SB 326 Maryland Senate · 2026 Regular Session

Physician Assistants and Midwives - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2026)

SB 326 expands the authority of physician assistants (PAs) in Maryland by allowing them to perform specific healthcare actions currently restricted to physicians. The bill directly affects PAs, patients requiring guardianship, inmates needing infirmary care, and mental health facilities by adding PAs to certification requirements for treatment incapacity (Section 5-606), guardianship petitions (Section 13-705), and inmate infirmary admissions (Section 9-601.1). It also requires the Maryland Department of Health to cover PA examinations for emergency evaluations and adds PAs to the Statewide Advisory Commission on Immunization. These changes aim to align PA practice with other licensed healthcare professionals in defined clinical scenarios.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Jan 22, 2026 Signed Apr 28, 2026
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What changed between versions

First - Physician Assistants - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2026) Third - Physician Assistants and Midwives - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2026) · 3 edits
MINOR
The bill was amended to expand its scope from including only physician assistants to also including certified nurse-midwives and licensed certified midwives. This change broadens the range of healthcare providers eligible for parity with other practitioners in areas like guardianship, mental health admission, and emergency care. Additionally, the bill's title and explanatory text were updated to reflect this expanded inclusion of midwives.
Scope change
The bill's scope was expanded to include certified nurse-midwives and licensed certified midwives alongside physician assistants, whereas the previous version only covered physician assistants.
SCOPE

Added certified nurse-midwives and licensed certified midwives to the list of healthcare practitioners covered by the parity act.

ELIGIBILITY

Updated the specific list of practitioners authorized to order infirmary admission for pregnant incarcerated individuals to include nurse practitioners, certified nurse-midwives, licensed certified midwives, and physicians.

REQUIREMENT

Amended the requirements for guardianship petitions to include certified nurse-midwives and licensed certified midwives as eligible healthcare professionals who can provide competency certificates.

Floor votes · Senate Mar 3, 2026 · House of Delegates Mar 20, 2026

How they voted

470
Passed · 2 other
Total votes 49
Mar 3, 2026
D Democratic36
34 Yea 2
94% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
15
Key actions
10
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 222
executive
Apr 8, 2026
Upper · Passed
Returned Passed
upper
Apr 7, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 20, 2026
Committee
Referred Health
lower
Mar 20, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (137-0-5)
house of delegates
Mar 19, 2026
Upper · Passed
Third Reading Passed
upper
Mar 17, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 16, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 3, 2026
Senate · Passed
Senate Vote: pass (47-0-2)
senate
Jan 22, 2026
Committee
First Reading Finance
upper
3 primary · 0 co-sponsors

Sponsors