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Bill

SB 674

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

2025 Regular Session Introduced by Shelly Hettleman

Maryland creates task force to advance insurance coverage of over-the-counter birth control, removing cost barriers to contraceptive access.

Approved by the Governor - Chapter 293
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Bill Summary · SB 674

Legislative bill overview

SB 674 establishes a collaborative task force within Maryland's Commission for Women to develop and implement strategies for ensuring insurance coverage of over-the-counter birth control medications. The bill directs this group to coordinate among state agencies, insurers, and healthcare stakeholders to remove barriers to OTC contraceptive access and affordability.

Why is this important

Over-the-counter birth control availability has expanded in recent years, but insurance coverage remains inconsistent, creating affordability barriers for many Marylanders. This legislation addresses a practical gap between product availability and financial access, potentially affecting healthcare costs and reproductive autonomy for thousands of state residents.

Potential points of contention

  • Insurance mandate scope: Determining which OTC contraceptives must be covered and at what cost-sharing levels could create disputes between insurers, employers, and patient advocates
  • Implementation costs: Requiring insurers to cover additional OTC products may increase premiums or reduce coverage for other services, affecting overall insurance affordability
  • Federal-state coordination: The bill operates within Maryland's authority but may conflict with federal insurance regulations or employer self-insurance plans, limiting enforceability

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

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