---
type: "Bill"
title: "State Board of Nursing - Advanced Practice Registered Nurses - Certification and Practice"
description: "State Board of Nursing - Advanced Practice Registered Nurses - Certification and Practice"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "HB 863"
citation: "Maryland HB 863 (2018)"
classification: ["bill"]
subjects: ["Health Occupations", "Assessments", "Chemical Tests", "Dentists", "Drugs", "Health Occupations", "Licenses", "Nurses", "Patients", "Physicians", "Records", "Review Boards", "Safety", "Signatures", "Time"]
status: "enacted"
primary_sponsors: ["Cullison"]
version_count: 1
action_count: 22
vote_count: 3
first_action: "2018-02-02"
last_action: "2018-05-08"
source: "openstates"
source_identifier: "ocd-bill/b35e88c8-2959-4ef5-af65-8743467e480d"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB863&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "1a09997c92aca6f2de33059e6332e96b5816a521da39bbecfa88f3774d8fadf5"
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 863 (2018) — State Board of Nursing - Advanced Practice Registered Nurses - Certification and Practice

## 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/hb0863f.pdf)

## Votes

- On Third Reading — **46–0** (pass) · upper
- On third reading — **45–0** (pass) · upper
- On Third Reading — **138–0** (pass) · lower

## Sponsors

- Cullison — primary (person)
- Bromwell — cosponsor (person)
- Miele — cosponsor (person)
- Saab — cosponsor (person)

## Timeline

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

- **2018-02-02** First Reading Health and Government Operations `referral-committee`
- **2018-02-14** Hearing 2/22 at 1:00 p.m.
- **2018-03-16** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2018-03-16** Favorable with Amendments {636287/1 Report Adopted `committee-passage-favorable`
- **2018-03-16** Second Reading Passed with Amendments
- **2018-03-19** Third Reading Passed (138-0) `passage`
- **2018-03-19** First Reading Education, Health, and Environmental Affairs `referral-committee`
- **2018-03-22** Hearing 3/29 at 1:00 p.m.
- **2018-04-02** Favorable with Amendments Report by Education, Health, and Environmental Affairs `committee-passage-favorable`
- **2018-04-03** Favorable with Amendments {274138/1 Report Adopted `committee-passage-favorable`
- **2018-04-03** Second Reading Passed with Amendments
- **2018-04-04** Third Reading Passed with Amendments (46-0) `passage`
- **2018-04-05** House Refuses to Concur - Senate Amendments
- **2018-04-05** House Requests Senate Recede
- **2018-04-05** Conference Committee Appointed
- **2018-04-05** Delegates Kelly, Cullison, and Saab
- **2018-04-09** Motion Recede (Senator Conway) Adopted
- **2018-04-09** Committee Amendment {274138/1 Withdrawn
- **2018-04-09** Senate Recede
- **2018-04-09** Third Reading Passed (45-0) `passage`
- **2018-04-09** Returned Passed
- **2018-05-08** Approved by the Governor - Chapter 483 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b35e88c8-2959-4ef5-af65-8743467e480d`. Confidence: reported (aggregated from official Maryland legislature records).