Del. Terri Hill

Maddy summaryHB 1385 requires health insurers and pharmacy benefit managers using artificial intelligence (AI) for medical treatment reviews (utilization review) to include licensed healthcare professionals in key evaluations. Specifically, it mandates that AI decisions must be reviewed by a licensed professional who can question, modify, or override AI determinations based on a patient’s full medical history and individual circumstances. The bill also requires quarterly reviews of AI performance using human assessments of real-world health outcomes to improve accuracy and safety. These provisions apply to all AI tools used in utilization review processes within Maryland’s health insurance system, effective October 1, 2026.

Maddy summaryHB 1153 prohibits health insurers, nonprofit health service plans, HMOs, and managed care organizations in Maryland from unilaterally lowering medical claim payments (downcoding) without clinical justification. The bill requires these entities to notify providers within 30 days if they intend to downcode, including specific reasons, references to clinical guidelines, and the original vs. revised codes. It bans practices like downcoding based solely on diagnosis codes, using AI without reviewing medical records, or targeting providers treating complex conditions, and mandates emergency claims be downcoded based on documented symptoms - not final diagnoses. A downcoding decision resulting in nonpayment is treated as a coverage denial, allowing providers to appeal under existing law.

Maddy summaryHB 1027 requires Maryland's State Board of Elections to establish a telephone voting system for absentee ballots, specifically for voters who certify having a print disability (a condition preventing reading standard printed materials). The bill mandates the State Board to select, certify, and acquire a system meeting strict security and accessibility standards - including ballot secrecy, accuracy, paper trail requirements, and toll-free access - after independent testing by a federally approved lab. Eligible voters must submit a form certifying their disability to be added to a list, and the State Board must send them detailed instructions, a toll-free number, and voting dates 75 days before absentee ballots are mailed. The bill also requires the State Board to implement a public education campaign about the system and report progress to legislative committees by December 1, 2028.

Maddy summaryHB 704 establishes Maryland's Community Eligibility Provision Expansion Program within the State Department of Education. It provides state funding to cover the difference between federal reimbursement rates for free and paid school meals, directly supporting Maryland schools with high poverty rates (25%+ students qualifying for free meals) that participate in the federal child nutrition program. The state will appropriate $10 million annually starting in fiscal year 2028 to complement federal funds, with funds distributed based on school poverty concentration and geographic diversity. Schools must report on program outcomes, meal debt resolution, and reasons for opting out of federal eligibility, with annual reports published online.

Maddy summaryHB 897 (the "Lower Bills and Local Power Act of 2026") requires electric companies operating high-voltage transmission lines (>69,000 volts) in Maryland to join regional transmission organizations. It mandates new application details for certain utility projects, creates a Solar and Energy Storage Market Stabilization Program within the Maryland Energy Administration, and redirects funds from the Maryland Strategic Energy Investment Fund to provide refunds or credits to residential electricity customers. The bill also requires studies on siting transmission lines and battery storage systems within existing rights-of-way and sets deadlines for the Public Service Commission to review project certificates. These provisions directly affect electric utilities, the Public Service Commission, and residential electricity customers through cost adjustments.

Maddy summaryHB 920 requires developers, builders, brokers, and real estate agents to enter the final sale price of new homes into a multiple listing service (MLS) or similar database within 30 days of the sale. This applies to all new home transactions in Maryland and aims to make final sale prices publicly accessible through real estate databases used for market evaluations and appraisals. The bill defines "multiple listing service" as a database utilized by real estate professionals. It takes effect on October 1, 2026.

Maddy summaryHB 562, the "Maintenance of Effort Modernization Act," updates Maryland's method for calculating annual inflation adjustments in local school funding. It replaces the current formula with a new standard that uses the lesser of three measures: the Consumer Price Index for the Washington Metropolitan Area, a government spending index, or 5%, with 0% if neither index rises. This change requires county governments and Baltimore City to adjust their annual local school funding appropriations based on this new inflation metric, starting July 1, 2026. The bill directly affects all Maryland counties and Baltimore City, which are responsible for maintaining local school funding levels.

Maddy summaryHB 499, the "Ballot Petition Modernization Act," modernizes Maryland's petition process by requiring the State Board of Elections to adopt regulations for secure voter data handling and electronic signatures. It establishes clear rules for collecting and verifying electronic signatures on petitions, including accessibility standards for voters with disabilities and requirements for circulators to confirm signature validity. The bill updates signature collection procedures, removes outdated prohibitions on electronic signatures, and specifies how voter data must be stored securely to prevent misuse. This directly affects petition circulators, candidates gathering signatures, and voters whose registration data is used in the process.

Maddy summaryHB 350, the "Voting Rights Act of 2026," applies to local elections in Maryland counties and cities, protecting the voting rights of racial, ethnic, and language minority groups. It prohibits election methods that weaken the voting power of these groups, preventing them from electing preferred candidates or influencing election outcomes. Courts will determine violations by examining past election patterns and federal voting rights standards, rather than requiring proof of discriminatory intent. If a violation is found, courts can order remedies like changing election systems, but must respect existing statewide election practices.

Maddy summaryHB 935 requires Maryland to establish a dedicated prerelease facility for female incarcerated individuals, directly affecting women eligible for prerelease programs at the Maryland Correctional Institution for Women. The bill mandates a separate facility meeting specific criteria: at least 3 acres, not within 1 mile of other prisons, and designed to house 1.25 times the 2024 prerelease-eligible population. It requires the Department of Public Safety and Correctional Services to provide comprehensive rehabilitative services (including gender-responsive programming) and report progress to legislative committees by a specified deadline. The facility must operate by June 1, 2023, with the Department of General Services directing procurement for its construction.