HB 1244 Maryland House of Delegates · 2025 Regular Session

Maryland Developmental Disabilities Administration Waiver Advisory Council - Establishment

HB 1244 establishes the Maryland Developmental Disabilities Administration Waiver Advisory Council to advise the Developmental Disabilities Administration on Medicaid waiver programs. The council provides recommendations on system design, service delivery, and quality improvements, prioritizing input from individuals with lived experience in these programs. It requires 18 voting members with direct experience in waiver programs (including self-directed and traditional models), plus representatives from providers, advocacy groups, and state agencies like Health, Disabilities, and Human Services. The council must operate using person-centered, equitable, and data-driven approaches to enhance services for Medicaid waiver participants.

Issues: ✓ Healthcare

Sub-Topics: Medicaid

Bill status signed all 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Apr 2025

Signed into Law

May 2025

Introduced Feb 7, 2025 Signed May 20, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Third - Maryland Developmental Disabilities Administration Waiver Advisory Council - Establishment → Enrolled - Maryland Developmental Disabilities Administration Waiver Advisory Council - Establishment · 4 edits · May 20, 2025

MODERATE

The bill was finalized as an Enrolled Bill and moved to the Governor for signature. The substantive policy content regarding the council's structure and duties remains largely the same, but the list of voting members was significantly expanded and reorganized to include additional family members and service providers.

Scope change

The bill's scope regarding the council's composition was expanded to include more family members and specific service providers, while the council's core purpose and duties remained unchanged.

REQUIREMENT

The number of voting members with lived experience was increased from 18 to 20, and the total number of voting members was expanded from 20 to 26 by adding new categories such as a support broker and representatives from Service Coordination, Inc.

The list of non-voting members was expanded from 7 categories to 8 categories, adding a representative from the Office of Health Care Quality and the Maryland Long Term Services and Support System Program Management Office.

The specific roles of voting members were adjusted; for example, the requirement for 'Coordination of Community Services Providers' was changed to 'Two Coordination of Community Services Providers,' and the role of the 'Self-Directed Advocacy Network of Maryland' was removed.

TECHNICAL

The document was updated to reflect its final status as an Enrolled Bill, including the addition of the Great Seal, Governor's approval lines, and the Speaker's signature block.

Floor votes · Senate Mar 23, 2025 · House of Delegates Mar 24, 2025

How they voted

45–0

Passed · 1 other

Total votes 46

Mar 23, 2025

D Democratic33

32 Yea 1

96% Yea

R Republican13

13 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 20, 2025

Signed into law

Approved by the Governor - Chapter 756

executive

Apr 7, 2025

Lower · Passed

Passed Enrolled

lower

Apr 7, 2025

Lower · Passed

Third Reading Passed

lower

Apr 7, 2025

Lower · Passed

Conference Committee Report {

lower

Apr 7, 2025

Upper · Passed

Senate Conference Committee Appointed (Senators Hayes, Kramer and Ready)

upper

Apr 7, 2025

Upper · Passed

House Conference Committee Appointed (Delegates Bagnall, Hutchinson and Martinez)

upper

Apr 7, 2025

Introduced

House Refuses Concur Senate Amendments

upper

Apr 5, 2025

Lower · Passed

House Conference Committee Appointed (Delegates Bagnall, Hutchinson and Martinez)

lower

Apr 5, 2025

Introduced

House Refuses Concur Senate Amendments

lower

Apr 3, 2025

Upper · Passed

Third Reading Passed

upper

Apr 3, 2025

Upper · Passed

Favorable with Amendments {

upper

Apr 3, 2025

Upper · Passed

Favorable with Amendments Report by Finance

upper

Mar 24, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (138-1-1)

house of delegates

Mar 23, 2025

Senate · Passed

Senate Vote: pass (45-0-1)

senate

Mar 17, 2025

Committee

Referred Finance

upper

Mar 14, 2025

Lower · Passed

Third Reading Passed

lower

Mar 13, 2025

Lower · Passed

Favorable with Amendments {

lower

Mar 13, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Feb 7, 2025

Committee

First Reading Health and Government Operations

lower

23 primary · 0 co-sponsors