Maryland 2025 Regular Session

Maryland House Bill HB1402

Introduced
2/7/25  

Caption

Medical Examiner - Release of Body - Requirements for Muslims

Summary

HB1402 would require the Maryland Department of Health and the Department of Human Services to expand data-sharing and verification efforts aimed at detecting waste, fraud, and abuse in public benefits programs. For the Maryland Medical Assistance Program, the bill directs the Department of Health to enter into memorandums of understanding with state and federal agencies to conduct regular reviews of death records, employment and wage changes, tax filings, incarceration status, unemployment insurance records, and other databases. It also bars the Department from relying on self-attestation for income, residency, household composition, or other eligibility factors unless federal law requires it, and it directs the Department to seek federal approval for a six-month lockout period for certain adults who fail to report eligibility changes. For the Supplemental Nutrition Assistance Program, the bill adds similar anti-fraud and eligibility-verification requirements to the Human Services Article. The Department of Human Services would have to conduct monthly death checks, wage and employment reviews, out-of-state EBT transaction reviews, tax-filing reviews, incarceration checks, and twice-monthly unemployment insurance reviews. It would also be prohibited from using categorical eligibility or a higher gross-income standard than federal law allows, and households would be required to report eligibility-related changes within 10 days. The bill further requires annual on-site inspections of retail facilities that accept EBT cards, agreements with the State Lottery and Gaming Control Agency to identify recipients who win prizes of $3,000 or more, and quarterly public reports on investigations, prosecutions, improper payments recovered, and other fraud-related metrics. The bill’s impact on state law would be significant for Medicaid and SNAP administration in Maryland. It would add new statutory duties, data-sharing mandates, reporting requirements, and eligibility-verification restrictions for the two departments, while also requiring regulations to implement the new framework. It would affect benefit recipients, state agencies, retailers authorized to accept EBT, and potentially law enforcement and other agencies involved in data matching and inspections. If federal approval is obtained for the proposed Medicaid lockout waiver, the bill could also create a new penalty for certain recipients who do not report changes in eligibility. The general sentiment reflected by the bill text is strongly focused on fraud prevention, program integrity, and tighter oversight of public assistance. No committee transcript or vote record was provided, so there is no recorded debate or roll-call history to indicate broader legislative support or opposition. Based on the bill’s structure and sponsors, it appears to be framed as a reform measure intended to reduce improper payments and improve eligibility enforcement. The main points of contention likely concern privacy, administrative burden, and access to benefits. Critics may object to the extensive use of cross-agency data matching, restrictions on self-attestation, annual retail inspections, and the proposed Medicaid lockout period, arguing these measures could create barriers for eligible recipients or raise due-process and confidentiality concerns. Supporters are likely to emphasize preventing fraud, recovering improper payments, and ensuring that benefits go only to eligible individuals and households.

Impact

HB1402 would amend the Health-General and Human Services Articles to impose new eligibility-verification, data-sharing, inspection, reporting, and enforcement requirements on Maryland Medicaid and SNAP administration. It would require memorandums of understanding with multiple state and federal agencies, limit self-attestation in eligibility determinations, mandate public fraud reports, and direct the Department of Health to seek a federal waiver for a Medicaid lockout period. It would also tighten SNAP eligibility administration by restricting categorical eligibility and gross-income standards beyond federal law, requiring prompt reporting of changes, and authorizing annual inspections of EBT retailers.

Sentiment

The bill is framed in a strongly anti-fraud, program-integrity posture, with its sponsors seeking more aggressive oversight of public benefits. Because no committee testimony or votes were provided, there is no documented public record here of support or opposition. The available text suggests the bill is intended to appeal to concerns about improper payments and eligibility abuse rather than to expand benefits.

Contention

Likely areas of contention include the bill’s privacy implications, the breadth of interagency data sharing, and whether the proposed verification requirements would create administrative hurdles for eligible recipients. The Medicaid lockout proposal is especially likely to draw criticism because it would penalize certain adults for failing to report eligibility changes. SNAP-related provisions limiting self-attestation, categorical eligibility, and higher income standards may also be disputed by advocates who argue they could reduce access to food assistance and increase erroneous terminations. Supporters, by contrast, are likely to argue that these measures are necessary to prevent fraud, recover improper payments, and protect public funds.

Companion Bills

No companion bills found.

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