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HB 440

Maryland Medical Assistance Program - Individuals With Intellectual and Developmental Disabilities - Provider Reimbursement

2026 Regular Session Introduced by Gabriel Acevero and 6 co-sponsors

HB 440 adjusts Medicaid reimbursement rates for intellectual and developmental disability service providers to affect compensation and service delivery capacity.

Hearing 2/17 at 1:00 p.m.
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Bill Summary · HB 440

Legislative bill overview

HB 440 modifies reimbursement rates for providers serving individuals with intellectual and developmental disabilities (IDD) under Maryland's Medicaid program. The bill addresses compensation structures for agencies and facilities that deliver residential, day, and support services to this vulnerable population.

Why is this important

Provider reimbursement rates directly affect service quality, workforce stability, and access to care for thousands of Marylanders with IDD. Inadequate rates can force providers to reduce services, cut staff wages, or close facilities—ultimately impacting the individuals who depend on these services and families who rely on them for essential support.

Potential points of contention

  • Cost to state budget: Changes to reimbursement rates increase Medicaid expenditures, raising questions about funding sources and competing budget priorities
  • Rate adequacy debate: Disagreement likely exists over whether proposed rates adequately cover operational costs (staff wages, training, compliance) versus provider profit margins
  • Implementation timeline: Questions about whether providers have sufficient notice and resources to adjust operations under new payment structures

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

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