Bill > HB1603

This bill establishes new regulations for vision benefits, vision benefit plans, and vision benefit discount plans, which are defined as arrangements offering discounts on vision care services or materials. A "vision benefit manager" is defined as an entity that handles premiums or has discretionary authority over claims for an insurer or vision benefit plan. The bill mandates that insurers and vision benefit managers must provide comprehensive transparency information on their websites and in communications, including details about their legal structure, addresses, regulatory oversight, and any past litigation or formal complaints. They are also required to maintain accessible communication channels for participating eye care providers, such as phone numbers and email addresses, with specific response time requirements for inquiries. Contracts between insurers or vision benefit managers and eye care providers must include detailed fee schedules, specify reimbursement timelines, and cannot prohibit providers from negotiating fees or using their preferred suppliers. The bill also prohibits certain practices, such as requiring providers to accept virtual credit card payments, controlling professional judgment, or misrepresenting benefits, and it ensures that optometrists receive the same reimbursement as physicians for comparable services. Furthermore, it outlines a clear process for provider credentialing and appeals, and requires at least 90 days' notice for any changes to provider agreements.

Government Affairs

https://mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1603?ys=2026RS