---
type: "Bill"
title: "Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption"
description: "Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2019"
identifier: "SB 649"
citation: "Maryland SB 649 (2019)"
classification: ["bill"]
subjects: ["Health Care Facilities and Regulation", "Certifications", "Committees and Commissions", "Emergency Bills", "Health Care Commission", "Health Care Facilities", "Hospices", "Hospitals", "Mental and Behavioral Health", "Notices", "Parents and Guardians"]
status: "enacted"
primary_sponsors: ["Klausmeier"]
version_count: 1
action_count: 14
vote_count: 2
first_action: "2019-02-04"
last_action: "2019-05-13"
source: "openstates"
source_identifier: "ocd-bill/a5a2542a-ba9c-4401-aca6-7523006d886e"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB649&stab=01&pid=billpage&tab=subject3&ys=2019rs"
source_hash: "f68c2ffba1dbcd7f7296666e21538051d6ea5f79bbe9d1acd0ba97e3ef170547"
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 649 (2019) — Health Care Facilities - Change in Bed Capacity - Certificate of Need Exemption

## 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/2019RS/bills/sb/sb0649f.pdf)

## Votes

- On Third Reading — **133–2** (pass) · lower
- On Third Reading — **46–0** (pass) · upper

## Sponsors

- Klausmeier — primary (person)

## Timeline

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

- **2019-02-04** First Reading Finance `referral-committee`
- **2019-02-11** Hearing 3/14 at 1:00 p.m.
- **2019-03-15** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2019-03-15** Favorable with Amendments {197373/1 Report Adopted `committee-passage-favorable`
- **2019-03-15** Second Reading Passed with Amendments
- **2019-03-18** Third Reading Passed (46-0) `passage`
- **2019-03-19** First Reading Health and Government Operations `referral-committee`
- **2019-03-25** Hearing 3/27 at 1:00 p.m.
- **2019-04-01** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2019-04-02** Favorable Report Adopted `committee-passage-favorable`
- **2019-04-02** Second Reading Passed
- **2019-04-05** Third Reading Passed (133-2) `passage`
- **2019-04-08** Returned Passed
- **2019-05-13** 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/a5a2542a-ba9c-4401-aca6-7523006d886e`. Confidence: reported (aggregated from official Maryland legislature records).