Maryland 2022 Regular Session

Maryland Senate Bill SB725 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	sb0725
6	6
7	7	SENATE BILL 725
8	8	J5, J4 2lr2237
9	9	CF 2lr1861
10	10	By: Senator McCray
11	11	Introduced and read first time: February 7, 2022
12	12	Assigned to: Finance
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Health Insurance – Physical Therapy – Copayments, Coinsurance, and 2
19	19	Deductibles 3
20	20
21	21	FOR the purpose of prohibiting insurers, nonprofit health service plans, and health 4
22	22	maintenance organizations from imposing a copayment, coinsurance, or deductible 5
23	23	for covered physical therapy services that is greater than the copayment, 6
24	24	coinsurance, or deductible imposed for a primary care visit under the same plan or 7
25	25	contract; requiring insurers, nonprofit health service plans, and health maintenance 8
26	26	organizations to state in each plan or contract the coverage requirements, 9
27	27	limitations, conditions, and exclusions for the provision of physical therapy services; 10
28	28	and generally relating to health insurance and physical therapy services. 11
29	29
30	30	BY adding to 12
31	31	Article – Insurance 13
32	32	Section 15–856 14
33	33	Annotated Code of Maryland 15
34	34	(2017 Replacement Volume and 2021 Supplement) 16
35	35
36	36	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 17
37	37	That the Laws of Maryland read as follows: 18
38	38
39	39	Article – Insurance 19
40	40
41	41	15–856. 20
42	42
43	43	(A) IN THIS SECTION, “PHYSICAL THERAPY SER VICES” MEANS SERVICES 21
44	44	PROVIDED TO A PATIEN T WITHIN THE SCOPE O F PRACTICE OF A PHYS ICAL 22
45	45	THERAPIST WHO IS LIC ENSED BY THE STATE BOARD OF PHYSICAL THERAPY 23
46	46	EXAMINERS TO PRACTICE PHYSICAL THERAPY UND ER THE HEALTH OCCUPATIONS 24
47	47	ARTICLE. 25 2 SENATE BILL 725
48	48
49	49
50	50
51	51	(B) THIS SECTION APPLIES TO: 1
52	52
53	53	(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 2
54	54	PROVIDE COVERAGE FOR BOTH PHYSICAL THERAP Y AND PRIMARY CARE S ERVICES 3
55	55	UNDER INDIVIDUAL , GROUP, OR BLANKET HEALTH IN SURANCE POLICIES OR 4
56	56	CONTRACTS THAT ARE I SSUED OR DEL IVERED IN THE STATE; AND 5
57	57
58	58	(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 6
59	59	COVERAGE FOR BOTH PH YSICAL THERAPY AND P RIMARY CARE SERVICES UNDER 7
60	60	INDIVIDUAL OR GROUP CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 8
61	61
62	62	(C) FOR EACH DATE COVERED PHYSICAL THERAPY SERVICES ARE 9
63	63	PROVIDED, AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A COPAYMENT , 10
64	64	COINSURANCE , OR DEDUCTIBLE AMOUNT FOR THE PHYSICAL THE RAPY SERVICES 11
65	65	THAT IS GREATER THAN THE COPAYMENT , COINSURANCE , OR DEDUCTIBLE AMOUNT 12
66	66	IMPOSED FOR A PRIMAR Y CARE VISIT UNDER THE SA ME PLAN OR CONTRACT . 13
67	67
68	68	(D) AN ENTITY SUBJECT TO THIS SECTION SHALL C LEARLY STATE IN EACH 14
69	69	PLAN OR CONTRACT THE COVERAGE REQUIREMENT S, LIMITATIONS, CONDITIONS, 15
70	70	AND EXCLUSIONS FOR T HE PROVISION OF PHYS ICAL THERAPY SERVICE S. 16
71	71
72	72	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 17
73	73	policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 18
74	74	after January 1, 2023. 19
75	75
76	76	SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 20
77	77	January 1, 2023. 21
78	78