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. *hb0553* HOUSE BILL 553 J1 5lr3326 CF SB 94 By: Delegates Taveras, Boafo, Harrison, Holmes, Lehman, Terrasa, and Vogel Vogel, Pena–Melnyk, Cullison, Alston, Bagnall, Bhandari, Guzzone, Hill, Hutchinson, S. Johnson, Kaiser, Kerr, Lopez, Martinez, Rosenberg, White Holland, Woods, and Woorman Introduced and read first time: January 22, 2025 Assigned to: Health and Government Operations Committee Report: Favorable with amendments House action: Adopted Read second time: February 22, 2025 CHAPTER ______ AN ACT concerning 1 Maryland Medical Assistance Program – Maternal Health Self–Measured Blood 2 Pressure Monitoring 3 FOR the purpose of requiring, beginning on a certain date, the Maryland Medical 4 Assistance Program to provide coverage for self–measured blood pressure 5 monitoring for certain eligible Program recipients; requiring the Program to develop 6 and implement a certain education campaign; and generally relating to 7 self–measured blood pressure monitoring under the Maryland Medical Assistance 8 Program. 9 BY repealing and reenacting, without amendments, 10 Article – Health – General 11 Section 15–101(h), (j), and (l) and 15–103(a)(1) 12 Annotated Code of Maryland 13 (2023 Replacement Volume and 2024 Supplement) 14 BY repealing and reenacting, with amendments, 15 Article – Health – General 16 Section 15–103(a)(2)(xxiii) and (xxiv) 17 Annotated Code of Maryland 18 (2023 Replacement Volume and 2024 Supplement) 19 2 HOUSE BILL 553 BY adding to 1 Article – Health – General 2 Section 15–103(a)(2)(xxv) and 15–141.6 3 Annotated Code of Maryland 4 (2023 Replacement Volume and 2024 Supplement) 5 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 6 That the Laws of Maryland read as follows: 7 Article – Health – General 8 15–101. 9 (h) “Program” means the Maryland Medical Assistance Program. 10 (j) “Self–measured blood pressure monitoring” means the regular measurement 11 of blood pressure by the patient outside the clinical setting, either at home or elsewhere, 12 requiring the use of a home blood pressure measurement device by the patient. 13 (l) “Validated home blood pressure monitor” means a blood pressure 14 measurement device that has been validated for accuracy and is listed in the U.S. Blood 15 Pressure Validated Device Listing. 16 15–103. 17 (a) (1) The Secretary shall administer the Maryland Medical Assistance 18 Program. 19 (2) The Program: 20 (xxiii) Beginning on July 1, 2025, shall provide, subject to the 21 limitations of the State budget, and as permitted by federal law, coverage for biomarker 22 testing in accordance with § 15–859 of the Insurance Article; [and] 23 (xxiv) Beginning on January 1, 2025, shall provide coverage for 24 prostheses in accordance with § 15–844 of the Insurance Article; AND 25 (XXV) BEGINNING ON JANUARY 1, 2026, SHALL PROVIDE , 26 SUBJECT TO THE LIMIT ATIONS OF THE STATE BUDGET , AND AS PERMITTED BY 27 FEDERAL LAW , COVERAGE FOR SELF –MEASURED BLOOD PRESS URE MONITORING 28 FOR ELIGIBLE PROGRAM RECIPIENTS IN ACCORDANCE WITH § 15–141.6 OF THIS 29 SUBTITLE. 30 15–141.6. 31 HOUSE BILL 553 3 (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS 1 INDICATED. 2 (2) “ELIGIBLE PROGRAM, “ELIGIBLE PROGRAM RECIPIENT” MEANS 3 A PROGRAM RECIPIENT WHO : 4 (I) (1) IS PREGNANT; 5 (II) (2) IS POSTPARTUM ; OR 6 (III) (3) HAS BEEN DIAGNOSED WITH : 7 1. (I) CHRONIC KIDNEY DISEAS E; 8 2. (II) DIABETES; 9 3. (III) HEART DISEASE; OR 10 4. (IV) A CARDIOMETABOLIC DISE ASE. 11 (3) “HEALTH CARE PROVIDER ” MEANS: 12 (I) A PERSON WHO IS LICENS ED, CERTIFIED, OR OTHERWISE 13 AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE HE ALTH 14 CARE IN THE ORDINARY COURSE OF BUSINESS O R PRACTICE OF A PROF ESSION, OR 15 IN AN APPROVED EDUCA TION OR TRAINING PRO GRAM; OR 16 (II) A COMMUNITY HEALTH WOR KER CERTIFIED UNDER TITLE 17 13, SUBTITLE 37 OF THIS ARTICLE. 18 (B) THE PROGRAM SHALL PROVIDE COVERAGE FOR SELF –MEASURED 19 BLOOD PRESSURE MONIT ORING FOR ALL ELIGIB LE PROGRAM RECIPIENTS , 20 INCLUDING: 21 (1) THE PROVISION OF VALI DATED HOME BLOOD PRE SSURE 22 MONITORS; AND 23 (2) REIMBURSEMENT OF HEAL TH CARE PROVIDER AND OTHER STAFF 24 TIME USED FOR PATIEN T TRAINING, TRANSMISSION OF BLOO D PRESSURE DATA , 25 INTERPRETATION OF BL OOD PRESSURE READING S AND REPORTING , REMOTE 26 PATIENT MONITORING , AND THE DELIVERY OF CO–INTERVENTIONS , INCLUDING 27 EDUCATIONAL MATERIAL S OR CLASSES. 28 4 HOUSE BILL 553 (C) THE PROGRAM SHALL DEVELOP AND IMPLEMENT AN EDU CATION 1 CAMPAIGN TO INFORM E LIGIBLE PROGRAM RECIPIENTS AN D HEALTH CARE 2 PROVIDERS ABOUT THE BENEFITS AND USAGE O F BLOOD PRESSURE MON ITORING 3 TECHNOLOGY AND THE A VAILABILITY OF ASSIS TANCE WITH SETUP AND 4 TROUBLESHO OTING. 5 (D) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2027, THE 6 DEPARTMENT SHALL SUBM IT A REPORT TO THE SENATE FINANCE COMMITTEE AND 7 THE HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN 8 ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THAT 9 INCLUDES: 10 (1) THE TOTAL NUMBER OF E LIGIBLE PROGRAM RECIPIENTS WH O 11 RECEIVED BLOOD PRESS URE MONITORS UNDER T HIS SECTION DURING T HE 12 IMMEDIATELY PRECEDIN G 12–MONTH PERIOD ; 13 (2) THE OUTCOMES ASSOCIAT ED WITH THE USE OF T HE HOME BLOOD 14 PRESSURE MONITORS UNDER THIS SECTION ; AND 15 (3) ANY COST SAVINGS ACHI EVED BY THE PROGRAM DURING THE 16 IMMEDIATELY PRECEDIN G FISCAL YEAR ASSOCI ATED WITH THE USE OF THE HOME 17 BLOOD PRESSURE MONIT ORS DISTRIBUTED IN A CCORDANCE WITH THIS SECTION. 18 SECTION 2. AND BE IT FURTHER ENA CTED, That this Act shall take effect July 19 1, 2025. 20 Approved: ________________________________________________________________________________ Governor. ________________________________________________________________________________ Speaker of the House of Delegates. ________________________________________________________________________________ President of the Senate.