State Board of Nursing - Advanced Practice Nursing Licensure and Specialty Certification - Reciprocity Discussions (Maryland Border States Advanced Practice Nursing Act)
SB 407 requires Maryland's State Board of Nursing to discuss reciprocity agreements with nursing boards in Delaware, Pennsylvania, Virginia, West Virginia, and the District of Columbia. The goal is to create mutual recognition of advanced practice nursing licenses (like nurse practitioners and nurse anesthetists), making it easier for these nurses to practice across state lines and improving telehealth access. The Board must report annually starting November 2025 to legislative committees on progress, challenges, and needed changes. The bill takes effect July 1, 2025, but does not create new licensing rules - only establishes a process for future agreements.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House of Delegates Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 20, 2025
Signed May 20, 2025
Floor votes · Senate Mar 12, 2025 · House of Delegates Mar 24, 2025
How they voted
46–0
Passed
Total votes 46
Mar 12, 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
15
Key actions
10
Committee
7
May 20, 2025
Signed into law
Approved by the Governor - Chapter 674
executive
Apr 7, 2025
Upper · Passed
Returned Passed
upper
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Report by Health and Government Operations
lower
Apr 2, 2025
Committee
Rereferred to Health and Government Operations
lower
Apr 1, 2025
Committee
Referred Rules and Executive Nominations
lower
Mar 31, 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 24, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (138-0-1)
house of delegates
Mar 12, 2025
Senate · Passed
Senate Vote: pass (46-0)
senate
Jan 20, 2025
Committee
First Reading Finance
upper
3 primary · 0 co-sponsors
Sponsors
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