---
type: "Bill"
title: "Hospitals and Related Institutions – Outpatient Facility Fees"
description: "Hospitals and Related Institutions – Outpatient Facility Fees"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2024"
identifier: "SB 1103"
citation: "Maryland SB 1103 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Office of the Attorney General", "President"]
version_count: 4
action_count: 20
vote_count: 3
first_action: "2024-02-02"
last_action: "2024-04-25"
source: "openstates"
source_identifier: "ocd-bill/ddec9bf2-9481-4a6a-9364-3c4baa1ff19a"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb1103?ys=2024RS&search=True"
source_hash: "12f3c7fb3db100f281bf03fc053cb822797118980bac4f47b010fe8ffea6a594"
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 1103 (2024) — Hospitals and Related Institutions – Outpatient Facility Fees

## Version chain

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

1. **Chapter - Hospitals and Related Institutions – Outpatient Facility Fees** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/Chapters_noln/CH_142_sb1103e.pdf)
2. **Enrolled - Hospitals and Related Institutions – Outpatient Facility Fees** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/bills/sb/sb1103e.pdf)
3. **First - Hospitals and Related Institutions – Outpatient Facility Fees** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/bills/sb/sb1103f.pdf)
4. **Third - Hospitals and Related Institutions – Outpatient Facility Fees** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/bills/sb/sb1103t.pdf)

## Votes

- On Third Reading (Amend) — **136–0** (pass) · lower
- On Third Reading — **45–0** (pass) · upper
- Bill is on Third Reading for Final Passage. — **45–0** (pass) · upper

## Sponsors

- Office of the Attorney General — primary (person)
- President — primary (person)

## Timeline

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

- **2024-02-02** First Reading Finance `referral-committee`
- **2024-02-09** Hearing 3/12 at 1:00 p.m.
- **2024-02-17** Hearing canceled
- **2024-02-17** Hearing 3/08 at 1:00 p.m.
- **2024-03-14** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2024-03-14** Favorable with Amendments { `committee-passage-favorable`
- **2024-03-14** Second Reading Passed with Amendments
- **2024-03-15** Third Reading Passed `passage`
- **2024-03-16** Referred Health and Government Operations `referral-committee`
- **2024-03-19** Hearing 3/27 at 1:00 p.m.
- **2024-03-27** Hearing canceled
- **2024-03-27** Hearing 3/27 at 1:30 p.m.
- **2024-04-01** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2024-04-01** Favorable with Amendments { `committee-passage-favorable`
- **2024-04-01** Second Reading Passed with Amendments
- **2024-04-03** Third Reading Passed `passage`
- **2024-04-05** Senate Concurs House Amendments
- **2024-04-05** Third Reading Passed `passage`
- **2024-04-05** Passed Enrolled
- **2024-04-25** Approved by the Governor - Chapter 142 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ddec9bf2-9481-4a6a-9364-3c4baa1ff19a`. Confidence: reported (aggregated from official Maryland legislature records).