SB 719 restricts the land application of sewage sludge containing per- and polyfluoroalkyl substances (PFAS) above specific concentration levels, effective after a set date. It requires monitoring for PFAS in sewage sludge and products containing it, authorizes stricter pretreatment rules for industrial users discharging PFAS, and allows local jurisdictions to set fees for such discharges. The bill directly affects sewage sludge generators (like wastewater treatment facilities), industrial users, and local regulators by mandating new PFAS testing, usage limits, and fee structures. It amends Maryland’s environmental code to establish these requirements without changing existing land application rules for sludge below the new PFAS thresholds.
HB 945 requires Maryland's Department of Health to immediately notify and coordinate with the local health department whenever investigating a nursing home complaint alleging actual harm. This affects the Department, local health departments, and nursing homes directly. The key provision mandates that the Department must contact the local health department right away and collaborate with them during the investigation, particularly for complaints involving actual harm (not routine issues). The bill amends existing law to formalize this notification and consultation process during investigations.
HB 746 prohibits Maryland Medicaid (Medical Assistance Program) and private health insurers from charging copays, coinsurance, or deductibles for services delivered under the Collaborative Care Model. This model integrates mental/behavioral health services into primary care through coordinated care, regular outcome monitoring, and specialist consultations. The law applies to all Medicaid recipients and covers services under private health insurance plans (including nonprofit health plans and health maintenance organizations) issued in Maryland, with an exception for high-deductible health plans. It takes effect January 1, 2027, ensuring no cost-sharing for these integrated care services.
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 1264 requires Maryland's Medical Assistance Program (Medicaid for low-income residents) to cover individual and group counseling for tobacco cessation, subject to state budget and federal law limits. It prohibits the program and managed care organizations from demanding prior authorization for any tobacco cessation product or service. This bill directly affects Medicaid beneficiaries seeking to quit tobacco use and their healthcare providers. The law amends existing Maryland health code sections to implement these coverage requirements and remove authorization barriers.
HB 1485, known as Tiarra's Law, requires Maryland's Department of Health to create a pamphlet listing state and national crisis support resources for families affected by overdose deaths. Healthcare providers and the Office of the Chief Medical Examiner must provide this pamphlet to families during specific circumstances, such as after an overdose-related death. The bill also mandates the Department to review trauma-informed care training for first responders and behavioral health staff. These changes aim to improve support for grieving families and address gaps highlighted in cases like Tiarra Brown's 2020 overdose death, where families received no resources or guidance. The law amends existing health and public safety codes to integrate these requirements into Maryland's crisis response system.
HB 1192 expands Maryland's State Board of Sign Language Interpreters from 7 to 11 members, requiring specific representation including deaf individuals, deafblind people, licensed interpreters from various settings (medical, legal, educational), and agency owners. The bill delays the deadline for the Board to establish licensing requirements from July 1, 2024, to December 31, 2026, and sets new rules for member removal if they miss meetings, fail to meet qualifications, or commit misconduct. Sign language interpreters in Maryland who provide services in the state will be directly affected by the updated licensing requirements and the Board's new structure. The bill also mandates that appointed members reflect Maryland's racial and geographic diversity where practicable.
HB 1325 authorizes licensed clinical social workers to evaluate permanent impairments involving behavioral or mental disorders in Maryland workers' compensation claims. It requires these social workers to meet specific qualifications, including training in mental/behavioral conditions, rehabilitation counseling registration, two years of post-licensure experience, and COMAR authorization. The bill directly affects workers seeking compensation for mental/behavioral impairments and licensed clinical social workers who wish to provide these evaluations. It amends Maryland’s workers’ compensation law (Article 9, Section 9-721) to expand evaluation eligibility beyond psychologists and physicians. The changes take effect October 1, 2026.
HB 921 limits when minors in Maryland juvenile facilities can be placed in restrictive housing (isolation or special confinement). It prohibits using restrictive housing for discipline, punishment, or staff convenience, and requires facilities to use it only for immediate safety risks (like harm to self/others or facility security) for the shortest time possible (max 6 hours). Minors can request restrictive housing or withdraw that request at any time, and facilities must provide mental health screenings within 1 hour of placement. The bill also mandates that minors in restrictive housing receive the same access to phone calls, visits, medical care, education, and recreation as other minors, unless safety is at risk.
HB 1280 directs Maryland's Comptroller to study whether a program providing monthly payments to caregivers for specific family members would be feasible. The study must examine economic impacts like potential job growth, increased tax revenue, and reduced public benefits use, while assessing costs and funding options. It requires collaboration with the Department of Human Services and agencies like the Department of Aging, with a final report due by July 1, 2027. The bill expires June 30, 2028, and does not create the program itself.
