HB 279 Maryland House of Delegates · 2026 Regular Session

Correctional Services - Medication Review Committee - Administration of Psychotropic Medication to an Incarcerated Individual

HB 279 establishes a medication review committee within Maryland's Department of Public Safety to evaluate requests for involuntary psychotropic medication when an incarcerated individual refuses it, applying only to licensed mental health infirmaries in state correctional facilities. The bill prohibits administering such medication without committee approval, except in emergencies, and requires the committee to review medical records, consider less restrictive alternatives, and ensure the individual understands risks and benefits before a decision. Incarcerated individuals gain specific rights under the bill, including 10 business days' written notice of committee meetings, the right to attend (excluding closed deliberations), present information, and receive details about their diagnosis and treatment options. The committee, composed of appointed mental health professionals and a lay advisor, must document its rationale and follow defined procedures before authorizing medication against an individual's refusal.
Bill status passed 3 of 5 stages cleared
Introduction
Sep 2025
Committee Review
Mar 2026
House of Delegates Passage
Mar 2026
Senate Passage
Governor
Introduced Sep 16, 2025 Last action Mar 23, 2026
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What changed between versions

First - Correctional Services - Medication Review Committee - Administration of Psychotropic Medication to an Incarcerated Individual Third - Correctional Services - Medication Review Committee - Administration of Psychotropic Medication to an Incarcerated Individual · 5 edits
MODERATE
This bill was amended to update terminology from 'treating practitioner' to 'treating provider' and to expand the definition of 'lay advisor' to include information about asserting rights. The scope of applicability was broadened to include individuals convicted of crimes sentenced to the Division of Correction, not just those in licensed mental health infirmaries. A new definition for 'mental health care facility' was added to clarify which facilities are covered under the medication review process.
Scope change
The bill now applies to mental health care facilities within state correctional facilities for individuals convicted of crimes and sentenced to the Division of Correction, expanding beyond just licensed mental health infirmaries.
DEFINITION

Changed 'treating practitioner' to 'treating provider' throughout the bill for consistency.

Expanded the definition of 'lay advisor' to explicitly include assistance with understanding and asserting incarcerated individuals' rights.

Added new definition for 'mental health care facility' to clarify which facilities are subject to the medication review committee process.

SCOPE

Broadened applicability to include individuals convicted of crimes and sentenced to the Division of Correction, not just those in licensed mental health infirmaries.

REQUIREMENT

Updated criteria for involuntary medication to include situations where an individual is incapacitated and unable to perform basic life-sustaining functions.

Floor votes · House of Delegates Mar 8, 2026

How they voted

1320
Passed · 10 other
Total votes 142
Mar 8, 2026
D Democratic103
95 Yea 8
92% Yea
R Republican39
37 Yea 2
94% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
9
Key actions
4
Committee
4
Mar 23, 2026
Committee
Referred Judicial Proceedings
upper
Mar 20, 2026
Lower · Passed
Third Reading Passed
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 19, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 8, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (132-0-10)
house of delegates
Jan 14, 2026
Committee
First Reading Health
lower
Sep 16, 2025
Introduced
Pre-filed
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.