SB 515 requires Maryland's Health Services Cost Review Commission to consider all operational costs incurred by health facilities - including expenses for physicians and other providers without corresponding billing revenue - when setting hospital rates. This affects hospitals and health facilities operating under Maryland's all-payer model, as the Commission must now factor in full costs during rate reviews. The bill amends existing law to mandate that the Commission evaluate facility financial health and certify rates based on complete cost accounting, rather than excluding certain expenses. This change ensures rates more accurately reflect actual facility operations, including costs for professional services that previously weren't fully counted.
HB 1014 defines "danger to the life or safety of the individual or of others" for Maryland's mental health law, directly affecting individuals with mental disorders who might face involuntary admission. It specifies four concrete scenarios that constitute this danger: causing bodily harm, engaging in conduct leading to criminal involvement, inability to meet basic needs (food, shelter, medical care), or substantial deterioration in judgment that impairs treatment decisions. The definition requires a "substantial risk" considering the person's current condition and available history, replacing the prior standard. This change clarifies the legal threshold for involuntary hospitalization and emergency evaluations under Maryland law.
HB 860, the Arnaud and Magruder Memorial Act, sets a 5-day initial limit for emergency evaluation petitions after court approval, with extensions of up to 5 days each (totaling no more than 30 days) based on the individual's current behavior. The bill requires courts to include the petition's expiration date and clarifies that peace officers must transport individuals to emergency facilities when holding a valid petition (either court-endorsed within 5 days or signed by authorized professionals), allowing electronic petitions. This law directly affects courts reviewing petitions, peace officers executing them, emergency facilities receiving individuals, and people subject to emergency evaluations. It standardizes timelines and procedures to ensure timely care while preventing prolonged detention without court review.
HB 1593 requires Maryland's Deputy Secretary for Developmental Disabilities to provide public notice before changing the Self-Directed Services Manual, which governs waiver program services for individuals with developmental disabilities. The bill mandates a 90-day public comment period for proposed changes and prohibits adopting any revisions until this period ends. It directly affects individuals and families using self-directed services - where participants control their own care choices, staffing, and budget management - and ensures their input is considered before policy changes take effect. This procedural bill amends Maryland’s health code to formalize transparency and public engagement in updating the manual (effective October 1, 2026).
HB 837 requires all Maryland public and nonpublic schools with athletic programs to include a cardiovascular prescreening as part of the standard physical examination for students participating in interscholastic sports, starting in the 2026-2027 school year. This prescreening - based on family history, personal symptoms, and evidence-based guidelines - must be conducted no earlier than 90 days before the school year begins. If a positive finding occurs, healthcare providers must refer students to a cardiologist for further evaluation. Schools must report annual data on screenings and referrals to county health departments, with the Maryland Department of Health publishing public reports analyzing outcomes. The bill directly affects student athletes, schools, and healthcare providers conducting sports physicals.
HB 952 requires operators of "companion chatbots" (AI systems designed to meet social needs through human-like interactions) to establish safety protocols, including preventing harmful content like self-harm discussions and sexually explicit material for minors. Operators must publish these protocols online, display clear warnings that chatbots are AI (not human), and provide crisis resource referrals for users expressing suicidal thoughts. The bill also mandates that operators of chatbots used by minors display mandatory break reminders after 3 hours of continuous use. It excludes business customer service bots, video game features, and basic voice assistants from these requirements.
HB 279 establishes a medication review committee within Maryland's Department of Public Safety to evaluate requests for involuntary psychotropic medication when an incarcerated individual refuses it, applying only to licensed mental health infirmaries in state correctional facilities. The bill prohibits administering such medication without committee approval, except in emergencies, and requires the committee to review medical records, consider less restrictive alternatives, and ensure the individual understands risks and benefits before a decision. Incarcerated individuals gain specific rights under the bill, including 10 business days' written notice of committee meetings, the right to attend (excluding closed deliberations), present information, and receive details about their diagnosis and treatment options. The committee, composed of appointed mental health professionals and a lay advisor, must document its rationale and follow defined procedures before authorizing medication against an individual's refusal.
HB 196 amends Maryland's definition of "baby food" to explicitly include infant formula and infant cereal (previously excluded), directly affecting baby food manufacturers in the state. The bill requires manufacturers to test each production batch of baby food for toxic metals (arsenic, cadmium, lead, mercury) starting January 1, 2025, using accredited labs at least monthly. Beginning January 1, 2026, manufacturers must publicly post test results online for each product and include QR codes on labels linking to FDA information about metal testing and health effects. The law aims to increase transparency and safety for infants under age 2 by aligning testing requirements with FDA standards.
HB 922 requires the Behavioral Health Administration to update regulations to simplify the relocation process for existing behavioral health programs seeking to move to new locations. The bill adds specific provisions including an expedited approval process separate from new program applications, allowing programs to reuse unchanged prior documentation, and permitting temporary practice at a new site once life safety standards are met. It also mandates the Administration to consider a program’s past regulatory compliance to streamline reviews and establish clear timelines for relocation approvals. This change directly affects behavioral health programs needing to relocate and the Behavioral Health Administration, which must implement these rules by October 1, 2026.
HB 373 allows Maryland's State Board of Dental Examiners to conduct unannounced inspections of non-hospital dental offices to verify compliance with CDC infection control guidelines. It updates disciplinary rules for dentists, dental hygienists, and dental assistants by adding failure to follow these guidelines as grounds for license denial, suspension, or revocation. The bill also requires certified expanded function dental assistants to be properly trained and supervised, and prohibits employers from using uncertified assistants or violating specific practice standards. These changes directly affect dental professionals and their practices across Maryland.
