HOUSE BILL 547
J1 1lr1591
CF 1lr1943
By: Delegate R. Lewis
Introduced and read first time: January 20, 2021
Assigned to: Health and Government Operations
A BILL ENTITLED
1 AN ACT concerning
2 Maryland Medical Assistance Program – Dental Prophylaxis Care and Oral
3 Health Exams
4 FOR the purpose of prohibiting, beginning on a certain date, the Maryland Medical
5 Assistance Program from including a certain limitation on the frequency of dental
6 prophylaxis care and oral health exams; and generally relating to dental prophylaxis
7 care and oral health exam services provided under the Maryland Medical Assistance
8 Program.
9 BY repealing and reenacting, without amendments,
10 Article – Health – General
11 Section 15–103(a)(1)
12 Annotated Code of Maryland
13 (2019 Replacement Volume and 2020 Supplement)
14 BY repealing and reenacting, with amendments,
15 Article – Health – General
16 Section 15–103(a)(2)(xv) and (xvi)
17 Annotated Code of Maryland
18 (2019 Replacement Volume and 2020 Supplement)
19 BY adding to
20 Article – Health – General
21 Section 15–103(a)(2)(xvii)
22 Annotated Code of Maryland
23 (2019 Replacement Volume and 2020 Supplement)
24 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
25 That the Laws of Maryland read as follows:
26 Article – Health – General
EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
[Brackets] indicate matter deleted from existing law.
*hb0547*
2 HOUSE BILL 547
1 15–103.
2 (a) (1) The Secretary shall administer the Maryland Medical Assistance
3 Program.
4 (2) The Program:
5 (xv) Shall provide, subject to the limitations of the State budget,
6 mental health services appropriately delivered through telehealth to a patient in the
7 patient’s home setting; [and]
8 (xvi) Beginning on January 1, 2021, shall provide, subject to the
9 limitations of the State budget and § 15–855(b)(2) of the Insurance Article, and as permitted
10 by federal law, services for pediatric autoimmune neuropsychiatric disorders associated
11 with streptococcal infections and pediatric acute onset neuropsychiatric syndrome,
12 including the use of intravenous immunoglobulin therapy, for eligible Program recipients,
13 if pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections
14 and pediatric acute onset neuropsychiatric syndrome are coded for billing and diagnosis
15 purposes in accordance with § 15–855(d) of the Insurance Article; AND
16 (XVII)
BEGINNING ON JANUARY 1, 2022, MAY NOT INCLUDE,
17 SUBJECT TO FEDERAL APPROVAL AND LIMITATIONS OF THE STATE BUDGET, A
18 FREQUENCY LIMITATION ON COVERED DENTAL PROPHYLAXIS CARE OR ORAL
19 HEALTH EXAMS THAT REQUIRES THE DENTAL PROPHYLAXIS CARE OR ORAL HEALTH
20 EXAMS TO BE PROVIDED AT AN INTERVAL GREATER THAN 120 DAYS WITHIN A PLAN
21 YEAR.
22 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
23 October 1, 2021.