Maryland AI law: agency governance and healthcare decisions
A bounded reference to selected enacted measures and their limits, updated October 5, 2026. Provision verification dates appear separately from this analysis date.
Source status reviewed
October 5, 2026
Published analysis updated
October 5, 2026
Scope
Selected measures; statewide review incomplete
Selected laws in force
In force since 2024-07-01 · provision verified 2026-10-05
State Government AI Governance
Chapter 496 establishes state government AI governance, including inventory and assessment mechanisms. Its July 1, 2024 effective date should be distinguished from phased implementation deadlines. Chapter 747 separately governs AI use in healthcare utilization review.
In force since 2025-10-01 · provision verified 2026-10-05
Human Review in Health Insurance Utilization Review
Chapter 747 governs AI used in healthcare utilization review. Covered tools must undergo quarterly review and be open to commissioner audits. AI may not deny, delay, or modify healthcare services. The act took effect October 1, 2025.
Maryland uses two different governance mechanisms: public-sector visibility and assessment, and limits on healthcare utilization review. Neither measure should be generalized into a rule for every private AI system. Implementation deadlines and evidence that an agency met them are separate questions.
Coverage still under review
Visually verify Chapter 496 amendment markup and phased dates, review agency implementation, current insurance code, later bills, enforcement, and litigation. Selected current and concluded bills, agency rules, enforcement, and litigation have not been comprehensively screened. An omitted measure is not a finding that no relevant law exists.
Scope and method
This update expands the existing selected-law baseline using official legislative texts, codification, bill histories, and agency material. It distinguishes the act’s effective date from later duties and does not infer implementation from the passage of a deadline.
The analysis date is not a new verification date for every provision. Earlier dates remain where final text or date evidence was inaccessible. Only the separately identified in-force records enter the national export; proposed, future, and uncertain measures are excluded.