HB 1143 Maryland House of Delegates · 2025 Regular Session

Maryland Collaborative to Improve Children's Oral Health Through School-Based Programs - Establishment

HB 1143 allows dental hygienists to provide preventive dental services in Maryland schools and school-based health centers under general dentist supervision (without requiring a dentist to be physically present on-site). It creates a Maryland Collaborative composed of health, education, and community representatives to study and recommend improvements to school-based dental programs. The bill directly affects all Maryland school children, particularly those in underserved communities where 21% have untreated dental decay and pandemic-era access to preventive care dropped to 56.5% for Medicaid-covered children. The Collaborative will develop strategies to address these gaps, building on existing school dental initiatives.
Bill status signed all 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Feb 5, 2025 Signed May 20, 2025
Maddy AI version diff · 1 comparison

What changed between versions

First - Dental Services - Dental Hygienists in Schools and School-Based Health Centers and the Maryland Collaborative to Improve Children's Oral Health Through School-Based Programs Third - Maryland Collaborative to Improve Children's Oral Health Through School-Based Programs - Establishment · 4 edits
MODERATE
This bill was amended to remove the original explanatory preamble that referenced the death of Deamonte Driver and detailed statistics about dental access disparities, while retaining the core legislative text. The amendments also updated the bill title and purpose language to focus on 'school-based dental services' rather than the broader original scope. The substantive provisions regarding dental hygienist supervision and the Maryland Collaborative structure remain unchanged.
Scope change
The bill's scope was narrowed from its original title referencing 'Dental Services' to specifically 'School-Based Programs - Establishment', though the operative sections maintain the same substantive provisions.
TECHNICAL

Removed the original explanatory preamble containing background information about Deamonte Driver's death and detailed statistical data about dental access disparities.

Updated the bill title and purpose section to change 'Dental Services' to 'School-Based Dental Services' and added 'Establishment' to the Maryland Collaborative name.

Added committee report status showing the bill was adopted with amendments and read second time on March 3, 2025.

Added additional sponsors to the bill (Pena-Melnyk, Alston, Bhandari, Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez, Martinez, Rosenberg, Taveras, Woods, Woorman, and Ross).

Floor votes · Senate Mar 16, 2025 · House of Delegates Mar 4, 2025

How they voted

460
Passed
Total votes 46
Mar 16, 2025
D Democratic33
33 Yea
100% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
21
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 753
executive
Apr 3, 2025
Lower · Passed
Returned Passed
lower
Apr 3, 2025
Upper · Passed
Third Reading Passed
upper
Apr 2, 2025
Upper · Passed
Favorable Adopted
upper
Mar 31, 2025
Upper · Passed
Favorable Report by Finance
upper
Mar 17, 2025
Committee
Referred Finance
upper
Mar 16, 2025
Senate · Passed
Senate Vote: pass (46-0)
senate
Mar 14, 2025
Lower · Passed
Third Reading Passed
lower
Mar 13, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 13, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 4, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (135-2-2)
house of delegates
Feb 5, 2025
Committee
First Reading Health and Government Operations
lower
16 primary · 0 co-sponsors

Sponsors