---
type: "Bill"
title: "State Acupuncture Board - Practice of Acupuncture - Definition and Education Requirements"
description: "State Acupuncture Board - Practice of Acupuncture - Definition and Education Requirements"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2019"
identifier: "HB 404"
citation: "Maryland HB 404 (2019)"
classification: ["bill"]
subjects: ["Health Occupations", "Acupuncturists", "Committees and Commissions", "Education", "Health", "Health Occupations", "Licenses", "Medical Treatments"]
status: "enacted"
primary_sponsors: ["R. Lewis"]
version_count: 1
action_count: 18
vote_count: 3
first_action: "2019-01-30"
last_action: "2019-05-13"
source: "openstates"
source_identifier: "ocd-bill/94a0a79d-e834-4583-9064-003c315831c2"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB404&stab=01&pid=billpage&tab=subject3&ys=2019rs"
source_hash: "a560d17ddf219e68f70424656cbcc58130b0a3cce9ae9cfe557af5dac015d35c"
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 404 (2019) — State Acupuncture Board - Practice of Acupuncture - Definition and Education Requirements

## 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/2019RS/bills/hb/hb0404f.pdf)

## Votes

- On Third Reading — **127–7** (pass) · lower
- On Third Reading and Final Passage (Hse concurred) — **127–11** (pass) · lower
- On Third Reading — **44–0** (pass) · upper

## Sponsors

- R. Lewis — primary (person)
- Bagnall — cosponsor (person)
- Bhandari — cosponsor (person)
- Hill — cosponsor (person)

## Timeline

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

- **2019-01-30** First Reading Health and Government Operations `referral-committee`
- **2019-01-30** Hearing 2/12 at 1:00 p.m.
- **2019-03-04** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2019-03-05** Favorable with Amendments {706085/1 Report Adopted `committee-passage-favorable`
- **2019-03-05** Second Reading Passed with Amendments
- **2019-03-07** Motion Reconsider Second Reading (Delegate Kelly) Adopted
- **2019-03-07** Floor Amendment {503526/1 (Delegate Kelly) Adopted `amendment-passage`
- **2019-03-07** Second Reading Passed with Amendments
- **2019-03-08** Third Reading Passed (127-7) `passage`
- **2019-03-11** First Reading Education, Health, and Environmental Affairs `referral-committee`
- **2019-04-01** Favorable with Amendments Report by Education, Health, and Environmental Affairs `committee-passage-favorable`
- **2019-04-01** Favorable with Amendments {584139/1 Report Adopted `committee-passage-favorable`
- **2019-04-01** Second Reading Passed with Amendments
- **2019-04-02** Third Reading Passed with Amendments (44-0) `passage`
- **2019-04-03** House Concur - Senate Amendments
- **2019-04-03** Third Reading Passed (127-11) `passage`
- **2019-04-03** Passed Enrolled
- **2019-05-13** Approved by the Governor - Chapter 543 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/94a0a79d-e834-4583-9064-003c315831c2`. Confidence: reported (aggregated from official Maryland legislature records).