Maryland Medical Assistance Program and Health Insurance - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription to Treat Serious Mental Illness
Sponsor: Clarence K. Lam (District 12)Committee: FinanceSubject: Health - InsuranceStatus: Hearing 1/29 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 listFAV 31FavorableFWA 3Favorable with amendmentsUNF 5UnfavorableINFO 1Information only
Organizations on record
Registered lobbyists who testified
FAVMorris, AustinChildren's National HospitalRegistered for: Children's National Hospital; Children's National Health System
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…
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.…
FAVEllington, PaulState and Local AdvisorsRegistered for: Wicomico County, MD Executive Office; Greater Crisfield Action Committee; Glenn L Martin Maryland Aviation Museum; Maryland Aviation Council; Worcester County Maryland; Optimize Renewables…
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…
UNFRobinson, KimberlyCarefirstRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC
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…