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MarylandHB 13012025 Regular SessionHouseWALLET

Maryland Medical Assistance Program, Maryland Children’s Health Program, and Health Insurance – Transfers to Special Pediatric Hospitals – Prior Authorizations

Sponsored By: Samuel I. Rosenberg (Democratic)

Signed by Governor

Health - InsurancePublic HealthHealth Maintenance OrganizationsAge -see also- Age of Maj; Children; Elderly; Inf&Tod.; etcChildren (4-12)Health -see also- COVID19; EnvHlth; MedCon; etc.Health Insurance -see also- ACA; HMOs; MCOsHealth Maintenance Organizations -see also- Manage Care OrgsHospitals -see also- Clinics; State HospitalsManaged Care Organizations -see also- Health Maint OrgsMedical AssistanceNonprofit OrganizationsPediatriciansTeenagers (13-19)

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Bill Overview

Analyzed Economic Effects

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

No advance approval for pediatric hospital transfers

Beginning January 1, 2026, Maryland’s Medicaid and Children’s Health programs cannot require advance approval for special pediatric hospital transfers. Covered private insurers, nonprofit health service plans, and health maintenance organizations face the same ban. For these private plans, the rule applies when coverage is issued, delivered, or renewed in Maryland on or after that date. Qualifying hospitals must be in Maryland and provide specified nonacute medical care, rehabilitation, therapy, or palliative care. They serve people under 22, plus people age 22 to under 23 with both physical and behavioral health conditions.

Sponsors & Cosponsors

Sponsor

  • Samuel I. Rosenberg

    Democratic • House

Cosponsors

  • Heather Bagnall

    Democratic • House

  • Brian Chisholm

    Republican • House

  • Bonnie Cullison

    Democratic • House

  • Pam Lanman Guzzone

    Democratic • House

  • Terri L. Hill

    Democratic • House

  • Thomas S. Hutchinson

    Republican • House

  • Anne R. Kaiser

    Democratic • House

  • Kenneth Kerr

    Democratic • House

  • Nicholaus R. Kipke

    Republican • House

  • Lesley J. Lopez

    Democratic • House

  • Ashanti Martinez

    Democratic • House

  • Joseline A. Peña-Melnyk

    Democratic • House

  • Kim Ross

    Democratic • House

  • Steve Johnson

    Democratic • House

  • Kathy Szeliga

    Republican • House

  • Jennifer White Holland

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 183 • No: 1

Senate vote • 4/7/2025

Third Reading Passed

Yes: 47 • No: 0

House vote • 3/17/2025

Third Reading Passed

Yes: 136 • No: 1 • Other: 1

Actions Timeline

  1. Approved by the Governor - Chapter 612

    5/20/2025

  2. Returned Passed

    4/7/2025House

  3. Third Reading Passed (47-0)

    4/7/2025Senate

  4. Second Reading Passed

    4/4/2025Senate

  5. Favorable Adopted

    4/4/2025Senate

  6. Favorable Report by Finance

    4/4/2025Senate

  7. Hearing 3/26 at 1:00 p.m.

    3/20/2025Senate

  8. Referred Finance

    3/17/2025Senate

  9. Third Reading Passed (136-1)

    3/17/2025House

  10. Second Reading Passed with Amendments

    3/17/2025House

  11. Favorable with Amendments {183726/1 Adopted

    3/17/2025House

  12. Favorable with Amendments Report by Health and Government Operations

    3/17/2025House

  13. Hearing 3/10 at 11:30 a.m.

    3/8/2025House

  14. Hearing canceled

    3/8/2025House

  15. Hearing 3/10 at 11:00 a.m.

    3/3/2025House

  16. Hearing canceled

    3/3/2025House

  17. Hearing 3/10 at 1:00 p.m.

    3/3/2025House

  18. Hearing canceled

    3/3/2025House

  19. Hearing 3/06 at 2:00 p.m.

    3/3/2025House

  20. Hearing canceled

    3/3/2025House

  21. Hearing 3/06 at 1:00 p.m.

    2/12/2025House

  22. First Reading Health and Government Operations

    2/7/2025House

Bill Text

  • Enacted

    5/20/2025

    PDF

  • Third Reading

    3/17/2025

    PDF

  • First Reading

    2/7/2025

    PDF

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