HB 1559 Maryland House of Delegates · 2026 Regular Session

Children in Unlicensed Settings and Pediatric Hospital Overstay Patients - Placement

This bill prohibits placing children in unlicensed settings (such as hotels, motels, or nonresidential offices) under Maryland's out-of-home placement program for foster care, with limited exceptions for kinship caregivers or parental placements. It creates a new Child and Youth Placement Review Panel within the Governor’s Office to oversee placements and requires the Placement Manager to convene a Rapid Response Team for urgent cases. The bill also establishes an Advisory Council to improve Maryland’s system of care for children and families and modifies hospital overstay protocols for pediatric patients. These changes directly affect children in foster care, hospitals, and the agencies managing their care, aiming to ensure safer, licensed placements.
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
Maddy AI version diff · 1 comparison

What changed between versions

First - Children in Unlicensed Settings and Pediatric Hospital Overstay Patients - Placement Third - Children in Unlicensed Settings and Pediatric Hospital Overstay Patients - Placement · 5 edits
MODERATE
The bill was advanced from its first reading to the House, where it was adopted with amendments and a favorable committee report. Substantive changes include renaming the 'Placement Manager' to 'Senior Advisor for Children and Families' and adding authority for the Department of Human Services to execute emergency procurements. The definition of an 'unlicensed setting' was updated to explicitly require state licensing for custody, placement, welfare, and housing, while also adding 'semi-independent living arrangements' to the list of excluded settings.
Scope change
The bill's scope was expanded by adding new authority for the Department of Human Services to conduct emergency procurements and by refining the definition of unlicensed settings to include specific exclusions like semi-independent living arrangements.
REQUIREMENT

Added authority for the Department of Human Services to execute emergency procurements with certain providers under specific circumstances.

DEFINITION

Renamed the 'Placement Manager' position to 'Senior Advisor for Children and Families' and updated the duties associated with this role.

Updated the definition of 'unlicensed setting' to explicitly require state licensing for custody, placement, welfare, and housing of children.

Added 'semi-independent living arrangements' to the list of settings that are NOT considered unlicensed settings.

TIMELINE

The bill was read a second time on March 7, 2026, and adopted by the House with a favorable committee report.

Floor votes · Senate Mar 24, 2026 · House of Delegates Mar 9, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 24, 2026
D Democratic36
33 Yea 3
91% Yea
R Republican13
11 Yea 2
84% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
10
Committee
6
Apr 28, 2026
Signed into law
Approved by the Governor - Chapter 160
executive
Apr 11, 2026
Lower · Passed
Returned Passed
lower
Apr 10, 2026
Upper · Passed
Third Reading Passed
upper
Apr 8, 2026
Upper · Passed
Favorable Adopted
upper
Apr 8, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 24, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Mar 23, 2026
Committee
Referred Finance
upper
Mar 21, 2026
Lower · Passed
Third Reading Passed
lower
Mar 20, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 20, 2026
Lower · Passed
Favorable with Amendments Report by Appropriations
lower
Mar 9, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (128-0-14)
house of delegates
Feb 13, 2026
Committee
First Reading Appropriations and Health
lower
42 primary · 0 co-sponsors

Sponsors