---
type: "Bill"
title: "Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund"
description: "Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2025"
identifier: "HB 1104"
citation: "Maryland HB 1104 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 4
action_count: 16
vote_count: 3
first_action: "2025-02-05"
last_action: "2025-05-20"
source: "openstates"
source_identifier: "ocd-bill/edddb4d3-e38c-4193-9081-5d16fb86713f"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1104?ys=2025RS&search=True"
source_hash: "8d5a762a2ec40c8b86cc63a3d1a2cdb497b61d4c806e4a30e00bc22d85aa2183"
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 1104 (2025) — Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund

## Version chain

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

1. **Chapter - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_615_hb1104e.pdf)
2. **Enrolled - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb1104e.pdf)
3. **First - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb1104f.pdf)
4. **Third - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund** (committee substitute) — [source](http://mgaleg.maryland.gov/2025RS/bills/hb/hb1104t.pdf)

## Votes

- On Third Reading and Final Passage (Hse concurred) — **103–36** (pass) · lower
- On Third Reading (Amend) — **35–7** (pass) · upper
- On Third Reading — **102–36** (pass) · lower

## Sponsors

- Chair, Health and Government Operations Committee — primary (organization)

## Timeline

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

- **2025-02-05** First Reading Health and Government Operations and Appropriations `referral-committee`
- **2025-02-06** Hearing 2/19 at 1:00 p.m. (Health and Government Operations)
- **2025-03-12** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2025-03-12** Favorable with Amendments { `committee-passage-favorable`
- **2025-03-12** Second Reading Passed with Amendments
- **2025-03-13** Third Reading Passed `passage`
- **2025-03-17** Referred Finance Budget and Taxation `referral-committee`
- **2025-03-18** Hearing 3/25 at 1:00 p.m. (Finance)
- **2025-04-05** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2025-04-05** Favorable with Amendments { `committee-passage-favorable`
- **2025-04-05** Second Reading Passed with Amendments
- **2025-04-05** Third Reading Passed `passage`
- **2025-04-07** House Concurs Senate Amendments
- **2025-04-07** Third Reading Passed `passage`
- **2025-04-07** Passed Enrolled
- **2025-05-20** Approved by the Governor - Chapter 615 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/edddb4d3-e38c-4193-9081-5d16fb86713f`. Confidence: reported (aggregated from official Maryland legislature records).