# Maryland HB 1104: Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund

Maryland HB 1104, Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund, is a 2025 Regular Session House bill sponsored by no sponsor on record; status signed, last action 2025-05-20 (Approved by the Governor - Chapter 615) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB1104-2025RS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland HB 1104
- State: Maryland
- Session: 2025 Regular Session
- Title: Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund
- Status: signed
- Chamber: House
- Introduced: 2025-02-05
- Last action: 2025-05-20, Approved by the Governor - Chapter 615
- Sponsors: no sponsor on record
- Cosponsors: 0
- Subjects: Public Health, Auditors and Audits, Claims, Comptroller, Data -see also- Census; Demographics, Disclosure, Electronic Commerce -see also- Electronic Funds Transfer, Electronic Government, Health -see also- COVID19; EnvHlth; MedCon; etc., Health Care Commission, Health, Department of, Health Services Cost Review Commission, Hospitals -see also- Clinics; State Hospitals, Interest, Medical Assistance, Meetings -see also- Hearings; Open Government, Open Government, Prices -see also- Consumer Price Index, Privacy, Records -see also- Land Records; Vital Records, Reports, Revenue and Taxes -see also- (specific tax), Sunset, Treasurers
- Touches household money: no
- Roll calls: 3 (240 yes, 79 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Maryland expands health claims data use: benefit, low. Beginning July 1, 2025, Maryland allows broader use of electronic health claims for AHEAD Model participation or successor models. Combining submitted information with other state-designated health information exchange data requires Maryland Health Care Commission approval. Regulations cannot restr…
- New fund supports healthier Maryland communities: benefit, low. Beginning July 1, 2025, Maryland creates a Population Health Improvement Fund jointly run by its health department and hospital-rate commission. It supports statewide health goals under the federal AHEAD health care model or successor models. Money must help prevent common health conditions, meet h…

## Sponsors and cosponsors

- (none)

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-07 | House | Third Reading Passed | pass | 103 | 36 | 1 |
| 2025-04-05 | Senate | Third Reading Passed | pass | 35 | 7 |   |
| 2025-03-13 | House | Third Reading Passed | pass | 102 | 36 | 2 |

## Actions (16)

- 2025-05-20: Approved by the Governor - Chapter 615
- 2025-04-07: Passed Enrolled (House)
- 2025-04-07: Third Reading Passed (103-36) (House)
- 2025-04-07: House Concurs Senate Amendments (House)
- 2025-04-05: Third Reading Passed (35-7) (Senate)
- 2025-04-05: Second Reading Passed with Amendments (Senate)
- 2025-04-05: Favorable with Amendments {183027/1 Adopted (Senate)
- 2025-04-05: Favorable with Amendments Report by Finance (Senate)
- 2025-03-18: Hearing 3/25 at 1:00 p.m. (Finance) (Senate)
- 2025-03-17: Referred Finance Budget and Taxation (Senate)
- 2025-03-13: Third Reading Passed (102-36) (House)
- 2025-03-12: Second Reading Passed with Amendments (House)
- 2025-03-12: Favorable with Amendments {453927/1 Adopted (House)
- 2025-03-12: Favorable with Amendments Report by Health and Government Operations (House)
- 2025-02-06: Hearing 2/19 at 1:00 p.m. (Health and Government Operations) (House)
- 2025-02-05: First Reading Health and Government Operations and Appropriations (House)

## Bill text

- Enacted, 2025-05-20: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_615_hb1104e.pdf)
- Enrolled, 2025-04-07: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104e.pdf)
- Third Reading, 2025-03-12: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104t.pdf)
- First Reading, 2025-02-05: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104f.pdf)

## Related bills

- SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions (vetoed)
- HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination Review Process (vetoed)
- HB 0384: Maryland Disability Service Animal Program - Established (vetoed)
- SB 0157: Maryland Disability Service Animal Program - Established (vetoed)
- HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization (became law)
- HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard (signed)

## Sources
- [Enacted (PDF)](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_615_hb1104e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb1104f.pdf)

## Related
- [SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions](https://policyrisk.com/state-bill/MD-SB0227-2025RS)
- [HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination…](https://policyrisk.com/state-bill/MD-HB0482-2025RS)
- [HB 0384: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-HB0384-2025RS)
- [SB 0157: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-SB0157-2025RS)
- [HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization](https://policyrisk.com/state-bill/MD-HB1294-2025RS)
- [HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard](https://policyrisk.com/state-bill/MD-HB0228-2025RS)
- [Maryland bills](https://policyrisk.com/states/maryland/bills)
- [Maryland state hub](https://policyrisk.com/states/maryland)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/MD-HB1104-2025RS (as of 2026-10-19).
