Bill > HB684

This bill requires health insurance carriers to provide more robust notification to enrollees when a provider, including behavioral health providers, is terminated from their network, and expands the circumstances under which individuals can enroll in a health plan outside of the standard enrollment periods. Specifically, carriers must inform enrollees about the termination of their primary care provider and any behavioral health provider who has treated them within the last three months, and enrollees will have the right to continue receiving care from these providers for up to 90 days if the termination is not due to fraud or misconduct. The bill also mandates that carriers notify the Insurance Commissioner at least 60 days before a material change to their provider network, such as a significant number of provider terminations, and requires health systems and carriers to provide each other with 90 days' notice before terminating contracts, with a provision for continued adherence to contract terms for 90 days post-termination unless otherwise agreed. Furthermore, individuals whose provider is terminated from a health plan's network will be eligible for a special enrollment period to switch plans, and this period, along with the special enrollment period for pregnancy, will be open for 90 days and coverage will become effective on the first day of the month the termination or pregnancy was confirmed.

Health and Social Services

Health (House)

https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0684?ys=2026RS