MD HB1316

The Hilltop Institute at UMBC must conduct a feasibility study on establishing a universal health care program through a single-payer system in Maryland, covering all residents regardless of income, immigration status, or existing coverage.

The proposed benefit package would include primary care, preventive care, chronic care, reproductive care (including abortion), hospital services, behavioral health, and at minimum the 10 essential benefits under the Affordable Care Act.

An Advisory Commission on Universal Health Care with approximately 30 members—including legislators, state agency secretaries, labor union representatives, local government officials, healthcare providers, and community organization representatives—will assist in developing final recommendations.

The Institute must submit an interim report by June 1, 2028, and a final joint report with the Commission by June 1, 2029, to the Governor and relevant legislative committees.

The study is contingent on the Hilltop Institute securing sufficient grants or private donations by December 31, 2026; if funding is not obtained, the legislation becomes null and void. The Act expires December 31, 2029.