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Maryland Health and Health Care Key Votes

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Vote Smart provides easy access to congressional and state voting records and maintains a collection of key votes grouped by issue. Vote Smart uses the following criteria to select key votes:

  1. The vote should be helpful in portraying how a member stands on a particular issue
  2. The vote should be clear for any person to understand
  3. The vote has received media attention
  4. The vote was passed or defeated by a very close margin
  5. Occasionally, if a specific bill is consistently inquired about on the Voter's Research Hotline, the vote will be added

Vote Smart provides a summary of the version of the bill text associated with each selected key vote. Our summaries are written by Vote Smart's staff and interns, who adhere to our strict policies and procedures in order to guarantee absolute impartiality and accuracy. They do not necessarily reflect the content of the final version of the bill, but rather the version voted on in that stage. While many procedural votes take place before a full chamber vote, our voting stages reflect the final reading of each chamber vote. Each key vote selection is reviewed by the project's community of advisors, who are political scientists and journalists from all fifty states.

For more information about the legislative process, see here.

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Date State Bill No. Title Outcome
April 2, 2026 MD SB 205 Amends Insurance Code to Adopt Certain Provisions of the Federal Mental Health Parity and Addiction Equity Act Bill Passed - House (100 - 34)
April 2, 2026 MD SB 205 Amends Insurance Code to Adopt Certain Provisions of the Federal Mental Health Parity and Addiction Equity Act Bill Passed - House (100 - 34)
April 2, 2025 MD HB 930 Appropriates $25 Million for State Abortion Grants Bill Passed - Senate (31 - 15)
March 13, 2025 MD HB 930 Appropriates $25 Million for State Abortion Grants Bill Passed - House (98 - 37)
Feb. 21, 2025 MD HB 380 Authorizes the Sale of Contraceptives and Condoms in School Vending Machines Bill Passed - House (89 - 41)
March 8, 2024 MD SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
March 8, 2024 MD SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
April 10, 2023 MD SB 222 Requires that Packaging Manufacturers Reduce the Amount of Packing Materials Used by April 1, 2026 Concurrence Vote Passed - Senate (35 - 12)
April 10, 2023 MD SB 611 Establishes the Environmental and Natural Resources Crimes Unit of the Office of the Attorney General Concurrence Vote Passed - Senate (38 - 9)
April 10, 2023 MD SB 222 Requires that Packaging Manufacturers Reduce the Amount of Packing Materials Used by April 1, 2026 Bill Passed - House (102 - 36)
April 10, 2023 MD HB 230 Requires the Department of the Environment Adopt Regulations for the Sale of New Zero-Emission, Medium-Duty, and Heavy-Duty Vehicles Bill Passed - Senate (35 - 12)
April 10, 2023 MD SB 424 Establishes an Environmental Product Declaration Assistance Fund and a Maximum Acceptable Global Warming Potential for Certain Construction Materials Bill Passed - House (106 - 34)
April 7, 2023 MD SB 341 Requires Institutions of Higher Education Develop a Reproductive Health Services Plan in Consultation with Students Concurrence Vote Passed - Senate (32 - 11)
April 7, 2023 MD HB 283 Requires State Medicaid Cover Gender Affirming Care Concurrence Vote Passed - House (97 - 39)
April 7, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - House (98 - 38)
April 7, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - House (98 - 38)
April 7, 2023 MD HB 90 Authorizes Counties and Municipalities to Regulate Invasive Bamboo Bill Passed - Senate (38 - 5)
April 6, 2023 MD SB 341 Requires Institutions of Higher Education Develop a Reproductive Health Services Plan in Consultation with Students Bill Passed - House (98 - 38)
April 6, 2023 MD SB 611 Establishes the Environmental and Natural Resources Crimes Unit of the Office of the Attorney General Bill Passed - House (101 - 35)
April 6, 2023 MD SB 424 Establishes an Environmental Product Declaration Assistance Fund and a Maximum Acceptable Global Warming Potential for Certain Construction Materials Bill Passed - Senate (39 - 8)
April 4, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - House (99 - 39)
April 4, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - House (99 - 39)
April 3, 2023 MD HB 230 Requires the Department of the Environment Adopt Regulations for the Sale of New Zero-Emission, Medium-Duty, and Heavy-Duty Vehicles Bill Passed - House (98 - 40)
March 31, 2023 MD HB 283 Requires State Medicaid Cover Gender Affirming Care Bill Passed - Senate (31 - 13)
March 31, 2023 MD HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - Senate (36 - 11)
March 31, 2023 MD HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - Senate (36 - 11)
March 30, 2023 MD SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - House (98 - 38)
March 20, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
March 20, 2023 MD SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
March 17, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
March 17, 2023 MD SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
March 14, 2023 MD SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - Senate (32 - 15)
Feb. 16, 2023 MD HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - House (97 - 38)
Feb. 16, 2023 MD HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - House (97 - 38)
April 8, 2022 MD HB 1116 Establishes Regulations for the Issuance of Alcoholic Beverage Licenses in Charles County Bill Passed - Senate (47 - 0)
April 5, 2022 MD SB 705 Limits Use of Seclusion as Behavioral Health Intervention for Students Concurrence Vote Passed - Senate (46 - 1)
April 1, 2022 MD HB 837 Establishes Regulations for the Legal Use of Cannabis and Marijuana Bill Passed - House (89 - 41)
March 31, 2022 MD HB 837 Establishes Regulations for the Legal Use of Cannabis and Marijuana Bill Passed - Senate (30 - 15)
March 31, 2022 MD HB 1082 Amends Consumer Health Information Language and Appropriates Funds for Resources Bill Passed - House (93 - 40)
March 29, 2022 MD SB 528 Requires State to Reduce Greenhouse Gas Emissions Bill Passed - House (95 - 42)
March 28, 2022 MD SB 890 Expands Protections for Abortion Care Bill Passed - Senate (30 - 14)
March 26, 2022 MD HB 1 Authorizes the Use and Possession of Cannabis Concurrence Vote Passed - House (94 - 39)
March 22, 2022 MD HB 1 Authorizes the Use and Possession of Cannabis Bill Passed - Senate (29 - 17)
March 22, 2022 MD SB 523 Repeals Licensure Requirements for Immigrant Healthcare Workers Bill Passed - Senate (30 - 15)
March 14, 2022 MD SB 528 Requires State to Reduce Greenhouse Gas Emissions Bill Passed - Senate (32 - 15)
March 10, 2022 MD HB 52 Prohibits Sale of Certain Animal Parts, Products Bill Passed - House (125 - 14)
March 12, 2021 MD SB 414 Requires the State to Reduce Greenhouse Gas Emissions to a Lower Level Bill Passed - Senate (34 - 11)
Feb. 16, 2021 MD HB 391 Prohibits the Release of Celebratory Balloons Bill Passed - House (94 - 34)
March 18, 2020 MD HB 1663 Establishes the "COVID-19 Public Health Emergency Protection Act of 2020" Concurrence Vote Passed - House (131 - 3)
March 18, 2020 MD SB 300 Prohibits Use of Chlorpyrifos Bill Passed - House (94 - 37)
March 17, 2020 MD HB 448 Authorizes Telehealth Practices Concurrence Vote Passed - House (131 - 2)
March 16, 2020 MD HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
March 3, 2020 MD SB 300 Prohibits Use of Chlorpyrifos Bill Passed - Senate (31 - 14)
Feb. 7, 2020 MD SB 147 Prohibits the Purchase, Distribution, or Sale of Kratom Bill Passed - Senate (35 - 11)
April 8, 2019 MD HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
April 5, 2019 MD HB 298 Establishes Oyster Sanctuaries Veto Override Passed - House (96 - 43)
April 5, 2019 MD SB 285 Prohibits Use of Foam Containers Concurrence Vote Passed - Senate (31 - 13)
April 2, 2019 MD SB 516 Establishes Renewable Energy Standards and Plan Concurrence Vote Passed - Senate (31 - 15)
April 1, 2019 MD SB 516 Establishes Renewable Energy Standards and Plan Bill Passed - House (95 - 41)
March 26, 2019 MD HB 298 Establishes Oyster Sanctuaries Bill Passed - Senate (32 - 14)
March 7, 2019 MD HB 399 Establishes End of Life Option Act Bill Passed - House (74 - 66)
March 5, 2019 MD SB 285 Prohibits Use of Foam Containers Bill Passed - Senate (34 - 13)
April 5, 2018 MD HB 1782 Establishes Individual Market Stabilization within Healthcare Concurrence Vote Passed - House (89 - 48)
March 30, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
March 30, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
March 30, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
March 15, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
March 15, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
March 15, 2018 MD HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
Feb. 12, 2018 MD SB 138 Requires Governor to Include Maryland as a Member of US Climate Alliance Bill Passed - Senate (36 - 10)
April 7, 2017 MD HB 631 Prohibits Unwarranted Price Hikes on Generic Drugs Bill Passed - Senate (38 - 7)
March 27, 2017 MD HB 1325 Prohibits Fracking Bill Passed - Senate (36 - 10)
March 24, 2017 MD SB 1081 Establishes Funds to Support Family Planning Services Bill Passed - Senate (32 - 15)
March 24, 2017 MD SB 1081 Establishes Funds to Support Family Planning Services Bill Passed - Senate (32 - 15)
March 30, 2016 MD SB 323 Reduces Greenhouse Gas Emissions Bill Passed - House (97 - 39)
Date No. Title Outcome
4/02 SB 205 Amends Insurance Code to Adopt Certain Provisions of the Federal Mental Health Parity and Addiction Equity Act Bill Passed - House (100 - 34)
4/02 SB 205 Amends Insurance Code to Adopt Certain Provisions of the Federal Mental Health Parity and Addiction Equity Act Bill Passed - House (100 - 34)
4/02 HB 930 Appropriates $25 Million for State Abortion Grants Bill Passed - Senate (31 - 15)
3/13 HB 930 Appropriates $25 Million for State Abortion Grants Bill Passed - House (98 - 37)
2/21 HB 380 Authorizes the Sale of Contraceptives and Condoms in School Vending Machines Bill Passed - House (89 - 41)
3/08 SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
3/08 SB 705 Requires the Maryland Health Benefit Exchange Establish and Implement a Qualified Resident Enrollment Program Bill Passed - Senate (34 - 13)
4/10 SB 222 Requires that Packaging Manufacturers Reduce the Amount of Packing Materials Used by April 1, 2026 Concurrence Vote Passed - Senate (35 - 12)
4/10 SB 611 Establishes the Environmental and Natural Resources Crimes Unit of the Office of the Attorney General Concurrence Vote Passed - Senate (38 - 9)
4/10 SB 222 Requires that Packaging Manufacturers Reduce the Amount of Packing Materials Used by April 1, 2026 Bill Passed - House (102 - 36)
4/10 HB 230 Requires the Department of the Environment Adopt Regulations for the Sale of New Zero-Emission, Medium-Duty, and Heavy-Duty Vehicles Bill Passed - Senate (35 - 12)
4/10 SB 424 Establishes an Environmental Product Declaration Assistance Fund and a Maximum Acceptable Global Warming Potential for Certain Construction Materials Bill Passed - House (106 - 34)
4/07 SB 341 Requires Institutions of Higher Education Develop a Reproductive Health Services Plan in Consultation with Students Concurrence Vote Passed - Senate (32 - 11)
4/07 HB 283 Requires State Medicaid Cover Gender Affirming Care Concurrence Vote Passed - House (97 - 39)
4/07 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - House (98 - 38)
4/07 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - House (98 - 38)
4/07 HB 90 Authorizes Counties and Municipalities to Regulate Invasive Bamboo Bill Passed - Senate (38 - 5)
4/06 SB 341 Requires Institutions of Higher Education Develop a Reproductive Health Services Plan in Consultation with Students Bill Passed - House (98 - 38)
4/06 SB 611 Establishes the Environmental and Natural Resources Crimes Unit of the Office of the Attorney General Bill Passed - House (101 - 35)
4/06 SB 424 Establishes an Environmental Product Declaration Assistance Fund and a Maximum Acceptable Global Warming Potential for Certain Construction Materials Bill Passed - Senate (39 - 8)
4/04 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - House (99 - 39)
4/04 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - House (99 - 39)
4/03 HB 230 Requires the Department of the Environment Adopt Regulations for the Sale of New Zero-Emission, Medium-Duty, and Heavy-Duty Vehicles Bill Passed - House (98 - 40)
3/31 HB 283 Requires State Medicaid Cover Gender Affirming Care Bill Passed - Senate (31 - 13)
3/31 HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - Senate (36 - 11)
3/31 HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - Senate (36 - 11)
3/30 SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - House (98 - 38)
3/20 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
3/20 SB 786 Requires Maryland Health Care Commission Ensure the Confidentiality of Data of Patients who have Obtained "Legally Protected Healthcare" Bill Passed - Senate (31 - 12)
3/17 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
3/17 SB 859 Prohibits Requiring an Individual Give Testimony or Statements in Another State Regarding Their "Legally Protected Healthcare" Bill Passed - Senate (33 - 11)
3/14 SB 798 Establishes a Voter Referendum for 2024 Election that Enshrines Individual's Constitutional Right to Reproductive Freedom Bill Passed - Senate (32 - 15)
2/16 HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - House (97 - 38)
2/16 HB 279 Establishes a Prescription Drug Affordability Board Bill Passed - House (97 - 38)
4/08 HB 1116 Establishes Regulations for the Issuance of Alcoholic Beverage Licenses in Charles County Bill Passed - Senate (47 - 0)
4/05 SB 705 Limits Use of Seclusion as Behavioral Health Intervention for Students Concurrence Vote Passed - Senate (46 - 1)
4/01 HB 837 Establishes Regulations for the Legal Use of Cannabis and Marijuana Bill Passed - House (89 - 41)
3/31 HB 837 Establishes Regulations for the Legal Use of Cannabis and Marijuana Bill Passed - Senate (30 - 15)
3/31 HB 1082 Amends Consumer Health Information Language and Appropriates Funds for Resources Bill Passed - House (93 - 40)
3/29 SB 528 Requires State to Reduce Greenhouse Gas Emissions Bill Passed - House (95 - 42)
3/28 SB 890 Expands Protections for Abortion Care Bill Passed - Senate (30 - 14)
3/26 HB 1 Authorizes the Use and Possession of Cannabis Concurrence Vote Passed - House (94 - 39)
3/22 HB 1 Authorizes the Use and Possession of Cannabis Bill Passed - Senate (29 - 17)
3/22 SB 523 Repeals Licensure Requirements for Immigrant Healthcare Workers Bill Passed - Senate (30 - 15)
3/14 SB 528 Requires State to Reduce Greenhouse Gas Emissions Bill Passed - Senate (32 - 15)
3/10 HB 52 Prohibits Sale of Certain Animal Parts, Products Bill Passed - House (125 - 14)
3/12 SB 414 Requires the State to Reduce Greenhouse Gas Emissions to a Lower Level Bill Passed - Senate (34 - 11)
2/16 HB 391 Prohibits the Release of Celebratory Balloons Bill Passed - House (94 - 34)
3/18 HB 1663 Establishes the "COVID-19 Public Health Emergency Protection Act of 2020" Concurrence Vote Passed - House (131 - 3)
3/18 SB 300 Prohibits Use of Chlorpyrifos Bill Passed - House (94 - 37)
3/17 HB 448 Authorizes Telehealth Practices Concurrence Vote Passed - House (131 - 2)
3/16 HB 959 Establishes Permanence of Certain Consumer Protections Under the Affordable Care Act Bill Passed - Senate (31 - 14)
3/03 SB 300 Prohibits Use of Chlorpyrifos Bill Passed - Senate (31 - 14)
2/07 SB 147 Prohibits the Purchase, Distribution, or Sale of Kratom Bill Passed - Senate (35 - 11)
4/08 HB 814 Establishes the Maryland Easy Enrollment Health Insurance Program Concurrence Vote Passed - House (123 - 15)
4/05 HB 298 Establishes Oyster Sanctuaries Veto Override Passed - House (96 - 43)
4/05 SB 285 Prohibits Use of Foam Containers Concurrence Vote Passed - Senate (31 - 13)
4/02 SB 516 Establishes Renewable Energy Standards and Plan Concurrence Vote Passed - Senate (31 - 15)
4/01 SB 516 Establishes Renewable Energy Standards and Plan Bill Passed - House (95 - 41)
3/26 HB 298 Establishes Oyster Sanctuaries Bill Passed - Senate (32 - 14)
3/07 HB 399 Establishes End of Life Option Act Bill Passed - House (74 - 66)
3/05 SB 285 Prohibits Use of Foam Containers Bill Passed - Senate (34 - 13)
4/05 HB 1782 Establishes Individual Market Stabilization within Healthcare Concurrence Vote Passed - House (89 - 48)
3/30 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
3/30 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
3/30 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - Senate (46 - 0)
3/15 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
3/15 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
3/15 HB 908 Requires Insurance Companies to Cover Fertility Treatments for Cancer Patients Bill Passed - House (133 - 2)
2/12 SB 138 Requires Governor to Include Maryland as a Member of US Climate Alliance Bill Passed - Senate (36 - 10)
4/07 HB 631 Prohibits Unwarranted Price Hikes on Generic Drugs Bill Passed - Senate (38 - 7)
3/27 HB 1325 Prohibits Fracking Bill Passed - Senate (36 - 10)
3/24 SB 1081 Establishes Funds to Support Family Planning Services Bill Passed - Senate (32 - 15)
3/24 SB 1081 Establishes Funds to Support Family Planning Services Bill Passed - Senate (32 - 15)
3/30 SB 323 Reduces Greenhouse Gas Emissions Bill Passed - House (97 - 39)
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