---
type: "Bill"
title: "Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications"
description: "Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2022"
identifier: "SB 323"
citation: "Maryland SB 323 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Augustine"]
version_count: 3
action_count: 13
vote_count: 2
first_action: "2022-01-20"
last_action: "2022-04-12"
source: "openstates"
source_identifier: "ocd-bill/bbab14d5-87bc-4a61-bd16-9ebdff085e95"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0323?ys=2022RS&search=True"
source_hash: "29db78d7b93ac3791347045c5ba240b15ad5a03bf4e8bbe3dc8ec282f5ba3551"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-md"]
---

# Maryland SB 323 (2022) — Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Chapter - Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/Chapters_noln/CH_82_sb0323t.pdf)
2. **First - Maryland Medical Assistance Program - Prior Authorization for Drug Products to Treat an Opioid Use Disorder - Prohibition** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0323f.pdf)
3. **Third - Public Health - Medications to Treat an Opioid Use Disorder - Preferred and Nonpreferred Medications** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0323t.pdf)

## Votes

- On Third Reading — **124–0** (pass) · lower
- On Third Reading — **46–0** (pass) · upper

## Sponsors

- Augustine — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-01-20** First Reading Finance `referral-committee`
- **2022-01-21** Hearing 2/08 at 1:00 p.m.
- **2022-03-16** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2022-03-16** Favorable with Amendments { `committee-passage-favorable`
- **2022-03-16** Second Reading Passed with Amendments
- **2022-03-17** Third Reading Passed `passage`
- **2022-03-18** Referred Health and Government Operations `referral-committee`
- **2022-03-23** Hearing 3/30 at 1:30 p.m.
- **2022-04-01** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2022-04-01** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2022-04-04** Third Reading Passed `passage`
- **2022-04-04** Returned Passed
- **2022-04-12** Approved by the Governor - Chapter 82 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bbab14d5-87bc-4a61-bd16-9ebdff085e95`. Confidence: reported (aggregated from official Maryland legislature records).