HB 1249 Maryland House of Delegates · 2026 Regular Session

Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition

HB 1249 prohibits certified recovery residences in Maryland from refusing services to individuals receiving medication-assisted treatment (MAT) for opioid use disorder or requiring them to stop or change their MAT as a condition for housing. The bill amends certification standards for recovery residences (which provide non-clinical housing for people with substance use disorders) to ensure credentialing entities cannot allow such discrimination. It directly affects certified recovery residences and individuals using MAT for opioid addiction, requiring certification rules to explicitly ban these practices. The law takes effect October 1, 2026, and applies only to opioid use disorder treatment under MAT.
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
May 2026
Introduced Feb 12, 2026 Signed May 26, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition Third - Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition · 4 edits
MODERATE
This bill was formally adopted and assigned a chapter number after passing the House, with no substantive changes to the text of the law itself. The core policy remains a prohibition on recovery residences refusing services to individuals receiving medication-assisted treatment for opioid use disorder.
TECHNICAL

Added procedural metadata including a favorable committee report, adoption status, and a second reading date.

Replaced the title 'A BILL ENTITLED' with 'CHAPTER ______' to indicate the bill has been enacted into law.

Added signature lines for the Governor, Speaker of the House, and President of the Senate.

Reordered and renumbered the text of the statute to align with the existing Maryland Code structure, though the legal definitions and prohibitions remain identical.

Floor votes · Senate Mar 27, 2026 · House of Delegates Mar 10, 2026

How they voted

3810
Passed · 1 other
Total votes 49
Mar 27, 2026
D Democratic36
35 Yea 1
97% Yea
R Republican13
3 Yea 10 Nay
76% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 793
executive
Apr 13, 2026
Lower · Passed
Returned Passed
lower
Apr 13, 2026
Upper · Passed
Third Reading Passed
upper
Apr 13, 2026
Upper · Passed
Favorable Adopted
upper
Apr 13, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 27, 2026
Senate · Passed
Senate Vote: pass (38-10-1)
senate
Mar 23, 2026
Committee
Referred Finance
upper
Mar 23, 2026
Lower · Passed
Third Reading Passed
lower
Mar 21, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Mar 21, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 10, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (103-33-6)
house of delegates
Feb 12, 2026
Committee
First Reading Health
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Terri Hill
Terri Hill
DDemocratic
MD
12A