Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
Sponsor: C. Anthony Muse (District 26)Committee: FinanceSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 689 (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 diabetes.
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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 listFAV 10FavorableUNF 2Unfavorable
| 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 Academy of Physician Assistants | Written (PDF) |
| FAV | Navabi, Jenniferlobbyist | Maryland Community Health System | Written (PDF) |
| FAV | Plante, Cecilia | Maryland Legislative Coalition | Written (PDF) |
| FAV | Coleman, Ryan | President, Randallstown NAACP | Written (PDF) |
| FAV | Muse, C. Anthony | Senator Muse | Written (PDF) |
| FAV | Kauffman, Dannalobbyist | Individual | Written (PDF) |
| FAV | Senator Muse, Senator Muselegislator | Individual | Oral |
| 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) |
Organizations on record
RWLUNF 1
Senator MuseFAV 1
Registered lobbyists who testified
FAVNavabi, JenniferMaryland Academy of Physician AssistantsRegistered for: B'More Clubhouse; Chase Brexton Health System; Children's Advocacy Institute; Coordinating Center, The; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.…
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…