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.
*hb0666*
HOUSE BILL 666
J5, J1, J4 5lr1686
HB 1137/24 – HGO CF SB 60
By: Delegates Woods, Acevero, Addison, Alston, Amprey, Boyce, Conaway,
Crutchfield, Davis, Feldmark, Fisher, Ghrist, Harris, Harrison, Holmes,
Ivey, Kaufman, Lehman, R. Lewis, J. Long, Martinez, McCaskill,
Mireku–North, Pasteur, Patterson, Phillips, Queen, Ro berson, Roberts,
Rogers, Ruff, Ruth, Simmons, Solomon, Taveras, Taylor, Toles, Turner,
Valderrama, Wells, White Holland, Wilkins, Williams, and Wims Wims,
Bagnall, Bhandari, Cullison, Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez,
Pena–Melnyk, Rosenberg, Ross, and Woorman
Introduced and read first time: January 24, 2025
Assigned to: Health and Government Operations
Committee Report: Favorable with amendments
House action: Adopted
Read second time: February 27, 2025
CHAPTER ______
AN ACT concerning 1
Maryland Medical Assistance Program and Health Insurance – Required 2
Coverage for Calcium Score Testing 3
FOR the purpose of requiring the Maryland Medical Assistance Program and certain 4
insurers, nonprofit health service plans, health maintenance organizations, and 5
managed care organizations to provide coverage for calcium score testing for 6
individuals who have certain risk factors in accordance with certain guidelines; and 7
generally relating to the coverage of calcium score testing by the Maryland Medical 8
Assistance Program and health insurance carriers. 9
BY adding to 10
Article – Health – General 11
Section 15–102.3(m) and 15–103(a)(2)(xxv) 12
Annotated Code of Maryland 13
(2023 Replacement Volume and 2024 Supplement) 14
BY repealing and reenacting, without amendments, 15
Article – Health – General 16 2 HOUSE BILL 666
Section 15–103(a)(1) 1
Annotated Code of Maryland 2
(2023 Replacement Volume and 2024 Supplement) 3
BY repealing and reenacting, with amendments, 4
Article – Health – General 5
Section 15–103(a)(2)(xxiii) and (xxiv) 6
Annotated Code of Maryland 7
(2023 Replacement Volume and 2024 Supplement) 8
BY adding to 9
Article – Insurance 10
Section 15–861 11
Annotated Code of Maryland 12
(2017 Replacement Volume and 2024 Supplement) 13
SECTION 1. BE IT ENACTE D BY THE GENERAL ASSEMBLY OF MARYLAND, 14
That the Laws of Maryland read as follows: 15
Article – Health – General 16
15–102.3. 17
(M) THE PROVISIONS OF § 15–861 OF THE INSURANCE ARTICLE APPLY TO 18
MANAGED CARE ORGANIZ ATIONS IN THE SAME M ANNER THEY APPLY TO CARRIERS. 19
15–103. 20
(a) (1) The Secretary shall administer the Maryland Medical Assistance 21
Program. 22
(2) The Program: 23
(xxiii) Beginning on July 1, 2025, shall provide, subject to the 24
limitations of the State budget, and as permitted by federal law, coverage for biomarker 25
testing in accordance with § 15–859 of the Insurance Article; [and] 26
(xxiv) Beginning on January 1, 2025, shall provide coverage for 27
prostheses in accordance with § 15–844 of the Insurance Article; AND 28
(XXV) BEGINNING ON JANUARY 1, 2026, SHALL PROVIDE 29
CALCIUM SCORE TESTIN G IN ACCORDANCE WITH § 15–861 OF THE INSURANCE 30
ARTICLE. 31
Article – Insurance 32
HOUSE BILL 666 3
15–861. 1
(A) THIS SECTION APPLIES TO: 2
(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 3
PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 4
ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 5
CONTRACTS THAT ARE I SSUED OR DELI VERED IN THE STATE; AND 6
(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 7
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 8
CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 9
(B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE FOR 10
CALCIUM SCORE TESTIN G IN ACCORDANCE WITH T HE MOST RECENT GUIDE LINES 11
ISSUED BY THE AMERICAN COLLEGE OF CARDIOLOGY THAT EXPAN D THE SCOPE OF 12
PREVENTIVE CARE SERV ICES FOR THE BENEFIT OF CONSUMERS FOR INDIVIDUALS 13
WHO HAVE AT LEAST TH REE OF THE FOLLOWING RISK FACTO RS: 14
(1) DIABETES; 15
(2) HIGH BLOOD PRESSURE ; 16
(3) HIGH CHOLESTEROL ; OR 17
(4) A FAMILY HISTORY OF PREMATURE CORONARY A RTERY DISEASE . 18
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall apply to all 19
policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 20
after January 1, 2026. 21
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 22
January 1, 2026. 23