---
type: "Bill"
title: "Health Care Decisions Act - Advance Directives and Surrogate Decision Making - Disqualified Individuals"
description: "Health Care Decisions Act - Advance Directives and Surrogate Decision Making - Disqualified Individuals"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2017"
identifier: "HB 498"
citation: "Maryland HB 498 (2017)"
classification: ["bill"]
subjects: ["Public Health", "Advance Medical Directives", "Disclosure", "Divorce", "Health", "Health Care Facilities", "Health Occupations", "Patients", "Personal Representatives", "Prisoners", "Protection Orders", "Spouses"]
status: "enacted"
primary_sponsors: ["Hettleman"]
version_count: 1
action_count: 14
vote_count: 2
first_action: "2017-01-27"
last_action: "2017-05-25"
source: "openstates"
source_identifier: "ocd-bill/0f5097ad-5666-4677-88bb-e3d0df1d30cd"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB498&stab=01&pid=billpage&tab=subject3&ys=2017rs"
source_hash: "1d3aeae32567b9fbbe243cbd15ee21efcea07761ab3e45715692e5a408f33335"
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 HB 498 (2017) — Health Care Decisions Act - Advance Directives and Surrogate Decision Making - Disqualified Individuals

## 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/2017RS/bills/hb/hb0498f.pdf)

## Votes

- Third Reading — **134–0** (pass) · legislature
- Third Reading — **47–0** (pass) · legislature

## Sponsors

- Hettleman — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-01-27** First Reading Health and Government Operations `referral-committee`
- **2017-02-08** Hearing 2/28 at 1:00 p.m.
- **2017-03-18** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2017-03-18** Favorable with Amendments {376288/1 Report Adopted `committee-passage-favorable`
- **2017-03-18** Second Reading Passed with Amendments
- **2017-03-20** Third Reading Passed (134-0) `passage`
- **2017-03-20** First Reading Finance `referral-committee`
- **2017-03-21** Hearing 3/29 at 1:00 p.m.
- **2017-03-31** Favorable Report by Finance `committee-passage-favorable`
- **2017-03-31** Favorable Report Adopted `committee-passage-favorable`
- **2017-03-31** Second Reading Passed
- **2017-04-03** Third Reading Passed (47-0) `passage`
- **2017-04-04** Returned Passed
- **2017-05-25** Approved by the Governor - Chapter 657 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0f5097ad-5666-4677-88bb-e3d0df1d30cd`. Confidence: reported (aggregated from official Maryland legislature records).