HB 871 Maryland House of Delegates · 2025 Regular Session

Health Services Cost Review Commission - Community Benefits - Community Health Worker Workforce Program

HB 871 adds "community health worker workforce programs" to Maryland’s definition of "community benefit" for nonprofit hospitals. It allows hospitals and community-based organizations to partner through a formal memorandum of understanding (MOU) to establish these programs, which must include specific elements like health outcome goals, implementation plans, and data protocols. The bill requires hospitals to provide employer-sponsored health insurance to community health workers employed through these partnerships. This directly affects nonprofit hospitals, community organizations, and community health workers, aiming to improve patient access to care and address social determinants of health.
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 30, 2025 Signed May 20, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Third - Health Services Cost Review Commission - Community Benefits - Community Health Worker Workforce Program Enrolled - Health Services Cost Review Commission - Community Benefits - Community Health Worker Workforce Program · 3 edits · May 20, 2025
MINOR
The bill was finalized as an Enrolled Bill, moving it from a House draft to a version ready for the Governor's signature. Substantively, the bill was amended to clarify that community health worker partnerships may be executed through a memorandum of understanding and to remove the requirement that the program must provide health insurance to certain individuals, simplifying the partnership structure.
Scope change
The bill's scope remains focused on establishing community health worker workforce programs, but the specific operational requirements for the partnership agreement were narrowed.
REQUIREMENT

Changed the language regarding partnership execution to state that a memorandum of understanding 'may be executed' rather than mandating it, providing more flexibility in how the partnership is formed.

Deleted a clause requiring the partnership to provide health insurance to certain individuals under specific circumstances, removing a mandatory benefit provision.

TECHNICAL

Added standard Enrolled Bill formatting, including the 'Read and Examined by Proofreaders' section and the Great Seal presentation language, indicating the bill has passed both legislative chambers.

Floor votes · Senate Mar 17, 2025 · House of Delegates Mar 24, 2025

How they voted

460
Passed
Total votes 46
Mar 17, 2025
D Democratic33
33 Yea
100% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
11
Committee
6
Amendments
1
May 20, 2025
Signed into law
Approved by the Governor - Chapter 752
executive
Apr 7, 2025
Lower · Passed
Passed Enrolled
lower
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 7, 2025
Introduced
House Concurs Senate Amendments
lower
Apr 3, 2025
Upper · Passed
Third Reading Passed
upper
Apr 3, 2025
Upper · Passed
Favorable with Amendments {
upper
Apr 3, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 24, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (135-0-4)
house of delegates
Mar 17, 2025
Committee
Referred Finance
upper
Mar 17, 2025
Senate · Passed
Senate Vote: pass (46-0)
senate
Mar 14, 2025
Lower · Passed
Third Reading Passed
lower
Mar 13, 2025
Lower · Passed
Favorable with Amendments {
lower
Mar 13, 2025
Lower · Passed
Favorable with Amendments Report by Health and Government Operations
lower
Jan 30, 2025
Committee
First Reading Health and Government Operations
lower
22 primary · 0 co-sponsors

Sponsors