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---
type: "Bill"
title: "Health Insurance Individual Market Stabilization (Maryland Health Care Access Act of 2018)"
description: "Health Insurance Individual Market Stabilization (Maryland Health Care Access Act of 2018)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2018"
identifier: "SB 387"
citation: "Maryland SB 387 (2018)"
classification: ["bill"]
subjects: ["Insurance - Health", "Taxes - Income", "Assessments", "Committees and Commissions", "Comptroller", "Dentists", "Emergency Bills", "Federal Government", "Health", "Health Benefit Exchange", "Health Insurance", "Health Maintenance Organizations", "Income Tax", "Insurance Administration", "Liability", "Medical Assistance", "Nonprofit Organizations", "Penalties and Sentences", "Prices", "Reports", "Revenue and Taxes", "Small Business", "Tax Returns", "Time"]
status: "enacted"
primary_sponsors: ["Middleton"]
version_count: 1
action_count: 18
vote_count: 3
first_action: "2018-01-25"
last_action: "2018-04-10"
source: "openstates"
source_identifier: "ocd-bill/4e239e45-05dc-4dea-ba24-9623e6dc4045"
source_url: "http://mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB387&stab=01&pid=billpage&tab=subject3&ys=2018rs"
source_hash: "7d614bb3b958639aa923086e4f2589ad53c2241f3fd1a6a170a0fc14f21e6a5f"
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 387 (2018) — Health Insurance Individual Market Stabilization (Maryland Health Care Access Act of 2018)
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Bill Text** (committee substitute) — [source](http://mgaleg.maryland.gov/2018RS/bills/sb/sb0387f.pdf)
## Votes
- On Third Reading — **9048** (pass) · lower
- On Third Reading — **425** (pass) · upper
- On third reading — **424** (pass) · upper
## Sponsors
- Middleton — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2018-01-25** First Reading Finance `referral-committee`
- **2018-02-07** Hearing 2/21 at 1:00 p.m.
- **2018-03-16** Favorable with Amendments Report by Finance `committee-passage-favorable`
- **2018-03-16** Favorable with Amendments {727070/1 `committee-passage-favorable`
- **2018-03-16** Special Order until later today (Senator Ready) Adopted
- **2018-03-16** Favorable with Amendments {727070/1 Report Adopted `committee-passage-favorable`
- **2018-03-16** Second Reading Passed with Amendments
- **2018-03-19** Third Reading Passed (42-5) `passage`
- **2018-03-20** First Reading Health and Government Operations `referral-committee`
- **2018-03-21** Hearing 3/29 at 1:00 p.m.
- **2018-04-03** Favorable with Amendments Report by Health and Government Operations `committee-passage-favorable`
- **2018-04-03** Favorable with Amendments {846482/1 Report Adopted `committee-passage-favorable`
- **2018-04-03** Second Reading Passed with Amendments
- **2018-04-04** Third Reading Passed with Amendments (90-48) `passage`
- **2018-04-05** Senate Concur - House Amendments
- **2018-04-05** Third Reading Passed (42-4) `passage`
- **2018-04-05** Passed Enrolled
- **2018-04-10** Approved by the Governor - Chapter 38 `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4e239e45-05dc-4dea-ba24-9623e6dc4045`. Confidence: reported (aggregated from official Maryland legislature records).