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/2023/sb-460.md

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+---
+type: "Bill"
+title: "Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)"
+description: "Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)"
+jurisdiction: "us/states/md"
+legislature: "Maryland General Assembly"
+session: "2023"
+identifier: "SB 460"
+citation: "Maryland SB 460 (2023)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Augustine", "Elfreth", "Ellis", "Feldman", "Guzzone", "Hayes", "Hettleman", "King", "Kramer", "Lam", "M. Washington", "Smith", "Waldstreicher", "Zucker"]
+version_count: 3
+action_count: 19
+vote_count: 0
+first_action: "2023-02-03"
+last_action: "2023-05-03"
+source: "openstates"
+source_identifier: "ocd-bill/94417919-416e-4513-a931-a1ee1d46679c"
+source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0460?ys=2023RS&search=True"
+source_hash: "b06fdfab857caf558fb5a06dde79f0530830bd999d2c105faff198d4932a2ac3"
+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 460 (2023) — Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Chapter - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_252_sb0460t.pdf)
+2. **First - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0460f.pdf)
+3. **Third - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0460t.pdf)
+
+## Sponsors
+
+- Augustine — primary (person)
+- Elfreth — primary (person)
+- Ellis — primary (person)
+- Feldman — primary (person)
+- Guzzone — primary (person)
+- Hayes — primary (person)
+- Hettleman — primary (person)
+- King — primary (person)
+- Kramer — primary (person)
+- Lam — primary (person)
+- M. Washington — primary (person)
+- Smith — primary (person)
+- Waldstreicher — primary (person)
+- Zucker — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2023-02-03** First Reading Finance `referral-committee`
+- **2023-02-03** Hearing 2/28 at 1:00 p.m.
+- **2023-03-17** Favorable with Amendments Report by Finance `committee-passage-favorable`
+- **2023-03-17** Favorable with Amendments { `committee-passage-favorable`
+- **2023-03-17** Motion Laid Over (Senator Ready) Adopted
+- **2023-03-20** Favorable with Amendments { `committee-passage-favorable`
+- **2023-03-20** Floor Amendment {
+- **2023-03-20** Second Reading Passed with Amendments
+- **2023-03-20** Third Reading Passed `passage`
+- **2023-03-21** Referred Health and Government Operations `referral-committee`
+- **2023-03-22** Hearing 3/28 at 1:00 p.m.
+- **2023-03-29** Favorable Report by Health and Government Operations `committee-passage-favorable`
+- **2023-03-29** Favorable Adopted `committee-passage-favorable`
+- **2023-03-29** Second Reading Passed
+- **2023-03-30** Floor Amendment {
+- **2023-03-30** Floor Amendment {
+- **2023-03-30** Third Reading Passed `passage`
+- **2023-03-31** Returned Passed
+- **2023-05-03** Approved by the Governor - Chapter 252 `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/94417919-416e-4513-a931-a1ee1d46679c`. Confidence: reported (aggregated from official Maryland legislature records).
+