[{"_1":2,"_88":-5,"_89":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6617763,"mediaKeyId","2839439-32837c5da7c1ad7d840e4a77ff270989","parentId",2839439,"title","Voting list 19: Committee advances multiple health‑policy bills; one withdrawal","audioSeconds",1519,"startMs",8000,"endMs",1527000,"viewUrl","/Search/View?dp=1&key=2839439-32837c5da7c1ad7d840e4a77ff270989&start=8&end=1527","thumbnailUrl","https://assets.pipeline.soar.com/2839439-32837c5da7c1ad7d840e4a77ff270989/thumbnail_8000.jpg","articleUrl","/articles/6617763/Maryland/Voting-list-19-Committee-advances-multiple-healthpolicy-bills-one-withdrawal","mediaUrl","https://secure.pipeline.soar.com/6617763-da3fd1fad26f980c9c4b60e2bc3b9ac2/orig.mp4?Expires=1770437875&Signature=noMA-USxRacpEqWHcR-pXV4Qfy1Nce8DOVMR9wFTy~h7AerCPco~gzCaCEThosUXU7dkEOQGeZzjjDHk-4DfPUOZimgVBhYrVXWSkXtTp2J1NnuTUo0dDKWwv3EAXifZubaXHC9spWzxZZkjRCuaOOhAiqJ21mUEZvZUz2347smEUTLQb3PkRABK~~6faaw9BA9joD1Bo-WJeFNGG0Sbf~RiRzNJoRnruN1ai8hAPymO~K07GQSo8wnuu5tjYtth~DzeKYlKl73Rpp6Fs644eWryZM~BkbmJnM-gqpqDit7CpI272oPhrWPYZoz6gi-bvxWjsfzgmgV7yRQdf8ek4g__&Key-Pair-Id=KUT5TJCACFTXG","author","Maryland General Assembly - Health and Government Operations","date","2025-04-01T18:50:57.83Z","article","The Health and Government Operations Committee processed a slate of bills on April 1 as part of voting list number 19. Most measures were reported favorably or moved to concur with Senate amendments; one bill on the list was withdrawn.

Withdrawn
- House Bill 1298: The committee approved a motion to withdraw HB 1298. The committee chair asked for objections and, seeing none, the item was withdrawn.

Passed or reported favorable (selected items from the voting list)
- House Bill 429 (Delegate Collison): Health facilities — delegation of inspection authority for nursing homes. Reported favorable with amendment.
- Senate Bill 423 (cross-file of HB 776): Maryland Medical Practice Act / Maryland Physician Assistant Act revisions. Reported favorable (cross‑filed with HB 776; House passage noted in the transcript).
- Senate Bill 456 (dental services): Qualifications for dental services and related changes; committee recorded the House floor vote on the cross‑file as 122 to 13 and reported the Senate bill favorable.
- Senate Bill 491 (veterans): General provisions — veterans benefits; reported favorable, committee noted the Senate bill language and recommended concurrence where necessary.
- Senate Bill 764 (state mineral designation): Reported favorable; committee noted the bill is identical to the House measure.
- Senate Bill 854 (health occupations — direct entry midwives): Reported favorable; committee noted it is identical to House Bill 838.
- House Bill 995 (work group on adverse decisions in the state healthcare system): Committee moved to concur with the Senate language adding a physician member to the study group and approved concurrence.
- House Bill 723 (State Board of Dental Examiners — licensure by endorsement): Committee moved to concur with a Senate amendment that directs the Maryland Department of Health to develop a plan for temporary or permanent authorization for out‑of‑state licensed practitioners; committee approved concurrence.

Several bills were moved and approved with unanimous or near‑unanimous voice votes. In a small number of motions a handful of members recorded opposition; the transcript records specific roll‑call or hand‑raise notations for some items but does not provide a full roll‑call tally for each measure in the excerpt.","mediaType","Video","parentTitle","HGO Committee Session, 4/1/2025 #1","oneSentenceSummary","At its April 1 voting list, the Health and Government Operations Committee withdrew one bill and reported favorable recommendations on a series of health‑policy measures including physician assistant law revisions, dental services qualifications, veteran benefits and midwife licensing changes.","taxTitle","Health and Government Operations Committee, HOUSE OF REPRESENTATIVES, Committees, Legislative, Maryland","taxId",15061,"location","Maryland","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6617768,"Panel approves temporary Maryland licenses for internationally trained physicians",1001,105000,1106000,"/Search/View?dp=1&key=2839439-32837c5da7c1ad7d840e4a77ff270989&start=105&end=1106","https://assets.pipeline.soar.com/2839439-32837c5da7c1ad7d840e4a77ff270989/thumbnail_105000.jpg","/articles/6617768/Maryland/Panel-approves-temporary-Maryland-licenses-for-internationally-trained-physicians","https://secure.pipeline.soar.com/6617768-515b6d1699b831fc962a059dce764112/orig.mp4?Expires=1770437875&Signature=I9MGSdS2MH0dEJYsoFxe7PAxogBBt74VZI2ozHavcdHhALMVg2wqj02muXCeEj04L6KuYVFnJUdcxV4U3c8RkoPyFcWS5nckpSzeIBRJxTGulDZ528nZqHDY-vbuQrOLJrSA-4G7zCearbBKRYxoGxaLe0Irktmcou6I6LOsi1chZHPNZt~M8Cie8tdJ6lQvDOWmT~dYgYi21KAoR6gjyTP72ATyBTusGhqTLMwxbvSn4LvtrFBlnXSNI8JsFqnnSlOWAfdm2TMs-H0faCCIdkUrX1pBW0QwwPUmG~5KZnq6DfkQkMfD6yVhGpJp8xIq~UFpdw7SzZf1PPxjREq2RA__&Key-Pair-Id=KUT5TJCACFTXG","The Health and Government Operations Committee on April 1 voted to approve House Bill 1199 as amended, a measure that creates a temporary licensing pathway for physicians licensed and trained outside the United States. The bill directs the Maryland Board of Physicians to begin issuing time-limited licenses under specified conditions and requires the Board to adopt regulations to implement the pathway.

The measure, sponsored by Delegate Hill, allows the Board of Physicians beginning 10/01/2027 to issue a license to a physician licensed in a country other than the United States, its territories, Puerto Rico or Canada if the applicant meets requirements set in the bill. The license may not exceed three years and may not be renewed. The board may revoke the license if the licensee practices outside the scope of the license, has their employment terminated, has been subject to disciplinary action or is no longer eligible for the license. The bill requires the Board to adopt regulations covering minimum qualifications, application fees, conditions applicable to licensees and a pathway to full licensure.

Committee amendments adopted in subcommittee and on the floor clarified several conditions. They require that applicants demonstrate that they practiced medicine for five of the seven years immediately preceding the application and that the board may determine that past discipline is disqualifying. Committee members also removed a fixed one‑year residency-in‑state requirement and replaced it with language that an applicant be domiciled in Maryland — eliminating a specified time-in-state minimum.

Supporters framed the bill as a way to recognize experienced physicians already living in Maryland and to expand clinical capacity without creating a short-term recruiting pathway for out-of-state clinicians. \"This is not a recruitment tool,\" Delegate Hill said, adding the statute is aimed at physicians already resident in Maryland.

Committee members pressed for implementation details. Several asked whether the bill would harm U.S. medical graduates by using residency slots; Hill said the alternative pathway could free residency slots and benefit U.S. graduates. Members also asked about the number of eligible physicians already in Maryland; the sponsor said that number is \"not specified\" and staff did not have a figure at the hearing.

The bill sets several credential and testing requirements: the applicant must hold a medical degree recognized by the World Health Organization, complete at least two years of postgraduate training equivalent to an ACGME‑accredited residency, and satisfy examination and verification requirements such as ECFMG certification and passing scores on USMLE steps. The Board will define any additional coursework, supervision or conditions necessary during the temporary license term.

Committee members raised the bill's fiscal impact. Delegate Hill said the fiscal note remains a sizable special‑funds cost to the Board of Physicians but that Appropriations has approved the appropriation because the board is funded through fees rather than the general fund. \"The fiscal note is still what it was ... but because the Board of Physicians raises fees to pay for all of its expenses and none of it comes out of the general fund, the Appropriations Committee approved it,\" Hill said.

After debate and two adopted amendments (one moved by Rosenberg), the committee voted to approve the bill as amended. Several members asked the Board to report back on implementation numbers; committee members agreed to request post‑implementation reporting and to continue technical work with the Board and stakeholder groups during rulemaking.

Votes and membership notes recorded during the roll call: when members were asked to indicate opposition, Delegates Kipke, Riley, Chisholm, Morgan and Hutchinson were recorded as objecting; Delegates Lopez and Shalika were excused. The committee moved the bill forward as amended.","The Health and Government Operations Committee approved House Bill 1199, creating a time-limited licensing pathway for physicians trained and licensed outside the U.S., with procedural amendments including a ‘‘domiciled in the state’’ requirement and a three‑year, nonrenewable license term.","actionData","errors"]

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Voting list 19: Committee advances multiple health‑policy bills; one withdrawal

Panel approves temporary Maryland licenses for internationally trained physicians