Del. Tiffany Alston

Maddy summaryHB 860, the Arnaud and Magruder Memorial Act, sets a 5-day initial limit for emergency evaluation petitions after court approval, with extensions of up to 5 days each (totaling no more than 30 days) based on the individual's current behavior. The bill requires courts to include the petition's expiration date and clarifies that peace officers must transport individuals to emergency facilities when holding a valid petition (either court-endorsed within 5 days or signed by authorized professionals), allowing electronic petitions. This law directly affects courts reviewing petitions, peace officers executing them, emergency facilities receiving individuals, and people subject to emergency evaluations. It standardizes timelines and procedures to ensure timely care while preventing prolonged detention without court review.

Maddy summaryHB 1290 authorizes children involved in Maryland's Child in Need of Assistance (CINA) proceedings - where a child faces abuse, neglect, disability, or mental health issues requiring court intervention - to be present at their hearings. The bill requires courts to allow children’s presence unless the child’s attorney determines it’s not in the child’s best interest (with the child waiving their right) or the court makes that finding after considering alternatives. Before excluding a child, courts must explore less restrictive options like adjusting schedules, remote participation, trauma-informed support, or limiting courtroom time. This directly affects children in CINA cases handled by Maryland’s juvenile courts, modifying court procedures to prioritize their participation while ensuring safeguards.

Maddy summaryHB 1143 bans the use of the "lung float test" (a hydrostatic lung test) during perinatal autopsies in Maryland. It directly affects the Chief Medical Examiner, deputy examiners, assistant examiners, and authorized pathologists when determining if a death was a stillbirth or occurred after a live birth. The bill prohibits this specific test method and allows parents, guardians, or legal representatives to file a civil lawsuit if the test is used unlawfully. Violations also become grounds for disciplinary action against medical examiners.

Maddy summaryHB 1150 expands pharmacists' scope of practice in Maryland to prescribe, administer, and dispense medications for specific minor conditions and HIV prevention/treatment under statewide protocols. It directly affects pharmacists (by allowing new clinical duties) and patients (by increasing access to care for conditions like cold sores, strep throat, flu, lice, urinary infections, and HIV testing). Key provisions include permitting pharmacists to prescribe for minor, self-limiting conditions without a new diagnosis and to perform/interpret HIV lab tests while prescribing PrEP/PEP medications. The bill repeals the previous nPEP standing order program and requires the Maryland Department of Health to establish these protocols.

Maddy summaryHB 1593 requires Maryland's Deputy Secretary for Developmental Disabilities to provide public notice before changing the Self-Directed Services Manual, which governs waiver program services for individuals with developmental disabilities. The bill mandates a 90-day public comment period for proposed changes and prohibits adopting any revisions until this period ends. It directly affects individuals and families using self-directed services - where participants control their own care choices, staffing, and budget management - and ensures their input is considered before policy changes take effect. This procedural bill amends Maryland’s health code to formalize transparency and public engagement in updating the manual (effective October 1, 2026).

Maddy summaryHB 1048 requires Maryland chain restaurants with 20 or more locations to display warning icons next to menu items containing high sodium (1,150mg+ per serving) or high added sugars (25mg+ per serving) starting January 1, 2028. The Maryland Department of Health must adopt regulations by January 2027 establishing the icon designs, minimum sizes, and accompanying text. The bill also mandates a 2027 public education campaign to help restaurants comply with the new requirements. This directly affects large chain restaurants operating in Maryland, aiming to increase consumer awareness of nutritional content in menu items.

Maddy summaryHB 196 amends Maryland's definition of "baby food" to explicitly include infant formula and infant cereal (previously excluded), directly affecting baby food manufacturers in the state. The bill requires manufacturers to test each production batch of baby food for toxic metals (arsenic, cadmium, lead, mercury) starting January 1, 2025, using accredited labs at least monthly. Beginning January 1, 2026, manufacturers must publicly post test results online for each product and include QR codes on labels linking to FDA information about metal testing and health effects. The law aims to increase transparency and safety for infants under age 2 by aligning testing requirements with FDA standards.

Maddy summaryHB 658 establishes Maryland’s Community Forensic Aftercare Program within the Department of Health. The program monitors two groups: individuals found not criminally responsible due to mental illness who are on conditional release, and people with mental illness or intellectual disability requiring community monitoring under specific legal circumstances. Key provisions require the Program to create a community monitoring board to make decisions about conditional release and out-of-state travel for these individuals. The bill amends existing criminal procedure and health codes to implement this new oversight structure, replacing outdated sections with the new program framework.

Maddy summaryHB 986 requires nursing license applicants (both new and those seeking endorsement) to provide evidence that their nursing education meets Maryland's standards, including official transcripts. It directly affects registered nurses and licensed practical nurses applying for or renewing licenses in Maryland. The bill adds a new provision (§ 8-316(a)(37)) allowing the State Board of Nursing to take disciplinary action - such as reprimands, probation, suspension, or revocation - against licensees who fail to complete required educational standards. This clarifies the Board’s authority to enforce education requirements, including investigating applicants' qualifications and taking disciplinary steps for non-compliance. The bill amends existing sections of Maryland’s Health Occupations law and takes effect October 1, 2026.

Maddy summaryHB 1004 prohibits the manufacture, sale, delivery, holding, or offering for sale in Maryland of food containing specific ingredients, including brominated vegetable oil, potassium bromate, propylparaben, and Red 3 dye. It also bans any food ingredient prohibited by federal law under the U.S. Food and Drug Administration regulations. The law applies directly to food manufacturers, retailers, and distributors operating in Maryland. Violations carry misdemeanor penalties of up to $10,000 or one year in jail for first offenses, with higher penalties for repeat violations. The bill takes effect on July 1, 2027.