HB 718 Maryland House of Delegates · 2025 Regular Session

Maryland Health Insurance Coverage Protection Commission - Established

HB 718 establishes the Maryland Health Insurance Coverage Protection Commission to monitor and assess how federal changes to health care programs like the ACA, Medicaid, Medicare, and Maryland's All-Payer Model might affect residents' access to affordable coverage. The Commission, composed of state officials, health care industry representatives, and public members, will track federal policy shifts and evaluate their potential impacts on Marylanders. It will then provide state and local recommendations to protect health coverage access, particularly for vulnerable groups like low-income households and communities of color. This bill directly affects all Maryland residents by creating a dedicated body to safeguard health care access amid federal policy uncertainty.
Sub-Topics: Medicare
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 27, 2025 Signed May 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Third - Maryland Health Insurance Coverage Protection Commission - Established Enrolled - Maryland Health Insurance Coverage Protection Commission - Established · 4 edits · May 20, 2025
MODERATE
The bill transitioned from a draft version to its final enrolled form, incorporating significant structural reorganization of the Maryland Health Insurance Coverage Protection Commission. The most substantive change is a complete reordering of the 'Whereas' clauses, which shifted the narrative focus from general ACA repeal risks to specific Maryland statistics and the impact of federal policy changes. Additionally, the Commission's membership list was renumbered and slightly rearranged to align with the new text structure, though the total number of members and their specific roles remain consistent.
Scope change
The scope of the bill's subject matter remains unchanged; it still establishes the same Commission with the same powers and duties. The changes are primarily organizational (reordering clauses) and formatting (adding 'Enrolled' status and proofreader lines).
TECHNICAL

The order of the 'Whereas' clauses was completely shuffled. The original bill listed federal repeal risks first, while the enrolled version lists Maryland-specific uninsured statistics and federal policy impacts first, altering the legislative narrative flow.

The numbering and ordering of the Commission's membership list were adjusted to match the reorganized text, though the actual members and their appointment methods did not change.

Added official 'Enrolled Bill' header, proofreader signatures, and the Great Seal presentation language, marking the bill's final approval by the General Assembly.

Removed draft metadata such as committee assignment dates, favorable report status, and initial reading dates, as these are no longer relevant to the final enacted law.

Floor votes · Senate Mar 17, 2025 · House of Delegates Mar 22, 2025

How they voted

3412
Passed
Total votes 46
Mar 17, 2025
D Democratic33
33 Yea
100% Yea
R Republican13
1 Yea 12 Nay
92% 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 696
executive
Apr 5, 2025
Lower · Passed
Passed Enrolled
lower
Apr 5, 2025
Lower · Passed
Third Reading Passed
lower
Apr 5, 2025
Introduced
House Concurs Senate Amendments
lower
Apr 3, 2025
Upper · Passed
Third Reading Passed
upper
Apr 3, 2025
Upper · Passed
Favorable with Amendments {
upper
Apr 3, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 22, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (97-38-5)
house of delegates
Mar 17, 2025
Senate · Passed
Senate Vote: pass (34-12)
senate
Mar 12, 2025
Committee
Referred Finance
upper
Mar 11, 2025
Lower · Passed
Third Reading Passed
lower
Mar 11, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 10, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Jan 27, 2025
Committee
First Reading Health and Government Operations
lower
17 primary · 0 co-sponsors

Sponsors