Rep. Kathy Szeliga

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 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.

Maddy summaryHB 1002 prohibits nursing facilities from involuntarily discharging or transferring residents to temporary housing (like hotels) without confirmation from the receiving facility that it can accept the resident. It requires facilities to provide residents with clear written notices at least 10 days before a discharge or transfer, including the reason, new location, and contact information for hearings. The bill also bans facilities from discharging Medicaid-eligible residents solely because they qualify for Medicaid benefits, and mandates that post-discharge plans include specific care details. These changes aim to protect residents' rights and ensure smoother transitions during involuntary moves.

Maddy summaryHB 838 repeals a requirement that prescribers submit prescriber-pharmacist agreements to their regulating health board. Instead, it allows pharmacists (with specific qualifications, registrations, and training) to directly enter agreements authorizing them to treat opioid use disorder using controlled substances. A key provision requires pharmacists to check the Prescription Drug Monitoring Program (PDMP) for relevant patient data before starting or changing such therapy. This bill directly affects pharmacists, prescribers, and patients with opioid use disorder by expanding pharmacists' role in medication management under defined safeguards.

Maddy summaryHB 947 modifies Maryland's commercial blue and flathead catfish fishing license to allow holders to use gill nets with a mesh size of no more than 7 inches, in addition to the existing finfish trotline method. This change directly affects commercial fishermen who currently hold this specific license and wish to use the new gear. The bill updates the license regulations under Maryland's Natural Resources code without altering the $15 annual fee, one-year term (September 1-August 31), or other core requirements. It does not change eligibility, transferability, or possession rules for the license. The policy change specifically expands permitted fishing methods for blue catfish in tidal waters.

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 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 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 417 (Public Health - Medetomidine and Xylazine Consumer Protection Act) regulates the sale of veterinary drugs medetomidine and xylazine. It prohibits retailers from selling these products without proof the buyer intends to use them for veterinary, scientific, or institutional purposes, and bans sales to anyone under 21. Retailers must maintain records of sales, including age verification and proof of intended use. Violations carry civil fines up to $6,500 per offense, with penalties deposited into Maryland's Substance Abuse Fund. The bill directly affects pharmacies, veterinary suppliers, and online retailers selling these specific products.

Maddy summaryHB 1014 defines "danger to the life or safety of the individual or of others" for Maryland's mental health law, directly affecting individuals with mental disorders who might face involuntary admission. It specifies four concrete scenarios that constitute this danger: causing bodily harm, engaging in conduct leading to criminal involvement, inability to meet basic needs (food, shelter, medical care), or substantial deterioration in judgment that impairs treatment decisions. The definition requires a "substantial risk" considering the person's current condition and available history, replacing the prior standard. This change clarifies the legal threshold for involuntary hospitalization and emergency evaluations under Maryland law.