| 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 | | *sb0535* |
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| 6 | 6 | | |
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| 7 | 7 | | SENATE BILL 535 |
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| 8 | 8 | | J5, J4 4lr1155 |
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| 9 | 9 | | SB 784/23 – FIN |
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| 10 | 10 | | By: Senators Ready, Carozza, Folden, Gile, Kelly, McKay, and Salling |
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| 11 | 11 | | Introduced and read first time: January 24, 2024 |
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| 12 | 12 | | Assigned to: Finance |
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| 13 | 13 | | |
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| 14 | 14 | | A BILL ENTITLED |
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| 15 | 15 | | |
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| 16 | 16 | | AN ACT concerning 1 |
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| 17 | 17 | | |
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| 18 | 18 | | Health Insurance – Labor and Delivery Services – Cost–Sharing Requirements 2 |
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| 19 | 19 | | |
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| 20 | 20 | | FOR the purpose of requiring certain insurers, nonprofit health service plans, and health 3 |
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| 21 | 21 | | maintenance organizations to provide coverage for labor and delivery services 4 |
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| 22 | 22 | | without certain cost–sharing requirements; and generally relating to cost–sharing 5 |
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| 23 | 23 | | requirements for labor and delivery services. 6 |
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| 24 | 24 | | |
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| 25 | 25 | | BY adding to 7 |
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| 26 | 26 | | Article – Insurance 8 |
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| 27 | 27 | | Section 15–811.1 9 |
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| 28 | 28 | | Annotated Code of Maryland 10 |
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| 29 | 29 | | (2017 Replacement Volume and 2023 Supplement) 11 |
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| 30 | 30 | | |
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| 31 | 31 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 |
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| 32 | 32 | | That the Laws of Maryland read as follows: 13 |
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| 33 | 33 | | |
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| 34 | 34 | | Article – Insurance 14 |
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| 35 | 35 | | |
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| 36 | 36 | | 15–811.1. 15 |
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| 37 | 37 | | |
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| 38 | 38 | | (A) THIS SECTION APPLIES TO: 16 |
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| 39 | 39 | | |
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| 40 | 40 | | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 17 |
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| 41 | 41 | | PROVIDE LABOR AND DE LIVERY COVERAGE TO I NDIVIDUALS OR GROUPS ON AN 18 |
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| 42 | 42 | | EXPENSE–INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR CONTRACTS 19 |
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| 43 | 43 | | THAT ARE ISSUED OR D ELIVERED IN THE STATE; AND 20 |
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| 44 | 44 | | |
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| 45 | 45 | | (2) HEALTH MAINTENANCE ORGANIZA TIONS THAT PROVIDE L ABOR 21 |
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| 46 | 46 | | AND DELIVERY COVERAG E TO INDIVIDUALS OR GROUPS UNDER CONTRAC TS THAT 22 |
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| 47 | 47 | | ARE ISSUED OR DELIVE RED IN THE STATE. 23 2 SENATE BILL 535 |
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| 48 | 48 | | |
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| 49 | 49 | | |
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| 50 | 50 | | |
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| 51 | 51 | | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL C OVER LABOR AND 1 |
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| 52 | 52 | | DELIVERY SERVICES WI THOUT A DEDUCTIBLE , COINSURANCE, COPAYMENT , OR ANY 2 |
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| 53 | 53 | | OTHER COST–SHARING REQUIREMENT . 3 |
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| 54 | 54 | | |
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| 55 | 55 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 4 |
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| 56 | 56 | | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 5 |
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| 57 | 57 | | after January 1, 2025. 6 |
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| 58 | 58 | | |
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| 59 | 59 | | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 7 |
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| 60 | 60 | | January 1, 2025. 8 |
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| 61 | 61 | | |
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