---
type: "Bill"
title: "Health Care Facilities - Assisted Living Programs - Requirements for Alzheimer's Special Care Units and Regulations"
description: "Health Care Facilities - Assisted Living Programs - Requirements for Alzheimer's Special Care Units and Regulations"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2021"
identifier: "HB 416"
citation: "Maryland HB 416 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Belcastro"]
version_count: 3
action_count: 18
vote_count: 2
first_action: "2020-10-23"
last_action: "2021-05-30"
source: "openstates"
source_identifier: "ocd-bill/7ea5dabc-2967-43bb-ab8c-6da0a7f70c77"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0416?ys=2021RS&search=True"
source_hash: "91459d03553697a332b97590acd104375fdab438d8bd096dadc15f9bb912f9cb"
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 416 (2021) — Health Care Facilities - Assisted Living Programs - Requirements for Alzheimer's Special Care Units and Regulations

## Version chain

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

1. **Chapter - Health Care Facilities - Assisted Living Programs - Requirements for Alzheimer's Special Care Units and Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/Chapters_noln/CH_479_hb0416t.pdf)
2. **First - Health Care Facilities - Assisted Living Programs - Memory Care and Alzheimer's Disease Unit Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/hb/hb0416f.pdf)
3. **Third - Health Care Facilities - Assisted Living Programs - Requirements for Alzheimer's Special Care Units and Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/hb/hb0416t.pdf)

## Votes

- On Third Reading — **132–0** (pass) · lower
- On Third Reading — **47–0** (pass) · upper

## Sponsors

- Belcastro — primary (person)

## Timeline

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

- **2020-10-23** Pre-filed `introduction`
- **2021-01-13** First Reading Health and Government Operations `referral-committee`
- **2020-12-23** Hearing 2/03 at 2:00 p.m.
- **2021-01-20** Hearing canceled
- **2021-01-20** Hearing 2/03 at 2:30 p.m.
- **2021-01-25** Hearing canceled
- **2021-03-01** Hearing 3/11 at 1:30 p.m.
- **2021-03-19** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2021-03-19** Favorable with Amendments { `committee-passage-favorable`
- **2021-03-19** Second Reading Passed with Amendments
- **2021-03-20** Third Reading Passed `passage`
- **2021-03-22** Referred Finance `referral-committee`
- **2021-03-31** Favorable Report by Finance `committee-passage-favorable`
- **2021-03-31** Favorable Adopted `committee-passage-favorable`
- **2021-03-31** Second Reading Passed
- **2021-04-01** Third Reading Passed `passage`
- **2021-04-01** Returned Passed
- **2021-05-30** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 479 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7ea5dabc-2967-43bb-ab8c-6da0a7f70c77`. Confidence: reported (aggregated from official Maryland legislature records).