| 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 | - | Underlining indicates amendments to bill. | |
| 6 | - | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
| 7 | - | amendment. | |
| 8 | 5 | *hb1086* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 1086 | |
| 11 | 8 | J5 5lr2839 | |
| 12 | 9 | ||
| 13 | 10 | By: Delegates Martinez, Pena–Melnyk, Alston, Lehman, Roberts, Taveras, Taylor, | |
| 14 | - | and Turner Turner, Bagnall, Bhandari, Cullison, Guzzone, Hill, | |
| 15 | - | Hutchinson, S. Johnson, Kaiser, Kerr, Kipke, Lopez, M. Morgan, Reilly, | |
| 16 | - | Rosenberg, Ross, Szeliga, White Holland, Woods, and Woorman | |
| 11 | + | and Turner | |
| 17 | 12 | Introduced and read first time: February 5, 2025 | |
| 18 | 13 | Assigned to: Health and Government Operations | |
| 19 | - | Committee Report: Favorable with amendments | |
| 20 | - | House action: Adopted | |
| 21 | - | Read second time: March 1, 2025 | |
| 22 | 14 | ||
| 23 | - | ||
| 15 | + | A BILL ENTITLED | |
| 24 | 16 | ||
| 25 | 17 | AN ACT concerning 1 | |
| 26 | 18 | ||
| 27 | 19 | Maryland Medical Assistance Program and Health Insurance – Coverage for 2 | |
| 28 | 20 | Anesthesia – Prohibiting Time Limitations 3 | |
| 29 | 21 | ||
| 30 | 22 | FOR the purpose of requiring the Maryland Medical Assistance Program, managed care 4 | |
| 31 | 23 | organizations, and certain insurers, nonprofit health service plans, and health 5 | |
| 32 | 24 | maintenance organizations, if providing coverage for the delivery of anesthesia for a 6 | |
| 33 | 25 | procedure for which a licensed medical professional issues an order, to provide the 7 | |
| 34 | 26 | coverage in a certain manner; and generally relating to health insurance coverage 8 | |
| 35 | 27 | for the delivery of anesthesia. 9 | |
| 36 | 28 | ||
| 37 | 29 | BY adding to 10 | |
| 38 | 30 | Article – Health – General 11 | |
| 39 | 31 | Section 15–102.3(m), 15–103(a)(2)(xxv), and 15–157 12 | |
| 40 | 32 | Annotated Code of Maryland 13 | |
| 41 | 33 | (2023 Replacement Volume and 2024 Supplement) 14 | |
| 42 | 34 | ||
| 43 | 35 | BY repealing and reenacting, without amendments, 15 | |
| 44 | 36 | Article – Health – General 16 | |
| 45 | 37 | Section 15–103(a)(1) 17 | |
| 46 | 38 | Annotated Code of Maryland 18 | |
| 47 | 39 | (2023 Replacement Volume and 2024 Supplement) 19 | |
| 48 | - | 2 HOUSE BILL 1086 | |
| 40 | + | ||
| 41 | + | BY repealing and reenacting, with amendments, 20 | |
| 42 | + | Article – Health – General 21 | |
| 43 | + | Section 15–103(a)(2)(xxiii) and (xxiv) 22 | |
| 44 | + | Annotated Code of Maryland 23 | |
| 45 | + | (2023 Replacement Volume and 2024 Supplement) 24 | |
| 46 | + | ||
| 47 | + | BY adding to 25 | |
| 48 | + | Article – Insurance 26 2 HOUSE BILL 1086 | |
| 49 | 49 | ||
| 50 | 50 | ||
| 51 | - | BY repealing and reenacting, with amendments, 1 | |
| 52 | - | Article – Health – General 2 | |
| 53 | - | Section 15–103(a)(2)(xxiii) and (xxiv) 3 | |
| 54 | - | Annotated Code of Maryland 4 | |
| 55 | - | (2023 Replacement Volume and 2024 Supplement) 5 | |
| 51 | + | Section 15–861 1 | |
| 52 | + | Annotated Code of Maryland 2 | |
| 53 | + | (2017 Replacement Volume and 2024 Supplement) 3 | |
| 56 | 54 | ||
| 57 | - | BY adding to 6 | |
| 58 | - | Article – Insurance 7 | |
| 59 | - | Section 15–861 8 | |
| 60 | - | Annotated Code of Maryland 9 | |
| 61 | - | (2017 Replacement Volume and 2024 Supplement) 10 | |
| 55 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 4 | |
| 56 | + | That the Laws of Maryland read as follows: 5 | |
| 62 | 57 | ||
| 63 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 11 | |
| 64 | - | That the Laws of Maryland read as follows: 12 | |
| 58 | + | Article – Health – General 6 | |
| 65 | 59 | ||
| 66 | - | ||
| 60 | + | 15–102.3. 7 | |
| 67 | 61 | ||
| 68 | - | 15–102.3. 14 | |
| 62 | + | (M) BEGINNING JANUARY 1, 2026, THE PROVISIONS OF § 15–861 OF THE 8 | |
| 63 | + | INSURANCE ARTICLE APPLY TO MANA GED CARE ORGANIZATIO NS IN THE SAME 9 | |
| 64 | + | MANNER THAT THEY APP LY TO CARRIERS. 10 | |
| 69 | 65 | ||
| 70 | - | (M) BEGINNING JANUARY 1, 2026, THE PROVISIONS OF § 15–861 OF THE 15 | |
| 71 | - | INSURANCE ARTICLE APPLY TO MANA GED CARE ORGANIZATIO NS IN THE SAME 16 | |
| 72 | - | MANNER THAT THEY APP LY TO CARRIERS. 17 | |
| 66 | + | 15–103. 11 | |
| 73 | 67 | ||
| 74 | - | 15–103. 18 | |
| 68 | + | (a) (1) The Secretary shall administer the Maryland Medical Assistance 12 | |
| 69 | + | Program. 13 | |
| 75 | 70 | ||
| 76 | - | (a) (1) The Secretary shall administer the Maryland Medical Assistance 19 | |
| 77 | - | Program. 20 | |
| 71 | + | (2) The Program: 14 | |
| 78 | 72 | ||
| 79 | - | (2) The Program: 21 | |
| 73 | + | (xxiii) Beginning on July 1, 2025, shall provide, subject to the 15 | |
| 74 | + | limitations of the State budget, and as permitted by federal law, coverage for biomarker 16 | |
| 75 | + | testing in accordance with § 15–859 of the Insurance Article; [and] 17 | |
| 80 | 76 | ||
| 81 | - | (xxiii) Beginning on July 1, 2025, shall provide, subject to the 22 | |
| 82 | - | limitations of the State budget, and as permitted by federal law, coverage for biomarker 23 | |
| 83 | - | testing in accordance with § 15–859 of the Insurance Article; [and] 24 | |
| 77 | + | (xxiv) Beginning on January 1, 2025, shall provide coverage for 18 | |
| 78 | + | prostheses in accordance with § 15–844 of the Insurance Article; AND 19 | |
| 84 | 79 | ||
| 85 | - | (xxiv) Beginning on January 1, 2025, shall provide coverage for 25 | |
| 86 | - | prostheses in accordance with § 15–844 of the Insurance Article; AND 26 | |
| 80 | + | (XXV) BEGINNING ON JANUARY 1, 2026, IF PROVIDING COVERAG E 20 | |
| 81 | + | FOR THE DELIVERY OF ANESTHESIA, SHALL PROVIDE COVERA GE FOR THE DELIVERY 21 | |
| 82 | + | OF ANESTHESIA IN ACC ORDANCE WITH § 15–861 OF THE INSURANCE ARTICLE. 22 | |
| 87 | 83 | ||
| 88 | - | (XXV) BEGINNING ON JANUARY 1, 2026, IF PROVIDING COVERAG E 27 | |
| 89 | - | FOR THE DELIVERY OF ANESTHESIA, SHALL PROVIDE COVERA GE FOR THE DELIVERY 28 | |
| 90 | - | OF ANESTHESIA IN ACCORDANCE WITH § 15–861 OF THE INSURANCE ARTICLE. 29 | |
| 84 | + | 15–157. 23 | |
| 91 | 85 | ||
| 92 | - | 15–157. 30 | |
| 86 | + | IF THE PROGRAM COVERS THE DELIVERY OF ANESTHESIA FOR A PROCEDURE 24 | |
| 87 | + | FOR WHICH A LICENSED MEDICAL PROFESSIONAL ISSUES AN ORDER , THE 25 | |
| 88 | + | PROGRAM: 26 | |
| 93 | 89 | ||
| 94 | - | IF THE PROGRAM COVERS THE DE LIVERY OF ANESTHESIA FOR A PROCEDURE 31 | |
| 95 | - | FOR WHICH A LICENSED MEDICAL PROFESSIONAL ISSUES AN ORDER , THE 32 | |
| 96 | - | PROGRAM: 33 HOUSE BILL 1086 3 | |
| 90 | + | (1) SHALL PROVIDE COVERAGE FOR THE DELIVERY OF ANES THESIA 27 | |
| 91 | + | FOR THE ENTIRE DURAT ION OF THE PROCEDURE ; AND 28 | |
| 92 | + | ||
| 93 | + | (2) MAY NOT PLACE TIME LIMIT ATIONS ON THE DELIVE RY OF 29 | |
| 94 | + | ANESTHESIA. 30 | |
| 95 | + | HOUSE BILL 1086 3 | |
| 97 | 96 | ||
| 98 | 97 | ||
| 98 | + | Article – Insurance 1 | |
| 99 | 99 | ||
| 100 | - | ||
| 100 | + | 15–861. 2 | |
| 101 | 101 | ||
| 102 | - | (I) THE DELIVERY OF ANESTHESIA FOR THE ENTIRE DURAT ION 2 | |
| 103 | - | OF THE PROCEDURE ; AND 3 | |
| 102 | + | (A) THIS SECTION APPLIES TO: 3 | |
| 104 | 103 | ||
| 105 | - | (II) MEDICAL CARE RELATED TO THE DELIVERY OF 4 | |
| 106 | - | ANESTHESIA FOR THE P ROCEDURE THAT IS PRO VIDED IMMEDIATELY BE FORE AND 5 | |
| 107 | - | AFTER THE PROCEDURE ; AND 6 | |
| 104 | + | (1) INSURERS AND NONPROF IT HEALTH SERVICE PLANS THAT 4 | |
| 105 | + | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 5 | |
| 106 | + | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 6 | |
| 107 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 7 | |
| 108 | 108 | ||
| 109 | - | (2) | |
| 110 | - | ||
| 111 | - | ||
| 109 | + | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PROVIDE 8 | |
| 110 | + | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 9 | |
| 111 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 10 | |
| 112 | 112 | ||
| 113 | - | Article – Insurance 10 | |
| 113 | + | (B) AN ENTITY SUBJECT TO TH IS SECTION THAT COVERS THE DELI VERY OF 11 | |
| 114 | + | ANESTHESIA FOR A PRO CEDURE FOR WHICH A L ICENSED MEDICAL PROFESSIONAL 12 | |
| 115 | + | ISSUES AN ORDER : 13 | |
| 114 | 116 | ||
| 115 | - | 15–861. 11 | |
| 117 | + | (1) SHALL PROVIDE COVERA GE FOR THE DELIVERY OF ANESTHESIA 14 | |
| 118 | + | FOR THE ENTIRE DURAT ION OF THE PROCEDURE ; AND 15 | |
| 116 | 119 | ||
| 117 | - | (A) THIS SECTION APPLIES TO: 12 | |
| 120 | + | (2) MAY NOT PLACE TIME L IMITATIONS ON THE DE LIVERY OF 16 | |
| 121 | + | ANESTHESIA. 17 | |
| 118 | 122 | ||
| 119 | - | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 13 | |
| 120 | - | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDU ALS OR GROUPS 14 | |
| 121 | - | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 15 | |
| 122 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 16 | |
| 123 | + | SECTION 2. AND BE IT FURTHER ENACTED, T hat this Act shall apply to all 18 | |
| 124 | + | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 19 | |
| 125 | + | after January 1, 2026. 20 | |
| 123 | 126 | ||
| 124 | - | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 17 | |
| 125 | - | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UN DER 18 | |
| 126 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 19 | |
| 127 | - | ||
| 128 | - | (B) AN ENTITY SUBJECT TO THIS SECTION THAT CO VERS THE DELIVERY OF 20 | |
| 129 | - | ANESTHESIA FOR A PRO CEDURE FOR WHICH A L ICENSED MEDICAL PROF ESSIONAL 21 | |
| 130 | - | ISSUES AN ORDER : 22 | |
| 131 | - | ||
| 132 | - | (1) SHALL PROVIDE COVERAGE FOR : 23 | |
| 133 | - | ||
| 134 | - | (I) THE DELIVERY OF ANES THESIA FOR THE ENTIR E DURATION 24 | |
| 135 | - | OF THE PROCEDURE ; AND 25 | |
| 136 | - | ||
| 137 | - | (II) MEDICAL CARE RELATED TO THE DELIVERY OF A NESTHESIA 26 | |
| 138 | - | FOR THE PROCEDURE TH AT IS PROVIDED IMMED IATELY BEFORE AND AF TER THE 27 | |
| 139 | - | PROCEDURE ; AND 28 | |
| 140 | - | 4 HOUSE BILL 1086 | |
| 141 | - | ||
| 142 | - | ||
| 143 | - | (2) MAY NOT PLACE ESTABLISH, IMPLEMENT, OR ENFORCE A POLICY , 1 | |
| 144 | - | PRACTICE, OR PROCEDURE THAT PL ACES TIME LIMITATIONS ON THE DELIVERY OF 2 | |
| 145 | - | ANESTHESIA. 3 | |
| 146 | - | ||
| 147 | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 4 | |
| 148 | - | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 5 | |
| 149 | - | after January 1, 2026. 6 | |
| 150 | - | ||
| 151 | - | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 7 | |
| 152 | - | January 1, 2026. 8 | |
| 153 | - | ||
| 154 | - | ||
| 155 | - | ||
| 156 | - | ||
| 157 | - | Approved: | |
| 158 | - | ________________________________________________________________________________ | |
| 159 | - | Governor. | |
| 160 | - | ________________________________________________________________________________ | |
| 161 | - | Speaker of the House of Delegates. | |
| 162 | - | ________________________________________________________________________________ | |
| 163 | - | President of the Senate. | |
| 127 | + | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 21 | |
| 128 | + | January 1, 2026. 22 |