# Maryland SB 0357: Prescription Drug Affordability Board - Authority and Stakeholder Council Membership (Lowering Prescription Drug Costs for All Marylanders Now Act) Maryland SB 0357, Prescription Drug Affordability Board - Authority and Stakeholder Council Membership (Lowering Prescription Drug Costs for All Marylanders Now Act), is a 2025 Regular Session Senate bill sponsored by Dawn Gile (Democratic); status signed, last action 2025-05-20 (Approved by the Governor - Chapter 610) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/MD-SB0357-2025RS - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Maryland SB 0357 - State: Maryland - Session: 2025 Regular Session - Title: Prescription Drug Affordability Board - Authority and Stakeholder Council Membership (Lowering Prescription Drug Costs for All Marylanders Now Act) - Status: signed - Chamber: Senate - Introduced: 2025-01-16 - Last action: 2025-05-20, Approved by the Governor - Chapter 610 - Sponsor: Dawn Gile (Democratic) - Cosponsors: 2 - Subjects: Public Health, Health - Insurance, Commerce and Business -see also- ElectrComm; ForeignTr; etc., Committees and Commissions, Consumer Protection, Drugs -see also- Cannabis; ControlDangSubst; Pharm; etc., Fees -see also- Attys' Fees; Devt Fees & Taxes, Health -see also- COVID19; EnvHlth; MedCon; etc., Industry and Technology, Medical Assistance, Notices, Prices -see also- Consumer Price Index, Reimbursement Rates, Reports, Revenue and Taxes -see also- (specific tax), Sunset - Touches household money: no - Roll calls: 5 (197 yes, 124 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Maryland creates path toward drug payment limits: benefit, medium. Maryland’s Prescription Drug Affordability Board must consult its Stakeholder Council and decide whether statewide drug payment limits serve Maryland’s best interest. If yes, it must create the process and set limits for drugs it finds cause or will cause affordability problems. Where applicable, i… - Medicaid drug limits require federal compliance review: benefit, low. Before setting a drug payment limit for Maryland Medicaid, the Board must consult the program. They must check for conflicts with Medicaid drug rebates, federal outpatient drug rules, and other federal requirements. They must also assess whether the limit requires more money for Medicaid’s budget.… - Drug payment limits include patient safeguards: mixed, low. The Board cannot apply a new payment limit to drugs listed in current shortage by the FDA or found scarce in Maryland. It may reconsider an existing limit if the drug becomes scarce. Pharmacy dispensing fees cannot count toward a drug payment limit or be capped by it. The Board must weigh effects o… ## Sponsors and cosponsors - Sponsor: Dawn Gile (Democratic), Senate - Cosponsor: Brian J. Feldman (Democratic), Senate - Cosponsor: Katie Fry Hester (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-07 | House | Third Reading Passed | pass | 102 | 38 | | | 2025-04-07 | Senate | Third Reading Passed | pass | 32 | 11 | 1 | | 2025-03-12 | Senate | Floor Amendment {823025/1 (Senator West) Rejected | fail | 15 | 30 | 2 | | 2025-03-12 | Senate | Third Reading Passed | pass | 35 | 12 | | | 2025-03-12 | Senate | Floor Amendment {223022/1 (Senator Ready) Rejected | fail | 13 | 33 | 1 | ## Actions (21) - 2025-05-20: Approved by the Governor - Chapter 610 - 2025-04-07: Passed Enrolled (Senate) - 2025-04-07: Third Reading Passed (32-11) (Senate) - 2025-04-07: Senate Concurs House Amendments (Senate) - 2025-04-07: Third Reading Passed (102-38) (House) - 2025-04-01: Second Reading Passed with Amendments (House) - 2025-04-01: Favorable with Amendments {873527/1 Adopted (House) - 2025-04-01: Favorable with Amendments Report by Health and Government Operations (House) - 2025-03-15: Hearing 3/27 at 1:00 p.m. (House) - 2025-03-13: Referred Health and Government Operations (House) - 2025-03-12: Third Reading Passed (35-12) (Senate) - 2025-03-12: Second Reading Passed with Amendments (Senate) - 2025-03-12: Floor Amendment {223022/1 (Senator Ready) Rejected (13-33) (Senate) - 2025-03-12: Floor Amendment {823025/1 (Senator West) Rejected (15-30) (Senate) - 2025-03-12: Floor Amendment {643725/1 (Senator West) Rejected (Senate) - 2025-03-12: Committee Amendment {443427/1 Adopted (Senate) - 2025-03-11: Motion Laid Over (Senator Salling) Adopted (Senate) - 2025-03-11: Favorable with Amendments {443427/1 (Senate) - 2025-03-10: Favorable with Amendments Report by Finance (Senate) - 2025-01-22: Hearing 2/06 at 1:00 p.m. (Senate) - 2025-01-16: First Reading Finance (Senate) ## Bill text - Enacted, 2025-05-20: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_610_sb0357e.pdf) - Enrolled, 2025-04-07: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357e.pdf) - Third Reading, 2025-03-12: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357t.pdf) - First Reading, 2025-01-16: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357f.pdf) ## Related bills - SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions (vetoed) - HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination Review Process (vetoed) - HB 0384: Maryland Disability Service Animal Program - Established (vetoed) - SB 0157: Maryland Disability Service Animal Program - Established (vetoed) - HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization (became law) - HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard (signed) ## Sources - [Enacted (PDF)](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_610_sb0357e.pdf) - [Enrolled (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357e.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0357f.pdf) ## Related - [SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions](https://policyrisk.com/state-bill/MD-SB0227-2025RS) - [HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination…](https://policyrisk.com/state-bill/MD-HB0482-2025RS) - [HB 0384: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-HB0384-2025RS) - [SB 0157: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-SB0157-2025RS) - [HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization](https://policyrisk.com/state-bill/MD-HB1294-2025RS) - [HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard](https://policyrisk.com/state-bill/MD-HB0228-2025RS) - [Maryland bills](https://policyrisk.com/states/maryland/bills) - [Maryland state hub](https://policyrisk.com/states/maryland) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MD-SB0357-2025RS (as of 2026-10-19).