Certificate of Need - Intermediate Health Care Facilities - Exemptions
HB 1515 exempts intermediate care facilities offering medically managed residential substance use disorder treatment services from needing a certificate of need (approval) to establish or operate. This directly affects facilities providing this specific type of addiction treatment. The bill requires these facilities to submit 45 days' written notice to Maryland's health Commission before operation, and the Commission must approve based on whether the facility aligns with state health plans, improves service efficiency, and serves the public interest. This replaces a previous exemption that was being repealed, streamlining approval for these treatment centers.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Apr 2025
House of Delegates Passage
Apr 2025
Senate Passage
Governor
Introduced Feb 17, 2025
Last action Apr 7, 2025
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What changed between versions
First - Certificate of Need - Intermediate Health Care Facilities - Exemptions
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Third - Certificate of Need - Intermediate Health Care Facilities - Exemptions
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4 edits
MODERATE
This bill amends Maryland's Certificate of Need (CON) requirements for intermediate care facilities offering medically managed residential substance use disorder treatment services. The changes clarify exemptions from CON requirements and update notice procedures for bed capacity changes at these facilities.
Scope change
The bill expands exemptions from CON requirements for specific intermediate care facilities and modifies notice requirements for bed capacity changes at hospitals and other facilities.
ELIGIBILITY
Added an exemption for intermediate care facilities offering medically managed residential substance use disorder treatment services from CON requirements when they have current licenses issued by the Secretary.
REQUIREMENT
Updated bed capacity change exemptions to include intermediate care facilities offering residential or intensive substance-related disorder treatment services with current Secretary licenses.
Modified notice requirements for bed capacity changes, clarifying that facilities must provide written notice to the Commission at least 45 days before making changes.
TECHNICAL
Added committee report and house action information showing the bill was favorably reported and adopted by the House.
Floor votes · House of Delegates Mar 23, 2025
How they voted
126–7
Passed · 6 other
Total votes 139
Mar 23, 2025
D
Democratic100
97% Yea
R
Republican39
74% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
11
Key actions
4
Committee
5
Apr 7, 2025
Committee
Referred Rules
upper
Apr 7, 2025
Lower · Passed
Third Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2025
Lower · Passed
Favorable Report by Health and Government Operations
lower
Mar 23, 2025
House Of Delegates · Passed
House of Delegates Vote: pass (126-7-6)
house of delegates
Mar 3, 2025
Committee
Rereferred to Health and Government Operations
lower
Feb 17, 2025
Committee
First Reading House Rules and Executive Nominations
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Bonnie Cullison
DDemocratic
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