Maryland 2025 Regular Session

Maryland House Bill HB268

Introduced
1/8/24  
Introduced
1/8/25  
Refer
1/8/24  
Refer
1/8/25  
Report Pass
3/3/25  
Engrossed
3/6/25  
Refer
3/7/25  
Report Pass
3/24/25  
Enrolled
4/1/25  
Chaptered
5/20/25  

Caption

Hospitals - Financial Assistance and Collection of Debts - Policies

Impact

The implementation of HB 268 is expected to improve access to financial assistance for patients struggling with medical bills. By setting stricter guidelines on debt collection, the bill seeks to alleviate the financial burden on low-income individuals, thereby reducing the likelihood that patients will face aggressive debt collection measures, such as civil suits or adverse credit reporting. This, in turn, may encourage more individuals to seek necessary medical care without the fear of financial repercussions.

Summary

House Bill 268 addresses the financial support mechanisms available to patients receiving care from hospitals. The bill stipulates particular obligations for hospitals in relation to the collection of medical debts, including prohibitions against filing civil actions for debts below a certain threshold and requirements for reduced out-of-pocket costs based on a patient's income level. It also mandates that hospitals develop policies to provide financial assistance, ensuring that patients are informed of their rights and the support available to them when facing medical debt

Sentiment

The sentiment regarding HB 268 appears to be generally positive among advocates for patient rights and financial health, with supporters emphasizing the need for better protections against predatory debt collection practices. However, there are concerns raised by some stakeholders regarding the potential impact on hospitals' financial operations. Opponents argue that while the intent is commendable, the undue restrictions on debt collection might hinder hospitals' ability to recover costs and sustain operations effectively.

Contention

Key points of contention include the balance between protecting patient rights and ensuring healthcare providers can maintain financial viability. Critics argue that certain provisions, like the limitations on charging interest and instituting civil actions, may significantly impact hospitals' revenue streams, especially those serving high volumes of low-income patients. The debate centers around finding an appropriate pathway that allows access to healthcare for vulnerable populations while also ensuring that hospitals can continue to operate sustainably.

Companion Bills

MD SB981

Crossfiled Hospitals - Financial Assistance and Collection of Debts - Policies

Previously Filed As

MD HB328

Hospitals - Financial Assistance Policies - Revisions

MD SB1006

Hospitals - Medical Debt Collection - Sale of Patient Debt

MD HB333

Hospitals - Financial Assistance - Medical Bill Reimbursement Process

MD SB404

Hospitals - Financial Assistance - Medical Bill Reimbursement Process

MD SB362

Budget Reconciliation and Financing Act of 2024

MD HB661

Consumer Protection and Debt Collection - Exemptions From Attachment and Requirements on Judgment Creditors

MD HB1047

Consumer Protection – Self–Administered Sexual Assault Evidence Collection Kits

MD HB913

Financial Institutions - Student Financing Companies - Required Registration and Reporting

MD HB1376

Maryland Medical Assistance Program, Maryland Children's Health Program, and Health Insurance - Special Pediatric Hospitals

MD HB476

Consumer Protection - Debt Collectors - Debtors With Multiple Debts

Similar Bills

MD SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

OR HB3320

Relating to financial assistance for the cost of health care services.

MD HB765

Hospitals - Medical Debt Collection - Sale of Patient Debt

MD SB1006

Hospitals - Medical Debt Collection - Sale of Patient Debt

MD HB1324

Hospitals - Medical Debt Collection - Sale of Patient Debt to Nonprofit Organizations

MD HB1020

Consumer Protection - Credit Reporting - Medical Debt (Fair Medical Debt Reporting Act)

MD SB614

Consumer Protection - Credit Reporting - Medical Debt (Fair Medical Debt Reporting Act)

MD HB694

Hospitals - Financial Assistance - Medical Bill Reimbursement