Health Services Cost Review Commission – User Fee Assessment – Repeal of Sunset
HB 54 repeals the sunset provision that would have ended the fee limits for hospitals and related institutions paying user fees to Maryland's Health Services Cost Review Commission (HSCR) on June 30, 2025. The bill makes permanent the existing rule that caps total user fees at either 0.1% of a hospital's prior year budgeted revenue or the highest amount from the previous five years, whichever is greater. This directly affects hospitals and healthcare facilities required to pay these fees to fund the Commission's operations. The change ensures the fee structure remains in effect without needing future legislative action to extend it.
Bill status
signed
all 5 stages cleared
Introduction
Sep 2024
Committee Review
Mar 2025
House of Delegates Passage
Apr 2025
Senate Passage
Mar 2025
Signed into Law
Apr 2025
Introduced Sep 29, 2024
Signed Apr 8, 2025
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3 edits
MINOR
This bill adds committee approval and adoption status to the legislative record, reorganizes the bill's structure by moving the enacted language to a new Chapter 697, and removes the sunset provision that would have automatically ended the law on June 30, 2025, effectively making the user fee assessment permanent.
Scope change
The bill's scope remains the same regarding user fee assessments, but the sunset provision that would have terminated the law in 2025 has been removed, extending its applicability indefinitely.
TECHNICAL
Added committee report status showing the bill was favorably reported and adopted by the House.
Reorganized document structure by replacing the 'A BILL ENTITLED' header with 'CHAPTER ______' and renumbering sections.
TIMELINE
Deleted the sunset provision that would have automatically abrogated the law on June 30, 2025, making the user fee assessment permanent.
Floor votes · House of Delegates Feb 28, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
15
Key actions
9
Committee
6
Apr 8, 2025
Signed into law
Approved by the Governor - Chapter 25
executive
Apr 1, 2025
Lower · Passed
Returned Passed
lower
Mar 31, 2025
Upper · Passed
Third Reading Passed
upper
Mar 25, 2025
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 24, 2025
Upper · Passed
Favorable Report by Finance
upper
Mar 12, 2025
Committee
Referred Finance
upper
Mar 11, 2025
Lower · Passed
Third Reading Passed
lower
Mar 11, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 10, 2025
Lower · Passed
Favorable Report by Health and Government Operations
lower
Feb 28, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (128-7-4)
house of delegates
Jan 8, 2025
Committee
First Reading Health and Government Operations
lower
Sep 29, 2024
Introduced
Pre-filed
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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