---
type: "Bill"
title: "Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth"
description: "Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2021"
identifier: "SB 646"
citation: "Maryland SB 646 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Carozza", "Kagan"]
version_count: 3
action_count: 12
vote_count: 2
first_action: "2021-01-29"
last_action: "2021-05-30"
source: "openstates"
source_identifier: "ocd-bill/da3cd5fe-2ee5-4053-8f57-603c18498718"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0646?ys=2021RS&search=True"
source_hash: "5db84b2983b466bcf48197a0a0d77daeb0de9d5773d091af19e0e5ee0c80031e"
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 646 (2021) — Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth

## Version chain

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

1. **Chapter - Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/Chapters_noln/CH_797_sb0646t.pdf)
2. **First - Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0646f.pdf)
3. **Third - Alcohol and Drug Counseling - Alcohol and Drug Trainees - Practice Through Telehealth** (committee substitute) — [source](http://mgaleg.maryland.gov/2021RS/bills/sb/sb0646t.pdf)

## Votes

- On Third Reading — **133–0** (pass) · lower
- On Third Reading — **47–0** (pass) · upper

## Sponsors

- Carozza — primary (person)
- Kagan — primary (person)

## Timeline

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

- **2021-01-29** First Reading Education, Health, and Environmental Affairs `referral-committee`
- **2021-02-02** Hearing 2/16 at 1:00 p.m.
- **2021-03-16** Favorable Report by Education, Health, and Environmental Affairs `committee-passage-favorable`
- **2021-03-17** Favorable Adopted `committee-passage-favorable`
- **2021-03-17** Second Reading Passed
- **2021-03-18** Third Reading Passed `passage`
- **2021-03-19** Referred Health and Government Operations `referral-committee`
- **2021-03-24** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2021-03-25** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2021-03-29** Third Reading Passed `passage`
- **2021-03-29** Returned Passed
- **2021-05-30** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 797 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/da3cd5fe-2ee5-4053-8f57-603c18498718`. Confidence: reported (aggregated from official Maryland legislature records).