EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*hb1078*
HOUSE BILL 1078
J1 4lr2505
By: Delegates Woods, Alston, Anderton, Foley, Guzzone, Lehman, Martinez,
Mireku–North, Patterson, Roberson, Roberts, Ruth, Simmons, Simpson,
Taveras, Terrasa, White Holland, Wilkins, and Williams
Introduced and read first time: February 7, 2024
Assigned to: Health and Government Operations
Committee Report: Favorable
House action: Adopted
Read second time: March 2, 2024
CHAPTER ______
AN ACT concerning 1
Maryland Medical Assistance Program – Remote Ultrasound Procedures and 2
Remote Fetal Nonstress Tests 3
FOR the purpose of requiring the Maryland Medical Assistance Program to provide remote 4
ultrasound procedures and remote fetal nonstress tests under certain circumstances; 5
and generally relating to the Maryland Medical Assistance Program and remote 6
ultrasound procedures and remote fetal nonstress tests. 7
BY repealing and reenacting, without amendments, 8
Article – Health – General 9
Section 15–103(a)(1) 10
Annotated Code of Maryland 11
(2023 Replacement Volume) 12
BY repealing and reenacting, with amendments, 13
Article – Health – General 14
Section 15–103(a)(2)(ii) 15
Annotated Code of Maryland 16
(2023 Replacement Volume) 17
BY adding to 18
Article – Health – General 19
Section 15–141.5 20 2 HOUSE BILL 1078
Annotated Code of Maryland 1
(2023 Replacement Volume) 2
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 3
That the Laws of Maryland read as follows: 4
Article – Health – General 5
15–103. 6
(a) (1) The Secretary shall administer the Maryland Medical Assistance 7
Program. 8
(2) The Program: 9
(ii) Shall provide, subject to the limitations of the State budget, 10
comprehensive medical, dental, and other health care services, INCLUDING S ERVICES 11
PROVIDED IN ACCORDAN CE WITH § 15–141.5 OF THIS SUBTITLE , for all eligible 12
pregnant women whose family income is at or below 250 percent of the poverty level for the 13
duration of the pregnancy and for 1 year immediately following the end of the woman’s 14
pregnancy, as permitted by the federal law; 15
15–141.5. 16
(A) SUBJECT TO SUBSECTION S (B) AND (C) OF THIS SECTION , THE 17
PROGRAM SHALL PROVIDE REMOTE ULTRASOUND PR OCEDURES AND REMOTE 18
FETAL NONSTRESS TEST S USING CURRENT PROCEDURAL T ERMINOLOGY CODES IF: 19
(1) THE PATIENT IS IN A RESIDENCE OR A LOCATION OTHER THAN 20
THE OFFICE OF THE PATIENT’S PROVIDER; AND 21
(2) THE PROVIDER FOLLOWS THE SAME STANDARD OF CARE THAT 22
THE PROVIDER WOULD FOLLOW WHEN PROVIDIN G THE SERVICES ON –SITE. 23
(B) THE PROGRAM SHALL REQUIRE THAT A PROVIDER OFFERING A 24
REMOTE ULTRASOUND PRO CEDURE OR REMOTE FETAL NONSTRE SS TEST USE 25
DIGITAL TECHNOLOGY : 26
(1) TO COLLECT ANY HEALTH DATA FROM THE PATIENT AND 27
ELECTRONICALLY TRANS MIT THE INFORMATION IN A SECURE MANNER TO A 28
HEALTH CARE PROVIDER IN A DIFFERENT LOCAT ION FOR INTERPRETATI ON AND 29
RECOMMENDATION S; 30
(2) THAT IS COMPLI ANT WITH THE FEDERAL HEALTH INSURANCE 31
PORTABILITY AND ACCOUNTABILITY ACT OF 1996; AND 32 HOUSE BILL 1078 3
(3) THAT IS APPROVED BY T HE FEDERAL FOOD AND DRUG 1
ADMINISTRATION . 2
(C) (1) THE PROGRAM SHALL PROVIDE REIMBURSE MENT FOR A REMOTE 3
FETAL NONSTRESS TEST IN THE SAME MANNER A S AN ON–SITE FETAL NONSTRESS 4
TEST. 5
(2) A REMOTE FETAL NONSTRES S TEST FOR WHICH REIMBURSEM ENT 6
IS PROVIDED UNDER PARAG RAPH (1) OF THIS SUBSECTION SHALL REQUIRE TH E USE 7
OF REMOTE MONITORING SO LUTIONS THAT ARE CLEARED BY THE FEDER AL FOOD 8
AND DRUG ADMINISTRATION FOR ON –LABEL USE FOR MONITO RING: 9
(I) FETAL HEART RATE ; 10
(II) MATERNAL HEART RATE ; AND 11
(III) UTERINE ACTIVITY. 12
(D) THE PROGRAM SHALL ISSUE GUIDANCE FOR PROGRAM PROVIDERS TO 13
CARRY OUT THIS SECTION. 14
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 15
October 1, 2024. 16
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
Speaker of the House of Delegates.
________________________________________________________________________________
President of the Senate.