# Maryland HB 1045: Health Insurance, Family Planning Services, and Confidentiality of Medical Records - Consumer Protections - Updates Maryland HB 1045, Health Insurance, Family Planning Services, and Confidentiality of Medical Records - Consumer Protections - Updates, is a 2025 Regular Session House bill sponsored by Joseline A. Peña-Melnyk (Democratic); status signed, last action 2025-05-13 (Approved by the Governor - Chapter 469); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/MD-HB1045-2025RS - 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 1045 - State: Maryland - Session: 2025 Regular Session - Title: Health Insurance, Family Planning Services, and Confidentiality of Medical Records - Consumer Protections - Updates - Status: signed - Chamber: House - Introduced: 2025-02-05 - Last action: 2025-05-13, Approved by the Governor - Chapter 469 - Sponsor: Joseline A. Peña-Melnyk (Democratic) - Cosponsors: 17 - Subjects: Health - Insurance, Public Health, Civil Rights, Commission on, Consumer Protection, Discrimination, Federal Government, Gender -see also- Women, Health Insurance -see also- ACA; HMOs; MCOs, Insurance Administration, Medical Assistance, Medical Treatments, Pregnancy, Privacy, Records -see also- Land Records; Vital Records, Reproductive Matters -see also- Abortion; BrthCntr; Preg, Revenue and Taxes -see also- (specific tax), Rules and Regulations - Touches household money: yes - Roll calls: 2 (137 yes, 48 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Continued family planning care for Medicaid patients: benefit, low. Beginning June 1, 2025, Maryland’s Medical Assistance Program must support continued family planning care through qualifying providers. Providers must have received federal Title X funding on December 31, 2024. They must later have lost eligibility because of the services they offer or make referra… - Privacy protections cover more sensitive care: benefit, low. Beginning June 1, 2025, Maryland’s definition of sensitive health services includes gender-affirming care and reproductive health services other than abortion care. This brings qualifying care within laws governing disclosure of sensitive health information, including information about related medi… - Updated insurance protections and discrimination enforcement: benefit, low. Beginning June 1, 2025, Maryland updates its health insurance standards to reflect federal rules and guidance through December 31, 2024. These cover older grandfathered plans, essential benefits, prescription drugs, yearly patient cost limits, and coverage cancellations. They also cover benefit sum… ## Sponsors and cosponsors - Sponsor: Joseline A. Peña-Melnyk (Democratic), House - Cosponsor: Tiffany T. Alston (Democratic), House - Cosponsor: Heather Bagnall (Democratic), House - Cosponsor: Harry Bhandari (Democratic), House - Cosponsor: Bonnie Cullison (Democratic), House - Cosponsor: Pam Lanman Guzzone (Democratic), House - Cosponsor: Terri L. Hill (Democratic), House - Cosponsor: Anne R. Kaiser (Democratic), House - Cosponsor: Kenneth Kerr (Democratic), House - Cosponsor: Lesley J. Lopez (Democratic), House - Cosponsor: Ashanti Martinez (Democratic), House - Cosponsor: Samuel I. Rosenberg (Democratic), House - Cosponsor: Kim Ross (Democratic), House - Cosponsor: Steve Johnson (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 | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-02 | Senate | Third Reading Passed | pass | 35 | 11 | 1 | | 2025-03-12 | House | Third Reading Passed | pass | 102 | 37 | 2 | ## Actions (16) - 2025-05-13: Approved by the Governor - Chapter 469 - 2025-04-02: Returned Passed (House) - 2025-04-02: Third Reading Passed (35-11) (Senate) - 2025-04-01: Second Reading Passed (Senate) - 2025-04-01: Favorable Adopted (Senate) - 2025-03-31: Favorable Report by Finance (Senate) - 2025-03-18: Hearing 3/25 at 1:00 p.m. (Senate) - 2025-03-12: Referred Finance (Senate) - 2025-03-12: Third Reading Passed (102-37) (House) - 2025-03-11: Second Reading Passed with Amendments (House) - 2025-03-11: Favorable with Amendments {333326/1 Adopted (House) - 2025-03-10: Favorable with Amendments Report by Health and Government Operations (House) - 2025-02-26: Hearing 2/27 at 2:00 p.m. (House) - 2025-02-26: Hearing canceled (House) - 2025-02-12: Hearing 2/27 at 1:00 p.m. (House) - 2025-02-05: First Reading Health and Government Operations (House) ## Bill text - Enacted, 2025-05-13: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_469_hb1045t.pdf) - Third Reading, 2025-03-11: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1045t.pdf) - First Reading, 2025-02-05: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1045f.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_469_hb1045t.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1045t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1045f.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-HB1045-2025RS (as of 2026-10-17).