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Bill

HB 939

Maryland Commission for Women - Maryland Collaborative to Advance Implementation of Coverage of Over-the-Counter Birth Control

2025 Regular Session Introduced by Gabriel Acevero and 16 co-sponsors

Maryland creates collaborative to advance insurance coverage of over-the-counter birth control without cost-sharing to improve contraceptive access.

Approved by the Governor - Chapter 294
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Bill Summary · HB 939

Legislative bill overview

HB 939 establishes a collaborative effort through Maryland's Commission for Women to advance insurance coverage of over-the-counter (OTC) birth control methods. The bill directs the Commission to work with insurers, healthcare providers, and relevant stakeholders to implement policies that cover OTC contraceptives without cost-sharing requirements for Maryland residents.

Why is this important

OTC birth control coverage addresses a practical barrier to contraceptive access—even though these products are available without a prescription, many people cannot afford them out-of-pocket. By requiring insurance coverage, the bill aims to reduce disparities in reproductive healthcare access, particularly for lower-income individuals who may delay or forgo contraception due to cost. This aligns with federal efforts under the Affordable Care Act to cover preventive health services.

Potential points of contention

  • Insurance industry concerns: Insurers may resist mandates to cover OTC products without cost-sharing, citing increased administrative costs and premium impacts
  • Scope and definition disputes: Disagreement over which OTC contraceptive methods qualify (condoms, spermicide, emergency contraception, etc.) and whether all are cost-covered
  • State versus federal authority: Questions about Maryland's ability to regulate insurance coverage beyond federal ACA requirements, particularly for self-insured employer plans

Compiled from official sources — confirm details with the bill’s official record.

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