# Insurance (GIN)

## Title 31. Maryland Health Benefit Exchange

### Subtitle 1. Maryland Health Benefit Exchange

#### Section 31-109

(a) Subject to subsection (b) of this section, the Exchange may enter into agreements or memoranda of understanding with another state to:

  (1) develop joint or reciprocal certification processes;

  (2) develop consistency in qualified plans offered across states; and

  (3) coordinate resources for administrative processes necessary to support:

    (i) certification of qualified plans; and

    (ii) other functions of the Exchange.

(b) Any interstate agreements or memoranda of understanding entered into under subsection (a) of this section shall comply with and advance:

  (1) the purposes and requirements of this subtitle and the Affordable Care Act; and

  (2) the policies and regulations adopted by the Exchange under this subtitle.

---

Md. Code Ann., Ins. (as displayed at mgaleg.maryland.gov, October 16, 2026)