State Board of Nursing - Advanced Practice Nursing Licensure and Specialty Certification - Reciprocity Discussions (Maryland Border States Advanced Practice Nursing Act)
HB 602 requires Maryland's State Board of Nursing to negotiate mutual recognition agreements with nursing boards in Delaware, Pennsylvania, Virginia, West Virginia, and the District of Columbia. The bill aims to create reciprocity for advanced practice nursing licenses and specialty certifications, specifically to increase access to qualified nurses, improve license portability across borders, and simplify telehealth services in border regions. The Board must report annually to legislative committees starting November 1, 2025, detailing progress, agreements reached, challenges, and needed policy changes. This bill directly affects nursing boards in Maryland and the five neighboring jurisdictions, focusing on streamlining licensure for advanced practice nurses without altering current licensing standards. It is a procedural measure to facilitate future agreements, not a change to existing licensure rules.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 23, 2025
Signed May 20, 2025
Floor votes · Senate Mar 15, 2025 · House of Delegates Feb 28, 2025
How they voted
46–0
Passed
Total votes 46
Mar 15, 2025
D
Democratic33
100% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
14
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 673
executive
Apr 2, 2025
Lower · Passed
Returned Passed
lower
Apr 2, 2025
Upper · Passed
Third Reading Passed
upper
Mar 28, 2025
Upper · Passed
Favorable Adopted
upper
Mar 27, 2025
Upper · Passed
Favorable Report by Finance
upper
Mar 15, 2025
Senate · Passed
Senate Vote: pass (46-0)
senate
Mar 12, 2025
Committee
Referred Finance
upper
Mar 11, 2025
Lower · Passed
Third Reading Passed
lower
Mar 11, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 10, 2025
Lower · Passed
Favorable Report by Health and Government Operations
lower
Feb 28, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (137-0-3)
house of delegates
Jan 23, 2025
Committee
First Reading Health and Government Operations
lower
2 primary · 0 co-sponsors
Sponsors
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