---
type: "Bill"
title: "Health Occupations - Licenses, Certificates, and Registrations - Lawful Presence and Identification Numbers"
description: "Health Occupations - Licenses, Certificates, and Registrations - Lawful Presence and Identification Numbers"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "HB 454"
citation: "Maryland HB 454 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alston", "Bagnall", "Bhandari", "Cullison", "Guzzone", "Hill", "Kaiser", "Kerr", "Lopez", "Martinez", "Pena-Melnyk", "R. Lewis", "Rosenberg", "S. Johnson", "Taveras", "White", "Woods"]
version_count: 3
action_count: 16
vote_count: 0
first_action: "2023-01-30"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/d01e479a-2343-4565-a5cc-02184e8b4e9a"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0454?ys=2023RS&search=True"
source_hash: "d857cbfabe9e3d12e7116f32ae8834a4a272ee90fadc0e10a39312dc9380fbb2"
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 454 (2023) — Health Occupations - Licenses, Certificates, and Registrations - Lawful Presence and Identification Numbers

## Version chain

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

1. **Chapter - Health Occupations - Licenses, Certificates, and Registrations - Lawful Presence and Identification Numbers** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_376_hb0454t.pdf)
2. **First - Health Occupations - Licenses, Certificates, and Registrations - Immigrants** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0454f.pdf)
3. **Third - Health Occupations - Licenses, Certificates, and Registrations - Lawful Presence and Identification Numbers** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0454t.pdf)

## Sponsors

- Alston — primary (person)
- Bagnall — primary (person)
- Bhandari — primary (person)
- Cullison — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Kaiser — primary (person)
- Kerr — primary (person)
- Lopez — primary (person)
- Martinez — primary (person)
- Pena-Melnyk — primary (person)
- R. Lewis — primary (person)
- Rosenberg — primary (person)
- S. Johnson — primary (person)
- Taveras — primary (person)
- White — primary (person)
- Woods — primary (person)

## Timeline

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

- **2023-01-30** First Reading Health and Government Operations `referral-committee`
- **2023-02-06** Hearing 2/22 at 1:00 p.m.
- **2023-03-13** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2023-03-14** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-14** Motion Special Order until 3/15 (Delegate Fisher) Adopted
- **2023-03-15** Motion Special Order until Later This Session (Delegate Fisher) Adopted
- **2023-03-15** Floor Amendment {
- **2023-03-15** Second Reading Passed with Amendments
- **2023-03-16** Third Reading Passed `passage`
- **2023-03-16** Referred Finance `referral-committee`
- **2023-04-04** Favorable Report by Finance `committee-passage-favorable`
- **2023-04-04** Favorable Adopted `committee-passage-favorable`
- **2023-04-04** Second Reading Passed
- **2023-04-06** Third Reading Passed `passage`
- **2023-04-06** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 376 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d01e479a-2343-4565-a5cc-02184e8b4e9a`. Confidence: reported (aggregated from official Maryland legislature records).