Del. Bonnie Cullison

Maddy summaryHB 1533 (the Crown and Care Act) bans 12 specific harmful ingredients - including certain phthalates, formaldehyde, mercury, and PFAS chemicals - from cosmetic products sold in Maryland. It directly affects cosmetic manufacturers, retailers, and salons by prohibiting the sale or distribution of products containing these ingredients, with limited exceptions for unavoidable trace amounts from manufacturing processes. The bill authorizes the Maryland Department of Health to investigate complaints, inspect businesses, and enforce penalties, while allowing consumers harmed by violations to seek civil damages and attorney fees. This law aims to protect public health by reducing exposure to chemicals linked to health risks like skin irritation and potential long-term harm.

Maddy summaryHB 1483 repeals Maryland's requirement for out-of-state clinical counselors to obtain a temporary telehealth license. It allows licensed counselors from other states to provide telehealth counseling to clients who relocated to Maryland (or returned after relocating), for up to six months, if they already had an established client-counselor relationship before the move. This exempts these counselors from Maryland's standard licensure rules during the six-month continuity period, but only for existing clients who relocated - not for new clients. The bill does not change regular licensing requirements for ongoing practice in Maryland.

Maddy summaryHB 1357 requires manufacturers of menstrual hygiene products (such as pads, tampons, and menstrual cups) sold in Maryland to list all ingredients on product packaging. The ingredient list must be displayed prominently in clear, easy-to-read text and in the order of the amount present (from most to least). Violations would be treated as unfair or deceptive trade practices under Maryland law, subject to enforcement and penalties. The requirement takes effect on October 1, 2026.

Maddy summaryHB 1135 allows pharmacists in Maryland to order certain vaccinations for patients aged 3 and older without needing to administer the vaccine themselves. Pharmacists must complete 20+ hours of approved training covering vaccine safety, injection techniques, and emergency response, hold current CPR certification, and report all vaccinations to the ImmuNet program. The bill specifically covers influenza, COVID-19, and emergency-use vaccines, and requires pharmacists to refer minors to pediatric care when ordering vaccines. This expands pharmacists' role in vaccine access while maintaining safety protocols and reporting requirements.

Maddy summaryHB 446 establishes the Dementia Services and Brain Health Program within Maryland’s Department of Health to lead state public health efforts on brain health and dementia. The program replaces the previous "Director" role for key duties, including staffing the Virginia I. Jones Alzheimer’s Disease and Related Dementias Council and overseeing implementation of the State Plan on Alzheimer’s and related dementias. It requires the program, in partnership with the Department of Aging and other entities, to develop a clinical toolkit for healthcare providers to improve dementia care. The bill updates existing law to formalize this program structure and its responsibilities.

Maddy summaryHB 422 expands Maryland's expedited partner therapy (EPT) program to include bacterial vaginosis (BV), allowing certain healthcare providers to prescribe antibiotics to a partner of a diagnosed patient without requiring a physical exam of the partner. The bill specifically adds BV to the list of conditions (alongside chlamydia, gonorrhea, and trichomoniasis) where physicians, nurse practitioners, physician assistants, and designated health department nurses can provide treatment to partners. This applies to patients diagnosed with BV, aiming to reduce reinfection and slow disease spread without requiring partners to visit a clinic. The law takes effect October 1, 2026.

Maddy summaryHB 374 revises Maryland's acupuncture licensing rules to clarify that "manual therapies" (like acupressure) are included under licensed acupuncture practice. It requires the State Acupuncture Board to provide proof of license renewal instead of issuing physical renewal certificates. The bill also explicitly prohibits employers from hiring unlicensed practitioners and bans aiding or abetting unauthorized acupuncture practice. These changes directly affect licensed acupuncturists, their employers, and individuals seeking acupuncture services in Maryland. The revisions aim to modernize licensing procedures while strengthening enforcement against unlicensed activity.

Maddy summaryHB 377 expands the scope of practice for physician assistants (PAs) in Maryland by adding them to specific healthcare roles that previously required physicians or other practitioners. The bill allows PAs to certify incapacity for treatment decisions, participate in guardianship petitions for disabled persons, and order infirmary care for pregnant inmates - previously limited to physicians or nurse practitioners. It also requires the Maryland Department of Health to cover PA examinations for emergency evaluees and adds PAs to the Statewide Advisory Commission on Immunization. These changes aim to create parity by treating PAs as equivalent to other licensed healthcare providers in key clinical and administrative processes.

Maddy summaryHB 624 (Safe Staffing Act of 2026) requires most Maryland hospitals to establish clinical staffing committees with equal management and employee representation, including specific frontline staff like nursing assistants and dietary aides. These committees must develop annual staffing plans considering patient acuity, staffing gaps, and evidence-based standards, then post the plans publicly and update them yearly. Hospitals must implement these plans starting in 2028, allow staff to file complaints about violations, and report annually to the Maryland Health Care Commission beginning in 2030. The law directly affects licensed hospitals and frontline healthcare workers by mandating structured, transparent staffing processes to address patient care needs.

Maddy summaryHB 698 transfers regulatory authority for crematories and "reduction facilities" (natural organic reduction of human remains) from the Office of Cemetery Oversight to the State Board of Morticians, Funeral Directors, and Crematories. The bill renames the board to explicitly include crematories, alters procedures for removing board members, and changes quorum requirements to allow action with a simple majority vote. This transfer affects cremation and reduction facility operators by shifting their oversight to the new board, while also updating related code sections in Maryland’s Business Regulation and Health Occupations articles. The bill makes organizational and procedural changes without introducing new operational requirements for these facilities.