| 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 | *hb0666* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 666 | |
| 11 | 8 | J5, J1, J4 5lr1686 | |
| 12 | 9 | HB 1137/24 – HGO CF SB 60 | |
| 13 | 10 | By: Delegates Woods, Acevero, Addison, Alston, Amprey, Boyce, Conaway, | |
| 14 | 11 | Crutchfield, Davis, Feldmark, Fisher, Ghrist, Harris, Harrison, Holmes, | |
| 15 | 12 | Ivey, Kaufman, Lehman, R. Lewis, J. Long, Martinez, McCaskill, | |
| 16 | 13 | Mireku–North, Pasteur, Patterson, Phillips, Queen, Ro berson, Roberts, | |
| 17 | 14 | Rogers, Ruff, Ruth, Simmons, Solomon, Taveras, Taylor, Toles, Turner, | |
| 18 | - | Valderrama, Wells, White Holland, Wilkins, Williams, and Wims Wims, | |
| 19 | - | Bagnall, Bhandari, Cullison, Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez, | |
| 20 | - | Pena–Melnyk, Rosenberg, Ross, and Woorman | |
| 15 | + | Valderrama, Wells, White Holland, Wilkins, Williams, and Wims | |
| 21 | 16 | Introduced and read first time: January 24, 2025 | |
| 22 | 17 | Assigned to: Health and Government Operations | |
| 23 | - | Committee Report: Favorable with amendments | |
| 24 | - | House action: Adopted | |
| 25 | - | Read second time: February 27, 2025 | |
| 26 | 18 | ||
| 27 | - | ||
| 19 | + | A BILL ENTITLED | |
| 28 | 20 | ||
| 29 | 21 | AN ACT concerning 1 | |
| 30 | 22 | ||
| 31 | 23 | Maryland Medical Assistance Program and Health Insurance – Required 2 | |
| 32 | 24 | Coverage for Calcium Score Testing 3 | |
| 33 | 25 | ||
| 34 | 26 | FOR the purpose of requiring the Maryland Medical Assistance Program and certain 4 | |
| 35 | 27 | insurers, nonprofit health service plans, health maintenance organizations, and 5 | |
| 36 | 28 | managed care organizations to provide coverage for calcium score testing for 6 | |
| 37 | - | individuals who have certain risk factors | |
| 38 | - | ||
| 39 | - | ||
| 29 | + | individuals who have certain risk factors; and generally relating to the coverage of 7 | |
| 30 | + | calcium score testing by the Maryland Medical Assistance Program and health 8 | |
| 31 | + | insurance carriers. 9 | |
| 40 | 32 | ||
| 41 | 33 | BY adding to 10 | |
| 42 | 34 | Article – Health – General 11 | |
| 43 | 35 | Section 15–102.3(m) and 15–103(a)(2)(xxv) 12 | |
| 44 | 36 | Annotated Code of Maryland 13 | |
| 45 | 37 | (2023 Replacement Volume and 2024 Supplement) 14 | |
| 46 | 38 | ||
| 47 | 39 | BY repealing and reenacting, without amendments, 15 | |
| 48 | - | Article – Health – General 16 2 HOUSE BILL 666 | |
| 40 | + | Article – Health – General 16 | |
| 41 | + | Section 15–103(a)(1) 17 | |
| 42 | + | Annotated Code of Maryland 18 | |
| 43 | + | (2023 Replacement Volume and 2024 Supplement) 19 | |
| 44 | + | ||
| 45 | + | BY repealing and reenacting, with amendments, 20 | |
| 46 | + | Article – Health – General 21 | |
| 47 | + | Section 15–103(a)(2)(xxiii) and (xxiv) 22 | |
| 48 | + | Annotated Code of Maryland 23 2 HOUSE BILL 666 | |
| 49 | 49 | ||
| 50 | 50 | ||
| 51 | - | Section 15–103(a)(1) 1 | |
| 52 | - | Annotated Code of Maryland 2 | |
| 53 | - | (2023 Replacement Volume and 2024 Supplement) 3 | |
| 51 | + | (2023 Replacement Volume and 2024 Supplement) 1 | |
| 54 | 52 | ||
| 55 | - | BY | |
| 56 | - | Article – | |
| 57 | - | Section 15– | |
| 58 | - | Annotated Code of Maryland | |
| 59 | - | ( | |
| 53 | + | BY adding to 2 | |
| 54 | + | Article – Insurance 3 | |
| 55 | + | Section 15–861 4 | |
| 56 | + | Annotated Code of Maryland 5 | |
| 57 | + | (2017 Replacement Volume and 2024 Supplement) 6 | |
| 60 | 58 | ||
| 61 | - | BY adding to 9 | |
| 62 | - | Article – Insurance 10 | |
| 63 | - | Section 15–861 11 | |
| 64 | - | Annotated Code of Maryland 12 | |
| 65 | - | (2017 Replacement Volume and 2024 Supplement) 13 | |
| 59 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 7 | |
| 60 | + | That the Laws of Maryland read as follows: 8 | |
| 66 | 61 | ||
| 67 | - | SECTION 1. BE IT ENACTE D BY THE GENERAL ASSEMBLY OF MARYLAND, 14 | |
| 68 | - | That the Laws of Maryland read as follows: 15 | |
| 62 | + | Article – Health – General 9 | |
| 69 | 63 | ||
| 70 | - | ||
| 64 | + | 15–102.3. 10 | |
| 71 | 65 | ||
| 72 | - | 15–102.3. 17 | |
| 66 | + | (M) THE PROVISIONS OF § 15–861 OF THE INSURANCE ARTICLE APPLY TO 11 | |
| 67 | + | MANAGED CARE ORGANIZ ATIONS IN THE SAME M ANNER THEY APPLY TO CARRIERS. 12 | |
| 73 | 68 | ||
| 74 | - | (M) THE PROVISIONS OF § 15–861 OF THE INSURANCE ARTICLE APPLY TO 18 | |
| 75 | - | MANAGED CARE ORGANIZ ATIONS IN THE SAME M ANNER THEY APPLY TO CARRIERS. 19 | |
| 69 | + | 15–103. 13 | |
| 76 | 70 | ||
| 77 | - | 15–103. 20 | |
| 71 | + | (a) (1) The Secretary shall administer the Maryland Medical Assistance 14 | |
| 72 | + | Program. 15 | |
| 78 | 73 | ||
| 79 | - | (a) (1) The Secretary shall administer the Maryland Medical Assistance 21 | |
| 80 | - | Program. 22 | |
| 74 | + | (2) The Program: 16 | |
| 81 | 75 | ||
| 82 | - | (2) The Program: 23 | |
| 76 | + | (xxiii) Beginning on July 1, 2025, shall provide, subject to the 17 | |
| 77 | + | limitations of the State budget, and as permitted by federal law, coverage for biomarker 18 | |
| 78 | + | testing in accordance with § 15–859 of the Insurance Article; [and] 19 | |
| 83 | 79 | ||
| 84 | - | (xxiii) Beginning on July 1, 2025, shall provide, subject to the 24 | |
| 85 | - | limitations of the State budget, and as permitted by federal law, coverage for biomarker 25 | |
| 86 | - | testing in accordance with § 15–859 of the Insurance Article; [and] 26 | |
| 80 | + | (xxiv) Beginning on January 1, 2025, shall provide coverage for 20 | |
| 81 | + | prostheses in accordance with § 15–844 of the Insurance Article; AND 21 | |
| 87 | 82 | ||
| 88 | - | (xxiv) Beginning on January 1, 2025, shall provide coverage for 27 | |
| 89 | - | prostheses in accordance with § 15–844 of the Insurance Article; AND 28 | |
| 83 | + | (XXV) BEGINNING ON JANUARY 1, 2026, SHALL PROVIDE 22 | |
| 84 | + | CALCIUM SCORE TESTIN G IN ACCORDANCE WITH § 15–861 OF THE INSURANCE 23 | |
| 85 | + | ARTICLE. 24 | |
| 90 | 86 | ||
| 91 | - | (XXV) BEGINNING ON JANUARY 1, 2026, SHALL PROVIDE 29 | |
| 92 | - | CALCIUM SCORE TESTIN G IN ACCORDANCE WITH § 15–861 OF THE INSURANCE 30 | |
| 93 | - | ARTICLE. 31 | |
| 87 | + | Article – Insurance 25 | |
| 94 | 88 | ||
| 95 | - | Article – Insurance 32 | |
| 96 | - | HOUSE BILL 666 3 | |
| 89 | + | 15–861. 26 | |
| 90 | + | ||
| 91 | + | (A) THIS SECTION APPLIES TO: 27 | |
| 92 | + | ||
| 93 | + | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 28 | |
| 94 | + | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 29 | |
| 95 | + | ON AN EXPENS E–INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 30 | |
| 96 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 31 HOUSE BILL 666 3 | |
| 97 | 97 | ||
| 98 | 98 | ||
| 99 | - | 15–861. 1 | |
| 100 | 99 | ||
| 101 | - | (A) THIS SECTION APPLIES TO: 2 | |
| 100 | + | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 1 | |
| 101 | + | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 2 | |
| 102 | + | CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE. 3 | |
| 102 | 103 | ||
| 103 | - | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 3 | |
| 104 | - | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 4 | |
| 105 | - | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 5 | |
| 106 | - | CONTRACTS THAT ARE I SSUED OR DELI VERED IN THE STATE; AND 6 | |
| 104 | + | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE FOR 4 | |
| 105 | + | CALCIUM SCORE TESTIN G FOR INDIVIDUALS WH O HAVE AT LEAST THRE E OF THE 5 | |
| 106 | + | FOLLOWING RISK FACTO RS: 6 | |
| 107 | 107 | ||
| 108 | - | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 7 | |
| 109 | - | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 8 | |
| 110 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 9 | |
| 108 | + | (1) DIABETES; 7 | |
| 111 | 109 | ||
| 112 | - | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE FOR 10 | |
| 113 | - | CALCIUM SCORE TESTIN G IN ACCORDANCE WITH T HE MOST RECENT GUIDE LINES 11 | |
| 114 | - | ISSUED BY THE AMERICAN COLLEGE OF CARDIOLOGY THAT EXPAN D THE SCOPE OF 12 | |
| 115 | - | PREVENTIVE CARE SERV ICES FOR THE BENEFIT OF CONSUMERS FOR INDIVIDUALS 13 | |
| 116 | - | WHO HAVE AT LEAST TH REE OF THE FOLLOWING RISK FACTO RS: 14 | |
| 110 | + | (2) HIGH BLOOD PRESSURE ; 8 | |
| 117 | 111 | ||
| 118 | - | ( | |
| 112 | + | (3) HIGH CHOLE STEROL; OR 9 | |
| 119 | 113 | ||
| 120 | - | ( | |
| 114 | + | (4) A FAMILY HISTORY OF PREMATURE CORONARY A RTERY DISEASE . 10 | |
| 121 | 115 | ||
| 122 | - | (3) HIGH CHOLESTEROL ; OR 17 | |
| 116 | + | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 11 | |
| 117 | + | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 12 | |
| 118 | + | after January 1, 2026. 13 | |
| 123 | 119 | ||
| 124 | - | (4) A FAMILY HISTORY OF PREMATURE CORONARY A RTERY DISEASE . 18 | |
| 125 | - | ||
| 126 | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 19 | |
| 127 | - | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 20 | |
| 128 | - | after January 1, 2026. 21 | |
| 129 | - | ||
| 130 | - | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 22 | |
| 131 | - | January 1, 2026. 23 | |
| 132 | - | ||
| 133 | - | ||
| 120 | + | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 14 | |
| 121 | + | January 1, 2026. 15 | |
| 134 | 122 |