Healthcare

HB 1108 grants collective bargaining rights to workers in Maryland greenhouses (controlled-environment agricultural operations), allowing them to form unions and negotiate wages, hours, and working conditions with employers. The bill requires the state Labor Secretary to establish regulations for union elections, certification, and resolving bargaining disputes, while mandating greenhouse employers to provide rest breaks during extreme heat to prevent heat-related illness. This law directly affects greenhouse workers and their employers, creating a formal process for union representation and heat protection. It amends Maryland's labor code to include these specific protections for greenhouse workers, who previously lacked these rights under state law.

HB 310 limits the use of restrictive housing (locked cell confinement for 22+ hours daily) for incarcerated individuals in Maryland state facilities who have a developmental or intellectual disability. It requires a licensed clinical professional to assess new inmates for these disabilities during intake and to recommend against placing them in restrictive housing for more than 15 consecutive days within any 30-day period. This 15-day limit does not apply if the individual commits a "prohibited act," such as causing serious injury, making threats, or possessing weapons. The bill directly affects incarcerated people with these disabilities and mandates correctional facilities to follow this assessment and limitation process.

HB 1068 requires health insurance carriers in Maryland to provide a 60-day special enrollment period for individuals who become newly hired by small businesses that do not offer employer-sponsored health plans. This applies to people purchasing coverage through the state’s health insurance marketplace (Individual Exchange) or outside it. The special enrollment period begins on the first day of employment and allows new hires to enroll in health insurance without waiting for the standard open enrollment period. The law takes effect January 1, 2027, directly benefiting newly employed workers at small businesses without health benefits.

HB 599 requires hospitals seeking a new license or undergoing ownership changes after October 1, 2026, to be federally recognized nonprofit organizations registered with the state. Specifically, it mandates that hospitals qualifying for licensure on or after that date must operate as nonprofits under federal law and maintain that status as a condition of their license. The bill also prohibits transferring ownership of any licensed hospital after October 1, 2026, to any entity other than another nonprofit organization. This directly affects hospitals seeking new licenses, renewing licenses, or changing ownership in Maryland after the effective date.

This bill requires Maryland colleges and universities to provide reasonable accommodations to students with sickle cell disease and prohibits denying them access to facilities or services based on their diagnosis. It mandates the Maryland Department of Health to create an education campaign for campus staff, develop guidelines for supporting students with sickle cell disease, and compile training materials for faculty and administrators. The law directly affects students with sickle cell disease at public and private institutions of higher education in Maryland, as well as campus staff responsible for implementing these policies. The requirements take effect October 1, 2026, with institutions needing to establish clear reporting procedures for violations.