Maryland Senate Bill 306 was introduced, proposing a workers' comp pharmaceutical fee schedule. The fee schedule would be based on a drug's actual acquisition cost, plus a dispensing fee, replacing the current usual and customary charges.

If enacted, the changes would take effect on October 1, 2025.

Over the last two years, the Maryland Workers' Compensation Medical Fee Guide Committee began developing a pharmaceutical reimbursement guideline using a similar acquisition cost benchmark, driven by disputes between payers and out-of-network pharmacies. However, many stakeholders have expressed concerns about this approach.