---
type: "Bill"
title: "Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations"
description: "Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2025"
identifier: "SB 474"
citation: "Maryland SB 474 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Beidle"]
version_count: 4
action_count: 16
vote_count: 3
first_action: "2025-01-23"
last_action: "2025-05-20"
source: "openstates"
source_identifier: "ocd-bill/84cc0f88-ea90-42b4-aef4-f91ddbbaf9ff"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0474?ys=2025RS&search=True"
source_hash: "5ee317db3d69f5fb90e4976f38018161757dd0629df94931d774d5d856ff708d"
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 (2025) — Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations

## Version chain

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

1. **Chapter - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_670_sb0474e.pdf)
2. **Enrolled - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474e.pdf)
3. **First - Health Insurance - Adverse Decisions - Reporting and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474f.pdf)
4. **Third - Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/sb/sb0474t.pdf)

## Votes

- Bill is on Third Reading for Final Passage. — **43–0** (pass) · upper
- On Third Reading (Amend) — **140–0** (pass) · lower
- On Third Reading — **44–0** (pass) · upper

## Sponsors

- Beidle — primary (person)

## Timeline

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

- **2025-01-23** First Reading Finance `referral-committee`
- **2025-01-27** Hearing 2/12 at 1:00 p.m.
- **2025-03-03** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2025-03-04** Favorable with Amendments { `committee-passage-favorable`
- **2025-03-04** Second Reading Passed with Amendments
- **2025-03-06** Third Reading Passed `passage`
- **2025-03-07** Referred Health and Government Operations `referral-committee`
- **2025-03-15** Hearing 3/20 at 1:00 p.m.
- **2025-04-01** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2025-04-01** Favorable with Amendments { `committee-passage-favorable`
- **2025-04-01** Second Reading Passed with Amendments
- **2025-04-07** Third Reading Passed `passage`
- **2025-04-07** Senate Concurs House Amendments
- **2025-04-07** Third Reading Passed `passage`
- **2025-04-07** Passed Enrolled
- **2025-05-20** Approved by the Governor - Chapter 670 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/84cc0f88-ea90-42b4-aef4-f91ddbbaf9ff`. Confidence: reported (aggregated from official Maryland legislature records).