Health Insurance - Prescriptions for Gender-Affirming Care and Hormone Therapy - Coverage and Dispensing Requirements

HB 1380 requires health insurers, nonprofit health plans, and health maintenance organizations in Maryland to cover prescriptions for gender-affirming care and hormone therapy (defined as lawful treatment under state law) for up to a 12-month supply per prescription. It prohibits insurers from forcing patients to accept a full 12-month supply if the patient or their provider requests a smaller amount. Pharmacists must dispense qualifying prescriptions (after January 1, 2027) in quantities up to a 12-month supply unless exceptions apply, such as acute drug shortages (limiting to 90 days) or prior coverage in the same plan year. The bill applies to all health plans issued or renewed in Maryland on or after January 1, 2027.