Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund
HB 1104 creates a new "Population Health Improvement Fund" to support Maryland’s participation in the federal AHEAD Model, which aims to reduce health disparities through all-payer approaches. The fund, financed by a hospital assessment and interest earnings, will invest in statewide health equity initiatives aligned with AHEAD’s goals. The bill also clarifies that electronic health data (like claims information) can be used to support Maryland’s AHEAD Model participation, while prohibiting restrictions on using this data for public health purposes under the model. Hospitals will contribute to the fund through a uniform assessment, and the Department of Health and Health Services Cost Review Commission will jointly manage it. The fund is designed to be permanent (nonlapsing) and specifically targets statewide population health improvement efforts.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 5, 2025
Signed May 20, 2025
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What changed between versions
Third - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund
→
Enrolled - Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund
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4 edits
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May 20, 2025
MODERATE
The bill was finalized as an Enrolled Bill, adding formal proofreading and sealing procedures before Governor approval. Substantively, the bill was reorganized to repeal and reenact existing laws rather than just adding new sections, and it updated the legal citations to reflect the most current Annotated Code of Maryland volumes.
Scope change
The bill's scope remains focused on the AHEAD Model implementation and the Population Health Improvement Fund, but the method of enacting changes shifted from simple additions to a repeal-and-reenact structure to ensure legal consistency.
TECHNICAL
The bill status changed from a House draft to an Enrolled Bill, including the addition of proofreader signatures and a placeholder for the Governor's approval date.
Legal citations for the Annotated Code of Maryland were updated from the 2021 Replacement Volume to the 2023 Replacement Volume to reflect current law.
REQUIREMENT
The legislative mechanism was changed from 'adding to' existing sections to 'repealing and reenacting' sections, which is a common practice to ensure the new text fully replaces old text without ambiguity.
New requirements were added for the Maryland Department of Health to make a draft report available for public comment and for the Department and Commission to meet with Assembly members.
Floor votes · Senate Mar 21, 2025 · House of Delegates Mar 24, 2025
How they voted
34–7
Passed · 5 other
Total votes 46
Mar 21, 2025
D
Democratic33
84% Yea
R
Republican13
53% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
18
Key actions
11
Committee
6
Amendments
1
May 20, 2025
Signed into law
Approved by the Governor - Chapter 615
executive
Apr 7, 2025
Lower · Passed
Passed Enrolled
lower
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 7, 2025
Introduced
House Concurs Senate Amendments
lower
Apr 5, 2025
Upper · Passed
Third Reading Passed
upper
Apr 5, 2025
Upper · Passed
Favorable with Amendments {
upper
Apr 5, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 24, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (102-36-2)
house of delegates
Mar 21, 2025
Senate · Passed
Senate Vote: pass (34-7-5)
senate
Mar 17, 2025
Committee
Referred Finance Budget and Taxation
upper
Mar 13, 2025
Lower · Passed
Third Reading Passed
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Feb 5, 2025
Committee
First Reading Health and Government Operations and Appropriations
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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