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. *hb1355* HOUSE BILL 1355 J5 5lr2935 CF SB 641 By: Delegates Reilly, Hartman, and Miller Introduced and read first time: February 7, 2025 Assigned to: Health and Government Operations Committee Report: Favorable House action: Adopted Read second time: March 6, 2025 CHAPTER ______ AN ACT concerning 1 Health Insurance – Required Coverage – Hearing Aids 2 FOR the purpose of altering the circumstances under which certain insurers, nonprofit 3 health service plans, and health maintenance organizations are required to provide 4 coverage for medically appropriate and necessary hearing aids for adults to require 5 coverage if the hearing aid is ordered, fitted, and dispensed by a licensed hearing aid 6 dispenser; and generally relating to health insurance coverage for hearing aids. 7 BY repealing and reenacting, with amendments, 8 Article – Insurance 9 Section 15–838.1 10 Annotated Code of Maryland 11 (2017 Replacement Volume and 2024 Supplement) 12 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 13 That the Laws of Maryland read as follows: 14 Article – Insurance 15 15–838.1. 16 (a) In this section, “hearing aid” means a device that: 17 (1) is of a design and circuitry to optimize audibility and listening skills in 18 the environment commonly experienced by adults; and 19 2 HOUSE BILL 1355 (2) is nondisposable. 1 (b) This section applies to: 2 (1) insurers and nonprofit health service plans that provide hospital, 3 medical, or surgical benefits to individuals or groups on an expense–incurred basis under 4 health insurance policies or contracts that are issued or delivered in the State; and 5 (2) health maintenance organizations that provide hospital, medical, or 6 surgical benefits to individuals or groups under contracts that are issued or delivered in 7 the State. 8 (c) An entity subject to this section shall provide coverage for all medically 9 appropriate and necessary hearing aids for an adult who is covered under a policy or 10 contract if the hearing aids are: 11 (1) prescribed, fitted, and dispensed by a licensed audiologist; OR 12 (2) ORDERED, FITTED, AND DISPENSED BY A LICENSED HEARING A ID 13 DISPENSER. 14 (d) (1) An entity subject to this section may limit the benefit payable under 15 subsection (c) of this section to $1,400 per hearing aid for each hearing–impaired ear every 16 36 months. 17 (2) An insured or enrollee may choose a hearing aid that is priced higher 18 than the benefit payable under this subsection and may pay the difference between the 19 price of the hearing aid and the benefit payable under this subsection, without financial or 20 contractual penalty to the provider of the hearing aid. 21 (e) This section does not prohibit an entity subject to this section from providing 22 coverage that is greater or more favorable to an insured or enrollee than the coverage 23 required under this section. 24 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 25 policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 26 after January 1, 2026. 27 SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 28 January 1, 2026. 29