LAWRENCE J. HOGAN, JR., Governor Ch. 229
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Chapter 229
(Senate Bill 180)
AN ACT concerning
Insurance – Conformity With Federal Law – The No Surprises Act and Other
Provisions of the Consolidated Appropriations Act, 2021
FOR the purpose of providing that certain provisions of federal law regarding protections
from surprise medical bills and transparency apply to certain insurers, nonprofit
health service plans, and health maintenance organizations; authorizing the
Maryland Insurance Commissioner to enforce this Act; and generally relating to
health insurance and conformity with federal law.
BY adding to
Article – Insurance
Section 15–146
Annotated Code of Maryland
(2017 Replacement Volume and 2021 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
That the Laws of Maryland read as follows:
Article – Insurance
15–146.
(A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS
INDICATED.
(2) “BLANKET HEALTH INSURA NCE” MEANS THE FORM OF HEALTH
INSURANCE DESCRIBED IN § 15–305 OF THIS TITLE.
(3) “HEALTH BENEFIT PLAN ” MEANS:
(I) AN INDIVIDUAL HEALTH BENEFIT PLAN AS DEFI NED IN §
15–1301(O) OF THIS TITLE;
(II) A HEALTH BENEFIT PLA N AS DEFINED IN § 15–1201 OF THIS
TITLE; OR
(III) A HEALTH BENEFIT PLA N AS DEFINED IN § 15–1401 OF THIS
TITLE.
Ch. 229 2022 LAWS OF MARYLAND
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(4) “SHORT–TERM LIMITED DURATIO N INSURANCE ” HAS THE
MEANING STATED IN § 15–1301(S) OF THIS TITLE.
(B) THE PROVISIONS OF THE FEDERAL NO SURPRISES ACT AND DIVISION
BB, TITLE II, § 201 OF THE FEDERAL CONSOLIDATED APPROPRIATIONS ACT, 2021,
APPLY TO ALL INSURER S, NONPROFIT HEALTH SER VICE PLANS, AND HEALTH
MAINTENANCE ORGANIZA TIONS THAT DELIVER O R ISSUE FOR DELIVERY IN THE
STATE POLICIES OR CON TRACTS FOR A HEALTH BENEFIT PLAN OR BLAN KET
HEALTH INSURANCE .
(C) THE PROVISIONS OF DIVISION BB, TITLE II, §§ 202 AND 203 OF THE
FEDERAL CONSOLIDATED APPROPRIATIONS ACT, 2021, APPLY TO ALL INSURER S,
NONPROFIT HEALTH SER VICE PLANS, AND HEALTH MAINTENAN CE ORGANIZATIONS
THAT DELIVER OR ISSU E FOR DELIVERY IN THE STATE POLICIES OR CON TRACTS
FOR A HEALTH BENEFIT PLAN, BLANKET HEALTH INSUR ANCE, OR SHORT–TERM
LIMITED DURATION INS URANCE.
(D) THE COMMISSIONER MAY ENFO RCE THIS SECTION UND ER ANY
APPLICABLE PROVISION S OF THIS ARTICLE.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect June
1, 2022.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act is an emergency
measure, is necessary for the immediate preservation of the public health or safety, has
been passed by a yea and nay vote supported by three–fifths of all the members elected to
each of the two Houses of the General Assembly, and shall take effect from the date it is
enacted.
Approved by the Governor, April 21, 2022.