Del. Aaron Kaufman

Maddy summaryHB 1094 requires Maryland health insurers to reimburse individuals for services provided by graduate-level clinical interns in counseling, social work, and psychology under specific conditions. It applies to insureds covered by policies meeting Maryland’s jurisdictional requirements (e.g., issued in-state or covering Maryland residents). Reimbursement is mandated only when interns work under direct supervision of licensed professionals at outpatient facilities and services are billed by the supervising clinician. The bill amends existing insurance codes to ensure coverage for these supervised intern services, directly affecting insurers, interns, and patients seeking mental health care.

Maddy summaryHB 804 establishes the Aging Resilience Fund as a special, nonlapsing fund under Maryland law. The fund, administered by the Secretary of Aging, will support the Department of Aging's mission through investment earnings, fees, and other designated sources. It can be used for administrative expenses like personnel, partnership development, and programs aligning with the Department's goals. The fund must be held separately by the State Treasurer, with interest earnings credited back to it, and expenditures require compliance with the state budget. This is a procedural bill creating a new funding mechanism rather than changing substantive policies.

Maddy summaryHB 1002 prohibits nursing facilities from involuntarily discharging or transferring residents to temporary housing (like hotels) without confirmation from the receiving facility that it can accept the resident. It requires facilities to provide residents with clear written notices at least 10 days before a discharge or transfer, including the reason, new location, and contact information for hearings. The bill also bans facilities from discharging Medicaid-eligible residents solely because they qualify for Medicaid benefits, and mandates that post-discharge plans include specific care details. These changes aim to protect residents' rights and ensure smoother transitions during involuntary moves.

Maddy summaryHB 838 repeals a requirement that prescribers submit prescriber-pharmacist agreements to their regulating health board. Instead, it allows pharmacists (with specific qualifications, registrations, and training) to directly enter agreements authorizing them to treat opioid use disorder using controlled substances. A key provision requires pharmacists to check the Prescription Drug Monitoring Program (PDMP) for relevant patient data before starting or changing such therapy. This bill directly affects pharmacists, prescribers, and patients with opioid use disorder by expanding pharmacists' role in medication management under defined safeguards.

Maddy summaryHB 747 changes the membership structure of Maryland's Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities. The bill reduces the number of House-appointed members from two to one and removes specific agency representatives, while adding three industry representatives from the assisted living sector (categorized by facility size: 1-4, 5-9, and 10+ residents). This committee directly affects nursing homes, assisted living facilities, and their residents by shaping oversight of care quality standards. The bill takes effect October 1, 2026, and modifies existing law without altering the committee's core purpose.

Maddy summaryHB 322 changes the membership structure of Maryland's Health Care Commission. It reduces the number of non-healthcare-related members from nine to eight and adds a required hospital representative (defined in state law) to the seven provider-focused seats. The bill also revises geographic requirements, mandating four members from large-population counties (instead of five) and specifying representation from the Eastern Shore, western counties, and Southern Maryland. These changes take effect October 1, 2026, aiming to adjust the commission's composition to better reflect healthcare provider perspectives.

Maddy summaryHB 442 requires nursing homes, assisted living facilities, and nurse midwives in Maryland to disclose their professional liability insurance status to residents and potential residents. Specifically, these providers must provide written notice (including electronic communication) if they lack coverage or if coverage has lapsed and not been renewed, with timing requirements: at the first visit for potential residents or at application for admission, and within 30 days of a lapse for current residents. The bill also mandates that facilities without coverage post a conspicuous notice for residents and guests. This law does not change insurance requirements but ensures transparency about coverage gaps. It directly affects residents and potential residents of these care facilities by providing clear, timely disclosure of insurance status.

Maddy summaryHB 637 ("The Vax Act") requires Maryland's Secretary of Health to issue science-based recommendations for immunizations, screenings, and preventive services using guidance from major medical organizations like the CDC and American Academy of Pediatrics. It expands pharmacists' authority to administer flu, COVID-19, and emergency vaccines to patients aged 3 and older (previously limited to 18+ for some vaccines) after completing specific training. The bill also mandates that health insurance plans cover these recommended services without cost-sharing for patients. This directly affects pharmacists, health insurers, and Maryland residents seeking preventive care, particularly children and adults needing routine vaccinations.

Maddy summaryHB 1445, the "Maryland Protecting People With Disabilities Act," changes eligibility rules for home- and community-based services under Maryland's Medicaid program (Maryland Medical Assistance Program). It requires the state to continue services uninterrupted during appeals if an individual loses eligibility, prohibits automatic termination solely due to administrative errors (procedural disenrollment), and mandates data sharing between providers and the Department of Health. The bill directly affects people receiving Developmental Disabilities Administration services and Medicaid beneficiaries who risk losing community-based care due to eligibility disputes. Key provisions include extending appeal timelines (replacing 90-day deadlines with continuous service until appeal resolution) and requiring the state to reserve waiver slots for those who lost eligibility unfairly. These changes aim to align with the Olmstead v. L.C. Supreme Court ruling protecting community integration rights.

Maddy summaryHB 1117 requires Maryland's Medicaid program (Maryland Medical Assistance Program) and certain insurers to cover approved "elopement response devices" for specific individuals. These devices - such as door sensors, wearable location trackers, or alert systems - prevent people with cognitive, developmental, or neurological conditions from wandering unsafely (e.g., leaving a supervised area without the ability to return safely). Coverage is mandated when ordered by a qualified healthcare provider and documented in a qualifying plan (like an individualized education plan or dementia care plan) for eligible recipients: those under 21 with early screening eligibility, on home-based waiver programs, or diagnosed with Alzheimer’s/dementia. The bill defines these devices as medical equipment or assistive technology under state programs, ensuring coverage without regard to when the program was established.