Del. Kym Taylor

Maddy summaryHB 500, the Procurement Reform Act of 2025, streamlines Maryland state government purchasing by transferring key authority from the Secretary of General Services to the Chief Procurement Officer. It adjusts dollar thresholds requiring public notice or reporting for procurements, modifies small business preference programs (including expanding eligibility for small business reserves), and adds new requirements for contractors to submit workforce diversity plans for contracts over $500,000. The bill also creates a procurement preference for businesses certified for "good labor practices" and mandates that certain agencies establish working groups to address procurement issues. These changes directly affect state agencies, contractors (especially small businesses), and the Office of Small, Minority, and Women Business Affairs, which gains oversight of new workforce diversity rules.

Maddy summaryHB 1292 requires health insurance carriers in Maryland to maintain an updated online "provider directory" (replacing the previous "network directory" term to align with federal law). The bill mandates that carriers make this directory available online with a clear search function and include specific details for each provider, such as specialty, office locations, contact information, and whether they accept new patients. Carriers must verify and update the directory regularly, ensuring it accurately reflects participating providers and facilities. This directly affects health insurance companies and their members (enrollees) by improving access to current provider information.

Maddy summaryHB 1474 allows out-of-state licensed professional counselors to provide temporary telehealth counseling services to specific students enrolled at Maryland colleges. It directly affects out-of-state counselors and students who are out-of-state residents living near a Maryland institution of higher education (not established Maryland residents). Key provisions require an existing therapeutic relationship between counselor and student, limit services to 5 days per month or 15 days annually, and exclude students with in-state health insurance plans restricting coverage to local providers. The bill takes effect October 1, 2025, and will be superseded if the Interstate Counseling Compact begins issuing cross-state licenses.

Maddy summaryHB 1344 requires Maryland's Department of General Services to assess all state-owned facilities to determine if they could be leased to child care centers (as defined in Maryland law). The department must report by December 1, 2026, including a full inventory of facilities and details on each facility's suitability and leasing availability for child care centers. The report must be submitted to the General Assembly and published online. The bill expires automatically on June 30, 2027, after a two-year term.

Maddy summaryHB 1222 (Maryland Values Act) requires Maryland correctional facilities to detain and transfer individuals who are not lawfully present in the U.S. and have been convicted of a violent crime to federal immigration authorities within 48 hours when requested. It prohibits law enforcement officers from detaining people or prolonging arrests based on immigration status during routine stops or investigations, and bans transferring individuals to federal immigration authorities except for the defined "covered individuals" (those with violent crime convictions and unlawful presence). The bill also terminates existing immigration enforcement agreements between Maryland entities and federal authorities by a specified deadline. This directly affects state/local correctional facilities, law enforcement officers, and individuals with certain immigration statuses and violent crime convictions.

Maddy summaryHB 1100 requires Maryland's Department of Health, working with the Commission on Health Equity, to create a public data dashboard showing health disparities. The dashboard must display age-adjusted health data broken down by race, ethnicity, and gender, covering specific areas like health insurance access, cardiovascular disease, mental health, cancer, and HIV/AIDS. The Department must update the dashboard at least every 30 days and post the latest version prominently on its website. This law directly affects Maryland residents by making health equity data more accessible to the public, researchers, and health officials.

Maddy summaryHB 970 prohibits Maryland health insurers, nonprofit health plans, and health maintenance organizations from requiring patients to try less expensive diabetes medications before covering insulin. It directly affects people with type 1, type 2, or gestational diabetes who rely on insulin or similar insulin analogs for treatment. The bill bans "step therapy" or "fail-first" protocols - where insurers force patients to attempt alternative drugs first - regardless of how insurers label these policies. This change takes effect for all new or renewed health insurance policies on or after January 1, 2026.

Maddy summaryHB 666 requires Maryland's Medicaid program (Maryland Medical Assistance Program) and most health insurance plans to cover calcium score testing for individuals with specific heart disease risk factors. It directly affects people with diabetes, high blood pressure, high cholesterol, or a family history of early heart disease - requiring coverage if they have at least three of these risk factors. The law mandates coverage starting January 1, 2026, for Medicaid and all health insurance policies issued or renewed after that date. This change applies to insurers, nonprofit health plans, health maintenance organizations, and managed care organizations operating in Maryland. The bill does not alter coverage for other medical services but specifically adds calcium scoring to required benefits.

Maddy summaryHB 1251 (Doula and Birth Policy Transparency Act) requires hospitals and freestanding birth centers in Maryland to adopt and submit to the Department of Health a specific policy on obstetric care by January 1, 2026. The policy must guarantee birthing parents can have a certified doula present during birth, prioritize newborn bonding, prohibit significant medical interventions (like C-sections or forceps) without informed consent, and detail medical information transfers between providers. Medical liability insurers must also provide the Department of Health with coverage details for obstetric services, including vaginal birth after C-section, upon request. This bill directly affects health care facilities providing obstetric services and insurers, aiming to increase transparency and patient choice in birth settings.

Maddy summaryHB 1086 requires Maryland's Medicaid program (Maryland Medical Assistance Program), managed care organizations, and certain health insurers to cover anesthesia services without time limits. It mandates that if a licensed medical professional orders anesthesia for a procedure, coverage must extend for the entire procedure duration, and insurers cannot impose any time restrictions on this coverage. The bill applies to all policies issued or renewed in Maryland on or after January 1, 2026, directly affecting Medicaid beneficiaries and insured patients needing anesthesia for medical procedures. This change aligns anesthesia coverage requirements with existing standards for other health services under Maryland law.