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Below is the relevant legislation related to parity that has been introduced during the current or recently adjourned legislative session. State parity legislation passed in any state since 2008 is usually designed to increase compliance with the federal law and to strengthen state laws.

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Introduced Legislation

Regular Session: Adjourned 4/8/2019
Governor’s deadline: 5/28/2019


Primary Focus: General: Parity
Title/Description: MH/SUD Coverage Requirements for Short Term Limited Duration Insurance
Citation: S28
Introduced: 11-15-2018
Sponsor: Finance Committee by request of the Maryland Insurance Administration
Status: Signed by the Governor 4/18/2019
Summary: This bill amends the Annotated Code of Maryland §15-802 to include in the definition of a “health benefit plan” short term limited duration insurance for the purposes of coverage requirements for the diagnosis and treatment of MH and SUD.
Notes: None


Primary Focus: Compliance: Reporting Requirement; Enforcement; Medical Management Limitation
Title/Description: Coverage for Mental Health Benefits and Substance Use Disorder Benefits – Requirements and Reports
Citation: HB 599 / SB 631
Introduced: 2/6/2019; 2/4/2019
Sponsor: Del. Kelly (D)
Status: Signed by the Governor 4/30/2019
Summary: HB 599 and SB 631 amends section 15-802 by adding a new subsection to require insurers, nonprofit health service plans, or health maintenance organizations to use ASAM criteria for medical necessity and utilization management determinations for substance use disorder benefit claims.
Notes: N/A


HB 1212
Introduced: 2/2017 (pre-filed)
Bill Sponsor: Del. Frick
Status: Included in HB 1329/SB 967 (signed into law)
Summary: This bill tried to add a new section to the state insurance code that requires individual and group health plans to cover at least one opioid overdose reversal medication that does not require prior authorization. The exact same language in this bill is included in HB 1329/SB 967, which was signed into law.


SB 89
Introduced: 10/2015 (pre-filed)
Bill Sponsor: Finance Committee Chair
Status: Withdrawn 1/2016
Summary: This bill tried to change a section of the state Medicaid law so that substance use disorder treatment would no longer be covered by managed care organizations that cover medical care and primary mental health care but instead be covered by the payment system that covers specialty mental health care for Medicaid enrollees.
HB 579/SB 858
Introduced: 2/2016 (pre-filed)
Bill Sponsor: Dels. Rosenberg, Angel, Bromwell, Cullison, Hill, Kelly, Morhaim, Oaks, Pena-Melnyk, Pendergrass, Sample-Hughes, West, K. Young and Sen. Kelley
Status: Withdrawn 3/2016
Summary: This bill tried to require the Governor to appropriate funding for the 2018 budget and subsequent years to provide wraparound mental health services for children who were not eligible for such services under the 1915(i) Medicaid waiver program or for children who were receiving wraparound services under that program but were at risk for losing access to the services.


HB 534
Introduced: 2/2015
Bill Sponsor: Del. Morhaim
Status: Withdrawn 2/2015
Summary: This bill tried to prohibit certain health insurers from making consumers with behavioral health conditions pay different copayments , deductibles , or coinsurance requirements for brand-name medication than what are in place for generic medications . Insurers would have been required to cover brand name prescription medication for mental illness if a similar generic medication has been ineffective or harmful to the person taking it.
HB 975/SB 430
Introduced: 2/2015
Bill Sponsor: Del. Haynes et al. and Sen. Klausmeier
Status: Withdrawn 4/2015
Summary: This bill would have made delivery of the Maryland Medical Assistance Program line up with the Federal Parity Law and Maryland parity laws. The bill would have required the Department of Health and Mental Hygiene to use certain standards in determining compliance with the law. The bill would have required the Department of Health and Mental Hygiene to use certain criteria in determining medical necessity for substance use disorder services.
HB 1010/SB 586
Introduced: 2/2015
Bill Sponsor: Del. Kelly and Sen. Middleton
Status: Withdrawn 4/2015
Summary: This bill would have required insurance plans to submit a report to the Maryland Insurance Commissioner certifying and outlining how certain plans comply with The Federal Parity Law and the state parity law. The report would have needed to include information on compliance with parity laws. The report would have been public record. The bill would have established penalties for certain violations.


HB 1001/SB 585
Introduced: 2/2013
Bill Sponsor: Del. Hammen and Sen. Middleton
Status: Dead 3/2013
Summary: This bill would have required insurers to submit to the Maryland Insurance Commissioner a yearly report outlining how the insurance plans they offer comply with the state parity law and Federal Parity Law . These reports would have included a list of covered and excluded behavioral health benefits as well as how any quantitative treatment limitations or non-quantitative treatment limitations are the same for behavioral health and other treatments.


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Common Violations

In seeking care or services, be aware of the common ways parity rights can be violated.

Common Violations


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