SB 742 Maryland Senate · 2026 Regular Session

Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act)

SB 742, the "Maryland Protecting People With Disabilities Act," modifies Maryland’s Medicaid eligibility processes to better protect individuals with disabilities who receive home- and community-based services. It extends the appeal timeframe for those losing eligibility and requires services to continue uninterrupted during appeals, preventing administrative errors from causing abrupt service loss. The bill prohibits "procedural disenrollment" (terminating coverage due to renewal process issues) and mandates the Department of Health to reserve waiver slots for people who lost eligibility unfairly. These changes align with the Olmstead decision, ensuring individuals can remain in community settings without unnecessary bureaucratic barriers. The bill directly affects Maryland Medicaid recipients with disabilities who rely on home- and community-based services.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 6, 2026 Signed Apr 28, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

Third - Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act) Enrolled - Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act) · 3 edits · Apr 28, 2026
MINOR
The bill has transitioned from a draft Senate version to an enrolled, final version ready for the Governor's signature. The text was reorganized to follow standard legislative formatting, moving the explanatory preamble and specific legal sections into a structured sequence. While the core policy regarding Medicaid eligibility appeals and service continuity remains consistent, the final version clarifies the bill's intent to prevent procedural terminations that could disrupt care for individuals with disabilities.
Scope change
The scope of the bill's applicability remains unchanged; it continues to apply to the Maryland Medical Assistance Program and the Developmental Disabilities Administration.
TECHNICAL

The document structure was updated to reflect the bill's final status as an 'Enrolled Bill,' including placeholders for the Governor's approval date and the official Chapter number.

The order of the 'Whereas' clauses in the preamble was rearranged to improve logical flow, placing the Olmstead decision context before the specific barriers to care.

The list of repealed and reenacted statutes was reordered to group related sections together, clarifying the specific legal sections being amended.

Floor votes · Senate Mar 26, 2026 · House of Delegates Mar 26, 2026

How they voted

490
Passed
Total votes 49
Mar 26, 2026
D Democratic36
36 Yea
100% Yea
R Republican13
13 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
18
Key actions
11
Committee
6
Amendments
1
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 175
executive
Apr 13, 2026
Upper · Passed
Passed Enrolled
upper
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 13, 2026
Introduced
Senate Concurs House Amendments
upper
Apr 10, 2026
Lower · Passed
Third Reading Passed
lower
Apr 8, 2026
Lower · Passed
Motion Special Order until 04/09 (Delegate Bagnall) Adopted
lower
Apr 8, 2026
Lower · Passed
Favorable with Amendments {
lower
Apr 8, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 26, 2026
Senate · Passed
Senate Vote: pass (49-0)
senate
Mar 24, 2026
Committee
Referred Health
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
Feb 6, 2026
Committee
First Reading Finance
upper
2 primary · 0 co-sponsors

Sponsors