MD HB684

Carriers must notify enrollees when their primary care provider or behavioral health provider (seen within the past 3 months) is terminated from the network, and enrollees may continue receiving care from those providers for up to 90 days after termination

Carriers must notify the Insurance Commissioner at least 60 days before an anticipated provider or health system termination that would materially change the network, and file an updated access plan within 5 business days after termination (with $5,000/day fines for late filing)

Carriers and health systems must give each other 90 days written notice before terminating or not renewing contracts, and must continue honoring contract terms including reimbursement rates and balance billing protections for 90 days after termination

Creates a new 90-day special enrollment period for individuals on the Individual Exchange (or outside it) whose regular treating provider is terminated from their plan's network

Effective October 1, 2026, with provisions applying to contracts entered into, renewed, amended, or continued on or after that date