---
type: "Bill"
title: "Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)"
description: "Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2023"
identifier: "HB 283"
citation: "Maryland HB 283 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Acevero", "Allen", "Amprey", "Atterbeary", "B. Barnes", "Bagnall", "Barve", "Boyce", "Cardin", "Charkoudian", "Clippinger", "Cullison", "D. Jones", "Ebersole", "Edelson", "Embry", "Fair", "Feldmark", "Fennell", "Foley", "Forbes", "Fraser-Hidalgo", "Grossman", "Guzzone", "Hill", "Kaiser", "Kaufman", "Kelly", "Kerr", "Lehman", "Lopez", "Love", "Martinez", "McCaskill", "Mireku-North", "Moon", "Palakovich Carr", "Pasteur", "Pena-Melnyk", "Qi", "Queen", "R. Lewis", "Reznik", "Rosenberg", "Ruth", "Shetty", "Simpson", "Smith", "Solomon", "Stein", "Stewart", "Taveras", "Terrasa", "Valderrama", "Vogel", "Watson", "Wells", "White", "Wilkins", "Ziegler"]
version_count: 4
action_count: 19
vote_count: 0
first_action: "2023-01-25"
last_action: "2023-05-03"
source: "openstates"
source_identifier: "ocd-bill/e4e4e92a-9ee4-4014-90fa-877722c44cbd"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0283?ys=2023RS&search=True"
source_hash: "4150bb9bb3009d756f89068ab82bf188cac6b32f3a3a2260fab54f9ad9ad6ce8"
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 283 (2023) — Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)

## Version chain

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

1. **Chapter - Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/Chapters_noln/CH_253_hb0283e.pdf)
2. **Enrolled - Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0283e.pdf)
3. **First - Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0283f.pdf)
4. **Third - Maryland Medical Assistance Program - Gender-Affirming Treatment (Trans Health Equity Act)** (committee substitute) — [source](http://mgaleg.maryland.gov/2023RS/bills/hb/hb0283t.pdf)

## Sponsors

- Acevero — primary (person)
- Allen — primary (person)
- Amprey — primary (person)
- Atterbeary — primary (person)
- B. Barnes — primary (person)
- Bagnall — primary (person)
- Barve — primary (person)
- Boyce — primary (person)
- Cardin — primary (person)
- Charkoudian — primary (person)
- Clippinger — primary (person)
- Cullison — primary (person)
- D. Jones — primary (person)
- Ebersole — primary (person)
- Edelson — primary (person)
- Embry — primary (person)
- Fair — primary (person)
- Feldmark — primary (person)
- Fennell — primary (person)
- Foley — primary (person)
- Forbes — primary (person)
- Fraser-Hidalgo — primary (person)
- Grossman — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Kaiser — primary (person)
- Kaufman — primary (person)
- Kelly — primary (person)
- Kerr — primary (person)
- Lehman — primary (person)
- Lopez — primary (person)
- Love — primary (person)
- Martinez — primary (person)
- McCaskill — primary (person)
- Mireku-North — primary (person)
- Moon — primary (person)
- Palakovich Carr — primary (person)
- Pasteur — primary (person)
- Pena-Melnyk — primary (person)
- Qi — primary (person)
- Queen — primary (person)
- R. Lewis — primary (person)
- Reznik — primary (person)
- Rosenberg — primary (person)
- Ruth — primary (person)
- Shetty — primary (person)
- Simpson — primary (person)
- Smith — primary (person)
- Solomon — primary (person)
- Stein — primary (person)
- Stewart — primary (person)
- Taveras — primary (person)
- Terrasa — primary (person)
- Valderrama — primary (person)
- Vogel — primary (person)
- Watson — primary (person)
- Wells — primary (person)
- White — primary (person)
- Wilkins — primary (person)
- Ziegler — primary (person)

## Timeline

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

- **2023-01-25** First Reading Health and Government Operations `referral-committee`
- **2023-01-29** Hearing 2/14 at 1:00 p.m.
- **2023-03-16** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2023-03-16** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-16** Floor Amendment {
- **2023-03-16** Motion Laid Over (Delegate Fisher) Adopted
- **2023-03-17** Floor Amendment {
- **2023-03-17** Floor Amendment {
- **2023-03-17** Second Reading Passed with Amendments
- **2023-03-18** Third Reading Passed `passage`
- **2023-03-20** Referred Finance `referral-committee`
- **2023-03-29** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2023-03-30** Favorable with Amendments { `committee-passage-favorable`
- **2023-03-30** Second Reading Passed with Amendments
- **2023-03-31** Third Reading Passed `passage`
- **2023-04-07** House Concurs Senate Amendments
- **2023-04-07** Third Reading Passed `passage`
- **2023-04-07** Passed Enrolled
- **2023-05-03** Approved by the Governor - Chapter 253 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e4e4e92a-9ee4-4014-90fa-877722c44cbd`. Confidence: reported (aggregated from official Maryland legislature records).