MD SB774

Health insurance carriers must report annual claims data to the Maryland Insurance Commissioner by March 1 each year, beginning in 2028, covering mental health, substance use, and medical/surgical services broken down by facility type, provider type, age group, and geographic area.

Required reporting includes network accuracy and availability, network size relative to licensed providers, in-network reimbursement levels compared to external benchmarks, out-of-network utilization, and access to evidence-based behavioral health care models.

The Insurance Commissioner must develop a uniform reporting template and publish the data within 3 months on a public website with an interactive dashboard allowing comparisons between plans, carriers, and plan levels.

Carriers' chief financial officers must certify reported data as complete and accurate under penalty of perjury; failure to submit timely or accurate data constitutes an unfair or deceptive practice and may result in referral to the Attorney General.

The Commissioner may establish regulatory fees on carriers to cover implementation costs, with funds deposited into the Insurance Regulation Fund; the Act takes effect January 1, 2027.