Workers' Compensation - Occupational Disease Presumptions - Hypertension
SB 90 adds hypertension to Maryland's list of occupational diseases presumed to be work-related for specific emergency responders. It makes firefighters, fire fighting instructors, rescue squad members, advanced life support unit members, and State Fire Marshal personnel eligible for workers' compensation benefits if they have hypertension diagnosed by a provider, experience it for at least 90 consecutive days, have at least 2 years of cumulative service in those roles, and are currently employed in those positions. This creates a legal presumption that the hypertension is work-related, eliminating the need to prove direct causation, while clarifying that individuals cannot receive both workers' compensation and disability retirement benefits for the same hypertension condition. The bill takes effect October 1, 2026.
Bill status
passed
3 of 5 stages cleared
Introduction
Sep 2025
Committee Review
Apr 2026
Senate Passage
Mar 2026
House of Delegates Passage
Governor
Introduced Sep 24, 2025
Last action Apr 8, 2026
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First - Workers' Compensation - Occupational Disease Presumptions - Hypertension
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Third - Workers' Compensation - Occupational Disease Presumptions - Hypertension
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4 edits
MODERATE
This bill amends the state's workers' compensation law to update the eligibility criteria for firefighters claiming hypertension as an occupational disease. The primary change removes a requirement for volunteers to have passed a physical exam before joining, while simultaneously adding a new requirement that all claimants must be currently employed as a firefighter at the time of filing the claim. Additionally, the bill adds Senator A. Washington to the list of sponsors and includes procedural updates regarding the bill's adoption.
Scope change
The scope of the hypertension presumption for volunteers was expanded by removing the physical exam requirement, but the overall applicability was narrowed by adding a current employment requirement for all claimants.
ELIGIBILITY
Removed the requirement that volunteer firefighters must have met a suitable standard of physical examination before becoming a firefighter to qualify for hypertension presumptions.
Added a requirement that the individual must be currently employed as a paid firefighter or sworn member of the State Fire Marshal at the time of the claim application.
Reordered the list of eligibility criteria to place the service duration requirement before the current employment requirement.
TECHNICAL
Added Senator A. Washington to the list of bill sponsors and updated the committee report and adoption status.
Floor votes · Senate Mar 3, 2026
How they voted
47–0
Passed · 2 other
Total votes 49
Mar 3, 2026
D
Democratic36
94% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
11
Key actions
6
Committee
6
Apr 8, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 8, 2026
Lower · Passed
Favorable Report by Economic Matters
lower
Mar 20, 2026
Committee
Referred Economic Matters
lower
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 14, 2026
Committee
First Reading Finance
upper
Sep 24, 2025
Introduced
Pre-filed
upper
10 primary · 0 co-sponsors
Sponsors
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