---
type: "Bill"
title: "Health Occupations Boards – Reciprocal Licensure and Certification"
description: "Health Occupations Boards – Reciprocal Licensure and Certification"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2024"
identifier: "SB 221"
citation: "Maryland SB 221 (2024)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 15
vote_count: 2
first_action: "2023-09-13"
last_action: "2024-04-09"
source: "openstates"
source_identifier: "ocd-bill/759ce7a7-29b1-4fbf-b458-1435522793ab"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0221?ys=2024RS&search=True"
source_hash: "fa89061a50013ca5c93764832dc8069f8e54751dbc01ab27c827c790955367cf"
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 221 (2024) — Health Occupations Boards – Reciprocal Licensure and Certification

## Version chain

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

1. **Chapter - Health Occupations Boards – Reciprocal Licensure and Certification** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/Chapters_noln/CH_33_sb0221t.pdf)
2. **First - Health Occupations Boards – Reciprocal Licensure and Certification** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/bills/sb/sb0221f.pdf)
3. **Third - Health Occupations Boards – Reciprocal Licensure and Certification** (committee substitute) — [source](http://mgaleg.maryland.gov/2024RS/bills/sb/sb0221t.pdf)

## Votes

- On Third Reading — **46–0** (pass) · upper
- On Third Reading — **139–0** (pass) · lower

## Sponsors

- Chair, Finance Committee — primary (organization)

## Timeline

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

- **2023-09-13** Pre-filed `introduction`
- **2024-01-10** First Reading Finance `referral-committee`
- **2024-01-10** Hearing 1/30 at 1:00 p.m.
- **2024-02-26** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2024-02-27** Favorable with Amendments { `committee-passage-favorable`
- **2024-02-27** Second Reading Passed with Amendments
- **2024-02-29** Third Reading Passed `passage`
- **2024-03-01** Referred Health and Government Operations `referral-committee`
- **2024-03-16** Hearing 3/21 at 1:00 p.m.
- **2024-03-25** Favorable Report by Health and Government Operations `committee-passage-favorable`
- **2024-03-26** Favorable Adopted `committee-passage-favorable`
- **2024-03-26** Second Reading Passed
- **2024-03-27** Third Reading Passed `passage`
- **2024-03-28** Returned Passed
- **2024-04-09** Approved by the Governor - Chapter 33 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/759ce7a7-29b1-4fbf-b458-1435522793ab`. Confidence: reported (aggregated from official Maryland legislature records).