Del. Bonnie Cullison

Maddy summaryHB 1367 establishes a Commission on Re-Imagining Health Care in Maryland to study and recommend changes for a new statewide healthcare system. The commission, composed of 20 appointed members including state officials, healthcare providers, insurers, county representatives, and community members, will examine how healthcare is delivered in other regions and address issues like provider shortages, cost balancing, and system integration. It will specifically study how to create a patient-centered system covering all health needs, eliminate access barriers, and ensure financial sustainability for all Maryland residents. The commission’s final recommendations, due by 2028, would guide potential future policy changes but do not enact any immediate healthcare reforms.

Maddy summaryHB 1376 requires Maryland's Medicaid (Maryland Medical Assistance Program) and Children's Health Program to provide a review within 3 business days for transfer requests to special pediatric hospitals when requested by the hospital or referring provider. It mandates retrospective reviews if a transfer is denied as "not medically necessary," with providers reimbursed for "administrative days" (days a patient remains without transfer) during the review process. The bill directly affects special pediatric hospitals - facilities serving children under 22 or those 2+ years old with co-occurring physical/behavioral health conditions - and their referring providers. Key provisions include eliminating prior authorization requirements for transfers while establishing strict timelines and reimbursement for administrative delays during appeals. This bill updates existing Medicaid and insurance rules to streamline transfers to specialized pediatric care facilities.

Maddy summaryThis 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.

Maddy summaryHB 1181 amends Maryland's Family Law to streamline voluntary placement agreements for children with developmental disabilities or mental illnesses in out-of-home care. The bill requires local departments to schedule an assessment meeting with families and providers within 5 business days of receiving a request, and issue a written eligibility decision within another 5 business days. It clarifies that local departments cannot seek legal custody solely to obtain treatment for these children, while allowing placements to exceed 180 days if a juvenile court finds continued placement is in the child's best interest. These changes aim to reduce current delays (often 60-90 days) that contribute to extended hospital stays and family distress.

Maddy summaryThis bill prohibits placing children in unlicensed settings (such as hotels, motels, or nonresidential offices) under Maryland's out-of-home placement program for foster care, with limited exceptions for kinship caregivers or parental placements. It creates a new Child and Youth Placement Review Panel within the Governor’s Office to oversee placements and requires the Placement Manager to convene a Rapid Response Team for urgent cases. The bill also establishes an Advisory Council to improve Maryland’s system of care for children and families and modifies hospital overstay protocols for pediatric patients. These changes directly affect children in foster care, hospitals, and the agencies managing their care, aiming to ensure safer, licensed placements.

Maddy summaryHB 939 extends the deadline for filing birth certificates in Maryland from 5 to 12 calendar days after a birth. It directly affects hospitals, clinics, attending medical professionals, and parents (in cases without an attending clinician), requiring them to complete and submit the certificate within the new timeframe. The bill amends Maryland health code sections to update these filing deadlines for births occurring in institutions, outside institutions, and on common carriers (like planes or ships). The key change is the specific increase in the filing period, with no other policy alterations described in the text.

Maddy summaryHB 1012 authorizes counties and municipalities in Maryland to establish local suicide fatality review teams, which directly affect local governments and public health agencies. These teams must include representatives from health departments, law enforcement, schools, hospitals, and mental health professionals to review suicide cases and identify systemic factors. The bill requires teams to coordinate with the state suicide review committee and mandates confidentiality for case discussions, exempting meetings about individual cases from public disclosure laws and protecting sensitive information. It also prohibits public disclosure of identifying details about deceased individuals or those affected by suicide, ensuring privacy while allowing teams to develop prevention recommendations.

Maddy summaryHB 1015 (Ralph's Act) ensures continuity of developmental disability services for individuals who recently moved to Maryland after losing their primary caregiver in another state. It directly affects people who received home- and community-based waiver services in another state for the past 10 years and relocated to live with immediate family following the death or incapacitation of their former caretaker. The bill requires the Maryland Department of Health to create an expedited 30-day process to determine eligibility, allows pre-residency eligibility assessments, and ensures those approved receive services through priority categories matching their prior state's support. This policy change prevents service disruptions during relocation transitions.

Maddy summaryHB 771 requires Maryland health occupations boards to allow license renewal credits for free, 1-hour human trafficking awareness training. The training must cover definitions of trafficking, trauma-informed care, health indicators, screening protocols, reporting requirements, and survivor resources. It directly affects health practitioners (like nurses and therapists) needing license renewals, with boards mandated to adopt regulations by October 2026. The Maryland Department of Health must approve the training program by July 2026 in collaboration with universities and anti-trafficking organizations. The bill takes effect June 1, 2026.

Maddy summaryHB 772 establishes a workgroup within Maryland's Health Care Commission to develop fairer reimbursement methods for certified community behavioral health clinics and outpatient mental health centers. The workgroup will study current costs, staffing models, and federal requirements to create transparent, cost-based payment systems, comparing approaches used in other states. It must submit an interim report by December 2026 and a final report by October 2027 with specific recommendations, implementation options, and fiscal estimates. The bill does not require immediate rate changes or new funding, but rather sets a process for future policy decisions based on the workgroup's findings.