Health Insurance - Special Enrollment Period for Pregnancy - Coverage Effective Date
SB 794 creates a special enrollment period for pregnancy in Maryland health insurance. It allows individuals who become pregnant (confirmed by a healthcare provider) to choose whether their coverage starts on the first day of the month they receive pregnancy confirmation or the first day of the following month. If they don’t select a date, the insurance company must choose one of these two options. This applies to both marketplace and non-marketplace health plans and takes effect January 1, 2027. The bill directly affects pregnant individuals and parents enrolling dependents during this 90-day special enrollment period.
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 6, 2026
Signed May 26, 2026
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4 edits
MODERATE
The bill was amended to add a second sponsor, Senator Gile, and include a committee report indicating favorable passage with amendments. The core policy regarding special enrollment periods for pregnancy remains unchanged, but the formatting of the act title was updated to include a chapter placeholder, and the bill now includes signature lines for approval by the Governor and legislative leaders.
TECHNICAL
Added a second sponsor, Senator Gile, to the bill's authorship.
Added a committee report line stating the bill was adopted with amendments.
Changed the act title from 'A BILL ENTITLED' to 'CHAPTER ______'.
Added signature lines for the Governor, President of the Senate, and Speaker of the House of Delegates.
Floor votes · Senate Mar 3, 2026 · House of Delegates Mar 22, 2026
How they voted
47–0
Passed · 2 other
Total votes 49
Mar 3, 2026
D
Democratic36
94% Yea
R
Republican13
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 787
executive
Apr 9, 2026
Upper · Passed
Returned Passed
upper
Apr 8, 2026
Lower · Passed
Third Reading Passed
lower
Apr 8, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 8, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 22, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (134-1-7)
house of delegates
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
2 primary · 0 co-sponsors
Sponsors
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