Maryland Medical Assistance Program - Behavior Technicians - Reimbursement
SB 898 requires Maryland’s Medical Assistance Program to reimburse applied behavior analysis (ABA) services provided by registered behavior technicians (RBTs) to Medicaid recipients diagnosed with autism spectrum disorder. The bill prohibits the state health department from mandating a specific certification (e.g., from the Behavior Analyst Certification Board) as a condition for reimbursement, except for a 150-day transition period during which RBTs must obtain certification. This directly affects Medicaid beneficiaries with autism and RBTs who deliver ABA services under supervision of certified professionals, streamlining access to care without immediate certification barriers. The law takes effect October 1, 2026, and applies prospectively only.
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 31, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Third - Maryland Medical Assistance Program – Registered Behavior Technicians – Reimbursement
→
Enrolled - Maryland Medical Assistance Program - Behavior Technicians - Reimbursement
·
4 edits
·
May 31, 2026
MODERATE
The bill was formally enrolled and presented to the Governor for final approval. The text was reorganized to align with the official Annotated Code of Maryland, adding a citation to the 2025 Supplement. The core policy regarding reimbursement for Registered Behavior Technicians remains intact, though the definition of supervision was slightly broadened to include Board Certified Behavior Analysts (not just doctoral-level ones) and the requirement for credentialing entities to be recognized by the Department was added.
Scope change
The bill's scope and applicability remain unchanged; it continues to apply prospectively to Applied Behavior Analysis services provided after the effective date.
TECHNICAL
Added a citation to the 2025 Supplement for the Annotated Code of Maryland, reflecting the current legal volume.
Reformatted the bill text to match the official style of the Annotated Code of Maryland, including the addition of an 'Enrolled Bill' header.
DEFINITION
Expanded the supervision requirements for Registered Behavior Technicians to explicitly include Board Certified Behavior Analysts (non-doctoral) as a valid supervisor.
REQUIREMENT
Clarified that any credentialing entity used for certification must be recognized by the Department.
Floor votes · Senate Mar 27, 2026 · House of Delegates Mar 30, 2026
How they voted
47–0
Passed · 2 other
Total votes 49
Mar 27, 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
17
Key actions
9
Committee
6
Amendments
1
Apr 13, 2026
Upper · Passed
Passed Enrolled
upper
Apr 13, 2026
Introduced
Senate Concurs House Amendments
upper
Apr 13, 2026
Lower · Passed
Third Reading Passed
lower
Apr 10, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 10, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 30, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (137-0-5)
house of delegates
Mar 27, 2026
Senate · Passed
Senate Vote: pass (47-0-2)
senate
Mar 20, 2026
Committee
Referred Health
lower
Mar 19, 2026
Upper · Passed
Third Reading Passed
upper
Mar 17, 2026
Upper · Passed
Favorable Adopted
upper
Mar 16, 2026
Upper · Passed
Favorable Report by Finance
upper
Feb 6, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Cory McCray
DDemocratic
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