MD SB460 | 2023 | Regular Session

Note: Carry Over of previous HB746


Completed Legislative Action
Spectrum: Partisan Bill (Democrat 14-0)
Status: Passed on May 3 2023 - 100% progression
Action: 2023-05-03 - Approved by the Governor - Chapter 252
Text: Latest bill text (Chaptered) [PDF]


Requiring, beginning on January 1, 2023, the Maryland Medical Assistance Program to provide gender-affirming treatment in a nondiscriminatory manner; requiring that the gender-affirming treatment be assessed according to nondiscriminatory criteria that are consistent with current clinical standards; prohibiting the issuance of an adverse benefit determination related to gender-affirming treatment unless a certain experienced health care provider has reviewed and confirmed the appropriateness of the determination; etc.

Tracking Information

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Maryland Medical Assistance Program – Gender–Affirming Treatment (Trans Health Equity Act)


Roll Calls

2023-03-30 - House - Third Reading Passed (Y: 93 N: 39 NV: 5 Abs: 2) [PASS]
2023-03-30 - House - Floor Amendment 883027/1 (Delegate Arikan) Rejected (Y: 40 N: 91 NV: 6 Abs: 2) [FAIL]
2023-03-30 - House - Floor Amendment 873722/1 (Delegate Fisher) Rejected (Y: 37 N: 96 NV: 4 Abs: 2) [FAIL]
2023-03-20 - Senate - Third Reading Passed (Y: 31 N: 15 NV: 0 Abs: 1) [PASS]
2023-03-20 - Senate - Floor Amendment 993529/1 (Senator Mautz) Rejected (Y: 14 N: 29 NV: 0 Abs: 4) [FAIL]


2023-05-03SenateApproved by the Governor - Chapter 252
2023-03-31SenateReturned Passed
2023-03-30HouseThird Reading Passed (93-39)
2023-03-30HouseFloor Amendment {883027/1 (Delegate Arikan) Rejected (40-91)
2023-03-30HouseFloor Amendment {873722/1 (Delegate Fisher) Rejected (37-96)
2023-03-29HouseSecond Reading Passed
2023-03-29HouseFavorable Adopted
2023-03-29HouseFavorable Report by Health and Government Operations
2023-03-22HouseHearing 3/28 at 1:00 p.m.
2023-03-21HouseReferred Health and Government Operations
2023-03-20SenateThird Reading Passed (31-15)
2023-03-20SenateSecond Reading Passed with Amendments
2023-03-20SenateFloor Amendment {993529/1 (Senator Mautz) Rejected (14-29)
2023-03-20SenateFavorable with Amendments {413627/1 Adopted
2023-03-17SenateMotion Laid Over (Senator Ready) Adopted
2023-03-17SenateFavorable with Amendments {413627/1
2023-03-17SenateFavorable with Amendments Report by Finance
2023-02-03SenateHearing 2/28 at 1:00 p.m.
2023-02-03SenateFirst Reading Finance

Same As/Similar To

HB283 (Crossfiled) 2023-05-03 - Approved by the Governor - Chapter 253
HB746 (Carry Over) 2022-02-15 - Hearing 3/02 at 1:30 p.m.


Code Citations

ChapterArticleSectionCitation TypeStatute Text
Health - General15103(n/a)See Bill Text
Health - General15151(n/a)See Bill Text

Maryland State Sources

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Bill Comments