SB 475

Health Insurance - Utilization Review - Exemption for Participation in Value-Based Care Arrangements

Sponsor: Pamela Beidle (District 32)Committee: FinanceSubject: Health - InsuranceStatus: Hearing 2/12 at 1:00 p.m. (as of Dec 1, 2025)

What this bill does

Official synopsis

Prohibiting certain carriers from imposing a prior authorization, step therapy, or quantity limit requirement on eligible providers for health care services that are included in a two-sided incentive arrangement.

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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 11FavorableFWA 4Favorable with amendmentsUNF 1Unfavorable

Position	Witness	Organization	Testimony
FAV	Sheppard, JD	APTA MD	Written (PDF)
FAV	Johnson, Deronlobbyist	Amgen	Position only
FAV	Shattuck, Daniellobbyist	Brocato & Shattuck	Oral
FAV	Coble, Annie	Johns Hopkins University & Medicine	Written (PDF)
FAV	Murphy, JD	MD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP)	Position only
FAV	Dickerson, Taylor	Maryland Psychological Association	Written (PDF)
FAV	Kaplowitz, Richard KAP	Year	Written (PDF)
FAV	Bagwell, Ashlielobbyist	Individual	Written (PDF)
FAV	Beidle, Pamela	Individual	Written (PDF)
FAV	Kauffman, Dannalobbyist	Individual	Oral + Written (PDF)
FAV	Senator Beidle, Senator Beidlelegislator	Individual	Oral
UNF	Wieland, Tom	Ritchie Pharmacy , Brooklyn Park, Md.	Position only
FWA	Robinson, Kimberlylobbyist	CareFirst BlueCross BlueSheild	Oral
FWA	Witten, Jenniferlobbyist	LifeBridge Health	Oral + Written (PDF)
FWA	Whitaker, Jakelobbyist	Maryland Hospital Association	Oral + Written (PDF)
FWA	Celentano, Matthewlobbyist	The League of Life and Health Insurers of Maryland	Oral

Organizations on record

AmgenFAV 1

APTA MDFAV 1

Brocato & ShattuckFAV 1

CareFirst BlueCross BlueSheildFWA 1

Johns Hopkins University & MedicineFAV 1

LifeBridge HealthFWA 1

Maryland Hospital AssociationFWA 1

Maryland Psychological AssociationFAV 1

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

Ritchie Pharmacy , Brooklyn Park, Md.UNF 1

The League of Life and Health Insurers of MarylandFWA 1

YearFAV 1

Registered lobbyists who testified

FAVJohnson, DeronAmgenRegistered for: Amgen, Inc.

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…

FAVBagwell, AshlieRegistered for: AbbVie Inc.; Aligned Data Centers; American Academy of Anesthesiology Assistants, Inc.; Atmosphere Data Centers LLC; Baltimore Civic Fund, Inc.; Beltway Fine Wine…

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…

FWARobinson, KimberlyCareFirst BlueCross BlueSheildRegistered for: CareFirst BlueCross BlueShield; Cigna Corporate Services, LLC

FWAWitten, JenniferLifeBridge HealthRegistered for: Lifebridge Health, Inc.

FWAWhitaker, JakeMaryland Hospital AssociationRegistered for: Maryland Hospital Association

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…