Maryland 2025 Regular Session

Maryland House Bill HB0547

Caption

Income Tax - Subtraction Modification - Enhanced Agricultural Management Equipment

Summary

HB0547 requires hospitals in Maryland to comply with the federal hospital price transparency law and adds state-level requirements for publishing standard charges for shoppable services. Hospitals must maintain and publicly post their standard charges in both machine-readable and plain-language formats, with phased minimum service-list thresholds beginning October 1, 2025 and increasing in 2029. Hospitals that already operate a CMS-compliant internet-based price estimator tool can satisfy the listing requirement if they take reasonable steps to improve accuracy, update underlying data, and audit estimates for quality assurance. The bill also restricts hospitals from selling personal data obtained through a hospital price estimator tool and from using that data for targeted advertising. It defines personal data, targeted advertising, and related terms, and directs the Secretary of Health to monitor compliance through complaints, credible analyses, and website audits. The Secretary must publish and regularly update a public list of noncompliant hospitals, issue notices of violation, require corrective action plans, and impose administrative penalties for continued noncompliance. Penalties are tiered by hospital size and are deposited into a newly created Hospital Price Transparency Fund, which is dedicated to administering and enforcing the law and supporting a public awareness campaign. The bill would add new provisions to the Health-General Article and make a conforming change to the State Finance and Procurement Article so that the Hospital Price Transparency Fund is exempt from the general rule that interest on state money goes to the General Fund. It also creates reporting duties for the Secretary of Health, including annual reports on violators and recommendations if federal price transparency rules change. The act takes effect October 1, 2025. Overall, the bill appears aimed at strengthening consumer access to hospital pricing information and increasing enforcement of existing federal transparency requirements. The structure of the bill suggests a strong regulatory and consumer-protection approach, with public disclosure, administrative oversight, and financial penalties intended to drive compliance. The inclusion of a public awareness campaign further indicates an emphasis on helping patients use price information when choosing care. No committee transcript or vote history was provided, so there is no recorded legislative debate or vote-based sentiment to assess. Based on the bill text alone, the measure is likely to be viewed favorably by transparency and consumer advocates, while hospitals may have concerns about compliance costs, reporting burdens, public noncompliance listings, and restrictions on data use and advertising.

Impact

HB0547 would create new state statutory requirements for hospitals under the Health-General Article, including mandatory compliance with federal hospital price transparency rules, public posting of standard charges for shoppable services, data privacy limits on estimator-tool information, and enforcement mechanisms administered by the Secretary of Health. It also establishes the Hospital Price Transparency Fund and exempts that fund from the general interest-crediting rule in the State Finance and Procurement Article. Hospitals, the Department of Health, and patients seeking price information would be directly affected.

Sentiment

No votes or committee testimony were provided, so there is no documented legislative sentiment from the record supplied. Based on the bill’s text, the measure is framed as a consumer-transparency and enforcement bill, suggesting likely support from advocates of healthcare price transparency and patient rights. The bill also imposes new compliance, reporting, and penalty obligations on hospitals, which could generate opposition or concern from hospital operators and industry stakeholders.

Contention

The main points of contention are likely to be the scope of hospital compliance obligations, the public posting and auditing requirements, and the enforcement regime. Hospitals may object to the phased requirement to list large numbers of shoppable services, the need to maintain machine-readable and plain-language disclosures, and the Secretary’s authority to publish noncompliance lists and impose daily penalties. Another likely issue is the bill’s restriction on selling or using estimator-tool data for targeted advertising, which could raise concerns about operational flexibility and data practices. No specific stakeholder positions were provided in the materials, so these are inferred from the bill’s structure.

Companion Bills

No companion bills found.

Similar Bills

No similar bills found.