# Maryland SB 0474: Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations

Maryland SB 0474, Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations, is a 2025 Regular Session Senate bill sponsored by Pamela Beidle (Democratic); status signed, last action 2025-05-20 (Approved by the Governor - Chapter 670) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/MD-SB0474-2025RS
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0474
- State: Maryland
- Session: 2025 Regular Session
- Title: Health Insurance - Adverse Decisions - Notices, Reporting, and Examinations
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-23
- Last action: 2025-05-20, Approved by the Governor - Chapter 670
- Sponsor: Pamela Beidle (Democratic)
- Cosponsors: 0
- Subjects: Health - Insurance, Claims, Communications -see also- ElecComm; Intergov; Telecom; etc., Consumer Protection, Data -see also- Census; Demographics, Disclosure, Electronic Communication, Health Insurance -see also- ACA; HMOs; MCOs, Health Maintenance Organizations -see also- Manage Care Orgs, Identification -see also- Biometrics; Fingerprinting; DrLics, Insurance Administration, Internet -see also- Internet Access, Language -see also- Communications; Literacy, Medical Testing and Diagnosis, Notices, Records -see also- Land Records; Vital Records, Reports, Standards and Best Practices, Telecommunications and Information Technology
- Touches household money: no
- Roll calls: 3 (227 yes, 0 no in all)
- Economic provisions PRIA read: 0

## Summary

No summary available.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Pamela Beidle (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-07 | House | Third Reading Passed | pass | 140 | 0 |   |
| 2025-04-07 | Senate | Third Reading Passed | pass | 43 | 0 | 1 |
| 2025-03-06 | Senate | Third Reading Passed | pass | 44 | 0 | 1 |

## Actions (16)

- 2025-05-20: Approved by the Governor - Chapter 670
- 2025-04-07: Passed Enrolled (Senate)
- 2025-04-07: Third Reading Passed (43-0) (Senate)
- 2025-04-07: Senate Concurs House Amendments (Senate)
- 2025-04-07: Third Reading Passed (140-0) (House)
- 2025-04-01: Second Reading Passed with Amendments (House)
- 2025-04-01: Favorable with Amendments {123225/1 Adopted (House)
- 2025-04-01: Favorable with Amendments Report by Health and Government Operations (House)
- 2025-03-15: Hearing 3/20 at 1:00 p.m. (House)
- 2025-03-07: Referred Health and Government Operations (House)
- 2025-03-06: Third Reading Passed (44-0) (Senate)
- 2025-03-04: Second Reading Passed with Amendments (Senate)
- 2025-03-04: Favorable with Amendments {543925/1 Adopted (Senate)
- 2025-03-03: Favorable with Amendments Report by Finance (Senate)
- 2025-01-27: Hearing 2/12 at 1:00 p.m. (Senate)
- 2025-01-23: First Reading Finance (Senate)

## Bill text

- Enacted, 2025-05-20: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_670_sb0474e.pdf)
- Enrolled, 2025-04-07: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474e.pdf)
- Third Reading, 2025-03-04: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474t.pdf)
- First Reading, 2025-01-23: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474f.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_670_sb0474e.pdf)
- [Enrolled (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474e.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0474f.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-SB0474-2025RS (as of 2026-10-17).