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MD SB328
Bill
Status
1/15/2025
Primary Sponsor
Malcolm Augustine
Click for details
AI Summary
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Requires health insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for one annual behavioral health wellness visit, defined as a clinical assessment to determine if a patient meets criteria for a psychiatric or substance use disorder
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Mandates coverage regardless of whether the assessment results in a behavioral health diagnosis
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Requires reimbursement for these wellness visits at the same rate as assessments that result in a behavioral health diagnosis
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Applies to the Maryland Medical Assistance Program (Medicaid) and managed care organizations beginning July 1, 2026
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Takes effect January 1, 2026 for all policies, contracts, and health benefit plans issued, delivered, or renewed in the State
Legislative Description
Maryland Medical Assistance Program and Health Insurance - Annual Behavioral Health Wellness Visits - Coverage and Reimbursement
Nonprofit Organizations
Last Action
Hearing 2/04 at 1:00 p.m.
1/22/2025