Developmental Disabilities Services - Expedited Eligibility Determinations for Recently Relocated Individuals (Ralph's Act)
HB 1015 (Ralph's Act) ensures continuity of developmental disability services for individuals who recently moved to Maryland after losing their primary caregiver in another state. It directly affects people who received home- and community-based waiver services in another state for the past 10 years and relocated to live with immediate family following the death or incapacitation of their former caretaker. The bill requires the Maryland Department of Health to create an expedited 30-day process to determine eligibility, allows pre-residency eligibility assessments, and ensures those approved receive services through priority categories matching their prior state's support. This policy change prevents service disruptions during relocation transitions.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
House of Delegates Passage
Apr 2026
Senate Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 6, 2026
Signed Apr 28, 2026
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What changed between versions
Third - Developmental Disabilities Services - Expedited Eligibility Determinations for Recently Relocated Individuals (Ralph's Act)
→
Enrolled - Developmental Disabilities Services - Expedited Eligibility Determinations for Recently Relocated Individuals (Ralph's Act)
·
3 edits
·
Apr 28, 2026
MINOR
The bill was finalized as an enrolled law, changing its status from a draft proposal to an enacted statute. The most significant substantive change is the extension of the deadline for the Department of Health to complete eligibility determinations from 60 calendar days to 60 business days, providing a more realistic timeframe for processing applications. Additionally, the act was formally reenacted and amended to align with the official enrolled text.
Scope change
The bill's scope remains focused on expedited eligibility for recently relocated individuals with developmental disabilities, but the formal status changed from a House Bill to an Enrolled Bill ready for the Governor's signature.
TIMELINE
The deadline for completing eligibility determinations was changed from '60 days' to '60 business days,' allowing the Department of Health more time to process applications.
TECHNICAL
The document status changed from 'House Bill' to 'Enrolled Bill,' indicating the legislation has passed both chambers and is finalized for the Governor's approval.
Minor formatting and header updates were made to reflect the official enrolled status, including the addition of proofreader lines and seal presentation details.
Floor votes · Senate Mar 21, 2026 · House of Delegates Mar 24, 2026
How they voted
45–0
Passed · 4 other
Total votes 49
Mar 21, 2026
D
Democratic36
88% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
10
Committee
6
Amendments
1
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 184
executive
Apr 9, 2026
Lower · Passed
Passed Enrolled
lower
Apr 9, 2026
Introduced
House Concurs Senate Amendments
lower
Apr 9, 2026
Upper · Passed
Third Reading Passed
upper
Apr 8, 2026
Upper · Passed
Favorable with Amendments {
upper
Apr 8, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 24, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (132-0-10)
house of delegates
Mar 23, 2026
Committee
Referred Finance
upper
Mar 23, 2026
Lower · Passed
Third Reading Passed
lower
Mar 23, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 23, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 21, 2026
Senate · Passed
Senate Vote: pass (45-0-4)
senate
Feb 6, 2026
Committee
First Reading Health
lower
18 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Aaron Kaufman
DDemocratic
P
Bonnie Cullison
DDemocratic
P
Emily Shetty
DDemocratic
P
Heather Bagnall Tudball
DDemocratic
P
Jared Solomon
DDemocratic
P
Jennifer White Holland
DDemocratic
P
Kathy Szeliga
RRepublican
P
Kim Ross
DDemocratic
P
Lesley Lopez
DDemocratic
P
Matt Morgan
RRepublican
P
Nic Kipke
RRepublican
P
Pam Guzzone
DDemocratic
P
Sandy Rosenberg
DDemocratic
P
Teresa Reilly
RRepublican
P
Teresa Woorman
DDemocratic
P
Terri Hill
DDemocratic
P
Tiffany Alston
DDemocratic
P
Tom Hutchinson
RRepublican
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