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Bill

Bill

SB 272

Health Insurance - Scalp Cooling Systems - Required Coverage

2026 Regular Session Introduced by Dawn Gile

Maryland mandates health insurance coverage for scalp cooling systems used during chemotherapy to prevent cancer-related hair loss.

Approved by the Governor - Chapter 51
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Bill Summary · SB 272

Legislative bill overview

SB 272 requires health insurance plans in Maryland to cover scalp cooling systems for cancer patients undergoing chemotherapy. Scalp cooling technology reduces hair loss by lowering scalp temperature during treatment. The bill mandates this coverage as part of standard health insurance benefits.

Why is this important

Hair loss from chemotherapy significantly impacts patient quality of life and psychological well-being, affecting treatment compliance and emotional recovery. By requiring insurance coverage, the bill removes financial barriers to accessing this technology, which can cost $3,000-$5,000 per treatment course when paid out-of-pocket. This addresses a gap where many insurers currently classify scalp cooling as cosmetic rather than medically necessary.

Potential points of contention

  • Cost implications: Insurers may argue this increases premiums for all policyholders; unclear if savings from improved adherence offset device costs
  • Medical necessity debate: Some argue hair loss prevention is cosmetic rather than therapeutic, questioning whether insurance should cover it
  • Access equity: Clarification needed on whether coverage applies to all plan types (HMOs, PPOs, marketplace plans) or if exceptions exist for smaller insurers

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

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