Health Care Facilities - Surgical Smoke - Smoke Evacuation Systems
HB 1087 requires Maryland health care facilities performing surgeries that generate surgical smoke (like hospitals, ambulatory surgical centers, and freestanding medical facilities) to adopt policies mandating the use of smoke evacuation systems by January 1, 2028. These systems must capture and filter harmful surgical smoke particles at the source before they reach medical staff or patients. The bill defines "surgical smoke" as the gaseous byproducts from energy-generating surgical tools, including bio-aerosols and lung-damaging particles. This policy change aims to protect health care workers and patients from exposure to potentially hazardous smoke during procedures.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
May 2026
Introduced Feb 10, 2026
Signed May 26, 2026
Maddy AI version diff · 1 comparison
What changed between versions
First - Health Care Facilities - Surgical Smoke - Smoke Evacuation Systems
→
Third - Health Care Facilities - Surgical Smoke - Smoke Evacuation Systems
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2 edits
MINOR
The bill was formally adopted by the House and assigned a favorable committee report, moving it closer to becoming law. The text of the bill itself shows no substantive policy changes; the definitions of health care facilities and smoke evacuation systems, as well as the implementation deadline of January 1, 2028, remain identical to the previous version.
TECHNICAL
Added procedural status updates indicating the bill was adopted by the House and received a favorable committee report.
Minor formatting adjustments to line numbers and header layout, but the legal text remains unchanged.
Floor votes · Senate Mar 27, 2026 · House of Delegates Mar 5, 2026
How they voted
38–0
Passed · 11 other
Total votes 49
Mar 27, 2026
D
Democratic36
77% Yea
R
Republican13
76% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 794
executive
Apr 13, 2026
Lower · Passed
Returned Passed
lower
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 10, 2026
Upper · Passed
Favorable Adopted
upper
Apr 10, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 27, 2026
Senate · Passed
Senate Vote: pass (38-0-11)
senate
Mar 19, 2026
Committee
Referred Finance
upper
Mar 18, 2026
Lower · Passed
Third Reading Passed
lower
Mar 17, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 16, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 5, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (134-0-8)
house of delegates
Feb 10, 2026
Committee
First Reading Health
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Steve Johnson
DDemocratic
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