HB 838 Maryland House of Delegates · 2025 Regular Session

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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What changed between versions

First - Health Occupations - Licensed Direct-Entry Midwives - Revisions Third - Health Occupations - Licensed Direct-Entry Midwives - Revisions · 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