---
type: "Bill"
title: "Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)"
description: "Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "SB 460"
citation: "Maryland SB 460 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Augustine", "Elfreth", "Ellis", "Feldman", "Guzzone", "Hayes", "Hettleman", "King", "Kramer", "Lam", "M. Washington", "Smith", "Waldstreicher", "Zucker"]
version_count: 3
action_count: 19
vote_count: 0
first_action: "2023-02-03"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/94417919-416e-4513-a931-a1ee1d46679c"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0460?ys=2023RS&search=True"
source_hash: "b06fdfab857caf558fb5a06dde79f0530830bd999d2c105faff198d4932a2ac3"
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 460 (2023) — Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)

## Version chain

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

1. **Chapter - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_252_sb0460t.pdf)
2. **First - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0460f.pdf)
3. **Third - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0460t.pdf)

## Sponsors

- Augustine — primary (person)
- Elfreth — primary (person)
- Ellis — primary (person)
- Feldman — primary (person)
- Guzzone — primary (person)
- Hayes — primary (person)
- Hettleman — primary (person)
- King — primary (person)
- Kramer — primary (person)
- Lam — primary (person)
- M. Washington — primary (person)
- Smith — primary (person)
- Waldstreicher — primary (person)
- Zucker — primary (person)

## Timeline

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

- **2023-02-03** First Reading Finance `referral-committee`
- **2023-02-03** Hearing 2/28 at 1:00 p.m.
- **2023-03-17** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2023-03-17** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-17** Motion Laid Over (Senator Ready) Adopted
- **2023-03-20** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-20** Floor Amendment {
- **2023-03-20** Second Reading Passed with Amendments
- **2023-03-20** Third Reading Passed `passage`
- **2023-03-21** Referred Health and Government Operations `referral-committee`
- **2023-03-22** Hearing 3/28 at 1:00 p.m.
- **2023-03-29** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2023-03-29** Favorable Adopted `committee-passage-favorable`
- **2023-03-29** Second Reading Passed
- **2023-03-30** Floor Amendment {
- **2023-03-30** Floor Amendment {
- **2023-03-30** Third Reading Passed `passage`
- **2023-03-31** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 252 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/94417919-416e-4513-a931-a1ee1d46679c`. Confidence: reported (aggregated from official Maryland legislature records).