SB 340 Maryland Senate · 2026 Regular Session

Office of the Long-Term Care Ombudsman - Mandatory Appropriation

SB 340 requires the Governor to allocate at least 3% of funds collected from nursing facilities' Medicaid quality assessments toward the Office of the Long-Term Care Ombudsman's operations in the state budget. It directly affects nursing facilities with 45 or more beds operating in Maryland, which must pay the quality assessment. The bill mandates that these funds - collected quarterly based on non-Medicare patient days - must be used solely for the Ombudsman office, with no reduction to existing funding for this purpose. This creates a dedicated, ongoing funding source to support the Ombudsman's role in investigating resident complaints and advocating for long-term care rights.
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
May 2026
Introduced Jan 23, 2026 Signed May 26, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Nursing Facilities - Medicaid Quality Assessment - Funding of Office of the Long-Term Care Ombudsman Third - Office of the Long-Term Care Ombudsman - Mandatory Appropriation · 3 edits
MINOR
The bill was amended to clarify that funds collected from nursing facilities must be used to fund the Office of the Long-Term Care Ombudsman, rather than being restricted solely to Medicaid reimbursements. The text also updated the bill's title to include 'Mandatory Appropriation' and changed the funding source description to include money from managed care organizations and general funds in addition to nursing facility assessments.
Scope change
The scope of fund usage was expanded; the special fund is no longer limited to reimbursing nursing facilities but must now support the Ombudsman's operations.
FISCAL

Revised the purpose of the special fund to mandate that at least 3% of collected funds be used for the Office of the Long-Term Care Ombudsman, removing the previous restriction that funds could only be used for Medicaid reimbursements.

SCOPE

Updated the description of funding sources to explicitly include money remitted by managed care organizations and general funds alongside nursing facility assessments.

TECHNICAL

Changed the bill title and header information to reflect the new mandatory appropriation status and updated the committee report status to 'Favorable with amendments'.

Floor votes · Senate Mar 7, 2026 · House of Delegates Apr 1, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 7, 2026
D Democratic36
32 Yea 4
88% Yea
R Republican13
12 Yea 1
92% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 761
executive
Apr 13, 2026
Upper · Passed
Returned Passed
upper
Apr 13, 2026
Lower · Passed
Third Reading Passed
lower
Apr 9, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 9, 2026
Lower · Passed
Favorable Report by Appropriations
lower
Apr 1, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (123-1-18)
house of delegates
Mar 24, 2026
Committee
Referred Appropriations
lower
Mar 23, 2026
Upper · Passed
Third Reading Passed
upper
Mar 23, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 23, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 7, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Jan 23, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Shelly Hettleman
Shelly Hettleman
DDemocratic
MD
11