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Bill > HB1217


MD HB1217

MD HB1217
Maryland Medical Assistance Program and Health Insurance - Required Coverage for Biomarker Testing


summary

Introduced
02/10/2023
In Committee
03/30/2023
Crossed Over
03/20/2023
Passed
04/07/2023
Dead
Signed/Enacted/Adopted
05/03/2023

Introduced Session

2023 Regular Session

Bill Summary

AN ACT concerning Maryland Medical Assistance Program and Health Insurance - Required Coverage for Biomarker Testing FOR the purpose of requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for biomarker testing that is supported by medical and scientific evidence; establishing requirements for deductibles, copayments, coinsurance, and utilization review for biomarker testing; and generally relating to the coverage of biomarker testing by the Maryland Medical Assistance Program and health insurance carriers. BY adding to Article - Health - General Section 15-102.3(k) and 15-103(a)(2)(xxii) Annotated Code of Maryland (2019 Replacement Volume and 2022 Supplement) BY repealing and reenacting, without amendments, Article - Health - General Section 15-103(a)(1) Annotated Code of Maryland (2019 Replacement Volume and 2022 Supplement) BY repealing and reenacting, with amendments, Article - Health - General Section 15-103(a)(2)(xx) and (xxi) Annotated Code of Maryland (2019 Replacement Volume and 2022 Supplement) BY adding to Article - Insurance Section 15-859 Annotated Code of Maryland (2017 Replacement Volume and 2022 Supplement)

AI Summary

This bill requires the Maryland Medical Assistance Program and certain health insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for biomarker testing that is supported by medical and scientific evidence. Biomarker testing is the analysis of a patient's tissue, blood, or other biospecimen to obtain information that may be used to formulate a treatment or monitoring strategy. The bill establishes requirements for deductibles, copayments, coinsurance, and utilization review for biomarker testing. It also requires the Maryland Department of Health to report on the fiscal impact of this coverage on the Maryland Medical Assistance Program, and the Maryland Health Care Commission to report on the impact of providing access to biomarker testing across different demographics.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (26)

Last Action

Approved by the Governor - Chapter 323 (on 05/03/2023)

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