---
type: "Bill"
title: "Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)"
description: "Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2021"
identifier: "HB 78"
citation: "Maryland HB 78 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Crutchfield", "Pena-Melnyk", "R. Lewis", "Wilkins", "Williams"]
version_count: 3
action_count: 14
vote_count: 2
first_action: "2020-08-03"
last_action: "2021-05-30"
source: "openstates"
source_identifier: "ocd-bill/bae25d9c-d7c5-4714-b770-eced28b57f58"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0078?ys=2021RS&search=True"
source_hash: "a09694fbd4351dcaa328abe869ac0fc0cbb83835fce200b66ac184c23ca94f5a"
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 78 (2021) — Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)

## Version chain

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

1. **Chapter - Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/Chapters_noln/CH_749_hb0078t.pdf)
2. **First - Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/hb/hb0078f.pdf)
3. **Third - Public Health - Maryland Commission on Health Equity (The Shirley Nathan-Pulliam Health Equity Act of 2021)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/hb/hb0078t.pdf)

## Votes

- On Third Reading — **33–12** (pass) · upper
- On Third Reading — **97–39** (pass) · lower

## Sponsors

- Crutchfield — primary (person)
- Pena-Melnyk — primary (person)
- R. Lewis — primary (person)
- Wilkins — primary (person)
- Williams — primary (person)

## Timeline

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

- **2020-08-03** Pre-filed `introduction`
- **2021-01-13** First Reading Health and Government Operations `referral-committee`
- **2020-12-23** Hearing 1/26 at 1:30 p.m.
- **2021-03-10** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2021-03-11** Favorable with Amendments { `committee-passage-favorable`
- **2021-03-11** Second Reading Passed with Amendments
- **2021-03-12** Third Reading Passed `passage`
- **2021-03-16** Referred Finance `referral-committee`
- **2021-03-26** Favorable Report by Finance `committee-passage-favorable`
- **2021-03-26** Favorable Adopted `committee-passage-favorable`
- **2021-03-26** Second Reading Passed
- **2021-03-29** Third Reading Passed `passage`
- **2021-03-30** Returned Passed
- **2021-05-30** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 749 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/bae25d9c-d7c5-4714-b770-eced28b57f58`. Confidence: reported (aggregated from official Maryland legislature records).