Maryland · Senate Bill 921 · 2025 Regular Session

Health Insurance - Step Therapy or Fail-First Protocols - Drugs to Treat Associated Conditions of Advanced Metastatic Cancer

  1. Introduced Jan 28, 2025
  2. In committee Feb 3, 2025
  3. Passed the Senate Mar 31, 2025
  4. Passed the House of Delegates Apr 7, 2025
  5. To the governor  
  6. Became law May 20, 2025

What it does

The legislature's own summary of the bill, or its official long title.

Prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from imposing a step therapy or fail-first protocol for certain prescription drugs prescribed by a treating physician to treat a symptom of or side effect from the treatment of stage four metastatic cancer; etc.

Every action

13 steps, oldest first, as the legislature records them.

Show the 5 earlier steps
  1. CommitteeFirst Reading Finance · Senate Finance Committee
  2. SenateHearing 2/26 at 1:00 p.m.
  3. CommitteeFavorable with Amendments Report by Finance · Senate Finance Committee
  4. SenateFavorable with Amendments { 613025/1 Adopted
  5. SenateSecond Reading Passed with Amendments
  1. SenateThird Reading Passed (47-0)47–0 vote
  2. CommitteeReferred Rules and Executive Nominations · House of Delegates Rules and Executive Nominations Committee
  3. CommitteeRereferred to Health and Government Operations · House of Delegates Health and Government Operations Committee
  4. CommitteeFavorable Report by Health and Government Operations · House of Delegates Health and Government Operations Committee
  5. House of DelegatesFavorable Adopted Second Reading Passed
  6. House of DelegatesThird Reading Passed (136-1)136–1 vote
  7. SenateReturned Passed
  8. GovernorApproved by the Governor - Chapter 707

Roll calls

4 recorded votes: 2 on the floor, 2 in committee. Each shows how every member voted.

Third Reading Passed (47-0) · Full Senate

Passed 47–0
Mar 31, 2025 · journal entry
Yes 47 No 0
Democrats: 34 yes, 0 no Republicans: 13 yes, 0 no
How each member voted

Yes · 47

Third Reading Passed (136-1) · Full House of Delegates

Passed 136–1
Apr 7, 2025 · journal entry
Yes 136 No 1 Not voting 4
Democrats: 100 yes, 0 no Republicans: 36 yes, 1 no
How each member voted

Yes · 136

No · 1

Not voting · 3

Absent · 1

Committee and other votes

Sponsors

The member who introduced it.

From Maryland's official records (mgaleg.maryland.gov), checked Nov 2, 2026. Text links go to the official versions; LegiList does not copy bill text.