Maryland Subject | Managed Care Organizations

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StateBillStatusSummary/TitleLast Actionsort icon
MDSB276PassRequiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations to provide certain coverage related to orthoses beginning January 1, 2027; clarifying that certain mandated b...
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2026-05-26
Approved by the Governor - Chapter 629
MDHB445PassRequiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations to provide certain coverage related to orthoses beginning January 1, 2027; clarifying that certain mandated b...
[Detail][Text][Discuss]
2026-05-26
Approved by the Governor - Chapter 628
MDSB808PassAltering the process through which health care providers apply to participate on a carrier's provider panel, including certain notice requirements; repealing the authorization for a carrier to charge a certain application fee; requiring carriers to u...
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2026-05-26
Approved by the Governor - Chapter 706
MDHB1093PassAltering the process through which health care providers apply to participate on a carrier's provider panel, including certain notice requirements; repealing the authorization for a carrier to charge a certain application fee; requiring carriers to u...
[Detail][Text][Discuss]
2026-05-26
Approved by the Governor - Chapter 707
MDHB671PassRequiring the Governor to include in the annual budget bill, for fiscal year 2027 and each fiscal year thereafter, a minimum appropriation for the Office of the Long-Term Care Ombudsman from certain money remitted by managed care organizations and, u...
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2026-05-26
Approved by the Governor - Chapter 762
MDSB340PassRequiring the Governor to include in the annual budget bill a minimum $2,000,000 appropriation for the Office of the Long-Term Care Ombudsman from certain money remitted by managed care organizations and, under certain circumstances, general funds.
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2026-05-26
Approved by the Governor - Chapter 761
MDHB1376PassRequiring the Maryland Medical Assistance Program and the Maryland Children's Health Program to provide a prior authorization determination regarding a transfer on request of a special pediatric hospital within 3 business days after the request is re...
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2026-04-28
Approved by the Governor - Chapter 325
MDSB272PassRequiring certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations that provide coverage for chemotherapy to treat cancer to provide coverage for scalp cooling systems used for the preservatio...
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2026-04-14
Approved by the Governor - Chapter 51
MDHB393PassRequiring certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations that provide coverage for chemotherapy to treat cancer to provide coverage for scalp cooling systems used for the preservatio...
[Detail][Text][Discuss]
2026-04-14
Approved by the Governor - Chapter 52
MDSB608Engross
50%
Requiring, beginning July 1, 2027, the Maryland Medical Assistance Program and certain health insurers, nonprofit health services plans, and health maintenance organizations to provide coverage for single-gene and multigene pharmacogenomic testing in...
[Detail][Text][Discuss]
2026-03-25
To House Health Committee
MDHB1384Intro
25%
Requiring, on or before July 1, 2028, the Maryland Department of Health to select and contract with a State pharmacy benefits manager; requiring that each managed care contract entered into or renewed after July 1, 2028, require the managed care orga...
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2026-03-20
Withdrawn by Sponsor
MDHB1126Intro
25%
Prohibiting certain carriers and managed care organizations from prohibiting an enrollee from selecting, or limiting the ability of an enrollee to select, a laboratory; prohibiting certain carriers and managed care organizations from denying a labora...
[Detail][Text][Discuss]
2026-03-19
To House Health Committee
MDHB1450Intro
25%
Requiring, under certain circumstances, an insurer, a nonprofit health service plan, a health maintenance organization, a dental plan organization, a managed care organization, or any other entity providing health benefit plans in the State to identi...
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2026-03-16
Withdrawn by Sponsor
MDHB1107Intro
25%
Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage to victims of domestic violence for aesthetic services and re...
[Detail][Text][Discuss]
2026-03-13
To House Health Committee
MDHB1440Intro
25%
Prohibiting a managed care organization and certain insurers, nonprofit health service plans, and health maintenance organizations from requiring a prior authorization or step therapy or fail-first protocol under certain circumstances for prescriptio...
[Detail][Text][Discuss]
2026-03-13
Withdrawn by Sponsor
MDHB158Intro
25%
Establishing the Maternal Health Monitoring Pilot Program in the Maryland Department of Health to support pregnant and postpartum Maryland Medical Assistance Program recipients who have higher risks of pregnancy complications because of maternal hype...
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2026-02-23
Withdrawn by Sponsor
MDHB886Intro
25%
Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for services provided in any setting by certain certified pee...
[Detail][Text][Discuss]
2026-02-19
To House Health Committee
MDHB1153Intro
25%
Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit heal...
[Detail][Text][Discuss]
2026-02-13
To House Health Committee
MDHB1264Intro
25%
Requiring the Maryland Medical Assistance Program to provide, subject to the limitations of the State budget and as permitted by federal law, individual and group counseling for the purpose of tobacco cessation; and prohibiting the Program and manage...
[Detail][Text][Discuss]
2026-02-13
To House Health Committee
MDSB738Intro
25%
Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for mobile crisis and crisis stabilization services; and appl...
[Detail][Text][Discuss]
2026-02-12
To Senate Finance Committee
MDSB797Intro
25%
Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit heal...
[Detail][Text][Discuss]
2026-02-12
To Senate Finance Committee
MDSB837Intro
25%
Prohibiting a managed care organization and certain insurers, nonprofit health service plans, and health maintenance organizations from requiring a prior authorization or step therapy or fail-first protocol under certain circumstances for prescriptio...
[Detail][Text][Discuss]
2026-02-12
To Senate Finance Committee
MDSB798Intro
25%
Requiring the Maryland Medical Assistance Program to provide, subject to the limitations of the State budget and as permitted by federal law, individual and group counseling for the purpose of tobacco cessation; and prohibiting the Program and manage...
[Detail][Text][Discuss]
2026-02-12
To Senate Finance Committee
MDHB1114Intro
25%
Authorizing pharmacists to prescribe and dispense preexposure prophylaxis for HIV prevention to patients under certain circumstances; prohibiting managed care organizations, insurers, nonprofit health service plans, and health maintenance organizatio...
[Detail][Text][Discuss]
2026-02-11
To House Health Committee
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