Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Sponsor: Jamila J. Woods (District 26)Committee: Health and Government OperationsSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 688 (as of Dec 1, 2025)
What this bill does
Official synopsis
Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from imposing a step therapy or fail-first protocol for insulin or an insulin analog used to treat an insured's or enrollee's Type 1, Type 2, or gestational diabetes; and applying the Act to all policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or after January 1, 2026.
AI analysis is off. Set ANTHROPIC_API_KEY to enable summaries, pros and cons, and questions.
Analysis reads the bill text, the fiscal note, and the witness list. It is generated by Claude and reviewed by nobody, so check the source documents before you rely on it.
Testimony (0)
MGA witness listFAV 10FavorableFWA 1Favorable with amendmentsUNF 2UnfavorableINFO 1Information only
| Position | Witness | Organization | Testimony |
|---|---|---|---|
| FAV | Billger, Monica | American Diabetes Association | Oral + Written (PDF) |
| FAV | Murphy, JD | MD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP) | Position only |
| FAV | Navabi, Jenniferlobbyist | Maryland Community Health System | Written (PDF) |
| FAV | Plante, Cecilia | Maryland Legislative Coalition | Written (PDF) |
| FAV | Martinez, Ashanti | Maryland Legislative Latino Caucus | Written (PDF) |
| FAV | Zisow-McClean, Sam | Moveable Feast | Written (PDF) |
| FAV | Hayes, Kimberly | Self | Written (PDF) |
| FAV | Delegate Woods, Delegate Woodslegislator | Individual | Oral |
| FAV | Kauffman, Dannalobbyist | Individual | Written (PDF) |
| FAV | Vetter, Drew | Individual | Position only |
| UNF | Johansen, Michaellobbyist | RWL | Oral |
| UNF | Celentano, Matthewlobbyist | The League of Life and Health Insurers of Maryland | Written (PDF) |
| FWA | Acevedo, Paola | Individual | Written (PDF) |
| INFO | Harris, Mrs. | Individual | Position only |
Organizations on record
Registered lobbyists who testified
FAVNavabi, JenniferMaryland Community Health SystemRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, 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…
UNFJohansen, MichaelRWLRegistered for: 1/ST Racing MD LLC; ASC Engineered Solutions; Access Holdings Management Company, LLC; Alterwood Health, Inc.; Ashley, Inc.; Baltimore Streetcar Museum…
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…