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MarylandSB 00602025 Regular SessionSenateWALLET

Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing

Sponsored By: Malcolm Augustine (Democratic)

Signed by Governor

Health - InsurancePublic HealthHealth Maintenance OrganizationsHealth Insurance -see also- ACA; HMOs; MCOsHealth Maintenance Organizations -see also- Manage Care OrgsManaged Care Organizations -see also- Health Maint OrgsMedical AssistanceMedical Conditions -see also- AIDS; COVID-19; rabiesMedical Testing and DiagnosisNonprofit Organizations

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Bill Overview

Analyzed Economic Effects

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

Maryland health plans cover calcium score tests

The law takes effect January 1, 2026, and requires covered Maryland health plans to cover calcium score testing. It applies to policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland on or after that date. Coverage follows the latest American College of Cardiology guidelines that expand preventive care. The law removes the previous rule limiting coverage to people with three listed risk factors. Insurers, nonprofit health service plans, HMOs, and managed care organizations must follow this requirement.

Maryland Medicaid adds calcium score test coverage

Beginning January 1, 2026, Maryland Medical Assistance covers calcium score testing for its enrollees. Coverage follows the latest American College of Cardiology guidelines that expand preventive care. The program also covers prostheses beginning January 1, 2025, and biomarker testing beginning July 1, 2025. These coverage requirements depend on the state budget and must follow federal law.

Sponsors & Cosponsors

Sponsor

  • Malcolm Augustine

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 152 • No: 28

House vote • 3/31/2025

Third Reading Passed

Yes: 105 • No: 28 • Other: 2

Senate vote • 3/12/2025

Third Reading Passed

Yes: 47 • No: 0

Actions Timeline

  1. Approved by the Governor - Chapter 685

    5/20/2025

  2. Returned Passed

    3/31/2025Senate

  3. Third Reading Passed (105-28)

    3/31/2025House

  4. Favorable Adopted Second Reading Passed

    3/28/2025House

  5. Favorable Report by Health and Government Operations

    3/28/2025House

  6. Hearing 3/27 at 1:00 p.m.

    3/15/2025House

  7. Referred Health and Government Operations

    3/13/2025House

  8. Third Reading Passed (47-0)

    3/12/2025Senate

  9. Second Reading Passed with Amendments

    3/11/2025Senate

  10. Favorable with Amendments {293425/1 Adopted

    3/11/2025Senate

  11. Favorable with Amendments Report by Finance

    3/10/2025Senate

  12. Hearing 1/28 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

    3/11/2025

    PDF

  • First Reading

    1/8/2025

    PDF

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