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

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
2026-07-06 17:27:20 -04:00
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+---
+type: "Bill"
+title: "Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations"
+description: "Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations"
+jurisdiction: "us/states/md"
+legislature: "Maryland General Assembly"
+session: "2025"
+identifier: "SB 474"
+citation: "Maryland SB 474 (2025)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Beidle"]
+version_count: 4
+action_count: 16
+vote_count: 3
+first_action: "2025-01-23"
+last_action: "2025-05-20"
+source: "openstates"
+source_identifier: "ocd-bill/84cc0f88-ea90-42b4-aef4-f91ddbbaf9ff"
+source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0474?ys=2025RS&search=True"
+source_hash: "5ee317db3d69f5fb90e4976f38018161757dd0629df94931d774d5d856ff708d"
+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 474 (2025) — Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Chapter - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_670_sb0474e.pdf)
+2. **Enrolled - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474e.pdf)
+3. **First - Health Insurance - Adverse Decisions - Reporting and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474f.pdf)
+4. **Third - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474t.pdf)
+
+## Votes
+
+- Bill is on Third Reading for Final Passage. — **43–0** (pass) · upper
+- On Third Reading (Amend) — **140–0** (pass) · lower
+- On Third Reading — **44–0** (pass) · upper
+
+## Sponsors
+
+- Beidle — primary (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2025-01-23** First Reading Finance `referral-committee`
+- **2025-01-27** Hearing 2/12 at 1:00 p.m.
+- **2025-03-03** Favorable with Amendments Report by Finance `committee-passage-favorable`
+- **2025-03-04** Favorable with Amendments { `committee-passage-favorable`
+- **2025-03-04** Second Reading Passed with Amendments
+- **2025-03-06** Third Reading Passed `passage`
+- **2025-03-07** Referred Health and Government Operations `referral-committee`
+- **2025-03-15** Hearing 3/20 at 1:00 p.m.
+- **2025-04-01** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
+- **2025-04-01** Favorable with Amendments { `committee-passage-favorable`
+- **2025-04-01** Second Reading Passed with Amendments
+- **2025-04-07** Third Reading Passed `passage`
+- **2025-04-07** Senate Concurs House Amendments
+- **2025-04-07** Third Reading Passed `passage`
+- **2025-04-07** Passed Enrolled
+- **2025-05-20** Approved by the Governor - Chapter 670 `executive-signature`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/84cc0f88-ea90-42b4-aef4-f91ddbbaf9ff`. Confidence: reported (aggregated from official Maryland legislature records).
+