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---
type: "Bill"
title: "Health Insurance - Step Therapy or Fail-First Protocol and Prior Authorization - Revisions"
description: "Health Insurance - Step Therapy or Fail-First Protocol and Prior Authorization - Revisions"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "HB 785"
citation: "Maryland HB 785 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alston", "Bagnall", "Bhandari", "Chisholm", "Cullison", "Guzzone", "Hill", "Hutchinson", "Kaiser", "Kerr", "Lopez", "M. Morgan", "Martinez", "Pena-Melnyk", "R. Lewis", "Reilly", "Rosenberg", "S. Johnson", "Szeliga", "Taveras", "White", "Woods"]
version_count: 3
action_count: 12
vote_count: 0
first_action: "2023-02-08"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/c1e17110-04cb-4ab3-bd55-01eeca8a6abb"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0785?ys=2023RS&search=True"
source_hash: "9cb95c206d4cc98d0082009507c4550314766a829740145a065a94eb5e6dad6c"
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 785 (2023) — Health Insurance - Step Therapy or Fail-First Protocol and Prior Authorization - Revisions
## 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 Protocol and Prior Authorization - Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_365_hb0785t.pdf)
2. **First - Health Insurance Step Therapy or FailFirst Protocol Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0785f.pdf)
3. **Third - Health Insurance - Step Therapy or Fail-First Protocol and Prior Authorization - Revisions** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0785t.pdf)
## 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)
- Lopez — primary (person)
- M. Morgan — primary (person)
- Martinez — primary (person)
- Pena-Melnyk — primary (person)
- R. Lewis — primary (person)
- Reilly — primary (person)
- Rosenberg — primary (person)
- S. Johnson — primary (person)
- Szeliga — primary (person)
- Taveras — primary (person)
- White — primary (person)
- Woods — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-02-08** First Reading Health and Government Operations `referral-committee`
- **2023-02-13** Hearing 3/02 at 1:00 p.m.
- **2023-03-17** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2023-03-17** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-17** Second Reading Passed with Amendments
- **2023-03-20** Third Reading Passed `passage`
- **2023-03-20** Referred Finance `referral-committee`
- **2023-03-31** Favorable Report by Finance `committee-passage-favorable`
- **2023-03-31** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-04-05** Third Reading Passed `passage`
- **2023-04-05** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 365 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c1e17110-04cb-4ab3-bd55-01eeca8a6abb`. Confidence: reported (aggregated from official Maryland legislature records).