---
type: "Bill"
title: "Certificate of Need - Intermediate Health Care Facilities"
description: "Certificate of Need - Intermediate Health Care Facilities"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2026"
identifier: "HB 498"
citation: "Maryland HB 498 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Cullison"]
version_count: 3
action_count: 14
vote_count: 2
first_action: "2026-01-27"
last_action: "2026-04-14"
source: "openstates"
source_identifier: "ocd-bill/a1bb3140-d69b-41ac-9f53-d5c96e164736"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0498?ys=2026RS"
source_hash: "b3c520d24b5d922885ebefb368e80dad41d623b5bf289dfdee0a30c91aa69bc5"
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 498 (2026) — Certificate of Need - Intermediate Health Care Facilities

## Version chain

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

1. **Chapter - Certificate of Need - Intermediate Health Care Facilities** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_69_hb0498t.pdf)
2. **First - Certificate of Need - Intermediate Health Care Facilities** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0498f.pdf)
3. **Third - Certificate of Need - Intermediate Health Care Facilities** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0498t.pdf)

## Votes

- HB 498 HB 529 HB 619 HB 747 HB 838 HB 878 HB 975 HB 1002 HB 1389 HB 1420 — **46–0** (pass) · upper
- On Third Reading — **132–4** (pass) · lower

## Sponsors

- Cullison — primary (person)

## Timeline

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

- **2026-01-27** First Reading Health `referral-committee`
- **2026-01-28** Hearing 2/11 at 1:30 p.m.
- **2026-02-11** Hearing canceled
- **2026-02-11** Hearing 2/11 at 2:00 p.m.
- **2026-02-23** Favorable Report by Health `committee-passage-favorable`
- **2026-02-24** Favorable Adopted `committee-passage-favorable`
- **2026-02-24** Second Reading Passed
- **2026-02-26** Third Reading Passed `passage`
- **2026-02-27** Referred Finance `referral-committee`
- **2026-03-30** Favorable Report by Finance `committee-passage-favorable`
- **2026-03-31** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2026-04-06** Third Reading Passed `passage`
- **2026-04-07** Returned Passed
- **2026-04-14** Approved by the Governor - Chapter 69 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a1bb3140-d69b-41ac-9f53-d5c96e164736`. Confidence: reported (aggregated from official Maryland legislature records).