---
type: "Bill"
title: "Hospitals - Testing for Fentanyl (The Josh Siems Act)"
description: "Hospitals - Testing for Fentanyl (The Josh Siems Act)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "SB 914"
citation: "Maryland SB 914 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Ellis", "Rosapepe"]
version_count: 3
action_count: 14
vote_count: 0
first_action: "2023-02-15"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/5cdb8e09-9660-487e-aa32-934931a59a99"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0914?ys=2023RS&search=True"
source_hash: "d06e5e9318d58b95fdd7e85164ec2bb2ba73ef3c8ac3d715f50f76d5d789f94c"
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 914 (2023) — Hospitals - Testing for Fentanyl (The Josh Siems Act)

## Version chain

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

1. **Chapter - Hospitals - Testing for Fentanyl (The Josh Siems Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_324_sb0914t.pdf)
2. **First - Hospitals – Overdoses – Testing for Fentanyl** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0914f.pdf)
3. **Third - Hospitals - Testing for Fentanyl (The Josh Siems Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/sb/sb0914t.pdf)

## Sponsors

- Ellis — primary (person)
- Rosapepe — primary (person)

## Timeline

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

- **2023-02-15** First Reading Senate Rules `referral-committee`
- **2023-03-14** Rereferred to Finance
- **2023-03-16** Hearing 3/21 at 1:00 p.m.
- **2023-03-23** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2023-03-23** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-23** Second Reading Passed with Amendments
- **2023-03-27** Third Reading Passed `passage`
- **2023-03-28** Referred Rules and Executive Nominations `referral-committee`
- **2023-04-05** Rereferred to Health and Government Operations
- **2023-04-07** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2023-04-08** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2023-04-10** Third Reading Passed `passage`
- **2023-04-10** Returned Passed
- **2023-05-03** Approved by the Governor - Chapter 324 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5cdb8e09-9660-487e-aa32-934931a59a99`. Confidence: reported (aggregated from official Maryland legislature records).