House Bill 665, introduced in Maryland on January 29, 2025, aims to enhance access to mental health and substance use disorder care by mandating coverage for annual behavioral health wellness visits. This legislation targets insurers, nonprofit health service plans, and health maintenance organizations operating within the state, requiring them to provide coverage for these visits regardless of whether a behavioral health diagnosis is made.

The bill defines "health care practitioners" as licensed individuals authorized to provide mental health and substance use disorder services, thereby ensuring that the wellness visits are conducted by qualified professionals. A key provision of the bill stipulates that these wellness visits must be reimbursed at the same rate as assessments that lead to a behavioral health diagnosis, promoting parity in mental health care reimbursement.

The introduction of House Bill 665 comes amid growing concerns about mental health accessibility, particularly in the wake of increased demand for mental health services during and after the COVID-19 pandemic. Advocates argue that the bill could significantly improve early detection and intervention for mental health issues, potentially reducing long-term healthcare costs and improving overall community well-being.

However, the bill has not been without controversy. Some stakeholders, including certain insurance providers, have expressed concerns regarding the financial implications of mandated coverage, fearing it could lead to increased premiums for consumers. Debates are expected as the bill progresses through the legislative process, particularly regarding its economic impact and the balance between ensuring access to care and managing costs.

If passed, House Bill 665 will take effect on January 1, 2026, and will apply to all health policies and contracts issued or renewed in the state thereafter. The outcome of this legislation could set a precedent for similar initiatives in other states, reflecting a growing recognition of the importance of mental health care in overall health policy. As discussions continue, the bill's proponents remain hopeful that it will pave the way for more comprehensive mental health services in Maryland.