Maryland 2024 Regular Session

Maryland House Bill HB400 Compare Versions

Only one version of the bill is available at this time.
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33 EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
44 [Brackets] indicate matter deleted from existing law.
55 *hb0400*
66
77 HOUSE BILL 400
88 J4, J5, J1 4lr1592
99 CF SB 124
1010 By: Delegates Woods, Alston, Guzzone, Harris, Henson, Hill, Ivey, S. Johnson,
1111 Kaufman, Kerr, R. Lewis, J. Long, Martinez, McCaskill, Patterson,
1212 Roberson, Roberts, Schmidt, Simmons, Simpson, Taveras, Taylor, Turner,
1313 Valderrama, and White Holland
1414 Introduced and read first time: January 18, 2024
1515 Assigned to: Health and Government Operations
1616
1717 A BILL ENTITLED
1818
1919 AN ACT concerning 1
2020
2121 Maryland Medical Assistance Program and Health Insurance – Annual 2
2222 Behavioral Health Wellness Visits – Coverage and Reimbursement 3
2323
2424 FOR the purpose of requiring the Maryland Medical Assistance Program and certain health 4
2525 insurers, nonprofit health service plans, and health maintenance organizations to 5
2626 provide coverage and certain reimbursement for annual behavioral health wellness 6
2727 visits; and generally relating to coverage and reimbursement for behavioral health 7
2828 care services. 8
2929
3030 BY adding to 9
3131 Article – Health – General 10
3232 Section 15–102.3(m) and 15–103(a)(2)(xxiv) 11
3333 Annotated Code of Maryland 12
3434 (2023 Replacement Volume) 13
3535
3636 BY repealing and reenacting, without amendments, 14
3737 Article – Health – General 15
3838 Section 15–103(a)(1) 16
3939 Annotated Code of Maryland 17
4040 (2023 Replacement Volume) 18
4141
4242 BY repealing and reenacting, with amendments, 19
4343 Article – Health – General 20
4444 Section 15–103(a)(2)(xxii) and (xxiii) 21
4545 Annotated Code of Maryland 22
4646 (2023 Replacement Volume) 23
4747
4848 BY adding to 24 2 HOUSE BILL 400
4949
5050
5151 Article – Insurance 1
5252 Section 15–861 2
5353 Annotated Code of Maryland 3
5454 (2017 Replacement Volume and 2023 Supplement) 4
5555
5656 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5
5757 That the Laws of Maryland read as follows: 6
5858
5959 Article – Health – General 7
6060
6161 15–102.3. 8
6262
6363 (M) BEGINNING JULY 1, 2025, THE PROVISIONS OF § 15–861 OF THE 9
6464 INSURANCE ARTICLE APPLY TO MANA GED CARE ORGANIZATIO NS IN THE SAME 10
6565 MANNER THEY APPLY TO CARRIERS. 11
6666
6767 15–103. 12
6868
6969 (a) (1) The Secretary shall administer the Maryland Medical Assistance 13
7070 Program. 14
7171
7272 (2) The Program: 15
7373
7474 (xxii) Beginning on January 1, 2024, shall provide gender–affirming 16
7575 treatment in accordance with § 15–151 of this subtitle; [and] 17
7676
7777 (xxiii) Beginning on July 1, 2025, shall provide, subject to the 18
7878 limitations of the State budget, and as permitted by federal law, coverage for biomarker 19
7979 testing in accordance with § 15–859 of the Insurance Article; AND 20
8080
8181 (XXIV) BEGINNING ON JULY 1, 2025, SHALL PROVIDE 21
8282 COVERAGE FOR ANNUAL BEHAVIORAL HEALTH WE LLNESS VISITS IN THE MANNER 22
8383 DESCRIBED IN § 15–861 OF THE INSURANCE ARTICLE. 23
8484
8585 Article – Insurance 24
8686
8787 15–861. 25
8888
8989 (A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 26
9090 INDICATED. 27
9191
9292 (2) “BEHAVIORAL HEALTH WEL LNESS VISIT” MEANS A CLINICAL 28
9393 ENCOUNTER DURING WHI CH A HEALTH CARE PRA CTITIONER CONDUCTS A N 29
9494 ASSESSMENT TO IDENTI FY WHETHER A PATIENT MEETS CRITERIA FOR A 30
9595 PSYCHIATRIC OR SUBST ANCE USE DISORDER . 31 HOUSE BILL 400 3
9696
9797
9898
9999 (3) “HEALTH CARE PRACTITIO NER” MEANS AN INDIVIDUAL : 1
100100
101101 (I) WHO IS LICENSED , CERTIFIED, OR OTHERWISE AUTHORI ZED 2
102102 UNDER THE HEALTH OCCUPATIONS ARTICLE TO PRACTICE A HEALTH OCCUPATION ; 3
103103 AND 4
104104
105105 (II) WHOSE SCOPE OF PRACT ICE INCLUDES THE PRO VISION OF 5
106106 MENTAL HEALTH AND SU BSTANCE USE DISORDER CARE SERVICES . 6
107107
108108 (B) THIS SECTION APPLIES TO: 7
109109
110110 (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 8
111111 PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS 9
112112 ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 10
113113 CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 11
114114
115115 (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 12
116116 HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 13
117117 CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 14
118118
119119 (C) (1) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE 15
120120 COVERAGE FOR AN ANNU AL BEHAVIORAL HEALTH WELLNESS VISIT , REGARDLESS 16
121121 OF THE ASSESSMENT RE SULTING IN A BEHAVIO RAL HEALTH DIAGNOSIS . 17
122122
123123 (2) AN ENTITY SUBJECT TO THI S SECTION SHALL PROV IDE 18
124124 REIMBURSEMENT FOR AN ANNUAL BEHAVIORAL HE ALTH WELLNESS VISIT ON THE 19
125125 SAME BASIS AND AT TH E SAME RATE AS AN AS SESSMENT THAT RESULT S IN A 20
126126 BEHAVIORAL HEALTH DI AGNOSIS. 21
127127
128128 SECTION 2. AND BE IT FURTHER ENACTED, That thi s Act shall apply to all 22
129129 policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 23
130130 after January 1, 2025. 24
131131
132132 SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 25
133133 January 1, 2025. 26