SB 952

Health Insurance - Requirements for Establishing Step Therapy Protocol and Requesting Exceptions

Sponsor: Joanne C. Benson (District 24)Committee: FinanceSubject: Insurance - HealthStatus: Hearing 2/26 at 1:00 p.m. (as of Nov 6, 2020)

What this bill does

Official synopsis

Repealing certain prohibitions on certain insurers, nonprofit health service plans, and health maintenance organizations regarding the imposition of step therapy or fail-first protocols; requiring a step therapy protocol to be established by using certain criteria based on certain guidelines; requiring certain insurers, nonprofit health service plans, or health maintenance organizations to establish a certain process for requesting an exception step therapy protocol; etc.

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Testimony (19)

MGA witness list

FAV 14FavorableFWA 1Favorable with amendmentsUNF 4Unfavorable

Position	Witness	Organization	Testimony
FAV	Collins, Jocelynlobbyist	ACS CAN	Written (PDF)
FAV	Cooper, Josie	Alliance for Patient Access	Written (PDF)
FAV	Chandhok, Benjamin	Arthritis Foundation	Written (PDF)
FAV	Bertagnolli, Monica	Association For Clinical Oncology	Written (PDF)
FAV	Mattheu, Jana	Immunodeficiency Foundation	Position only
FAV	Maupi, Karen	Immunodeficiency Foundation	Position only
FAV	Behen, Susan	National Psoriasis Foundation	Written (PDF)
FAV	Martelli, Tony	National Psoriasis Foundation	Written (PDF)
FAV	Maury, Dr. Erinn	National Psoriasis Foundation	Oral + Written (PDF)
FAV	Roberts, Katie	National Psoriasis Foundation	Oral + Written (PDF)
FAV	Stone, Patricklobbyist	National Psoriasis Foundation	Position only
FAV	Gough, Ryan	Partnership to Advance Cardiovascular Health	Written (PDF)
FAV	Doyle, Lori	cbh	Written (PDF)
FAV	Senator Benson, Senator Bensonlegislator	Individual	Oral + Written (PDF)
UNF	Rivkin, Deborahlobbyist	CareFirst	Oral
UNF	Celentano, Matt	League of Life and Health Insurers of Maryland	Oral
UNF	Fesche, Camillelobbyist	RWL on behalf of PCMA	Oral
UNF	Johansen, Mike	RWL on behalf of PCMA	Oral
FWA	Albany, Lisa	AADA	Written (PDF)

Organizations on record

AADAFWA 1

ACS CANFAV 1

Alliance for Patient AccessFAV 1

Arthritis FoundationFAV 1

Association For Clinical OncologyFAV 1

CareFirstUNF 1

cbhFAV 1

Immunodeficiency FoundationFAV 2

League of Life and Health Insurers of MarylandUNF 1

National Psoriasis FoundationFAV 5

Partnership to Advance Cardiovascular HealthFAV 1

RWL on behalf of PCMAUNF 2

Registered lobbyists who testified

FAVCollins, JocelynACS CANRegistered for: American Cancer Society Cancer Action Network; Bard College; Campaign to Protect Patient Health d/b/a Value of Care Coalition; Diabetes Patient Advocacy Coalition; Gilead Sciences, Inc.; HealthCare Access Maryland…

FAVStone, PatrickNational Psoriasis FoundationRegistered for: Otsuka America Pharmaceutical, Inc.; AbbVie Inc.

UNFRivkin, DeborahCareFirstRegistered for: CareFirst BlueCross BlueShield

UNFFesche, CamilleRWL on behalf of PCMARegistered for: Ashley, Inc.; Baltimore Symphony Orchestra; Behavioral Framework; Berkshire Hathaway Energy GT&S, LLC; Brewers Association of Maryland; Brown Advisory…