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Bill

BILL • MD SENATE

SB 646

Health Insurance - Insulin - Prohibition on Step Therapy or Fail-First Protocols

2025
Introduced by Anthony Muse,

Maryland bans step therapy for insulin and insulin-like drugs by insurers, HMOs, and PBMs; applies to new or renewed policies from Jan 1, 2026, speeding access for diabetics.

Approved by the Governor - Chapter 689
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Bill Summary • SB 646
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