EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
*sb0890*
SENATE BILL 890
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By: Senators Kelley, Feldman, and Hettleman
Introduced and read first time: February 7, 2022
Assigned to: Finance and Budget and Taxation
A BILL ENTITLED
AN ACT concerning 1
Abortion Care Access Act 2
FOR the purpose of establishing the Abortion Clinical Care Training Program in the 3
Maryland Department of Health; establishing the Abortion Care Clinical Training 4
Program Fund; requiring interest earnings of the Fund to be credited to the Fund; 5
establishing and altering certain requirements regarding abortion services, 6
including requirements related to who may perform abortions in the State and the 7
provision and coverage of abortion care services by the Maryland Medical Assistance 8
Program and certain insurers, nonprofit health service plans, and health 9
maintenance organizations; authorizing the Maryland Insurance Commissioner to 10
grant a certain exemption to certain abortion care service requirements under 11
certain circumstances; requiring the Maryland Health Benefit Exchange to adopt 12
regulations to provide a certain subsidy to cover the cost of insurance premiums for 13
certain young adults; and generally relating to abortion care. 14
BY adding to 15
Article – Health – General 16
Section 13–4401 through 13–4407 to be under the new subtitle “Subtitle 44. Abortion 17
Care Clinical Training Program”; and 15–103(a)(2)(xviii) 18
Annotated Code of Maryland 19
(2019 Replacement Volume and 2021 Supplement) 20
BY repealing and reenacting, without amendments, 21
Article – Health – General 22
Section 15–103(a)(1) 23
Annotated Code of Maryland 24
(2019 Replacement Volume and 2021 Supplement) 25
BY repealing and reenacting, with amendments, 26
Article – Health – General 27
Section 15–103(a)(2)(xvi) and (xvii), 20–103, and 20–207 through 20–209 28 2 SENATE BILL 890
Annotated Code of Maryland 1
(2019 Replacement Volume and 2021 Supplement) 2
BY adding to 3
Article – Insurance 4
Section 15–857 5
Annotated Code of Maryland 6
(2017 Replacement Volume and 2021 Supplement) 7
BY repealing and reenacting, with amendments, 8
Article – Insurance 9
Section 31–122 10
Annotated Code of Maryland 11
(2017 Replacement Volume and 2021 Supplement) 12
BY repealing and reenacting, without amendments, 13
Article – State Finance and Procurement 14
Section 6–226(a)(2)(i) 15
Annotated Code of Maryland 16
(2021 Replacement Volume) 17
BY repealing and reenacting, with amendments, 18
Article – State Finance and Procurement 19
Section 6–226(a)(2)(ii)144. and 145. 20
Annotated Code of Maryland 21
(2021 Replacement Volume) 22
BY adding to 23
Article – State Finance and Procurement 24
Section 6–226(a)(2)(ii)146. 25
Annotated Code of Maryland 26
(2021 Replacement Volume) 27
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 28
That the Laws of Maryland read as follows: 29
Article – Health – General 30
SUBTITLE 44. ABORTION CARE CLINICAL TRAINING PROGRAM. 31
13–4401. 32
(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 33
INDICATED. 34
(B) “FUND” MEANS THE ABORTION CARE CLINICAL TRAINING PROGRAM 35 SENATE BILL 890 3
FUND. 1
(C) “PROGRAM” MEANS THE ABORTION CARE CLINICAL TRAINING 2
PROGRAM. 3
13–4402. 4
THERE IS AN ABORTION CARE CLINICAL TRAINING PROGRAM IN THE 5
DEPARTMENT . 6
13–4403. 7
THE PURPOSE OF THE PROGRAM IS TO PROTECT ACCESS TO ABORTION C ARE 8
BY ENSURING THAT THE RE ARE A SUFFICIENT NUMBER OF HEALTH PRO FESSIONALS 9
TO PROVIDE ABORTION CARE. 10
13–4404. 11
(A) (1) THE DEPARTMENT SH ALL CONTRACT WITH A COORDINATING 12
ORGANIZATION TO ADMI NISTER THE PROGRAM. 13
(2) THE DEPARTMENT SHALL USE FUNDS APPROPRIATED I N THE 14
BUDGET FOR THE PROGRAM TO CONTRACT W ITH THE COORDINATING 15
ORGANIZATION UNDER P ARAGRAPH (1) OF THIS SUBSECTION . 16
(B) THE COORDINATING ORGANIZ ATION SHALL: 17
(1) HAVE DEMONSTRATED EXP ERIENCE IN COORDINAT ING 18
ABORTION CARE TRAINI NG PROGRAMS AT COMMU NITY–BASED AND 19
HOSPITAL–BASED PROVIDER SITES ; 20
(2) BE A NONPROFIT ENTITY ; 21
(3) BE IN GOOD STANDING I N ANY STATE OR JURIS DICTION IN WHICH 22
THE ORGANIZATION IS REGISTERED OR INCORP ORATED; 23
(4) SUBMIT AN ANNUAL REPO RT TO THE DEPARTMENT ON THE 24
PERFORMANCE OF THE PROGRAM; 25
(5) MEET ANY OTHER REQUIR EMENTS ESTABLISHED B Y THE 26
DEPARTMENT IF THE REQ UIREMENTS ARE NOT IN CONSISTENT WITH TITLE 20, 27
SUBTITLE 2 OF THE HEALTH – GENERAL ARTICLE; AND 28
4 SENATE BILL 890
(6) PERFORM THE FOLLOWING FUNCTIONS: 1
(I) ADMINISTER GRANTS TO DEVELOP AND SUSTAIN ABORTION 2
CARE TRAINING PROGRA MS AT A MINIMUM OF T WO COMMUNITY –BASED PROVIDER 3
SITES; 4
(II) ADMINISTER GRAN TS IF FUNDING IS AVA ILABLE TO: 5
1. OTHER COMMUNITY –BASED SITES; 6
2. HOSPITAL–BASED PROVIDER SITES ; 7
3. CONTINUING EDUCATION PROGRAMS FOR QUALIFI ED 8
PROVIDERS THROUGH PR OFESSIONAL ASSOCIATI ONS OR OTHER CLINICA L 9
EDUCATION PROGRAMS ; AND 10
4. ESTABLISH TRAINING PROG RAM REQUIREMENTS 11
THAT: 12
A. ARE CONSISTENT WITH E VIDENCE–BASED TRAINING 13
STANDARDS; AND 14
B. COMPLY WITH ANY APPLI CABLE STATE LAW AND 15
REGULATIONS ; 16
(III) SUPPORT ABORTION CARE CLINICAL TRAINING TO 17
QUALIFIED PROVIDERS AS DEFINED IN § 20–103 OF THIS ARTICLE AND TO THE 18
CLINICAL CARE TEAMS OF THE QUALIFIED PRO VIDERS TO: 19
1. EXPAND THE NUMBER OF HEALTH CARE 20
PROFESSIONALS WITH A BORTION CARE TRAININ G; AND 21
2. INCREASE THE RACIAL A ND ETHNIC DIVERSITY 22
AMONG HEALTH CARE PR OFESSIONALS WITH ABORTION CAR E TRAINING; AND 23
(IV) SUPPORT THE IDENTIFIC ATION, SCREENING, AND 24
PLACEMENT OF QUALIFI ED PROVIDERS AT TRAI NING SITES. 25
(C) (1) THE DEPARTMENT SHALL RELE ASE THE NAME OF THE 26
COORDINATING ORGANIZ ATION THAT THE DEPARTMENT CONTRACTS WITH UNDER 27
SUBSECTION (A) OF THIS SECTION AND ANY ENTITY RECEIVING FUNDS THROUGH 28
THE COORDINATION ORG ANIZATION. 29
SENATE BILL 890 5
(2) THE DEPARTMENT MAY NOT RE LEASE THE NAME OF AN Y 1
INDIVIDUAL OR PERSON ADMINISTERING SERVIC ES THROUGH OR PARTIC IPATING 2
IN THE PROGRAM. 3
13–4405. 4
FOR EACH FISCAL YEAR , THE GOVERNOR SHALL INCLUD E IN THE ANNUAL 5
BUDGET BILL AN APPRO PRIATION OF $3,500,000 TO THE PROGRAM. 6
13–4406. 7
(A) THERE IS AN ABORTION CARE CLINICAL TRAINING PROGRAM FUND. 8
(B) THE PURPOSE OF THE FUND IS TO SUPPORT TH E PROGRAM. 9
(C) THE DEPARTMENT SHALL ADMI NISTER THE FUND. 10
(D) THE FUND IS A SPECIAL, NONLAPSING FUND THAT IS NOT SUBJECT TO 11
§ 7–302 OF THE STATE FINANCE AND PROCUREMENT ARTICLE. 12
(E) THE STATE TREASURER SHALL HOLD THE FUND SEPARATELY , AND THE 13
COMPTROLLER SHALL ACC OUNT FOR THE FUND. 14
(F) THE FUND CONSISTS OF : 15
(1) ANY MONEY APPROPRIATE D IN THE STATE BUDGET TO THE 16
FUND; 17
(2) INTEREST EARNINGS ; AND 18
(3) ANY OTHER MONEY FROM ANY OTHER SOURCE ACCEPTE D FOR 19
THE BENEFIT OF THE FUND. 20
(G) THE FUND MAY BE USED ONLY FOR THE PROGRAM. 21
(H) (1) THE STATE TREASURER SHALL INVES T AND REINVEST THE 22
MONEY OF THE FUND IN THE SAME MANN ER AS OTHER STATE MONEY MAY BE 23
INVESTED. 24
(2) ANY INVESTM ENT EARNINGS OF THE FUND SHALL BE PAID IN TO 25
THE FUND. 26
(I) THE COMPTROLLER SHALL PAY OUT MONEY FROM THE FUND AS 27 6 SENATE BILL 890
DIRECTED BY THE SECRETARY. 1
(J) NO PART OF THE FUND MAY REVERT OR BE CREDITED TO: 2
(1) THE GENERAL FUND OF THE STATE; OR 3
(2) ANY OTHER SPECIAL FUND OF TH E STATE. 4
(K) EXPENDITURES FROM THE FUND MAY BE MADE ONLY IN ACCORDANCE 5
WITH THE STATE BUDGET . 6
13–4407. 7
ON OR BEFORE JULY 1 EACH YEAR, THE DEPARTMENT SHALL SUBM IT AN 8
ANNUAL REPORT ON THE PROGRAM TO THE GOVERNOR AND , IN ACCORDANCE WITH 9
§ 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE GENERAL ASSEMBLY. 10
15–103. 11
(a) (1) The Secretary shall administer the Maryland Medical Assistance 12
Program. 13
(2) The Program: 14
(xvi) Beginning on January 1, 2021, shall provide, subject to the 15
limitations of the State budget and § 15–855(b)(2) of the Insurance Article, and as permitted 16
by federal law, services for pediatric autoimmune neuropsychiatric disorders associated 17
with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, 18
including the use of intravenous immunoglobulin therapy, for eligible Program recipients, 19
if pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections 20
and pediatric acute onset neuropsychiatric syndrome are coded for billing and diagnosis 21
purposes in accordance with § 15–855(d) of the Insurance Article; [and] 22
(xvii) Beginning on January 1, 2022, may not include, subject to federal 23
approval and limitations of the State budget, a frequency limitation on covered dental 24
prophylaxis care or oral health exams that requires the dental prophylaxis care or oral 25
health exams to be provided at an interval greater than 120 days within a plan year; AND 26
(XVIII) SHALL PROVIDE COVERAG E OF ABORTION CARE 27
SERVICES TO PROGRAM RECIPIENTS IN THE MANNER DESCRI BED IN § 28
15–857(B)(1)(II) AND (2) OF THE INSURANCE ARTICLE. 29
20–103. 30
(A) IN THIS SECTION, “QUALIFIED PROVIDER ” MEANS A PHYSICIAN , NURSE 31 SENATE BILL 890 7
PRACTITIONER , NURSE–MIDWIFE, LICENSED CERTIFIED M IDWIFE, PHYSICIAN 1
ASSISTANT, OR ANY OTHER INDIV IDUAL: 2
(1) WHO IS LICENSED, CERTIFIED, OR OTHERWISE AUTHORI ZED BY 3
LAW TO PRACTICE IN T HE STATE; AND 4
(2) FOR WHOM THE PERFORMA NCE OF AN ABORTION I S WITHIN THE 5
SCOPE OF THE INDIVID UAL’S LICENSE OR CERTIFI CATION. 6
[(a)] (B) Except as provided in subsections [(b) and] (c) AND (D) of this section, 7
a [physician] QUALIFIED PROVIDER may not perform an abortion on an unmarried minor 8
unless the [physician] QUALIFIED PROVIDER first gives notice to a parent or guardian of 9
the minor. 10
[(b)] (C) The [physician] QUALIFIED PROVIDER may perform the abortion 11
without notice to a parent or guardian if: 12
(1) The minor does not live with a parent or guardian; and 13
(2) A reasonable effort to give notice to a parent or guardian is 14
unsuccessful. 15
[(c)] (D) (1) The [physician] QUALIFIED PROVIDER may perform the 16
abortion, without notice to a parent or guardian of a minor if, in the professional judgment 17
of the [physician] QUALIFIED PROVIDER : 18
(i) Notice to the parent or guardian may lead to physical or 19
emotional abuse of the minor; 20
(ii) The minor is mature and capable of giving informed consent to 21
an abortion; or 22
(iii) Notification would not be in the best interest of the minor. 23
(2) The [physician] QUALIFIED PROVIDER is not liable for civil damages 24
or subject to a criminal penalty for a decision under this subsection not to give notice. 25
[(d)] (E) THE FOLLOWING SHALL B E CONCLUSIVE EVIDENC E OF NOTICE OR 26
A REASONABLE ATTEMPT TO GIVE NOTICE: 27
(1) The postal receipt that shows an article of mail was sent by certified 28
mail, return receipt requested, bearing a postmark from the United States Postal Service, 29
to the last known address of a parent or guardian and that is attached to a copy of the notice 30
letter that was sent in that article of mail [shall be conclusive evidence of notice or a 31
reasonable effort to give notice, as the case may be]; OR 32 8 SENATE BILL 890
(2) DOCUMENTATION IN THE HEALTH RECORD OF THE MINOR THAT 1
NOTIFICATION OF THE PARENT OR GUARDIAN W AS ATTEMPTED BY USIN G THE 2
CONTACT INFORMATION AVA ILABLE TO THE QUALIF IED PROVIDER . 3
[(e)] (F) A [physician] QUALIFIED PROVIDER may not provide notice to a 4
parent or guardian if the minor decides not to have the abortion. 5
20–207. 6
In Part II of this subtitle, [the word “physician”] “QUALIFIED PROVIDER ” means 7
[any person, including a doctor of osteopathy,] AN INDIVIDUAL: 8
(1) WHO IS licensed, CERTIFIED, OR OTHERWISE AUTHORI ZED BY LAW 9
to practice [medicine] in the State [of Maryland in compliance with the provisions of Title 10
14 of the Health Occupations Article]; AND 11
(2) FOR WHOM THE PERFORMA NCE OF AN ABORTION I S WITHIN THE 12
SCOPE OF THE INDIVID UAL’S LICENSE OR CERTIFI CATION. 13
20–208. 14
An abortion must be performed by a [licensed physician] QUALIFIED PROVIDER . 15
20–209. 16
(a) In this section, “viable” means that stage when, in the best [medical] 17
CLINICAL judgment of the [attending physician] QUALIFIED PROVIDER based on the 18
particular facts of the case before the [physician] QUALIFIED PROVIDER , there is a 19
reasonable likelihood of the fetus’s sustained survival outside the womb. 20
(b) Except as otherwise provided in this subtitle, the State may not interfere with 21
the decision of a woman to terminate a pregnancy: 22
(1) Before the fetus is viable; or 23
(2) At any time during the woman’s pregnancy, if: 24
(i) The termination procedure is necessary to protect the life or 25
health of the woman; or 26
(ii) The fetus is affected by genetic defect or serious deformity or 27
abnormality. 28
(c) The Department may adopt regulations that: 29
SENATE BILL 890 9
(1) Are both necessary and the least intrusive method to protect the life or 1
health of the woman; and 2
(2) Are not inconsistent with established [medical] CLINICAL practice. 3
(d) The [physician] QUALIFIED PROVIDER is not liable for civil damages or 4
subject to a criminal penalty for a decision to perform an abortion under this section made 5
in good faith and in the [physician’s] QUALIFIED PROVIDER ’S best [medical] CLINICAL 6
judgment in accordance with accepted standards of [medical] CLINICAL practice. 7
Article – Insurance 8
15–857. 9
(A) (1) THIS SECTION APPLIES TO: 10
(I) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 11
PROVIDE LABOR AND DE LIVERY COVERAGE TO I NDIVIDUALS OR GROUPS ON AN 12
EXPENSE–INCURRED BASIS UNDER HEALTH INSURANCE POLICI ES OR CONTRACTS 13
THAT ARE ISSUED OR D ELIVERED IN THE STATE; AND 14
(II) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 15
LABOR AND DELIVERY C OVERAGE TO INDIVIDUA LS OR GROUPS UNDER C ONTRACTS 16
THAT ARE ISSUED OR D ELIVERED IN THE STATE. 17
(2) THIS SECTION DOES NOT APPLY TO: 18
(I) AN ORGANIZATION THAT IS EXEMPT FROM COVER AGE AS 19
ALLOWED UNDER § 15–826 OF THIS SUBTITLE ; 20
(II) A MULTISTATE PLAN TH AT DOES NOT PROVIDE COVERAGE 21
FOR ABORTIONS IN ACC ORDANCE WITH 42 U.S.C. § 18054(A)(6); OR 22
(III) A HIGH–DEDUCTIBLE PLAN AS D EFINED IN 26 U.S.C. § 23
223(C)(2)(C) OF THE INTERNAL REVENUE CODE UNLESS THE COMMISSIONER 24
DETERMINES THAT ABOR TION CARE IS NOT EXC LUDED FROM THE SAFE HARBOR 25
PROVISIONS FOR PREVE NTIVE CARE UNDER § 223(C)(2)(C) OF THE INTERNAL 26
REVENUE CODE. 27
(B) EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS SECTION, AN ENTITY 28
SUBJECT TO THIS SECT ION SHALL: 29
(1) COVER ABORTION CARE SERVICES WITHOUT : 30
10 SENATE BILL 890
(I) A DEDUCTIBLE , COINSURANCE , COPAYMENT , OR ANY 1
OTHER COST–SHARING REQUIREMENT ; AND 2
(II) RESTRICTIONS THAT AR E INCONSISTENT WITH THE 3
PROTECTED RIGHTS UND ER TITLE 20, SUBTITLE 2 OF THE HEALTH – GENERAL 4
ARTICLE; AND 5
(2) PROVIDE INFORMATION TO CONSUMERS ABOUT A BORTION CARE 6
COVERAGE USING THE T ERMINOLOGY “ABORTION CARE ” TO DESCRIBE COVERAG E. 7
(C) IF THE COMMISSIONER DETERMIN ES THAT ENFORCEMENT OF THIS 8
SECTION MAY AFFECT A DVERSELY THE ALLOCAT ION OF FEDERAL FUNDS TO THE 9
STATE, THE COMMISSIONER MAY GRAN T AN EXEMPTION TO TH E REQUIREMENTS OF 10
THIS SECTION TO THE MINIMUM EXTENT NECES SARY TO ENSUR E THE CONTINUED 11
RECEIPT OF FEDERAL F UNDS. 12
31–122. 13
(a) In this section, “Pilot Program” means the State–Based Young Adult Health 14
Insurance Subsidies Pilot Program. 15
(b) The Exchange, in consultation with the Commissioner and as approved by the 16
Board, shall establish and implement a State–Based Young Adult Health Insurance 17
Subsidies Pilot Program to provide subsidies to young adults for the purchase of health 18
benefit plans in the individual health insurance market. 19
(c) The Pilot Program required under this section shall be designed to: 20
(1) reduce the amount that young adults pay for health benefit plans in the 21
individual health insurance market; and 22
(2) target young adults who are not directly impacted by the State 23
Reinsurance Program. 24
(d) (1) For calendar years 2022 and 2023, the Exchange, in consultation with 25
the Commissioner and as approved by the Board, shall establish subsidy eligibility and 26
payment parameters for the Pilot Program. 27
(2) In determining the subsidy eligibility and payment parameters 28
required under paragraph (1) of this subsection, the Exchange shall consider: 29
(i) young adults at least 18 years old and under the age of 41 years; 30
and 31
(ii) income groups between 133% and 400% of the federal poverty 32
level. 33 SENATE BILL 890 11
(e) Subject to available funds, in each of fiscal years 2022 through 2024, the 1
Exchange may designate funds from the Fund to be used for the Pilot Program so that not 2
more than $20,000,000 in annual subsidies may be provided to young adults who meet the 3
subsidy eligibility and payment parameters established under subsection (d) of this section 4
in calendar years 2022 and 2023. 5
(f) On or before January 1, 2022, the Exchange shall adopt regulations 6
implementing the provisions of this section. 7
(G) ON OR BEFORE JANUARY 1, 2023, THE EXCHANGE SHALL ADOPT 8
REGULATIONS TO PROVI DE A SUBSIDY TO COVE R 100% OF THE COST OF THE 9
PREMIUM FOR YOUNG AD ULTS WHO MEET THE SU BSIDY ELIGIBILITY PA RAMETERS 10
ESTABLISHED UNDER SU BSECTION (D) OF THIS SECTION IN C ALENDAR YEAR 2023. 11
[(g)] (H) (1) The Exchange shall track on a monthly basis expenditures on 12
subsidies provided under the Pilot Program, including: 13
(i) the average number of young adults receiving subsidies under 14
the Pilot Program; and 15
(ii) the average subsidy amount received by young adults under the 16
Pilot Program. 17
(2) The Exchange shall track: 18
(I) the impact the Pilot Program has on rates in the individual 19
insurance market; AND 20
(II) THE IMPACT OF COVERI NG 100% OF THE COST OF 21
PREMIUMS FOR QUALIFI ED PARTICIPANTS ON E FFECTUATION RATES AND 22
TERMINATION FOR NONP AYMENT RATES . 23
(3) The information tracked by the Exchange under paragraphs (1) and (2) 24
of this subsection shall be: 25
(i) posted on the website of the Exchange; and 26
(ii) included in the annual report required under § 31–119(d) of this 27
subtitle. 28
Article – State Finance and Procurement 29
6–226. 30
(a) (2) (i) Notwithstanding any other provision of law, and unless 31 12 SENATE BILL 890
inconsistent with a federal law, grant agreement, or other federal requirement or with the 1
terms of a gift or settlement agreement, net interest on all State money allocated by the 2
State Treasurer under this section to special funds or accounts, and otherwise entitled to 3
receive interest earnings, as accounted for by the Comptroller, shall accrue to the General 4
Fund of the State. 5
(ii) The provisions of subparagraph (i) of this paragraph do not apply 6
to the following funds: 7
144. the Health Equity Resource Community Reserve Fund; 8
[and] 9
145. the Access to Counsel in Evictions Special Fund; AND 10
146. THE ABORTION CARE CLINICAL TRAINING PROGRAM 11
FUND. 12
SECTION 2. AND BE IT FURTHER ENACTED, That: 13
(a) The Maryland Health Benefit Exchange, in consultation with the Maryland 14
Insurance Administration, shall convene a workgroup of interested stakeholders to make 15
recommendations to improve the transparency and accessibility of consumer information 16
about abortion care coverage for consideration for plan certification standards beginning in 17
plan year 2024. 18
(b) On or before January 1, 2023, the Maryland Health Benefit Exchange shall 19
report the recommendations made by the workgroup convened under subsection (a) of this 20
section to the Senate Finance Committee and the House Health and Government 21
Operations Committee, in accordance with § 2–1257 of the State Government Article. 22
SECTION 3. AND BE IT FURTHER ENACTED, That: 23
(a) The Maryland Insurance Administration shall collect data from 24
State–regulated plans on receipts, disbursements, and ending balances for segregated 25
accounts established under § 1303(b)(2)(B) and (C) of the federal Patient Protection and 26
Affordable Care Act and 45 C.F.R. § 156.280. 27
(b) The Maryland Insurance Administration shall report to the Senate Finance 28
Committee and the House Health and Government Operations Committee, in accordance 29
with § 2–1257 of the State Government Article, as follows: 30
(1) on or before January 1, 2023, aggregate data collected for the period 31
from January 1, 2014, to December 31, 2021, both inclusive; 32
(2) on or before January 1, 2024, aggregate data collected for the period 33
from January 1, 2022, to December 31, 2022, both inclusive; 34
SENATE BILL 890 13
(3) on or before January 1, 2025, aggregate data collected for the period 1
from January 1, 2023, to December 31, 2023, both inclusive; and 2
(4) on or before January 1, 2026, aggregate data collected for the period 3
from January 1, 2024, to December 31, 2024, both inclusive. 4
SECTION 4. AND BE IT FURTHER ENACTED, That: 5
(a) The Maryland Health Benefit Exchange shall study extending the last dollar 6
coverage to other enrollees in addition to the enrollees receiving last dollar coverage 7
through the program established under § 31–122 of the Insurance Article. 8
(b) On or before January 1, 2023, the Maryland Health Benefit Exchange shall 9
report, in accordance with § 2–1257 of the State Government Article, to the Senate Finance 10
Committee and the House Health and Government Operations Committee, on the findings 11
of the study required under subsection (a) of this section. 12
SECTION 5. AND BE IT FURTHER ENACTED, That this Act shal l take effect July 13
1, 2022. 14