# Maryland HB 0974: Health Insurance - Preventive Services - High Deductible Health Plans and Enforcement Authority

Maryland HB 0974, Health Insurance - Preventive Services - High Deductible Health Plans and Enforcement Authority, is a 2025 Regular Session House bill sponsored by Emily Shetty (Democratic); status signed, last action 2025-05-20 (Approved by the Governor - Chapter 745); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/MD-HB0974-2025RS
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland HB 0974
- State: Maryland
- Session: 2025 Regular Session
- Title: Health Insurance - Preventive Services - High Deductible Health Plans and Enforcement Authority
- Status: signed
- Chamber: House
- Introduced: 2025-01-31
- Last action: 2025-05-20, Approved by the Governor - Chapter 745
- Sponsor: Emily Shetty (Democratic)
- Cosponsors: 21
- Subjects: Health - Insurance, Federal Government, Health Insurance -see also- ACA; HMOs; MCOs, Insurance Administration, Intergovernmental Cooperation -see also- AdmAgn; Cmts; etc., Rules and Regulations, Standards and Best Practices
- Touches household money: yes
- Roll calls: 3 (238 yes, 80 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- High-deductible patients may pay for prevention: cost, medium. Beginning June 1, 2025, carriers may apply a high-deductible plan’s deductible to the preventive care covered by this law. This applies to plans meeting the federal definition in 26 U.S.C. § 223(c)(2). Carriers cannot use this exception when Maryland’s Insurance Commissioner determines the coverage…
- No-cost preventive care with network limits: mixed, medium. Beginning June 1, 2025, Maryland carriers must cover specified preventive care without copays, coinsurance, or deductibles, subject to exceptions. This covers services rated A or B by the U.S. Preventive Services Task Force for the person receiving care. It also covers routine vaccines recommended…

## Sponsors and cosponsors

- Sponsor: Emily Shetty (Democratic), House
- Cosponsor: Tiffany T. Alston (Democratic), House
- Cosponsor: Heather Bagnall (Democratic), House
- Cosponsor: Harry Bhandari (Democratic), House
- Cosponsor: Bonnie Cullison (Democratic), House
- Cosponsor: Dana Jones (Democratic), House
- Cosponsor: Pam Lanman Guzzone (Democratic), House
- Cosponsor: Terri L. Hill (Democratic), House
- Cosponsor: Anne R. Kaiser (Democratic), House
- Cosponsor: Aaron M. Kaufman (Democratic), House
- Cosponsor: Kenneth Kerr (Democratic), House
- Cosponsor: Lesley J. Lopez (Democratic), House
- Cosponsor: Ashanti Martinez (Democratic), House
- Cosponsor: Joseline A. Peña-Melnyk (Democratic), House
- Cosponsor: Samuel I. Rosenberg (Democratic), House
- Cosponsor: Kim Ross (Democratic), House
- Cosponsor: Steve Johnson (Democratic), House
- Cosponsor: Jared Solomon (Democratic), House
- Cosponsor: Deni Taveras (Democratic), House
- Cosponsor: Jennifer White Holland (Democratic), House
- Cosponsor: Jamila J. Woods (Democratic), House
- Cosponsor: Teresa Woorman (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-07 | House | Third Reading Passed | pass | 100 | 37 | 3 |
| 2025-04-04 | Senate | Third Reading Passed | pass | 37 | 5 | 1 |
| 2025-03-11 | House | Third Reading Passed | pass | 101 | 38 |   |

## Actions (16)

- 2025-05-20: Approved by the Governor - Chapter 745
- 2025-04-07: Passed Enrolled (House)
- 2025-04-07: Third Reading Passed (100-37) (House)
- 2025-04-07: House Concurs Senate Amendments (House)
- 2025-04-04: Third Reading Passed (37-5) (Senate)
- 2025-04-04: Second Reading Passed with Amendments (Senate)
- 2025-04-04: Favorable with Amendments {603620/1 Adopted (Senate)
- 2025-04-04: Favorable with Amendments Report by Finance (Senate)
- 2025-03-20: Hearing 3/27 at 1:00 p.m. (Senate)
- 2025-03-12: Referred Finance (Senate)
- 2025-03-11: Third Reading Passed (101-38) (House)
- 2025-03-11: Second Reading Passed with Amendments (House)
- 2025-03-11: Favorable with Amendments {943925/1 Adopted (House)
- 2025-03-10: Favorable with Amendments Report by Health and Government Operations (House)
- 2025-02-03: Hearing 2/20 at 1:00 p.m. (House)
- 2025-01-31: First Reading Health and Government Operations (House)

## Bill text

- Enacted, 2025-05-20: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_745_hb0974e.pdf)
- Enrolled, 2025-04-07: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974e.pdf)
- Third Reading, 2025-03-11: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974t.pdf)
- First Reading, 2025-01-31: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974f.pdf)

## Related bills

- HB 0384: Maryland Disability Service Animal Program - Established (vetoed)
- SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions (vetoed)
- HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination Review Process (vetoed)
- SB 0157: Maryland Disability Service Animal Program - Established (vetoed)
- HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization (became law)
- HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard (signed)

## Sources
- [Enacted (PDF)](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_745_hb0974e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0974f.pdf)

## Related
- [HB 0384: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-HB0384-2025RS)
- [SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions](https://policyrisk.com/state-bill/MD-SB0227-2025RS)
- [HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination…](https://policyrisk.com/state-bill/MD-HB0482-2025RS)
- [SB 0157: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-SB0157-2025RS)
- [HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization](https://policyrisk.com/state-bill/MD-HB1294-2025RS)
- [HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard](https://policyrisk.com/state-bill/MD-HB0228-2025RS)
- [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-HB0974-2025RS (as of 2026-10-17).
