HB 876

Health Insurance - Pharmacy Benefits Managers - Specialty Drugs

Sponsor: Steve Johnson (District 34A)Committee: Health and Government OperationsSubject: Health - InsuranceStatus: First Reading Finance (as of Nov 13, 2024)

What this bill does

Official synopsis

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from excluding coverage for certain specialty drugs that are administered or dispensed by a provider that meets certain criteria; and requiring the reimbursement rate for certain specialty drugs to be the same as the rate applied to a designated specialty pharmacy for dispensing the covered specialty drugs and billed at a nonhospital level of care or place of service.

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Testimony (21)

MGA witness list

FAV 13FavorableFWA 2Favorable with amendmentsUNF 5UnfavorableINFO 1Information only

Position	Witness	Organization	Testimony
FAV	Worthing MD, Angus	Arthritis & Rheumatism Associates, P.C.	Oral + Written (PDF)
FAV	Shattuck, Daniellobbyist	Brocato & Shattuck	Oral + Written (PDF)
FAV	Tharp, Louis	Global Healthy LIving Foundation	Oral
FAV	McDonough, Caitlinlobbyist	HJM	Oral
FAV	Bryce, Joe	Manis Canning and Associates	Written (PDF)
FAV	Plante, Cecilia	Maryland Legislative Coalition	Written (PDF)
FAV	Firozvi, M.D., Kashif	Maryland Oncology Hematology	Oral
FAV	Horn, Courtney	Maryland Oncology Hematology	Oral
FAV	locklair, caileylobbyist	Maryland Retailers Association	Oral
FAV	Paddy, Michaellobbyist	Public Policy Partners	Written (PDF)
FAV	Berman, Paul	Retired	Oral
FAV	Delegate Johnson, S., Delegate Johnson, S.legislator	Individual	Oral
FAV	Kauffman, Dannalobbyist	Individual	Oral + Written (PDF)
UNF	Lake, Keith	AHIP - Washington, DC	Oral + Written (PDF)
UNF	Celentano, Matthewlobbyist	Funk & Bolton, P.A.	Oral
UNF	Cascone, Heatherlobbyist	Pharmaceutical Care Management Association	Oral
UNF	Fesche, Camillelobbyist	RWL	Oral
UNF	Johansen, Michaellobbyist	RWL	Oral
FWA	Swanson, Tricia	CareFirst BlueCross BlueShield	Oral
FWA	Robinson, Kimberlylobbyist	The Cigna Group	Oral
INFO	Brocato, Deborahlobbyist	Individual	Written (PDF)

Organizations on record

AHIP - Washington, DCUNF 1

Arthritis & Rheumatism Associates, P.C.FAV 1

Brocato & ShattuckFAV 1

CareFirst BlueCross BlueShieldFWA 1

Funk & Bolton, P.A.UNF 1

Global Healthy LIving FoundationFAV 1

HJMFAV 1

Manis Canning and AssociatesFAV 1

Maryland Legislative CoalitionFAV 1

Maryland Oncology HematologyFAV 2

Maryland Retailers AssociationFAV 1

Pharmaceutical Care Management AssociationUNF 1

Public Policy PartnersFAV 1

RetiredFAV 1

RWLUNF 2

The Cigna GroupFWA 1

Registered lobbyists who testified

FAVShattuck, DanielBrocato & ShattuckRegistered for: Acorn Health; American Physical Therapy Association Maryland - APTA MD; Arthritis & Rheumatism Associates, P.C.; Associates in Radiation Medicine; League for People with Disabilities, The; Maryland Academy of Nutrition and Dietetics…

FAVMcDonough, CaitlinHJMRegistered for: AbbVie Inc.; Aligned Data Centers; American Academy of Anesthesiology Assistants, Inc.; Associated Builders & Contractors; Association of Independent Midwives of Maryland (AIMM); Baltimore Gas and Electric Company…

FAVlocklair, caileyMaryland Retailers AssociationRegistered for: HPSO Investments LLC, T/A Riverboat on the Potomac; Maryland Retailers Alliance; Maryland Retailers Association

FAVPaddy, MichaelPublic Policy PartnersRegistered for: American Cancer Society Cancer Action Network; Campaign to Protect Patient Health d/b/a Value of Care Coalition; Chase Brexton Health System; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.; Gilead Sciences, Inc.…

FAVKauffman, DannaRegistered for: Amazon.com Services, LLC; American Association of Dental Boards c/o Commission on Dental Competency Assessments; Baltimore Gas and Electric Company; Behavioral Health System Baltimore; City of Rockville; Community Behavioral Health Association of Maryland…

UNFCelentano, MatthewFunk & Bolton, P.A.Registered for: 38 Degrees North; Advanced Energy United; Alliance of Maryland Dental Plans; Allstate Insurance Company; America's Health Insurance Plans; American Council of Life Insurers…

UNFCascone, HeatherPharmaceutical Care Management AssociationRegistered for: Pharmaceutical Care Management Association (PCMA)

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

UNFJohansen, MichaelRWLRegistered for: 1/ST Racing MD LLC; ASC Engineered Solutions; Access Holdings Management Company, LLC; Alterwood Health, Inc.; Ashley, Inc.; Baltimore Streetcar Museum…

FWARobinson, KimberlyThe Cigna GroupRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC

INFOBrocato, DeborahRegistered for: Maryland Right to Life, Inc.