Maryland 2025 Regular Session

Maryland Senate Bill SB981

Introduced
2/3/25  
Refer
2/3/25  
Report Pass
3/10/25  
Engrossed
3/12/25  
Refer
3/13/25  
Report Pass
3/31/25  
Report Pass
3/28/25  

Caption

Hospitals - Financial Assistance and Collection of Debts - Policies

Impact

If enacted, SB981 would modify state laws governing how hospitals assess and collect medical debt. Hospitals would be obligated to establish comprehensive financial assistance policies that offer free or reduced-cost care to patients based on income thresholds relative to the federal poverty level. The bill also emphasizes the need for hospitals to actively inform patients of their rights regarding financial assistance and the processes to appeal denials of care assistance. These changes are expected to alleviate the financial burden on low-income patients while ensuring hospitals operate within more structured guidelines.

Summary

Senate Bill 981 aims to reform the financial assistance and debt collection practices of hospitals in Maryland. The bill introduces significant changes regarding how hospitals handle medical debt, focusing on improving the transparency of policies and protecting patients from aggressive collection practices. Key provisions include a prohibition on filing civil actions to collect debts under certain conditions, such as if the outstanding debt is below $500 or within 240 days of the initial bill. Additionally, hospitals are required to provide detailed information about financial assistance programs, thus promoting patient awareness and access to reduced-cost care.

Sentiment

The sentiment surrounding SB981 is generally supportive among consumer protection advocates and patient rights groups who argue that the bill is a crucial step towards preventing excessive financial hardships associated with medical bills. However, some hospital administrators may express concerns about additional compliance requirements, fearing that they may impact hospital revenues. Overall, the discussions reflected a shared understanding of the need for reform in hospital billing practices to address mounting medical debt issues faced by patients.

Contention

Despite its positive outlook, SB981 has faced a level of contention regarding the feasibility of its implementation. Opponents have raised concerns about the financial implications for hospitals, particularly smaller facilities that may struggle to absorb the costs associated with the mandated changes. Additionally, questions regarding the definition of 'financial hardship' and whether hospitals can maintain fiscal stability while adhering to the new guidelines remain prominent among critics of the bill. The ongoing debate highlights the delicate balance between protecting patients from financial distress and ensuring hospitals can sustain their operations.

Companion Bills

MD HB268

Crossfiled Hospitals - Financial Assistance and Collection of Debts - Policies

Similar Bills

MD HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

MD HB765

Hospitals - Medical Debt Collection - Sale of Patient Debt

MD HB1324

Hospitals - Medical Debt Collection - Sale of Patient Debt to Nonprofit Organizations

MD HB405

Prince George's County - Hospitals - Sale of Patient Debt PG 402-25

MD SB614

Consumer Protection - Credit Reporting - Medical Debt (Fair Medical Debt Reporting Act)

MD HB1020

Consumer Protection - Credit Reporting - Medical Debt (Fair Medical Debt Reporting Act)

OR SB605

Relating to medical debt reporting.

MA H1144

To protect health care consumers from surprise billing