---
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: "SB 444"
citation: "Maryland SB 444 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kramer"]
version_count: 3
action_count: 13
vote_count: 2
first_action: "2026-02-02"
last_action: "2026-04-14"
source: "openstates"
source_identifier: "ocd-bill/53392b99-6a69-4290-9ee8-0fde7deba197"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/sb0444?ys=2026RS"
source_hash: "abb67956808d34997df0eeb351c9ff00ea242851fd9d2c4dd4cc347f7c5ed850"
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 444 (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_68_sb0444t.pdf)
2. **First - Certificate of Need - Intermediate Health Care Facilities** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/sb/sb0444f.pdf)
3. **Third - Certificate of Need - Intermediate Health Care Facilities** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/sb/sb0444t.pdf)

## Votes

- On Third Reading — **44–0** (pass) · upper
- On Third Reading — **133–1** (pass) · lower

## Sponsors

- Kramer — primary (person)

## Timeline

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

- **2026-02-02** First Reading Finance `referral-committee`
- **2026-02-03** Hearing 2/17 at 1:00 p.m.
- **2026-02-23** Favorable Report by Finance `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 Health `referral-committee`
- **2026-03-17** Hearing 3/25 at 1:00 p.m.
- **2026-04-01** Favorable Report by Health `committee-passage-favorable`
- **2026-04-01** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2026-04-02** Third Reading Passed `passage`
- **2026-04-03** Returned Passed
- **2026-04-14** Approved by the Governor - Chapter 68 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/53392b99-6a69-4290-9ee8-0fde7deba197`. Confidence: reported (aggregated from official Maryland legislature records).