HB 322 Maryland House of Delegates · 2026 Regular Session

Maryland Health Care Commission - Membership

HB 322 changes the membership structure of Maryland's Health Care Commission. It reduces the number of non-healthcare-related members from nine to eight and adds a required hospital representative (defined in state law) to the seven provider-focused seats. The bill also revises geographic requirements, mandating four members from large-population counties (instead of five) and specifying representation from the Eastern Shore, western counties, and Southern Maryland. These changes take effect October 1, 2026, aiming to adjust the commission's composition to better reflect healthcare provider perspectives.

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

House of Delegates Passage

Apr 2026

Senate Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Jan 16, 2026 Signed Apr 14, 2026

Maddy AI version diff · 1 comparison

What changed between versions

First - Maryland Health Care Commission - Membership → Third - Maryland Health Care Commission - Membership · 4 edits

MODERATE

The bill was amended to change the composition of the Maryland Health Care Commission by replacing a hospital representative with a hospital administrator, adjusting the number of members required to live in specific counties, and updating the bill's procedural status to reflect its adoption and favorable committee report.

Scope change

The bill's scope was modified to alter the specific qualifications and geographic distribution requirements for Commission members, while the overall purpose of regulating the Commission's membership remains the same.

ELIGIBILITY

The requirement for a hospital representative was changed to a hospital administrator, shifting the focus from general representation to administrative oversight.

REQUIREMENT

The number of Commission members who must reside in counties with populations of 300,000 or more was reduced from five to four.

TECHNICAL

New lines were added to the header indicating the bill was adopted, has a favorable committee report, and lists additional sponsors.

The bill title was updated from 'First' to 'Third' to reflect its progression through the legislative process.

Floor votes · House of Delegates Feb 20, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 14, 2026

Signed into law

Approved by the Governor - Chapter 38

executive

Apr 7, 2026

Lower · Passed

Returned Passed

lower

Apr 6, 2026

Upper · Passed

Third Reading Passed

upper

Mar 31, 2026

Upper · Passed

Favorable Adopted Second Reading Passed

upper

Mar 30, 2026

Upper · Passed

Favorable Report by Finance

upper

Feb 27, 2026

Committee

Referred Finance

upper

Feb 26, 2026

Lower · Passed

Third Reading Passed

lower

Feb 24, 2026

Lower · Passed

Favorable with Amendments {

lower

Feb 23, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Feb 20, 2026

House Of Delegates · Passed

House of Delegates Vote: pass (136-0-6)

house of delegates

Jan 16, 2026

Committee

First Reading Health

lower

18 primary · 0 co-sponsors