DISSINTER

SB 797 — Maryland

Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding

Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations are required to follow if the insurer, nonprofit health service plan, or health maintenance organization intends or makes a final decision to downcode a claim; etc.

Latest action: Hearing 3/04 at 1:00 p.m. · Feb 12, 2026

In committeeClaimsCodesComplaintsFormsHealth - InsuranceHealth InsuranceHealth Maintenance OrganizationsManaged Care OrganizationsMedical AssistanceNonprofit OrganizationsNoticesPenalties and SentencesPhysiciansPublic HealthReimbursementsReports

Synopsis written by the legislature's own staff, as published on the official bill page. Status label is derived from the recorded actions. The full text below is the record.

Committees: Finance (Senate)

Updated Mar 17, 2026

Timeline

  1. First Reading Finance

    Feb 6, 2026 · Senate

  2. Hearing 3/04 at 1:00 p.m.

    Feb 12, 2026 · Senate

Sponsored by Clarence Lam

No recorded floor votes yet.

Fiscal and Policy Note — official analysis by legislative staff (PDF) Bill text (First reading) — Maryland General Assembly (PDF) Official record — Maryland General Assembly bill page

Official records. Maryland legislators, bills and roll-call votes from the Maryland General Assembly, imported through Open States on Oct 27, 2026 (partial import — not yet the full session). Accuracy review against the official site is still under way. Campaign-finance records for Maryland are not imported yet.