Office of the Long-Term Care Ombudsman - Mandatory Appropriation
HB 671 requires Maryland's Governor to allocate at least 3% of funds collected from a Medicaid quality assessment on qualifying nursing facilities (45+ beds operating in the state) to fund the Office of the Long-Term Care Ombudsman starting in fiscal year 2027. This directly affects nursing facilities that pay the assessment and ensures dedicated, supplemental funding for the Ombudsman office, which advocates for residents' rights in long-term care settings. The bill updates existing law to mandate this specific allocation from the assessment pool, specifying that these funds must be "in addition to" and not replace existing Ombudsman funding. It does not change the assessment rate (capped at 6% of facility revenue) or the reporting requirements for the Department.
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 2, 2026
Signed May 26, 2026
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What changed between versions
First - Nursing Facilities - Medicaid Quality Assessment - Funding of Office of the Long-Term Care Ombudsman
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Third - Office of the Long-Term Care Ombudsman - Mandatory Appropriation
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3 edits
MINOR
The bill was amended to change the funding source for the Office of the Long-Term Care Ombudsman from general Medicaid reimbursements to a specific appropriation of funds remitted by managed care organizations. Additionally, the bill title was updated to reflect this new mandatory appropriation requirement.
Scope change
The scope of funding for the Ombudsman office was narrowed and redefined to rely on specific remittances from managed care organizations rather than a general percentage of collected funds.
FISCAL
The funding mechanism for the Office of the Long-Term Care Ombudsman was changed from a 3% allocation of collected funds to a mandatory appropriation of money remitted by managed care organizations.
SCOPE
The bill's title was updated to explicitly include 'Mandatory Appropriation' to reflect the new funding source.
TECHNICAL
Minor formatting changes were made to the bill header and committee report sections.
Floor votes · Senate Mar 20, 2026 · House of Delegates Mar 5, 2026
How they voted
46–0
Passed · 3 other
Total votes 49
Mar 20, 2026
D
Democratic36
91% Yea
R
Republican13
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
10
Committee
6
May 26, 2026
Signed into law
Approved by the Governor - Chapter 762
executive
Apr 9, 2026
Lower · Passed
Returned Passed
lower
Apr 8, 2026
Upper · Passed
Third Reading Passed
upper
Apr 7, 2026
Upper · Passed
Favorable Adopted
upper
Apr 6, 2026
Upper · Passed
Favorable Report by Finance
upper
Mar 20, 2026
Senate · Passed
Senate Vote: pass (46-0-3)
senate
Mar 19, 2026
Committee
Referred Finance
upper
Mar 18, 2026
Lower · Passed
Third Reading Passed
lower
Mar 18, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 18, 2026
Lower · Passed
Favorable with Amendments Report by Appropriations
lower
Mar 5, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (132-2-8)
house of delegates
Feb 2, 2026
Committee
First Reading Appropriations
lower
2 primary · 0 co-sponsors
Sponsors
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