HB 429 Maryland House of Delegates · 2025 Regular Session

Health Facilities - Augmentation of Survey Staff - Nursing Homes

HB 429 allows counties in Maryland to request the Department of Health to delegate authority for inspecting nursing homes (including site visits and full surveys) to county staff. If a county makes such a request, the Department and the county must equally share the costs of these inspections. This bill directly affects nursing homes (which may be inspected by county staff instead of state staff) and counties that choose to assume this responsibility. It does not change existing inspection frequency requirements but adds a new option for conducting inspections.

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Governor

Introduced Jan 16, 2025 Last action Apr 4, 2025

Maddy AI version diff · 1 comparison

What changed between versions

First - Health Facilities - Delegation of Inspection Authority - Nursing Homes → Third - Health Facilities - Augmentation of Survey Staff - Nursing Homes · 5 edits

MODERATE

This bill was amended to expand its scope from simply delegating inspection authority to counties to also include augmenting state nursing home survey staff using county funds when the state falls behind federal survey requirements. The amendment adds new procedures for counties to request additional staffing support, establishes timelines for creating memorandums of understanding and implementation plans, and creates new reporting requirements for the Department of Health.

Scope change

The bill's scope expanded from delegation of inspection authority to include augmentation of survey staff and new reporting mechanisms

REQUIREMENT

Added new subsection (D)(1) allowing counties to request delegation of authority to augment state nursing home survey staff using county funds when the department is 6 months or more behind federal survey requirements

TIMELINE

Added requirement that the Department must initiate a memorandum of understanding and develop a staff augmentation plan within 45 days of a county request

Changed the bill's effective date from October 1, 2025 to June 1, 2025

REPORTING

Added new reporting requirements for the Department to include memorandums of understanding and survey counts in existing reports, plus new semi-annual reports to Area Agencies on Aging

ELIGIBILITY

Added eligibility criteria for county requests based on whether the Department is behind federal survey requirements by 6 months or more by July 1, 2026

Floor votes · House of Delegates Mar 20, 2025

How they voted

134–0

Passed · 5 other

Total votes 139

Mar 20, 2025

D Democratic100

97 Yea 3

97% Yea

R Republican39

37 Yea 2

94% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 4, 2025

Committee

Referred Rules

upper

Apr 3, 2025

Lower · Passed

Third Reading Passed

lower

Apr 3, 2025

Lower · Passed

Favorable with Amendments {

lower

Apr 3, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Mar 20, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (134-0-5)

house of delegates

Jan 16, 2025

Committee

First Reading Health and Government Operations

lower

23 primary · 0 co-sponsors