Healthcare

SB 444 repeals an exemption that previously allowed intermediate care facilities offering substance use disorder treatment to change bed capacity without a certificate of need. It creates a new exemption for facilities providing *medically managed residential substance use disorder treatment services*, removing the requirement for a certificate of need if they submit 45 days' written notice to the Commission and the Commission determines the change aligns with the state health plan, improves service efficiency, and serves the public interest. This bill directly affects intermediate care facilities focused on substance use disorder treatment by reducing regulatory barriers for expanding bed capacity or establishing new facilities. The key mechanism is replacing a certificate of need with a streamlined notice-and-review process administered by the Commission. (SB 444, "Certificate of Need - Intermediate Health Care Facilities," 2026)

This bill requires health insurers and health plans in Maryland to cover salpingectomy (surgery to remove fallopian tubes) specifically for ovarian cancer prevention as a standard benefit, with no out-of-pocket costs like copays or deductibles for patients. It applies to all health insurance policies issued in Maryland after January 1, 2027, directly affecting women who might choose this preventive surgery and the insurers providing coverage. The key provision bans cost-sharing for this procedure, except when an individual is enrolled in a high-deductible health plan meeting federal criteria. This ensures access to a proven preventive measure without financial barriers for most patients.

SB 504 prohibits businesses from selling consumer personal data to buyers who intend to use it for immigration enforcement. It defines "sensitive data" to include immigration status, racial origin, health information, and sexual orientation, requiring businesses to handle such data more carefully. The bill also mandates public record custodians to prevent unauthorized disclosure - especially for immigration enforcement - and requires message switching systems to implement access controls. These changes aim to strengthen privacy protections for Maryland residents while modifying existing data privacy laws in the state code.

HB 813 authorizes Maryland's Medicaid program (Maryland Medical Assistance Program) to cover comprehensive obesity treatment, including intensive behavioral therapy, bariatric surgery, and FDA-approved weight management medications, starting January 1, 2027. The bill requires the Maryland Department of Health to notify Medicaid recipients if it chooses to provide this coverage and mandates a report to the legislature by November 1, 2027, on implementation progress. This directly affects Medicaid recipients with obesity by expanding covered treatments beyond current scope. The program may use standard utilization management processes (like for other conditions) to assess medical necessity but is not required to offer the coverage.

SB 90 adds hypertension to Maryland's list of occupational diseases presumed to be work-related for specific emergency responders. It makes firefighters, fire fighting instructors, rescue squad members, advanced life support unit members, and State Fire Marshal personnel eligible for workers' compensation benefits if they have hypertension diagnosed by a provider, experience it for at least 90 consecutive days, have at least 2 years of cumulative service in those roles, and are currently employed in those positions. This creates a legal presumption that the hypertension is work-related, eliminating the need to prove direct causation, while clarifying that individuals cannot receive both workers' compensation and disability retirement benefits for the same hypertension condition. The bill takes effect October 1, 2026.

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.

SB 917 clarifies the scope of practice for audiologists in Maryland by updating the legal definition of "practice audiology." It directly affects licensed audiologists by explicitly including the ordering and performing of in-office, non-radiographic scanning or imaging of the ear for auditory or vestibular conditions. The bill adds this specific imaging authority to existing duties like diagnosing ear conditions and fitting hearing aids, while clarifying that audiologists cannot perform surgeries, cochlear implant procedures, or prepare radiographic imaging. The change takes effect October 1, 2026, and aims to align legal definitions with current clinical practices.