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Bill

Bill

SB 205

Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements

2026 Regular Session

Maryland codifies federal mental health parity requirements into state law, mandating insurers provide equivalent mental health and substance use disorder coverage to physical health services.

Approved by the Governor - Chapter 12
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Bill Summary · SB 205

Legislative bill overview

SB 205 codifies existing federal mental health parity requirements into Maryland state law, requiring health insurers to provide equivalent coverage for mental health and substance use disorder treatments as they do for physical health services. The bill essentially translates federal mandates (primarily the Mental Health Parity and Addiction Equity Act) into state statute to ensure consistent enforcement and protection at the state level.

Why is this important

Mental health parity laws address a documented problem: insurers historically imposed stricter limits, higher copays, and more denials for mental health care than physical health care, even though federal law technically prohibited this since 2008. By codifying these requirements in state law, Maryland creates an additional enforcement mechanism and ensures protections survive potential federal policy changes. This directly affects hundreds of thousands of Marylanders with health insurance seeking mental health and addiction services.

Potential points of contention

  • Implementation costs: Requiring equal coverage may increase insurance premiums if insurers must expand previously limited mental health networks or reduce cost-sharing barriers
  • Provider network capacity: Maryland may lack sufficient mental health providers to meet increased demand if parity requirements drive utilization up without corresponding provider growth
  • Regulatory redundancy: Critics may argue state codification is unnecessary since federal law already mandates parity, potentially creating compliance confusion with duplicative state-federal oversight

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

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