Maryland Medical Assistance Program - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription Drugs to Treat Serious Mental Illness

Introduced

In Committee

Floor

Crossed Over

Passed

Enacted

Overview Bill text 1 History 2 Sponsors

First - Maryland Medical Assistance Program - Step Therapy, Fail-First Protocols, and Prior Authorization - Prescription Drugs to Treat Serious Mental Illness — · 425 words Open full page ↗

SENATE BILL 490

J1 6lr3119

CF 6lr3117

By: Senator Lam

Introduced and read first time: February 2, 2026

Assigned to: Finance

A BILL ENTITLED

1 AN ACT concerning

2 Maryland Medical Assistance Program – Step Therapy, Fail–First Protocols, and

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PASSAGE PROBABILITY

2.2% Unlikely

Why this number

Stage base In Committee — base rate 29%, measured from MD's completed sessions
Momentum -5 27/100 from the pace of recorded action
Time since last action -22 249 days quiet

A transparent scoring model over stage, momentum, recency, sponsorship and recorded votes — not a trained predictor. Treat it as a way to rank attention, not as a forecast.