---
type: "Bill"
title: "Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure"
description: "Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "HB 291"
citation: "Maryland HB 291 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cullison", "Guzzone"]
version_count: 3
action_count: 11
vote_count: 0
first_action: "2023-01-25"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/31df5069-6ff7-412a-8a2e-0928930a3f4a"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0291?ys=2023RS&search=True"
source_hash: "fdab4d6315a18053fb95a012f39ebf4a913dc8a4d4979700491d457832778aa0"
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 291 (2023) — Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure

## Version chain

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

1. **Chapter - Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_265_hb0291t.pdf)
2. **First - Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0291f.pdf)
3. **Third - Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0291t.pdf)

## Sponsors

- Cullison — primary (person)
- Guzzone — primary (person)

## Timeline

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

- **2023-01-25** First Reading Health and Government Operations `referral-committee`
- **2023-01-26** Hearing 2/16 at 1:00 p.m.
- **2023-02-27** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2023-02-28** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-03-02** Third Reading Passed `passage`
- **2023-03-03** Referred Finance `referral-committee`
- **2023-03-31** Favorable Report by Finance `committee-passage-favorable`
- **2023-03-31** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-04-05** Third Reading Passed `passage`
- **2023-04-05** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 265 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/31df5069-6ff7-412a-8a2e-0928930a3f4a`. Confidence: reported (aggregated from official Maryland legislature records).