All Roll Calls
Yes: 328 • No: 577
MarylandHB 09302025 Regular SessionHouse
Public Health Abortion Grant Program - Establishment
Sponsored By: Lesley J. Lopez (Democratic)
Signed by Governor
Public HealthHealth - InsuranceHealth Maintenance OrganizationsAbortion -see also- Reproductive MattersAppropriationsBudgets -see also- Capital BudgetsClinicsFormsGovernorGrantsHealth -see also- COVID19; EnvHlth; MedCon; etc.Health Insurance -see also- ACA; HMOs; MCOsHealth Maintenance Organizations -see also- Manage Care OrgsHealth Occupations -see also- (specific health occupations)Insurance AdministrationNonprofit OrganizationsNoticesPrivacyRecords -see also- Land Records; Vital RecordsReportsRevenue and Taxes -see also- (specific tax)SunsetTreasurers
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 1 costs, 0 mixed.
More abortion care help and privacy
Beginning July 1, 2025, Maryland provides grants for abortion care for people without enough resources. Help covers uninsured people, people without enough abortion coverage, and people unable to use insurance because insurer communications pose risks. Eligible groups must provide care through Maryland-licensed practitioners or manage funds for that care, remain in good standing, and maintain policies consistent with state abortion law. Grants can cover reasonable administrative costs, and the Department must set standards for their use. Neither the Department nor grantees may impose limits that conflict with state abortion law. The Department cannot collect identifying details about people seeking or receiving support, or disclose identifying details about covered organizations’ staff and care providers.
Insurer surpluses help fund abortion care
Beginning July 1, 2025, covered insurers must use abortion-coverage premiums for insured patients’ abortion care. A use rule directs 90% of qualifying excess account balances, measured 12 months after a plan year, toward care federal funds cannot cover. Separately, transfers to the grant fund are due by September 1, 2025, covering 90% of qualifying excess balances for plan years 2014–2023, including interest through December 31, 2024. Starting in 2026, annual transfers are due July 1, using a 15-month accounting window and interest through the previous December 31. Insurers must report receipts, payments, interest, and balances by March 1 each year, with supporting records; parties challenging a Commissioner’s order have hearing and appeal rights.
State funding supports abortion care grants
Beginning July 1, 2025, Maryland creates a dedicated abortion grant fund whose unused money carries forward. It receives insurer transfers, state funding, interest, and other accepted money; spending is limited to the program and state budget. The Governor must add $2 million by budget amendment by October 1, 2025. Starting in fiscal year 2027, the Governor’s annual budget must include funding at least equal to required insurer transfers. At least 90% of program appropriations must be awarded as grants.
Federal review can end abortion provisions
The law includes a federal-law trigger that ends Section 1, rather than an automatic expiration date. It applies if federal health officials notify Maryland’s Insurance Administration by June 30, 2031, that Section 1 violates the Affordable Care Act’s abortion-funding rules. If that notice arrives by the deadline, Section 1 stops operating and the Department of Legislative Services must be notified promptly.
Sponsors & Cosponsors
Sponsor
Lesley J. Lopez
Democratic • House
Cosponsors
Andre V. Johnson
Democratic • House
Nick Allen
Democratic • House
Tiffany T. Alston
Democratic • House
Marlon Amprey
Democratic • House
Atterbeary
Affiliation unavailable
Heather Bagnall
Democratic • House
J. Sandy Bartlett
Democratic • House
Harry Bhandari
Democratic • House
Adrian Boafo
Democratic • House
Regina T. Boyce
Democratic • House
Jon S. Cardin
Democratic • House
Mark S. Chang
Democratic • House
Lorig Charkoudian
Democratic • House
Luke Clippinger
Democratic • House
Frank M. Conaway
Democratic • House
Brian M. Crosby
Democratic • House
Charlotte Crutchfield
Democratic • House
Bonnie Cullison
Democratic • House
Dana Jones
Democratic • House
Debra Davis
Democratic • House
Eric Ebersole
Democratic • House
Mark Edelson
Democratic • House
Elizabeth Embry
Democratic • House
Kris Fair
Democratic • House
Jessica Feldmark
Democratic • House
Diana M. Fennell
Democratic • House
Linda Foley
Democratic • House
Catherine M. Forbes
Democratic • House
David Fraser-Hidalgo
Democratic • House
Michele Guyton
Democratic • House
Pam Lanman Guzzone
Democratic • House
Terri L. Hill
Democratic • House
Julian Ivey
Democratic • House
Jeffrie E. Long
Democratic • House
Anne R. Kaiser
Democratic • House
Aaron M. Kaufman
Democratic • House
Kenneth Kerr
Democratic • House
Marc Korman
Democratic • House
Mary A. Lehman
Democratic • House
Ashanti Martinez
Democratic • House
Aletheia McCaskill
Democratic • House
Bernice Mireku-North
Democratic • House
Julie Palakovich Carr
Democratic • House
Cheryl E. Pasteur
Democratic • House
Edith J. Patterson
Democratic • House
Joseline A. Peña-Melnyk
Democratic • House
N. Scott Phillips
Democratic • House
Andrew C. Pruski
Democratic • House
Pam Queen
Democratic • House
Robbyn Lewis
Democratic • House
Kent Roberson
Democratic • House
Mike Rogers
Democratic • House
Samuel I. Rosenberg
Democratic • House
Kim Ross
Democratic • House
Malcolm P. Ruff
Democratic • House
Sheila Ruth
Democratic • House
Steve Johnson
Democratic • House
Emily Shetty
Democratic • House
Gary Simmons
Democratic • House
Karen Simpson
Democratic • House
Stephanie Smith
Democratic • House
Jared Solomon
Democratic • House
Ryan Spiegel
Democratic • House
Dana Stein
Democratic • House
Vaughn Stewart
Democratic • House
Deni Taveras
Democratic • House
Jen Terrasa
Democratic • House
Karen Toles
Democratic • House
Kriselda Valderrama
Democratic • House
Joe Vogel
Democratic • House
Courtney Watson
Democratic • House
Melissa Wells
Democratic • House
Jennifer White Holland
Democratic • House
Jheanelle K. Wilkins
Democratic • House
Nicole A. Williams
Democratic • House
C. T. Wilson
Democratic • House
Greg Wims
Democratic • House
Sarah Wolek
Democratic • House
Jamila J. Woods
Democratic • House
Teresa Woorman
Democratic • House
Chao Wu
Democratic • House
Caylin Young
Democratic • House
Natalie Ziegler
Democratic • House
Roll Call Votes
Senate vote • 4/2/2025
Floor Amendment {873224/1 (Senator Ready) Rejected
Yes: 14 • No: 31 • Other: 2
Senate vote • 4/2/2025
Third Reading Passed
Yes: 31 • No: 15 • Other: 1
House vote • 3/13/2025
Floor Amendment {763328/1 (Delegate Miller) Rejected
Yes: 39 • No: 96 • Other: 6
House vote • 3/13/2025
Third Reading Passed
Yes: 98 • No: 37 • Other: 5
House vote • 3/13/2025
Floor Amendment {773822/1 (Delegate Wivell) Rejected
Yes: 38 • No: 99 • Other: 4
House vote • 3/13/2025
Floor Amendment {193224/1 (Delegate Wivell) Rejected
Yes: 34 • No: 101 • Other: 6
House vote • 3/13/2025
Floor Amendment {813223/1 (Delegate Tomlinson) Rejected
Yes: 37 • No: 99 • Other: 5
House vote • 3/13/2025
Floor Amendment {173227/1 (Delegate Wivell) Rejected
Yes: 37 • No: 99 • Other: 5
Actions Timeline
Approved by the Governor - Chapter 435
5/13/2025Returned Passed
4/2/2025HouseThird Reading Passed (31-15)
4/2/2025SenateFloor Amendment {873224/1 (Senator Ready) Rejected (14-31)
4/2/2025SenateSecond Reading Passed
3/28/2025SenateFavorable Adopted
3/28/2025SenateFavorable Report by Finance
3/27/2025SenateReferred Finance Budget and Taxation
3/17/2025SenateThird Reading Passed (98-37)
3/13/2025HouseSecond Reading Passed with Amendments
3/13/2025HouseFloor Amendment {763328/1 (Delegate Miller) Rejected (39-96)
3/13/2025HouseFloor Amendment {813223/1 (Delegate Tomlinson) Rejected (37-99)
3/13/2025HouseFloor Amendment {173227/1 (Delegate Wivell) Rejected (37-99)
3/13/2025HouseFloor Amendment {193224/1 (Delegate Wivell) Rejected (34-101)
3/13/2025HouseFloor Amendment {773822/1 (Delegate Wivell) Rejected (38-99)
3/13/2025HouseMotion Special Order until 03/12 (Delegate Wivell) Adopted
3/11/2025HouseFavorable with Amendments {313129/1 Adopted
3/11/2025HouseFavorable with Amendments Report by Health and Government Operations
3/10/2025HouseHearing 2/27 at 2:00 p.m.
2/26/2025HouseHearing canceled
2/26/2025HouseHearing 2/27 at 1:00 p.m.
2/17/2025HouseHearing canceled
2/17/2025HouseHearing 2/26 at 1:00 p.m.
2/10/2025HouseFirst Reading Health and Government Operations
1/31/2025House
Bill Text
Enacted
5/13/2025
Third Reading
3/13/2025
First Reading
1/31/2025
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