HB 1477 establishes Maryland's Ibogaine Clinical Research Grant Program to fund clinical trials on ibogaine - a naturally occurring compound from the iboga plant - for treating opioid use disorder and other neurological conditions. The program, administered by the Maryland Department of Health in consultation with the Department of Veterans and Military Families, awards up to three annual grants to eligible research institutions in Maryland that meet specific criteria (including expertise in neurological disorders and substance use treatment) and require matching funds equal to the grant amount. Funding comes from $500,000 annually (fiscal years 2028-2030) in the Opioid Restitution Fund, with recipients required to conduct FDA-overseen trials and submit quarterly progress and financial reports. The bill aligns with the "Veterans Mental Health Innovations Act" title but does not restrict trials to veterans, focusing instead on broader neurological and opioid use disorder research.
SB 738 requires Maryland's Medicaid program (Medical Assistance Program) and certain health insurance plans to cover mobile crisis and crisis stabilization services starting January 1, 2027. These services provide immediate in-person mental health crisis assessment, de-escalation, and stabilization for individuals experiencing acute mental health emergencies. The law applies to Medicaid recipients and individuals covered under specified health insurance policies, including nonprofit health plans, HMOs, and managed care organizations. It mandates coverage without additional patient cost-sharing for these services, effective for all new or renewed health plans on or after the start date.
SB 602 establishes the Algorithmic Addiction Fund in Maryland to use settlement funds from cases where social media algorithms harmed children. The fund, administered by the Maryland Department of Health, is financed by civil penalties from settlements related to social media harm and earns interest. It directly supports children by funding prevention programs (like school digital literacy campaigns), treatment services for mental health impacts (such as depression and anxiety), research, and evidence-based interventions. The fund is non-lapsing, meaning unused money rolls over annually, and all spending must align with the state budget.
This bill prohibits insurers, nonprofit health plans, and health maintenance organizations from denying emergency room coverage solely because a patient did not experience a diagnosed emergency medical condition. It requires two key studies: one to quantify hospital and post-acute care bed capacity across Maryland, and another to identify ways to improve transitions from emergency to post-acute care settings. These provisions directly affect patients receiving emergency care and healthcare providers treating them, ensuring coverage isn't denied based on diagnosis alone. The studies aim to inform data-driven recommendations for future policy improvements in emergency and post-acute care access.
SB 238 establishes Maryland's participation in the School Psychologist Interstate Licensure Compact, allowing licensed school psychologists to practice across member states without duplicative licensing. The bill creates a standardized pathway for psychologists to hold "equivalent licenses" in any participating state, directly affecting school psychologists seeking cross-state work and school districts needing qualified staff. Key provisions include requiring psychologists to follow each state's scope of practice laws, preserving state authority over licensing, and specifically facilitating mobility for military families. The compact also establishes a Commission to oversee implementation and address issues like disciplinary actions. This is a substantive policy change enabling easier interstate practice while maintaining state-level professional standards.
HB 658 establishes Maryland’s Community Forensic Aftercare Program within the Department of Health. The program monitors two groups: individuals found not criminally responsible due to mental illness who are on conditional release, and people with mental illness or intellectual disability requiring community monitoring under specific legal circumstances. Key provisions require the Program to create a community monitoring board to make decisions about conditional release and out-of-state travel for these individuals. The bill amends existing criminal procedure and health codes to implement this new oversight structure, replacing outdated sections with the new program framework.
HB 468 establishes a new "Mental Health Care Fund for Children and Youth" in Maryland, funded by a tax on digital social media companies' annual revenues within the state. The bill imposes a tax on qualifying digital social media services (e.g., platforms generating revenue from Maryland users) and directs all collected revenue into this dedicated, non-lapsing fund. The fund must be used exclusively to improve access to mental health care services for children and youth, supplementing existing state funding without replacing it. The Comptroller will distribute the tax revenue to the fund, which the Secretary will administer per the new provisions in the Health and Tax codes.
HB 71 (Youth Psychiatric Rehabilitation Parity Act of 2026) requires Maryland's Medicaid program to reimburse psychiatric rehabilitation providers for 6-30 community-based mental health support services per month for specific youth. It directly affects Medicaid-covered individuals under 21 with a persistent mental disorder causing severely impaired functioning, who live with a legally responsible parent, guardian, or relative. The law mandates the Maryland Department of Health to adopt these reimbursement rules by December 2026, effective June 2026. This creates standardized billing requirements for youth mental health services, ensuring consistent coverage for qualifying cases without expanding eligibility.
SB 196 establishes a medication review committee within Maryland's state correctional facilities' licensed mental health infirmaries to decide whether to approve administering psychotropic medication to an incarcerated person who refuses it, except in emergencies. The committee must review medical records, consider alternatives, and ensure the inmate's rights - including attending meetings, understanding treatment risks, and receiving a lay advisor - are protected before approving non-emergency medication. It requires staff to document treatment history and less intrusive alternatives before seeking committee approval, and mandates the committee determine if medication is necessary to prevent substantial risk of self-harm or dangerous behavior. This bill directly affects inmates in mental health infirmaries and sets new procedural safeguards for medication decisions.
SB 268 requires clinical professionals (licensed mental health providers) to assess new inmates at Maryland state correctional facilities for developmental or intellectual disabilities during intake. If assessed, facilities must limit restrictive housing (locked in a cell for 22+ hours daily) to 15 consecutive days within any 30-day period for these individuals, unless they commit a prohibited act like causing serious injury, making credible threats with prior violence, or possessing weapons. The bill excludes medical isolation, suicide watch, and self-requested protective custody from the restrictive housing definition. It applies only to Maryland state correctional facilities and takes effect October 1, 2026.
