---
type: "Bill"
title: "Health Maintenance Organizations - Certificate of Need Requirements - Modification"
description: "Health Maintenance Organizations - Certificate of Need Requirements - Modification"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "SB 619"
citation: "Maryland SB 619 (2018)"
classification: ["bill"]
subjects: ["Health Care Facilities and Regulation", "Health Maintenance Organizations", "Health", "Health Care Facilities", "Health Maintenance Organizations", "Health Occupations", "Licenses", "Patients"]
status: "enacted"
primary_sponsors: ["Klausmeier"]
version_count: 1
action_count: 15
vote_count: 2
first_action: "2018-02-01"
last_action: "2018-05-08"
source: "openstates"
source_identifier: "ocd-bill/41de3c74-64ad-42b8-bc7c-85ecc559d616"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB619&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "5da4e2f31134a2bc9f8ff092a09263138ff4fa28e868e15755b6b303f3128683"
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 619 (2018) — Health Maintenance Organizations - Certificate of Need Requirements - Modification

## 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/sb0619f.pdf)

## Votes

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

## Sponsors

- Klausmeier — primary (person)
- Astle — cosponsor (person)
- Benson — cosponsor (person)
- Feldman — cosponsor (person)
- Hershey — cosponsor (person)
- Jennings — cosponsor (person)
- Mathias — cosponsor (person)
- Middleton — cosponsor (person)
- Reilly — cosponsor (person)
- Rosapepe — cosponsor (person)

## Timeline

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

- **2018-02-01** First Reading Finance `referral-committee`
- **2018-02-07** Hearing 3/01 at 1:00 p.m.
- **2018-03-05** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2018-03-06** Favorable with Amendments {237970/1 Report Adopted `committee-passage-favorable`
- **2018-03-06** Floor Amendment {973125/2 (Senator Klausmeier) Adopted `amendment-passage`
- **2018-03-06** Second Reading Passed with Amendments
- **2018-03-08** Third Reading Passed (46-0) `passage`
- **2018-03-09** First Reading Health and Government Operations `referral-committee`
- **2018-03-14** Hearing 3/29 at 1:00 p.m.
- **2018-04-03** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2018-04-03** Favorable Report Adopted `committee-passage-favorable`
- **2018-04-03** Second Reading Passed
- **2018-04-09** Third Reading Passed (138-0) `passage`
- **2018-04-09** Returned Passed
- **2018-05-08** Approved by the Governor - Chapter 449 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/41de3c74-64ad-42b8-bc7c-85ecc559d616`. Confidence: reported (aggregated from official Maryland legislature records).