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Bill

HB 1118

Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions

2026 Regular Session Introduced by Gabriel Acevero and 31 co-sponsors

Maryland bill establishes perinatal mental health protections via insurance coverage expansion and provider requirements to improve maternal mental healthcare access.

Approved by the Governor - Chapter 637
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Bill Summary · HB 1118

Legislative bill overview

HB 1118 addresses perinatal mental health conditions in Maryland by establishing or modifying health insurance coverage, provider requirements, or screening protocols related to mental health care during pregnancy and the postpartum period. The bill received a favorable report with amendments from the Health Committee in March 2026.

Why is this important

Perinatal mental health—including depression, anxiety, and postpartum psychosis—affects a significant percentage of pregnant and postpartum individuals and can have serious consequences for both parent and child if untreated. By potentially expanding insurance coverage or requiring screening protocols, the bill could improve access to mental health services during a critical life stage when many individuals face barriers to care.

Potential points of contention

  • Insurance mandate costs: Expanded coverage requirements may increase premiums or administrative costs for insurers, which could be passed to consumers or employers
  • Provider availability: Mandating screening or treatment without sufficient perinatal mental health specialists in Maryland could create delays or force referrals to general practitioners
  • Scope and definition: Disagreement may exist over which conditions qualify as "perinatal mental health conditions" and whether coverage should be universal or risk-based

Compiled from official sources — confirm details with the bill’s official record.

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