HB 628 establishes a program providing $1,000 monthly payments for three years to young adults who were in out-of-home care (like foster care) on their 18th birthday, with birthdays on or after October 1, 2026. Payments cannot be counted as income for Medicaid, the Maryland Earned Income Tax Credit, or state/federal financial aid for education. The Department of Human Services must report annually on participants' income, location, employment, and housing status starting October 2027. The program will run from October 1, 2026, through September 30, 2031, with automatic termination after that date.
This bill modifies when health coverage starts for small business employees enrolling during special periods (like marriage, divorce, birth, or court orders). It allows SHOP Exchanges to let employees choose whether coverage begins the next month or the month after, based on when they submit their plan selection (first half of month = next month start; second half = two months later). This directly affects Maryland small businesses using SHOP Exchange plans and their employees who qualify for these special enrollment events. The change applies specifically to enrollments triggered by court orders, death, or divorce/separation. The bill takes effect October 1, 2026.
SB 432 authorizes Maryland's Attorney General to sue fossil fuel companies with over $1 billion in market capitalization for climate-related harms caused by fraudulent or deceptive practices. It establishes the Climate Crimes Accountability Fund to collect settlement money from such lawsuits. The fund finances programs addressing climate impacts like flooding, heat islands, drought, and disease spread (e.g., vectorborne pathogens), while also covering legal costs of the Attorney General's cases. The bill directly affects major energy corporations and directs state resources toward climate adaptation and mitigation.
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 428 prohibits the Maryland Department of Health and certain insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services with primary care in clinics serving Medicaid recipients (Maryland Medical Assistance Program). The law applies to all health insurance plans (including nonprofit plans and health maintenance organizations) covering these services, with one exception: high-deductible health plans may still require deductibles for these services. The bill takes effect January 1, 2027, for new insurance policies and July 1, 2026, for the law itself.
HB 197 creates a new excise tax on firearms, accessories, and ammunition sales by dealers in Maryland. The tax applies to all retail sales within the state, with revenue distributed to five specific community safety programs: 26% to violence prevention, 26% to trauma care, 20% to community support, 20% to survivor services, and 8% to the University of Maryland Medical System. The bill directs funds to supplement existing programs rather than replace them. This tax targets firearms dealers as the direct taxpayers, with revenue funding state-level safety initiatives.
HB 42 revises Maryland's licensing requirements for massage therapists, transitioning from a "registered" status to mandatory licensure. It requires new applicants (starting October 1, 2024) to complete 750 contact hours of approved education (up from 600 hours for current registrants), meet updated accreditation standards, and pass a board-approved exam. Existing registered massage therapists may continue practicing until October 31, 2026, after which they must obtain a license. The bill also removes outdated administrative penalty hearing requirements and updates rules for out-of-state practitioners seeking reciprocity.
HB 671 requires Maryland's Governor to allocate at least 3% of funds collected from a Medicaid quality assessment on qualifying nursing facilities (45+ beds operating in the state) to fund the Office of the Long-Term Care Ombudsman starting in fiscal year 2027. This directly affects nursing facilities that pay the assessment and ensures dedicated, supplemental funding for the Ombudsman office, which advocates for residents' rights in long-term care settings. The bill updates existing law to mandate this specific allocation from the assessment pool, specifying that these funds must be "in addition to" and not replace existing Ombudsman funding. It does not change the assessment rate (capped at 6% of facility revenue) or the reporting requirements for the Department.
HB 224 would have established a voluntary program to help individuals released from Maryland state prisons access essential benefits before their release. It required coordination between three state agencies to create a standardized prerelease application process for SNAP (food assistance), Temporary Cash Assistance, and Medicaid. The program would have provided in-person help at correctional facilities to gather required documents like birth certificates and income proof, ensuring benefits were available immediately upon release. The bill was withdrawn by its sponsor on February 9, 2026, and never became law.
SB 96 updates terminology in Maryland's Sheila E. Hixson Behavioral Health Services Matching Grant Program by removing the word "active" before "service member" throughout the law. This change clarifies that the program serves all service members (including those not currently on active duty), veterans, and their families, without altering eligibility criteria or funding. The bill specifically revises definitions in Section 7.5-210(a)(2)(i), (b)(2), and (e)(1)(ii) to replace "active service member" with "service member." It does not create new benefits or change who qualifies for grants, only how the program describes its target population. The change aims to align the law with the program's actual scope and improve clarity.
