SB 447 Maryland Senate · 2025 Regular Session

Hospitals - Emergency Pregnancy-Related Medical Conditions - Procedures

SB 447 requires Maryland hospitals with emergency departments to screen patients for emergency medical conditions, including pregnancy-related emergencies like active labor. It mandates that hospitals stabilize such conditions before transferring patients - specifically ensuring a pregnant person cannot be transferred if delivery is imminent or transfer poses health risks to the person or unborn child. The bill prohibits hospitals from punishing providers or staff who refuse to transfer unstable patients or report violations. It also requires written consent from patients before transfers and detailed medical records for receiving facilities. This directly affects all Maryland hospitals operating emergency departments and their medical staff.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
Senate Passage
Mar 2025
House of Delegates Passage
Governor
Introduced Jan 22, 2025 Last action Mar 24, 2025
Maddy AI version diff · 1 comparison

What changed between versions

First - Hospitals - Emergency Medical Conditions - Procedures → Third - Hospitals - Emergency Pregnancy-Related Medical Conditions - Procedures · 5 edits
MODERATE
SB 447 was amended to narrow its focus from general emergency medical conditions to specifically address emergency pregnancy-related medical conditions. The bill now explicitly requires hospitals to allow pregnancy termination when medically necessary for stabilization and references federal EMTALA protections for pregnant patients. This represents a significant policy shift from a broad emergency care mandate to one specifically addressing reproductive healthcare access.
Scope change
The bill's scope changed from covering all emergency medical conditions to specifically covering emergency pregnancy-related medical conditions, with added provisions for pregnancy termination when medically necessary.
DEFINITION

The definition of 'emergency medical condition' was changed to 'emergency pregnancy-related medical condition' to focus specifically on pregnant patients.

REQUIREMENT

Added explicit requirement for hospitals to allow pregnancy termination when a treating practitioner determines it is medically necessary to stabilize a patient.

Added reference to 42 U.S.C. § 1395DD (EMTALA) for transfers of patients with emergency pregnancy-related medical conditions.

Added requirement that transferring hospitals provide medical treatment that minimizes risks to the unborn child in addition to the patient.

ELIGIBILITY

Changed language from 'individual' to 'individual patient' throughout to clarify the specific patient population covered.

Floor votes · Senate Feb 27, 2025

How they voted

32–11
Passed · 3 other
Total votes 46
Feb 27, 2025
D Democratic33
32 Yea 1
96% Yea
R Republican13
11 Nay 2
84% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
10
Key actions
5
Committee
4
Mar 17, 2025
Committee
Referred Health and Government Operations
lower
Mar 14, 2025
Upper · Passed
Third Reading Passed
upper
Mar 14, 2025
Upper · Passed
Motion Special Order until Later Today (Senator Ready) Adopted
upper
Mar 13, 2025
Upper · Passed
Favorable with Amendments {
upper
Mar 12, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Feb 27, 2025
Senate · Passed
Senate Vote: pass (32-11-3)
senate
Jan 22, 2025
Committee
First Reading Finance
upper
3 primary · 0 co-sponsors

Sponsors