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MD HB974

Bill

Status

Passed

5/20/2025

Primary Sponsor

Emily Shetty

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Requires health insurance carriers to cover preventive services without cost-sharing (copayments, coinsurance, or deductibles) for items rated A or B by the U.S. Preventive Services Task Force, recommended immunizations, and women's preventive care

  • Clarifies that high deductible health plans may apply deductibles to preventive services coverage unless the Maryland Insurance Commissioner determines the service falls under IRS safe harbor provisions for preventive care under 26 U.S.C. § 223(c)(2)(C)

  • Mandates the Insurance Commissioner enforce preventive services requirements consistent with federal recommendations and guidelines in effect on December 31, 2024, from the U.S. Preventive Services Task Force, CDC Advisory Committee on Immunization Practices, and Health Resources and Services Administration

  • Authorizes the Commissioner to adopt regulations for future preventive services recommendations issued after December 31, 2024, that enhance consumer benefits or require carriers to provide coverage without cost-sharing

  • Effective June 1, 2025

Legislative Description

Health Insurance - Preventive Services - High Deductible Health Plans and Enforcement Authority

Rules and Regulations

Last Action

Approved by the Governor - Chapter 745

5/20/2025

Committee Referrals

Finance3/12/2025
Health and Government Operations1/31/2025

Full Bill Text

No bill text available