HB 1483 Maryland House of Delegates · 2026 Regular Session

Clinical Professional Counseling - Out-of-State Providers - Use of Telehealth for Continuity of Care

HB 1483 repeals Maryland's requirement for out-of-state clinical counselors to obtain a temporary telehealth license. It allows licensed counselors from other states to provide telehealth counseling to clients who relocated to Maryland (or returned after relocating), for up to six months, if they already had an established client-counselor relationship before the move. This exempts these counselors from Maryland's standard licensure rules during the six-month continuity period, but only for existing clients who relocated - not for new clients. The bill does not change regular licensing requirements for ongoing practice in Maryland.

Issues: ✓ Healthcare

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 13, 2026 Signed Apr 28, 2026

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What changed between versions

Third - Clinical Professional Counseling and Social Work - Out-of-State Providers - Use of Telehealth for Continuity of Care → Enrolled - Clinical Professional Counseling - Out-of-State Providers - Use of Telehealth for Continuity of Care · 5 edits · Apr 28, 2026

MODERATE

The bill was finalized and enrolled, adding official proofreading and sealing language. Substantively, the bill was reorganized to repeal and reenact specific sections of the Health Occupations article, clarifying that the new telehealth provisions apply to clinical professional counseling while retaining existing rules for other therapy types. The eligibility criteria for out-of-state providers and the definition of a temporary telehealth license remain functionally identical to the previous draft.

Scope change

The bill's scope was technically refined by explicitly listing the repealed and reenacted sections, ensuring the telehealth continuity of care provisions apply specifically to clinical professional counseling alongside other licensed therapies.

TECHNICAL

Added 'Enrolled Bill' status, proofreader signatures, and Great Seal presentation language to reflect the bill's final passage.

Reorganized the bill text to explicitly repeal and reenact specific code sections rather than presenting them as a continuous amendment.

Added a new italicized note indicating that italics will be used to show amendments from the opposite chamber or conference committee.

Added a footnote indicating that the client must have relocated to the state or returned after a non-incidental period of relocation outside the state.

SCOPE

Clarified the specific sections of the Annotated Code of Maryland being amended to include clinical professional counseling, marriage and family therapy, and art therapy, while repealing the previous temporary telehealth license section.

Floor votes · Senate Mar 21, 2026 · House of Delegates Mar 25, 2026

How they voted

44–0

Passed · 5 other

Total votes 49

Mar 21, 2026

D Democratic36

31 Yea 5

86% 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

Apr 28, 2026

Signed into law

Approved by the Governor - Chapter 242

executive

Apr 10, 2026

Lower · Passed

Passed Enrolled

lower

Apr 10, 2026

Lower · Passed

Third Reading Passed

lower

Apr 10, 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 25, 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 21, 2026

Lower · Passed

Favorable with Amendments {

lower

Mar 21, 2026

Lower · Passed

Favorable with Amendments Report by Health

lower

Mar 21, 2026

Senate · Passed

Senate Vote: pass (44-0-5)

senate

Feb 13, 2026

Committee

First Reading Health

lower

19 primary · 0 co-sponsors