Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)
HB 442 requires nursing homes, assisted living facilities, and nurse midwives in Maryland to disclose their professional liability insurance status to residents and potential residents. Specifically, these providers must provide written notice (including electronic communication) if they lack coverage or if coverage has lapsed and not been renewed, with timing requirements: at the first visit for potential residents or at application for admission, and within 30 days of a lapse for current residents. The bill also mandates that facilities without coverage post a conspicuous notice for residents and guests. This law does not change insurance requirements but ensures transparency about coverage gaps. It directly affects residents and potential residents of these care facilities by providing clear, timely disclosure of insurance status.
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 14, 2026
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First - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, and Nurse Midwives - Disclosure
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Third - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)
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4 edits
MODERATE
The bill was updated to expand professional liability insurance disclosure requirements to include licensed certified midwives in addition to nurse midwives, and it was formally renamed the 'Nyeli Rose Lewis Act of 2026' to honor a legislator. The bill also reflects its progression through the legislative process by adding a committee report and adoption dates.
Scope change
The bill's scope was expanded to include licensed certified midwives alongside nurse midwives, assisted living facilities, and nursing homes.
SCOPE
Added 'licensed certified midwives' to the list of professionals required to disclose professional liability insurance status.
DEFINITION
Updated the bill title and explanatory text to include licensed certified midwives and the new act name.
TECHNICAL
Added procedural information regarding committee approval and house adoption dates.
Added a new sponsor to the list of bill authors.
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 14, 2026
Signed into law
Approved by the Governor - Chapter 33
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 (137-0-5)
house of delegates
Jan 22, 2026
Committee
First Reading Health
lower
21 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aaron Kaufman
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Deni Taveras
DDemocratic
P
Edith Patterson
DDemocratic
P
Elizabeth Embry
DDemocratic
P
Greg Wims
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jennifer White Holland
DDemocratic
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Malcolm Ruff
DDemocratic
P
Matt Morgan
RRepublican
P
Nic Kipke
RRepublican
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Steve Johnson
DDemocratic
P
Teresa Reilly
RRepublican
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
P
Tom Hutchinson
RRepublican
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