EXPLANATION: CAPITALS INDICATE MATTER ADDE D TO EXISTING 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. Italics indicate opposite chamber/conference committee amendments. *sb0156* SENATE BILL 156 J1, J5 (5lr1587) ENROLLED BILL — Finance/Health and Government Operations — Introduced by Senator Lewis Young Read and Examined by Proofreaders: _______________________________________________ Proofreader. _______________________________________________ Proofreader. Sealed with the Great Seal and presented to the Governor, for his approval this _______ day of _______________ at ________________ ________ o’clock, ________M. ______________________________________________ President. CHAPTER ______ AN ACT concerning 1 Workgroup on Universal Newborn Nurse Home Visiting Services – Program 2 Establishment and Insurance Coverage 3 FOR the purpose of requiring the Maryland Department of Health to establish a program 4 to provide universal newborn nurse home visiting services to all families with 5 newborns residing in the State; requiring community leads and the Department to 6 collect and report on certain data related to the program; requiring insurers, 7 nonprofit health service plans, and health maintenance organizations that provide 8 certain health benefits under certain insurance policies or contracts to provide 9 certain coverage and reimbursement for universal newborn nurse home visiting 10 services; and generally relating to universal newborn nurse home visiting services 11 establishing the Workgroup on Universal Newborn Nurse Home Visiting Services; 12 and generally relating to the Workgroup on Universal Newborn Nurse Home Visiting 13 Services. 14 2 SENATE BILL 156 BY adding to 1 Article – Health – General 2 Section 13–5501 and 13–5502 to be under the new subtitle “Subtitle 55. Universal 3 Newborn Nurse Home Visiting Program” 4 Annotated Code of Maryland 5 (2023 Replacement Volume and 2024 Supplement) 6 BY adding to 7 Article – Insurance 8 Section 15–861 9 Annotated Code of Maryland 10 (2017 Replacement Volume and 2024 Supplement) 11 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 That the Laws of Maryland read as follows: 13 (a) There is a Workgroup on Universal Newborn Nurse Home Visiting Services 14 in the State. 15 (b) The Workgroup consists of the following members: 16 (1) one member of the Senate of Maryland, appointed by the President of 17 the Senate; 18 (2) one member of the House of Delegates, appointed by the Speaker of the 19 House; 20 (3) the Secretary of Health, or the Secretary’s designee; and 21 (4) the following members, appointed by the Governor: 22 (i) one representative of the Maryland Hospital Association; 23 (ii) one representative each from: 24 1. The Family Tree for Baltimore City; 25 2. Family Connects Frederick; and 26 3. Family Connects Prince George’s; and 27 (iii) two members representing private insurance carriers. 28 (ii) one representative from each certified site in the State 29 implementing an evidence–based universal nurse home visiting model for families with 30 newborns; 31 SENATE BILL 156 3 (iii) one representative from an organization in the State 1 implementing at least two approved Maternal, Infant, and Early Childhood Home Visiting 2 models; 3 (iv) one representative of a private insurance carrier; 4 (v) one representative of the Maryland Nurses Association; 5 (vi) one representative of B’More for Health Babies Initiative; 6 (vii) one representative from a local health department; 7 (viii) one pediatrician licensed in the State; 8 (ix) one nurse midwife licensed in the State; 9 (x) one obstetrician licensed in the State; and 10 (xi) one representative of a federally qualified health center. 11 (c) The members of the Workgroup shall designate the chair and vice chair of the 12 Workgroup. 13 (d) The Maryland Family Network, in collaboration with the Maryland 14 Department of Health shall, may provide staff for the Workgroup. 15 (e) A member of the Workgroup: 16 (1) may not receive compensation as a member of the Workgroup; but 17 (2) is entitled to reimbursement for expenses under the Standard State 18 Travel Regulations, as provided in the State budget. 19 (f) The Workgroup shall: 20 (1) compile updated patient data and expenditures per patient from the 21 Family Connect Programs currently operating in the State; 22 (2) compare other maternal and newborn health programs in the State and 23 in other states to the Family Connect Programs; and 24 (3) identify service gaps between the Family Connect Programs and 25 similar programs and potential funding sources to close the gaps. 26 (1) compile updated participant data and expenditures per participant from 27 the home visiting for families with newborns programs currently operating in the State; 28 4 SENATE BILL 156 (2) compare the data for home visiting for families with newborns programs 1 in the State to the data for evidence–based models for universal nurse home visiting for 2 families with newborns; 3 (3) (i) identify service gaps between the evidence–based models for 4 universal nurse home visiting for families with newborns and operational home visiting for 5 families with newborns programs; 6 (ii) identify opportunities to align the evidence–based models for 7 universal nurse home visiting for families with newborns with operational home visiting for 8 families with newborns programs operating in the State; and 9 (iii) identify potential funding sources to close the identified service 10 gaps; and 11 (4) identify workforce needs, including issues related to cultural 12 competency, for the evidence–based models for universal newborn nurse home visiting for 13 families with newborns and recommendations to address the workforce needs. 14 (g) On or before December 31, 2025, the Workgroup shall report its findings and 15 recommendations to the Governor and, in accordance with § 2 –1257 of the State 16 Government Article, the General Assembly. 17 Article – Health – General 18 SUBTITLE 55. UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM. 19 13–5501. 20 IN THIS SUBTITLE , “PROGRAM” MEANS THE STATEWIDE PROGRAM TO 21 PROVIDE UNIVERSAL NE WBORN NURSE HOME VIS ITING SERVICES IMPLE MENTED 22 UNDER § 13–5502(A) OF THIS SUBTITLE. 23 13–5502. 24 (A) (1) THE DEPARTMENT SHALL DESI GN, IMPLEMENT, AND MAINTAIN A 25 VOLUNTARY STATEWIDE PROGRAM TO PROVIDE UNIVERSAL NEWBORN NURSE 26 HOME VISITING SERVIC ES TO ALL FAMILIES W ITH NEWBORNS RESIDIN G IN THE 27 STATE. 28 (2) THE PURPOSES OF THE P ROGRAM ARE TO : 29 (I) SUPPORT HEALTHY CHILD DEVELOPMENT AND 30 POSTPARTUM HEALTH ; AND 31 (II) STRENGTHEN FAMILIES . 32 SENATE BILL 156 5 (3) THE DEPARTMENT SHALL DESI GN THE UNIVERSAL NEW BORN 1 NURSE HOME VISITING PROGRAM TO BE FLEXIB LE SO AS TO MEET THE NEEDS OF 2 THE COMMUNITIES IN W HICH THE PROGRAM OPE RATES. 3 (B) IN DESIGNING THE PROG RAM, THE DEPARTMENT SHALL CONS ULT, 4 COORDINATE , AND COLLABORATE , AS NECESSARY, WITH: 5 (1) INSURERS THAT OFFER H EALTH BENEFITS PLANS IN THE STATE; 6 (2) HOSPITALS; 7 (3) LOCAL PUBLIC HEALTH A UTHORITIES; 8 (4) THE DIVISION OF EARLY CHILDHOOD IN THE DEPARTMENT OF 9 EDUCATION; 10 (5) EXISTING EARLY CHILDH OOD AND UNIVERSAL NE WBORN HOME 11 VISITING PROGRAMS ; 12 (6) COMMUNITY–BASED ORGANIZATIONS ; 13 (7) A NATIONAL TRAINING IN STITUTE FOR UNIVERSA L NEWBORN 14 HOME VISITING; 15 (8) SOCIAL SERVICES PROVI DERS; AND 16 (9) ANY OTHER EXPERTS , GROUPS, OR ORGANIZATIONS AS THE 17 SECRETARY DETERMINES APPROPRIATE . 18 (C) THE PROGRAM SHALL PRO VIDE NURSE HOME VISI TING SERVICES THAT 19 ARE: 20 (1) IDENTIFIED AS AN EVID ENCE–BASED EARLY CHILDHOO D HOME 21 VISITING SERVICE DEL IVERY MODEL UNDER TH E CRITERIA ESTABLISH ED BY THE 22 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 23 (2) SUPPORTED BY A NATION AL CENTER THAT PROVI DES TRAINING, 24 MONITORING , AND TECHNICAL SUPPOR T; 25 (3) PROVIDED BY A COMMUNI TY LEAD AGENCY DESIG NATED TO 26 SERVE A DEFINED COMM UNITY; 27 (4) PROVIDED BY REGISTERED NURSES LI CENSED IN THE STATE; 28 6 SENATE BILL 156 (5) OFFERED TO: 1 (I) FAMILIES CARING FOR N EWBORNS UP TO THE AG E OF 12 2 WEEKS, INCLUDING FOSTER AND ADOPTIVE NEWBORNS ; AND 3 (II) BIRTHING INDIVIDUALS WITHIN 12 WEEKS AFTER 4 DELIVERY OF A LIVE B IRTH OR STILLBI RTH; 5 (6) PROVIDED: 6 (I) IN THE FAMILY’S HOME; OR 7 (II) VIRTUALLY; AND 8 (7) AIMED AT IMPROVING OU TCOMES IN ONE OR MOR E OF THE 9 FOLLOWING DOMAINS ; 10 (I) INFANT AND CHILD HEAL TH; 11 (II) CHILD DEVELOPMENT AND SCHOOL READINESS ; 12 (III) MATERNAL AND POSTPARTUM HEALT H; 13 (IV) FAMILY ECONOMIC SELF –SUFFICIENCY; 14 (V) POSITIVE PARENTING ; 15 (VI) REDUCING CHILD MALTRE ATMENT; AND 16 (VII) REDUCING FAMILY VIOLE NCE. 17 (D) THE SERVICES PROVIDED UNDER THE PROGRAM SH ALL: 18 (1) BE VOLUNTARY AND CARR Y NO NEGATIVE CONSEQUE NCES FOR A 19 FAMILY THAT DECLINES TO PARTICIPATE ; 20 (2) BE OFFERED IN EVERY C OMMUNITY IN THE STATE; 21 (3) INCLUDE AN EVIDENCE –BASED ASSESSMENT OF THE PHYSICAL , 22 SOCIAL, AND EMOTIONAL FACTOR S AFFECTING THE FAMI LY; 23 (4) BE OFFERED TO ALL FAMILIES WITH NE WBORNS RESIDING IN T HE 24 COMMUNITY WHERE THE PROGRAM OPERATES ; 25 SENATE BILL 156 7 (5) INCLUDE AT LEAST ONE VISIT DURING A NEWBO RN’S FIRST 12 1 WEEKS OF LIFE WITH T HE OPPORTUNITY FOR T HE FAMILY TO RECEIVE UP TO THREE 2 ADDITIONAL VISITS DU RING A NEWBORN ’S FIRST 12 WEEKS OF LIFE; 3 (6) INCLUDE A FOLLOW –UP CALL OR SURVEY NO T LATER THAN 3 4 MONTHS AFTER THE LAS T VISIT; AND 5 (7) PROVIDE INFORMATION A ND REFERRALS TO ADDR ESS EACH 6 FAMILY’S IDENTIFIED AND SPE CIFIC NEEDS. 7 (E) (1) THE DEPARTMENT SHALL ESTA BLISH BY REGULATION : 8 (I) THE DEFINITION OF A “COMMUNITY ” FOR PURPOSES OF 9 THIS SUBTITLE; AND 10 (II) IN ACCORDANCE WITH PA RAGRAPH (3) OF THIS 11 SUBSECTION, THE SELECTION PROCES S FOR A COMMUNITY LE AD TO MEET THE 12 NEEDS OF THE DESIGNA TED GEOGRAPHIC AREA . 13 (2) ENTITIES ELIGIBLE TO BE SELECTED TO SERVE AS A COMMUNITY 14 LEAD INCLUDE : 15 (I) LOCAL PUBLIC HEALTH A GENCIES; 16 (II) LOCAL GOVERNMENTS ; 17 (III) BIRTHING FACILITIES ; 18 (IV) NONPROFIT ORGANIZATIO NS SPECIALIZING IN E ARLY 19 CHILDHOOD DEVELOPMEN T OR MATERNAL AND POSTPARTUM HEALT H; OR 20 (V) OTHER ORGANIZATIONS A S DETERMINED BY THE 21 DEPARTMENT . 22 (3) A COMMUNITY LEAD SHALL : 23 (I) IMPLEMENT A UNIVERSAL LY OFFERED NEWBORN N URSE 24 HOME VISITING SERVIC ES MODEL THAT HAS BE EN REVIEWED BY THE F EDERAL 25 ADMINISTRATION FOR CHILDREN AND FAMILIES TO MEET THE U.S. DEPARTMENT 26 OF HEALTH AND HUMAN SERVICES CRITERIA FOR AN EVIDENCE –BASED EARLY 27 CHILDHOOD HOME VISIT ING SERVICE DELIVERY MODEL; 28 (II) COORDINATE WITH ALL C ERTIFIED PROVIDERS I N ITS 29 IDENTIFIED COMMUNITY SO THAT ALL FAMILIES WITH NEWBOR NS ARE CONTACTED 30 8 SENATE BILL 156 NOT LATER THAN 2 WEEKS AFTER THE BIRT H OF THE NEWBORN AND OFFERED 1 SERVICES; 2 (III) DEVELOP AND IMPLEMENT STRATEGIES IN 3 COLLABORATION WITH T HE DEPARTMENT TO OBTAIN FUNDING TO FACILITAT E THE 4 PROVISION OF NEWBORN NURSE HOME VISITING SERVIC ES; 5 (IV) COLLABORATE WITH OTHE R HOME VISITING PROV IDERS TO 6 INTEGRATE NEWBORN NU RSE HOME VISITING SE RVICES INTO THE EXIS TING 7 SERVICES FOR FAMILIE S IN THE IDENTIFIED COMMUNITY SO THAT A COORDINATED 8 SYSTEM OF SUPPORT IS IN PLACE; 9 (V) MAINTAIN A WRITTEN PL AN DESCRIBING HOW TH E 10 COMMUNITY LEAD WILL COMPLY WITH ITEMS (I) THROUGH (IV) OF THIS 11 PARAGRAPH ; 12 (VI) CONSIDER INPUT FROM A N ADVISORY BOARD EST ABLISHED 13 BY THE COMMUNITY LEA D THAT: 14 1. INCLUDES STAKEHOLDERS FROM THE IDENTIF IED 15 COMMUNITY WITH REPRE SENTATION FROM THE F OLLOWING WHERE APPLI CABLE: 16 A. PARENTS; 17 B. MEDICAL PROVIDERS ; 18 C. HOSPITALS; 19 D. SOCIAL SERVICE PROVID ERS SERVICING FAMILI ES; 20 E. THE FEDERAL SPECIAL SUPPLEMENTAL FOOD 21 PROGRAM FOR WOMEN, INFANTS, AND CHILDREN; 22 F. CHILD PROTECTIVE SERV ICES; 23 G. EARLY LEARNING HUBS ; 24 H. TRIBAL LEADERSHIP ; 25 I. LOCAL HEALTH DEPARTME NTS; 26 J. MANAGED CARE ORGANIZA TIONS; 27 K. INSURERS; AND 28 SENATE BILL 156 9 L. NEWBORN NURSE HOME VI SITING SERVICE 1 PROVIDERS AND OTHER HOME VISITING PROVID ERS; AND 2 2. MEETS AT LEAST QUARTE RLY AND DISTRIBUTES 3 MEETING MINUTES TO B OARD MEMBERS AND CER TIFIED PROVIDERS IN THE 4 IDENTIFIED COMMUNITY ; 5 (VII) ENSURE LOCAL COMMUNIT Y RESOURCES ARE : 6 1. COMPILED IN A W EB–BASED FORMAT OR PRIN TED 7 DIRECTORY; AND 8 2. UPDATED AT LEAST QUAR TERLY FOR USE BY SER VICE 9 PROVIDERS; 10 (VIII) ENGAGE IN QUALITY ASS URANCE ACTIVITIES TH AT 11 INCLUDE: 12 1. A MONTHLY REVIEW OF DA TA INCLUDING KEY 13 PERFORMANCE INDICATO RS SUCH AS SCHEDULING RATE , COMPREHENSIVE 14 NEWBORN NURSE HOME V ISIT COMPLETION RATE , FOLLOW–UP RATE , 15 DEMOGRAPHIC PROFILE OF FAMILIES RECEIVIN G SERVICES, AND COMMUNITY 16 CONNECTIONS AND REFE RRALS IN THE IDENTIF IED COMMUNITY ; 17 2. A MONTHLY REVIEW OF FE EDBACK FROM THE 18 FAMILIES SERVED BY T HE UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM 19 IN THE IDENTIFIED CO MMUNITY USING STANDA RDIZED METHODOLOGY ; AND 20 3. MONITORING PROGRAM RE ACH IN THE IDENTIFIE D 21 COMMUNITY MEASURED B Y THE RATIO OF THE N UMBER OF COMPLETED 22 COMPREHENSIV E NEWBORN NURSE HOME VISITS TO TOTAL BIRT HS IN THE 23 IDENTIFIED COMMUNITY , TAKING INTO CONSIDER ATION THE NUMBER OF BIRTHS 24 SERVED BY OTHER HOME VISITING PROVIDERS ; 25 (IX) PROVIDE THE DEPARTMENT ACCESS TO DATA FOR 26 PROGRAM MONITORING A ND EVALUATION IN A M ANNER AND FORMAT DETERM INED 27 BY THE DEPARTMENT ; 28 (X) COORDINATE WITH THE DEPARTMENT TO ADDRESS 29 QUALITY IMPROVEMENT NEEDS; 30 10 SENATE BILL 156 (XI) ON A QUARTERLY BASIS , SUBMIT THE FOLLOWING 1 DE–IDENTIFIED DATA ELEC TRONICALLY TO THE DEPARTMENT IN A MANNE R AND 2 FORMAT DETERMINED BY THE DEPARTMENT : 3 1. THE NUMBER OF INFANTS BORN DURING THE 4 IMMEDIATELY PRECEDIN G QUARTER WHO RESIDE IN THE IDENTIFIED CO MMUNITY; 5 AND 6 2. FOR EACH CERTIFIED PR OVIDER IN THE IDENTI FIED 7 COMMUNITY : 8 A. SCHEDULING RATE ; 9 B. COMPREHE NSIVE NEWBORN NURSE HOME VISIT 10 COMPLETION RATE ; 11 C. FOLLOW–UP RATE; 12 D. DEMOGRAPHIC PROFILE O F FAMILIES RECEIVING 13 NEWBORN NURSE HOME V ISITING; 14 E. COMMUNITY CONNECTIONS AND REFERRALS ; 15 F. FEEDBACK FROM FAMILIE S AND REFERRAL PARTN ER 16 FEEDBACK; AND 17 G. ANY OTHER DATA IDENTI FIED BY THE DEPARTMENT ; 18 AND 19 (XII) COLLABORATE AND COORD INATE WITH TRIBES 20 DESIGNATED AS COMMUN ITY LEADS OPERATING IN THE SAME GEOGRAPH IC AREA. 21 (F) IN COLLABORATION WITH THE MARYLAND INSURANCE 22 ADMINISTRATION , THE DEPARTMENT SHALL ADOP T REGULATIONS CONSIS TENT 23 WITH THE PROVISIONS OF THIS SUBTITLE EST ABLISHING: 24 (1) CRITERIA FOR UNIVERSA L NEWBORN NURSE HOME VISITING 25 SERVICES THAT ARE RE QUIRED TO BE COVERED BY ENTITIES IN ACCOR DANCE WITH 26 § 15–861 OF THE INSURANCE ARTICLE; AND 27 (2) THE AMOUNT OF REIMBUR SEMENT TO BE PAID TO A PROVIDER OF 28 UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES OR A METHODOL OGY TO 29 REIMBURSE THE COST O F PROVIDING UNIVERSA L NEWBORN NURSE HOME VISITING 30 SERVICES IN ACCORDAN CE WITH § 15–861 OF THE INSURANCE ARTICLE. 31 SENATE BILL 156 11 (G) THE DEPARTMENT MAY ADOPT BY REGULATION ANY RE ASONABLE 1 REIMBURSEMENT METHOD OLOGY, INCLUDING: 2 (1) VALUE–BASED PAYMENTS ; 3 (2) A CLAIM INVOICING PROC ESS; 4 (3) CAPITATED PAYMENT ; 5 (4) A REIMBURSEMENT METHOD OLOGY THAT TAKES INT O ACCOUNT 6 THE NEED FOR A COMMU NITY–BASED ENTITY PROVIDI NG UNIVERSAL NEWBORN 7 NURSE HOME VISITING SERVICES TO EXPAND T HE ENTITY’S CAPACITY TO PROVID E 8 THE SERVICES AND ADD RESS HEALTH DISPARIT IES; OR 9 (5) ANY OTHER METHODOLOGY AGREED TO BY A CARRI ER AND THE 10 PROVIDER OF THE UNIVER SAL NURSE HOME VISIT ING SERVICES. 11 (H) THE DEPARTMENT SHALL : 12 (1) COLLECT AND ANALYZE D ATA GENERATED BY THE PROGRAM TO 13 ASSESS THE EFFECTIVE NESS OF THE PROGRAM IN MEETING THE AIMS DESCRIBED 14 IN SUBSECTION (C)(7) OF THIS SECTION; AND 15 (2) COORDINATE WITH OTHER STATE AGENCIES TO DEV ELOP 16 PROTOCOLS FOR SHARIN G DATA, INCLUDING THE TIMELY SHARING OF DATA WITH 17 PRIMARY CARE PROVIDE RS OF THE FAMILIES W ITH NEWBORNS RECEIVI NG THE 18 SERVICES. 19 (I) (1) THE DEPARTMENT SHALL ESTA BLISH THE FORM AND MANNER IN 20 WHICH DATA REQUIRED UNDER § 15–861 OF THE INSURANCE ARTICLE SHALL BE 21 SUBMITTED. 22 (2) THE DEPARTMENT SHALL USE THE DATA REQUIRED UN DER § 23 15–861 OF THE INSURANCE ARTICLE TO MONITOR TH E PROVISION OF UNIVE RSAL 24 NEWBORN NURSE HOME V ISITING SERVICES. 25 (J) THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 26 SECTION. 27 (K) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2026, THE 28 DEPARTMENT SHALL REPO RT TO THE SENATE FINANCE COMMITTEE AND THE 29 HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDANCE 30 WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE STATUS OF THE 31 12 SENATE BILL 156 PROVISION OF UNIVERS AL NEWBORN NURSE HOM E VISITING SERVICES IN THE 1 STATE. 2 Article – Insurance 3 15–861. 4 (A) THIS SECTION APPLIES TO: 5 (1) INSURERS AND NONPROF IT HEALTH SERVIC E PLANS THAT 6 PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 7 ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 8 CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 9 (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PROVIDE 10 HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 11 CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 12 (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE AND 13 REIMBURSEMENT IN FUL L FOR THE COST TO A PROVIDER FOR DEL IVERING 14 UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS REQUIRED B Y THE 15 MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502(F) OF THE 16 HEALTH – GENERAL ARTICLE. 17 (C) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION , 18 AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A COP AYMENT, 19 COINSURANCE , OR DEDUCTIBLE REQUIR EMENT ON COVERAGE FO R UNIVERSAL 20 NEWBORN NURSE HOME V ISITING SERVICES. 21 (2) IF AN INSURED OR ENRO LLEE IS COVERED UNDE R A 22 HIGH–DEDUCTIBLE HEALTH PL AN, AS DEFINED IN 26 U.S.C. § 223, AN ENTITY 23 SUBJECT TO THIS SECT ION MAY SUBJECT COVE RAGE FOR UNIVERSAL N EWBORN 24 NURSE HOME VISITING SERVICES TO THE DEDU CTIBLE REQUIREMENT O F THE 25 HIGH–DEDUCTIBLE PLAN . 26 (D) AN INSURED OR ENROLLE E MAY NOT BE REQUIRE D TO RECEIVE 27 UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS A CONDITION OF 28 COVERAGE AND MAY NOT BE PENALIZED OR IN A NY WAY DISCOURAGED F ROM 29 DECLINING THE SERVIC ES. 30 (E) AN ENTITY SUBJECT TO THIS SECTION SHALL N OTIFY AN INSURED OR 31 ENROLLEE ABOUT THE U NIVERSAL NEWBORN NUR SE HOME VISITING SER VICES 32 WHENEVER AN INSURED OR ENROLLEE ADDS A N EWBORN TO COVERAGE . 33 SENATE BILL 156 13 (F) AN ENTITY SUBJECT TO THIS SECTION MAY USE IN–NETWORK 1 PROVIDERS OR CONTRAC T WITH LOCAL PUBLIC HEALTH AUTHORITIES T O PROVIDE 2 UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES. 3 (G) ENTITIES SU BJECT TO THIS SECTIO N SHALL REPORT TO TH E 4 MARYLAND DEPARTMENT OF HEALTH, IN THE FORM AND MANN ER REQUIRED BY 5 THE MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502 OF THE 6 HEALTH – GENERAL ARTICLE, DATA REGARDING CLAIM S SUBMITTED FOR 7 SERVICES COVERED UND ER THIS SECTION TO MONITOR T HE PROVISION OF THE 8 SERVICES. 9 SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of 10 Health may apply for a waiver under 42 U.S.C. 18052 to obtain federal financial 11 participation in the cost of services provided under Section 1 of this Act. 12 SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall apply to all 13 policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 14 after January 1, 2026. 15 SECTION 4. AND BE IT FURTHER ENACTED, T hat this Act shall take effect 16 January 1, 2026. 17 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 18 1, 2025. It shall remain effective for a period of 1 year and, at the end of June 30, 2026, this 19 Act, with no further action required by the General Assembly, shall be abrogated and of no 20 further force and effect. 21 Approved: ________________________________________________________________________________ Governor. ________________________________________________________________________________ President of the Senate. ________________________________________________________________________________ Speaker of the House of Delegates.