# Maryland HB 0684: Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period Maryland HB 0684, Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period, is a 2026 Regular Session House bill sponsored by no sponsor on record; status signed, last action 2026-05-26 (Approved by the Governor - Chapter 651); PRIA reads it as touching household money (as of 2026-10-11). - Canonical: https://policyrisk.com/state-bill/MD-HB0684-2026RS - As of: 2026-10-11 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Maryland HB 0684 - State: Maryland - Session: 2026 Regular Session - Title: Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period - Status: signed - Chamber: House - Introduced: 2026-02-02 - Last action: 2026-05-26, Approved by the Governor - Chapter 651 - Sponsors: no sponsor on record - Cosponsors: 0 - Subjects: Health - Insurance, Claims, Complaints, Contracts -see also- Procurement, Electronic Communication, Fines -see also- Penalties and Sentences, Forms, Health Care Facilities -see also- Clinics; Hospices; etc, Health Insurance -see also- ACA; HMOs; MCOs, Health Occupations -see also- (specific health occupations), Hospitals -see also- Clinics; State Hospitals, Insurance Administration, Medical Treatments, Mental and Behavioral Health -see also- Aut; Cogn; Dev; etc., Notices, Reimbursements, Telephones, Termination of Services, Time - Touches household money: yes - Roll calls: 2 (173 yes, 7 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - 90-day continued care and clear notices: benefit, high. Beginning October 1, 2026, your plan must tell you when your primary care doctor leaves the network, and when a behavioral health provider who saw you in the last 3 months leaves. You can ask to keep seeing that provider for up to 90 days after the notice, unless the provider left for fraud, patien… - Special enrollment when your doctor leaves: benefit, high. Beginning October 1, 2026, if a provider you see on a regular basis is removed from your plan, you and your dependents get a 90-day special enrollment period. The window starts on the termination date, or the date you get the notice if you were not told before. You can change plans on or off the st… - Protections when insurer and hospital split: benefit, medium. Beginning October 1, 2026, carriers and health systems must give at least 90 days’ written notice before ending or not renewing a contract. For contracts entered into, renewed, amended, or continued on or after that date, if the contract ends, they must keep the contract’s payment terms and patient… - Stricter filings and fines for network cuts: benefit, medium. Beginning October 1, 2026, if losing a provider or facility would materially change a plan’s network, the carrier must notify the Insurance Commissioner at least 60 days before. The carrier must file an access-plan update within 5 business days after the termination takes effect and keep the Commis… ## Sponsors and cosponsors - (none) ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-13 | Senate | Third Reading Passed | pass | 47 | 0 | | | 2026-03-18 | House | Third Reading Passed | pass | 126 | 7 | 2 | ## Actions (18) - 2026-05-26: Approved by the Governor - Chapter 651 - 2026-04-13: Returned Passed (House) - 2026-04-13: Third Reading Passed (47-0) (Senate) - 2026-04-10: Second Reading Passed (Senate) - 2026-04-10: Favorable Adopted (Senate) - 2026-04-10: Favorable Report by Finance (Senate) - 2026-03-20: Hearing 3/25 at 1:00 p.m. (Senate) - 2026-03-19: Referred Finance (Senate) - 2026-03-18: Third Reading Passed (126-7) (House) - 2026-03-17: Second Reading Passed with Amendments (House) - 2026-03-17: Favorable with Amendments {193820/1 Adopted (House) - 2026-03-16: Favorable with Amendments Report by Health (House) - 2026-02-19: Hearing 2/19 at 1:30 p.m. (House) - 2026-02-19: Hearing canceled (House) - 2026-02-05: Hearing 2/19 at 1:00 p.m. (House) - 2026-02-05: Hearing canceled (House) - 2026-02-04: Hearing 2/12 at 1:00 p.m. (House) - 2026-02-02: First Reading Health (House) ## Bill text - Enacted, 2026-05-26: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_651_hb0684t.pdf) - Third Reading, 2026-03-17: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0684t.pdf) - First Reading, 2026-02-02: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0684f.pdf) ## Related bills - SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization (became law) - SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishment (became law) - SB 0244: Code Revision - Health - Maryland Medical Assistance Program (became law) - SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-1 Specialists Act) (became law) - SB 0016: Child Support - Earnings Withholdings Limits (became law) - HB 0529: Code Revision - Health - Maryland Medical Assistance Program (became law) ## Sources - [Enacted (PDF)](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_651_hb0684t.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0684t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0684f.pdf) ## Related - [SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - A…](https://policyrisk.com/state-bill/MD-SB0496-2026RS) - [SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishm…](https://policyrisk.com/state-bill/MD-SB0366-2026RS) - [SB 0244: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-SB0244-2026RS) - [SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-…](https://policyrisk.com/state-bill/MD-SB0148-2026RS) - [SB 0016: Child Support - Earnings Withholdings Limits](https://policyrisk.com/state-bill/MD-SB0016-2026RS) - [HB 0529: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-HB0529-2026RS) - [Maryland bills](https://policyrisk.com/states/maryland/bills) - [Maryland state hub](https://policyrisk.com/states/maryland) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MD-HB0684-2026RS (as of 2026-10-11).