# Maryland SB 0428: Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition

Maryland SB 0428, Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition, is a 2026 Regular Session Senate bill sponsored by Malcolm Augustine (Democratic); status signed, last action 2026-05-26 (Approved by the Governor - Chapter 614); PRIA reads it as touching household money (as of 2026-10-11).

- Canonical: https://policyrisk.com/state-bill/MD-SB0428-2026RS
- As of: 2026-10-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0428
- State: Maryland
- Session: 2026 Regular Session
- Title: Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-30
- Last action: 2026-05-26, Approved by the Governor - Chapter 614
- Sponsor: Malcolm Augustine (Democratic)
- Cosponsors: 0
- Subjects: Health - Insurance, Public Health, Health Maintenance Organizations, Health -see also- COVID19; EnvHlth; MedCon; etc., Health Care Commission, Health, Department of, Health Insurance -see also- ACA; HMOs; MCOs, Health Maintenance Organizations -see also- Manage Care Orgs, Health Planning and Cost Review, Medical Assistance, Mental and Behavioral Health -see also- Aut; Cogn; Dev; etc., Nonprofit Organizations, Prices -see also- Consumer Price Index, Reports, Studies -see also- Commitees & Commissions; Reports
- Touches household money: yes
- Roll calls: 3 (216 yes, 5 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Medicaid covers collaborative care with no copays: benefit, medium. Beginning July 1, 2026, Maryland Medicaid pays for Collaborative Care Model services statewide in primary care clinics that serve enrollees. Medicaid does not charge copays, coinsurance, or deductibles for these collaborative care services. Services must follow the Collaborative Care Model and be d…
- Private plans cover collaborative care with no copays: benefit, medium. Starting January 1, 2027, health insurers, nonprofit health service plans, and HMOs in Maryland must cover Collaborative Care Model services. Plans may not charge a copay, coinsurance, or a deductible for these collaborative care services. The rule applies to policies issued, delivered, or renewed…

## Sponsors and cosponsors

- Sponsor: Malcolm Augustine (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-03 | Senate | Third Reading Passed | pass | 42 | 0 | 2 |
| 2026-04-02 | House | Third Reading Passed | pass | 129 | 5 | 1 |
| 2026-03-12 | Senate | Third Reading Passed | pass | 45 | 0 |   |

## Actions (18)

- 2026-05-26: Approved by the Governor - Chapter 614
- 2026-04-03: Passed Enrolled (Senate)
- 2026-04-03: Third Reading Passed (42-0) (Senate)
- 2026-04-03: Senate Concurs House Amendments (Senate)
- 2026-04-02: Third Reading Passed (129-5) (House)
- 2026-04-01: Second Reading Passed with Amendments (House)
- 2026-04-01: Favorable with Amendments {423925/1 Adopted (House)
- 2026-04-01: Favorable with Amendments Report by Health (House)
- 2026-03-25: Hearing 3/26 at 2:00 p.m. (House)
- 2026-03-25: Hearing canceled (House)
- 2026-03-17: Hearing 3/26 at 1:00 p.m. (House)
- 2026-03-13: Referred Health (House)
- 2026-03-12: Third Reading Passed (45-0) (Senate)
- 2026-03-10: Second Reading Passed (Senate)
- 2026-03-10: Favorable Adopted (Senate)
- 2026-03-09: Favorable Report by Finance (Senate)
- 2026-02-04: Hearing 2/18 at 1:00 p.m. (Senate)
- 2026-01-30: First Reading Finance (Senate)

## Bill text

- Enacted, 2026-05-26: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_614_sb0428e.pdf)
- Enrolled, 2026-04-03: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428e.pdf)
- Third Reading, 2026-03-10: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428t.pdf)
- First Reading, 2026-01-30: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428f.pdf)

## Related bills

- SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization (became law)
- SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishment (became law)
- SB 0244: Code Revision - Health - Maryland Medical Assistance Program (became law)
- SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-1 Specialists Act) (became law)
- SB 0016: Child Support - Earnings Withholdings Limits (became law)
- HB 0529: Code Revision - Health - Maryland Medical Assistance Program (became law)

## Sources
- [Enacted (PDF)](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_614_sb0428e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0428f.pdf)

## Related
- [SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - A…](https://policyrisk.com/state-bill/MD-SB0496-2026RS)
- [SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishm…](https://policyrisk.com/state-bill/MD-SB0366-2026RS)
- [SB 0244: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-SB0244-2026RS)
- [SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-…](https://policyrisk.com/state-bill/MD-SB0148-2026RS)
- [SB 0016: Child Support - Earnings Withholdings Limits](https://policyrisk.com/state-bill/MD-SB0016-2026RS)
- [HB 0529: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-HB0529-2026RS)
- [Maryland bills](https://policyrisk.com/states/maryland/bills)
- [Maryland state hub](https://policyrisk.com/states/maryland)
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Source: PRIA, https://policyrisk.com/state-bill/MD-SB0428-2026RS (as of 2026-10-11).
