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Bill > HB1126


MD HB1126

MD HB1126
Health Insurance and Managed Care Organizations - Laboratory Services - Contract Providers


summary

Introduced
02/11/2026
In Committee
02/11/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

Prohibiting certain carriers and managed care organizations from prohibiting an enrollee from selecting, or limiting the ability of an enrollee to select, a laboratory; prohibiting certain carriers and managed care organizations from denying a laboratory the right to participate in the health benefit plan if the laboratory agrees to comply with certain terms; and prohibiting certain carriers and managed care organizations from imposing additional copayments, fees, or conditions for laboratory services provided to an enrollee.

AI Summary

This bill, effective October 1, 2026, aims to protect patients' choices and access to laboratory services within health benefit plans. It prohibits health insurance carriers and managed care organizations, which are entities that manage healthcare services for enrollees, from preventing individuals from choosing their preferred laboratory for services, as long as that laboratory is a contract provider within the plan. Furthermore, it prevents these organizations from denying a laboratory the opportunity to join their network if the laboratory agrees to meet the plan's terms and reimbursement rates. Finally, the bill prevents carriers and managed care organizations from charging enrollees extra copayments, fees, or imposing other conditions for laboratory services received from a contracted provider that are not applied to all other enrollees for the same service.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

House Health Hearing (13:00:00 3/19/2026 ) (on 03/19/2026)

bill text


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