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SB 490

Did not advanceCrossfile HB 808
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Maryland Medical Assistance Program - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription Drugs to Treat Serious Mental Illness

Sponsor: Clarence K. Lam (District 12)Committee: FinanceSubject: Public HealthStatus: Hearing 2/17 at 1:00 p.m. (as of Sep 4, 2026)

What this bill does

Official synopsis

Prohibiting the Maryland Medical Assistance Program from applying a prior authorization requirement in certain circumstances to and from applying a step therapy or fail-first protocol for a prescription drug used to treat an adult enrollee's diagnosis of bipolar disorder, schizophrenia, major depression, post-traumatic stress disorder, or a medication-induced movement disorder associated with the treatment of serious mental illness.

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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 (31)

MGA witness list
FAV 25FavorableFWA 2Favorable with amendmentsUNF 3UnfavorableINFO 1Information only
PositionWitnessOrganizationTestimony
FAVWestrick, SaralobbyistAARP MarylandWritten (PDF)
FAVSnyder, AbigaillobbyistBaltimore Jewish CouncilWritten (PDF)
FAVRabbitt, DanBehavioral Health System BaltimoreOral + Written (PDF)
FAVMartinez, MadelinlobbyistCatholic CharitiesWritten (PDF)
FAVClark, AshleylobbyistHarris Jones & Malone, LLCWritten (PDF)
FAVDiamond, JoannaHealth Care for the HomelessWritten (PDF)
FAVMurphy, JDMD Chesapeake Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP)Written (PDF)
FAVJackson, SamiralobbyistMD Police Chiefs Assoc. and MD Sheriffs Assoc.Written (PDF)
FAVWhitaker, JakelobbyistMaryland Hospital AssociationWritten (PDF)
FAVPlante, CeciliaMaryland Legislative CoalitionPosition only
FAVHorton, AliyahlobbyistMaryland Pharmacists AssociationWritten (PDF)
FAVDickerson, TaylorMaryland Psychological AssociationWritten (PDF)
FAVYeung, EstelleMaryland Rural Health AssociationWritten (PDF)
FAVMartin, DanMental Health Association of MarylandOral + Written (PDF)
FAVRosen-Cohen, NancyNCADD-MarylandWritten (PDF)
FAVKennedy, AnitaNational Alliance of Medication Assisted Recovery, Inc.Written (PDF)
FAVLivshin, MichelleOn Our Own of Maryland, Inc.Oral + Written (PDF)
FAVPaddy, MichaellobbyistPublic Policy PartnersWritten (PDF)
FAVRosier, CollanlobbyistPyramid Healthcare, Inc.Position only
FAVMansfield, AndrealobbyistTowing and Recovery Professionals of MarylandWritten (PDF)
FAVGray, MichaelTulipifera StrategiesOral + Written (PDF)
FAVFarris, JadenUSM Student CouncilWritten (PDF)
FAVTilburg, WillUniversity of Maryland Medical SystemWritten (PDF)
FAVKauffman, DannalobbyistIndividualOral + Written (PDF)
FAVSenator Lam, Senator LamlegislatorIndividualOral
UNFPrice, SuzanneConcerned CitizenPosition only
UNFLynch, MeghanMaryland Department of HealthWritten (PDF)
UNFGross, KennethIndividualPosition only
FWAMorris, AustinlobbyistChildren's National HospitalWritten (PDF)
FWABurton, EvelynSchizophrenia and Psychosis Action AllianceOral
INFOWinn, JosephlobbyistMaryland Managed Care Organization AssociationWritten (PDF)

Organizations on record

Registered lobbyists who testified

FAVWestrick, SaraAARP MarylandRegistered for: AARP Maryland
FAVSnyder, AbigailBaltimore Jewish CouncilRegistered for: Baltimore Jewish Council
FAVMartinez, MadelinCatholic CharitiesRegistered for: Catholic Charities
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
FAVJackson, SamiraMD Police Chiefs Assoc. and MD Sheriffs Assoc.Registered for: Critical Response Group; Dell Technologies Inc.; Empower; Forward Financing; HDR Engineering, Inc.; Maryland Alliance of Boys & Girls Clubs
FAVWhitaker, JakeMaryland Hospital AssociationRegistered for: Maryland Hospital Association
FAVHorton, AliyahMaryland Pharmacists AssociationRegistered for: Maryland Pharmacists Association
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.
FAVRosier, CollanPyramid Healthcare, Inc.Registered for: Pyramid Healthcare, Inc.
FAVMansfield, AndreaTowing and 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.
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
FWAMorris, AustinChildren's National HospitalRegistered for: Children's National Hospital; Children's National Health System
INFOWinn, JosephMaryland Managed Care Organization AssociationRegistered for: Maryland Managed Care Organization Association; United Healthcare Services, Inc.