---
type: "Bill"
title: "Health Insurance - Coverage for Fertility Awareness-Based Methods"
description: "Health Insurance - Coverage for Fertility Awareness-Based Methods"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "HB 249"
citation: "Maryland HB 249 (2018)"
classification: ["bill"]
subjects: ["Insurance - Health", "Education", "Health", "Health Insurance", "Health Maintenance Organizations", "Nonprofit Organizations", "Patients", "Reproductive Matters"]
status: "enacted"
primary_sponsors: ["Kipke"]
version_count: 1
action_count: 14
vote_count: 2
first_action: "2018-01-19"
last_action: "2018-05-08"
source: "openstates"
source_identifier: "ocd-bill/573cc3a7-cd02-4cea-9ec7-99e3db6cbce4"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB249&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "d82f201f64fb0fda2b2c173bc9a3fe68817c6bce97c613522c42b8e2f94e5494"
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 HB 249 (2018) — Health Insurance - Coverage for Fertility Awareness-Based Methods

## Version chain

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

1. **Bill Text** (committee substitute) — [source](http://mgaleg.maryland.gov/2018RS/bills/hb/hb0249f.pdf)

## Votes

- On Third Reading — **131–0** (pass) · lower
- On Third Reading — **47–0** (pass) · upper

## Sponsors

- Kipke — primary (person)
- Angel — cosponsor (person)
- Barron — cosponsor (person)
- Bromwell — cosponsor (person)
- Cullison — cosponsor (person)
- Hayes — cosponsor (person)
- Hill — cosponsor (person)
- K. Young — cosponsor (person)
- Kelly — cosponsor (person)
- Metzgar — cosponsor (person)
- Morales — cosponsor (person)
- Morgan — cosponsor (person)
- Pena-Melnyk — cosponsor (person)
- Pendergrass — cosponsor (person)
- Platt — cosponsor (person)
- Rosenberg — cosponsor (person)
- Sample-Hughes — cosponsor (person)
- West — cosponsor (person)

## Timeline

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

- **2018-01-19** First Reading Health and Government Operations `referral-committee`
- **2018-01-24** Hearing 2/07 at 1:00 p.m.
- **2018-02-20** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2018-02-21** Favorable with Amendments {166386/1 Report Adopted `committee-passage-favorable`
- **2018-02-21** Second Reading Passed with Amendments
- **2018-02-23** Third Reading Passed (131-0) `passage`
- **2018-02-26** First Reading Finance `referral-committee`
- **2018-03-07** Hearing 3/22 at 1:00 p.m.
- **2018-03-26** Favorable Report by Finance `committee-passage-favorable`
- **2018-03-27** Favorable Report Adopted `committee-passage-favorable`
- **2018-03-27** Second Reading Passed
- **2018-03-28** Third Reading Passed (47-0) `passage`
- **2018-03-29** Returned Passed
- **2018-05-08** Approved by the Governor - Chapter 437 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/573cc3a7-cd02-4cea-9ec7-99e3db6cbce4`. Confidence: reported (aggregated from official Maryland legislature records).