SB 493 Maryland Senate · 2026 Regular Session

Nursing Facilities - Involuntary Discharge or Transfer

SB 493 prohibits nursing facilities in Maryland from involuntarily discharging or transferring residents except for specific reasons like the resident's welfare, health improvement, or facility closure. It requires facilities to provide residents with a clear written notice at least 10 days before any involuntary discharge or transfer, detailing the reason, new location, and contact information for hearings and legal assistance. The bill also bans sending residents to temporary housing (like hotels) without confirmation from the receiving facility and prevents facilities from discharging Medicaid-eligible residents solely because they qualify for Medicaid. These changes aim to protect vulnerable residents by ensuring proper notice, preventing unfair treatment, and requiring confirmation before transfers.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Apr 2026
Senate Passage
Apr 2026
House of Delegates Passage
Apr 2026
Signed into Law
Apr 2026
Introduced Feb 2, 2026 Signed Apr 14, 2026
Maddy AI version diff · 1 comparison

What changed between versions

First - Nursing Facilities - Involuntary Discharge or Transfer Third - Nursing Facilities - Involuntary Discharge or Transfer · 2 edits
MINOR
The bill was amended to update its title and chapter number, add a favorable committee report status, and modify the list of purposes to include new time requirements for discharges. The substantive legal text regarding involuntary discharge reasons, Medicaid protections, and notice requirements remains unchanged.
Scope change
The bill's scope and applicability remain unchanged; the amendments are primarily procedural and clarifying.
TECHNICAL

Updated the bill header to reflect the new chapter number and added a favorable committee report status.

REQUIREMENT

Revised the summary of purposes to add a specific requirement for establishing time limits when a new notice of involuntary discharge or transfer is provided.

Floor votes · Senate Mar 5, 2026 · House of Delegates Mar 20, 2026

How they voted

440
Passed · 5 other
Total votes 49
Mar 5, 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
9
Committee
6
Apr 14, 2026
Signed into law
Approved by the Governor - Chapter 25
executive
Apr 8, 2026
Upper · Passed
Returned Passed
upper
Apr 7, 2026
Lower · Passed
Third Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Adopted Second Reading Passed
lower
Apr 3, 2026
Lower · Passed
Favorable Report by Health
lower
Mar 21, 2026
Committee
Referred Health
lower
Mar 20, 2026
Upper · Passed
Third Reading Passed
upper
Mar 19, 2026
Upper · Passed
Favorable with Amendments {
upper
Mar 19, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 5, 2026
Senate · Passed
Senate Vote: pass (44-0-5)
senate
Feb 2, 2026
Committee
First Reading Finance
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Pam Beidle
Pam Beidle
DDemocratic
MD
32