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MarylandSB 00052025 Regular SessionSenateWALLET

Maryland Health Benefit Exchange – State–Based Young Adult Health Insurance Subsidies Pilot Program – Sunset Repeal

Sponsored By: Clarence K. Lam (Democratic)

Signed by Governor

Health - InsuranceAge -see also- Age of Maj; Children; Elderly; Inf&Tod.; etcHealth Benefit ExchangeHealth Insurance -see also- ACA; HMOs; MCOsInsurance AdministrationMedical AssistancePilot ProgramsRevenue and Taxes -see also- (specific tax)Rules and RegulationsSunset

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Bill Overview

Analyzed Economic Effects

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

Young adult subsidies extended but now optional

Starting July 1, 2025, Maryland removes the June 30, 2026 end date for its young adult health insurance subsidy program. The Exchange sets yearly eligibility and payment rules, considering ages 18–40 and incomes from 133%–400% of the federal poverty level. It may fund annual subsidies in 2026 and later years, but running the program becomes optional rather than required. Running it requires consultation with the Insurance Commissioner and Exchange Board approval. The Exchange cannot run the program in any calendar year without money from the insurance assessment distribution.

Sponsors & Cosponsors

Sponsor

  • Clarence K. Lam

    Democratic • Senate

Cosponsors

  • Brian J. Feldman

    Democratic • Senate

  • Antonio Hayes

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 145 • No: 36

House vote • 4/1/2025

Third Reading Passed

Yes: 100 • No: 36

Senate vote • 2/20/2025

Third Reading Passed

Yes: 45 • No: 0

Actions Timeline

  1. Approved by the Governor - Chapter 722

    5/20/2025

  2. Returned Passed

    4/1/2025Senate

  3. Third Reading Passed (100-36)

    4/1/2025House

  4. Favorable Adopted Second Reading Passed

    3/28/2025House

  5. Favorable Report by Health and Government Operations

    3/28/2025House

  6. Hearing 3/20 at 1:00 p.m.

    3/15/2025House

  7. Referred Health and Government Operations

    2/21/2025House

  8. Third Reading Passed (45-0)

    2/20/2025Senate

  9. Second Reading Passed

    2/18/2025Senate

  10. Favorable Adopted

    2/18/2025Senate

  11. Favorable Report by Finance

    2/17/2025Senate

  12. Hearing 1/29 at 1:00 p.m.

    1/14/2025Senate

  13. First Reading Finance

    1/8/2025Senate

  14. Pre-filed

    11/1/2024Senate

Bill Text

  • Enacted

    5/20/2025

    PDF

  • Third Reading

    2/18/2025

    PDF

  • First Reading

    1/8/2025

    PDF

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