All Roll Calls
Yes: 479 • No: 769
MarylandHB 04242025 Regular SessionHouseWALLET
Prescription Drug Affordability Board - Authority and Stakeholder Council Membership (Lowering Prescription Drug Costs for All Marylanders Now Act)
Sponsored By: Bonnie Cullison (Democratic)
Signed by Governor
Public HealthHealth - InsuranceCommerce and Business -see also- ElectrComm; ForeignTr; etc.Committees and CommissionsConsumer ProtectionDrugs -see also- Cannabis; ControlDangSubst; Pharm; etc.Fees -see also- Attys' Fees; Devt Fees & TaxesHealth -see also- COVID19; EnvHlth; MedCon; etc.Industry and TechnologyMedical AssistanceNoticesPrices -see also- Consumer Price IndexReimbursement RatesReportsRevenue and Taxes -see also- (specific tax)Sunset
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Maryland expands drug payment limit authority
Beginning October 1, 2025, Maryland’s drug affordability board must consult its Stakeholder Council about broader drug payment limits. It must create a process if it finds that process serves the state’s best interest. Initial limits target government purchases, government employee health plans, and Medicaid. Broader authority starts only after limits on two drugs have each been in effect for one year. The board must notify the Department of Legislative Services within five days after meeting that condition. Notice must arrive by September 30, 2030; broader authority starts upon receipt or expires if that deadline passes without notice. Broader limits exclude Medicare Part C and D reimbursements, federal 340B purchases, and federal programs Maryland cannot regulate. Before setting Medicaid limits, the board must check with Medicaid about federal rebate rules, other federal requirements, and added budget needs. Savings depend on the drug limits set; Medicaid eligibility and benefits do not change.
Maryland drops shortage safeguards for drug limits
Beginning October 1, 2025, Maryland’s drug affordability board can apply payment limits to drugs on the federal shortage list. The law removes the board’s duty to monitor supplies of drugs with payment limits. It also removes the duty to reconsider a limit when a drug runs short. Covered buyers can retain payment limits during shortages, but patients lose these required supply safeguards.
Sponsors & Cosponsors
Sponsor
Bonnie Cullison
Democratic • House
Cosponsors
Tiffany T. Alston
Democratic • House
Heather Bagnall
Democratic • House
Harry Bhandari
Democratic • House
Pam Lanman Guzzone
Democratic • House
Terri L. Hill
Democratic • House
Anne R. Kaiser
Democratic • House
Kenneth Kerr
Democratic • House
Lesley J. Lopez
Democratic • House
Ashanti Martinez
Democratic • House
Joseline A. Peña-Melnyk
Democratic • House
Samuel I. Rosenberg
Democratic • House
Steve Johnson
Democratic • House
Deni Taveras
Democratic • House
Jennifer White Holland
Democratic • House
Jamila J. Woods
Democratic • House
Teresa Woorman
Democratic • House
Roll Call Votes
House vote • 4/7/2025
Third Reading Passed
Yes: 100 • No: 38 • Other: 2
Senate vote • 4/4/2025
Third Reading Passed
Yes: 33 • No: 12
House vote • 2/21/2025
Third Reading Passed
Yes: 94 • No: 38 • Other: 2
House vote • 2/19/2025
Floor Amendment {503520/1 (Delegate Pippy) Rejected
Yes: 36 • No: 98
House vote • 2/19/2025
Floor Amendment {113920/1 (Delegate Rose) Rejected
Yes: 35 • No: 97 • Other: 2
House vote • 2/19/2025
Floor Amendment {573729/1 (Delegate Hartman) Rejected
Yes: 36 • No: 98
House vote • 2/19/2025
Floor Amendment {783722/1 (Delegate Buckel) Rejected
Yes: 36 • No: 96 • Other: 2
House vote • 2/19/2025
Floor Amendment {293321/1 (Delegate Buckel) Rejected
Yes: 34 • No: 100
House vote • 2/19/2025
Floor Amendment {573427/1 (Delegate Hornberger) Rejected
Yes: 37 • No: 97 • Other: 1
House vote • 2/19/2025
Floor Amendment {583124/1 (Delegate Griffith) Rejected
Yes: 38 • No: 95 • Other: 3
Actions Timeline
Approved by the Governor - Chapter 611
5/20/2025Passed Enrolled
4/7/2025HouseThird Reading Passed (100-38)
4/7/2025HouseHouse Concurs Senate Amendments
4/7/2025HouseThird Reading Passed (33-12)
4/4/2025SenateSecond Reading Passed with Amendments
4/4/2025SenateFavorable with Amendments {103024/1 Adopted
4/4/2025SenateFavorable with Amendments Report by Finance
4/4/2025SenateReferred Finance
2/24/2025SenateThird Reading Passed (94-38)
2/21/2025HouseSecond Reading Passed with Amendments
2/19/2025HouseFloor Amendment {583124/1 (Delegate Griffith) Rejected (38-95)
2/19/2025HouseFloor Amendment {573427/1 (Delegate Hornberger) Rejected (37-97)
2/19/2025HouseFloor Amendment {503520/1 (Delegate Pippy) Rejected (36-98)
2/19/2025HouseFloor Amendment {573729/1 (Delegate Hartman) Rejected (36-98)
2/19/2025HouseFloor Amendment {113920/1 (Delegate Rose) Rejected (35-97)
2/19/2025HouseFloor Amendment {293321/1 (Delegate Buckel) Rejected (34-100)
2/19/2025HouseFloor Amendment {783722/1 (Delegate Buckel) Rejected (36-96)
2/19/2025HouseMotion Special Order until 02/19 (Delegate Buckel) Adopted
2/18/2025HouseFavorable with Amendments {443220/1 Adopted
2/18/2025HouseFavorable with Amendments Report by Health and Government Operations
2/17/2025HouseHearing 2/06 at 1:00 p.m.
1/21/2025HouseFirst Reading Health and Government Operations
1/16/2025House
Bill Text
Enacted
5/20/2025
Enrolled
4/7/2025
Third Reading
2/19/2025
First Reading
1/16/2025
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