SB 691 Maryland Senate · 2025 Regular Session

Healthcare Ecosystem Stakeholder Cybersecurity Workgroup

SB 691 requires Maryland healthcare entities - including hospitals, health information exchanges, and freestanding medical facilities - to adopt strong cybersecurity standards (including a "zero-trust" approach), undergo third-party audits every two years starting in 2026, and report incidents to the state's Security Operations Center. It mandates the Maryland Health Care Commission to hire a cybersecurity expert and convene two workgroups focused on reviewing threats, responses to disruptions, and making recommendations for improvement. The law applies specifically to defined "healthcare ecosystem entities" but excludes insurance carriers and pharmacy benefits managers. These requirements aim to strengthen cybersecurity practices across critical healthcare infrastructure.
Bill status vetoed 4 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House of Delegates Passage
Apr 2025
Vetoed
May 2025
Introduced Jan 30, 2025 Vetoed May 16, 2025
Maddy AI version diff · 1 comparison

What changed between versions

First - Cybersecurity - Healthcare Ecosystem Third - Healthcare Ecosystem Stakeholder Cybersecurity Workgroup · 4 edits
MODERATE
SB 691 was amended to create a new Healthcare Ecosystem Stakeholder Cybersecurity Workgroup to develop strategies for preventing and responding to cybersecurity incidents in healthcare. The bill also shifted focus from Insurance and State Finance articles to the Health General Article, and updated the definition of 'Healthcare Ecosystem Entity' to exclude carriers and pharmacy benefits managers.
Scope change
The bill's scope expanded to include a formal workgroup for cybersecurity strategy development, and the applicability of certain provisions shifted from Insurance and State Finance articles to the Health General Article.
REQUIREMENT

Added requirement to establish a Healthcare Ecosystem Stakeholder Cybersecurity Workgroup to develop strategies for preventing disruptions and ensuring continuous delivery of healthcare services.

DEFINITION

Modified the definition of 'Healthcare Ecosystem Entity' to explicitly exclude carriers and pharmacy benefits managers.

SCOPE

Changed the bill's focus from Insurance and State Finance articles to the Health General Article for most provisions.

TECHNICAL

Added committee report status showing favorable recommendation with amendments and Senate adoption.

Floor votes · Senate Mar 14, 2025 · House of Delegates Mar 24, 2025

How they voted

387
Passed · 1 other
Total votes 46
Mar 14, 2025
D Democratic33
32 Yea 1
96% Yea
R Republican13
6 Yea 7 Nay
53% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
17
Key actions
9
Committee
7
May 16, 2025
Vetoed
Vetoed by the Governor (Policy)
executive
Apr 7, 2025
Upper · Passed
Returned Passed
upper
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Report by Health and Government Operations
lower
Apr 2, 2025
Committee
Rereferred to Health and Government Operations
lower
Apr 2, 2025
Committee
Referred Rules and Executive Nominations
lower
Apr 1, 2025
Upper · Passed
Third Reading Passed
upper
Mar 31, 2025
Upper · Passed
Favorable with Amendments {
upper
Mar 31, 2025
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 24, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (135-3-1)
house of delegates
Mar 14, 2025
Senate · Passed
Senate Vote: pass (38-7-1)
senate
Jan 30, 2025
Committee
First Reading Finance and Education, Energy, and the Environment
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Katie Hester
Katie Hester
DDemocratic
MD
9