Senate Bill 773 restricts pharmacy managers from altering health plan coverage terms

March 10, 2025 | Senate Bills (Introduced), 2025 Bills, Maryland Legislation Bills Collections, Maryland


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Senate Bill 773 restricts pharmacy managers from altering health plan coverage terms
Maryland's Senate Bill 773 is poised to reshape the landscape of prescription drug coverage, aiming to enhance patient access and affordability. Introduced on March 10, 2025, the bill targets the practices of pharmacy benefits managers (PBMs), who play a crucial role in determining how medications are covered under health plans.

At the heart of Senate Bill 773 is a provision that prohibits PBMs from influencing health benefit plan coverage based on the availability of financial assistance for prescription drugs. This means that patients will no longer face potential barriers to accessing necessary medications due to the financial dynamics surrounding drug pricing. The bill also stipulates that preventive care services will be covered without requiring beneficiaries to meet minimum deductible thresholds, further easing the financial burden on patients.

The legislation has sparked significant debate among lawmakers and healthcare advocates. Proponents argue that it will lead to more equitable access to medications, particularly for those who rely on costly treatments. Critics, however, express concerns about the potential impact on drug pricing and the overall healthcare market, fearing that limiting PBM influence could lead to unintended consequences.

As the bill moves forward, its implications could be far-reaching. Experts suggest that if enacted, it may set a precedent for other states to follow, potentially transforming how prescription drug coverage is managed nationwide. With an effective date set for January 1, 2026, stakeholders are closely monitoring the bill's progress, anticipating both challenges and opportunities in the evolving healthcare landscape.

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Scribe from Workplace AI
Scribe from Workplace AI