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
44–0
Passed · 5 other
Total votes 49
Mar 5, 2026
D
Democratic36
91% Yea
R
Republican13
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
Pam Beidle
DDemocratic
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