SB 774 Maryland Senate · 2026 Regular Session

Health Insurance - Plan Benefits and Coverage - Annual Reporting (Transparency, Reporting, Understanding, Timeliness, and Honesty (TRUTH) in Mental Health Coverage Act)

SB 774, the "TRUTH in Mental Health Coverage Act," requires Maryland health insurance carriers to annually report detailed claims data on mental health and substance use coverage starting in 2028. This affects all insurers offering health benefit plans in Maryland, mandating they submit standardized data on access, network availability, and coverage for services like outpatient care, telehealth, and youth/adult services. The report must include breakdowns by facility type, provider specialty, service format, and geographic area. The Maryland Insurance Commissioner will make this data publicly available through a website and interactive dashboards to improve transparency for consumers.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
Senate Passage
Mar 2026
House of Delegates Passage
Governor
Introduced Feb 6, 2026 Last action Mar 25, 2026
Floor votes · Senate Mar 3, 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
9
Key actions
4
Committee
4
Mar 20, 2026
Committee
Referred Health
lower
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 6, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Malcolm Augustine
Malcolm Augustine
DDemocratic
MD
47