CivicKnodeCivicKnowA project of CivicKnode
Sign in

HB 1243

EnactedCrossfile SB 975
Add to calendar

Health Insurance - Coverage for Specialty Drugs

Sponsor: Delegate Johnson, S.Committee: Health and Government OperationsSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 729 (as of Dec 1, 2025)

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 is an in-network provider of covered medical oncology services and complies with State regulations for the administering and dispensing of specialty drugs, if the specialty drugs meet certain qualifications; and requiring the reimbursement rate for certain specialty drugs to meet certain criteria.

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 list
FAV 3FavorableFWA 6Favorable with amendmentsUNF 2UnfavorableINFO 1Information only
PositionWitnessOrganizationTestimony
FAVMcDonough, CaitlinlobbyistMOHOral
FAVFirozvi, M.D., KashifMaryland Oncology HematologyOral
FAVDelegate Johnson, S., Delegate Johnson, S.legislatorIndividualOral
UNFLake, KeithAHIP - Washington, DCWritten (PDF)
UNFJohansen, MichaellobbyistRWLOral
FWAWorthing MD, AngusArthritis & Rheumatism Associates, P.C.Oral
FWAShattuck, DaniellobbyistBrocato & ShattuckOral + Written (PDF)
FWARobinson, KimberlylobbyistCareFirst BlueCross BlueSheildOral
FWABryce, JoeManis Canning and AssociatesWritten (PDF)
FWACelentano, MatthewlobbyistThe League of Life and Health Insurers of MarylandOral
FWAKauffman, DannalobbyistIndividualOral + Written (PDF)
INFOHarris, Mrs.IndividualPosition only

Organizations on record

Registered lobbyists who testified

FAVMcDonough, CaitlinMOHRegistered 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
UNFJohansen, MichaelRWLRegistered for: 1/ST Racing MD LLC; ASC Engineered Solutions; Access Holdings Management Company, LLC; Alterwood Health, Inc.; Ashley, Inc.; Baltimore Streetcar Museum
FWAShattuck, 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
FWARobinson, KimberlyCareFirst BlueCross BlueSheildRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC
FWACelentano, 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
FWAKauffman, 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