Legislation: batch B — IL IN KS KY LA MA MD ME MI MN

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/md/2018/sb-619.md

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+---
+type: "Bill"
+title: "Health Maintenance Organizations - Certificate of Need Requirements - Modification"
+description: "Health Maintenance Organizations - Certificate of Need Requirements - Modification"
+jurisdiction: "us/states/md"
+legislature: "Maryland General Assembly"
+session: "2018"
+identifier: "SB 619"
+citation: "Maryland SB 619 (2018)"
+classification: ["bill"]
+subjects: ["Health Care Facilities and Regulation", "Health Maintenance Organizations", "Health", "Health Care Facilities", "Health Maintenance Organizations", "Health Occupations", "Licenses", "Patients"]
+status: "enacted"
+primary_sponsors: ["Klausmeier"]
+version_count: 1
+action_count: 15
+vote_count: 2
+first_action: "2018-02-01"
+last_action: "2018-05-08"
+source: "openstates"
+source_identifier: "ocd-bill/41de3c74-64ad-42b8-bc7c-85ecc559d616"
+source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB619&stab=01&pid=billpage&tab=subject3&ys=2018rs"
+source_hash: "5da4e2f31134a2bc9f8ff092a09263138ff4fa28e868e15755b6b303f3128683"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-md"]
+---
+
+# Maryland SB 619 (2018) — Health Maintenance Organizations - Certificate of Need Requirements - Modification
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Bill Text** (committee substitute) — [source](http://mgaleg.maryland.gov/2018RS/bills/sb/sb0619f.pdf)
+
+## Votes
+
+- On Third Reading — **46–0** (pass) · upper
+- On Third Reading — **138–0** (pass) · lower
+
+## Sponsors
+
+- Klausmeier — primary (person)
+- Astle — cosponsor (person)
+- Benson — cosponsor (person)
+- Feldman — cosponsor (person)
+- Hershey — cosponsor (person)
+- Jennings — cosponsor (person)
+- Mathias — cosponsor (person)
+- Middleton — cosponsor (person)
+- Reilly — cosponsor (person)
+- Rosapepe — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2018-02-01** First Reading Finance `referral-committee`
+- **2018-02-07** Hearing 3/01 at 1:00 p.m.
+- **2018-03-05** Favorable with Amendments Report by Finance `committee-passage-favorable`
+- **2018-03-06** Favorable with Amendments {237970/1 Report Adopted `committee-passage-favorable`
+- **2018-03-06** Floor Amendment {973125/2 (Senator Klausmeier) Adopted `amendment-passage`
+- **2018-03-06** Second Reading Passed with Amendments
+- **2018-03-08** Third Reading Passed (46-0) `passage`
+- **2018-03-09** First Reading Health and Government Operations `referral-committee`
+- **2018-03-14** Hearing 3/29 at 1:00 p.m.
+- **2018-04-03** Favorable Report by Health and Government Operations `committee-passage-favorable`
+- **2018-04-03** Favorable Report Adopted `committee-passage-favorable`
+- **2018-04-03** Second Reading Passed
+- **2018-04-09** Third Reading Passed (138-0) `passage`
+- **2018-04-09** Returned Passed
+- **2018-05-08** Approved by the Governor - Chapter 449 `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/41de3c74-64ad-42b8-bc7c-85ecc559d616`. Confidence: reported (aggregated from official Maryland legislature records).
+