MD LEG Health Plan Dental Coverage


On Mar. 28, MD LEG bill on qualified health plan dental coverage.


  • MD LEG proposed SB 228 (HB 23) on qualified health plan (QHP) dental coverage.
  • Amended MD INS 31-115, MD INS 31-113, MD INS 31-116 on health benefit exchange
  • Bill Provisions
  • Repealed provisions that a qualified health plan is not required under certain situations to provide essential benefits that duplicate minimum benefits of qualified dental plans.
  • QHPs sold through MD Health Benefit Exchange must include pediatric dental benefits.
  • Additionally, repealed the authority of MD Health Benefit Exchange (MHBE) to require children enrolling in a QHP to have specified essential pediatric dental benefits.
  • Legislative History
  • On Jan. 10, 2024, bill was introduced in Senate; on Feb. 1, 2024, bill passed Senate.
  • On Feb. 7, 2024, bill was introduced in House; on Mar. 27, 2024, bill passed House.
  • On Mar. 28, 2024, return was passed by House and Senate; pending governor review.
  • Effectiveness
  • Applies to all health plans issued, delivered, or renewed on or after Jan. 1, 2025.
  • Apr. 2024 MD LEG Governor Approval
  • On Apr. 9, 2024, MD LEG governor approved bill SB 228/HB 23, now Ch. 116, Ch. 115.

Regulators MD LEG
Entity Types Ins
Reference Ch. 115, 116, 4/9/2024; Bill, HB0023, SB0228, 3/28/2024; Citation: *MD INS* 31-115, 31-113, 31-116;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations
Countries United States of America
Category
State
Products Dental; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 3/28/2024
Effective Date 1/1/2025
Rule Id 206754
Linked to N/A
Reg. Last Update 4/9/2024
Report Section US Insurance

Last substantive update on 04/12/2024