Emergency Medical Services - Vehicles and Ambulances - Required Supplies
SB 159 requires Maryland's Emergency Medical Services (EMS) providers to maintain specific equipment and supplies on ambulances, including neonatal care items, and mandates quarterly reviews of performance data like response times and service quality. It also requires counties to establish formal, accessible complaint systems for ambulance quality or conduct issues, with online and in-person filing, tracking, and quarterly reporting to the state EMS Institute. These provisions directly affect all counties and municipalities operating or contracting EMS services, as well as the Maryland Institute for EMS Systems, which coordinates the statewide standards. The bill aims to standardize ambulance equipment, improve accountability through data reviews, and enhance patient access to complaint resolution. It takes effect July 1, 2026.
Bill status
signed
all 5 stages cleared
Introduction
Oct 2025
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Oct 29, 2025
Signed Apr 28, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
Third - Emergency Medical Services - Vehicles and Ambulances - Required Supplies
→
Enrolled - Emergency Medical Services - Vehicles and Ambulances - Required Supplies
·
3 edits
·
Apr 28, 2026
MINOR
The bill was finalized as an enrolled act, changing its status from a draft proposal to a law ready for the Governor's signature. The substantive policy content remains largely the same, focusing on requiring EMS vehicles to carry specific supplies and mandating quarterly reviews and complaint systems for local agencies. A minor technical adjustment was made to the definition of required supplies, now explicitly including 'early childhood care' alongside neonatal care.
Scope change
The bill's scope and applicability remain unchanged; it still applies to counties and municipalities operating or contracting emergency medical services in Maryland.
TECHNICAL
The bill's header and metadata were updated to reflect its final 'Enrolled' status, indicating it has passed all legislative stages and is awaiting the Governor's approval.
Minor formatting and spacing adjustments were made throughout the text to align with final legislative printing standards.
REQUIREMENT
The requirement for EMS vehicles to carry minimum equipment was slightly expanded to explicitly include supplies needed for 'early childhood care' in addition to neonatal care.
Floor votes · Senate Mar 25, 2026 · House of Delegates Mar 30, 2026
How they voted
49–0
Passed
Total votes 49
Mar 25, 2026
D
Democratic36
100% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
24
Key actions
14
Committee
9
Amendments
1
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 282
executive
Apr 13, 2026
Upper · Passed
Passed Enrolled
upper
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 13, 2026
Upper · Passed
Conference Committee Report {
upper
Apr 10, 2026
Lower · Passed
House Conference Committee Appointed (Delegates Martinez, Reilly and Kaufman)
lower
Apr 10, 2026
Upper · Passed
Senate Conference Committee Appointed (Senators Watson, Harris and Gallion)
upper
Apr 10, 2026
Introduced
Senate Refuses Concur House Amendments
upper
Apr 8, 2026
Lower · Passed
Third Reading Passed
lower
Apr 8, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 8, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 30, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (119-19-4)
house of delegates
Mar 25, 2026
Senate · Passed
Senate Vote: pass (49-0)
senate
Mar 23, 2026
Committee
Referred Health
lower
Mar 23, 2026
Upper · Passed
Third Reading Passed
upper
Mar 20, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 20, 2026
Upper · Passed
Favorable with Amendments Report by Education, Energy, and the Environment
upper
Jan 14, 2026
Committee
First Reading Education, Energy, and the Environment
upper
Oct 29, 2025
Introduced
Pre-filed
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Alonzo Washington
DDemocratic
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