---
type: "Bill"
title: "Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage"
description: "Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2020"
identifier: "SB 475"
citation: "Maryland SB 475 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Augustine", "Beidle", "Benson", "Feldman", "Hayes", "Hershey", "Jennings", "Kelley", "Klausmeier", "Kramer", "Reilly", "Sydnor", "Waldstreicher", "Zucker"]
version_count: 4
action_count: 16
vote_count: 3
first_action: "2020-01-29"
last_action: "2020-05-08"
source: "openstates"
source_identifier: "ocd-bill/a2ee28e7-f4f6-461d-a668-add2f9b9f2ee"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0475?ys=2020RS&search=True"
source_hash: "c45dfe3bcea7fe9b474e799a34172d636dfa91daa47f91f320d0aff677c751e0"
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 475 (2020) — Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Chapter - Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage** (committee substitute) — [source](http://mgaleg.maryland.gov/2020RS/Chapters_noln/CH_560_sb0475e.pdf)
2. **Enrolled - Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage** (committee substitute) — [source](http://mgaleg.maryland.gov/2020RS/bills/sb/sb0475e.pdf)
3. **First - Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage** (committee substitute) — [source](http://mgaleg.maryland.gov/2020RS/bills/sb/sb0475f.pdf)
4. **Third - Health Insurance - Pediatric Autoimmune Neuropsychiatric Disorders - Coverage** (committee substitute) — [source](http://mgaleg.maryland.gov/2020RS/bills/sb/sb0475t.pdf)

## Votes

- On Third Reading — **45–0** (pass) · upper
- ON THIRD READING (Rules Suspended) (Amend) — **129–0** (pass) · lower
- On third reading — **45–0** (pass) · upper

## Sponsors

- Augustine — primary (person)
- Beidle — primary (person)
- Benson — primary (person)
- Feldman — primary (person)
- Hayes — primary (person)
- Hershey — primary (person)
- Jennings — primary (person)
- Kelley — primary (person)
- Klausmeier — primary (person)
- Kramer — primary (person)
- Reilly — primary (person)
- Sydnor — primary (person)
- Waldstreicher — primary (person)
- Zucker — primary (person)

## Timeline

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

- **2020-01-29** First Reading Finance `referral-committee`
- **2020-02-04** Hearing 2/26 at 1:00 p.m.
- **2020-03-13** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2020-03-13** Favorable with Amendments { `committee-passage-favorable`
- **2020-03-13** Second Reading Passed with Amendments
- **2020-03-14** Third Reading Passed `passage`
- **2020-03-15** Referred Health and Government Operations `referral-committee`
- **2020-03-16** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2020-03-17** Favorable with Amendments { `committee-passage-favorable`
- **2020-03-17** Second Reading Passed with Amendments
- **2020-03-17** Motion Rules Suspend Two Readings Same Day (Delegate Cullison) Adopted
- **2020-03-17** Third Reading Passed `passage`
- **2020-03-17** Senate Concurs House Amendments
- **2020-03-17** Third Reading Passed `passage`
- **2020-03-17** Passed Enrolled
- **2020-05-08** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 560 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a2ee28e7-f4f6-461d-a668-add2f9b9f2ee`. Confidence: reported (aggregated from official Maryland legislature records).