---
type: "Bill"
title: "Hospitals - Financial Assistance - Medical Bill Reimbursement Process"
description: "Hospitals - Financial Assistance - Medical Bill Reimbursement Process"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "SB 404"
citation: "Maryland SB 404 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Hayes", "Hershey"]
version_count: 3
action_count: 13
vote_count: 0
first_action: "2023-02-01"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/d6527048-c320-4840-bec7-d6980a661898"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0404?ys=2023RS&search=True"
source_hash: "6e59d295ff24edcf17f9eb62e2dfc10aadcb55af9a8d2482836b5f3138113976"
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 404 (2023) — Hospitals - Financial Assistance - Medical Bill Reimbursement Process

## Version chain

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

1. **Chapter - Hospitals - Financial Assistance - Medical Bill Reimbursement Process** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_311_sb0404t.pdf)
2. **First - Hospitals - Financial Assistance - Medical Bill Reimbursement Process** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0404f.pdf)
3. **Third - Hospitals - Financial Assistance - Medical Bill Reimbursement Process** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0404t.pdf)

## Sponsors

- Hayes — primary (person)
- Hershey — primary (person)

## Timeline

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

- **2023-02-01** First Reading Finance `referral-committee`
- **2023-02-01** Hearing 2/23 at 1:00 p.m.
- **2023-03-15** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2023-03-16** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-16** Second Reading Passed with Amendments
- **2023-03-17** Third Reading Passed `passage`
- **2023-03-20** Referred Health and Government Operations `referral-committee`
- **2023-03-22** Hearing 3/28 at 1:00 p.m.
- **2023-04-05** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2023-04-05** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-04-06** Third Reading Passed `passage`
- **2023-04-07** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 311 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d6527048-c320-4840-bec7-d6980a661898`. Confidence: reported (aggregated from official Maryland legislature records).