Healthcare (Healthcare Workforce)

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.

HB 377 expands the scope of practice for physician assistants (PAs) in Maryland by adding them to specific healthcare roles that previously required physicians or other practitioners. The bill allows PAs to certify incapacity for treatment decisions, participate in guardianship petitions for disabled persons, and order infirmary care for pregnant inmates - previously limited to physicians or nurse practitioners. It also requires the Maryland Department of Health to cover PA examinations for emergency evaluees and adds PAs to the Statewide Advisory Commission on Immunization. These changes aim to create parity by treating PAs as equivalent to other licensed healthcare providers in key clinical and administrative processes.

SB 470 modifies regulations for naturopathic doctors in Maryland. It expands their scope of practice to allow prescribing certain controlled dangerous substances (previously restricted), renames the Naturopathic Doctors Formulary Council to focus specifically on controlled substances, and requires naturopathic doctors to report professional liability insurance details to the State Board of Physicians. The bill also updates license renewal requirements, adds new patient notification rules about insurance, and changes disciplinary grounds. These changes directly affect licensed naturopathic doctors practicing in Maryland under the State Board of Physicians.

HB 422 expands Maryland's expedited partner therapy (EPT) program to include bacterial vaginosis (BV), allowing certain healthcare providers to prescribe antibiotics to a partner of a diagnosed patient without requiring a physical exam of the partner. The bill specifically adds BV to the list of conditions (alongside chlamydia, gonorrhea, and trichomoniasis) where physicians, nurse practitioners, physician assistants, and designated health department nurses can provide treatment to partners. This applies to patients diagnosed with BV, aiming to reduce reinfection and slow disease spread without requiring partners to visit a clinic. The law takes effect October 1, 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.