Maryland 2026 Regular Session

Maryland Senate Bill SB890

Introduced
2/6/26  
Refer
2/6/26  
Report Pass
3/23/26  
Engrossed
3/30/26  
Refer
3/31/26  
Refer
4/6/26  
Report Pass
4/10/26  

Caption

Insurance - Captive Insurers - Premium Receipts Tax Study

Impact

If enacted, SB 890 would directly impact the financial obligations of nonprofit hospitals and healthcare systems concerning their captive insurance practices. By exempting these entities from premium receipts tax, the bill aims to alleviate some financial burdens and promote the use of captive insurance as a risk management tool. Additionally, it empowers the Maryland Insurance Administration to conduct a comprehensive study on captive insurance practices in the state, examining their regulation and taxation, thus potentially leading to improved financial frameworks for healthcare providers. This measure could lead to a more favorable operational environment for nonprofits in a competitive healthcare landscape.

Summary

Senate Bill 890 aims to amend certain aspects of the Maryland Insurance statutes by exempting certain nonprofit hospitals and healthcare systems from the payment of premium receipts tax on captive insurance. Specifically, the bill addresses the premium taxes on insurance procured by these nonprofit entities, effectively creating a moratorium and conducting a study on the use and regulation of captive insurance in the state. This action is in response to the growing concern around the financial pressures faced by nonprofit healthcare providers, especially during economic downturns.

Sentiment

The general sentiment surrounding SB 890 appears to be positive among healthcare providers and advocates for nonprofit organizations, as it is perceived as a necessary step towards ensuring their financial viability. Supporters argue that the tax exemption could enable nonprofit hospitals to allocate resources more effectively towards patient care rather than regulatory compliance costs. However, some legislators express concern that such tax exemptions could lead to inequities in the insurance market, advocating for a more balanced approach that does not disproportionately benefit certain entities over others.

Contention

Points of contention include the potential for decreased state revenue due to the exemptions granted under SB 890, as critics raise concerns about the long-term sustainability of the funding mechanisms for state healthcare programs. There are fears that the bill may inadvertently encourage the formation of more captive insurance entities solely to avoid tax obligations, which could complicate the regulatory landscape. Ultimately, the debate surrounds the balance between providing relief for nonprofit institutions and maintaining a fair and equitable taxation system for all entities.

Companion Bills

MD HB1228

Crossfiled Insurance - Premium Receipts Tax - Exemption for Captive Insurance Procured by Nonprofit Hospitals and Health Care Systems

Previously Filed As

MD HB1228

Insurance - Premium Receipts Tax - Exemption for Captive Insurance Procured by Nonprofit Hospitals and Health Care Systems

MD HB327

Income Tax - Credit for Long-Term Care Premiums (Long-Term Care Relief Act of 2025)

MD SB155

Income Tax - Credit for Long-Term Care Premiums (Long-Term Care Relief Act of 2025)

MD HB148

Private Passenger Motor Vehicle Insurance - Premium Increase - Prohibition

MD SB697

Maryland Automobile Insurance Fund - Premium Discounts - Methodology

MD SB551

Private Passenger Motor Vehicle Insurance - Collisions With Wild Animals - Prohibited Actions by Insurers

MD HB1189

Property and Casualty Insurance - Distribution of Premium Tax Proceeds to State Disaster Recovery Fund

MD HB1437

Income Tax - Credit for Long-Term Care Premiums

MD HB813

Maryland Insurance Administration and Maryland Department of Health - Workgroup to Study Pharmacy Benefits Managers

MD SB547

Commission to Study Health Insurance Pooling - Establishment

Similar Bills

No similar bills found.