Bill > HB1292

This bill modifies Maryland's health insurance provider directory requirements to improve accuracy and accessibility. The bill renames "network directory" to "provider directory" to align with federal terminology and mandates that carriers update their online provider directories within 2 working days (except for dental carriers, who have 15 working days) after receiving notification of changes. The legislation requires carriers to include specific details in their provider directories, such as provider names, specialties, patient acceptance status, office locations, contact information, gender, and spoken languages. Carriers must now notify enrollees about how to access this directory information and periodically review the directory's accuracy. Additionally, printed provider directories must include a statement about the information's accuracy and directing users to the online version or carrier contact for the most current information. The bill also requires carriers to demonstrate efforts to obtain and update provider information, including contacting providers who haven't submitted claims in six months. By January 1, 2026, the Insurance Commissioner must report on any regulatory changes related to provider directory accuracy. These changes aim to ensure that patients have access to up-to-date and reliable information about healthcare providers.

Budget and Finance, Health and Social Services

https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1292?ys=2025RS