Legislation - SB0797

Title: Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding
Sponsored by: Senator Lam
Status: In the Senate - First Reading Finance
Analysis

Synopsis

Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations are required to follow if the insurer, nonprofit health service plan, or health maintenance organization intends or makes a final decision to downcode a claim; etc.

Committees

Original:: Finance

Details

Cross-filed with: HB1153

Bill File Type: Regular

Effective Date(s): October 1, 2026

History

Legislation History
Chamber Senate Calendar Date 2/06/2026 Legislative Date 2/06/2026 Action First Reading Finance Proceedings
Chamber Calendar Date Legislative Date Action Text - First - Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding Proceedings

Chamber	Calendar Date	Legislative Date	Action	Proceedings
Senate	2/06/2026	2/06/2026	First Reading Finance
			Text - First - Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding

File Code

Subjects

Statutes