---
type: "Bill"
title: "Maryland Licensure of Direct-Entry Midwives Act - Revisions"
description: "Maryland Licensure of Direct-Entry Midwives Act - Revisions"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "HB 1437"
citation: "Maryland HB 1437 (2018)"
classification: ["bill"]
subjects: ["Health Occupations", "Administrative Agencies", "Diseases", "Health", "Health Care Facilities", "Health Occupations", "Licenses", "Midwives", "Nurses", "Pregnancy"]
status: "enacted"
primary_sponsors: ["Cullison"]
version_count: 1
action_count: 13
vote_count: 2
first_action: "2018-02-09"
last_action: "2018-05-08"
source: "openstates"
source_identifier: "ocd-bill/69b7193a-c300-4534-ba86-d40ba7437540"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB1437&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "c40649c242d98b346f07fe7206d939e7d874ab6ef40d17964d3f37e0deee0517"
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 1437 (2018) — Maryland Licensure of Direct-Entry Midwives Act - Revisions

## 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/hb/hb1437f.pdf)

## Votes

- On Third Reading — **46–0** (pass) · upper
- On Third Reading — **136–0** (pass) · lower

## Sponsors

- Cullison — primary (person)
- Angel — cosponsor (person)
- Hayes — cosponsor (person)
- Hill — cosponsor (person)
- K. Young — cosponsor (person)
- Kelly — cosponsor (person)
- Kipke — cosponsor (person)
- Krebs — cosponsor (person)
- Miele — cosponsor (person)
- Morales — cosponsor (person)
- Morgan — cosponsor (person)
- Pena-Melnyk — cosponsor (person)
- Pendergrass — cosponsor (person)
- Platt — cosponsor (person)
- Rosenberg — cosponsor (person)
- Saab — cosponsor (person)
- Sample-Hughes — cosponsor (person)
- West — cosponsor (person)

## Timeline

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

- **2018-02-09** First Reading Health and Government Operations `referral-committee`
- **2018-02-14** Hearing 2/28 at 1:00 p.m.
- **2018-03-12** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2018-03-13** Favorable with Amendments {566080/1 Report Adopted `committee-passage-favorable`
- **2018-03-13** Second Reading Passed with Amendments
- **2018-03-15** Third Reading Passed (136-0) `passage`
- **2018-03-16** First Reading Education, Health, and Environmental Affairs `referral-committee`
- **2018-03-30** Favorable Report by Education, Health, and Environmental Affairs `committee-passage-favorable`
- **2018-03-30** Favorable Report Adopted `committee-passage-favorable`
- **2018-03-30** Second Reading Passed
- **2018-04-02** Third Reading Passed (46-0) `passage`
- **2018-04-03** Returned Passed
- **2018-05-08** Approved by the Governor - Chapter 528 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/69b7193a-c300-4534-ba86-d40ba7437540`. Confidence: reported (aggregated from official Maryland legislature records).