Public Health - Chain Restaurants - Sodium and Added Sugars Warning Icons and Disclosure and Notice
HB 1048 requires Maryland chain restaurants with 20 or more locations to display warning icons next to menu items containing high sodium (1,150mg+ per serving) or high added sugars (25mg+ per serving) starting January 1, 2028. The Maryland Department of Health must adopt regulations by January 2027 establishing the icon designs, minimum sizes, and accompanying text. The bill also mandates a 2027 public education campaign to help restaurants comply with the new requirements. This directly affects large chain restaurants operating in Maryland, aiming to increase consumer awareness of nutritional content in menu items.
Bill status
passed
3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House of Delegates Passage
Mar 2026
Senate Passage
Governor
Introduced Feb 9, 2026
Last action Mar 23, 2026
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First - Public Health - Chain Restaurants - Sodium and Added Sugars Warning Icons
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Third - Public Health - Chain Restaurants - Sodium and Added Sugars Warning Icons and Disclosure and Notice
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5 edits
MODERATE
HB 1048 was amended to expand the sponsor list, add committee approval and adoption status, and significantly modify the bill's substantive requirements. The most important changes involve updating the definition of 'high added sugars content' from 25 milligrams to 25 grams per serving, adding federal labeling requirements as a criterion for chain restaurants, and inserting new language about disclosure and notice on menus. These changes make the sodium and sugar warning icon requirements more practical for consumers and align the bill with federal standards.
Scope change
The bill's scope was expanded to include additional sponsors and now explicitly requires disclosure and notice on menus alongside the warning icons. The definition of chain restaurants was modified to require compliance with federal labeling requirements as a condition for inclusion.
DEFINITION
Changed the threshold for 'high added sugars content' from 25 milligrams to 25 grams per serving, making the requirement more realistic for menu items.
REQUIREMENT
Added a requirement that chain restaurants must be subject to federal labeling requirements under 21 U.S.C. § 343(Q)(5)(H) to qualify under the bill.
Added language requiring disclosure and notice on each menu or menu board alongside the warning icons.
ELIGIBILITY
Updated the list of bill sponsors to include additional delegates (Alston, Bagnall, Guzzone, Kaufman, Lopez, Martinez, Rosenberg, Ross, White Holland, and Woorman).
TECHNICAL
Added committee report status showing favorable approval with amendments and adoption by the House.
Floor votes · House of Delegates Mar 11, 2026
How they voted
97–36
Passed · 9 other
Total votes 142
Mar 11, 2026
D
Democratic103
92% Yea
R
Republican39
92% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
8
Key actions
4
Committee
4
Mar 23, 2026
Committee
Referred Finance
upper
Mar 23, 2026
Lower · Passed
Third Reading Passed
lower
Mar 23, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 23, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 11, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (97-36-9)
house of delegates
Feb 9, 2026
Committee
First Reading Health
lower
12 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aaron Kaufman
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Emily Shetty
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jennifer White Holland
DDemocratic
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Lorig Charkoudian
DDemocratic
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Teresa Woorman
DDemocratic
P
Tiffany Alston
DDemocratic
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