# Maryland SB 0773: Health Benefit Plans - Calculation of Cost-Sharing Contribution - Requirements

Maryland SB 0773, Health Benefit Plans - Calculation of Cost-Sharing Contribution - Requirements, is a 2025 Regular Session Senate bill sponsored by Stephen S. Hershey (Republican); status signed, last action 2025-05-20 (Approved by the Governor - Chapter 692); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/MD-SB0773-2025RS
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0773
- State: Maryland
- Session: 2025 Regular Session
- Title: Health Benefit Plans - Calculation of Cost-Sharing Contribution - Requirements
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-31
- Last action: 2025-05-20, Approved by the Governor - Chapter 692
- Sponsor: Stephen S. Hershey (Republican)
- Cosponsors: 0
- Subjects: Health - Insurance, Consumer Protection, Drugs -see also- Cannabis; ControlDangSubst; Pharm; etc., Health -see also- COVID19; EnvHlth; MedCon; etc., Health Insurance -see also- ACA; HMOs; MCOs, Health Maintenance Organizations -see also- Manage Care Orgs, Insurance Administration, Medical Assistance, Nonprofit Organizations, Notices, Pharmacy Benefits Managers, Revenue and Taxes -see also- (specific tax), Rules and Regulations, Sunset
- Touches household money: yes
- Roll calls: 4 (366 yes, 1 no in all)
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Drug assistance counts toward patients’ costs: benefit, medium. For Maryland plans issued, delivered, or renewed starting January 1, 2026, eligible drug assistance counts toward patients’ cost sharing. This includes copays, coinsurance, deductibles, and out-of-pocket limits for covered drugs. The drug must lack a plan-preferred AB-rated generic equivalent or in…
- Patients get clear drug assistance notices: benefit, low. Beginning January 1, 2026, providers of assistance used in cost-sharing calculations must notify patients within 7 days after acceptance. Notices must give the maximum dollar amount and expiration date; charities are exempt from this provider notice rule. Violating that rule violates the Maryland C…
- Drug assistance cannot dictate patients’ coverage: benefit, low. For Maryland plans issued, delivered, or renewed starting January 1, 2026, regulated entities cannot base coverage or benefit design on drug assistance availability or amounts. Plans can still use rebates when designing drug benefits. Beginning January 1, 2026, third parties cannot require a specif…

## Sponsors and cosponsors

- Sponsor: Stephen S. Hershey (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-07 | House | Third Reading Passed | pass | 137 | 0 | 4 |
| 2025-04-07 | Senate | Third Reading Passed | pass | 47 | 0 |   |
| 2025-04-05 | House | Third Reading Passed | pass | 135 | 1 | 1 |
| 2025-03-12 | Senate | Third Reading Passed | pass | 47 | 0 |   |

## Actions (32)

- 2025-05-20: Approved by the Governor - Chapter 692
- 2025-04-07: Passed Enrolled (Senate)
- 2025-04-07: Third Reading Passed (137-0) (House)
- 2025-04-07: Conference Committee Report {653120/1 Adopted (House)
- 2025-04-07: Third Reading Passed (47-0) (Senate)
- 2025-04-07: Conference Committee Report {653120/1 Adopted (Senate)
- 2025-04-07: House Conference Committee Appointed (Delegates Cullison, S. Johnson and Kipke) (Senate)
- 2025-04-07: House Refuses Recede (Senate)
- 2025-04-07: House Conference Committee Appointed (Delegates Cullison, S. Johnson and Kipke) (House)
- 2025-04-07: House Refuses Recede (House)
- 2025-04-07: Senate Conference Committee Appointed (Senators Hershey, Lam and Gile) (House)
- 2025-04-07: Senate Requests House Recede (House)
- 2025-04-07: Senate Refuses Concur House Amendments (House)
- 2025-04-07: Senate Conference Committee Appointed (Senators Hershey, Lam and Gile) (Senate)
- 2025-04-07: Senate Requests House Recede (Senate)
- 2025-04-07: Senate Refuses Concur House Amendments (Senate)
- 2025-04-05: Third Reading Passed (135-1) (House)
- 2025-04-04: Second Reading Passed with Amendments (House)
- 2025-04-04: Favorable with Amendments Adopted (House)
- 2025-04-04: Substitute Committee Amendment {683126/1 Adopted (House)
- 2025-04-04: Favorable with Amendments {263725/1 Withdrawn (House)
- 2025-04-03: Motion Special Order until Next Session (Delegate Cullison) Adopted (House)
- 2025-04-03: Favorable with Amendments {263725/1 (House)
- 2025-04-03: Favorable with Amendments Report by Health and Government Operations (House)
- 2025-03-15: Hearing 3/27 at 1:00 p.m. (House)
- 2025-03-14: Referred Health and Government Operations (House)
- 2025-03-12: Third Reading Passed (47-0) (Senate)
- 2025-03-11: Second Reading Passed with Amendments (Senate)
- 2025-03-11: Favorable with Amendments {633223/1 Adopted (Senate)
- 2025-03-10: Favorable with Amendments Report by Finance (Senate)
- 2025-02-06: Hearing 2/26 at 1:00 p.m. (Senate)
- 2025-01-31: First Reading Finance (Senate)

## Bill text

- Enacted, 2025-05-20: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_692_sb0773e.pdf)
- Enrolled, 2025-04-07: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773e.pdf)
- Third Reading, 2025-03-11: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773t.pdf)
- First Reading, 2025-01-31: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773f.pdf)

## Related bills

- HB 0384: Maryland Disability Service Animal Program - Established (vetoed)
- SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions (vetoed)
- HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination Review Process (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_692_sb0773e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0773f.pdf)

## Related
- [HB 0384: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-HB0384-2025RS)
- [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)
- [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)
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Source: PRIA, https://policyrisk.com/state-bill/MD-SB0773-2025RS (as of 2026-10-17).
