Del. Heather Bagnall Tudball

Maddy summaryHB 772 establishes a workgroup within Maryland's Health Care Commission to develop fairer reimbursement methods for certified community behavioral health clinics and outpatient mental health centers. The workgroup will study current costs, staffing models, and federal requirements to create transparent, cost-based payment systems, comparing approaches used in other states. It must submit an interim report by December 2026 and a final report by October 2027 with specific recommendations, implementation options, and fiscal estimates. The bill does not require immediate rate changes or new funding, but rather sets a process for future policy decisions based on the workgroup's findings.

Maddy summaryHB 1533 (the Crown and Care Act) bans 12 specific harmful ingredients - including certain phthalates, formaldehyde, mercury, and PFAS chemicals - from cosmetic products sold in Maryland. It directly affects cosmetic manufacturers, retailers, and salons by prohibiting the sale or distribution of products containing these ingredients, with limited exceptions for unavoidable trace amounts from manufacturing processes. The bill authorizes the Maryland Department of Health to investigate complaints, inspect businesses, and enforce penalties, while allowing consumers harmed by violations to seek civil damages and attorney fees. This law aims to protect public health by reducing exposure to chemicals linked to health risks like skin irritation and potential long-term harm.

Maddy summaryHB 1192 expands Maryland's State Board of Sign Language Interpreters from 7 to 11 members, requiring specific representation including deaf individuals, deafblind people, licensed interpreters from various settings (medical, legal, educational), and agency owners. The bill delays the deadline for the Board to establish licensing requirements from July 1, 2024, to December 31, 2026, and sets new rules for member removal if they miss meetings, fail to meet qualifications, or commit misconduct. Sign language interpreters in Maryland who provide services in the state will be directly affected by the updated licensing requirements and the Board's new structure. The bill also mandates that appointed members reflect Maryland's racial and geographic diversity where practicable.

Maddy summaryHB 1483 repeals Maryland's requirement for out-of-state clinical counselors to obtain a temporary telehealth license. It allows licensed counselors from other states to provide telehealth counseling to clients who relocated to Maryland (or returned after relocating), for up to six months, if they already had an established client-counselor relationship before the move. This exempts these counselors from Maryland's standard licensure rules during the six-month continuity period, but only for existing clients who relocated - not for new clients. The bill does not change regular licensing requirements for ongoing practice in Maryland.

Maddy summaryHB 1357 requires manufacturers of menstrual hygiene products (such as pads, tampons, and menstrual cups) sold in Maryland to list all ingredients on product packaging. The ingredient list must be displayed prominently in clear, easy-to-read text and in the order of the amount present (from most to least). Violations would be treated as unfair or deceptive trade practices under Maryland law, subject to enforcement and penalties. The requirement takes effect on October 1, 2026.

Maddy summaryHB 1135 allows pharmacists in Maryland to order certain vaccinations for patients aged 3 and older without needing to administer the vaccine themselves. Pharmacists must complete 20+ hours of approved training covering vaccine safety, injection techniques, and emergency response, hold current CPR certification, and report all vaccinations to the ImmuNet program. The bill specifically covers influenza, COVID-19, and emergency-use vaccines, and requires pharmacists to refer minors to pediatric care when ordering vaccines. This expands pharmacists' role in vaccine access while maintaining safety protocols and reporting requirements.

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 42 revises Maryland's licensing requirements for massage therapists, transitioning from a "registered" status to mandatory licensure. It requires new applicants (starting October 1, 2024) to complete 750 contact hours of approved education (up from 600 hours for current registrants), meet updated accreditation standards, and pass a board-approved exam. Existing registered massage therapists may continue practicing until October 31, 2026, after which they must obtain a license. The bill also removes outdated administrative penalty hearing requirements and updates rules for out-of-state practitioners seeking reciprocity.