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Maryland

Maryland

State Facts

1,456

Deaths, or 83.4% of total overdose deaths, involved opioids in 2024.1

862,484

Claims, or 4.3% of all Medicare Part D claims, were for opioids in 2022 – an average of 34 per prescriber.2

32.9

Opioid Prescriptions were written for every 100 persons in 2023.3

19,889

Medicare Part D beneficiaries had opioid use disorder in 2022.4

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Opioid Settlement Funds

$103,897,000
State Spending Recommendation

Providing support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal, evidence-informed treatment of pain.

Member & Endorser Footprint

Voices is backed by a broad coalition of organizations across the state united by a shared goal: ensuring patients have access to safe, effective, 
and individualized pain management throughout the continuum of care.

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
07/27/2025
Plan Impact
Medicaid & Commercial
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Voices Letters

HB 1013/SB 974 Sponsor Letter of Support

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SB 974 Hearing Letter of Support

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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. Office of the Inspector General (2023). The Consistently Low Percentage of Medicare Enrollees Receiving Medication to Treat Their Opioid Use Disorder Remains a Concern. https://oig.hhs.gov/documents/evaluation/2722/OEI-02-23-00250-Complete%20Report.pdf

3. Center for Disease Control and Prevention (2024). Opioid Dispensing Rate Maps. https://www.cdc.gov/overdose-prevention/data-research/facts-stats/opioid-dispensing-rate-maps.html

4. Centers for Disease Control and Prevention (2024). Medicare Part D Opioid Prescribing Mapping Tool. https://cms-oeda.maps.arcgis.com/apps/MapSeries/index.html?appid=5390718d875d4c049b1ac5976a9ff083