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MD HB1314
Bill
Status
3/14/2025
Primary Sponsor
April Fleming Miller
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AI Summary
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In-network health care providers are prohibited from charging patients fees to obtain prior authorizations from carriers or managed care organizations
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"Carrier" is defined to include health insurers, nonprofit health service plans, health maintenance organizations, and other state-regulated entities providing health benefit plans
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"Prior authorization" refers to the utilization management process requiring advance approval for procedures, treatments, medications, or services to determine medical necessity and benefit eligibility
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The law applies to all health insurance policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland
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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