Health Insurance - Coverage for Specialty Drugs
Sponsor: Clarence K. Lam (District 12)Committee: FinanceSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 728 (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 oncology services, complies with State regulations for the administering and dispensing of specialty drugs, and 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 listFAV 5FavorableFWA 5Favorable with amendmentsUNF 3Unfavorable
| Position | Witness | Organization | Testimony |
|---|---|---|---|
| FAV | McDonough, Caitlinlobbyist | HJM | Oral |
| FAV | Murphy, JD | MD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP) | Position only |
| FAV | Firozvi, M.D., Kashif | Maryland Oncology Hematology | Oral |
| FAV | Mauer, William | Individual | Position only |
| FAV | Senator Lam, Senator Lamlegislator | Individual | Oral |
| UNF | Lake, Keith | AHIP - Washington, DC | Written (PDF) |
| UNF | Johansen, Michaellobbyist | RWL | Oral |
| UNF | Meyerovich, Mark | Individual | Position only |
| FWA | Worthing MD, Angus | Arthritis & Rheumatism Associates, P.C. | Oral |
| FWA | Shattuck, Daniellobbyist | Brocato & Shattuck | Oral + Written (PDF) |
| FWA | Bryce, Joe | Manis Canning and Associates | Written (PDF) |
| FWA | Celentano, Matthewlobbyist | The League of Life and Health Insurers of Maryland | Oral |
| FWA | Kauffman, Dannalobbyist | Individual | Oral |
Organizations on record
Registered lobbyists who testified
FAVMcDonough, CaitlinHJMRegistered 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…
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…