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---
type: "Bill"
title: "Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer"
description: "Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2025"
identifier: "HB 1087"
citation: "Maryland HB 1087 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alston", "Bagnall", "Bhandari", "Chisholm", "Cullison", "Guzzone", "Hill", "Hutchinson", "Kaiser", "Kerr", "Kipke", "Lopez", "M. Morgan", "Martinez", "Pena-Melnyk", "Reilly", "Rosenberg", "Ross", "S. Johnson", "Szeliga", "Taveras", "White Holland", "Woods", "Woorman"]
version_count: 3
action_count: 17
vote_count: 2
first_action: "2025-02-05"
last_action: "2025-05-20"
source: "openstates"
source_identifier: "ocd-bill/c75ebb43-0d63-41fc-bec7-871af6bf3f52"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1087?ys=2025RS&search=True"
source_hash: "49af35334a55395a654a906c39a58e34f6021faa95ed7c3579e9f6790cf11922"
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 HB 1087 (2025) — Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Chapter - Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_706_hb1087t.pdf)
2. **First - Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb1087f.pdf)
3. **Third - Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb1087t.pdf)
## Votes
- On Third Reading — **460** (pass) · upper
- On Third Reading — **1351** (pass) · lower
## Sponsors
- Alston — primary (person)
- Bagnall — primary (person)
- Bhandari — primary (person)
- Chisholm — primary (person)
- Cullison — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Hutchinson — primary (person)
- Kaiser — primary (person)
- Kerr — primary (person)
- Kipke — primary (person)
- Lopez — primary (person)
- M. Morgan — primary (person)
- Martinez — primary (person)
- Pena-Melnyk — primary (person)
- Reilly — primary (person)
- Rosenberg — primary (person)
- Ross — primary (person)
- S. Johnson — primary (person)
- Szeliga — primary (person)
- Taveras — primary (person)
- White Holland — primary (person)
- Woods — primary (person)
- Woorman — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2025-02-05** First Reading Health and Government Operations `referral-committee`
- **2025-02-12** Hearing 2/27 at 1:00 p.m.
- **2025-02-17** Hearing canceled
- **2025-02-17** Hearing 2/28 at 1:00 p.m.
- **2025-02-26** Hearing canceled
- **2025-02-26** Hearing 2/28 at 12:00 p.m.
- **2025-03-15** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2025-03-15** Favorable with Amendments { `committee-passage-favorable`
- **2025-03-15** Second Reading Passed with Amendments
- **2025-03-17** Third Reading Passed `passage`
- **2025-03-17** Referred Finance `referral-committee`
- **2025-03-27** Favorable Report by Finance `committee-passage-favorable`
- **2025-03-28** Favorable Adopted `committee-passage-favorable`
- **2025-03-28** Second Reading Passed
- **2025-04-02** Third Reading Passed `passage`
- **2025-04-02** Returned Passed
- **2025-05-20** Approved by the Governor - Chapter 706 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c75ebb43-0d63-41fc-bec7-871af6bf3f52`. Confidence: reported (aggregated from official Maryland legislature records).