Fabio
71 lines
3.3 KiB
Markdown
71 lines
3.3 KiB
Markdown
---
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type: "Bill"
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title: "Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer"
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description: "Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer"
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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: "SB 921"
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citation: "Maryland SB 921 (2025)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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primary_sponsors: ["Gile"]
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version_count: 3
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action_count: 13
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vote_count: 2
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first_action: "2025-02-03"
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last_action: "2025-05-20"
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source: "openstates"
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source_identifier: "ocd-bill/4ae4d311-6f9b-4369-a665-2e2585a95eec"
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source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0921?ys=2025RS&search=True"
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source_hash: "2d4838cdb32bdd7846fe424d89ef42015331629922c49c6d0a628e42af10dd55"
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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 921 (2025) — Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer
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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 Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_707_sb0921t.pdf)
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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/sb/sb0921f.pdf)
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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/sb/sb0921t.pdf)
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## Votes
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- On Third Reading — **136–1** (pass) · lower
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- On Third Reading — **47–0** (pass) · upper
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## Sponsors
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- Gile — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-02-03** First Reading Finance `referral-committee`
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- **2025-02-06** Hearing 2/26 at 1:00 p.m.
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- **2025-03-27** Favorable with Amendments Report by Finance `committee-passage-favorable`
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- **2025-03-28** Favorable with Amendments { `committee-passage-favorable`
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- **2025-03-28** Second Reading Passed with Amendments
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- **2025-03-31** Third Reading Passed `passage`
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- **2025-04-01** Referred Rules and Executive Nominations `referral-committee`
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- **2025-04-02** Rereferred to Health and Government Operations
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- **2025-04-03** Favorable Report by Health and Government Operations `committee-passage-favorable`
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- **2025-04-03** Favorable Adopted Second Reading Passed `committee-passage-favorable`
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- **2025-04-07** Third Reading Passed `passage`
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- **2025-04-07** Returned Passed
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- **2025-05-20** Approved by the Governor - Chapter 707 `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/4ae4d311-6f9b-4369-a665-2e2585a95eec`. Confidence: reported (aggregated from official Maryland legislature records).
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