2025 Regular SessionMaryland Legislature

HB1243: Health Insurance - Coverage for Specialty Drugs

Legislative Summary

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from excluding coverage for certain specialty drugs that are administered or dispensed by a provider that is an in-network provider of covered medical oncology services and complies with State regulations for the administering and dispensing of specialty drugs, if the specialty drugs meet certain qualifications; and requiring the reimbursement rate for certain specialty drugs to meet certain criteria.

Demographic Impact

Overall analysis of equity impact

80% Positive
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Bill History

2/7/2025
First Reading Health and Government Operations
House of Delegates
2/12/2025
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
3/12/2025
Favorable with Amendments Report by Health and Government Operations
House of Delegates
3/12/2025
Favorable with Amendments {733628/1 Adopted
House of Delegates
3/12/2025
Second Reading Passed with Amendments
House of Delegates
3/13/2025
Third Reading Passed (137-2)
House of Delegates
3/17/2025
Referred Finance
Senate
3/27/2025
Favorable Report by Finance
Senate
3/28/2025
Favorable Adopted
Senate
3/28/2025
Second Reading Passed
Senate
4/2/2025
Third Reading Passed (46-0)
Senate
4/2/2025
Returned Passed
House of Delegates
5/20/2025
Approved by the Governor - Chapter 729
House of Delegates

Amendments

Favorable with Amendments 733628/1 Adopted

Favorable with Amendments 733628/1 Adopted

3/12/2025Adopted

Roll Call Votes

Third Reading Passed
4/2/2025
46
Yea
0
Nay
1
Not Voting
0
Absent
Result: PASSED
Third Reading Passed
3/13/2025
137
Yea
2
Nay
1
Not Voting
1
Absent
Result: PASSED