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HB 1365

Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care

2026 Regular Session Introduced by Tiffany Alston and 20 co-sponsors

Maryland bill mandates healthcare provider menopause training, requires insurance coverage for menopause treatments, and creates policy initiatives to improve patient access to care.

Approved by the Governor - Chapter 606
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Bill Summary · HB 1365

Legislative bill overview

HB 1365 requires Maryland to establish training standards for healthcare providers on menopause management, mandate insurance coverage for menopause-related treatments and services, and develop policy initiatives to improve access to menopause care. The bill addresses gaps in provider education and insurance coverage for this significant life transition affecting millions of Marylanders.

Why is this important

Menopause affects roughly half the population and can severely impact quality of life through symptoms like hot flashes, mood changes, and sleep disruption. Studies indicate many healthcare providers lack adequate training in menopause management, leading to underdiagnosis, inadequate treatment, and patient frustration. Insurance coverage gaps create financial barriers to accessing proven treatments and specialist care.

Potential points of contention

  • Provider training mandates may increase healthcare costs and administrative burden on medical schools and continuing education programs without clear funding mechanisms
  • Insurance coverage requirements could increase premiums for all policyholders, raising affordability concerns for some while benefiting menopause-related care access
  • Scope and specificity - the bill's definition of covered treatments and services may be contested (hormone therapy vs. alternative approaches; which specialists qualify)
  • Implementation timeline - healthcare systems may argue insufficient time to develop training curricula and revise coverage policies

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

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