Del. Tiffany Alston

Maddy summaryHB 426 allows a party seeking guardianship of a person’s property (due to disability) to request a court to temporarily pause specific civil cases against that person. It requires the guardian applicant to notify all parties and the court, and limits the stay to 90 days or until guardianship is granted/denied. The bill directly affects people with disabilities whose property is under guardianship proceedings and creditors/landlords in pending cases like evictions, rent non-payment suits, or foreclosure. It mandates that legal notices for these paused cases must be served through the appointed guardian.

Maddy summaryHB 635 requires all individuals seeking positions involving direct contact with children in Maryland child care facilities - including staff and volunteers - to undergo a criminal history background check. It creates a centralized unit within the State Department of Education to process these checks, with strict timelines (10 days for initial status, 45 days for final eligibility) and strict confidentiality rules prohibiting unauthorized sharing of results. The bill directly affects child care facilities, their employees, and volunteers by mandating these checks and establishing a standardized process for handling them. It also updates existing licensing rules to align with this new requirement, effective October 1, 2026.

Maddy summaryHB 769 revises Maryland's rules for conditional licenses allowing social work applicants to practice while awaiting exam results. It directly affects applicants facing exam delays and their supervising social workers, requiring supervision during the conditional period. Key changes include: (1) allowing conditional licenses only for initial applicants facing exam unavailability, (2) creating a 1,500-hour supervised experience alternative to passing the exam for full licensure, and (3) setting a 12-24 month expiration period with no renewals. The bill also requires the State Board to track licenses and report annual data to legislative committees on conditional license usage.

Maddy summaryHB 1196 requires Maryland's Department of the Environment to establish a mobile home park water quality testing program by January 1, 2027. The program mandates testing 25% of parks by 2028, 50% by 2029, 75% by 2030, and 100% by 2031, prioritizing parks with ≥40% minority residents, known contamination areas, or resident complaints. Park owners must take corrective actions if water quality issues are found, and the Department must notify residents and develop a statewide action plan. This directly affects mobile home park owners, residents, and the Department of the Environment through mandated testing, reporting, and remediation requirements.

Maddy summaryHB 1109 creates the Maryland Medical Reserve Corps, a statewide volunteer network for emergencies like disease outbreaks or disasters, managed by the Maryland Department of Health. It requires the Department to notify county health officers about procurement opportunities for electronic health records systems, allowing counties to join without state approval if fully funded locally. The bill establishes a Public Health Workforce Development Fund (using interest earnings and transfers from another fund) and mandates the Department of Legislative Services to assess health equity impacts of new legislation. These changes directly affect county health departments, the Department of Health, and public health workforce planning.

Maddy summaryHB 1377 establishes a 18-month pilot program to redirect unused, unopened prescription drugs to a state repository program. It requires participating pharmacies (repositories) to collect eligible medications during National Prescription Drug Take Back Days, package them properly, and transfer them to designated drop-off sites for distribution to eligible patients - while sending controlled substances directly to the DEA. The program aims to expand medication access for underserved communities, reduce pharmaceutical waste, and ensure drug safety through collaboration between Maryland’s Secretary of Health and the federal DEA. The pilot runs from July 2026 through December 2027, with mandatory reporting on collected medications by October 1, 2027.

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.