Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 498: Certificate of Need - Intermediate Health Care Facilities

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.

Topics ✗ HealthcareOpposes HealthcareBill adds regulatory requirement for capacity changes in substance use treatment facilities, creating barriers to expansion that may limit patient access to services.85% confidence | Rep's Stance ✓ Voted Yes ✗ Opposes Healthcare

passed both · Maryland · Senate Apr 13, 2026

SB 866: Public Health - Chain Restaurants - Disclosure and Notice to Customers of Sodium and Added Sugars

SB 866 requires chain restaurants with 20 or more locations in Maryland to display warning icons next to menu items exceeding 1,150mg sodium or 25mg added sugars per serving, starting January 1, 2028. The Maryland Department of Health must create these icons and guidelines by January 1, 2027, and run a public education campaign during 2027 to explain compliance. The bill directly affects large chain restaurants by mandating clear labeling of high-sodium and high-sugar menu items. It defines "high sodium" as 1,150mg per serving and "high added sugars" as 25mg per serving for labeling purposes.

Topics ✓ HealthcareSupports HealthcareMandates clear labeling of high-sodium/high-sugar menu items to promote informed dietary choices and prevent diet-related health issues, aligning with public health initiatives.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Apr 13, 2026

HB 494: Health Insurance - Primary Care Investment Targets - Reimbursement and Reporting

HB 494 requires health insurance companies, nonprofit health service plans, and health maintenance organizations (HMOs) operating in Maryland to structure their reimbursements to primary care providers in a way that meets annual investment targets set by the state. Starting February 1, 2026, these entities must report their progress toward meeting these targets when filing new or updated premium rates with the Maryland Insurance Commissioner. The bill amends insurance code sections to mandate this reporting requirement as part of premium rate filings. It takes effect October 1, 2026, focusing on transparency and accountability for primary care funding.

Topics ✓ HealthcareSupports HealthcareMandates higher insurer reimbursements for primary care to meet state investment targets, improving provider access and funding for essential health services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed both · Maryland · Senate Apr 13, 2026

SB 348: Hospitals and Freestanding Birthing Centers - High-Risk Pregnancies - Communication After Discharge

SB 348 requires hospitals and freestanding birthing centers in Maryland to provide specific postpartum support to individuals who have experienced high-risk pregnancies. It mandates that facilities complete referral forms for local health departments, provide resources about postpartum complications (including cardiovascular conditions, chronic disease, substance misuse, and mental health), and call birthing parents 24 to 72 hours after discharge to assess their status. The bill also requires annual reports from health departments detailing referrals made through this process. These provisions apply to all facilities delivering newborns following high-risk pregnancies and take effect October 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates postpartum support, mental health resources, and follow-up calls for high-risk pregnancies - expands patient access and protection in healthcare services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Apr 13, 2026

HB 598: Physicians - Licensing - Internationally Trained Physicians and Licensed Physicians Residing in Other Jurisdictions

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.

Topics ✓ HealthcareSupports HealthcareCreates temporary licensing pathway for internationally trained physicians, expanding provider access and addressing healthcare workforce shortages in Maryland.90% confidence ✓ ImmigrationSupports ImmigrationBill enables internationally trained physicians (often immigrants) to practice medicine in Maryland, facilitating professional integration and providing healthcare services to immigrant communities.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed both · Maryland · House of Delegates Apr 9, 2026

HB 813: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization

HB 813 authorizes Maryland's Medicaid program (Maryland Medical Assistance Program) to cover comprehensive obesity treatment, including intensive behavioral therapy, bariatric surgery, and FDA-approved weight management medications, starting January 1, 2027. The bill requires the Maryland Department of Health to notify Medicaid recipients if it chooses to provide this coverage and mandates a report to the legislature by November 1, 2027, on implementation progress. This directly affects Medicaid recipients with obesity by expanding covered treatments beyond current scope. The program may use standard utilization management processes (like for other conditions) to assess medical necessity but is not required to offer the coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesAuthorizes Medicaid expansion for obesity treatment, requiring state budget allocation for new coverage starting 2027, aligning with funding essential health programs.95% confidence ✓ HealthcareSupports HealthcareBill authorizes Medicaid coverage for obesity treatment (behavioral therapy, surgery, medications), expanding healthcare access and funding for a critical health condition.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Mar 25, 2026

HB 989: State Assistance for the Elderly - Study on Calculation of Income

HB 989 modifies how income is calculated for elderly individuals seeking state assistance. It prohibits including rental income from a portion of an individual's primary residence (e.g., renting a room) when determining eligibility for state tax credits, housing assistance, or medical assistance programs. The Department of Aging must review all relevant programs to confirm applicability and notify administering agencies if the rule applies. This change directly affects elderly Marylanders who rely on state assistance programs with income-based eligibility requirements. The law takes effect July 1, 2026.

Topics ✓ Budget & TaxesSupports Budget & TaxesExcludes rental income from eligibility calculations for state assistance programs, expanding access to benefits without increasing taxes, directly supporting elderly fiscal assistance programs.90% confidence ✓ HealthcareSupports HealthcareExcludes rental income from income calculation for medical assistance eligibility, expanding access to healthcare for elderly residents.90% confidence ✓ HousingSupports HousingExcludes rental income from primary residence for housing assistance eligibility, increasing access to programs for elderly residents without reducing benefits.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Mar 25, 2026

HB 921: Juvenile Law - Confinement and Restrictive Housing - Limitations

HB 921 limits when minors in Maryland juvenile facilities can be placed in restrictive housing (isolation or special confinement). It prohibits using restrictive housing for discipline, punishment, or staff convenience, and requires facilities to use it only for immediate safety risks (like harm to self/others or facility security) for the shortest time possible (max 6 hours). Minors can request restrictive housing or withdraw that request at any time, and facilities must provide mental health screenings within 1 hour of placement. The bill also mandates that minors in restrictive housing receive the same access to phone calls, visits, medical care, education, and recreation as other minors, unless safety is at risk.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill restricts punitive use of juvenile solitary confinement, mandates safety justification, limits duration, and prioritizes mental health - core criminal justice reform principles reducing unnecessary confinement.95% confidence ✓ HealthcareSupports HealthcareMandates mental health services during restrictive housing for minors, directly supporting mental health care access in juvenile facilities per bill's requirements.92% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Mar 25, 2026

HB 1617: Public Health - Health Innovation Zones - Establishment

HB 1617 establishes "Health Innovation Zones" in Maryland counties to address health disparities. It defines zones as areas with documented health gaps (like high maternal complications, chronic diseases, or low access to care) in communities of color, low-income areas, or immigrant populations. Counties must create incentives for grocery stores, pharmacies, and healthcare providers to locate in these zones, and Prince George’s County must designate specific zones (including the Blue Line Corridor and areas near DC) while seeking additional zones meeting the same criteria. The bill requires annual $5 million state funding starting in 2028 for the Maryland Economic Development Corporation to support these businesses and exempts them from local zoning laws within designated zones.

Topics ✓ HealthcareSupports HealthcareEstablishes Health Innovation Zones to incentivize healthcare providers in underserved areas, directly improving access and addressing health disparities per bill summary.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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passed · Maryland · House of Delegates Mar 23, 2026

HB 1143: Public Health - Office of the Chief Medical Examiner - Perinatal Autopsies (Lung Float Test Ban)

HB 1143 bans the use of the "lung float test" (a hydrostatic lung test) during perinatal autopsies in Maryland. It directly affects the Chief Medical Examiner, deputy examiners, assistant examiners, and authorized pathologists when determining if a death was a stillbirth or occurred after a live birth. The bill prohibits this specific test method and allows parents, guardians, or legal representatives to file a civil lawsuit if the test is used unlawfully. Violations also become grounds for disciplinary action against medical examiners.

Topics ✓ HealthcareSupports HealthcareBans lung float test in perinatal autopsies, protecting parental rights and preventing unnecessary medical procedures per healthcare patient rights indicators.85% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

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