Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition
HB 1249 prohibits certified recovery residences in Maryland from refusing services to individuals receiving medication-assisted treatment (MAT) for opioid use disorder or requiring them to stop or change their MAT as a condition for housing. The bill amends certification standards for recovery residences (which provide non-clinical housing for people with substance use disorders) to ensure credentialing entities cannot allow such discrimination. It directly affects certified recovery residences and individuals using MAT for opioid addiction, requiring certification rules to explicitly ban these practices. The law takes effect October 1, 2026, and applies only to opioid use disorder treatment under MAT.
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 12, 2026
Signed May 26, 2026
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4 edits
MODERATE
This bill was formally adopted and assigned a chapter number after passing the House, with no substantive changes to the text of the law itself. The core policy remains a prohibition on recovery residences refusing services to individuals receiving medication-assisted treatment for opioid use disorder.
TECHNICAL
Added procedural metadata including a favorable committee report, adoption status, and a second reading date.
Replaced the title 'A BILL ENTITLED' with 'CHAPTER ______' to indicate the bill has been enacted into law.
Added signature lines for the Governor, Speaker of the House, and President of the Senate.
Reordered and renumbered the text of the statute to align with the existing Maryland Code structure, though the legal definitions and prohibitions remain identical.
Floor votes · Senate Mar 27, 2026 · House of Delegates Mar 10, 2026
How they voted
38–10
Passed · 1 other
Total votes 49
Mar 27, 2026
D
Democratic36
97% Yea
R
Republican13
76% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
19
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 793
executive
Apr 13, 2026
Lower · Passed
Returned Passed
lower
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 13, 2026
Upper · Passed
Favorable Adopted
upper
Apr 13, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 27, 2026
Senate · Passed
Senate Vote: pass (38-10-1)
senate
Mar 23, 2026
Committee
Referred Finance
upper
Mar 23, 2026
Lower · Passed
Third Reading Passed
lower
Mar 21, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 21, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 10, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (103-33-6)
house of delegates
Feb 12, 2026
Committee
First Reading Health
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Terri Hill
DDemocratic
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