Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition
SB 428 prohibits the Maryland Department of Health and certain insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services with primary care in clinics serving Medicaid recipients (Maryland Medical Assistance Program). The law applies to all health insurance plans (including nonprofit plans and health maintenance organizations) covering these services, with one exception: high-deductible health plans may still require deductibles for these services. The bill takes effect January 1, 2027, for new insurance policies and July 1, 2026, for the law itself.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
May 2026
Introduced Jan 30, 2026
Signed May 26, 2026
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What changed between versions
Third - Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition
→
Enrolled - Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition
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4 edits
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May 26, 2026
MODERATE
The bill was finalized as an Enrolled Bill, adding formal proofreading and presentation to the Governor. The scope of the bill was expanded to require insurers to provide coverage for Collaborative Care Model services, and a new requirement was added for the Maryland Health Care Commission to study the impact of eliminating cost-sharing. The effective date for the new coverage requirements was moved from July 1, 2026, to January 1, 2027, while the study deadline was set for December 1, 2026.
Scope change
The bill now includes a mandatory requirement for the Maryland Health Care Commission to conduct a study on the impact of eliminating cost-sharing, and the applicability of the new coverage mandates was delayed to January 1, 2027.
REQUIREMENT
Added a mandate for the Maryland Health Care Commission to conduct a study on the impact of eliminating cost-sharing for Collaborative Care Model services and report findings by December 1, 2026.
Added a requirement that insurers, nonprofit health plans, and HMOs must provide coverage for services under the Collaborative Care Model.
TIMELINE
Changed the effective date for the new coverage requirements from July 1, 2026, to January 1, 2027.
TECHNICAL
Updated the bill header to reflect its status as an Enrolled Bill with proofreading details and added a line for the Governor's approval.
Floor votes · Senate Mar 16, 2026 · House of Delegates Mar 17, 2026
How they voted
44–0
Passed · 5 other
Total votes 49
Mar 16, 2026
D
Democratic36
88% Yea
R
Republican13
92% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
20
Key actions
11
Committee
6
Amendments
1
May 26, 2026
Signed into law
Approved by the Governor - Chapter 614
executive
Apr 3, 2026
Upper · Passed
Passed Enrolled
upper
Apr 3, 2026
Upper · Passed
Third Reading Passed
upper
Apr 3, 2026
Introduced
Senate Concurs House Amendments
upper
Apr 2, 2026
Lower · Passed
Third Reading Passed
lower
Apr 1, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 1, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 17, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (130-5-7)
house of delegates
Mar 16, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Mar 13, 2026
Committee
Referred Health
lower
Mar 12, 2026
Upper · Passed
Third Reading Passed
upper
Mar 10, 2026
Upper · Passed
Favorable Adopted
upper
Mar 9, 2026
Upper · Passed
Favorable Report by Finance
upper
Jan 30, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Malcolm Augustine
DDemocratic
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