HB 765 Maryland House of Delegates · 2025 Regular Session

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 · 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

3312
Passed · 1 other
Total votes 46
Mar 16, 2025
D Democratic33
32 Yea 1
96% Yea
R Republican13
1 Yea 12 Nay
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