MarylandSB 01342026 Regular SessionSenateWALLET

Medicare Supplement Policies - Issuance - Requirements

Sponsored By: Sponsor information unavailable

Signed by Governor

Health - InsuranceApplicants and ApplicationsEvidenceHealth -see also- COVID19; EnvHlth; MedCon; etc.Health Insurance -see also- ACA; HMOs; MCOsMedical AssistancePublic Benefits -see also- Housing; MedAsst; SupplNutrAsstPTermination of ServicesTime

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 0 costs, 1 mixed.

Medigap rights after Medicaid or coverage changes

Beginning July 1, 2026, if you had Medicare Part B while on Maryland Medical Assistance for at least 6 months, you can get a Medigap plan after Medicaid ends. You must apply within 63 days of your Medicaid end date or notice and include proof. Also, if you became Medicare‑eligible before January 1, 2020 and have a federal special enrollment guaranteed‑issue right, any Medigap plan open to new enrollees must be issued to you. You must apply within 63 days of that qualifying event and include proof.

Six month Medigap protection for new seniors

Beginning July 1, 2026, if you are 65 or older and just enrolled in Medicare Part B, you get a 6‑month Medigap guaranteed‑issue window. During that time, an insurer cannot deny you, rate you up, or limit coverage because of your health, claims, or care history. These protections apply for applications filed in the 6 months that start with your first Part B month.

Medigap options and price cap under 65

Beginning July 1, 2026, if you are under 65 and on Medicare due to a disability, insurers must offer Medigap Plans A and D during the 6 months after you enroll in Part B, or 6 months after a retroactive enrollment notice. For these plans, insurers cannot deny you, limit coverage, or charge more because of your health or past care. For Plan A, your premium cannot be higher than the insurer’s average premium paid by people 65 and older for the same plan form. Insurers do not have to offer a plan to under‑65 enrollees if they do not offer that plan to age‑eligible enrollees.

Birthday-month Medigap switch with protections

Beginning July 1, 2026, in the 30 days after your birthday, your insurer must let you switch to a Medigap plan with equal or lesser benefits. The insurer cannot deny you, limit coverage, or charge more based on your health or past claims for these plans. You must get a notice of this right 30 to 60 days before your birthday. The Insurance Commissioner sets a benefits matrix to define which plans have equal or lesser benefits.

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Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 175 • No: 2

House vote 4/2/2026

Third Reading Passed

Yes: 131 • No: 2 • Other: 9

Senate vote 2/12/2026

Third Reading Passed

Yes: 44 • No: 0 • Other: 2

Actions Timeline

  1. Approved by the Governor - Chapter 140

    4/14/2026
  2. Returned Passed

    4/3/2026Senate
  3. Third Reading Passed (131-2)

    4/2/2026House
  4. Favorable Adopted Second Reading Passed

    4/1/2026House
  5. Favorable Report by Health

    4/1/2026House
  6. Hearing 3/26 at 2:00 p.m.

    3/25/2026House
  7. Hearing canceled

    3/25/2026House
  8. Hearing 3/26 at 1:00 p.m.

    3/17/2026House
  9. Referred Health

    2/13/2026House
  10. Third Reading Passed (44-0)

    2/12/2026Senate
  11. Second Reading Passed

    2/10/2026Senate
  12. Favorable Adopted

    2/10/2026Senate
  13. Favorable Report by Finance

    2/9/2026Senate
  14. Hearing 1/28 at 2:00 p.m.

    1/19/2026Senate
  15. First Reading Finance

    1/14/2026Senate
  16. Pre-filed

    9/16/2025Senate

Bill Text

  • Enacted

    4/14/2026

  • Third Reading

    2/10/2026

  • First Reading

    1/14/2026

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