HB 49 Maryland House of Delegates · 2026 Regular Session

Public Health - Abortion (Heartbeat Bill)

HB 49 restricts abortion access by requiring physicians (not other providers) to perform abortions and banning procedures before a detectable fetal heartbeat is confirmed. It defines "fetal heartbeat" as cardiac activity visible via ultrasound and mandates physicians use specific medical methods to detect it, including documenting gestational age and test results. Exceptions apply for medical emergencies, requiring written documentation certifying the necessity. The bill repeals prior abortion regulations and shifts enforcement to private civil lawsuits, not government action. It directly affects physicians performing abortions, pregnant patients seeking care, and healthcare facilities.
Bill status in committee 1 of 4 stages cleared
Introduction
Oct 2025
Committee Review
Floor Vote
Governor
Introduced Oct 14, 2025 Last action Mar 19, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
5
Key actions
0
Committee
1
Jan 14, 2026
Committee
First Reading Health
lower
Oct 14, 2025
Introduced
Pre-filed
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ric Metzgar
Ric Metzgar
RRepublican
MD
6