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Read. Follow. Verify.Maryland Requires Health Department to Replace Medicaid Mainframe with Modular System
Last action · February 13, 2026: First Reading Senate RulesSponsor: Katie Hester
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What This Bill Would Do
The Maryland Department of Health must procure a modular replacement system for its Medicaid Management Information System by July 1, 2026, to modernize infrastructure and improve security.
Changes the technological infrastructure handling state health claims and provider enrollments, with mandatory integration deadlines set for 2027 and complete decommissioning of the legacy system by January 1, 2028.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Maryland Department of Health
The Department is mandated to procure, integrate, and transition to a new modular system while decommissioning the legacy mainframe.
Medicaid beneficiaries and healthcare providers
Their claims processing, enrollments, and inquiries will be handled by the new modular replacement system.
Key Facts
- The Maryland Department of Health must procure a replacement for the State Medicaid Management Information System to modernize infrastructure, subject to federal approval.
- The new system must support provider enrollment, medical, dental, and pharmacy claims processing, beneficiary inquiries, data reporting, and audit functions.
- On or before January 1, 2027, the Department must integrate the replacement system with the Medicaid Enterprise System.
- On or before January 1, 2028, the Department must transition all applications from the Annapolis Data Center to the new system and decommission the legacy system.
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- The Act takes effect on July 1, 2026.
Frequently Asked Questions
What system is being replaced under this bill?
By when must the legacy Medicaid system be decommissioned?
What else do you want to know?
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Votes, people, money & the original sourceWhere This Stands
Currently filed. The next step in the legislative lifecycle is Committee.
Procedural history
1 action- Feb 13, 2026SenateIntroducedFirst Reading Senate Rules
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Legacy IT Modernization Mandate
The state is legally compelling a move away from traditional mainframe architecture at the Annapolis Data Center toward modular systems integrated with the broader Medicaid Enterprise System.
Connected Entities
Sources
mgaleg.maryland.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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