Rep. Harry Bhandari

Maddy summaryHB 1474 allows out-of-state licensed professional counselors to provide temporary telehealth counseling services to specific students enrolled at Maryland colleges. It directly affects out-of-state counselors and students who are out-of-state residents living near a Maryland institution of higher education (not established Maryland residents). Key provisions require an existing therapeutic relationship between counselor and student, limit services to 5 days per month or 15 days annually, and exclude students with in-state health insurance plans restricting coverage to local providers. The bill takes effect October 1, 2025, and will be superseded if the Interstate Counseling Compact begins issuing cross-state licenses.

Maddy summaryHB 838 revises Maryland's regulations for licensed direct-entry midwives, making their practice independent without requiring oversight from other healthcare providers. The bill removes the requirement for midwives to report certain information to the Direct-Entry Midwifery Advisory Committee and updates disciplinary procedures for license holders. It also extends the validity of the Maryland Licensure of Direct-Entry Midwives Act through a sunset provision. These changes directly affect licensed midwives and the pregnant people and newborns they serve by increasing midwives' autonomy in providing low-risk maternity care.

Maddy summaryHB 859 requires the Maryland State Department of Education, working with the Maryland Health Benefit Exchange, to promote health insurance access for child care professionals. It directs the department to partner with prekindergarten provider hubs, child care associations, and nonprofit organizations to help professionals enroll in health insurance through the Exchange or Medicaid, assist those losing Medicaid coverage, and match health plan options to their budgets. The bill also authorizes child care providers receiving more than two-thirds of their operating funds from government sources to join the State Employee and Retiree Health Program as "satellite organizations," allowing their employees to access state health benefits. This directly affects child care professionals seeking coverage and eligible child care providers seeking to offer group health benefits to staff.

Maddy summaryHB 819 creates a pilot program giving a price preference to bids from businesses using Employee Stock Ownership Plans (ESOPs) for contracts with specific Maryland entities: the Maryland Stadium Authority, University System of Maryland, Morgan State University, St. Mary’s College, and Baltimore City Community College. It requires contractors to disclose if they use an ESOP in their bid and applies to procurements valued under $80 million. This means state entities must consider ESOP-based bids more favorably during contract awards, while still following standard procurement rules. The bill amends Maryland’s procurement code to establish this preference program as a new section (Subtitle 8) under state finance law.

Maddy summaryHB 728 redefines the allowable uses of Maryland's Opioid Restitution Fund to explicitly permit funding for the operating expenses and personnel costs of the Opioids Enforcement Unit within the Office of the Attorney General. This unit conducts investigations and enforcement actions related to recovering funds from opioid-related judgments and settlements. The bill specifically amends Section 7-331(f)(5) of the Maryland Annotated Code to add this provision, while maintaining the Fund's existing uses for prevention, treatment, recovery, and harm reduction programs. It directly affects the Attorney General's Office and ensures enforcement activities can be supported using restitution funds.

Maddy summaryHB 1244 establishes the Maryland Developmental Disabilities Administration Waiver Advisory Council to advise the Developmental Disabilities Administration on Medicaid waiver programs. The council provides recommendations on system design, service delivery, and quality improvements, prioritizing input from individuals with lived experience in these programs. It requires 18 voting members with direct experience in waiver programs (including self-directed and traditional models), plus representatives from providers, advocacy groups, and state agencies like Health, Disabilities, and Human Services. The council must operate using person-centered, equitable, and data-driven approaches to enhance services for Medicaid waiver participants.

Maddy summaryHB 1143 allows dental hygienists to provide preventive dental services in Maryland schools and school-based health centers under general dentist supervision (without requiring a dentist to be physically present on-site). It creates a Maryland Collaborative composed of health, education, and community representatives to study and recommend improvements to school-based dental programs. The bill directly affects all Maryland school children, particularly those in underserved communities where 21% have untreated dental decay and pandemic-era access to preventive care dropped to 56.5% for Medicaid-covered children. The Collaborative will develop strategies to address these gaps, building on existing school dental initiatives.

Maddy summaryHB 1380 requires Maryland hospitals providing obstetrical services and freestanding birthing centers to meet minimum perinatal care standards as a condition of licensure. The bill mandates the Maryland Department of Health to adopt regulations establishing these standards, which must meet or exceed existing Maryland Perinatal System Standards. Hospitals and birthing centers must comply with these standards to maintain their operating licenses. The law amends specific sections of Maryland's Health Code (19-319 and 19-3B-03) to implement this requirement, effective October 1, 2025.

Maddy summaryHB 996, the Phenibut Consumer Protection Act, regulates the sale of phenibut products (containing beta-phenyl-gamma-aminobutyric acid HCL) by requiring retailers to disclose factual claims on product labels and prohibiting sales of unsafe or mislabeled products. It bans selling phenibut to anyone under 21, prohibits advertising therapeutic benefits or marketing to minors (including restrictions on cartoons, superheroes, or youth-targeted imagery), and bans products adulterated with dangerous substances. Retailers violating these rules face civil penalties up to $1,000 for labeling issues or criminal fines up to $5,000 for safety or age violations. The bill also mandates the Maryland Department of Health to report on adverse health events linked to phenibut use by the legislature.

Maddy summaryHB 268 requires Maryland hospitals to provide free medically necessary care to patients with family income at or below 200% of the federal poverty level (FPL) and reduced-cost care to patients with income between 201% and 500% FPL who experience financial hardship (defined as medical debt exceeding 25% of family income over 12 months). Specifically, for patients earning 201% to 250% FPL, hospitals must reduce out-of-pocket expenses by at least 75%. The bill also updates notice requirements for hospitals' financial assistance policies and prohibits hospitals from filing civil actions to collect debts below a specified threshold. These changes directly affect hospitals and patients facing medical debt, aiming to improve access to care for low- and middle-income residents.