Fabio
120 lines
5.3 KiB
Markdown
120 lines
5.3 KiB
Markdown
---
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type: "Bill"
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title: "Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols"
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description: "Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols"
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jurisdiction: "us/states/md"
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legislature: "Maryland General Assembly"
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session: "2025"
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identifier: "HB 970"
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citation: "Maryland HB 970 (2025)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Alston", "Bagnall", "Bhandari", "Chisholm", "Cullison", "Davis", "Fisher", "Ghrist", "Guzzone", "Harris", "Harrison", "Hill", "Hutchinson", "J. Long", "Kaiser", "Kaufman", "Kerr", "Kipke", "Lopez", "M. Morgan", "Martinez", "McCaskill", "Patterson", "Pena-Melnyk", "Reilly", "Roberts", "Rosenberg", "Ross", "S. Johnson", "Schmidt", "Simmons", "Szeliga", "Taveras", "Taylor", "Terrasa", "White Holland", "Wilkins", "Woods", "Woorman"]
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version_count: 4
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action_count: 22
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vote_count: 3
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first_action: "2025-01-31"
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last_action: "2025-05-20"
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source: "openstates"
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source_identifier: "ocd-bill/7d55d7d9-e523-44d4-ac11-10f85c03af0e"
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source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0970?ys=2025RS&search=True"
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source_hash: "b3caad0b7ec4e36b152dbe2dd670bac55b00daa58d35285edad185f6f5b3bb6c"
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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 HB 970 (2025) — Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols
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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 - Insulin - Prohibition on Step Therapy or Fail-First Protocols** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_688_hb0970e.pdf)
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2. **Enrolled - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb0970e.pdf)
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3. **First - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb0970f.pdf)
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4. **Third - Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb0970t.pdf)
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## Votes
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- On Third Reading — **137–0** (pass) · lower
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- On Third Reading (Amend) — **46–0** (pass) · upper
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- On Third Reading and Final Passage (Hse concurred) — **134–0** (pass) · lower
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## Sponsors
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- Alston — primary (person)
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- Bagnall — primary (person)
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- Bhandari — primary (person)
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- Chisholm — primary (person)
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- Cullison — primary (person)
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- Davis — primary (person)
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- Fisher — primary (person)
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- Ghrist — primary (person)
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- Guzzone — primary (person)
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- Harris — primary (person)
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- Harrison — primary (person)
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- Hill — primary (person)
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- Hutchinson — primary (person)
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- J. Long — primary (person)
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- Kaiser — primary (person)
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- Kaufman — primary (person)
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- Kerr — primary (person)
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- Kipke — primary (person)
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- Lopez — primary (person)
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- M. Morgan — primary (person)
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- Martinez — primary (person)
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- McCaskill — primary (person)
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- Patterson — primary (person)
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- Pena-Melnyk — primary (person)
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- Reilly — primary (person)
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- Roberts — primary (person)
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- Rosenberg — primary (person)
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- Ross — primary (person)
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- S. Johnson — primary (person)
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- Schmidt — primary (person)
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- Simmons — primary (person)
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- Szeliga — primary (person)
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- Taveras — primary (person)
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- Taylor — primary (person)
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- Terrasa — primary (person)
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- White Holland — primary (person)
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- Wilkins — primary (person)
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- Woods — primary (person)
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- Woorman — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-01-31** First Reading Health and Government Operations `referral-committee`
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- **2025-02-03** Hearing 2/27 at 1:00 p.m.
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- **2025-02-26** Hearing canceled
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- **2025-02-26** Hearing 2/27 at 2:00 p.m.
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- **2025-03-10** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
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- **2025-03-11** Favorable with Amendments { `committee-passage-favorable`
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- **2025-03-11** Second Reading Passed with Amendments
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- **2025-03-11** Third Reading Passed `passage`
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- **2025-03-12** Referred Finance `referral-committee`
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- **2025-03-31** Favorable with Amendments Report by Finance `committee-passage-favorable`
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- **2025-04-01** Favorable with Amendments { `committee-passage-favorable`
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- **2025-04-01** Second Reading Passed with Amendments
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- **2025-04-02** Third Reading Passed `passage`
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- **2025-04-03** House Refuses Concur Senate Amendments
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- **2025-04-03** House Requests Senate Recede
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- **2025-04-03** House Refuses Concur Senate Amendments
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- **2025-04-03** House Requests Senate Recede
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- **2025-04-03** Senate Refuses Recede
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- **2025-04-05** House Concurs Senate Amendments
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- **2025-04-05** Third Reading Passed `passage`
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- **2025-04-05** Passed Enrolled
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- **2025-05-20** Approved by the Governor - Chapter 688 `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/7d55d7d9-e523-44d4-ac11-10f85c03af0e`. Confidence: reported (aggregated from official Maryland legislature records).
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