SB 521 Maryland Senate · 2026 Regular Session

Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period

SB 521 requires health insurance companies to notify patients in writing when a primary care provider or behavioral health provider is removed from their network, including the reason for termination and the right to continue seeing that provider for up to 90 days if the removal isn't due to fraud or misconduct. It mandates insurers to provide advance notice (60 days) to Maryland's Insurance Commissioner before terminating provider contracts that materially impact patient access, and to update their access plans within 5 business days after termination. This bill directly affects insured patients who rely on specific providers and health insurance carriers operating in Maryland. The key change is creating a standardized 90-day special enrollment period for affected patients to transition care, improving transparency during network changes.
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 4, 2026 Signed May 26, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period Third - Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period · 3 edits
MINOR
The bill was amended to update the specific sections of law it repeals and reenacts, adding a new section to the Insurance Article regarding provider network notifications. The substantive policy requirements for carriers notifying enrollees about provider terminations remain largely the same, though the notification instructions now explicitly require the use of a uniform form developed by the Commissioner.
Scope change
The bill's scope was expanded to include a new section in the Insurance Article (Section 15-112(b)(4) and (y)) in addition to the existing repeal and reenactment of Section 15-112(c)(1).
REQUIREMENT

Added a new requirement for carriers to use a specific uniform form developed by the Commissioner when instructing enrollees on how to request transitional care.

TECHNICAL

Updated the list of repealed and reenacted sections to include new provisions and corrected the citation format for Section 15-112.

Added committee report status indicating the bill was favorably amended and adopted by the Senate.

Floor votes · Senate Mar 3, 2026 · House of Delegates Mar 20, 2026

How they voted

470
Passed · 2 other
Total votes 49
Mar 3, 2026
D Democratic36
34 Yea 2
94% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 650
executive
Apr 8, 2026
Upper · Passed
Returned Passed
upper
Apr 7, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 20, 2026
Committee
Referred Health
lower
Mar 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (135-3-4)
house of delegates
Mar 19, 2026
Upper · Passed
Third Reading Passed
upper
Mar 17, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 16, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 3, 2026
Senate · Passed
Senate Vote: pass (47-0-2)
senate
Feb 4, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ben Kramer
Ben Kramer
DDemocratic
MD
19