---
type: "Bill"
title: "Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)"
description: "Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2021"
identifier: "SB 41"
citation: "Maryland SB 41 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Augustine"]
version_count: 3
action_count: 20
vote_count: 4
first_action: "2020-09-24"
last_action: "2021-05-30"
source: "openstates"
source_identifier: "ocd-bill/541cb193-2ccc-45e9-9fb0-e83aaf528365"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0041?ys=2021RS&search=True"
source_hash: "1e4a025fb0f28e19fcba70163ac2316fb08019a465e666bb91e40870e9775efb"
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 41 (2021) — Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)

## Version chain

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

1. **Chapter - Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/Chapters_noln/CH_743_sb0041t.pdf)
2. **First - Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0041f.pdf)
3. **Third - Health – Mental and Emotional Disorders – Consent (Mental Health Access Initiative)** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0041t.pdf)

## Votes

- Floor Amendment Simonaire 383326/1 — **14–33** (fail) · upper
- Question is on the adoption of the favorable report — **32–15** (pass) · upper
- On Third Reading — **92–43** (pass) · lower
- On Third Reading — **31–16** (pass) · upper

## Sponsors

- Augustine — primary (person)

## Timeline

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

- **2020-09-24** Pre-filed `introduction`
- **2021-01-13** First Reading Finance `referral-committee`
- **2021-01-15** Hearing 2/02 at 1:00 p.m.
- **2021-02-09** Favorable Report by Finance `committee-passage-favorable`
- **2021-02-10** Favorable `committee-passage-favorable`
- **2021-02-10** Motion Special Order until 2/12 (Senator Carozza) Adopted
- **2021-02-16** Favorable `committee-passage-favorable`
- **2021-02-16** Motion Special Order until 2/17 (Senator Carozza) Adopted
- **2021-02-17** Favorable Adopted `committee-passage-favorable`
- **2021-02-17** Floor Amendment {
- **2021-02-17** Second Reading Passed
- **2021-02-19** Third Reading Passed `passage`
- **2021-02-19** Referred Health and Government Operations `referral-committee`
- **2021-03-17** Hearing 3/23 at 1:30 p.m.
- **2021-03-20** Hearing canceled
- **2021-04-07** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2021-04-07** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2021-04-08** Third Reading Passed `passage`
- **2021-04-08** Returned Passed
- **2021-05-30** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 743 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/541cb193-2ccc-45e9-9fb0-e83aaf528365`. Confidence: reported (aggregated from official Maryland legislature records).