---
type: "Bill"
title: "Health Information Exchanges – Definition and Privacy Regulations"
description: "Health Information Exchanges – Definition and Privacy Regulations"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2022"
identifier: "HB 213"
citation: "Maryland HB 213 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kelly"]
version_count: 3
action_count: 17
vote_count: 4
first_action: "2022-01-13"
last_action: "2022-05-29"
source: "openstates"
source_identifier: "ocd-bill/59c2e1c0-1f4b-4851-9ffd-4f2961215426"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0213?ys=2022RS&search=True"
source_hash: "2d6395c9913605f19f95563d39b76c8984259938eb754aca81dd1da5cfc996a9"
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 213 (2022) — Health Information Exchanges – Definition and Privacy Regulations

## Version chain

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

1. **Chapter - Health Information Exchanges – Definition and Privacy Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/Chapters_noln/CH_718_hb0213t.pdf)
2. **First - Health Information Exchanges – Definition and Privacy Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/hb/hb0213f.pdf)
3. **Third - Health Information Exchanges – Definition and Privacy Regulations** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/hb/hb0213t.pdf)

## Votes

- On Third Reading — **46–0** (pass) · upper
- FLA Del. Grammer /163829/1 — **36–94** (fail) · lower
- FLA Del. Cox /143822/1 — **37–94** (fail) · lower
- On Third Reading — **122–6** (pass) · lower

## Sponsors

- Kelly — primary (person)

## Timeline

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

- **2022-01-13** First Reading Health and Government Operations `referral-committee`
- **2022-01-21** Hearing 2/02 at 1:30 p.m.
- **2022-02-21** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2022-02-22** Favorable with Amendments { `committee-passage-favorable`
- **2022-02-22** Motion Special Order until 2/23 (Delegate M. Fisher) Adopted
- **2022-02-23** Floor Amendment {
- **2022-02-23** Floor Amendment {
- **2022-02-23** Second Reading Passed with Amendments
- **2022-02-25** Third Reading Passed `passage`
- **2022-02-28** Referred Finance `referral-committee`
- **2022-03-18** Hearing 3/24 at 1:00 p.m.
- **2022-04-04** Favorable Report by Finance `committee-passage-favorable`
- **2022-04-05** Favorable Adopted `committee-passage-favorable`
- **2022-04-05** Second Reading Passed
- **2022-04-06** Third Reading Passed `passage`
- **2022-04-07** Returned Passed
- **2022-05-29** Enacted under Article II, Section 17(c) of the Maryland Constitution - Chapter 718 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/59c2e1c0-1f4b-4851-9ffd-4f2961215426`. Confidence: reported (aggregated from official Maryland legislature records).