1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb0400* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 400 |
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8 | 8 | | J4, J5, J1 4lr1592 |
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9 | 9 | | CF SB 124 |
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10 | 10 | | By: Delegates Woods, Alston, Guzzone, Harris, Henson, Hill, Ivey, S. Johnson, |
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11 | 11 | | Kaufman, Kerr, R. Lewis, J. Long, Martinez, McCaskill, Patterson, |
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12 | 12 | | Roberson, Roberts, Schmidt, Simmons, Simpson, Taveras, Taylor, Turner, |
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13 | 13 | | Valderrama, and White Holland |
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14 | 14 | | Introduced and read first time: January 18, 2024 |
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15 | 15 | | Assigned to: Health and Government Operations |
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16 | 16 | | |
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17 | 17 | | A BILL ENTITLED |
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18 | 18 | | |
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19 | 19 | | AN ACT concerning 1 |
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20 | 20 | | |
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21 | 21 | | Maryland Medical Assistance Program and Health Insurance – Annual 2 |
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22 | 22 | | Behavioral Health Wellness Visits – Coverage and Reimbursement 3 |
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23 | 23 | | |
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24 | 24 | | FOR the purpose of requiring the Maryland Medical Assistance Program and certain health 4 |
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25 | 25 | | insurers, nonprofit health service plans, and health maintenance organizations to 5 |
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26 | 26 | | provide coverage and certain reimbursement for annual behavioral health wellness 6 |
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27 | 27 | | visits; and generally relating to coverage and reimbursement for behavioral health 7 |
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28 | 28 | | care services. 8 |
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29 | 29 | | |
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30 | 30 | | BY adding to 9 |
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31 | 31 | | Article – Health – General 10 |
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32 | 32 | | Section 15–102.3(m) and 15–103(a)(2)(xxiv) 11 |
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33 | 33 | | Annotated Code of Maryland 12 |
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34 | 34 | | (2023 Replacement Volume) 13 |
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35 | 35 | | |
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36 | 36 | | BY repealing and reenacting, without amendments, 14 |
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37 | 37 | | Article – Health – General 15 |
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38 | 38 | | Section 15–103(a)(1) 16 |
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39 | 39 | | Annotated Code of Maryland 17 |
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40 | 40 | | (2023 Replacement Volume) 18 |
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41 | 41 | | |
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42 | 42 | | BY repealing and reenacting, with amendments, 19 |
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43 | 43 | | Article – Health – General 20 |
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44 | 44 | | Section 15–103(a)(2)(xxii) and (xxiii) 21 |
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45 | 45 | | Annotated Code of Maryland 22 |
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46 | 46 | | (2023 Replacement Volume) 23 |
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47 | 47 | | |
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48 | 48 | | BY adding to 24 2 HOUSE BILL 400 |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | Article – Insurance 1 |
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52 | 52 | | Section 15–861 2 |
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53 | 53 | | Annotated Code of Maryland 3 |
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54 | 54 | | (2017 Replacement Volume and 2023 Supplement) 4 |
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55 | 55 | | |
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56 | 56 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5 |
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57 | 57 | | That the Laws of Maryland read as follows: 6 |
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58 | 58 | | |
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59 | 59 | | Article – Health – General 7 |
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60 | 60 | | |
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61 | 61 | | 15–102.3. 8 |
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62 | 62 | | |
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63 | 63 | | (M) BEGINNING JULY 1, 2025, THE PROVISIONS OF § 15–861 OF THE 9 |
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64 | 64 | | INSURANCE ARTICLE APPLY TO MANA GED CARE ORGANIZATIO NS IN THE SAME 10 |
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65 | 65 | | MANNER THEY APPLY TO CARRIERS. 11 |
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66 | 66 | | |
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67 | 67 | | 15–103. 12 |
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68 | 68 | | |
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69 | 69 | | (a) (1) The Secretary shall administer the Maryland Medical Assistance 13 |
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70 | 70 | | Program. 14 |
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71 | 71 | | |
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72 | 72 | | (2) The Program: 15 |
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73 | 73 | | |
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74 | 74 | | (xxii) Beginning on January 1, 2024, shall provide gender–affirming 16 |
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75 | 75 | | treatment in accordance with § 15–151 of this subtitle; [and] 17 |
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76 | 76 | | |
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77 | 77 | | (xxiii) Beginning on July 1, 2025, shall provide, subject to the 18 |
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78 | 78 | | limitations of the State budget, and as permitted by federal law, coverage for biomarker 19 |
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79 | 79 | | testing in accordance with § 15–859 of the Insurance Article; AND 20 |
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80 | 80 | | |
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81 | 81 | | (XXIV) BEGINNING ON JULY 1, 2025, SHALL PROVIDE 21 |
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82 | 82 | | COVERAGE FOR ANNUAL BEHAVIORAL HEALTH WE LLNESS VISITS IN THE MANNER 22 |
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83 | 83 | | DESCRIBED IN § 15–861 OF THE INSURANCE ARTICLE. 23 |
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84 | 84 | | |
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85 | 85 | | Article – Insurance 24 |
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86 | 86 | | |
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87 | 87 | | 15–861. 25 |
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88 | 88 | | |
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89 | 89 | | (A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 26 |
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90 | 90 | | INDICATED. 27 |
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91 | 91 | | |
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92 | 92 | | (2) “BEHAVIORAL HEALTH WEL LNESS VISIT” MEANS A CLINICAL 28 |
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93 | 93 | | ENCOUNTER DURING WHI CH A HEALTH CARE PRA CTITIONER CONDUCTS A N 29 |
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94 | 94 | | ASSESSMENT TO IDENTI FY WHETHER A PATIENT MEETS CRITERIA FOR A 30 |
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95 | 95 | | PSYCHIATRIC OR SUBST ANCE USE DISORDER . 31 HOUSE BILL 400 3 |
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96 | 96 | | |
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97 | 97 | | |
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98 | 98 | | |
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99 | 99 | | (3) “HEALTH CARE PRACTITIO NER” MEANS AN INDIVIDUAL : 1 |
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100 | 100 | | |
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101 | 101 | | (I) WHO IS LICENSED , CERTIFIED, OR OTHERWISE AUTHORI ZED 2 |
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102 | 102 | | UNDER THE HEALTH OCCUPATIONS ARTICLE TO PRACTICE A HEALTH OCCUPATION ; 3 |
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103 | 103 | | AND 4 |
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104 | 104 | | |
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105 | 105 | | (II) WHOSE SCOPE OF PRACT ICE INCLUDES THE PRO VISION OF 5 |
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106 | 106 | | MENTAL HEALTH AND SU BSTANCE USE DISORDER CARE SERVICES . 6 |
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107 | 107 | | |
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108 | 108 | | (B) THIS SECTION APPLIES TO: 7 |
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109 | 109 | | |
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110 | 110 | | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 8 |
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111 | 111 | | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS 9 |
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112 | 112 | | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 10 |
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113 | 113 | | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 11 |
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114 | 114 | | |
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115 | 115 | | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 12 |
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116 | 116 | | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 13 |
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117 | 117 | | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 14 |
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118 | 118 | | |
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119 | 119 | | (C) (1) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE 15 |
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120 | 120 | | COVERAGE FOR AN ANNU AL BEHAVIORAL HEALTH WELLNESS VISIT , REGARDLESS 16 |
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121 | 121 | | OF THE ASSESSMENT RE SULTING IN A BEHAVIO RAL HEALTH DIAGNOSIS . 17 |
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122 | 122 | | |
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123 | 123 | | (2) AN ENTITY SUBJECT TO THI S SECTION SHALL PROV IDE 18 |
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124 | 124 | | REIMBURSEMENT FOR AN ANNUAL BEHAVIORAL HE ALTH WELLNESS VISIT ON THE 19 |
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125 | 125 | | SAME BASIS AND AT TH E SAME RATE AS AN AS SESSMENT THAT RESULT S IN A 20 |
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126 | 126 | | BEHAVIORAL HEALTH DI AGNOSIS. 21 |
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127 | 127 | | |
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128 | 128 | | SECTION 2. AND BE IT FURTHER ENACTED, That thi s Act shall apply to all 22 |
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129 | 129 | | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 23 |
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130 | 130 | | after January 1, 2025. 24 |
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131 | 131 | | |
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132 | 132 | | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 25 |
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133 | 133 | | January 1, 2025. 26 |
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