Fabio
66 lines
2.9 KiB
Markdown
66 lines
2.9 KiB
Markdown
---
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type: "Bill"
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title: "Health Insurance – Step Therapy or Fail–First Protocol – Revisions"
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description: "Health Insurance – Step Therapy or Fail–First Protocol – Revisions"
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jurisdiction: "us/states/md"
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legislature: "Maryland General Assembly"
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session: "2023"
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identifier: "SB 515"
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citation: "Maryland SB 515 (2023)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Lam"]
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version_count: 3
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action_count: 13
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vote_count: 0
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first_action: "2023-02-03"
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last_action: "2023-05-03"
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source: "openstates"
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source_identifier: "ocd-bill/1c486c84-5ef6-458e-ad88-e074e7236737"
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source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0515?ys=2023RS&search=True"
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source_hash: "4b4cab43c076e297dd5eb2612ad0af91dd17b8e9ee7feddd4973b2c722cdd573"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-md"]
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---
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# Maryland SB 515 (2023) — Health Insurance – Step Therapy or Fail–First Protocol – Revisions
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Chapter - Health Insurance – Step Therapy or Fail–First Protocol – Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_364_sb0515t.pdf)
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2. **First - Health Insurance – Step Therapy or Fail–First Protocol – Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0515f.pdf)
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3. **Third - Health Insurance – Step Therapy or Fail–First Protocol – Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0515t.pdf)
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## Sponsors
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- Lam — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-02-03** First Reading Finance `referral-committee`
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- **2023-02-03** Hearing 2/22 at 1:00 p.m.
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- **2023-03-20** Favorable with Amendments Report by Finance `committee-passage-favorable`
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- **2023-03-20** Favorable with Amendments { `committee-passage-favorable`
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- **2023-03-20** Second Reading Passed with Amendments
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- **2023-03-20** Third Reading Passed `passage`
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- **2023-03-21** Referred Health and Government Operations `referral-committee`
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- **2023-03-22** Hearing 3/30 at 1:00 p.m.
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- **2023-03-31** Favorable Report by Health and Government Operations `committee-passage-favorable`
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- **2023-03-31** Favorable Adopted Second Reading Passed `committee-passage-favorable`
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- **2023-04-05** Third Reading Passed `passage`
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- **2023-04-06** Returned Passed
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- **2023-05-03** Approved by the Governor - Chapter 364 `executive-signature`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/1c486c84-5ef6-458e-ad88-e074e7236737`. Confidence: reported (aggregated from official Maryland legislature records).
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