- Repealing the termination date for certain provisions related to referrals and reimbursement of specialists and nonphysician specialists who are not part of a carrier’s provider panel.
- Requiring carriers to provide assistance in identifying and arranging coverage for mental health or substance use disorder services by nonparticipating providers if members cannot access these services through the carrier’s provider panel.
- Prohibiting carriers from imposing prior authorization requirements for scheduling, reimbursing, or continuing an established treatment plan with nonparticipating providers.
- Mandating the Maryland Health Care Commission to establish reimbursement rates for nonparticipating providers by January 1, 2026.

The act is set to take effect on June 1, 2025, with certain provisions applying to policies, contracts, and health benefit plans issued, delivered, or renewed on or after January 1, 2026.

- Repealing the termination date for the provision related to the maximum amount of total user fees that may be assessed by the Health Services Cost Review Commission.
- Ensuring that the total fees assessed do not exceed the greater of 0.1% of the previous fiscal year's budgeted, regulated, gross hospital revenue or the largest amount determined for a fiscal year during the previous five fiscal years.
- Using the user fees exclusively to cover the actual documented direct costs of fulfilling the statutory and regulatory duties of the Commission.

The act is set to take effect on June 1, 2025.

House Bill 102, titled "Family and Medical Leave Insurance Program - Application Year and Participation of Self-Employed Individuals," proposes changes to the Family and Medical Leave Insurance Program in Maryland. Key provisions include:

- Establishing an optional self-employed enrollment program for the Family and Medical Leave Insurance Program.
- Repealing certain requirements related to the payment of contributions by participating self-employed individuals.
- Excluding participating self-employed individuals from certain provisions of law governing the payment of benefits.
- Altering the definition of "application year" for the program.

The act is set to take effect on June 1, 2025.

House Bill 107, titled "Consumer Protection - Automatic Renewals," proposes changes to the automatic renewal process for consumer contracts in Maryland. Key provisions include:

- Requiring clear and conspicuous presentation of the terms of the automatic renewal offer before the subscription or purchasing agreement is fulfilled.
- Providing consumers with an easily accessible disclosure of the methods to cancel the automatic renewal.
- Allowing consumers to terminate the automatic renewal without delay, hindrance, or obstruction.
- Requiring notice to consumers before the automatic renewal takes effect, including the price and any changes to the subscription or purchasing agreement.
- Prohibiting automatic charges to a consumer's credit card without clear and conspicuous notice.
- Establishing that compliance with certain regulations is considered compliance with this Act.
- Defining violations of this Act as unfair, abusive, or deceptive trade practices.

The act is set to take effect on October 1, 2025.

House Bill 116, titled "Health Insurance - Federal Conformity - Definitions of Health Benefit Plan," proposes changes to the definitions of "health benefit plan" in Maryland to align with federal regulatory requirements. Key provisions include:

- Altering the definitions of "health benefit plan" to conform to federal regulations regarding hospital indemnity and other fixed indemnity insurance.
- Ensuring that the coverage qualifies for the exceptions described in 45 C.F.R. § 146.145(B)(4) and 45 C.F.R. § 148.220(B)(4).

The act is set to take effect on October 1, 2025.

Would you like to know more about this bill or discuss something else?

- Altering eligibility criteria for Higher Education Loan Assistance Grants under the Maryland Dent-Care Program.
- Requiring the Maryland Insurance Administration to submit a report on the use of online credentialing systems by dental insurance carriers to certain committees of the General Assembly.

The act is set to take effect on July 1, 2025.

- Altering the definition of "purchaser" to exclude certain nonprofit health maintenance organizations (HMOs).
- Repealing provisions that restrict the applicability of certain laws to PBMs that provide services on behalf of a carrier.
- Ensuring that PBMs cannot prohibit pharmacies from providing cost information to beneficiaries or discussing more affordable alternatives.
- Prohibiting PBMs from requiring beneficiaries to use specific pharmacies if there is an ownership interest between the PBM and the pharmacy, except for specialty drugs.
- Mandating fair reimbursement practices and audit procedures for pharmacies.

The act is set to take effect on January 1, 2026.

- Requiring the Maryland Health Care Commission and the Maryland Insurance Administration to include a cybersecurity expert on staff.
- Mandating healthcare ecosystem entities to adopt and implement cybersecurity standards, undergo third-party cybersecurity audits, and report cybersecurity incidents.
- Establishing a process for reporting cybersecurity incidents to the State Security Operations Center.
- Allowing the Maryland Department of Emergency Management to convene a workgroup to review and improve cybersecurity practices in the healthcare ecosystem.

The act is set to take effect on July 1, 2025, with certain provisions remaining effective until June 30, 2029.

- Requiring the Maryland Department of Health to design, implement, and maintain a voluntary statewide program for universal newborn nurse home visiting services.
- Ensuring the program supports healthy child development, postpartum health, and strengthens families.
- Collaborating with insurers, hospitals, local public health authorities, and other organizations to design the program.
- Providing services that are evidence-based, flexible, and tailored to community needs.
- Offering nurse home visiting services to families with newborns up to 12 weeks old, including foster and adoptive newborns, and birthing individuals within 12 weeks after delivery.
- Requiring insurers and health maintenance organizations to provide coverage and reimbursement for these services without imposing copayments, coinsurance, or deductible requirements, except for high-deductible health plans.
- Collecting and analyzing data to assess the program's effectiveness and reporting annually to the Senate Finance Committee and the House Health and Government Operations Committee.

The act is set to take effect on January 1, 2026.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for aesthetic services and restorative care for victims of domestic violence.
- Ensuring that the coverage is provided for the treatment of physical injuries caused by domestic violence and determined to be medically necessary by a licensed physician.

The act is set to take effect on January 1, 2026.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for orthoses.
- Establishing that coverage includes orthoses, components of orthoses, repairs to orthoses, and replacements of orthoses or orthosis components.
- Prohibiting higher copayments or coinsurance requirements for orthoses compared to other similar medical and surgical benefits.
- Preventing the imposition of annual or lifetime dollar maximums on coverage for orthoses separate from other covered benefits.
- Ensuring that medical necessity requirements for orthoses are not more restrictive than those established under the Medicare Coverage Database.

The act is set to take effect on January 1, 2026.

- Altering the reimbursement rate for trauma physicians and other health care providers.
- Requiring HMOs to pay claims within 30 days.
- Mandating disclosure of reimbursement rates to nonparticipating providers upon request.
- Allowing trauma physicians to submit adjunct claims documentation.
- Prohibiting HMOs from requiring referrals or preauthorization for trauma care services.

The act is set to take effect on October 1, 2025.

- Requiring the Board to establish a process for setting upper payment limits for prescription drug products that lead to affordability challenges.
- Allowing the Board to reconsider upper payment limits for drugs that become a current shortage.
- Prohibiting the Board from setting new upper payment limits for drugs in current shortage and from enforcing upper payment limits against certain reimbursement requirements.
- Establishing criteria for setting upper payment limits, including the cost of administering and delivering the drug, and the effect on providers of 340B drugs.

The act is set to take effect on October 1, 2025.

- Establishing that any provision in a consumer contract that sets a shorter period of time to bring an action than required under state law is void.
- Considering a violation of this act as a violation of the Consumer Protection Act.
- Applying the act prospectively, meaning it will not affect contracts entered into before the effective date.

The act is set to take effect on October 1, 2025.

- Requiring health insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for preventive cancer screenings for professional firefighters.
- Prohibiting copayments, coinsurance, or deductible requirements for these screenings, except for high-deductible health plans.
- Ensuring that counties and municipalities offering self-insured employee health benefit plans comply with these requirements.
- Mandating that the State Employee and Retiree Health and Welfare Benefits Program also comply with these requirements.

The act is set to take effect on January 1, 2026.

• Requiring carriers to post updated, accurate, and complete formularies on their websites.

• Ensuring that generic drugs and biosimilars are available on formularies with favorable cost-sharing compared to their reference drugs.

• Prohibiting prior authorization or step therapy requirements for generic drugs and biosimilars added to formularies.

• Mandating that carriers inform enrollees of any changes to formularies within 30 days.

- Establishing an appeal process for individuals subject to the digital advertising gross revenues tax who receive a notice of assessment from the Comptroller.
- Authorizing the Comptroller or their designee to issue an order to correct an erroneous assessment of the digital advertising gross revenues tax, subject to certain conditions.

The act is set to take effect on January 1, 2026, and will apply to assessments made after December 31, 2025.

- Prohibiting certain carriers from imposing prior authorization, step therapy, or quantity limit requirements on eligible providers for health care services included in a two-sided incentive arrangement.
- Defining "eligible provider" and "two-sided incentive arrangement" within the context of the bill.
- Establishing requirements for contracts between carriers and eligible providers, including target budgets, recoupment limits, and opportunities for gains.
- Requiring carriers to disclose certain information to eligible providers and provide opportunities for independent third-party dispute resolution.

The act is set to take effect on January 1, 2026.

- Establishing a temporary to-go event permit for holders of a Class B beer, wine, and liquor license.
- Authorizing the Board of License Commissioners for Wicomico County to issue a temporary to-go event permit under certain circumstances.
- Creating a Class C per diem municipal to-go beer, wine, and liquor license for municipalities in the county.
- Requiring the Board to adopt regulations related to the issuance and requirements for these permits and licenses.

The act is set to take effect on July 1, 2025.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for calcium score testing for individuals with at least three of the following risk factors: diabetes, high blood pressure, high cholesterol, or a family history of premature coronary artery disease.
- Applying the provisions of the bill to all policies, contracts, and health benefit plans issued, delivered, or renewed in the state on or after January 1, 2026.

The act is set to take effect on January 1, 2026.

House Bill 697, titled "Health Insurance - Artificial Intelligence, Adverse Decisions, and Grievances - Reporting Requirements," proposes changes to the reporting requirements for health insurance carriers in Maryland. Key provisions include:

• Requiring health insurance carriers to submit quarterly reports to the Maryland Insurance Commissioner on the use of artificial intelligence or automated decision-making systems.

• Detailing the information that must be included in these reports, such as the purpose of the AI systems, the data sources used for training, and measures taken to address bias.

• Altering the information related to adverse decisions and grievances that carriers must report, including data aggregated by zip code, race, ethnicity, gender, and age of members.

The act is set to take effect on October 1, 2025

- Requiring students enrolled in public elementary or secondary schools to submit a certificate of dental health starting in the 2027-2028 school year.
- Mandating the Maryland Department of Health to establish a program for student dental health.
- Developing a certificate of dental health for use in public schools.
- Providing information on dental health, insurance coverage, and lists of pediatric dentists.

The act is set to take effect on October 1, 2025.

- Requiring carriers, pharmacy benefits managers, and private review agents to ensure AI tools are used appropriately in utilization reviews.
- Mandating that AI tools base determinations on individual clinical circumstances and not solely on group datasets.
- Ensuring AI tools do not replace the role of healthcare providers in the determination process.
- Prohibiting AI tools from causing discrimination or harm to enrollees.
- Requiring regular reviews and revisions of AI tools to maximize accuracy and reliability.

The act is set to take effect on October 1, 2025.

“Genetic test” means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites that detects genotypes, mutations, or chromosomal changes.

An insurer that offers, issues, or delivers a life insurance or disability insurance policy or contract in the State may not unfairly discriminate against an individual by conditioning insurance rates, the provision or renewal of insurance coverage, or other conditions of insurance based on medical information, including the results of a genetic test for which there is not a relationship between the medical information and the cost of the insurance risk that the insurer would assume by insuring the applicant. Nevertheless, to demonstrate a relationship between the medical information and cost of insurance risk assumed by insuring the applicant, an insurer may rely on actuarially sound principles or actual or reasonably anticipated experience. Additionally, an insurer that offers, issues, or delivers a life insurance or disability insurance policy or contract in the State may not access sensitive medical information, including genetic data of an individual, without first obtaining the individual's signed, written consent. Further, an insurer may never mandate existing or new genetic testing or full genome sequencing as a prerequisite for life insurance or disability insurance eligibility or coverage; moreover, an insurance carrier, applicant, or policy contract holder may not waive this prohibition under any circumstances. The bill expressly authorizes the Insurance Commissioner to issue an order for a violation of the bill using the Commissioner's existing enforcement powers that allow the Commissioner to (1) deny, refuse to renew, suspend, and revoke an insurer's certificate of authority; (2) impose a civil penalty in lieu of suspending or revoking a certificate of authority; (3) send and enforce cease and desist orders; and (4) order an insurer to accept a risk.

Key Provisions:

1. Maryland Health Benefit Exchange Fund:

   • Section 31-107 (Page 2-5): Establishes the Maryland Health Benefit Exchange Fund to support various health programs, including the new State-Based Health Insurance Subsidies Program.

2. State-Based Health Insurance Subsidies Program:

   • Section 31-125 (Page 6-7): Mandates the creation of a program to provide subsidies to individuals purchasing health insurance in the individual market, particularly to mitigate the impact of reduced federal advance premium tax credits.

3. Program Design and Implementation:

   • Section 31-125(c) (Page 7): The program must maintain affordability and target individuals affected by increased premium percentages in 2026 and 2027 compared to 2025.

4. Funding and Expenditures:

   • Section 31-107(f) (Page 4-5): Specifies that the fund can be used for the new subsidies program in fiscal years 2026 through 2028.

5. Contingency and Effective Dates:

   • Section 2 (Page 8): The act is contingent on the federal government reducing or eliminating advance premium tax credits, with specific conditions for notification and implementation.

Effective Date:

• General Provisions: Effective June 1, 2025, and remains in effect until June 30, 2028, subject to the conditions outlined in Section 2.

Purpose: State-Based Health Insurance Subsidies: Establish subsidies to mitigate the impact of reduced federal advance premium tax credits. Key Provisions: Program Implementation: Maryland Health Benefit Exchange to implement the program. Provide funding from the Maryland Health Benefit Exchange Fund. Consumer Protections: Maintain affordability for individuals purchasing health benefit plans. Target individuals experiencing increased premium percentages in 2026 compared to 2025. Funding and Expenditures: Use the Maryland Health Benefit Exchange Fund for subsidies in fiscal years 2026 and 2027. Reporting and Tracking: Monthly Tracking: Track expenditures, average number of subsidy recipients, average subsidy amounts, and impact on rates. Post tracking information on the Exchange website and include it in the annual report. Effective Date: July 1, 2025

House Bill 49, titled "Consumer Protection - Automatic Renewals," proposes changes to the automatic renewal process for consumer contracts in Maryland. Key provisions include:

- Requiring clear and conspicuous presentation of the terms of the automatic renewal offer before the subscription or purchasing agreement is fulfilled.
- Providing consumers with an easily accessible disclosure of the methods to cancel the automatic renewal.
- Allowing consumers to terminate the automatic renewal without delay, hindrance, or obstruction.
- Requiring notice to consumers before the automatic renewal takes effect, including the price and any changes to the subscription or purchasing agreement.
- Prohibiting automatic charges to a consumer's credit card without clear and conspicuous notice.
- Establishing that compliance with certain regulations is considered compliance with this Act.
- Defining violations of this Act as unfair, abusive, or deceptive trade practices.

The act is set to take effect on October 1, 2025.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for calcium score testing for individuals with at least three of the following risk factors: diabetes, high blood pressure, high cholesterol, or a family history of premature coronary artery disease.
- Applying the provisions of the bill to all policies, contracts, and health benefit plans issued, delivered, or renewed in the state on or after January 1, 2026.

The act is set to take effect on January 1, 2026.

• Requiring the Maryland Department of Health to design, implement, and maintain a voluntary statewide program for universal newborn nurse home visiting services.

• Ensuring the program supports healthy child development, postpartum health, and strengthens families.

• Collaborating with insurers, hospitals, local public health authorities, and other organizations to design the program.

• Providing services that are evidence-based, flexible, and tailored to community needs.

• Offering nurse home visiting services to families with newborns up to 12 weeks old, including foster and adoptive newborns, and birthing individuals within 12 weeks after delivery.

• Requiring insurers and health maintenance organizations to provide coverage and reimbursement for these services without imposing copayments, coinsurance, or deductible requirements, except for high-deductible health plans.

• Collecting and analyzing data to assess the program's effectiveness and reporting annually to the Senate Finance Committee and the House Health and Government Operations Committee.

- Altering definitions to conform to federal regulations regarding hospital indemnity and other fixed indemnity insurance.
- Ensuring that coverage qualifies for exceptions described in federal regulations (45 C.F.R. § 146.145(B)(4) and 45 C.F.R. § 148.220(B)(4)).

The act is set to take effect on October 1, 2025.

- Requiring the Maryland Department of Labor to adopt regulations establishing an optional self-employed enrollment program for the Family and Medical Leave Insurance Program.
- Repealing certain requirements related to the payment of contributions to the Program by participating self-employed individuals.
- Excluding participating self-employed individuals from certain provisions of law governing the payment of benefits under the Program.
- Altering the definition of "application year" for the purposes of the Program.

The act is set to take effect on June 1, 2025.

• Requiring the District Court to hold a hearing on a tenant holding over within a certain number of days after a landlord makes a complaint if the landlord or the landlord’s spouse is on active duty with the United States military.

• Authorizing a private process server to serve a certain summons under certain circumstances.

- Altering the definition of "purchaser" to exclude certain nonprofit health maintenance organizations (HMOs).
- Repealing provisions that restrict the applicability of certain laws to PBMs that provide services on behalf of a carrier.
- Ensuring that PBMs cannot prohibit pharmacies from providing cost information to beneficiaries or discussing more affordable alternatives.
- Prohibiting PBMs from requiring beneficiaries to use specific pharmacies if there is an ownership interest between the PBM and the pharmacy, except for specialty drugs.
- Mandating fair reimbursement practices and audit procedures for pharmacies.

The act is set to take effect on January 1, 2026.

• Requiring the Maryland Medical Assistance Program and certain health insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for annual behavioral health wellness visits.

• Defining a "behavioral health wellness visit" as a clinical encounter during which a health care practitioner conducts an assessment to identify whether a patient meets criteria for a psychiatric or substance use disorder.

• Ensuring that coverage and reimbursement for these visits are provided on the same basis and at the same rate as an assessment that results in a behavioral health diagnosis.

The act is set to take effect on January 1, 2026.

- Delaying the start date for employee, employer, and self-employed contributions to the Fund from July 1, 2025, to July 1, 2027.
- Adjusting the dates for setting contribution rates and conducting cost analyses to align with the new implementation timeline.
- Postponing the start date for submitting claims for benefits from July 1, 2026, to July 1, 2028.
- Updating the maximum weekly benefit amounts and the process for determining annual percentage growth based on the Consumer Price Index.

The act is set to take effect on October 1, 2025.

- Requiring the Board to establish a process for setting upper payment limits for prescription drug products that lead to affordability challenges.
- Allowing the Board to reconsider upper payment limits for drugs that become a current shortage.
- Prohibiting the Board from setting new upper payment limits for drugs in current shortage and from enforcing upper payment limits against certain reimbursement requirements.
- Establishing criteria for setting upper payment limits, including the cost of administering and delivering the drug, and the effect on providers of 340B drugs.

The act is set to take effect on October 1, 2025.

- Repealing the limitation on the period during which audio-only telephone conversations are included under the definition of "telehealth."
- Repealing the limitation on the period during which the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations are required to provide reimbursement for telehealth services on the same basis and at the same rate as in-person services.

The act is set to take effect on June 1, 2025.

- Requiring health insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for preventive cancer screenings for professional firefighters.
- Prohibiting copayments, coinsurance, or deductible requirements for these screenings, except for high-deductible health plans.
- Ensuring that counties and municipalities offering self-insured employee health benefit plans comply with these requirements.
- Mandating that the State Employee and Retiree Health and Welfare Benefits Program also comply with these requirements.

The act is set to take effect on January 1, 2026.

• Requiring carriers to post updated, accurate, and complete formularies on their websites.

• Ensuring that generic drugs and biosimilars are available on formularies with favorable cost-sharing compared to their reference drugs.

• Prohibiting prior authorization or step therapy requirements for generic drugs and biosimilars added to formularies.

• Mandating that carriers inform enrollees of any changes to formularies within 30 days.

The act is set to take effect on January 1, 2026.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for orthoses.
- Defining "orthosis" as a custom-designed, custom-fabricated, custom-molded, custom-fitted, or modified device to treat a neuromuscular or musculoskeletal disorder or acquired condition.
- Mandating coverage for orthoses, components of orthoses, repairs to orthoses, and replacements of orthoses or orthosis components under certain conditions.
- Prohibiting higher copayment or coinsurance requirements for orthoses compared to other similar medical and surgical benefits.
- Banning annual or lifetime dollar maximums on coverage for orthoses separate from other covered benefits.
- Ensuring that medical necessity requirements for orthoses are not more restrictive than those established under the Medicare Coverage Database.
- Requiring compliance with provider network requirements for entities using a provider panel.

The act is set to take effect on January 1, 2026.

- Requiring insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for postpartum depression screening.
- Allowing these entities to impose copayments, coinsurance, or deductible requirements for the screening, as long as they are not greater than those for similar coverages.
- Defining "postpartum depression screening" as the administration, review, or discussion of the Edinburg Postnatal Depression Scale or similar methods.

The act is set to take effect on January 1, 2026.

- Prohibiting consumer contracts from setting a shorter time to bring an action than required by state law.
- Declaring such provisions against state public policy, illegal, and void.
- Ensuring that courts do not give effect to these provisions and that defenses to liability cannot be based on shorter limitation periods.

The act is set to take effect on October 1, 2025.

- Altering the reimbursement rate at which health maintenance organizations (HMOs) are required to pay nonparticipating health care providers for services.
- Ensuring timely payment to health care providers within 30 days after receiving a claim.
- Establishing specific reimbursement rates for hospitals, trauma physicians, and other health care providers based on Medicare rates and historical rates.
- Requiring HMOs to disclose reimbursement rates to nonparticipating providers upon request.
- Allowing health care providers to enforce the provisions of this section through complaints or civil actions.
- Mandating annual reviews and reports on compliance by the Maryland Health Care Commission.

The act is set to take effect on October 1, 2025.

Would you like to know more about this bill or discuss something else?

- Altering the eligibility criteria for Higher Education Loan Assistance Grants under the Maryland Dent-Care Program.
- Requiring the Maryland Insurance Administration to submit a report to certain committees of the General Assembly on the use of online credentialing systems by dental insurance carriers.

The act is set to take effect on July 1, 2025.

- Requiring carriers to provide information to the Maryland Insurance Commissioner on adverse decisions for services that have grown by more than 10% in the previous year or 25% in the previous three years.
- Allowing the Commissioner to use this information as the basis for an examination.

The act is set to take effect on October 1, 2025.

- Prohibiting certain carriers from imposing prior authorization, step therapy, or quantity limit requirements on eligible providers for health care services included in a two-sided incentive arrangement.
- Defining "eligible provider" and "two-sided incentive arrangement" within the context of the bill.
- Establishing requirements for contracts between carriers and eligible providers, including target budgets, recoupment limits, and opportunities for gains.
- Requiring carriers to disclose certain information to eligible providers and provide opportunities for independent third-party dispute resolution.

The act is set to take effect on January 1, 2026.

- Requiring the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations to provide coverage for aesthetic services and restorative care for victims of domestic violence.
- Defining "victim of domestic violence" as an individual who has received deliberate, severe, and demonstrable physical injury, or is in fear of imminent deliberate, severe, and demonstrable physical injury from a current or former spouse, or a current or former cohabitant.
- Ensuring coverage for aesthetic services and restorative care provided for the treatment of physical injuries caused by domestic violence, as determined to be medically necessary by a licensed physician.

The act is set to take effect on January 1, 2026.

- Requiring insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for preventive screenings for ovarian cancer for individuals at least 45 years old.
- Including magnetic resonance imaging (MRI) and computed tomography (CT) scans as part of the preventive screenings.
- Prohibiting copayments, coinsurance, or deductible requirements for these screenings, except for high-deductible health plans.

The act is set to take effect on January 1, 2026.

- Establishing an appeal process for individuals subject to the digital advertising gross revenues tax who receive a notice of assessment from the Comptroller.
- Authorizing the Comptroller or their designee to issue an order to correct an erroneous assessment of the digital advertising gross revenues tax, subject to certain conditions.

The act is set to take effect on January 1, 2026, and will apply to assessments made after December 31, 2025.

- Requiring insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for medically appropriate and necessary hearing aids for minors and adults.
- Ensuring coverage if the hearing aid is prescribed, fitted, and dispensed by a licensed hearing aid dispenser.
- Allowing entities to limit the benefit payable to $1,400 per hearing aid for each hearing-impaired ear every 36 months.
- Permitting insured individuals to choose higher-priced hearing aids and pay the difference without penalty.

The act is set to take effect on January 1, 2026.

- Prohibiting insurers, nonprofit health service plans, and health maintenance organizations from imposing step therapy or fail-first protocols on insulin or similar medications.
- Ensuring that these medications are covered without requiring the use of other prescription drugs first.

The act is set to take effect on January 1, 2026.