Hospitals - Medical Debt Collection - Sale of Patient Debt
HB 765 allows Maryland hospitals to sell patient medical debt **only to government units or their contractors for debt cancellation**, not for profit. It requires hospitals to dismiss all pending collection actions for sold debt, stop all collection efforts on that debt, and report detailed data on debt sales (including amounts sold, payments received, and patient demographics) annually. The bill directly affects hospitals by mandating new financial policies and patient reporting requirements, and impacts patients whose debt is sold by preventing further collection attempts. Key provisions include prohibiting interest charges before court judgment, requiring refunds for patients later found eligible for free care, and banning hospitals from reporting adverse credit information during an 180-day grace period.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 29, 2025
Signed May 20, 2025
Maddy AI version diff · 1 comparison
What changed between versions
First - Hospitals - Medical Debt Collection - Sale of Patient Debt
→
Third - Hospitals - Medical Debt Collection - Sale of Patient Debt
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3 edits
MINOR
This bill was amended to expand who hospitals can sell medical debt to, now including nonprofit organizations in addition to governmental units and contractors. The changes also update reporting requirements to track sales to these new types of buyers and modify formatting of the bill text.
Scope change
Expanded eligibility for medical debt purchasers to include nonprofit organizations alongside governmental units and contractors.
ELIGIBILITY
Added nonprofit organizations as an eligible entity to purchase medical debt, alongside governmental units and contractors.
REQUIREMENT
Updated reporting requirements to track debt sales to nonprofit organizations, including total dollar amounts and number of patients whose debt was sold to these entities.
TECHNICAL
Added sponsors to the bill header and updated committee report status to show favorable with amendments.
Floor votes · Senate Mar 16, 2025 · House of Delegates Mar 3, 2025
How they voted
33–12
Passed · 1 other
Total votes 46
Mar 16, 2025
D
Democratic33
96% Yea
R
Republican13
92% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
10
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 750
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 (33-12-1)
senate
Mar 13, 2025
Lower · Passed
Third Reading Passed
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 12, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 3, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (101-36-2)
house of delegates
Jan 29, 2025
Committee
First Reading Health and Government Operations
lower
19 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Anne Kaiser
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Deni Taveras
DDemocratic
P
Harry Bhandari
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jamila Woods
DDemocratic
P
Jennifer White Holland
DDemocratic
P
JP
Joseline Peña-Melnyk
DDemocratic
P
Julian Ivey
DDemocratic
P
Ken Kerr
DDemocratic
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Pam Guzzone
DDemocratic
P
Ryan Spiegel
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
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