The Maryland Insurance Administration has been quite active since the coronavirus pandemic forced the Maryland General Assembly to shorten its legislative session for the first time since the Civil War. The MIA has issued guidance and bulletins requesting carriers file temporary rate filings that provide insureds rate relief, extensions of grace periods for consumers, and waived a variety of deadlines. The MIA has also been actively working with health carriers to ease restrictions on prior authorization and utilization management as well as temporarily waiving regulations around pharmacy and telehealth to respond to the complex needs of Maryland’s unique All-Payer rate setting system.