# Maryland SB 0521: Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period Maryland SB 0521, Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period, is a 2026 Regular Session Senate bill sponsored by Benjamin F. Kramer (Democratic); status signed, last action 2026-05-26 (Approved by the Governor - Chapter 650); PRIA reads it as touching household money (as of 2026-10-11). - Canonical: https://policyrisk.com/state-bill/MD-SB0521-2026RS - 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 0521 - State: Maryland - Session: 2026 Regular Session - Title: Health Insurance - Material Changes to Provider Networks - Notification and Special Enrollment Period - Status: signed - Chamber: Senate - Introduced: 2026-02-04 - Last action: 2026-05-26, Approved by the Governor - Chapter 650 - Sponsor: Benjamin F. Kramer (Democratic) - Cosponsors: 0 - Subjects: Health - Insurance, Claims, Complaints, Contracts -see also- Procurement, Dependents -see also- Minors; Vulnerable Adults, Electronic Communication, Fines -see also- Penalties and Sentences, Forms, Health Benefit Exchange, Health Care Facilities -see also- Clinics; Hospices; etc, Health Insurance -see also- ACA; HMOs; MCOs, Insurance Administration, Medical Treatments, Mental and Behavioral Health -see also- Aut; Cogn; Dev; etc., Notices, Telephones, Termination of Services, Time - Touches household money: yes - Roll calls: 2 (179 yes, 3 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - 90-day care if your doctor leaves: benefit, medium. Beginning October 1, 2026, if your primary care or behavioral health provider is dropped for reasons other than fraud, abuse, incompetence, or loss of license, you can keep seeing them for at least 90 days. You must have been getting care from that provider before the notice and ask to continue. Yo… - 90-day protections when health systems leave: benefit, medium. Beginning October 1, 2026, carriers and health systems must give each other 90 days’ written notice before ending or not renewing a contract. For contracts entered, renewed, amended, or continued on or after October 1, 2026, they must honor the contract for at least 90 days after it ends, including… - Special enrollment when your doctor leaves: benefit, medium. Beginning October 1, 2026, if you or your dependent sees a provider regularly and that provider is dropped from your plan, you get a 90-day special enrollment period. This applies to plans on and off the state Marketplace. The 90-day window starts on the termination date, or the date you get the no… - Insurers must alert state before network cuts: benefit, low. Beginning October 1, 2026, insurers must tell the Maryland Insurance Commissioner at least 60 days before an expected provider or facility termination that materially changes access. They must keep the state updated and file an access plan update within 5 business days after the change. The update… ## Sponsors and cosponsors - Sponsor: Benjamin F. Kramer (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-07 | House | Third Reading Passed | pass | 134 | 3 | 1 | | 2026-03-19 | Senate | Third Reading Passed | pass | 45 | 0 | | ## Actions (13) - 2026-05-26: Approved by the Governor - Chapter 650 - 2026-04-08: Returned Passed (Senate) - 2026-04-07: Third Reading Passed (134-3) (House) - 2026-04-03: Favorable Adopted Second Reading Passed (House) - 2026-04-03: Favorable Report by Health (House) - 2026-03-25: Hearing 4/02 at 1:00 p.m. (House) - 2026-03-20: Referred Health (House) - 2026-03-19: Third Reading Passed (45-0) (Senate) - 2026-03-17: Second Reading Passed with Amendments (Senate) - 2026-03-17: Favorable with Amendments {603222/1 Adopted (Senate) - 2026-03-16: Favorable with Amendments Report by Finance (Senate) - 2026-02-12: Hearing 3/04 at 1:00 p.m. (Senate) - 2026-02-04: First Reading Finance (Senate) ## Bill text - Enacted, 2026-05-26: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_650_sb0521t.pdf) - Third Reading, 2026-03-17: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0521t.pdf) - First Reading, 2026-02-04: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0521f.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_650_sb0521t.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0521t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0521f.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) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MD-SB0521-2026RS (as of 2026-10-11).