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.
HB 1087 requires Maryland health care facilities performing surgeries that generate surgical smoke (like hospitals, ambulatory surgical centers, and freestanding medical facilities) to adopt policies mandating the use of smoke evacuation systems by January 1, 2028. These systems must capture and filter harmful surgical smoke particles at the source before they reach medical staff or patients. The bill defines "surgical smoke" as the gaseous byproducts from energy-generating surgical tools, including bio-aerosols and lung-damaging particles. This policy change aims to protect health care workers and patients from exposure to potentially hazardous smoke during procedures.
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.
SB 813 prohibits dental insurers and plan organizations from blocking direct payments to dentists (nonpreferred providers) when patients assign benefits to them, instead of paying patients who then pay dentists. It requires dentists to provide patients with clear cost disclosures - including potential balance billing - before services and submit a disclosure form to insurers. The bill applies specifically to dental care under Maryland law, amending sections 14-205.3 and adding 14-410.1 to the Insurance Article. Insurers may refuse direct payment only in limited cases, such as if a patient paid the dentist upfront or withdrew assignment after payment. This aims to simplify reimbursement for dental patients and dentists outside insurance networks.
SB 839 requires Maryland's Department of Health to conduct a survey of pharmacy dispensing costs in the state every three years starting in 2026. Within six months after each survey, the Department must establish a fee charged to pharmacies for dispensing drugs under the state's Medical Assistance Program (Medicaid). This fee will be based directly on the survey results, aiming to reflect actual dispensing costs. The bill applies specifically to pharmacies participating in Maryland's Medicaid program and takes effect October 1, 2026.
HB 1091 requires health insurers and dental plan organizations to directly reimburse dentists not in their network (nonpreferred dentists) when a patient assigns their insurance benefits to the dentist, and prohibits them from blocking such assignments. It also mandates that nonpreferred dentists inform patients about their non-network status, potential out-of-pocket costs, and payment terms before providing care, and submit a disclosure form to the insurer for the assignment. Insurers may still refuse direct payment only in specific cases, such as if the assignment was received too late, an error occurred, the patient withdrew the assignment, or the patient paid the dentist at the time of service. The bill directly affects non-network dentists, their patients, and insurance companies covering dental services.
HB 1075 expands eligibility for Maryland's Graduate and Professional Scholarship Program to include students at the University of Maryland Eastern Shore (UMES) enrolled in four specific degree programs: Master of Medical Science in Physician Assistant Studies, Doctor of Pharmacy, Doctor of Physical Therapy, and Doctor of Veterinary Medicine. This change directly affects UMES students in these fields who previously could not qualify for the scholarship. The bill amends the existing law by adding UMES to the list of eligible institutions under the program's criteria, which requires applicants to be Maryland residents attending approved institutions in designated health-related fields. The policy change takes effect July 1, 2026, allowing UMES students to access this financial aid for the first time.
HB 1364 requires mammography centers in Maryland to include a specific notice about breast arterial calcification in patients' screening results letters, starting October 1, 2026. This applies to facilities performing mammography testing (like hospitals, clinics, or radiology practices), excluding federal VA facilities. The notice informs patients that arterial calcification - common but potentially linked to higher cardiovascular risk - should be discussed with their physician to assess heart health needs. It does not change existing federal requirements for breast density notices but adds this new patient awareness element to standard mammogram results.
SB 890 exempts premiums for captive insurance purchased by nonprofit hospitals and healthcare systems in Maryland from the state's insurance premium receipts tax. Specifically, it removes the tax obligation for premiums paid by these entities, including their parent companies, subsidiaries, or affiliated providers. The bill also prohibits the Maryland Insurance Administration from charging past-due taxes, penalties, or interest related to this tax for qualifying entities before the law's effective date. This directly affects nonprofit healthcare organizations seeking cost savings on self-insurance arrangements. The policy change modifies existing tax code sections to create this specific exemption.
SB 808 amends Maryland's health insurance laws to change how health insurance carriers manage provider panels. It eliminates application fees carriers can charge providers, requires carriers to send specific notices to providers within set timeframes, and mandates more frequent updates to provider directories. The bill also expands the types of providers carriers cannot restrict on panels and updates rules for multi-carrier online directory systems. These changes directly affect health insurance carriers and healthcare providers seeking to join insurance networks.