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. *sb0094* SENATE BILL 94 J1 5lr1471 (PRE–FILED) CF HB 553 By: Senator Ellis Requested: October 29, 2024 Introduced and read first time: January 8, 2025 Assigned to: Finance Committee Report: Favorable with amendments Senate action: Adopted with floor amendments Read second time: February 7, 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 BY adding to 20 Article – Health – General 21 2 SENATE BILL 94 Section 15–103(a)(2)(xxv) and 15–141.6 1 Annotated Code of Maryland 2 (2023 Replacement Volume and 2024 Supplement) 3 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 4 That the Laws of Maryland read as follows: 5 Article – Health – General 6 15–101. 7 (h) “Program” means the Maryland Medical Assistance Program. 8 (j) “Self–measured blood pressure monitoring” means the regular measurement 9 of blood pressure by the patient outside the clinical setting, either at home or elsewhere, 10 requiring the use of a home blood pressure measurement device by the patient. 11 (l) “Validated home blood pressure monitor” means a blood pressure 12 measurement device that has been validated for accuracy and is listed in the U.S. Blood 13 Pressure Validated Device Listing. 14 15–103. 15 (a) (1) The Secretary shall administer the Maryland Medical Assistance 16 Program. 17 (2) The Program: 18 (xxiii) Beginning on July 1, 2025, shall provide, subject to the 19 limitations of the State budget, and as permitted by federal law, coverage for biomarker 20 testing in accordance with § 15–859 of the Insurance Article; [and] 21 (xxiv) Beginning on January 1, 2025, shall provide coverage for 22 prostheses in accordance with § 15–844 of the Insurance Article; AND 23 (XXV) BEGINNING ON JANUARY 1, 2026, SHALL PROVIDE , 24 SUBJECT TO THE LIMIT ATIONS OF THE STATE BUDGET , AND AS PERMITTED BY 25 FEDERAL LAW , COVERAGE FOR SELF –MEASURE D BLOOD PRESSURE MON ITORING 26 FOR ELIGIBLE PROGRAM RECIPIENTS IN ACCORDANCE WITH § 15–141.6 OF THIS 27 SUBTITLE. 28 15–141.6. 29 (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS 30 INDICATED. 31 SENATE BILL 94 3 (2) “ELIGIBLE PROGRAM, “ELIGIBLE PROGRAM RECIPIENT” MEANS 1 A PROGRAM RECIPIENT WHO : 2 (I) (1) IS PREGNANT; 3 (II) (2) IS POSTPARTUM ; OR 4 (III) (3) HAS BEEN DIAGNOSED WI TH: 5 1. (I) CHRONIC KIDNEY DISEAS E; 6 2. (II) DIABETES; 7 3. (III) HEART DISEASE; OR 8 4. (IV) A CARDIOMETABOLIC DISE ASE. 9 (3) “HEALTH CARE PROVIDER ” MEANS: 10 (I) A PERSON WHO IS LICENS ED, CERTIFIED, OR OTHERWISE 11 AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE HE ALTH 12 CARE IN THE ORDINARY COURSE OF BUSINESS O R PRACTICE OF A PROF ESSION, OR 13 IN AN APPROVED EDUCA TION OR TRAINING PROGRAM ; OR 14 (II) A COMMUNITY HEALTH WOR KER CERTIFIED UNDER TITLE 15 13, SUBTITLE 37 OF THIS ARTICLE. 16 (B) THE PROGRAM SHALL PROVIDE COVERAGE FOR SELF –MEASURED 17 BLOOD PRESSURE MONIT ORING FOR ALL ELIGIB LE PROGRAM RECIPIENTS , 18 INCLUDING: 19 (1) THE PROVISION OF VALI DATED HOME BLOOD PRE SSURE 20 MONITORS; AND 21 (2) REIMBURSEMENT OF HEAL TH CARE PROVIDER AND OTHER STAFF 22 TIME USED FOR PATIEN T TRAINING, TRANSMISSION OF BLOO D PRESSURE DATA , 23 INTERPRETATION OF BL OOD PRESSURE READING S AND REPORTING , REMOTE 24 PATIENT MONITORING , AND THE DELIVERY OF CO–INTERVENTIONS , INCLUDING 25 EDUCATIONAL MATERIAL S OR CLASSES. 26 (C) THE PROGRAM SHALL DEVELOP AND IMPLEMENT AN EDU CATION 27 CAMPAIGN TO INFORM E LIGIBLE PROGRAM RECIPIENTS AN D HEALTH CARE 28 PROVIDERS ABOUT THE BENEFITS AN D USAGE OF BLOOD PRE SSURE MONITORING 29 4 SENATE BILL 94 TECHNOLOGY AND THE A VAILABILITY OF ASSIS TANCE WITH SETUP AND 1 TROUBLESHOOTING . 2 (D) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2027, THE 3 DEPARTMENT SHALL SUBM IT A REPORT TO THE SENATE FINANCE COMMITTEE AND 4 THE HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN 5 ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THAT 6 INCLUDES: 7 (1) THE TOTAL NUMBER OF E LIGIBLE PROGRAM RECIPIENTS WH O 8 RECEIVED BLOOD PRESS URE MONITORS UNDER T HIS SECTION DURING T HE 9 IMMEDIATELY PRECEDING 12–MONTH PERIOD ; 10 (2) THE OUTCOMES ASSOCIAT ED WITH THE USE OF T HE HOME BLOOD 11 PRESSURE MONITORS UN DER THIS SECTION ; AND 12 (3) ANY COST SAVINGS ACHI EVED BY THE PROGRAM DURING THE 13 IMMEDIATELY PRECEDIN G FISCAL YEAR ASSOCI ATED WITH THE USE OF THE HOME 14 BLOOD PRESSURE MONIT ORS DISTRIBUTED IN A CCORDANCE WITH THIS SECTION. 15 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 16 1, 2025. 17 Approved: ________________________________________________________________________________ Governor. ________________________________________________________________________________ President of the Senate. ________________________________________________________________________________ Speaker of the House of Delegates.