All Roll Calls
Yes: 317 • No: 0
MarylandHB 09702025 Regular SessionHouseWALLET
Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Sponsored By: Jamila J. Woods (Democratic)
Signed by Governor
Health - InsuranceHealth Maintenance OrganizationsDrugs -see also- Cannabis; ControlDangSubst; Pharm; etc.Health Insurance -see also- ACA; HMOs; MCOsHealth Maintenance Organizations -see also- Manage Care OrgsMedical Conditions -see also- AIDS; COVID-19; rabiesMedical TreatmentsNonprofit Organizations
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Maryland bans try-first rules for insulin
Beginning January 1, 2026, covered Maryland health plans cannot require patients to try another treatment before covering prescribed insulin. This protection covers FDA-approved insulin, insulin analogs, and drugs that work like insulin for type 1, type 2, or gestational diabetes. It applies regardless of how long the drug acts, when it is mixed, or whether it is injected or inhaled. Covered insurers, nonprofit health plans, and HMOs must follow the rule, including when they use pharmacy benefit managers. The rule applies to policies, contracts, and health benefit plans issued, delivered, or renewed in Maryland on or after that date.
Sponsors & Cosponsors
Sponsor
Jamila J. Woods
Democratic • House
Cosponsors
Tiffany T. Alston
Democratic • House
Heather Bagnall
Democratic • House
Harry Bhandari
Democratic • House
Brian Chisholm
Republican • House
Bonnie Cullison
Democratic • House
Debra Davis
Democratic • House
Mark N. Fisher
Republican • House
Jefferson L. Ghrist
Republican • House
Pam Lanman Guzzone
Democratic • House
Harris
Affiliation unavailable
Andrea Fletcher Harrison
Democratic • House
Terri L. Hill
Democratic • House
Thomas S. Hutchinson
Republican • House
Jeffrie E. Long
Democratic • House
Anne R. Kaiser
Democratic • House
Aaron M. Kaufman
Democratic • House
Kenneth Kerr
Democratic • House
Nicholaus R. Kipke
Republican • House
Lesley J. Lopez
Democratic • House
Matthew Morgan
Republican • House
Ashanti Martinez
Democratic • House
Aletheia McCaskill
Democratic • House
Edith J. Patterson
Democratic • House
Joseline A. Peña-Melnyk
Democratic • House
Teresa E. Reilly
Republican • House
Denise Roberts
Democratic • House
Samuel I. Rosenberg
Democratic • House
Kim Ross
Democratic • House
Steve Johnson
Democratic • House
Stuart Michael Schmidt
Republican • House
Gary Simmons
Democratic • House
Kathy Szeliga
Republican • House
Deni Taveras
Democratic • House
Kym Taylor
Democratic • House
Jen Terrasa
Democratic • House
Jennifer White Holland
Democratic • House
Jheanelle K. Wilkins
Democratic • House
Teresa Woorman
Democratic • House
Roll Call Votes
House vote • 4/5/2025
Third Reading Passed
Yes: 134 • No: 0 • Other: 3
Senate vote • 4/2/2025
Third Reading Passed
Yes: 46 • No: 0 • Other: 1
House vote • 3/11/2025
Third Reading Passed
Yes: 137 • No: 0 • Other: 2
Actions Timeline
Approved by the Governor - Chapter 688
5/20/2025Passed Enrolled
4/5/2025HouseThird Reading Passed (134-0)
4/5/2025HouseHouse Concurs Senate Amendments
4/5/2025HouseSenate Refuses Recede
4/3/2025SenateHouse Requests Senate Recede
4/3/2025SenateHouse Refuses Concur Senate Amendments
4/3/2025SenateHouse Requests Senate Recede
4/3/2025HouseHouse Refuses Concur Senate Amendments
4/3/2025HouseThird Reading Passed (46-0)
4/2/2025SenateSecond Reading Passed with Amendments
4/1/2025SenateFavorable with Amendments {953925/1 Adopted
4/1/2025SenateFavorable with Amendments Report by Finance
3/31/2025SenateReferred Finance
3/12/2025SenateThird Reading Passed (137-0)
3/11/2025HouseSecond Reading Passed with Amendments
3/11/2025HouseFavorable with Amendments {353129/1 Adopted
3/11/2025HouseFavorable with Amendments Report by Health and Government Operations
3/10/2025HouseHearing 2/27 at 2:00 p.m.
2/26/2025HouseHearing canceled
2/26/2025HouseHearing 2/27 at 1:00 p.m.
2/3/2025HouseFirst Reading Health and Government Operations
1/31/2025House
Bill Text
First Reading
5/20/2025
First Reading
4/5/2025
First Reading
3/11/2025
First Reading
1/31/2025
Related Bills
HB 0384, Maryland Disability Service Animal Program - Established
SB 0227, Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions
HB 0482, Occupational Licensing and Certification - Criminal History - Predetermination Review Process
SB 0157, Maryland Disability Service Animal Program - Established
HB 1294, Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization
HB 0228, Maryland Veterans Trust – Assistance to Members of the Maryland National Guard