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
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What changed between versions
Third - Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee
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Enrolled - Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey
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1 edit
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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
44–0
Passed · 5 other
Total votes 49
Mar 20, 2026
D
Democratic36
86% Yea
R
Republican13
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
Bonnie Cullison
DDemocratic
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