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MD SB437

Bill

Status

Introduced

1/22/2025

Primary Sponsor

Clarence Lam

Click for details

Origin

Senate

2025 Regular Session

AI Summary

  • Changes the baseline date for calculating minimum reimbursement rates to nonparticipating health care providers from "January 1 of the previous calendar year" to a fixed date of January 31, 2019

  • Requires the 2019 baseline rate to be inflated annually by the change in the Medicare Economic Index from 2019 to the current year

  • Applies to evaluation and management services (minimum 125% of average contracted rate) and non-evaluation/management services (minimum 125% of average contracted rate)

  • Effective date: October 1, 2025

Legislative Description

Health Maintenance Organizations - Payments to Nonparticipating Providers - Reimbursement Rate

Health Insurance

Last Action

Hearing 2/12 at 1:00 p.m.

1/27/2025

Committee Referrals

Finance1/22/2025

Full Bill Text

No bill text available