SB 496 Maryland Senate · 2026 Regular Session

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

SB 496 would authorize Maryland's Medical Assistance Program (Medicaid) to cover comprehensive obesity treatment starting January 1, 2027. This includes intensive behavioral therapy, bariatric surgery, and FDA-approved weight management medications for eligible Medicaid recipients. The bill requires the Department of Health to notify program recipients if it chooses to implement this coverage and mandates a report to legislative committees by November 2027 on whether coverage has begun. The law takes effect October 1, 2026, but coverage for obesity treatment becomes available the following year.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 2, 2026 Signed May 31, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Third - Maryland Medical Assistance Program - Coverage for the Treatment of Obesity Enrolled - Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization · 3 edits · May 31, 2026
MINOR
The bill was converted from a Senate draft to an Enrolled version, adding formal presentation details for the Governor. Substantively, the text now explicitly authorizes the Department of Health to apply to CMS for a state plan amendment to enable obesity coverage, and the reporting deadline was moved from November 1, 2027, to November 1, 2026.
Scope change
The bill's scope expanded to include explicit authority for the state to seek federal approval (CMS) for the new coverage, whereas the original draft did not mention this administrative step.
REQUIREMENT

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

TIMELINE

Changed the reporting deadline for the Department of Health from November 1, 2027, to November 1, 2026.

TECHNICAL

Added Enrolled Bill header, proofreader lines, and Great Seal presentation text to finalize the bill for Governor signature.

Floor votes · Senate Mar 22, 2026 · House of Delegates Mar 22, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 22, 2026
D Democratic36
32 Yea 4
88% Yea
R Republican13
12 Yea 1
92% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
9
Committee
6
Amendments
2
Apr 9, 2026
Upper · Passed
Passed Enrolled
upper
Apr 9, 2026
Upper · Passed
Third Reading Passed
upper
Apr 9, 2026
Introduced
Senate Concurs House Amendments
upper
Apr 8, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 3, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 24, 2026
Committee
Referred Health
lower
Mar 23, 2026
Upper · Passed
Third Reading Passed
upper
Mar 23, 2026
Introduced
Floor Amendment {
upper
Mar 23, 2026
Upper · Passed
Favorable Adopted
upper
Mar 23, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 22, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Feb 2, 2026
Committee
First Reading Finance
upper
2 primary · 0 co-sponsors

Sponsors