Maryland
State Facts
Deaths, or 82.1% of all overdose deaths in the year ending April 2025 involved opioids.¹
Claims, or 4.01% of all Medicare Part D claims were for opioids in 2023 – an average of 32 per prescriber.²
Opioid Prescriptions were written for every 100 persons in 2023.3
the estimated total societal cost of opioid use disorder (OUD) in Maryland in 2024.⁴
Opioid Settlement Funds
Providing support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal, evidence-informed treatment of pain.
2025 Introduced Relevant Legislation
HB 1013/SB 974
HB 1013/SB 974 prohibits Maryland’s Medicaid program and certain insurers from making it harder to access non-opioid pain treatments than opioid medications. It ensures that prior authorization, step therapy, or fail-first requirements for non-opioid drugs are no more restrictive than those for opioids.
Introduced
07/27/2025Plan Impact
Medicaid & CommercialVoices Letters
HB 1013/SB 974 Sponsor Letter of Support
SB 974 Hearing Letter of Support
1. Centers for Disease Control and Prevention (2025). Provisional Drug Overdose Death Counts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm
2. Centers for Disease Control and Prevention (2025). Medicare Part D Opioid Prescribing Mapping Tool. https://cms-oeda.maps.arcgis.com/apps/MapSeries/index.html?appid=5390718d875d4c049b1ac5976a9ff083
3. Centers for Disease Control and Prevention (2025). Opioid Dispensing Rate Maps. https://www.cdc.gov/overdose-prevention/data-research/facts-stats/opioid-dispensing-rate-maps.html
4. Avalere Health (2025). The cost of addiction: Opioid use disorder in the United States. https://advisory.avalerehealth.com/wp-content/uploads/2025/05/Avalere-Health-White-Paper_The-cost-of-opioid-addiction_OUD-in-the-United-States.pdf



































































