Maryland General Assembly enacts insurance coverage for biomarker and calcium score testing

March 10, 2025 | Senate Bills (Introduced), 2025 Bills, Maryland Legislation Bills Collections, Maryland


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Maryland General Assembly enacts insurance coverage for biomarker and calcium score testing
On March 10, 2025, the Maryland Legislature introduced Senate Bill 60, a significant piece of legislation aimed at expanding healthcare coverage for specific medical services. The bill seeks to amend the Annotated Code of Maryland, particularly focusing on provisions related to managed care organizations and insurance policies.

The primary purpose of Senate Bill 60 is to ensure that coverage for calcium score testing is provided under the Maryland Medical Assistance Program, beginning January 1, 2026. This testing is crucial for assessing cardiovascular health and identifying individuals at risk for heart disease. The bill also mandates that managed care organizations adhere to the same regulations as traditional insurance carriers regarding this coverage.

Key provisions of the bill include the extension of coverage for biomarker testing starting July 1, 2025, and for prostheses from January 1, 2025. These additions reflect a broader commitment to enhancing healthcare access and addressing critical health needs within the state.

Debate surrounding Senate Bill 60 has centered on its potential financial implications for the state budget and the healthcare system. Some lawmakers have expressed concerns about the costs associated with expanding coverage, particularly in light of budget constraints. However, proponents argue that the long-term benefits of early detection and preventive care will ultimately reduce healthcare costs and improve public health outcomes.

The bill has garnered support from various health advocacy groups, emphasizing the importance of accessible cardiovascular testing. Experts in the field have noted that calcium score testing can play a vital role in preventive healthcare, potentially saving lives through early intervention.

As the bill progresses through the legislative process, its implications could reshape how Maryland residents access critical health services. If passed, Senate Bill 60 may set a precedent for future healthcare legislation aimed at improving patient outcomes and expanding coverage for essential medical services. The next steps will involve further discussions and potential amendments as lawmakers weigh the benefits against the financial considerations.

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Scribe from Workplace AI
Scribe from Workplace AI