HB 422 Maryland House of Delegates · 2026 Regular Session

Public Health - Expedited Partner Therapy - Bacterial Vaginosis and Licensed Certified Midwives

HB 422 expands Maryland's expedited partner therapy (EPT) program to include bacterial vaginosis (BV), allowing certain healthcare providers to prescribe antibiotics to a partner of a diagnosed patient without requiring a physical exam of the partner. The bill specifically adds BV to the list of conditions (alongside chlamydia, gonorrhea, and trichomoniasis) where physicians, nurse practitioners, physician assistants, and designated health department nurses can provide treatment to partners. This applies to patients diagnosed with BV, aiming to reduce reinfection and slow disease spread without requiring partners to visit a clinic. The law takes effect October 1, 2026.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Mar 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 22, 2026 Signed Apr 28, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Public Health - Expedited Partner Therapy - Bacterial Vaginosis Third - Public Health - Expedited Partner Therapy - Bacterial Vaginosis and Licensed Certified Midwives · 3 edits
MINOR
The bill was updated to include Licensed Certified Midwives as eligible providers for Expedited Partner Therapy (EPT) for bacterial vaginosis, expanding the list of practitioners who can prescribe antibiotics to sexual partners without a physical exam. The sponsors were also updated to reflect the addition of new co-sponsors, and the text was amended to clarify that the therapy applies to infections transmitted through sexual activity.
Scope change
The bill's scope expanded to include Licensed Certified Midwives alongside physicians, nurse practitioners, physician assistants, and local health department nurses as authorized providers for EPT.
ELIGIBILITY

Added Licensed Certified Midwives to the list of health care practitioners authorized to prescribe EPT for bacterial vaginosis.

DEFINITION

Clarified that the therapy applies to infections transmitted through sexual activity and added 'practitioners' to the list of eligible providers.

TECHNICAL

Updated the list of bill sponsors to include additional delegates.

Floor votes · House of Delegates Feb 20, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
15
Key actions
9
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 194
executive
Apr 7, 2026
Lower · Passed
Returned Passed
lower
Apr 6, 2026
Upper · Passed
Third Reading Passed
upper
Mar 31, 2026
Upper · Passed
Favorable Adopted Second Reading Passed
upper
Mar 30, 2026
Upper · Passed
Favorable Report by Finance
upper
Feb 27, 2026
Committee
Referred Finance
upper
Feb 26, 2026
Lower · Passed
Third Reading Passed
lower
Feb 24, 2026
Lower · Passed
Favorable with Amendments {
lower
Feb 23, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Feb 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (135-0-7)
house of delegates
Jan 22, 2026
Committee
First Reading Health
lower
13 primary · 0 co-sponsors

Sponsors