---
type: "Bill"
title: "Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)"
description: "Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2026"
identifier: "SB 411"
citation: "Maryland SB 411 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Augustine", "Hettleman", "Kramer", "McCray"]
version_count: 3
action_count: 13
vote_count: 2
first_action: "2026-01-29"
last_action: "2026-04-28"
source: "openstates"
source_identifier: "ocd-bill/e0220c7c-f07f-4412-a959-a8706f6b2775"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0411?ys=2026RS"
source_hash: "f71b04de98efdd2ac5a0af645a0df8cb4758db78a9a61f4e6e012fa7c2ac26b6"
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 411 (2026) — Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)

## Version chain

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

1. **Chapter - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_235_sb0411t.pdf)
2. **First - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/sb/sb0411f.pdf)
3. **Third - Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/sb/sb0411t.pdf)

## Votes

- On Third Reading — **42–0** (pass) · upper
- On Third Reading — **97–34** (pass) · lower

## Sponsors

- Augustine — primary (person)
- Hettleman — primary (person)
- Kramer — primary (person)
- McCray — primary (person)

## Timeline

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

- **2026-01-29** First Reading Finance `referral-committee`
- **2026-02-03** Hearing 2/17 at 1:00 p.m.
- **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
- **2026-04-10** Third Reading Passed `passage`
- **2026-04-11** Referred Rules and Executive Nominations `referral-committee`
- **2026-04-11** Rereferred to Health
- **2026-04-13** Favorable Report by Health `committee-passage-favorable`
- **2026-04-13** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2026-04-13** Third Reading Passed `passage`
- **2026-04-13** Returned Passed
- **2026-04-28** Approved by the Governor - Chapter 235 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e0220c7c-f07f-4412-a959-a8706f6b2775`. Confidence: reported (aggregated from official Maryland legislature records).