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Maryland General Assembly· SB0496Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 866 (Chapter 866)

Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization, the official text

Shown verbatim: the complete text as captured from the official PDF posted by the Maryland General Assembly, fetched 2026-09-25. Page and line markers are part of the official record; nothing is edited or removed. This is the chaptered version. The official bill page.
WES MOORE, Governor                  Ch. 866

Chapter 866

                               (Senate Bill 496)

AN ACT concerning

Maryland Medical Assistance Program – Coverage for the Treatment of
                                     Obesity – Authorization

FOR the purpose of authorizing, beginning on a certain date, the Maryland Medical
         Assistance Program to provide comprehensive coverage for the treatment of obesity;
         requiring the Maryland Department of Health to provide notice to Program
         recipients if the Department elects to provide the coverage; authorizing the
         Maryland Department of Health to apply to the Centers for Medicare and Medicaid
         Services for a State plan amendment authorizing the State to provide comprehensive
         coverage for the treatment of obesity; and generally relating to the Maryland Medical
         Assistance Program and coverage for the treatment of obesity.

BY repealing and reenacting, without amendments,
         Article – Health – General
         Section 15–103(a)(1)
         Annotated Code of Maryland
         (2023 Replacement Volume and 2025 Supplement)

BY repealing and reenacting, with amendments,
         Article – Health – General
         Section 15–103(a)(2)(xxvii) and (xxviii)
         Annotated Code of Maryland
         (2023 Replacement Volume and 2025 Supplement)

BY adding to
         Article – Health – General
         Section 15–103(a)(2)(xxix) and 15–160
         Annotated Code of Maryland
         (2023 Replacement Volume and 2025 Supplement)

         SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
That the Laws of Maryland read as follows:

                   Article – Health – General

15–103.

         (a) (1) The Secretary shall administer the Maryland Medical Assistance
Program.

             (2) The Program:

                               –1–
Ch. 866                   2026 LAWS OF MARYLAND

                (xxvii)   Beginning on January 1, 2026, if providing coverage for

the delivery of anesthesia, shall provide coverage for the delivery of anesthesia in

accordance with § 15–862 of the Insurance Article; [and]

                (xxviii)  Beginning on January 1, 2026, shall provide calcium score

testing in accordance with § 15–863 of the Insurance Article; AND

                (XXIX)    BEGINNING ON JANUARY 1, 2027, MAY PROVIDE

COMPREHENSIVE COVERAGE FOR THE TREATMENT OF OBESITY UNDER § 15–160 OF

THIS SUBTITLE.

15–160.

        (A) IN THIS SECTION, “COMPREHENSIVE COVERAGE FOR THE TREATMENT
OF OBESITY” INCLUDES COVERAGE FOR INTENSIVE BEHAVIORAL THERAPY,
BARIATRIC SURGERY, AND ANY MEDICATION APPROVED BY THE FEDERAL FOOD
AND DRUG ADMINISTRATION WITH AN INDICATION FOR CHRONIC WEIGHT
MANAGEMENT IN PATIENTS WITH OBESITY.

        (B) THE PROGRAM MAY PROVIDE COMPREHENSIVE COVERAGE FOR THE
TREATMENT OF OBESITY.

        (C) THE PROGRAM MAY UNDERTAKE UTILIZATION MANAGEMENT TO

DETERMINE THE MEDICAL NECESSITY AND APPROPRIATENESS FOR TREATMENT OF
OBESITY UNDER THIS SECTION IF THE DETERMINATIONS ARE MADE IN THE SAME
MANNER AS DETERMINATIONS ARE MADE FOR THE TREATMENT OF ANY OTHER

ILLNESS, CONDITION, OR DISORDER COVERED BY THE PROGRAM.

        (D) IF THE DEPARTMENT ELECTS TO PROVIDE COMPREHENSIVE COVERAGE
FOR THE TREATMENT OF OBESITY UNDER THIS SECTION, THE DEPARTMENT SHALL
PROVIDE NOTICE TO PROGRAM RECIPIENTS.

         SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of
Health may apply to the Centers for Medicare and Medicaid Services for a State plan
amendment that authorizes the State to provide comprehensive coverage for the treatment of
obesity.

         SECTION 3. AND BE IT FURTHER ENACTED, That, on or before November 1,
2027, the Maryland Department of Health shall report to the Senate Finance Committee,
the Senate Budget and Taxation Committee, the House Health Committee, and the House
Appropriations Committee, in accordance with § 2–1257 of the State Government Article,
on whether the Maryland Medical Assistance Program has begun to provide comprehensive
coverage for the treatment of obesity as authorized under § 15–160 of the Health – General

                                                           –2–
WES MOORE, Governor  Ch. 866

Article, as enacted by Section 1 of this Act, and if not, why the Department has not begun
to provide coverage.

         SECTION 3. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect
October 1, 2026.

Enacted under Article II, § 17(c) of the Maryland Constitution, May 31, 2026.

–3–
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