2025 Regular SessionMaryland Legislature

HB970: Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols

Legislative Summary

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from imposing a step therapy or fail-first protocol for insulin or an insulin analog used to treat an insured's or enrollee's Type 1, Type 2, or gestational diabetes; and applying the Act to all policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after January 1, 2026.

Demographic Impact

Overall analysis of equity impact

80% Positive
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Bill History

1/31/2025
First Reading Health and Government Operations
House of Delegates
2/3/2025
Hearing 2/27 at 1:00 p.m.
House of Delegates
2/26/2025
Hearing canceled
House of Delegates
2/26/2025
Hearing 2/27 at 2:00 p.m.
House of Delegates
3/10/2025
Favorable with Amendments Report by Health and Government Operations
House of Delegates
3/11/2025
Favorable with Amendments {353129/1 Adopted
House of Delegates
3/11/2025
Second Reading Passed with Amendments
House of Delegates
3/11/2025
Third Reading Passed (137-0)
House of Delegates
3/12/2025
Referred Finance
Senate
3/31/2025
Favorable with Amendments Report by Finance
Senate
4/1/2025
Favorable with Amendments {953925/1 Adopted
Senate
4/1/2025
Second Reading Passed with Amendments
Senate
4/2/2025
Third Reading Passed (46-0)
Senate
4/3/2025
House Refuses Concur Senate Amendments
House of Delegates
4/3/2025
House Requests Senate Recede
House of Delegates
4/3/2025
House Refuses Concur Senate Amendments
Senate
4/3/2025
House Requests Senate Recede
Senate
4/3/2025
Senate Refuses Recede
Senate
4/5/2025
House Concurs Senate Amendments
House of Delegates
4/5/2025
Third Reading Passed (134-0)
House of Delegates
4/5/2025
Passed Enrolled
House of Delegates

Amendments

Favorable with Amendments 953925/1 Adopted

Favorable with Amendments 953925/1 Adopted

4/1/2025Adopted

Favorable with Amendments 353129/1 Adopted

Favorable with Amendments 353129/1 Adopted

3/11/2025Adopted

Roll Call Votes

Third Reading Passed
4/5/2025
134
Yea
0
Nay
3
Not Voting
4
Absent
Result: PASSED
Third Reading Passed
3/11/2025
137
Yea
0
Nay
2
Not Voting
2
Absent
Result: PASSED