Del. Tiffany Alston

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 595 modifies Maryland's income tax credit for physicians mentoring medical students in underserved areas. It removes a requirement that students must be enrolled in a Maryland medical school or training program and reduces the required hours per preceptor rotation from 100 to 90 for community-based clinical training. Licensed physicians serving as preceptors in designated healthcare shortage areas may claim a $1,000 tax credit per qualifying student rotation, capped at $10,000 annually per physician and $100,000 statewide. The bill aims to expand access to physician mentorship by broadening eligibility for the credit, directly benefiting doctors and medical training programs in regions facing healthcare workforce shortages.

Maddy summaryHB 557 creates a pre-approval review process for individuals with non-violent criminal convictions seeking occupational licenses (e.g., cosmetology, contracting, healthcare roles) in Maryland. It requires state departments (excluding Public Safety and Correctional Services) to provide a binding determination on whether an applicant’s criminal history would block their license *before* they formally apply, based on specific criteria like the nature of the offense, time since conviction, and rehabilitation evidence. The bill prohibits denial solely for past non-violent convictions unless a direct relationship to the job or safety risk exists, and establishes a $100 fee (waivable for low-income applicants) for the review. It applies to most occupational licenses but excludes sex offense convictions and automatically allows licenses after 7 years without new offenses.

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 672 amends the Maryland Pediatric Cancer Fund to specify that only nonprofit hospitals, educational institutions, and other nonprofit organizations may receive grants for pediatric cancer research, removing previous eligibility for physicians, laboratories, and individuals. The bill requires grant funds to be used exclusively for direct research costs, prohibiting use for administrative overhead or community-based services. It also mandates annual reporting to the General Assembly on fund administration, promotional efforts, and detailed fund usage.

Maddy summaryHB 975 prohibits licensed massage therapists, registered massage practitioners, and third parties acting on their behalf from advertising massage services that imply sexual activity, suggest prostitution services, or appear on sites known for such ads. It requires all advertising for massage therapy to include the full name and license or registration number of the specific practitioner. The bill also sets standards for permissible advertising, such as allowing business-level ads without listing individual therapists, and mandates that trade names not be deceptive. These changes directly affect massage therapy practitioners and their marketing practices in Maryland, effective October 1, 2026.

Maddy summaryHB 1094 requires Maryland health insurers to reimburse individuals for services provided by graduate-level clinical interns in counseling, social work, and psychology under specific conditions. It applies to insureds covered by policies meeting Maryland’s jurisdictional requirements (e.g., issued in-state or covering Maryland residents). Reimbursement is mandated only when interns work under direct supervision of licensed professionals at outpatient facilities and services are billed by the supervising clinician. The bill amends existing insurance codes to ensure coverage for these supervised intern services, directly affecting insurers, interns, and patients seeking mental health care.