[2] In March 2021, The Baltimore Sun reported that she had twice participated in a legislative hearing via Zoom while operating on a patient whom she said had given her permission to videoconference into the meetings.

[7][9] In addition to her surgery practice, Hill also helps legislators and lobbyists at the Maryland State House with their health issues.

[1] Hill was elected alongside newcomers Eric Ebersole and Clarence Lam, with whom she ran on a slate alongside state senator Edward Kasemeyer,[11] in the 2014 Maryland House of Delegates election to succeed state delegates Steve DeBoy, James Malone, and Elizabeth Bobo.

[18] In November 2023, after John Sarbanes announced that he would not seek re-election in 2024, Hill told The Capital that she would run for Congress in Maryland's 3rd congressional district.

[19] She was defeated in the Democratic primary election by state senator Sarah Elfreth on May 14, 2024, placing fourth with 6.5 percent of the vote.

[25] In 2021, Hill introduced legislation that would prohibit homeowner associations from requiring residents to plant turf grass on their property.

[27] In 2015, Hill introduced legislation that would provide fertility treatment benefits, including in vitro fertilisation coverage, to married lesbian couples.

[28] In January 2018, Hill expressed concerns with legislation to establish a prescription monitoring program for law enforcement, saying that she thought the bill would have a "chilling effect on doctors" and lead them to under-prescribe.

[30] During the 2024 legislative session, Hill supported a bill to legalize medical aid in dying for terminally ill patients.

[10] During the 2024 legislative session, Hill supported a resolution calling for an immediate and long–term ceasefire in the Israel–Hamas war alongside the return of all hostages and delivery of adequate humanitarian aid to the Palestinian people.