Maryland 2024 Regular Session

Maryland House Bill HB1137 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	hb1137
6	6
7	7	HOUSE BILL 1137
8	8	J5, J1, J4 4lr3292
9	9
10	10	By: Delegates Woods, Allen, Alston, Anderton, Guzzone, Lehman, Martinez,
11	11	Mireku–North, Pasteur, Roberson, Roberts, Ruth, Simmons, Simpson,
12	12	Taveras, Terrasa, Turner, Wilkins, and Williams
13	13	Introduced and read first time: February 7, 2024
14	14	Assigned to: Health and Government Operations
15	15
16	16	A BILL ENTITLED
17	17
18	18	AN ACT concerning 1
19	19
20	20	Maryland Medical Assistance Program and Health Insurance – Required 2
21	21	Coverage for Calcium Score Testing 3
22	22
23	23	FOR the purpose of requiring the Maryland Medical Assistance Program and certain 4
24	24	insurers, nonprofit health service plans, health maintenance organizations, and 5
25	25	managed care organizations to provide coverage for calcium score testing for 6
26	26	individuals who have certain risk factors; and generally relating to the coverage of 7
27	27	calcium score testing by the Maryland Medical Assistance Program and health 8
28	28	insurance carriers. 9
29	29
30	30	BY adding to 10
31	31	Article – Health – General 11
32	32	Section 15–102.3(m) and 15–103(a)(2)(xxiv) 12
33	33	Annotated Code of Maryland 13
34	34	(2023 Replacement Volume) 14
35	35
36	36	BY repealing and reenacting, without amendments, 15
37	37	Article – Health – General 16
38	38	Section 15–103(a)(1) 17
39	39	Annotated Code of Maryland 18
40	40	(2023 Replacement Volume) 19
41	41
42	42	BY repealing and reenacting, with amendments, 20
43	43	Article – Health – General 21
44	44	Section 15–103(a)(2)(xxii) and (xxiii) 22
45	45	Annotated Code of Maryland 23
46	46	(2023 Replacement Volume) 24
47	47
48	48	BY adding to 25 2 HOUSE BILL 1137
49	49
50	50
51	51	Article – Insurance 1
52	52	Section 15–861 2
53	53	Annotated Code of Maryland 3
54	54	(2017 Replacement Volume and 2023 Supplement) 4
55	55
56	56	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5
57	57	That the Laws of Maryland read as follows: 6
58	58
59	59	Article – Health – General 7
60	60
61	61	15–102.3. 8
62	62
63	63	(M) THE PROVISIONS OF § 15–861 OF THE INSURANCE ARTICLE APPLY TO 9
64	64	MANAGED CARE ORGANIZ ATIONS IN THE SAME M ANNER THEY APPLY TO CARRIERS. 10
65	65
66	66	15–103. 11
67	67
68	68	(a) (1) The Secretary shall administer the Maryland Medical Assistance 12
69	69	Program. 13
70	70
71	71	(2) The Program: 14
72	72
73	73	(xxii) Beginning on January 1, 2024, shall provide gender–affirming 15
74	74	treatment in accordance with § 15–151 of this subtitle; [and] 16
75	75
76	76	(xxiii) Beginning on July 1, 2025, shall provide, subject to the 17
77	77	limitations of the State budget, and as permitted by federal law, coverage for biomarker 18
78	78	testing in accordance with § 15–859 of the Insurance Article; AND 19
79	79
80	80	(XXIV) BEGINNING ON JANUARY 1, 2025, SHALL PROVIDE 20
81	81	CALCIUM SCORE TESTIN G IN ACCORDANCE WITH § 15–861 OF THE INSURANCE 21
82	82	ARTICLE. 22
83	83
84	84	Article – Insurance 23
85	85
86	86	15–861. 24
87	87
88	88	(A) THIS SECTION APPLIES TO : 25
89	89
90	90	(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 26
91	91	PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 27
92	92	ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 28
93	93	CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 29
94	94
95	95	(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 30 HOUSE BILL 1137 3
96	96
97	97
98	98	HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 1
99	99	CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 2
100	100
101	101	(B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE FOR 3
102	102	CALCIUM SCORE TESTIN G FOR INDIVIDUALS WHO HAVE AT LEAST THREE OF TH E 4
103	103	FOLLOWING RISK FACTORS: 5
104	104
105	105	(1) DIABETES; 6
106	106
107	107	(2) HIGH BLOOD PRESSURE ; 7
108	108
109	109	(3) HIGH CHOLESTEROL ; OR 8
110	110
111	111	(4) A FAMILY HISTORY OF PR EMATURE CORONARY ART ERY DISEASE. 9
112	112
113	113	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 10
114	114	policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 11
115	115	after January 1, 2025. 12
116	116
117	117	SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 13
118	118	January 1, 2025. 14