WES MOORE, Governor Ch. 889 – 1 – Chapter 889 (House Bill 1078) AN ACT concerning Maryland Medical Assistance Program – Remote Ultrasound Procedures and Remote Fetal Nonstress Tests FOR the purpose of requiring the Maryland Medical Assistance Program to provide remote ultrasound procedures and remote fetal nonstress tests under certain circumstances; and generally relating to the Maryland Medical Assistance Program and remote ultrasound procedures and remote fetal nonstress tests. BY repealing and reenacting, without amendments, Article – Health – General Section 15–103(a)(1) Annotated Code of Maryland (2023 Replacement Volume) BY repealing and reenacting, with amendments, Article – Health – General Section 15–103(a)(2)(ii) Annotated Code of Maryland (2023 Replacement Volume) BY adding to Article – Health – General Section 15–141.5 Annotated Code of Maryland (2023 Replacement Volume) SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND , That the Laws of Maryland read as follows: Article – Health – General 15–103. (a) (1) The Secretary shall administer the Maryland Medical Assistance Program. (2) The Program: (ii) Shall provide, subject to the limitations of the State budget, comprehensive medical, dental, and other health care services, INCLUDING SERVICES Ch. 889 2024 LAWS OF MARYLAND – 2 – PROVIDED IN ACCORDAN CE WITH § 15–141.5 OF THIS SUBTITLE , for all eligible pregnant women whose family income is at or below 250 percent of the poverty level for the duration of the pregnancy and for 1 year immediately following the end of the woman’s pregnancy, as permitted by the federal law; 15–141.5. (A) SUBJECT TO SUBSECTION S (B) AND (C) OF THIS SECTION , THE PROGRAM SHALL PROVIDE REMOTE ULTRASOUND PR OCEDURES AND REMOTE FETAL NONSTRESS TEST S USING CURRENT PROCEDURAL T ERMINOLOGY CODES IF: (1) THE PATIENT IS IN A RESIDENCE OR A LOCATION OTHER THAN THE OFFICE OF THE PATIENT’S PROVIDER; AND (2) THE PROVIDER FOLLOWS THE SAME STANDARD OF CARE THAT THE PROVIDER WOULD FOLLOW WHEN PROVIDIN G THE SERVICES ON –SITE. (B) THE PROGRAM SHALL REQUIRE THAT A PROVIDER OFFERING A REMOTE ULTRASOUND PRO CEDURE OR REMOTE FETAL NONSTRE SS TEST USE DIGITAL TECHNOLOGY : (1) TO COLLECT ANY HEALTH DATA FROM THE PATIENT AND ELECTRONICALLY TRANS MIT THE INFORMATION IN A SECURE MANNER TO A HEALTH CARE PROVIDER IN A DIFFERENT LOCAT ION FOR INTERPRETATI ON AND RECOMMENDATION S; (2) THAT IS COMPLI ANT WITH THE FEDERAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996; AND (3) THAT IS APPROVED BY T HE FEDERAL FOOD AND DRUG ADMINISTRATION . (C) (1) THE PROGRAM SHALL PROVIDE REIMBURSE MENT FOR A REMOTE FETAL NONSTRESS TEST IN THE SAME MANNER A S AN ON–SITE FETAL NONSTRESS TEST. (2) A REMOTE FETAL NONSTRES S TEST FOR WHICH REIMBURSEM ENT IS PROVIDED UNDER PARAG RAPH (1) OF THIS SUBSECTION SHALL REQUIRE TH E USE OF REMOTE MONITORING SO LUTIONS THAT ARE CLEARED BY THE FEDER AL FOOD AND DRUG ADMINISTRATION FOR ON –LABEL USE FOR MONITO RING: (I) FETAL HEART RATE ; WES MOORE, Governor Ch. 889 – 3 – (II) MATERNAL HEART RATE ; AND (III) UTERINE ACTIVITY. (D) THE PROGRAM SHALL ISSUE GUIDANCE FOR PROGRAM PROVIDERS TO CARRY OUT THIS SECTION. SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect October 1, 2024. Approved by the Governor, May 16, 2024.