---
type: "Bill"
title: "State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth"
description: "State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2021"
identifier: "SB 278"
citation: "Maryland SB 278 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kagan"]
version_count: 3
action_count: 27
vote_count: 3
first_action: "2020-10-08"
last_action: "2021-05-18"
source: "openstates"
source_identifier: "ocd-bill/d5e2c490-ac84-41ea-a5b2-71becb0004a1"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0278?ys=2021RS&search=True"
source_hash: "29074c864aa55db331d2331de5389483a5830ecde9606122751ee447dff0e6fa"
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 278 (2021) — State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth

## Version chain

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

1. **Chapter - State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/Chapters_noln/CH_348_sb0278t.pdf)
2. **First - State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0278f.pdf)
3. **Third - State Department of Education and Maryland Department of Health - Maryland School-Based Health Center Standards - Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0278t.pdf)

## Votes

- On Third Reading For Final Passage (Emerg) — **31–14** (pass) · upper
- On Third Reading (Emerg) — **116–16** (pass) · lower
- FLA Del. Arikan /713429/1 — **41–93** (fail) · lower

## Sponsors

- Kagan — primary (person)

## Timeline

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

- **2020-10-08** Pre-filed `introduction`
- **2021-01-13** First Reading Education, Health, and Environmental Affairs `referral-committee`
- **2020-12-29** Hearing 1/20 at 2:00 p.m.
- **2021-01-06** Hearing canceled
- **2021-01-06** Hearing 1/20 at 3:00 p.m.
- **2021-02-09** Favorable Report by Education, Health, and Environmental Affairs `committee-passage-favorable`
- **2021-02-09** Favorable `committee-passage-favorable`
- **2021-02-09** Motion Special Order until 2/10 (Senator Gallion) Adopted
- **2021-02-10** Favorable `committee-passage-favorable`
- **2021-02-10** Motion Special Order until 2/12 (Senator Gallion) Adopted
- **2021-02-16** Favorable Adopted `committee-passage-favorable`
- **2021-02-16** Floor Amendment {
- **2021-02-16** Motion Laid Over (Senator Simonaire) Adopted
- **2021-02-17** Floor Amendment {
- **2021-02-17** Second Reading Passed
- **2021-02-19** Motion Special Order until 2/22 (Senator Simonaire) Adopted
- **2021-02-23** Motion Special Order until 2/24 (Senator King) Adopted
- **2021-02-24** Third Reading Passed `passage`
- **2021-02-25** Referred Health and Government Operations Ways and Means `referral-committee`
- **2021-03-17** Hearing 3/25 at 1:30 p.m. (Health and Government Operations)
- **2021-03-20** Hearing canceled (Health and Government Operations)
- **2021-04-09** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2021-04-09** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2021-04-10** Floor Amendment {
- **2021-04-10** Third Reading Passed `passage`
- **2021-04-12** Returned Passed
- **2021-05-18** Approved by the Governor - Chapter 348 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d5e2c490-ac84-41ea-a5b2-71becb0004a1`. Confidence: reported (aggregated from official Maryland legislature records).