---
type: "Bill"
title: "Managed Care Organizations - Retroactive Denial of Reimbursement - Information in Written Statement"
description: "Managed Care Organizations - Retroactive Denial of Reimbursement - Information in Written Statement"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "SB 474"
citation: "Maryland SB 474 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Klausmeier"]
version_count: 3
action_count: 13
vote_count: 0
first_action: "2023-02-03"
last_action: "2023-04-24"
source: "openstates"
source_identifier: "ocd-bill/2e6a117d-4053-4aec-a31b-02e24639e483"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0474?ys=2023RS&search=True"
source_hash: "111772df6ded827b7fe625ec658b6a2e9f5c890cc18a057b2b655b384cc46959"
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 474 (2023) — Managed Care Organizations - Retroactive Denial of Reimbursement - Information in Written Statement

## Version chain

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

1. **Chapter - Managed Care Organizations - Retroactive Denial of Reimbursement - Information in Written Statement** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_109_sb0474t.pdf)
2. **First - Managed Care Organizations – Acknowledgment of Responsibility for Payment of a Retroactive Denial – Repeal of Applicability** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0474f.pdf)
3. **Third - Managed Care Organizations - Retroactive Denial of Reimbursement - Information in Written Statement** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0474t.pdf)

## Sponsors

- Klausmeier — primary (person)

## Timeline

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

- **2023-02-03** First Reading Finance `referral-committee`
- **2023-02-03** Hearing 2/22 at 1:00 p.m.
- **2023-03-08** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2023-03-09** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-09** Second Reading Passed with Amendments
- **2023-03-13** Third Reading Passed `passage`
- **2023-03-14** Referred Health and Government Operations `referral-committee`
- **2023-03-14** Hearing 3/21 at 1:00 p.m.
- **2023-03-27** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2023-03-28** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-03-29** Third Reading Passed `passage`
- **2023-03-30** Returned Passed
- **2023-04-24** Approved by the Governor - Chapter 109 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/2e6a117d-4053-4aec-a31b-02e24639e483`. Confidence: reported (aggregated from official Maryland legislature records).