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/2019/sb-649.md

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+---
+type: "Bill"
+title: "Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption"
+description: "Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption"
+jurisdiction: "us/states/md"
+legislature: "Maryland General Assembly"
+session: "2019"
+identifier: "SB 649"
+citation: "Maryland SB 649 (2019)"
+classification: ["bill"]
+subjects: ["Health Care Facilities and Regulation", "Certifications", "Committees and Commissions", "Emergency Bills", "Health Care Commission", "Health Care Facilities", "Hospices", "Hospitals", "Mental and Behavioral Health", "Notices", "Parents and Guardians"]
+status: "enacted"
+primary_sponsors: ["Klausmeier"]
+version_count: 1
+action_count: 14
+vote_count: 2
+first_action: "2019-02-04"
+last_action: "2019-05-13"
+source: "openstates"
+source_identifier: "ocd-bill/a5a2542a-ba9c-4401-aca6-7523006d886e"
+source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB649&stab=01&pid=billpage&tab=subject3&ys=2019rs"
+source_hash: "f68c2ffba1dbcd7f7296666e21538051d6ea5f79bbe9d1acd0ba97e3ef170547"
+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 649 (2019) — Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption
+
+## 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/2019RS/bills/sb/sb0649f.pdf)
+
+## Votes
+
+- On Third Reading — **133–2** (pass) · lower
+- On Third Reading — **46–0** (pass) · upper
+
+## Sponsors
+
+- Klausmeier — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2019-02-04** First Reading Finance `referral-committee`
+- **2019-02-11** Hearing 3/14 at 1:00 p.m.
+- **2019-03-15** Favorable with Amendments Report by Finance `committee-passage-favorable`
+- **2019-03-15** Favorable with Amendments {197373/1 Report Adopted `committee-passage-favorable`
+- **2019-03-15** Second Reading Passed with Amendments
+- **2019-03-18** Third Reading Passed (46-0) `passage`
+- **2019-03-19** First Reading Health and Government Operations `referral-committee`
+- **2019-03-25** Hearing 3/27 at 1:00 p.m.
+- **2019-04-01** Favorable Report by Health and Government Operations `committee-passage-favorable`
+- **2019-04-02** Favorable Report Adopted `committee-passage-favorable`
+- **2019-04-02** Second Reading Passed
+- **2019-04-05** Third Reading Passed (133-2) `passage`
+- **2019-04-08** Returned Passed
+- **2019-05-13** Approved by the Governor - Chapter 473 `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a5a2542a-ba9c-4401-aca6-7523006d886e`. Confidence: reported (aggregated from official Maryland legislature records).
+