Health - Licensure of Hospitals - Ownership Requirements
HB 599 requires hospitals seeking a new license or undergoing ownership changes after October 1, 2026, to be federally recognized nonprofit organizations registered with the state. Specifically, it mandates that hospitals qualifying for licensure on or after that date must operate as nonprofits under federal law and maintain that status as a condition of their license. The bill also prohibits transferring ownership of any licensed hospital after October 1, 2026, to any entity other than another nonprofit organization. This directly affects hospitals seeking new licenses, renewing licenses, or changing ownership in Maryland after the effective date.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House of Delegates Passage
Feb 2026
Senate Passage
Governor
Introduced Jan 28, 2026
Last action Mar 18, 2026
Maddy AI version diff · 1 comparison
What changed between versions
First - Health - Licensure of Hospitals - Ownership Requirements
→
Third - Health - Licensure of Hospitals - Ownership Requirements
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4 edits
MODERATE
This bill adds new formatting elements (committee report status, adoption date, and signature lines) while reorganizing the hospital licensing requirements. The core policy content regarding nonprofit hospital ownership requirements remains substantively unchanged, though the text structure was modified.
Scope change
No substantive change to the bill's scope or applicability; the policy requirements for hospital licensing remain the same.
TECHNICAL
Added committee report status showing the bill was favorably reported and adopted by the House.
Added signature lines for Governor, Speaker of the House, and President of the Senate for final approval.
Reorganized the article and section numbering structure, though the substantive hospital licensing requirements remain identical.
Added explanatory notes about formatting conventions (capital letters, brackets, underlining, and strike-through text).
Floor votes · House of Delegates Feb 20, 2026
How they voted
97–37
Passed · 8 other
Total votes 142
Feb 20, 2026
D
Democratic103
94% Yea
R
Republican39
94% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
11
Key actions
4
Committee
4
Feb 27, 2026
Committee
Referred Finance
upper
Feb 26, 2026
Lower · Passed
Third Reading Passed
lower
Feb 24, 2026
Lower · Passed
Favorable Adopted
lower
Feb 23, 2026
Lower · Passed
Favorable Report by Health
lower
Feb 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (97-37-8)
house of delegates
Jan 28, 2026
Committee
First Reading Health
lower
2 primary · 0 co-sponsors
Sponsors
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