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MD HB1301

Bill

Status

Passed

5/20/2025

Primary Sponsor

Samuel Rosenberg

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Prohibits prior authorization requirements for patient transfers to special pediatric hospitals under Maryland Medical Assistance Program, Maryland Children's Health Program, managed care organizations, and private health insurers

  • Defines "special pediatric hospital" as a Maryland facility providing nonacute medical, rehabilitation, therapy, and palliative services to patients under age 22, or patients ages 2-22 with co-occurring physical and behavioral health conditions

  • Applies to insurers, nonprofit health service plans, and health maintenance organizations that issue health insurance policies or contracts in Maryland

  • Takes effect January 1, 2026, applying to all policies, contracts, and health benefit plans issued, delivered, or renewed on or after that date

  • Approved by Governor Wes Moore on May 20, 2025

Legislative Description

Maryland Medical Assistance Program, Maryland Children’s Health Program, and Health Insurance – Transfers to Special Pediatric Hospitals – Prior Authorizations

Nonprofit Organizations

Last Action

Approved by the Governor - Chapter 612

5/20/2025

Committee Referrals

Finance3/17/2025
Health and Government Operations2/7/2025

Full Bill Text

No bill text available