Health Occupations - Licensed Direct-Entry Midwives - Revisions
HB 838 revises Maryland's regulations for licensed direct-entry midwives, making their practice independent without requiring oversight from other healthcare providers. The bill removes the requirement for midwives to report certain information to the Direct-Entry Midwifery Advisory Committee and updates disciplinary procedures for license holders. It also extends the validity of the Maryland Licensure of Direct-Entry Midwives Act through a sunset provision. These changes directly affect licensed midwives and the pregnant people and newborns they serve by increasing midwives' autonomy in providing low-risk maternity care.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2025
House of Delegates Passage
Apr 2025
Senate Passage
Mar 2025
Signed into Law
May 2025
Introduced Jan 29, 2025
Signed May 20, 2025
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5 edits
MODERATE
This bill update primarily involves technical and formatting changes rather than substantive policy modifications. The main changes include updating the bill's sponsor list to reflect additional co-sponsors, changing the bill reference from HB 838 to SB 854, and reorganizing the legislative text structure. The core provisions regarding direct-entry midwifery practice remain unchanged.
TECHNICAL
Added additional co-sponsors to the bill including Delegates Alston, Bagnall, Bhandari, Guzzone, Hill, Hutchinson, S. Johnson, Kerr, Kipke, Lopez, Martinez, Pena-Melnyk, Rosenberg, Ross, Taveras, White Holland, Woods, and Woorman
Changed bill reference from HB 838 to SB 854 in the header information
Added committee report status showing favorable with amendments and house action adopted
Reorganized the legislative text structure and formatting, including moving the Annotated Code of Maryland reference to a different location
Removed the original bill introduction date line and replaced with new committee and action status information
Floor votes · House of Delegates Mar 8, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
13
Key actions
9
Committee
6
May 20, 2025
Signed into law
Approved by the Governor - Chapter 645
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 17, 2025
Committee
Referred Finance
upper
Mar 17, 2025
Lower · Passed
Third Reading Passed
lower
Mar 15, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 15, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Mar 8, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (131-6-2)
house of delegates
Jan 29, 2025
Committee
First Reading Health and Government Operations
lower
18 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
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
Ken Kerr
DDemocratic
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Nic Kipke
RRepublican
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
P
Tom Hutchinson
RRepublican
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