Del. Heather Bagnall Tudball

Maddy summaryHB 747 changes the membership structure of Maryland's Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities. The bill reduces the number of House-appointed members from two to one and removes specific agency representatives, while adding three industry representatives from the assisted living sector (categorized by facility size: 1-4, 5-9, and 10+ residents). This committee directly affects nursing homes, assisted living facilities, and their residents by shaping oversight of care quality standards. The bill takes effect October 1, 2026, and modifies existing law without altering the committee's core purpose.

Maddy summaryHB 413 modifies Maryland's Maryland-Ireland Trade Commission by reducing its legislative membership from two to one member each from the Senate and House of Delegates, while extending the commission's operational lifespan from 2026 to 2028. The bill alters the commission's structure to require one Senate appointee (with Irish affairs expertise) and one House appointee (with similar expertise), alongside existing members including the Secretary of State, higher education representatives, business leaders, and Irish-American community members. The commission must continue studying Maryland-Ireland trade promotion, report findings annually to the Governor and General Assembly by December 1, and remain active until September 30, 2028. This change directly affects the commission's composition and duration without altering its core purpose of advancing bilateral trade and investment.

Maddy summaryHB 322 changes the membership structure of Maryland's Health Care Commission. It reduces the number of non-healthcare-related members from nine to eight and adds a required hospital representative (defined in state law) to the seven provider-focused seats. The bill also revises geographic requirements, mandating four members from large-population counties (instead of five) and specifying representation from the Eastern Shore, western counties, and Southern Maryland. These changes take effect October 1, 2026, aiming to adjust the commission's composition to better reflect healthcare provider perspectives.

Maddy summaryHB 442 requires nursing homes, assisted living facilities, and nurse midwives in Maryland to disclose their professional liability insurance status to residents and potential residents. Specifically, these providers must provide written notice (including electronic communication) if they lack coverage or if coverage has lapsed and not been renewed, with timing requirements: at the first visit for potential residents or at application for admission, and within 30 days of a lapse for current residents. The bill also mandates that facilities without coverage post a conspicuous notice for residents and guests. This law does not change insurance requirements but ensures transparency about coverage gaps. It directly affects residents and potential residents of these care facilities by providing clear, timely disclosure of insurance status.

Maddy summaryHB 637 ("The Vax Act") requires Maryland's Secretary of Health to issue science-based recommendations for immunizations, screenings, and preventive services using guidance from major medical organizations like the CDC and American Academy of Pediatrics. It expands pharmacists' authority to administer flu, COVID-19, and emergency vaccines to patients aged 3 and older (previously limited to 18+ for some vaccines) after completing specific training. The bill also mandates that health insurance plans cover these recommended services without cost-sharing for patients. This directly affects pharmacists, health insurers, and Maryland residents seeking preventive care, particularly children and adults needing routine vaccinations.

Maddy summaryHB 1445, the "Maryland Protecting People With Disabilities Act," changes eligibility rules for home- and community-based services under Maryland's Medicaid program (Maryland Medical Assistance Program). It requires the state to continue services uninterrupted during appeals if an individual loses eligibility, prohibits automatic termination solely due to administrative errors (procedural disenrollment), and mandates data sharing between providers and the Department of Health. The bill directly affects people receiving Developmental Disabilities Administration services and Medicaid beneficiaries who risk losing community-based care due to eligibility disputes. Key provisions include extending appeal timelines (replacing 90-day deadlines with continuous service until appeal resolution) and requiring the state to reserve waiver slots for those who lost eligibility unfairly. These changes aim to align with the Olmstead v. L.C. Supreme Court ruling protecting community integration rights.

Maddy summaryHB 1117 requires Maryland's Medicaid program (Maryland Medical Assistance Program) and certain insurers to cover approved "elopement response devices" for specific individuals. These devices - such as door sensors, wearable location trackers, or alert systems - prevent people with cognitive, developmental, or neurological conditions from wandering unsafely (e.g., leaving a supervised area without the ability to return safely). Coverage is mandated when ordered by a qualified healthcare provider and documented in a qualifying plan (like an individualized education plan or dementia care plan) for eligible recipients: those under 21 with early screening eligibility, on home-based waiver programs, or diagnosed with Alzheimer’s/dementia. The bill defines these devices as medical equipment or assistive technology under state programs, ensuring coverage without regard to when the program was established.

Maddy summaryHB 1574 modifies Maryland's child care licensing rules to require the State Department of Education to issue warnings for first-time violations of new regulations instead of immediate penalties, with potential fines for repeat offenses. It creates a dedicated unit to process and manage criminal background checks for child care staff, ensuring applicants receive timely updates on their check status. The bill also mandates that the State Superintendent list individuals prohibited from child care employment due to supervision failures and establishes a workgroup to study illegal child care operations. These changes directly affect licensed child care centers, registered family child care homes, and all applicants seeking positions involving direct child contact.

Maddy summaryHB 1292 requires child advocacy centers in Maryland to ensure all health care professionals providing medical or mental health services are properly licensed or certified and work within their scope of practice. It mandates that centers establish a "continuity of care plan" to notify families when providers change, including contact information for both new and former providers, and allows former providers to assist with care transitions per professional standards. Centers must report specific violations to health occupations boards or the Governor’s Office of Crime Prevention and Policy, and the Governor’s Office must publish annual data about child advocacy centers online. This bill directly affects child advocacy centers, their health care staff, and the children and families receiving services at these centers.

Maddy summaryThis bill requires Maryland counties with volunteer fire companies to provide no-cost preventive cancer screenings to volunteer firefighters, as defined by the bill. Volunteer fire companies must maintain and annually submit a list of their volunteer firefighters to the county, which must then keep this list on file. Counties can meet this requirement by either offering a free annual health exam including cancer screenings or applying for a specific grant to fund advanced screening technologies like multi-cancer blood tests. The law applies to all counties with volunteer fire companies and takes effect July 1, 2026.