Del. Anne Kaiser

Maddy summaryHB 1082 establishes Maryland’s State-Based Health Insurance Subsidies Program to help residents pay for health insurance if federal advance premium tax credits (which reduce insurance costs) decrease. The program would provide direct subsidies to Maryland individuals affected by such federal changes, specifically targeting fiscal years 2026 and 2027. It uses existing funding from the Maryland Health Benefit Exchange Fund, which includes state-designated money, federal waiver funds, and other sources, to cover these subsidies without requiring new taxes. The bill amends Maryland’s insurance code to formally create this program and outlines how the state will administer it through the Health Benefit Exchange. This policy change directly affects Maryland residents purchasing individual health insurance plans who might face higher costs due to reduced federal support.

Maddy summaryHB 783 requires health professionals renewing certain licenses (such as physicians, nurses, and social workers) to complete training on both implicit bias and structural racism as part of their first license renewal after April 1, 2026. The training must be approved by Maryland's Cultural and Linguistic Health Care Professional Competency Program, replacing prior requirements that only mandated implicit bias training. This change updates Maryland law to explicitly include structural racism - a system of institutional inequalities based on race - in the training standards for health occupation licenses. The bill applies to license renewals under the Health Occupations Article and amends related sections of Maryland's code to reflect this new requirement.

Maddy summaryHB 962 addresses pediatric hospital overstay cases where children under 22 remain hospitalized after being medically cleared for discharge. It requires hospitals to place these patients in the least restrictive setting possible, allowing concurrent exploration of both in-state and out-of-state placement options. The bill establishes a Pediatric Hospital Overstay Coordinator within the Governor’s Office for Children to oversee this process and mandates a state study on residential treatment center and respite facility rates. This law directly affects hospitals, pediatric patients, and state agencies like the Department of Health and Human Services.

Maddy summaryHB 428 prohibits medical providers from placing liens on owner-occupied homes for unpaid medical debt. It requires courts to specify if a money judgment involves medical debt and mandates including the defendant’s primary residence address in such complaints. The bill adds a new provision (§ 14-203.1) stating that liens on homes where owners live cannot be created for medical debt, and courts must remove such illegal liens while potentially awarding damages. This applies prospectively from October 1, 2025, directly affecting Maryland homeowners and medical providers seeking debt collection.

Maddy summaryHB 1045 updates Maryland's health insurance and family planning laws to align with current federal standards. It specifically expands the definition of "family planning providers" to include those who lost federal Title X funding due to service scope (like abortion access or referrals), ensuring Medicaid continues reimbursing them for services. The bill requires the Maryland Medical Assistance Program to maintain access to family planning services for these providers by establishing similar requirements to other providers and prohibiting restrictions on services within a provider's scope of practice. It also clarifies that the Maryland Insurance Commissioner and Civil Rights Commission share enforcement authority over health insurance discrimination.

Maddy summaryHB 1191 updates Maryland's child custody laws by requiring courts to consider specific factors when determining legal and physical custody. It strengthens protections for children by mandating courts to deny custody or visitation to parents with a history of abuse or neglect, and to prioritize safety arrangements if abuse is suspected. The bill also explicitly bars custody awards to parents convicted of murder (including out-of-state convictions) unless supervised visitation ensures the child's safety. These changes directly affect family courts and parents involved in custody disputes across Maryland. The law focuses on child safety and well-being, adding clear guidelines for judicial decisions without altering existing penalties or funding.

Maddy summaryHB 930 establishes Maryland's Public Health Abortion Grant Program to improve access to abortion care by redirecting excess funds from health insurance coverage. It requires insurance carriers in Maryland to transfer 90% of unused funds from their abortion coverage accounts (after covering patient costs) into a new special fund. This fund will support abortion clinical services, particularly where federal funding is restricted, benefiting individuals seeking abortion care in Maryland. The program mandates annual reporting by insurers and transfers existing excess funds starting in 2025.

Maddy summaryHB 1473 requires Maryland state departments, agencies, and programs to provide equal access to public services for individuals with limited English proficiency (LEP) and disabilities. It mandates these entities to develop language access plans by July 2027, including accommodations like interpreters, sign language, and plain language materials. The Governor’s Office of Immigrant Affairs will oversee compliance, investigate complaints, and receive $400,000 annually starting in fiscal year 2027 to support implementation. The bill expands existing LEP protections to explicitly include disability accommodations under defined "equal access" standards.

Maddy summaryHB 426 changes Maryland's post-election audit process by replacing mandatory manual audits with risk-limiting audits for statewide elections. It requires the State Board of Elections, working with local election boards, to conduct a risk-limiting audit after every statewide election - auditing at least one statewide contest and one local contest per county. The bill repeals the previous requirement for manual audits of paper ballots and allows (but does not mandate) automated software audits. This directly affects the State Board of Elections and local election boards, shifting their post-election verification process to a statistically-based method focused on detecting discrepancies in key contests.

Maddy summaryHB 678 establishes the Maryland Deaf Culture Digital Library as the state's primary resource center for deaf-related library services. It requires the Governor to include $450,000 annually in the budget for the library and mandates that the library submit its operating budget to the State Library Agency by June 1 each year. The bill directs the library to conduct needs assessments, develop staff training on deaf services, create a shared website, and form partnerships with deaf organizations and county libraries. These provisions directly affect deaf and hard of hearing Marylanders, state and county libraries, and the State Library Agency.