HB 382

Maryland Medical Assistance Program and Health Insurance - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription to Treat Serious Mental Illness

Sponsor: Delegate Johnson, S.Committee: Health and Government OperationsSubject: Health - InsuranceStatus: Hearing 1/30 at 1:00 p.m. (as of Dec 1, 2025)

What this bill does

Official synopsis

Prohibiting the Maryland Medical Assistance Program and certain insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations from applying a prior authorization requirement, step therapy protocol, or fail-first protocol for prescription drugs used to treat certain mental illnesses of certain insureds and enrollees.

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Testimony (0)

MGA witness list

FAV 27FavorableFWA 2Favorable with amendmentsUNF 4Unfavorable

Position	Witness	Organization	Testimony
FAV	Snyder, Abigaillobbyist	Baltimore Jewish Council	Written (PDF)
FAV	Rabbitt, Dan	Behavioral Health System Baltimore	Written (PDF)
FAV	Willing, Laura	Children's National Hospital	Oral + Written (PDF)
FAV	Graner, Nicolelobbyist	Community Behavioral Health Association of Maryland	Oral + Written (PDF)
FAV	Clark, Ashleylobbyist	Harris Jones & Malone, LLC	Written (PDF)
FAV	Johnston, Meredith	Health Care for the Homeless	Oral + Written (PDF)
FAV	Peters, Sarahlobbyist	Husch Blackwell Strategies	Written (PDF)
FAV	Murphy, JD	MD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP)	Written (PDF)
FAV	Favazza, Johnlobbyist	Manis Canning & Associates	Written (PDF)
FAV	Kelter, Chris	Maryland Centers for Independent Living	Position only
FAV	Whitaker, Jakelobbyist	Maryland Hospital Association	Written (PDF)
FAV	Plante, Cecilia	Maryland Legislative Coalition	Written (PDF)
FAV	Horton, Aliyahlobbyist	Maryland Pharmacists Association	Written (PDF)
FAV	Martin, Dan	Mental Health Association of Maryland	Oral + Written (PDF)
FAV	Gray, Michael	NAMI Maryland (National Alliance on Mental Illness)	Oral + Written (PDF)
FAV	Rosen-Cohen, Nancy	NCADD-Maryland	Written (PDF)
FAV	Williams, Irnise	OAG	Written (PDF)
FAV	Livshin, Michelle	On Our Own of Maryland	Oral
FAV	Stone, Patricklobbyist	Otsuka	Written (PDF)
FAV	Paddy, Michaellobbyist	Public Policy Partners	Written (PDF)
FAV	Rosier, Collanlobbyist	Pyramid Healthcare, Inc.	Position only
FAV	Mansfield, Andrealobbyist	Towing & Recovery Professionals of Maryland	Written (PDF)
FAV	Delegate Johnson, S., Delegate Johnson, S.legislator	Individual	Oral
FAV	Elliott, Robynlobbyist	Individual	Written (PDF)
FAV	Enagonio, Liz	Individual	Written (PDF)
FAV	Jasen, Debi	Individual	Written (PDF)
FAV	Kauffman, Dannalobbyist	Individual	Oral
UNF	Wheeler, Brian	Carefirst	Oral
UNF	Lynch, Meghan	Maryland Department of Health	Written (PDF)
UNF	Winn, Josephlobbyist	Maryland Managed Care Organization Association	Written (PDF)
UNF	Celentano, Matthewlobbyist	The League of Life and Health Insurers of Maryland	Oral
FWA	Bergan, Courtneylobbyist	Disability Rights Maryland	Oral + Written (PDF)
FWA	Burton, Evelyn	Schizophrenia and Psychosis Action Alliance	Oral + Written (PDF)

Organizations on record

Baltimore Jewish CouncilFAV 1

Behavioral Health System BaltimoreFAV 1

CarefirstUNF 1

Children's National HospitalFAV 1

Community Behavioral Health Association of MarylandFAV 1

Disability Rights MarylandFWA 1

Harris Jones & Malone, LLCFAV 1

Health Care for the HomelessFAV 1

Husch Blackwell StrategiesFAV 1

Manis Canning & AssociatesFAV 1

Maryland Centers for Independent LivingFAV 1

Maryland Department of HealthUNF 1

Maryland Hospital AssociationFAV 1

Maryland Legislative CoalitionFAV 1

Maryland Managed Care Organization AssociationUNF 1

Maryland Pharmacists AssociationFAV 1

MD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP)FAV 1

Mental Health Association of MarylandFAV 1

NAMI Maryland (National Alliance on Mental Illness)FAV 1

NCADD-MarylandFAV 1

OAGFAV 1

On Our Own of MarylandFAV 1

OtsukaFAV 1

Public Policy PartnersFAV 1

Pyramid Healthcare, Inc.FAV 1

Schizophrenia and Psychosis Action AllianceFWA 1

The League of Life and Health Insurers of MarylandUNF 1

Towing & Recovery Professionals of MarylandFAV 1

Registered lobbyists who testified

FAVSnyder, AbigailBaltimore Jewish CouncilRegistered for: Baltimore Jewish Council

FAVGraner, NicoleCommunity Behavioral Health Association of MarylandRegistered for: Community Behavioral Health Association of Maryland

FAVClark, AshleyHarris Jones & Malone, LLCRegistered for: Beltway Fine Wine; Chesapeake Employers' Insurance Company; Community Associations Institute/Maryland Legislative Action Committee; Employ Prince George's, Inc.; Frederick Community College; Greater Baltimore Committee…

FAVPeters, SarahHusch Blackwell StrategiesRegistered for: Action Now Initiative, LLC; Alibaba; Ameresco; American Diabetes Association; Apartment & Office Building Association; Barwood Taxi Service…

FAVFavazza, JohnManis Canning & AssociatesRegistered for: Adventist HealthCare, Inc.; Alkermes; American Chemistry Council; Amrize North America Inc., formerly Holcim Participations (US) Inc.; Baltimore Cyber Range LLC dba BCR Cyber; Baltimore Ravens…

FAVWhitaker, JakeMaryland Hospital AssociationRegistered for: Maryland Hospital Association

FAVHorton, AliyahMaryland Pharmacists AssociationRegistered for: Maryland Pharmacists Association

FAVStone, PatrickOtsukaRegistered for: Otsuka America Pharmaceutical, Inc.; AbbVie Inc.

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.…

FAVRosier, CollanPyramid Healthcare, Inc.Registered for: Pyramid Healthcare, Inc.

FAVMansfield, AndreaTowing & Recovery Professionals of MarylandRegistered for: HDR Engineering, Inc.; Adventist HealthCare, Inc.; Alkermes; Alterwood Health, Inc.; American Chemistry Council; Amrize North America Inc., formerly Holcim Participations (US) Inc.…

FAVElliott, RobynRegistered for: American Association for Marriage and Family Therapists; Amica Center for Immigrant Rights; CareForth; Chase Brexton Health System; Coordinating Center, The; Diabetes Patient Advocacy Coalition…

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…

UNFWinn, JosephMaryland Managed Care Organization AssociationRegistered for: Maryland Managed Care Organization Association; United Healthcare Services, Inc.

UNFCelentano, MatthewThe League of Life and Health Insurers of MarylandRegistered 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…

FWABergan, CourtneyDisability Rights MarylandRegistered for: Disability Rights Maryland