HB 1470 Maryland House of Delegates · 2026 Regular Session

Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey

HB 1470 requires Maryland's Department of Health to conduct an in-state cost-of-dispensing survey for Medicaid drugs at least once every three years, starting in 2026. Within six months after each survey, the Department must set a fee-for-service reimbursement rate for pharmacists dispensing Medicaid-covered drugs based on the survey results. This directly affects pharmacies participating in Maryland's Medical Assistance Program (Medicaid), as the new fee structure will determine their reimbursement for drug dispensing services. The bill establishes a regular, data-driven process to update these fees, ensuring they reflect actual dispensing costs.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 13, 2026 Signed May 26, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Third - Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee Enrolled - Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey · 1 edit · May 26, 2026
MINOR
The bill was formally enrolled and sent to the Governor for final approval. The substantive policy change requires the Department to report survey results to the General Assembly annually, whereas the previous version only required the Department to adopt regulations based on the survey results.
REQUIREMENT

Added a new requirement for the Department to report survey results to the General Assembly on or before December 1 each year the survey is conducted.

Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 25, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 20, 2026
D Democratic36
31 Yea 5
86% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
11
Committee
6
Amendments
1
May 26, 2026
Signed into law
Approved by the Governor - Chapter 709
executive
Apr 10, 2026
Lower · Passed
Passed Enrolled
lower
Apr 10, 2026
Lower · Passed
Third Reading Passed
lower
Apr 10, 2026
Introduced
House Concurs Senate Amendments
lower
Apr 8, 2026
Upper · Passed
Third Reading Passed
upper
Apr 7, 2026
Upper · Passed
Favorable with Amendments {
upper
Apr 6, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 25, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (132-2-8)
house of delegates
Mar 20, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Mar 19, 2026
Committee
Referred Finance
upper
Mar 18, 2026
Lower · Passed
Third Reading Passed
lower
Mar 17, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 16, 2026
Lower · Passed
Favorable Report by Health
lower
Feb 13, 2026
Committee
First Reading Health
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Bonnie Cullison
Bonnie Cullison
DDemocratic
MD
19