SB 515 requires Maryland's Health Services Cost Review Commission to consider all operational costs incurred by health facilities - including expenses for physicians and other providers without corresponding billing revenue - when setting hospital rates. This affects hospitals and health facilities operating under Maryland's all-payer model, as the Commission must now factor in full costs during rate reviews. The bill amends existing law to mandate that the Commission evaluate facility financial health and certify rates based on complete cost accounting, rather than excluding certain expenses. This change ensures rates more accurately reflect actual facility operations, including costs for professional services that previously weren't fully counted.
HB 1014 defines "danger to the life or safety of the individual or of others" for Maryland's mental health law, directly affecting individuals with mental disorders who might face involuntary admission. It specifies four concrete scenarios that constitute this danger: causing bodily harm, engaging in conduct leading to criminal involvement, inability to meet basic needs (food, shelter, medical care), or substantial deterioration in judgment that impairs treatment decisions. The definition requires a "substantial risk" considering the person's current condition and available history, replacing the prior standard. This change clarifies the legal threshold for involuntary hospitalization and emergency evaluations under Maryland law.
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.
This bill updates Maryland's newborn screening program by changing how fees are set and how new tests are added to the screening panel. It requires the Department of Health to charge fees that cover all administrative, laboratory, and follow-up costs rather than setting a specific maximum amount. The bill also establishes a process where an advisory council must review risks, costs, and accessibility before the department decides whether to test for new conditions added to the national screening panel. Additionally, it extends the timeline for implementing new tests to two years if equipment or supplies are delayed, with required reporting to state committees.
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.
HB 883 prohibits AI developers from making or causing AI to make claims that the AI is a behavioral health provider or can deliver behavioral health care services. It requires AI sold to Maryland consumers to include clear notices stating users are interacting with AI (not a human) and to detect suicidal thoughts or self-harm, automatically referring users to crisis services. Violations carry civil penalties up to $1 million per offense, with funds directed to Maryland’s Behavioral Health Workgroup Investment Fund. The law directly affects AI developers and sellers operating in Maryland, focusing on preventing misleading AI interactions in mental health contexts.
HB 860, the Arnaud and Magruder Memorial Act, sets a 5-day initial limit for emergency evaluation petitions after court approval, with extensions of up to 5 days each (totaling no more than 30 days) based on the individual's current behavior. The bill requires courts to include the petition's expiration date and clarifies that peace officers must transport individuals to emergency facilities when holding a valid petition (either court-endorsed within 5 days or signed by authorized professionals), allowing electronic petitions. This law directly affects courts reviewing petitions, peace officers executing them, emergency facilities receiving individuals, and people subject to emergency evaluations. It standardizes timelines and procedures to ensure timely care while preventing prolonged detention without court review.
HB 1593 requires Maryland's Deputy Secretary for Developmental Disabilities to provide public notice before changing the Self-Directed Services Manual, which governs waiver program services for individuals with developmental disabilities. The bill mandates a 90-day public comment period for proposed changes and prohibits adopting any revisions until this period ends. It directly affects individuals and families using self-directed services - where participants control their own care choices, staffing, and budget management - and ensures their input is considered before policy changes take effect. This procedural bill amends Maryland’s health code to formalize transparency and public engagement in updating the manual (effective October 1, 2026).
HB 837 requires all Maryland public and nonpublic schools with athletic programs to include a cardiovascular prescreening as part of the standard physical examination for students participating in interscholastic sports, starting in the 2026-2027 school year. This prescreening - based on family history, personal symptoms, and evidence-based guidelines - must be conducted no earlier than 90 days before the school year begins. If a positive finding occurs, healthcare providers must refer students to a cardiologist for further evaluation. Schools must report annual data on screenings and referrals to county health departments, with the Maryland Department of Health publishing public reports analyzing outcomes. The bill directly affects student athletes, schools, and healthcare providers conducting sports physicals.
HB 952 requires operators of "companion chatbots" (AI systems designed to meet social needs through human-like interactions) to establish safety protocols, including preventing harmful content like self-harm discussions and sexually explicit material for minors. Operators must publish these protocols online, display clear warnings that chatbots are AI (not human), and provide crisis resource referrals for users expressing suicidal thoughts. The bill also mandates that operators of chatbots used by minors display mandatory break reminders after 3 hours of continuous use. It excludes business customer service bots, video game features, and basic voice assistants from these requirements.
