---
type: "Bill"
title: "Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021"
description: "Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2022"
identifier: "SB 180"
citation: "Maryland SB 180 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 14
vote_count: 2
first_action: "2021-10-04"
last_action: "2022-04-21"
source: "openstates"
source_identifier: "ocd-bill/d464ced4-6adf-4b0d-bd5f-d0f90ac60c20"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0180?ys=2022RS&search=True"
source_hash: "4922f31e3d0822bcbe69c1b2b1ef79fa8a28482bd38a1a9e992c2d587798c1b1"
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 180 (2022) — Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021

## Version chain

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

1. **Chapter - Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/Chapters_noln/CH_229_sb0180t.pdf)
2. **First - Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0180f.pdf)
3. **Third - Insurance - Conformity With Federal Law - The No Surprises Act and Other Provisions of the Consolidated Appropriations Act, 2021** (committee substitute) — [source](http://mgaleg.maryland.gov/2022RS/bills/sb/sb0180t.pdf)

## Votes

- On Third Reading (Emerg) — **136–0** (pass) · lower
- On Third Reading (Emerg) — **45–0** (pass) · upper

## Sponsors

- Chair, Finance Committee — primary (organization)

## Timeline

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

- **2021-10-04** Pre-filed `introduction`
- **2022-01-12** First Reading Finance `referral-committee`
- **2022-01-08** Hearing 1/19 at 1:00 p.m.
- **2022-01-31** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2022-02-01** Favorable with Amendments { `committee-passage-favorable`
- **2022-02-01** Second Reading Passed with Amendments
- **2022-02-03** Third Reading Passed `passage`
- **2022-02-07** Referred Health and Government Operations `referral-committee`
- **2022-03-18** Hearing 3/31 at 1:30 p.m.
- **2022-04-07** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2022-04-08** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2022-04-11** Third Reading Passed `passage`
- **2022-04-11** Returned Passed
- **2022-04-21** Approved by the Governor - Chapter 229 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d464ced4-6adf-4b0d-bd5f-d0f90ac60c20`. Confidence: reported (aggregated from official Maryland legislature records).