Maryland 2025 Regular Session

Maryland Senate Bill SB987 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	sb0987
6	6
7	7	SENATE BILL 987
8	8	J1, J5, S1 5lr2205
9	9
10	10	By: Senator Lam
11	11	Introduced and read first time: January 28, 2025
12	12	Assigned to: Finance
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Artificial Intelligence – Health Software and Health Insurance Decision Making 2
19	19
20	20	FOR the purpose of requiring the Maryland Health Care Commission to maintain a registry 3
21	21	of artificial intelligence health software that may be distributed or operated in the 4
22	22	State; prohibiting a person from distributing or operating artificial intelligence 5
23	23	health software unless the software is registered with the Commission; prohibiting 6
24	24	a health insurance carrier from using artificial intelligence to decide or directly 7
25	25	influence a health care decision or a decision directly related to health care; and 8
26	26	generally relating to artificial intelligence in health care. 9
27	27
28	28	BY repealing and reenacting, without amendments, 10
29	29	Article – Health – General 11
30	30	Section 19–101 12
31	31	Annotated Code of Maryland 13
32	32	(2023 Replacement Volume and 2024 Supplement) 14
33	33
34	34	BY adding to 15
35	35	Article – Health – General 16
36	36	Section 19–150 to be under the new part “Part VI. Artificial Intelligence Health 17
37	37	Software” 18
38	38	Annotated Code of Maryland 19
39	39	(2023 Replacement Volume and 2024 Supplement) 20
40	40
41	41	BY adding to 21
42	42	Article – Insurance 22
43	43	Section 15–147 23
44	44	Annotated Code of Maryland 24
45	45	(2017 Replacement Volume and 2024 Supplement) 25
46	46
47	47	BY repealing and reenacting, without amendments, 26
48	48	Article – State Finance and Procurement 27 2 SENATE BILL 987
49	49
50	50
51	51	Section 3.5–801(a) and (c) 1
52	52	Annotated Code of Maryland 2
53	53	(2021 Replacement Volume and 2024 Supplement) 3
54	54
55	55	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 4
56	56	That the Laws of Maryland read as follows: 5
57	57
58	58	Article – Health – General 6
59	59
60	60	19–101. 7
61	61
62	62	In this subtitle, “Commission” means the Maryland Health Care Commission. 8
63	63
64	64	PART VI. ARTIFICIAL INTELLIGENCE HEALTH SOFTWARE. 9
65	65
66	66	19–150. 10
67	67
68	68	(A) THE COMMISSION SHALL MAINTAIN A REGISTRY OF ARTIFICIAL 11
69	69	INTELLIGENCE HEALTH SOFTWARE THAT MAY BE DISTRIBUTED OR OPERA TED IN 12
70	70	THE STATE. 13
71	71
72	72	(B) A PERSON MAY NOT DISTR IBUTE OR OPERATE ART IFICIAL 14
73	73	INTELLIGENCE HEALTH SOFTWARE IN THE STATE UNLESS THE SOFTWARE IS 15
74	74	REGISTERED WITH THE COMMISSION. 16
75	75
76	76	(C) THE COMMISSION SHALL ADOP T REGULATIONS THAT: 17
77	77
78	78	(1) DEFINE ARTIFICIAL INT ELLIGENCE HEALTH SOF TWARE; 18
79	79
80	80	(2) DETERMINE THE INFORMATION ABOUT AR TIFICIAL 19
81	81	INTELLIGENCE HEALTH SOFTWARE TO BE COLLECTED FOR THE REGISTRY; AND 20
82	82
83	83	(3) SET A REGISTRATION DEADLINE FOR WHEN TH E COMMISSION 21
84	84	WILL BEGIN TO ISSUE FINES TO A PERSON THAT DISTRIBUTES OR OPERATE S 22
85	85	UNREGISTERED ARTIFIC IAL INTELLIGENCE HEA LTH SOFTWARE IN THE STATE. 23
86	86
87	87	(D) (1) IF A PERSON DISTRIBUT ES OR OPERATES UNREGISTERED 24
88	88	ARTIFICIAL INTELLIGE NCE HEALTH SOFTWARE IN THE STATE, THE COMMISSION 25
89	89	MAY FINE THE PERSON UP TO $10,000 FOR EACH DAY THE VIOLATION OCCURRED. 26
90	90
91	91	(2) THE AMOUNT OF THE FINE IMPOSED BY THE COMMISSION UNDER 27
92	92	PARAGRAPH (1) OF THIS SUBSECTION SHALL BE BASED ON : 28
93	93	SENATE BILL 987 3
94	94
95	95
96	96	(I) THE EXTENT OF ACTUAL OR POTENTIAL HARM RELATED TO 1
97	97	THE VIOLATION; 2
98	98
99	99	(II) THE COST OF INVESTIGA TING THE VIOLATION ; AND 3
100	100
101	101	(III) WHETHER THE PERSON CO MMITTED PREVIOUS 4
102	102	VIOLATIONS OF THIS SECTION. 5
103	103
104	104	Article – Insurance 6
105	105
106	106	15–147. 7
107	107
108	108	(A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS 8
109	109	INDICATED. 9
110	110
111	111	(2) “ARTIFICIAL INTELLIGEN CE” HAS THE MEANING STAT ED IN § 10
112	112	3.5–801 OF THE STATE FINANCE AND PROCUREMENT ARTICLE. 11
113	113
114	114	(3) “CARRIER” MEANS: 12
115	115
116	116	(I) AN INSURER; 13
117	117
118	118	(II) A NONPROFIT HEALTH S ERVICE PLAN; 14
119	119
120	120	(III) A HEALTH MAINTENANCE ORGANIZATION ; 15
121	121
122	122	(IV) A DENTAL PLAN ORGANI ZATION; OR 16
123	123
124	124	(V) ANY OTHER PERSON THA T PROVIDES HEALTH BENEFIT 17
125	125	PLANS SUBJECT TO REG ULATION BY THE STATE. 18
126	126
127	127	(B) A CARRIER MAY NOT USE ARTIF ICIAL INTELLIGENCE TO DECIDE OR 19
128	128	DIRECTLY INFLUENCE A HEALTH CARE DECISION OR A DECISION DIRECTLY 20
129	129	RELATED TO HEALTH CARE . 21
130	130
131	131	(C) THIS SECTION MAY NOT BE CONSTRUED TO PROH IBIT A CARRIER FROM 22
132	132	USING ARTIFICIAL INT ELLIGENCE TO PERFORM TASKS OR MAKE DECISI ONS THAT 23
133	133	ARE NOT RELATED TO HEALTH CARE . 24
134	134
135	135	Article – State Finance and Procurement 25
136	136
137	137	3.5–801. 26
138	138
139	139	(a) In this subtitle the following words have the meanings indicated. 27 4 SENATE BILL 987
140	140
141	141
142	142
143	143	(c) “Artificial intelligence” means a machine–based system that: 1
144	144
145	145	(1) can, for a given set of human–defined objectives, make predictions, 2
146	146	recommendations, or decisions influencing real or virtual environments; 3
147	147
148	148	(2) uses machine and human–based inputs to perceive real and virtual 4
149	149	environments and abstracts those perceptions into models through analysis in an 5
150	150	automated manner; and 6
151	151
152	152	(3) uses model inference to formulate options for information or action. 7
153	153
154	154	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 8
155	155	October 1, 2025. 9