Bill > HB1301

This bill introduces new regulations regarding transfers to special pediatric hospitals in Maryland, specifically prohibiting the Maryland Medical Assistance Program, Maryland Children's Health Program, managed care organizations, health insurers, nonprofit health service plans, and health maintenance organizations from requiring prior authorization for transfers to these specialized facilities. A "special pediatric hospital" is defined as a facility in Maryland that provides non-acute medical, rehabilitation, therapy, and palliative services to individuals under 22 years old, or individuals between 2 and 23 years old with co-occurring physical and behavioral health conditions. The bill mandates that beginning January 1, 2026, these entities cannot require prior authorization for transferring a patient to a special pediatric hospital, and it will apply to all health insurance policies, contracts, and health benefit plans issued, delivered, or renewed in the state on or after that date. The legislation aims to streamline and facilitate access to specialized pediatric healthcare services by removing administrative barriers to patient transfers.

Budget and Finance, Health and Social Services

https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1301?ys=2025RS