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Bill > HB1351


MD HB1351

MD HB1351
Health Insurance - Provider Panels - Credentialing for Behavioral Health Care Professionals


summary

Introduced
02/07/2025
In Committee
04/04/2025
Crossed Over
03/17/2025
Passed
04/07/2025
Dead
Signed/Enacted/Adopted
05/20/2025

Introduced Session

2025 Regular Session

Bill Summary

Altering the providers of certain community-based health services that a carrier is prohibited from rejecting for participation on the carrier's provider panel; and altering the period of time in which certain carriers are required to accept or deny certain social workers, counselors, and psychology associates for participation on the carrier's provider panel to within 60 days after the date a carrier receives a completed application.

AI Summary

This bill modifies Maryland insurance law regarding the credentialing process for behavioral health care professionals seeking to join health insurance provider panels. Specifically, the bill prohibits carriers (health insurance companies) from rejecting certain behavioral health professionals who practice within their licensed scope, including licensed master social workers, licensed graduate alcohol and drug counselors, licensed graduate marriage and family therapists, licensed graduate professional counselors, and registered psychology associates. The bill changes the timeframe for carrier response to applications from certain behavioral health professionals, reducing the period from 120 days to 60 days for accepting or rejecting an application. Additionally, the bill maintains existing requirements that carriers provide written notice to providers about their application status and clarifies the process for incomplete or ongoing applications. The changes aim to streamline the credentialing process and ensure easier access to behavioral health professionals for patients by reducing administrative barriers. The bill is set to take effect on October 1, 2025, giving insurance carriers time to adjust their application and review processes.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (25)

Last Action

Approved by the Governor - Chapter 746 (on 05/20/2025)

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