Upper · Passed
Returned Passed
upper
Apr 2, 2026
Lower · Passed
Third Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 17, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (101-34-7)
house of delegates
Feb 13, 2026
Committee
Referred Health
lower
Feb 12, 2026
Upper · Passed
Third Reading Passed
upper
Feb 10, 2026
Upper · Passed
Favorable Adopted
upper
Feb 9, 2026
Upper · Passed
Favorable Report by Finance
upper
Feb 9, 2026
Senate · Passed
Senate Vote: pass (45-0-4)
senate
Jan 14, 2026
Committee
First Reading Finance
upper
Sep 16, 2025
Introduced
Pre-filed
upper
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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