---
type: "Bill"
title: "Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners"
description: "Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2022"
identifier: "HB 49"
citation: "Maryland HB 49 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bagnall", "Belcastro", "Bhandari", "Carr", "Chisholm", "Cullison", "Hill", "Johnson", "K. Young", "Kaiser", "Kelly", "Kerr", "Kipke", "Krebs", "Landis", "Morgan", "Pena-Melnyk", "Pendergrass", "R. Lewis", "Reilly", "Rosenberg", "Saab", "Sample-Hughes", "Szeliga"]
version_count: 3
action_count: 16
vote_count: 2
first_action: "2021-10-28"
last_action: "2022-05-12"
source: "openstates"
source_identifier: "ocd-bill/e1dd8516-d933-443b-b63e-d9d9dd39aa64"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0049?ys=2022RS&search=True"
source_hash: "dc4400bb38774322cee40db537516d34660448271d09c4361037ff0f811868da"
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 49 (2022) — Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners

## Version chain

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

1. **Chapter - Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/Chapters_noln/CH_262_hb0049t.pdf)
2. **First - Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/hb/hb0049f.pdf)
3. **Third - Public Health – Emergency and Allergy Treatment Program – Nurse Practitioners** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/hb/hb0049t.pdf)

## Votes

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

## Sponsors

- Bagnall — primary (person)
- Belcastro — primary (person)
- Bhandari — primary (person)
- Carr — primary (person)
- Chisholm — primary (person)
- Cullison — primary (person)
- Hill — primary (person)
- Johnson — primary (person)
- K. Young — primary (person)
- Kaiser — primary (person)
- Kelly — primary (person)
- Kerr — primary (person)
- Kipke — primary (person)
- Krebs — primary (person)
- Landis — primary (person)
- Morgan — primary (person)
- Pena-Melnyk — primary (person)
- Pendergrass — primary (person)
- R. Lewis — primary (person)
- Reilly — primary (person)
- Rosenberg — primary (person)
- Saab — primary (person)
- Sample-Hughes — primary (person)
- Szeliga — primary (person)

## Timeline

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

- **2021-10-28** Pre-filed `introduction`
- **2022-01-12** First Reading Health and Government Operations `referral-committee`
- **2022-01-11** Hearing 1/19 at 2:30 p.m.
- **2022-01-19** Hearing canceled
- **2022-01-19** Hearing 1/19 at 2:50 p.m.
- **2022-02-28** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2022-03-01** Favorable with Amendments { `committee-passage-favorable`
- **2022-03-01** Second Reading Passed with Amendments
- **2022-03-03** Third Reading Passed `passage`
- **2022-03-04** Referred Finance `referral-committee`
- **2022-03-29** Favorable Report by Finance `committee-passage-favorable`
- **2022-03-29** Favorable Adopted `committee-passage-favorable`
- **2022-03-29** Second Reading Passed
- **2022-03-31** Third Reading Passed `passage`
- **2022-03-31** Returned Passed
- **2022-05-12** Approved by the Governor - Chapter 262 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e1dd8516-d933-443b-b63e-d9d9dd39aa64`. Confidence: reported (aggregated from official Maryland legislature records).