Health Insurance - Access to Nonparticipating Providers - Referrals, Additional Assistance, and Coverage
Sponsor: Malcolm Augustine (District 47)Committee: FinanceSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 661 (as of Dec 1, 2025)
What this bill does
Official synopsis
Repealing the June 30, 2025, termination date for certain provisions of law related to referrals to and reimbursement of specialists and nonphysician specialists who are not part of a carrier's provider panel; prohibiting certain carriers from imposing utilization review requirements other than would be required if the covered benefit was provided by a provider on the carrier's provider panel under certain circumstances; etc.
AI analysis is off. Set ANTHROPIC_API_KEY to enable summaries, pros and cons, and questions.
Analysis reads the bill text, the fiscal note, and the witness list. It is generated by Claude and reviewed by nobody, so check the source documents before you rely on it.
Testimony (0)
MGA witness listFAV 34FavorableFWA 6Favorable with amendments
Organizations on record
IndividualFAV 1
Legal Action CenterFAV 1
Maryland Insurance AdministrationFAV 1FWA 1
NCADD-MarylandFAV 2
OAGFAV 2
Registered lobbyists who testified
FAVMorris, AustinChildren's National HospitalRegistered for: Children's National Hospital; Children's National Health System
FAVGraner, NicoleCommunity Behavioral Health Association of MarylandRegistered for: Community Behavioral Health Association of Maryland
FAVClark, AshleyHarris Jones & Malone, LLCRegistered for: Beltway Fine Wine; Chesapeake Employers' Insurance Company; Community Associations Institute/Maryland Legislative Action Committee; Employ Prince George's, Inc.; Frederick Community College; Greater Baltimore Committee…
FAVFavazza, JohnManis Canning & AssociatesRegistered for: Adventist HealthCare, Inc.; Alkermes; American Chemistry Council; Amrize North America Inc., formerly Holcim Participations (US) Inc.; Baltimore Cyber Range LLC dba BCR Cyber; Baltimore Ravens…
FAVNavabi, JenniferMaryland Academy of Physician AssistantsRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
FAVNavabi, JenniferMaryland Academy of Physician AssistantsRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
FAVNavabi, JenniferMaryland Community Health SystemRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
FAVNavabi, JenniferMaryland Community Health SystemRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
FAVNavabi, JenniferMaryland Occupational Therapy AssociationRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
FAVMansfield, AndreaTowing & Recovery Professionals of MarylandRegistered for: HDR Engineering, Inc.; Adventist HealthCare, Inc.; Alkermes; Alterwood Health, Inc.; American Chemistry Council; Amrize North America Inc., formerly Holcim Participations (US) Inc.…
FAVKrone, ChristineRegistered for: American Coatings Association; Baltimore Gas and Electric Company; City of Rockville; Coordinating Center for Home and Community Care, The, LLC (dba The Coordinating Center); Greater Washington Society for Clinical Social Work, Inc.; LifeSpan Network…
FWARobinson, KimberlyCareFirst BlueCross BlueSheildRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC
FWACelentano, MatthewThe League of Life and Health Insurers of MarylandRegistered for: 38 Degrees North; Advanced Energy United; Alliance of Maryland Dental Plans; Allstate Insurance Company; America's Health Insurance Plans; American Council of Life Insurers…
FWAKauffman, DannaRegistered for: Amazon.com Services, LLC; American Association of Dental Boards c/o Commission on Dental Competency Assessments; Baltimore Gas and Electric Company; Behavioral Health System Baltimore; City of Rockville; Community Behavioral Health Association of Maryland…
