Photo of Tiffany Alston
D Maryland House of Delegates · District 24

Del. Tiffany Alston

Compare
Total votes
5,510
all sessions
Attendance
88%
666 missed
Lower than 96% of chamber peers
With party
98%
of cast votes
Near the chamber average
Bipartisan score
1%
crosses aisle rarely
Near the chamber average
Sponsored
496
bills & resolutions
Higher than 94% of chamber peers
Committees
1
assignment
496 bills and resolutions

Sponsored bills

Total
496
Primary
496
Co-sponsor
0
This page
496
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Primary HB 945
Signed into law · Maryland House of Delegates · Lead sponsor
Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative

Maddy summaryHB 945 requires Maryland's Department of Health to immediately notify and coordinate with the local health department whenever investigating a nursing home complaint alleging actual harm. This affects the Department, local health departments, and nursing homes directly. The key provision mandates that the Department must contact the local health department right away and collaborate with them during the investigation, particularly for complaints involving actual harm (not routine issues). The bill amends existing law to formalize this notification and consultation process during investigations.

Signed into law May 26, 2026 0 co-sponsors
Primary HB 1118
Signed into law · Maryland House of Delegates · Lead sponsor
Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions

Maddy summaryHB 1118 requires health insurance carriers in Maryland to provide a standing referral to a mental health care provider for pregnant individuals and for one year after childbirth, without needing a written treatment plan. It mandates that insurers cover screening for perinatal mental health conditions (like postpartum depression) during prenatal visits and other specified times. The bill also directs the Maryland Department of Health to establish a perinatal mental health screening program and requires health care professionals renewing licenses to complete continuing education on perinatal mental health conditions. These changes aim to improve access to mental health support during pregnancy and the postpartum period.

Signed into law May 26, 2026 0 co-sponsors
Primary HB 445
Signed into law · Maryland House of Delegates · Lead sponsor
Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act)

Maddy summaryHB 445, the "So Every Body Can Move Act," requires Maryland's Medicaid program (Medical Assistance Program) and private health insurers, nonprofit health plans, and HMOs to cover orthoses (supportive devices like braces) starting January 1, 2027. It mandates annual coverage for orthoses, including repairs, replacements, and components, without lifetime dollar limits or higher copays than other medical benefits. The bill clarifies that coverage must include all orthoses deemed medically necessary by a provider for daily living or essential job activities. It directly affects Maryland residents enrolled in Medicaid or private health plans covering hospital/medical benefits, ensuring access to these devices without restrictive lifetime limits or unnecessary barriers.

Signed into law May 26, 2026 0 co-sponsors
Primary HB 396
Signed into law · Maryland House of Delegates · Lead sponsor
Residential Child Care Programs - Education of Children and Training of Child and Youth Care Practitioners

Maddy summaryHB 396 requires operators of licensed residential child care programs (like group homes and emergency shelters) to ensure children aged 5-16 in their care receive proper education. It mandates enrolling children in local schools (or approved in-house programs), transferring academic records, meeting with teachers, and providing study time, homework help, and support for extracurricular activities or individualized education plans. The bill also sets new training standards for child care practitioners, requiring background checks, education credentials, and approved training on child development and their role. These changes directly affect residential programs receiving state funding and their staff in Maryland.

Signed into law May 26, 2026 0 co-sponsors
Primary HB 552
Signed into law · Maryland House of Delegates · Lead sponsor
Commission on the House of Reformation and Instruction for Colored Children - Establishment

Maddy summaryHB 552 establishes an independent investigation into the historical House of Reformation and Instruction for Colored Children, a former state detention facility in Prince George’s County that housed Black youth for over a century. The investigation will use ground-penetrating radar to locate unmarked graves, review historical records to identify deceased children, and determine causes of death and institutional conditions. It requires the appointed investigators - selected for expertise in civil rights, historical inquiry, and juvenile justice - to produce a public report with recommendations for a memorial, dignified reburial of remains, and policy changes for future deaths in state custody. This bill directly affects descendants of the children buried there and the public seeking accountability for this neglected chapter of Maryland’s history.

Signed into law May 26, 2026 0 co-sponsors
Primary HB 1372
Signed into law · Maryland House of Delegates · Lead sponsor
Public Health - Office of Health Care Quality Information and Maryland Health Centralization Commission

Maddy summaryHB 1372 requires the Maryland Health Care Commission, working with the Office of Health Care Quality, to create a process for publishing health facility inspection data (including inspection dates, quality ratings, next inspection dates, and compliance statements) on a public website. It establishes the Maryland Department of Health Centralization Commission, composed of legislators, department officials, and health board leaders, to advise on improving efficiency between the Department and health occupations boards. The bill also mandates that all health occupations boards meet minimum cybersecurity standards set by the Secretary of Information Technology. These changes directly affect health care facilities subject to inspections, health occupations boards, and the Maryland Department of Health.

Signed into law May 12, 2026 0 co-sponsors
Primary HB 1523
Signed into law · Maryland House of Delegates · Lead sponsor
Alcohol, Tobacco, and Cannabis Commission - Unauthorized Consumable Products - Enforcement and Seizure

Maddy summaryHB 1523 prohibits retailers from selling, distributing, advertising, or exposing for sale "unauthorized consumable products," defined as tianeptine products and specific kratom products (as outlined in Maryland Health law). It directly affects businesses like stores, restaurants, hotels, supermarkets, and food/drink companies that handle these products. The bill authorizes the Alcohol, Tobacco, and Cannabis Commission to seize, confiscate, or destroy such products and requires the Maryland Department of Health to report related changes to the Commission. These changes amend enforcement provisions to strengthen oversight of products not legally permitted under existing cannabis and health regulations.

Signed into law May 12, 2026 0 co-sponsors
Primary HB 864
Signed into law · Maryland House of Delegates · Lead sponsor
Public Works Contracts - Apprenticeship Requirements (Maryland Workforce Apprenticeship Utilization Act)

Maddy summaryHB 864 (Maryland Workforce Apprenticeship Utilization Act) requires contractors and subcontractors on Maryland public works projects to employ a minimum percentage of qualified apprentices or journeyworkers instead of paying fees to apprenticeship programs. The bill expands this requirement to cover construction projects for the University System of Maryland and Baltimore City Community College. It repeals current provisions allowing contractors to pay fees in lieu of hiring apprentices and directs the Secretary of Labor to set an annual apprenticeship hiring percentage for each project. This policy change directly affects contractors bidding on public construction projects valued above specific thresholds, aiming to increase on-the-job training opportunities in skilled trades.

Signed into law May 12, 2026 0 co-sponsors
Primary HB 564
Signed into law · Maryland House of Delegates · Lead sponsor
Pet Cremation and Burial Services - Requirements (Pet Cremation and Burial Services Consumer Protection Act)

Maddy summaryHB 564, the Pet Cremation and Burial Services Consumer Protection Act, requires businesses that provide pet cremation services to give pet owners a written description of available services. This applies specifically to registered cemeterians, cemetery operators, and permit holders selling or offering pet cremation services for pet remains. The written description must be provided to the owner of a deceased pet or their agent when arranging for cremation. The bill aims to increase transparency and ensure pet owners receive clear information about service options before making arrangements.

Signed into law May 12, 2026 0 co-sponsors
Primary HB 587
Signed into law · Maryland House of Delegates · Lead sponsor
Procurement - Department of Transportation and Maryland Transportation Authority Contracts - Board of Public Works Contract Authority - Study and Report

Maddy summaryHB 587 raises the threshold requiring Board of Public Works approval for certain transportation contracts from $500,000 to $1 million. It directly affects the Maryland Department of Transportation and Maryland Transportation Authority when procuring construction, related services, or land for state roads, bridges, or highways. The key change modifies existing law to exempt smaller transportation contracts ($1 million or less) from Board oversight, allowing these agencies to manage them internally without prior Board approval. This streamlines procurement for routine transportation projects while maintaining Board review for larger contracts.

Signed into law May 12, 2026 0 co-sponsors
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