---
type: "Bill"
title: "Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities – Revisions"
description: "Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities – Revisions"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "SB 4"
citation: "Maryland SB 4 (2018)"
classification: ["bill"]
subjects: ["Elderly", "Health Care Facilities and Regulation", "Aging", "Department of", "Assisted Living", "Committees and Commissions", "Health Occupations", "Inspections", "Legislation", "Nursing Homes", "Reports", "Rules and Regulations"]
status: "enacted"
primary_sponsors: ["Nathan-Pulliam"]
version_count: 1
action_count: 17
vote_count: 3
first_action: "2017-11-14"
last_action: "2018-05-08"
source: "openstates"
source_identifier: "ocd-bill/fe9852ed-87c7-4007-b07f-12fb5b9994dc"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB4&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "b99b4eec29e8ec1f469c15b6fa5aa7e026a3f1bd310d93a87a2b8ae2af8ffa8f"
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 4 (2018) — Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities – 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/sb/sb0004e.pdf)

## Votes

- On Third Reading — **45–2** (pass) · upper
- On third reading — **45–0** (pass) · upper
- On Third Reading — **137–0** (pass) · lower

## Sponsors

- Nathan-Pulliam — primary (person)

## Timeline

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

- **2017-11-14** Pre-filed `introduction`
- **2018-01-10** First Reading Finance `referral-committee`
- **2018-01-10** Hearing 2/01 at 1:00 p.m.
- **2018-03-16** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2018-03-16** Favorable with Amendments {827970/1 Report Adopted `committee-passage-favorable`
- **2018-03-16** Second Reading Passed with Amendments
- **2018-03-19** Third Reading Passed (45-2) `passage`
- **2018-03-20** First Reading Health and Government Operations `referral-committee`
- **2018-03-28** Hearing 4/03 at 1:00 p.m.
- **2018-04-06** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2018-04-06** Favorable with Amendments {116387/1 Report Adopted `committee-passage-favorable`
- **2018-04-06** Second Reading Passed with Amendments
- **2018-04-07** Third Reading Passed with Amendments (137-0) `passage`
- **2018-04-09** Senate Concur - House Amendments
- **2018-04-09** Third Reading Passed (45-0) `passage`
- **2018-04-09** Passed Enrolled
- **2018-05-08** Approved by the Governor - Chapter 473 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/fe9852ed-87c7-4007-b07f-12fb5b9994dc`. Confidence: reported (aggregated from official Maryland legislature records).