HB 372 requires hospitals with emergency departments to screen patients for emergency pregnancy-related medical conditions (defined as acute conditions posing serious health risks if untreated). If such a condition is identified, hospitals must provide treatment to stabilize the patient - including allowing pregnancy termination when medically necessary - or transfer the patient to another facility. The bill prohibits hospitals from penalizing healthcare providers who refuse to transfer unstable patients or from taking adverse action against staff who report violations. It directly affects hospitals, patients with emergency pregnancy conditions, and healthcare providers treating these cases, with fines up to $50,000 for non-compliance.
HB 278, the "Longevity Ready Maryland Act," requires Maryland's Secretary of Aging to lead implementation of the Longevity Ready Maryland Plan. This plan aims to coordinate state services for older adults by evaluating their needs, assessing existing programs, and fostering cross-sector collaboration across health, housing, employment, and social services. The bill mandates annual reports to the governor and legislature on progress, updates the Commission on Aging's role, and requires a comprehensive statewide plan to be revised every four years. It directly affects older Marylanders, the Department of Aging, local area agencies on aging, and state agencies responsible for aging-related services.
HB 498 removes an existing exemption that allowed intermediate care facilities providing substance use disorder treatment to change bed capacity without a certificate of need. It specifically targets facilities offering "medically managed residential substance use disorder treatment services," requiring them to file 45 days' written notice with the health commission before operating or expanding. The commission must then review and approve these changes based on whether they align with the state health plan, improve service efficiency, and serve the public interest. This bill directly affects facilities providing residential substance use treatment by adding a review process for bed capacity changes or new operations, replacing the previous exemption.
HB 494 requires health insurance companies, nonprofit health service plans, and health maintenance organizations (HMOs) operating in Maryland to structure their reimbursements to primary care providers in a way that meets annual investment targets set by the state. Starting February 1, 2026, these entities must report their progress toward meeting these targets when filing new or updated premium rates with the Maryland Insurance Commissioner. The bill amends insurance code sections to mandate this reporting requirement as part of premium rate filings. It takes effect October 1, 2026, focusing on transparency and accountability for primary care funding.
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.
