Healthcare

signed · Maryland · House of Delegates Apr 28, 2026

HB 1367: Commission on Re-Imagining Health Care in Maryland

HB 1367 establishes a Commission on Re-Imagining Health Care in Maryland to study and recommend changes for a new statewide healthcare system. The commission, composed of 20 appointed members including state officials, healthcare providers, insurers, county representatives, and community members, will examine how healthcare is delivered in other regions and address issues like provider shortages, cost balancing, and system integration. It will specifically study how to create a patient-centered system covering all health needs, eliminate access barriers, and ensure financial sustainability for all Maryland residents. The commission’s final recommendations, due by 2028, would guide potential future policy changes but do not enact any immediate healthcare reforms.

Topics ✓ HealthcareSupports HealthcareEstablishes commission to study and recommend improvements to statewide healthcare system, addressing provider shortages and cost balancing for patient-centered care.90% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · House of Delegates Apr 28, 2026

HB 1533: Public Health - Cosmetic Products - Enforcement and Penalties for Prohibited Ingredients (Crown and Care Act - Protecting Communities from Harmful Hair Chemicals)

HB 1533 (the Crown and Care Act) bans 12 specific harmful ingredients - including certain phthalates, formaldehyde, mercury, and PFAS chemicals - from cosmetic products sold in Maryland. It directly affects cosmetic manufacturers, retailers, and salons by prohibiting the sale or distribution of products containing these ingredients, with limited exceptions for unavoidable trace amounts from manufacturing processes. The bill authorizes the Maryland Department of Health to investigate complaints, inspect businesses, and enforce penalties, while allowing consumers harmed by violations to seek civil damages and attorney fees. This law aims to protect public health by reducing exposure to chemicals linked to health risks like skin irritation and potential long-term harm.

Topics ✓ EnvironmentSupports EnvironmentBans PFAS and other environmental pollutants (known to contaminate water/soil) from cosmetics, reducing chemical pollution in ecosystems per bill's prohibition of harmful ingredients.85% confidence ✓ HealthcareSupports HealthcareBans harmful cosmetic chemicals (phthalates, formaldehyde, etc.) to prevent health risks, directly protecting public health through regulatory enforcement by MD Dept of Health.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 656: Public Health - Cosmetic Products - Enforcement and Penalties for Prohibited Ingredients (Crown and Care Act - Protecting Communities from Harmful Hair Chemicals)

SB 656 bans 12 specific harmful chemicals in cosmetics sold in Maryland, including formaldehyde, mercury, and certain PFAS chemicals. It creates civil liability for manufacturers or sellers who violate this ban, allowing consumers to sue for damages. The Maryland Department of Health gains authority to investigate complaints, inspect businesses, and collect product samples. The law exempts trace amounts of banned ingredients that occur unavoidably during manufacturing. The bill takes effect July 1, 2026.

Topics ✓ EnvironmentSupports EnvironmentBans PFAS and toxic chemicals (pollution sources) in cosmetics, reducing environmental contamination and strengthening regulatory controls.95% confidence ✓ HealthcareSupports HealthcareBans harmful cosmetic chemicals (formaldehyde, mercury, PFAS) to prevent health risks, directly advancing public health protection under healthcare policies.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 773: Health Occupations - Pharmacists - Vaccination Orders

SB 773 allows pharmacists in Maryland to order certain vaccinations (like flu, COVID-19, or emergency vaccines) for patients aged 3 and older without needing to administer the vaccine themselves. To qualify, pharmacists must complete 20 hours of approved training, hold current CPR certification, and complete 2 hours of continuing education on immunizations. The bill requires pharmacists to follow written vaccine-specific protocols, report all vaccinations to Maryland’s ImmuNet registry, and refer pediatric patients to primary care providers when appropriate. This policy directly affects pharmacists, patients seeking these vaccines, and healthcare coordination for immunizations. The changes take effect October 1, 2026.

Topics ✓ HealthcareSupports HealthcareExpands pharmacist authority to order vaccinations, improving patient access to immunizations without physician referral while maintaining safety protocols.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 412: Maryland Department of Health - Forensic Review Boards and Community Forensic Aftercare Program

SB 412 establishes Maryland’s Community Forensic Aftercare Program within the Maryland Department of Health. The program monitors two groups: individuals committed to the health department due to being "not criminally responsible" (often called "not guilty by reason of insanity" cases), and people with mental illness or intellectual disability requiring community monitoring under specific legal circumstances. Key mechanisms include creating a community monitoring board to decide on conditional release and out-of-state travel, and requiring licensed social workers ("Program Monitors") to track compliance with court orders and make health recommendations. The bill amends Maryland’s Criminal Procedure and Health codes to implement this program, focusing on safety and structured oversight for these individuals.

Topics ✓ Criminal JusticeSupports Criminal JusticeEstablishes community monitoring program for mental health cases to improve rehabilitation and reduce recidivism, aligning with criminal justice reform indicators.85% confidence ✓ HealthcareSupports HealthcareEstablishes mental health aftercare program under health department, supporting community monitoring for mental illness cases per bill's focus on forensic mental health services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · Senate Apr 28, 2026

SB 411: Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)

SB 411 requires non-state hospitals in Maryland to establish clinical staffing committees with equal representation from management and frontline staff, including nurses, technicians, and other caregivers. These committees must develop evidence-based staffing plans considering patient acuity, staffing gaps, and daily patient needs, which hospitals must implement starting January 1, 2028. Hospitals must annually review these plans, publicly post staffing data on units, and submit annual reports to the Maryland Health Care Commission beginning in 2030. The bill directly affects hospital operations, staffing decisions, and transparency for frontline workers and patients.

Topics ✓ HealthcareSupports HealthcareRequires hospitals to establish staffing committees and develop evidence-based plans addressing patient acuity and staffing gaps, directly improving patient safety and care quality per healthcare policy indicators.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentRequires equal frontline staff representation in staffing committees, directly strengthening worker input on workplace safety and staffing conditions per bill's evidence-based plan mandate.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · House of Delegates Apr 28, 2026

HB 624: Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)

HB 624 (Safe Staffing Act of 2026) requires most Maryland hospitals to establish clinical staffing committees with equal management and employee representation, including specific frontline staff like nursing assistants and dietary aides. These committees must develop annual staffing plans considering patient acuity, staffing gaps, and evidence-based standards, then post the plans publicly and update them yearly. Hospitals must implement these plans starting in 2028, allow staff to file complaints about violations, and report annually to the Maryland Health Care Commission beginning in 2030. The law directly affects licensed hospitals and frontline healthcare workers by mandating structured, transparent staffing processes to address patient care needs.

Topics ✓ HealthcareSupports HealthcareMandates hospital staffing committees and evidence-based plans to improve patient safety and care quality, advancing healthcare standards95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates equal employee-management representation in staffing committees, requires evidence-based staffing plans addressing patient acuity, and protects worker complaint mechanisms - directly advancing workplace safety and employment standards for...95% confidence | Rep's Stance ✗ Voted No ✗ Opposes Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 280: Health Insurance - Mental Health and Substance Use Disorders - Codification of Federal Requirements

HB 280 codifies Maryland’s health insurance requirements for mental health and substance use disorder coverage to align with federal parity laws. It requires health insurers to collect and report data on access to these services, explain differences in coverage rules, and comply with federal standards for equal treatment. The Maryland Insurance Commissioner will review insurer reports and address noncompliance. This bill directly affects health insurance companies and their policyholders seeking mental health or substance use disorder care.

Topics ✓ HealthcareSupports HealthcareCodifies federal parity laws for mental health/substance use coverage, requiring insurers to comply with equal treatment standards and report data, strengthening patient access to services.95% confidence | Rep's Stance ✗ Voted No ✗ Opposes 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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