EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*hb1086*
HOUSE BILL 1086
J5 5lr2839
By: Delegates Martinez, Pena–Melnyk, Alston, Lehman, Roberts, Taveras, Taylor,
and Turner Turner, Bagnall, Bhandari, Cullison, Guzzone, Hill,
Hutchinson, S. Johnson, Kaiser, Kerr, Kipke, Lopez, M. Morgan, Reilly,
Rosenberg, Ross, Szeliga, White Holland, Woods, and Woorman
Introduced and read first time: February 5, 2025
Assigned to: Health and Government Operations
Committee Report: Favorable with amendments
House action: Adopted
Read second time: March 1, 2025
CHAPTER ______
AN ACT concerning 1
Maryland Medical Assistance Program and Health Insurance – Coverage for 2
Anesthesia – Prohibiting Time Limitations 3
FOR the purpose of requiring the Maryland Medical Assistance Program, managed care 4
organizations, and certain insurers, nonprofit health service plans, and health 5
maintenance organizations, if providing coverage for the delivery of anesthesia for a 6
procedure for which a licensed medical professional issues an order, to provide the 7
coverage in a certain manner; and generally relating to health insurance coverage 8
for the delivery of anesthesia. 9
BY adding to 10
Article – Health – General 11
Section 15–102.3(m), 15–103(a)(2)(xxv), and 15–157 12
Annotated Code of Maryland 13
(2023 Replacement Volume and 2024 Supplement) 14
BY repealing and reenacting, without amendments, 15
Article – Health – General 16
Section 15–103(a)(1) 17
Annotated Code of Maryland 18
(2023 Replacement Volume and 2024 Supplement) 19
2 HOUSE BILL 1086
BY repealing and reenacting, with amendments, 1
Article – Health – General 2
Section 15–103(a)(2)(xxiii) and (xxiv) 3
Annotated Code of Maryland 4
(2023 Replacement Volume and 2024 Supplement) 5
BY adding to 6
Article – Insurance 7
Section 15–861 8
Annotated Code of Maryland 9
(2017 Replacement Volume and 2024 Supplement) 10
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 11
That the Laws of Maryland read as follows: 12
Article – Health – General 13
15–102.3. 14
(M) BEGINNING JANUARY 1, 2026, THE PROVISIONS OF § 15–861 OF THE 15
INSURANCE ARTICLE APPLY TO MANA GED CARE ORGANIZATIO NS IN THE SAME 16
MANNER THAT THEY APP LY TO CARRIERS. 17
15–103. 18
(a) (1) The Secretary shall administer the Maryland Medical Assistance 19
Program. 20
(2) The Program: 21
(xxiii) Beginning on July 1, 2025, shall provide, subject to the 22
limitations of the State budget, and as permitted by federal law, coverage for biomarker 23
testing in accordance with § 15–859 of the Insurance Article; [and] 24
(xxiv) Beginning on January 1, 2025, shall provide coverage for 25
prostheses in accordance with § 15–844 of the Insurance Article; AND 26
(XXV) BEGINNING ON JANUARY 1, 2026, IF PROVIDING COVERAG E 27
FOR THE DELIVERY OF ANESTHESIA, SHALL PROVIDE COVERA GE FOR THE DELIVERY 28
OF ANESTHESIA IN ACCORDANCE WITH § 15–861 OF THE INSURANCE ARTICLE. 29
15–157. 30
IF THE PROGRAM COVERS THE DE LIVERY OF ANESTHESIA FOR A PROCEDURE 31
FOR WHICH A LICENSED MEDICAL PROFESSIONAL ISSUES AN ORDER , THE 32
PROGRAM: 33 HOUSE BILL 1086 3
(1) SHALL PROVIDE COVERAG E FOR THE: 1
(I) THE DELIVERY OF ANESTHESIA FOR THE ENTIRE DURAT ION 2
OF THE PROCEDURE ; AND 3
(II) MEDICAL CARE RELATED TO THE DELIVERY OF 4
ANESTHESIA FOR THE P ROCEDURE THAT IS PRO VIDED IMMEDIATELY BE FORE AND 5
AFTER THE PROCEDURE ; AND 6
(2) MAY NOT PLACE ESTABLISH, IMPLEMENT, OR ENFORCE A POLICY , 7
PRACTICE, OR PROCEDURE THAT PL ACES TIME LIMITATIONS ON THE DELIVERY OF 8
ANESTHESIA. 9
Article – Insurance 10
15–861. 11
(A) THIS SECTION APPLIES TO: 12
(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 13
PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDU ALS OR GROUPS 14
ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 15
CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 16
(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 17
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UN DER 18
CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 19
(B) AN ENTITY SUBJECT TO THIS SECTION THAT CO VERS THE DELIVERY OF 20
ANESTHESIA FOR A PRO CEDURE FOR WHICH A L ICENSED MEDICAL PROF ESSIONAL 21
ISSUES AN ORDER : 22
(1) SHALL PROVIDE COVERAGE FOR : 23
(I) THE DELIVERY OF ANES THESIA FOR THE ENTIR E DURATION 24
OF THE PROCEDURE ; AND 25
(II) MEDICAL CARE RELATED TO THE DELIVERY OF A NESTHESIA 26
FOR THE PROCEDURE TH AT IS PROVIDED IMMED IATELY BEFORE AND AF TER THE 27
PROCEDURE ; AND 28
4 HOUSE BILL 1086
(2) MAY NOT PLACE ESTABLISH, IMPLEMENT, OR ENFORCE A POLICY , 1
PRACTICE, OR PROCEDURE THAT PL ACES TIME LIMITATIONS ON THE DELIVERY OF 2
ANESTHESIA. 3
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 4
policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 5
after January 1, 2026. 6
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 7
January 1, 2026. 8
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
Speaker of the House of Delegates.
________________________________________________________________________________
President of the Senate.