Maryland 2025 Regular Session

Maryland Senate Bill SB5

Introduced
1/8/24  
Introduced
1/8/25  
Refer
1/8/24  
Refer
1/8/25  
Report Pass
2/17/25  
Engrossed
2/20/25  
Refer
2/21/25  
Report Pass
3/28/25  

Caption

Maryland Health Benefit Exchange – State–Based Young Adult Health Insurance Subsidies Pilot Program – Sunset Repeal

Impact

If enacted, SB5 is expected to have a substantial impact on state laws related to health insurance by mandating the continuation of subsidy programs tailored for young adults. This legislative change will enhance the ability of young adults to secure health coverage, potentially reducing the number of individuals without insurance in this demographic. By establishing a framework for ongoing subsidies, the bill seeks to alleviate financial burdens associated with health insurance premiums, which have been a barrier for many young adults entering the insurance market. Furthermore, the bill's impact is expected to resonate in the individual health insurance marketplace by possibly stabilizing rates due to an influx of insured individuals.

Summary

Senate Bill 5, also known as the Maryland Health Benefit Exchange – State-Based Young Adult Health Insurance Subsidies Program, aims to provide financial assistance to young adults aged 18 to 41 for the purchase of health benefits in the individual market. The bill repeals the sunset provision on the existing pilot program, allowing it to continue beyond its initial intended termination. Specifically, it enables the Maryland Health Benefit Exchange to offer subsidies that cover a percentage of insurance costs, particularly for those with incomes between 133% and 400% of the federal poverty level. This legislation promotes increased access to affordable health insurance for young adults who may otherwise struggle to find coverage that fits their financial circumstances.

Sentiment

The overall sentiment surrounding SB5 appears to be supportive, especially among advocates for healthcare accessibility and those representing young adult interests. Proponents argue that the bill represents a significant step toward addressing disparities in health insurance access, particularly for younger individuals who are typically less likely to have employer-sponsored health plans. However, there may be some contention regarding the dependency on state funds to maintain the program over time, raising concerns among opponents about budget allocations and prioritization of resources in the face of other state needs. Nonetheless, support for the bill underscores the importance of fostering a healthier population through access to adequate healthcare coverage.

Contention

SB5 highlights notable points of contention surrounding funding mechanisms for the program and the sustainability of subsidies over the long term. While advocates praise the financial assistance for making health insurance more attainable, critics may raise questions about the fiscal responsibility and long-term viability of continuing such programs. Additionally, the decision-making power granted to the Maryland Health Benefit Exchange in establishing regulations and subsidy parameters may lead to debates over how effectively these subsidies can be administered in meeting the needs of young adults. Overall, ensuring a robust framework and sufficient funding will be critical components of the program's success.

Companion Bills

MD HB297

Crossfiled Maryland Health Benefit Exchange - State-Based Young Adult Health Insurance Subsidies Pilot Program - Sunset Repeal

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