Consumer Protections
Medical Billing Protections in Maryland
In addition to federal protections like the No Surprises Act, Maryland has its own consumer protection laws that may apply to your medical billing dispute. Here is an overview of the protections available to you.
Key Facts: Maryland Medical Billing Protections
Dispute Window
180 days from Explanation of Benefits (EOB)
Applicable Statute
Consumer Protections
Maryland has unique hospital rate-setting (HSCRC) and state-level surprise billing protections
Surprise Billing Protection
Yes — state-level surprise billing law
Balance Billing Restrictions
Yes — state restrictions on balance billing
Key Consumer Protections in Maryland
- Maryland's Health Services Cost Review Commission (HSCRC) sets hospital rates, limiting price variation.
- Maryland prohibits balance billing for emergency services by out-of-network providers.
- The federal No Surprises Act provides additional protections.
- Patients have the right to request an itemized bill from any healthcare provider.
- Maryland requires hospitals to have financial assistance policies.
- Consumers can file complaints with the Maryland Insurance Administration.
Read the full statute: Md. Code, Ins. § 14-205.3
Disclaimer: This information is for general informational purposes only and does not constitute legal or professional advice. Laws and regulations may change. Consult a licensed attorney or certified medical billing advocate for advice specific to your situation.