Healthcare

HB 498 removes an existing exemption that allowed intermediate care facilities providing substance use disorder treatment to change bed capacity without a certificate of need. It specifically targets facilities offering "medically managed residential substance use disorder treatment services," requiring them to file 45 days' written notice with the health commission before operating or expanding. The commission must then review and approve these changes based on whether they align with the state health plan, improve service efficiency, and serve the public interest. This bill directly affects facilities providing residential substance use treatment by adding a review process for bed capacity changes or new operations, replacing the previous exemption.

HB 598 creates a temporary license for internationally trained physicians to practice medicine in Maryland under specific conditions. It allows the State Board of Physicians to issue a 3-year license (non-renewable) to doctors who hold a WHO-recognized medical degree outside the U.S., completed 2 years of equivalent postgraduate training, practiced medicine for 5 of the last 7 years abroad, passed U.S. medical exams (USMLE Steps 1-3), and meet other criteria like English proficiency and Maryland residency. The license requires physicians to pursue full licensure through board-established pathways after the temporary period ends. This directly affects internationally trained doctors seeking to work in Maryland’s healthcare system, providing a structured but limited pathway to practice.

HB 1108 grants collective bargaining rights to workers in Maryland greenhouses (controlled-environment agricultural operations), allowing them to form unions and negotiate wages, hours, and working conditions with employers. The bill requires the state Labor Secretary to establish regulations for union elections, certification, and resolving bargaining disputes, while mandating greenhouse employers to provide rest breaks during extreme heat to prevent heat-related illness. This law directly affects greenhouse workers and their employers, creating a formal process for union representation and heat protection. It amends Maryland's labor code to include these specific protections for greenhouse workers, who previously lacked these rights under state law.

HB 599 requires hospitals seeking a new license or undergoing ownership changes after October 1, 2026, to be federally recognized nonprofit organizations registered with the state. Specifically, it mandates that hospitals qualifying for licensure on or after that date must operate as nonprofits under federal law and maintain that status as a condition of their license. The bill also prohibits transferring ownership of any licensed hospital after October 1, 2026, to any entity other than another nonprofit organization. This directly affects hospitals seeking new licenses, renewing licenses, or changing ownership in Maryland after the effective date.