---
type: "Bill"
title: "Public Health Reform Act"
description: "Public Health Reform Act"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2026"
identifier: "HB 1109"
citation: "Maryland HB 1109 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["A. Johnson", "Alston", "Cullison", "Guzzone", "Hill", "Kaufman", "Kerr", "Lopez", "Martinez", "Rosenberg", "Ross", "S. Johnson", "Taveras", "White Holland", "Woorman"]
version_count: 4
action_count: 18
vote_count: 3
first_action: "2026-02-11"
last_action: "2026-04-28"
source: "openstates"
source_identifier: "ocd-bill/ffe32fcc-49ac-4238-bcba-2b4f7d6677a5"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb1109?ys=2026RS"
source_hash: "f2e7e4fe7c9d082eab25c7890cecef80490fc613fd9acd98b13a2c89e806b88c"
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 1109 (2026) — Public Health Reform Act

## Version chain

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

1. **Chapter - Public Health Reform Act** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_190_hb1109e.pdf)
2. **Enrolled - Public Health Reform Act** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb1109e.pdf)
3. **First - Public Health Reform Act** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb1109f.pdf)
4. **Third - Public Health Reform Act** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb1109t.pdf)

## Votes

- On Third Reading — **105–25** (pass) · lower
- On Third Reading and Final Passage (Hse concurred) — **95–18** (pass) · lower
- On Third Reading — **33–13** (pass) · upper

## Sponsors

- A. Johnson — primary (person)
- Alston — primary (person)
- Chair, Health Committee — primary (organization)
- Cullison — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Kaufman — primary (person)
- Kerr — primary (person)
- Lopez — primary (person)
- Martinez — primary (person)
- Rosenberg — primary (person)
- Ross — primary (person)
- S. Johnson — primary (person)
- Taveras — primary (person)
- White Holland — primary (person)
- Woorman — primary (person)

## Timeline

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

- **2026-02-11** First Reading Health and Appropriations `referral-committee`
- **2026-02-13** Hearing 2/24 at 1:00 p.m. (Health)
- **2026-02-13** Hearing canceled (Health)
- **2026-02-13** Hearing 3/03 at 1:00 p.m. (Health)
- **2026-03-20** Favorable with Amendments Report by Health `committee-passage-favorable`
- **2026-03-20** Favorable with Amendments { `committee-passage-favorable`
- **2026-03-20** Second Reading Passed with Amendments
- **2026-03-21** Third Reading Passed `passage`
- **2026-03-23** Referred Finance Budget and Taxation `referral-committee`
- **2026-04-10** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2026-04-10** Favorable with Amendments { `committee-passage-favorable`
- **2026-04-10** Second Reading Passed with Amendments
- **2026-04-13** Floor Amendment {
- **2026-04-13** Third Readings Passed with Amendments
- **2026-04-13** House Concurs Senate Amendments
- **2026-04-13** Third Reading Passed `passage`
- **2026-04-13** Passed Enrolled
- **2026-04-28** Approved by the Governor - Chapter 190 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ffe32fcc-49ac-4238-bcba-2b4f7d6677a5`. Confidence: reported (aggregated from official Maryland legislature records).