Del. Tiffany Alston

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 The bill takes effect October 1, 2025, and will be superseded if the Interstate Counseling Compact begins issuing cross-state licenses.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 838 revises Maryland's regulations for licensed direct-entry midwives, making their practice independent without requiring oversight from other healthcare providers. The bill removes the requirement for midwives to report certain information to the Direct-Entry Midwifery Advisory Committee and updates disciplinary procedures for license holders. It also extends the validity of the Maryland Licensure of Direct-Entry Midwives Act through a sunset provision. These changes directly affect licensed midwives and the pregnant people and newborns they serve by increasing midwives' autonomy in providing low-risk maternity care.

Maddy summaryHB 819 creates a pilot program giving a price preference to bids from businesses using Employee Stock Ownership Plans (ESOPs) for contracts with specific Maryland entities: the Maryland Stadium Authority, University System of Maryland, Morgan State University, St. Mary’s College, and Baltimore City Community College. It requires contractors to disclose if they use an ESOP in their bid and applies to procurements valued under $80 million. This means state entities must consider ESOP-based bids more favorably during contract awards, while still following standard procurement rules. The bill amends Maryland’s procurement code to establish this preference program as a new section (Subtitle 8) under state finance law.

Maddy summaryHB 728 redefines the allowable uses of Maryland's Opioid Restitution Fund to explicitly permit funding for the operating expenses and personnel costs of the Opioids Enforcement Unit within the Office of the Attorney General. This unit conducts investigations and enforcement actions related to recovering funds from opioid-related judgments and settlements. The bill specifically amends Section 7-331(f)(5) of the Maryland Annotated Code to add this provision, while maintaining the Fund's existing uses for prevention, treatment, recovery, and harm reduction programs. It directly affects the Attorney General's Office and ensures enforcement activities can be supported using restitution funds.

Maddy summaryHB 1244 establishes the Maryland Developmental Disabilities Administration Waiver Advisory Council to advise the Developmental Disabilities Administration on Medicaid waiver programs. The council provides recommendations on system design, service delivery, and quality improvements, prioritizing input from individuals with lived experience in these programs. It requires 18 voting members with direct experience in waiver programs (including self-directed and traditional models), plus representatives from providers, advocacy groups, and state agencies like Health, Disabilities, and Human Services. The council must operate using person-centered, equitable, and data-driven approaches to enhance services for Medicaid waiver participants.

Maddy summaryHB 1143 allows dental hygienists to provide preventive dental services in Maryland schools and school-based health centers under general dentist supervision (without requiring a dentist to be physically present on-site). It creates a Maryland Collaborative composed of health, education, and community representatives to study and recommend improvements to school-based dental programs. The bill directly affects all Maryland school children, particularly those in underserved communities where 21% have untreated dental decay and pandemic-era access to preventive care dropped to 56.5% for Medicaid-covered children. The Collaborative will develop strategies to address these gaps, building on existing school dental initiatives.

Maddy summaryHB 996, the Phenibut Consumer Protection Act, regulates the sale of phenibut products (containing beta-phenyl-gamma-aminobutyric acid HCL) by requiring retailers to disclose factual claims on product labels and prohibiting sales of unsafe or mislabeled products. It bans selling phenibut to anyone under 21, prohibits advertising therapeutic benefits or marketing to minors (including restrictions on cartoons, superheroes, or youth-targeted imagery), and bans products adulterated with dangerous substances. Retailers violating these rules face civil penalties up to $1,000 for labeling issues or criminal fines up to $5,000 for safety or age violations. The bill also mandates the Maryland Department of Health to report on adverse health events linked to phenibut use by the legislature.

Maddy summaryHB 367 prevents Maryland health boards from requiring additional English proficiency proof for nursing license applicants who already hold a valid, unrestricted license from another state that requires English proficiency for licensure. It requires boards to maintain an online list of states with comparable English requirements and updates acceptable proof methods (like graduation from English-speaking schools, passing U.S. HHS-approved exams, or holding a multistate nursing license). The bill specifically applies to nurses seeking licensure in Maryland through endorsement, eliminating redundant testing for those qualified in other states. It amends Maryland’s Health Occupations laws to streamline the process for out-of-state nursing license applicants.

Maddy summaryHB 1478 requires the Maryland Department of Health to create and maintain an online directory of home health care providers. The directory must let people search for providers by criteria like language skills, certifications, or special training, and include details such as provider names, licenses, training, and abuse reports. It directly affects individuals seeking home health care services (like nursing or therapy in their homes) and the home health care providers themselves. The bill does not change licensing rules but aims to make it easier for people to find qualified providers and supports provider recruitment through features like job listings and training connections.