Maryland 2022 Regular Session

Maryland Senate Bill SB682

Introduced
2/4/22  
Refer
2/4/22  
Report Pass
3/18/22  
Engrossed
3/21/22  

Caption

Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act of 2022)

Impact

The passage of SB 682 will significantly alter the landscape of healthcare access for gender-diverse individuals in Maryland. It establishes explicit rights for those seeking gender-affirming treatments under the state medical assistance program, making it clear that medical necessity will guide coverage decisions. Relevant provisions require managed care organizations to transparently report on healthcare providers that offer gender-affirming care, which helps to ensure community access and prevent discrimination in healthcare contexts.

Summary

Senate Bill 682, known as the Trans Health Equity Act of 2022, mandates that the Maryland Medical Assistance Program provide gender-affirming treatment and ensure that such treatment is accessible, medically necessary, and non-discriminatory. This legislation is particularly focused on ensuring that transgender, nonbinary, intersex, and other gender-diverse individuals receive the necessary medical care related to their gender identity. The bill stipulates that the coverage for these treatments should align with current clinical standards and that any adverse benefit determination regarding coverage must be validated by a qualified healthcare provider.

Sentiment

The sentiment surrounding SB 682 appears to be largely supportive within progressive circles that champion LGBTQ+ rights and healthcare equity. Advocates view the legislation as a historic step towards inclusivity and recognizing the healthcare needs of gender-diverse individuals. However, there are segments of the population and policymakers that remain skeptical or opposed to the bill's contents, often citing concerns about the implications of coverage decisions and potential costs associated with implementing such extensive healthcare reforms.

Contention

While the bill aims to improve access to gender-affirming treatments, it also faces notable contention, particularly from conservative factions that raise concerns over the use of state resources for these services. Critics argue that the bill may lead to increased healthcare expenditures and question the long-term implications of mandating insurance coverages for specific medical treatments. The debate often hinges on broader issues of healthcare ethics, state obligations, and individual rights within the context of gender identity.

Companion Bills

MD HB746

Crossfiled Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act of 2022)

Previously Filed As

MD HB746

Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act of 2022)

MD HB283

Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)

MD SB460

Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)

MD SB778

Maryland Medical Assistance Program - Children and Pregnant Women (Healthy Babies Equity Act)

MD HB1080

Maryland Medical Assistance Program - Children and Pregnant Women (Healthy Babies Equity Act)

MD SB244

Maryland Medical Assistance Program - Self-Measured Blood Pressure Monitoring

MD SB350

Maryland Medical Assistance Program – Community Violence Prevention Services

MD HB534

Maryland Medical Assistance Program - Self-Measured Blood Pressure Monitoring

MD SB119

Legally Protected Health Care - Gender-Affirming Treatment

MD HB691

Legally Protected Health Care - Gender-Affirming Treatment

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