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MD HB1314

Bill

Status

Engrossed

3/14/2025

Primary Sponsor

April Fleming Miller

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • In-network health care providers are prohibited from charging patients fees to obtain prior authorizations from carriers or managed care organizations

  • "Carrier" is defined to include health insurers, nonprofit health service plans, health maintenance organizations, and other state-regulated entities providing health benefit plans

  • "Prior authorization" refers to the utilization management process requiring advance approval for procedures, treatments, medications, or services to determine medical necessity and benefit eligibility

  • The law applies to all health insurance policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland

  • Effective date: January 1, 2026

Legislative Description

Health Care - Prior Authorizations - Prohibiting Fees

Nonprofit Organizations

Last Action

Hearing 3/26 at 1:00 p.m.

3/20/2025

Committee Referrals

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

Full Bill Text

No bill text available