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MD HB830

Bill

Status

Engrossed

3/17/2025

Primary Sponsor

Dana Jones

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Requires health insurers, nonprofit health service plans, and HMOs to cover genetic testing for individuals with personal or family history of cancer to identify inherited mutations associated with increased cancer risk
  • Genetic testing must be recommended by a health care professional and consistent with evidence-based clinical practice guidelines to qualify for mandated coverage
  • Mandates coverage for follow-up evidence-based cancer imaging for individuals determined to have increased cancer risk, using modalities from National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology
  • Originally prohibited copayments, coinsurance, and deductibles for covered genetic testing and cancer imaging, but this cost-sharing prohibition was removed through amendment
  • Applies to all policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland on or after January 1, 2026

Legislative Description

Health Insurance - Genetic Testing and Cancer Imaging - Required Coverage

Nonprofit Organizations

Last Action

Referred Finance

3/17/2025

Committee Referrals

Finance3/17/2025
Health and Government Operations1/29/2025

Full Bill Text

No bill text available