On Oct. 3, 2025, MD INS published final rule adoption notice in the state register.
Final rule on mental health, and substance use disorder benefits, eff. Oct. 13, 2025.
On May 16, MD INS proposed to revise parity reporting requirements.
MD INS proposed amendments to Code of Maryland Regulations, MD INS 31-10-51 concerning mental health benefits and substance use disorder benefits.
Implements MD LEG 2024 bill HB 1074 (Ch 234) on mental health benefits, #207520.
Amends definitions, methodologies for nonquantitative treatment limitation reporting.
Proposed Amendments
Proposed to amend the definitions of the terms product and strategy in relation to filing of nonquantitative treatment limitation (NQTL) comparative analysis report.
Carriers must file comparative analysis for each product (instead of top 5 health plans) in the individual, small, and large group markets, for NQTLs selected by MD INS.
Separate analyses are required if processes, strategies, evidentiary standards, or factors differ between plans within a product; shall note exception and identify plan.
Carriers must submit data templates on/before Jul. 1, 2024, every 2 years thereafter.
Summary form must be made available to plan members and accessible to the public on the carrier’s website no later than 30 days following the due date of each report.
Consultation
Comments on the proposed amendments must be submitted by Jun. 2, 2025.
May 2025 MD INS Notice
On May 29, 2025, MD INS issued notice of proposal re mental health and substance use disorder benefits as published in MD register; comments due by Jun. 16, 2025.
Oct. 2025 MD INS Approval Notice
On Oct. 3, 2025, MD INS published final rule adoption notice in the state register.
Final rule on mental health, and substance use disorder benefits, eff. Oct. 13, 2025.
Regulators
MD INS
Entity Types
Ins
Reference
MD SR Vol. 52 Is. 20, Nt, 25-018-F, 10/3/2025; Nt, RF, 5/29/2025; RF, NT 25-018-P, MD SR Vol. 52 Is. 10, 5/16/2025; Citation: MD INS 31-10-51;
Functions
Compliance; Legal; Operations; Product Administration; Record Retention; Reporting
