---
type: "Bill"
title: "Maryland Health Care Commission – User Fee Assessments"
description: "Maryland Health Care Commission – User Fee Assessments"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2022"
identifier: "SB 253"
citation: "Maryland SB 253 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kelley"]
version_count: 3
action_count: 15
vote_count: 2
first_action: "2022-01-14"
last_action: "2022-05-29"
source: "openstates"
source_identifier: "ocd-bill/5ea116df-12e4-46af-9c4d-18686fccdcde"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0253?ys=2022RS&search=True"
source_hash: "21754077e06a1cf835a6bba90dbbc80bd3982feb14a6253b2691dc8e5c11ebdb"
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 253 (2022) — Maryland Health Care Commission – User Fee Assessments

## Version chain

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

1. **Chapter - Maryland Health Care Commission – User Fee Assessments** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/Chapters_noln/CH_712_sb0253t.pdf)
2. **First - Maryland Health Care Commission – User Fee Assessments** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0253f.pdf)
3. **Third - Maryland Health Care Commission – User Fee Assessments** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0253t.pdf)

## Votes

- On Third Reading — **30–16** (pass) · upper
- On Third Reading — **82–42** (pass) · lower

## Sponsors

- Kelley — primary (person)

## Timeline

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

- **2022-01-14** First Reading Finance `referral-committee`
- **2022-01-14** Hearing 1/27 at 2:00 p.m.
- **2022-01-15** Hearing canceled
- **2022-01-15** Hearing 1/26 at 1:00 p.m.
- **2022-02-28** Favorable Report by Finance `committee-passage-favorable`
- **2022-03-01** Favorable Adopted `committee-passage-favorable`
- **2022-03-01** Second Reading Passed
- **2022-03-03** Third Reading Passed `passage`
- **2022-03-04** Referred Health and Government Operations `referral-committee`
- **2022-03-23** Hearing 3/30 at 1:30 p.m.
- **2022-04-01** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2022-04-01** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2022-04-04** Third Reading Passed `passage`
- **2022-04-04** Returned Passed
- **2022-05-29** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 712 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5ea116df-12e4-46af-9c4d-18686fccdcde`. Confidence: reported (aggregated from official Maryland legislature records).