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MD HB684

MD HB684
Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period


summary

Introduced
02/02/2026
In Committee
04/10/2026
Crossed Over
03/18/2026
Passed
05/26/2026
Dead
Signed/Enacted/Adopted
05/26/2026

Introduced Session

2026 Regular Session

Bill Summary

Requiring certain health systems to comply with certain insurance provisions regarding notice of termination of contracts; altering the notification requirements a carrier is required to provide an enrollee regarding changes to the carrier's provider panel; altering the notice requirements a carrier is required to provide to the Insurance Commissioner for certain material changes to the carrier's provider panel; requiring certain notice if a carrier and health system intend to terminate certain contracts; etc.

AI Summary

This bill requires health insurance carriers to provide more comprehensive notice to enrollees when a provider, including behavioral health providers, is terminated from their network, allowing for continued care for up to 90 days under certain circumstances and requiring the use of a uniform form for such requests. It also mandates that carriers notify the Insurance Commissioner at least 60 days before a material change to their provider network that results from a provider or facility termination, and to update their access plans within 5 business days of the termination's effective date, with potential fines for non-compliance. Additionally, the bill extends the requirement for carriers and health systems to adhere to contract terms, including payment rates and patient balance billing protections, for 90 days after a contract termination or non-renewal, and establishes a special enrollment period for individuals whose treating provider is terminated from their health plan's network, allowing them to enroll in a new plan within 90 days of the termination or notice of termination.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (0)

No sponsors listed

Other Sponsors (1)

Health (House)

Last Action

Approved by the Governor - Chapter 651 (on 05/26/2026)

Bill Topics

Banking, Finance, and Domestic Commerce
  • ‐ Insurance Regulation
Health
  • ‐ Health Insurance Reform

bill text


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