MD LEG Health Insurance Conformity


On Mar. 28, MD LEG amended ins rules to conform with federal law.


  • MD LEG proposed HB 30 (SB 217) to conform provisions of State health insurance law with existing federal requirements, including updating effective dates for federal rules.
  • Amended MD INS 15-1208.2, MD INS 15-1316, MD INS 15-1A-01, MD INS 15-1A-03.
  • MD INS 15-1A-04, MD INS 15-1A-13, MD INS 15-1A-14, and MD INS 15-1A-16.
  • Bill Provisions
  • Aligned MD health insurance law and regulations with federal rules and regulations.
  • Including consumer protection measures under No surprises act (NSA) (PL 116-260).
  • Additionally, amended provisions altered the material errors that trigger special enrollment periods in the Small Business Health Options Program (SHOP) Exchange.
  • Bill provisions permitted the Maryland Health Benefit Exchange (MHBE) to adopt an expanded open enrollment period and alternate effective dates of coverage.
  • Required that specified regulations adopted by MD INS be consistent with federal regulations in effect Dec. 1, 2023, and updated the definition of grandfathered plan.
  • Legislative History
  • On Jan. 10, 2024, bill was introduced in House; on Feb. 8, 2024, bill passed House.
  • On Feb. 9, 2024, bill was introduced in Senate; on Mar. 27, 2024, bill passed Senate.
  • On Mar. 28, 2024, returned passed by House and Senate; pending governor review.
  • Effectiveness
  • Upon approval, provisions will become effective on Oct. 1, 2024.
  • Apr. 2024 MD LEG Governor Approval
  • On Apr. 9, 2024, MD LEG reported bill was approved by governor, Ch. 117, Ch. 118.

Regulators MD LEG
Entity Types Ins
Reference Ch. 117, 118, 4/9/2024; Bill, HB0030, SB0217, 3/28/2024; NSA; Citation: *MD INS* 15-1208.2, 15-1316, 15-1A-01, 15-1A-03, 15-1A-04, 15-1A-13, 15-1A-14, 15-1A-16; PL 116-260;
Functions Claims/Accelerated Benefits; Compliance; Legal; Operations; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 3/28/2024
Effective Date 10/1/2024
Rule Id 206841
Linked to N/A
Reg. Last Update 4/9/2024
Report Section US Insurance

Last substantive update on 04/12/2024