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MD HB665

MD HB665
Maryland Medical Assistance Program and Health Insurance - Annual Behavioral Health Wellness Visits - Coverage and Reimbursement


summary

Introduced
01/24/2025
In Committee
01/24/2025
Crossed Over
Passed
Dead
04/08/2025

Introduced Session

2025 Regular Session

Bill Summary

Requiring the Maryland Medical Assistance Program and certain health insurers, nonprofit health service plans, and health maintenance organizations, beginning on July 1, 2026, to provide coverage and certain reimbursement for annual behavioral health wellness visits; and applying the Act to all policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after January 1, 2026.

AI Summary

This bill requires the Maryland Medical Assistance Program and certain health insurers, health service plans, and health maintenance organizations to provide coverage for annual behavioral health wellness visits starting July 1, 2026. A behavioral health wellness visit is defined as a clinical encounter where a licensed health care practitioner assesses whether a patient meets criteria for a psychiatric or substance use disorder. The bill mandates that these entities must provide coverage for such visits, regardless of whether a behavioral health diagnosis is made, and must reimburse these visits at the same rate and on the same basis as visits resulting in a diagnosis. The legislation applies to all health insurance policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland on or after January 1, 2026. This bill aims to improve access to preventive mental health screenings by ensuring that patients can receive an annual behavioral health assessment without additional financial barriers, potentially helping to identify mental health concerns earlier and more consistently.

Committee Categories

Health and Social Services

Sponsors (21)

Last Action

House Health and Government Operations Hearing (13:00:00 2/6/2025 ) (on 02/06/2025)

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