Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 444: Certificate of Need - Intermediate Health Care Facilities

SB 444 repeals an exemption that previously allowed intermediate care facilities offering substance use disorder treatment to change bed capacity without a certificate of need. It creates a new exemption for facilities providing *medically managed residential substance use disorder treatment services*, removing the requirement for a certificate of need if they submit 45 days' written notice to the Commission and the Commission determines the change aligns with the state health plan, improves service efficiency, and serves the public interest. This bill directly affects intermediate care facilities focused on substance use disorder treatment by reducing regulatory barriers for expanding bed capacity or establishing new facilities. The key mechanism is replacing a certificate of need with a streamlined notice-and-review process administered by the Commission. (SB 444, "Certificate of Need - Intermediate Health Care Facilities," 2026)

Topics ✓ HealthcareSupports HealthcareRemoves CON requirement for substance use disorder treatment facilities, improving access to mental health services by streamlining expansion processes.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

passed · Maryland · Senate Apr 13, 2026

SB 790: Public Health Reform Act

SB 790, the Public Health Reform Act, requires the Maryland Department of Health to organize the Maryland Medical Reserve Corps - a statewide volunteer network for emergencies like disease outbreaks or disasters. It allows county health directors to hire staff without state approval if positions are fully funded locally and to enter contracts if the state fails to respond within a set timeframe. The bill creates the Public Health Workforce Development Fund (using interest earnings and transfers from another fund) to support workforce training, and mandates health equity impact assessments for new legislation. These changes directly affect county health departments, state health agencies, and public health emergency response systems.

Topics ✓ HealthcareSupports HealthcareCreates Medical Reserve Corps for emergencies, grants county hiring flexibility for local health staff, and establishes Public Health Workforce Development Fund to strengthen public health infrastructure and response capacity.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Maryland · Senate Apr 13, 2026

SB 551: Health Insurance - Ovarian Cancer Prevention With Salpingectomy - Required Coverage and Prohibited Cost Sharing

This bill requires health insurers and health plans in Maryland to cover salpingectomy (surgery to remove fallopian tubes) specifically for ovarian cancer prevention as a standard benefit, with no out-of-pocket costs like copays or deductibles for patients. It applies to all health insurance policies issued in Maryland after January 1, 2027, directly affecting women who might choose this preventive surgery and the insurers providing coverage. The key provision bans cost-sharing for this procedure, except when an individual is enrolled in a high-deductible health plan meeting federal criteria. This ensures access to a proven preventive measure without financial barriers for most patients.

Topics ✓ HealthcareSupports HealthcareMandates full insurance coverage for ovarian cancer prevention surgery, eliminating patient cost-sharing and expanding access to preventive care.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Maryland · Senate Apr 13, 2026

SB 504: Data Privacy - Consumer Data, Public Records, and Message Switching System (Data Privacy Act)

SB 504 prohibits businesses from selling consumer personal data to buyers who intend to use it for immigration enforcement. It defines "sensitive data" to include immigration status, racial origin, health information, and sexual orientation, requiring businesses to handle such data more carefully. The bill also mandates public record custodians to prevent unauthorized disclosure - especially for immigration enforcement - and requires message switching systems to implement access controls. These changes aim to strengthen privacy protections for Maryland residents while modifying existing data privacy laws in the state code.

Topics ✓ HealthcareSupports HealthcareBill explicitly classifies health information as 'sensitive data' requiring careful handling, protecting patient privacy through data safeguards without restricting healthcare access or funding.85% confidence ✓ ImmigrationSupports ImmigrationProhibits selling immigration status data to enforcement agencies, limiting federal cooperation and protecting immigrant privacy per bill's data handling requirements.90% confidence ✓ TechnologySupports TechnologyProhibits selling sensitive consumer data for immigration enforcement, defines sensitive data categories, mandates stricter handling and access controls - directly strengthens data privacy protections in technology policy.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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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 Yes ✓ Supports 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 Yes ✓ Supports Healthcare

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passed both · Maryland · Senate Apr 13, 2026

SB 489: Health Occupations - Physicians Trained in Foreign Countries - Exemption From Educational Requirements and Limited License

SB 489 modifies Maryland's licensing rules for physicians trained at international medical schools. It exempts applicants who provide evidence of completing two years of postgraduate training accredited by ACGME-I or another board-recognized body from standard educational requirements. These physicians would be permitted to practice medicine only during their initial license term under mandatory supervision, as specified by the Board. The bill takes effect October 1, 2026, directly affecting international medical graduates meeting these specific training criteria.

Topics ✓ HealthcareSupports HealthcareExempts international medical graduates from standard licensing requirements, enabling supervised practice to expand physician access and address healthcare workforce shortages.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Maryland · Senate Apr 11, 2026

SB 900: Noncompete and Conflict of Interest Clauses - Licensed Architects - Employer Workforce Relocation and Out-of-State Employers

This Maryland bill expands protections against noncompete and conflict of interest clauses by applying existing restrictions to employees of companies that move their majority of workers or headquarters out of the state. The law makes such restrictive clauses automatically unenforceable for workers earning at or below 150% of the state minimum wage, those in licensed health occupations, and direct patient care roles earning up to $350,000 annually. For higher-paid health care workers, the bill maintains current limits by capping noncompete agreements to one year and restricting geographic restrictions to within 10 miles of their primary workplace. Employers of these health care employees must also notify patients if a former employee relocates to a new practice location. The changes apply only to employment contracts signed on or after October 1, 2026.

Topics ✓ HealthcareSupports HealthcareBill protects healthcare workers from restrictive noncompete clauses, improving job mobility and access to care.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill strengthens worker protections by invalidating noncompete clauses for low-wage and healthcare workers, advancing labor rights.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed both · Maryland · Senate Apr 10, 2026

SB 515: Health Services Cost Review Commission - Health Facilities - Rate Setting

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.

Topics ✓ HealthcareSupports HealthcareMandates Commission to include all operational costs (including physician expenses) in hospital rate setting, ensuring facilities cover full costs without service reductions, strengthening sustainable healthcare funding under Maryland's all-payer ...85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · Maryland · Senate Apr 10, 2026

SB 433: Family Law - Temporary and Final Protective Orders - Duration

SB 433 extends the timeframe for temporary protective orders in Maryland from 7 to 14 days after service and requires final protective order hearings to occur within 14 days of service, rather than 7 days. It also adds new provisions allowing judges to order respondents to pay specific costs incurred due to abuse, including medical/dental care, property repairs, shelter, transportation, court fees, and attorney fees. The bill clarifies that monetary awards under these provisions do not prevent petitioners from seeking additional compensation later for unawarded expenses. This directly affects individuals seeking protection from abuse (petitioners) and those accused of abuse (respondents) in family law cases. The changes take effect October 1, 2026.

Topics ✓ Criminal JusticeSupports Criminal JusticeBill extends protective order timelines and mandates cost recovery for victims (medical, legal, etc.), enhancing victim protection and accountability in domestic violence cases, a key criminal justice reform area.95% confidence ✓ HealthcareSupports HealthcareBill explicitly includes medical/dental care costs as recoverable expenses in protective orders, improving access to healthcare services for victims of abuse.75% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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