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MD HB367

MD HB367
Health Insurance - Physical Therapy - Copayments, Coinsurance, and Deductibles


summary

Introduced
01/19/2026
In Committee
01/19/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Prohibiting insurers, nonprofit health service plans, and health maintenance organizations from imposing a copayment, coinsurance, or deductible for covered physical therapy services that is greater than the copayment, coinsurance, or deductible imposed for an annual physical or wellness visit under the same plan or contract.

AI Summary

This bill, effective January 1, 2027, prohibits insurers, nonprofit health service plans, and health maintenance organizations (HMOs) in Maryland from charging patients more for covered physical therapy services than they would charge for an annual physical or wellness visit under the same health insurance plan or contract. This means that the out-of-pocket costs for physical therapy, such as copayments (a fixed amount paid for a service), coinsurance (a percentage of the cost paid by the patient), and deductibles (the amount paid before insurance coverage begins), cannot be higher than those for a routine check-up. The bill defines "physical therapy services" as those provided by a licensed physical therapist within their scope of practice and applies to various types of health insurance policies and HMO contracts issued or delivered in the state, requiring these entities to clearly outline coverage details for physical therapy in their plans.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

House Health Hearing (13:45:00 2/5/2026 ) (on 02/05/2026)

bill text


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