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MarylandHB 11042025 Regular SessionHouse

Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund

Sponsored By: Sponsor information unavailable

Signed by Governor

Public HealthAuditors and AuditsClaimsComptrollerData -see also- Census; DemographicsDisclosureElectronic Commerce -see also- Electronic Funds TransferElectronic GovernmentHealth -see also- COVID19; EnvHlth; MedCon; etc.Health Care CommissionHealth, Department ofHealth Services Cost Review CommissionHospitals -see also- Clinics; State HospitalsInterestMedical AssistanceMeetings -see also- Hearings; Open GovernmentOpen GovernmentPrices -see also- Consumer Price IndexPrivacyRecords -see also- Land Records; Vital RecordsReportsRevenue and Taxes -see also- (specific tax)SunsetTreasurers

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Maryland expands health claims data use

Beginning July 1, 2025, Maryland allows broader use of electronic health claims for AHEAD Model participation or successor models. Combining submitted information with other state-designated health information exchange data requires Maryland Health Care Commission approval. Regulations cannot restrict related public health use of financial information, including billed and paid amounts. Limits on sharing data again remain, with protections for patients who opt out, sensitive provider information, and legally protected care. This authority ends December 31, 2030.

New fund supports healthier Maryland communities

Beginning July 1, 2025, Maryland creates a Population Health Improvement Fund jointly run by its health department and hospital-rate commission. It supports statewide health goals under the federal AHEAD health care model or successor models. Money must help prevent common health conditions, meet health-related social needs, or reduce health gaps. Spending must follow the Statewide Health Equity Plan, the health secretary’s direction, and the state budget. Fund spending adds to Medicaid funding rather than replacing it. The fund keeps unspent money and interest, and accepts budget funding and other money. Hospital assessment revenue is a listed source through 2027, but not from January 1, 2028, through December 31, 2030. The fund provision ends December 31, 2030.

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: 240 • No: 79

House vote • 4/7/2025

Third Reading Passed

Yes: 103 • No: 36 • Other: 1

Senate vote • 4/5/2025

Third Reading Passed

Yes: 35 • No: 7

House vote • 3/13/2025

Third Reading Passed

Yes: 102 • No: 36 • Other: 2

Actions Timeline

  1. Approved by the Governor - Chapter 615

    5/20/2025

  2. Passed Enrolled

    4/7/2025House

  3. Third Reading Passed (103-36)

    4/7/2025House

  4. House Concurs Senate Amendments

    4/7/2025House

  5. Third Reading Passed (35-7)

    4/5/2025Senate

  6. Second Reading Passed with Amendments

    4/5/2025Senate

  7. Favorable with Amendments {183027/1 Adopted

    4/5/2025Senate

  8. Favorable with Amendments Report by Finance

    4/5/2025Senate

  9. Hearing 3/25 at 1:00 p.m. (Finance)

    3/18/2025Senate

  10. Referred Finance Budget and Taxation

    3/17/2025Senate

  11. Third Reading Passed (102-36)

    3/13/2025House

  12. Second Reading Passed with Amendments

    3/12/2025House

  13. Favorable with Amendments {453927/1 Adopted

    3/12/2025House

  14. Favorable with Amendments Report by Health and Government Operations

    3/12/2025House

  15. Hearing 2/19 at 1:00 p.m. (Health and Government Operations)

    2/6/2025House

  16. First Reading Health and Government Operations and Appropriations

    2/5/2025House

Bill Text

  • Enacted

    5/20/2025

    PDF

  • Enrolled

    4/7/2025

    PDF

  • Third Reading

    3/12/2025

    PDF

  • First Reading

    2/5/2025

    PDF

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