Maryland Healthcare Legislation
Maryland 2026-2027 Legislative Session
IPMD Supported:
HB 1470 / SB 839
HB 1470 / SB 839 - Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee
Requires the Maryland Department of Health to conduct an in-state cost-of-dispensing survey at least every three years to determine how much it actually costs pharmacies to dispense medications. Based on that survey, the Department must set a Medicaid fee-for-service professional dispensing fee for drugs under the Maryland Medical Assistance Program. The bill is intended to ensure pharmacy reimbursement rates are based on current, data-driven cost information.
HB 1384
HB 1384 - Maryland Medical Assistance Program - State Pharmacy Benefits Manager
Requires the Maryland Department of Health to select and contract with a single statewide pharmacy benefits manager (PBM) to administer pharmacy benefits for all participants in the Maryland Medical Assistance Program. Beginning July 1, 2028, all managed care organizations must use this State-contracted PBM, and the contract must require transparent, pass-through pricing and prohibit spread pricing. The bill also requires the Department to hire an independent consultant to help with selecting and negotiating the PBM contract.