HB 1284 Maryland House of Delegates · 2026 Regular Session

Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs

HB 1284 allows residential service agencies providing private duty nursing to hire licensed nurses who lack full clinical experience requirements, under specific conditions. Agencies must provide approved on-site training programs, ensure clinical supervision by a qualified registered nurse, and conduct documented competency evaluations for these nurses. The bill requires agencies to maintain records of training completion and annual or disciplinary competency assessments. This directly affects private duty nursing agencies and nurses who may not meet standard clinical experience thresholds, while maintaining existing licensing and scope-of-practice standards.
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
Apr 2026
Introduced Feb 12, 2026 Signed Apr 28, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs Third - Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs · 3 edits
MINOR
The bill progressed from its first reading to adoption in the House, adding official committee approval and action dates. Substantive changes include formatting updates to the bill header and minor text adjustments to the training requirements, such as adding a blank line in the competency evaluation schedule. No new policy, funding, or eligibility criteria were introduced.
TECHNICAL

Added committee report status, house action, and second reading date to the bill header.

Changed the bill title from 'A BILL ENTITLED' to 'CHAPTER ______'.

Adjusted line breaks and spacing within the training program requirements, specifically adding a blank line in the competency evaluation schedule.

Floor votes · Senate Mar 27, 2026 · House of Delegates Mar 10, 2026

How they voted

360
Passed · 13 other
Total votes 49
Mar 27, 2026
D Democratic36
27 Yea 9
75% Yea
R Republican13
9 Yea 4
69% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
10
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 217
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 (36-0-13)
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 (135-0-7)
house of delegates
Feb 12, 2026
Committee
First Reading Health
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Pam Guzzone
Pam Guzzone
DDemocratic
MD
13