Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 277: Insurance – Third Party Administrators – Enforcement

HB 277 strengthens oversight of third-party administrators (TPAs) in Maryland’s insurance industry. It expands grounds for the Insurance Commissioner to deny, suspend, or revoke a TPA’s registration - including violations of insurance laws - and increases civil penalties for violations from $1,000 per day to a maximum of $10,000 per violation. The bill also requires the Commissioner to consider factors like the seriousness of the violation, the TPA’s history, and harm to plan participants when setting penalties. This directly affects TPAs managing insurance claims and benefits, imposing stricter accountability for compliance with Maryland’s insurance regulations, effective October 1, 2026.

Topics ✓ HealthcareSupports HealthcareStrengthens oversight of TPAs to prevent violations harming plan participants, aligning with patient protection in healthcare coverage.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 275: Medicare Supplement Policies - Issuance - Requirements

HB 275 requires Maryland insurance carriers to issue Medicare supplement policies without discrimination based on health status during specific enrollment periods. It directly affects Medicare beneficiaries transitioning from Maryland Medical Assistance (Medicaid), disabled individuals under 65 eligible for Medicare, and those with certain federal special enrollment rights. Key provisions include banning denials or higher premiums due to health conditions during a 63-day window after Medicaid termination or qualifying events, and mandating equal or lower-benefit policy options during birthday renewals starting in 2026. The bill ensures these groups can access coverage without health-based barriers, effective July 1, 2026.

Topics ✓ HealthcareSupports HealthcareBans health-based discrimination in Medicare supplement policies, ensuring access for Medicaid beneficiaries and disabled individuals transitioning to Medicare.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 236: State Athletic Commission - Blood Testing of Contestants - Timing

HB 236 extends the required blood testing window for combat sports athletes in Maryland from 30 days to 90 days. It affects boxers, kickboxers, wrestlers, and mixed martial arts competitors seeking licenses or participating in contests. The bill mandates that applicants and licensed contestants must provide documented evidence of negative tests for HIV, hepatitis B, and hepatitis C within 90 days prior to license application or competition. This change modifies existing Maryland law (Sections 4-101 and 4-304.1 of the Business Regulation Article) to align testing timing with the State Athletic Commission's requirements. The bill takes effect October 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates blood testing for infectious diseases to protect athlete health, strengthening public health safety protocols in sports medicine.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 88: State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists, and Music Therapists - Authority to Issue Limited Licenses to Practice Music Therapy

SB 88 creates a limited license for music therapists in Maryland who are completing full licensure requirements. It allows the State Board of Examiners to issue these licenses to applicants who meet education standards (including American Music Therapy Association certification), pay fees, and practice under supervision of a fully licensed music therapist. The limited license is valid for one year, renewable once, but expires if full licensure isn't obtained within two years. This does not replace existing services by audiologists or speech-language pathologists, and the practice of music therapy is defined as using music-based interventions within a therapeutic relationship. The bill directly affects aspiring music therapists seeking licensure and the State Board of Examiners.

Topics ✓ HealthcareSupports HealthcareEnables provisional licensing for music therapists, expanding access to mental health services through regulated practice pathways while ensuring professional standards.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 7: State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists, and Music Therapists - Authority to Issue Limited Licenses to Practice Music Therapy

HB 7 authorizes Maryland's State Board of Examiners to issue limited licenses for music therapists who are completing full licensing requirements but lack sufficient clinical experience. This directly affects new music therapists and healthcare facilities needing to hire them under supervision while they fulfill certification steps. The bill creates a 1-year limited license (renewable once) requiring direct supervision by a fully licensed music therapist, with a 2-year deadline to obtain full licensure. It explicitly states limited licenses cannot replace services from audiologists or speech-language pathologists. The policy change streamlines entry into the profession without altering existing practice standards for music therapy.

Topics ✓ HealthcareSupports HealthcareAuthorizes limited licenses for music therapists, enabling healthcare facilities to hire under supervision while completing requirements, improving access to mental health services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 442: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

HB 442 requires nursing homes, assisted living facilities, and nurse midwives in Maryland to disclose their professional liability insurance status to residents and potential residents. Specifically, these providers must provide written notice (including electronic communication) if they lack coverage or if coverage has lapsed and not been renewed, with timing requirements: at the first visit for potential residents or at application for admission, and within 30 days of a lapse for current residents. The bill also mandates that facilities without coverage post a conspicuous notice for residents and guests. This law does not change insurance requirements but ensures transparency about coverage gaps. It directly affects residents and potential residents of these care facilities by providing clear, timely disclosure of insurance status.

Topics ✓ HealthcareSupports HealthcareRequires disclosure of insurance status to protect residents' rights regarding provider coverage, aligning with patient protection indicators.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · Senate Apr 14, 2026

SB 293: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

SB 293 requires nursing homes, assisted living facilities, and nurse midwives to notify residents and prospective residents in writing if they lack professional liability insurance or if coverage has lapsed without renewal. For prospective residents, notification must occur at the first visit during a coverage gap or at the time of application; current residents must be notified within 30 days of a lapse. Facilities without coverage must also post a conspicuous notice visible to residents and guests. This law aims to increase transparency about insurance coverage for individuals receiving care in these settings.

Topics ✓ HealthcareSupports HealthcareRequires disclosure of insurance gaps to protect residents' rights and safety in healthcare facilities, aligning with patient protection indicators.85% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

signed · Maryland · House of Delegates Apr 14, 2026

HB 498: Certificate of Need - Intermediate Health Care Facilities

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.

Topics ✗ HealthcareOpposes HealthcareBill adds regulatory requirement for capacity changes in substance use treatment facilities, creating barriers to expansion that may limit patient access to services.85% confidence | Rep's Stance ✗ Voted No ✓ Supports Healthcare

passed · Maryland · House of Delegates Apr 13, 2026

HB 1117: Virginia I. Jones Alzheimer's Disease and Related Dementias Council and the Advisory Stakeholder Group on Autism-Related Needs - Recommendations for Elopement Response Devices

HB 1117 requires Maryland's Medicaid program (Maryland Medical Assistance Program) and certain insurers to cover approved "elopement response devices" for specific individuals. These devices - such as door sensors, wearable location trackers, or alert systems - prevent people with cognitive, developmental, or neurological conditions from wandering unsafely (e.g., leaving a supervised area without the ability to return safely). Coverage is mandated when ordered by a qualified healthcare provider and documented in a qualifying plan (like an individualized education plan or dementia care plan) for eligible recipients: those under 21 with early screening eligibility, on home-based waiver programs, or diagnosed with Alzheimer’s/dementia. The bill defines these devices as medical equipment or assistive technology under state programs, ensuring coverage without regard to when the program was established.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid/insurers to cover medical devices for cognitive condition management, expanding patient access to necessary health services per provider orders.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

Track

passed both · Maryland · House of Delegates Apr 13, 2026

HB 1292: Child Advocacy Centers - Continuity of Care Standards for Health Care Professionals and Reports of Violations

HB 1292 requires child advocacy centers in Maryland to ensure all health care professionals providing medical or mental health services are properly licensed or certified and work within their scope of practice. It mandates that centers establish a "continuity of care plan" to notify families when providers change, including contact information for both new and former providers, and allows former providers to assist with care transitions per professional standards. Centers must report specific violations to health occupations boards or the Governor’s Office of Crime Prevention and Policy, and the Governor’s Office must publish annual data about child advocacy centers online. This bill directly affects child advocacy centers, their health care staff, and the children and families receiving services at these centers.

Topics ✓ HealthcareSupports HealthcareMandates licensing standards, continuity of care plans, and violation reporting to ensure quality care and patient safety in child advocacy centers.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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