Healthcare Reform and the 2026 Session
Budget-
Monitoring to Protect funding for the Maryland Medicaid program and the Health Benefit Exchange
HB 372/SB 169- Emergency Pregnancy-Related Conditions
Hospitals are required to evaluate a patient presenting at an emergency department of the hospital to determine whether the patient has an emergency pregnancy-related medical condition, and treat - including to allow the termination of a pregnancy when medically necessary to stabilize the patient.
SB 626 - Certificates of Birth, Licenses, and Identification Cards - Sex Designation (Birth Certificate Modernization Act)
This bill has several functions that are vitally important, particularly to transgender Marylanders and their children. Passage would:
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Enable transgender parents to prove they are related to their own children after they have been granted an order of legal name change through the Maryland Courts.
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Allow Transgender Marylanders to have a gender marker of "X" on their birth certificates.
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Ease the cost and logistical burdens of obtaining accurate and matching documents.
Subject | Bill Number | XFile Bill Number | Sponsor | Title | Status | Current Location | Priority | Position | Action | Synopsis |
|---|---|---|---|---|---|---|---|---|---|---|
Birth Certificate Modernization | SB0626 | Senator Lam | Certificates of Birth, Licenses, and Identification Cards - Sex Designation (Birth Certificate Modernization Act) | First Reading Finance and Judicial Proceedings | Finance | Priority | Support | Contact your Senator on Committee | Altering the circumstances under which the Secretary of Health is required to make a new certificate of birth due to the change of a sex designation of an individual; establishing requirements and a prohibition related to the making of new certificates of birth; and altering the options for indicating an individual's sex designation on a license, identification card, or moped operator's permit issued by the Motor Vehicle Administration. | |
Direct-to-Consumer Pharmaceutical Advertising | HB0484 | Delegate Ziegler | Corporate Income Tax - Addition Modification - Direct-to-Consumer Pharmaceutical Advertising | Hearing 2/12 at 1:00 p.m. | Ways and Means | Priority | Support | Contact your Delegate on Committee | Providing an addition modification under the corporate income tax for the amount of certain direct-to-consumer advertising expenses for certain covered drugs paid or incurred during the taxable year that are deducted under the Internal Revenue Code; and applying the Act to all taxable years beginning after December 31, 2025. | |
Emergency Pregnancy-Related Conditions | SB0169 | HB0372 | Senator Lam | Hospitals - Emergency Pregnancy-Related Medical Conditions - Procedures | Second Reading Passed | Senate Floor (3rd Reading) | Priority | Support | Contact your Senator | Requiring a hospital to conduct screening on a patient presenting at an emergency department of the hospital to determine whether the patient has an emergency pregnancy-related medical condition; establishing requirements and prohibitions related to the treatment and transfer of a patient who has an emergency pregnancy-related medical condition; requiring a hospital to allow the termination of a pregnancy in certain circumstances; etc. |
Emergency Pregnancy-Related Conditions | HB0372 | SB0169 | Delegate Lopez | Hospitals - Emergency Pregnancy-Related Medical Conditions - Procedures | Hearing 2/11 at 1:30 p.m. | Health | Priority | Support | Contact your Delegate on Committee | Requiring a hospital to conduct screening on a patient presenting at an emergency department of the hospital to determine whether the patient has an emergency pregnancy-related medical condition; establishing requirements and prohibitions related to the treatment and transfer of a patient who has an emergency pregnancy-related medical condition; requiring a hospital to allow the termination of a pregnancy in certain circumstances; etc. |
Hormone Therapy for Minors | HB0679 | Delegate Arikan | Health Occupations - Cross-Sex Hormone Therapy for Minors | Hearing 2/18 at 1:30 p.m. | Health | Priority | Oppose | Contact your Delegate on Committee | Prohibiting a licensed health care practitioner from prescribing, dispensing, or administering a cross-sex hormone or otherwise providing cross-sex hormone therapy for the treatment of a mental health diagnoses associated with gender nonconformity, including gender dysphoria, to an individual who is a minor. | |
Coverage-UR - Drugs Reviewed by PDAB | SB0837 | Senator Ready | Maryland Medical Assistance Program and Health Insurance - Coverage and Utilization Review - Drugs Reviewed by the Prescription Drug Affordability Board | First Reading Finance | Finance | ? | ? | Prohibiting a managed care organization and certain insurers, nonprofit health service plans, and health maintenance organizations from requiring a prior authorization or step therapy or fail-first protocol under certain circumstances for prescription drugs that have been reviewed by the Prescription Drug Affordability Board; etc. | ||
Abortion - Heartbeat Bill | HB0049 | Delegate Metzgar | Public Health - Abortion (Heartbeat Bill) | First Reading Health | Health | Oppose | Requiring that an abortion be performed by a physician, rather than a qualified provider; repealing certain provisions of law related to State interference with an abortion, regulations related to abortion, and liability or criminal punishment for qualified providers who perform an abortion; prohibiting a physician from knowingly performing, inducing, or attempting to perform or induce an abortion under certain circumstances and subject to certain exceptions; etc. | |||
Abortion Data Reporting to CDC | HB0714 | Delegate Grammer | Health - Abortion Data - Submission to the Centers for Disease Control and Prevention | First Reading Health | Health | Oppose | Requiring the Maryland Department of Health to submit to the Centers for Disease Control and Prevention any data regarding abortion requested by the Centers for Disease Control and Prevention, unless submitting the data would violate federal or State law. | |||
Assisted Reproductive Treatment-Fraud | HB0209 | Delegate Allen | Health Care Providers - Assisted Reproductive Treatment - Informed Consent and Fraud | Unfavorable Report by Health; Withdrawn | Withdrawn | Oppose | Bill Withdrawn | Prohibiting a health care provider from using the health care provider's human reproductive material when providing assisted reproductive treatment without the consent of the recipient of the treatment; prohibiting a health care provider from using a donor's human reproductive material to provide assisted reproductive treatment without the donor's informed consent or in a manner that is inconsistent with the donor's consent; etc. | ||
Causing Ingestion of Abortion-Inducing Drug | HB0885 | Delegate Nkongolo | Criminal Law - Causing Ingestion of an Abortion-Inducing Drug - Prohibition (Women's Freedom From Coercion Act) | Hearing 2/17 at 1:00 p.m. (Judiciary) | Judiciary | Oppose | Prohibiting a person from knowingly and willfully causing another to ingest an abortion-inducing drug when the person knows or believes that the other person is pregnant and without consent, through fraud or coercion, or by force or threat of force. | |||
Causing Ingestion of Abortion-Inducing Drug | SB0302 | Senator Carozza | Criminal Law - Causing Ingestion of an Abortion-Inducing Drug - Prohibition (Women's Freedom From Coercion Act) | Hearing 2/05 at 1:00 p.m. | Judicial Proceedings | Oppose | Prohibiting a person from knowingly and willfully causing another to ingest an abortion-inducing drug when the person knows or believes that the other person is pregnant and without consent, through fraud or coercion, or by force or threat of force. | |||
Claims for Reimbursement - Downcoding | SB0797 | Senator Lam | Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding | First Reading Finance | Finance | Prohibiting insurers, nonprofit health service plans, health maintenance organizations, and managed care organization from downcoding a claim for reimbursement under certain circumstances; establishing certain procedures that insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations are required to follow if the insurer, nonprofit health service plan, or health maintenance organization intends or makes a final decision to downcode a claim; etc. | ||||
Confidentiality - Crisis Pregnancy Clinics | HB0615 | SB0563 | Delegate Cullison | Health Facilities - Confidentiality of Medical Records - Crisis Pregnancy Clinics | Hearing 2/18 at 1:30 p.m. | Health | Applying certain provisions of law governing the confidentiality of medical records to crisis pregnancy clinics. | |||
Confidentiality - Crisis Pregnancy Clinics | SB0563 | HB0615 | Senator Gile | Health Facilities - Confidentiality of Medical Records - Crisis Pregnancy Clinics | Hearing 2/19 at 1:00 p.m. | Finance | Applying certain provisions of law governing the confidentiality of medical records to crisis pregnancy clinics. | |||
Confidentiality of Medical Records | HB0316 | Delegate Kaufman | Confidentiality of Medical Records - Definition of Medical Record | Hearing 2/03 at 3:00 p.m. | Health | Support | Altering the definition of 'medical record' for purposes of law governing the confidentiality of medical records to require that certain information be recorded by a health care provider through certain means, instead of entered into the record of a patient or recipient, and to include certain electronic messages. | |||
Consumer Protections - Health Care Financing | SB0796 | Senator Lam | Commercial Law - Consumer Protections - Health Care Financing | First Reading Finance | Finance | Establishing consumer protections related to health care financing, including disclosure and refund requirements; prohibiting health care providers and certain agents of health care providers from offering, obtaining, applying, assisting in applying for certain financing; prohibiting a health care provider from promoting certain financing to certain patients or billing a certain financier before a certain number of days prior to a procedure; etc. | ||||
Discipline of Providers-Court Actions | SB0083 | Senator Simonaire | Health Occupations - Grounds for Discipline - Federal and Court Actions | Second Reading Passed | Senate Floor (3rd Reading) | Altering the grounds for discipline by certain health occupations boards to include being disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs; and altering the grounds for discipline of a naturopathic doctor by the State Board of Physicians to include being convicted or disciplined by a court of any state or country. | ||||
Fraud - Assisted Reproductive Treatment | HB0645 | Delegate Allen | Criminal Law - Fraud - Assisted Reproductive Treatment | Hearing 2/10 at 1:00 p.m. | Judiciary | Prohibiting a person from intentionally or knowingly providing certain assisted reproductive treatment to another using the person's sperm or ovum without the other's consent to assisted reproductive treatment using the person's sperm or ovum; and establishing a civil cause of action for a violation of the Act. | ||||
Health Care Quality Stakeholder Advisory Council | SB0240 | HB0965 | Senator Lewis Young | Office of Health Care Quality Stakeholder Advisory Council - Establishment | Hearing 2/03 at 2:00 p.m. | Finance | Establishing the Office of Health Care Quality Stakeholder Advisory Council to provide feedback to the Office of Health Care Quality regarding maintaining oversight of health care facilities and to notify the Secretary of Health if the Office is negligent in providing oversight of health care facilities; and requiring the Advisory Council, beginning in 2027, and by December 1 annually, to report its findings and recommendations to the Governor and the General Assembly. | |||
Health Insurance - Access to Abortion Care | SB0785 | Senator Guzzone | Public Health and Health Insurance - Access to Abortion Care - Reporting Requirements | First Reading Finance | Finance | Requiring that the annual report on the Abortion Care Clinical Training Program include certain recommendations; and requiring the Maryland Insurance Commissioner to collect certain data on certain segregated accounts established under the federal Affordable Care Act and certain federal regulations from certain insurers, nonprofit health service plans, and health maintenance organizations and submit a certain report to the Senate Finance Committee and the House Health Committee on or before January 1 each year. | ||||
Medicaid - Drug Dispensing Costs | SB0839 | Senator Ready | Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee | First Reading Finance | Finance | Requiring, beginning in 2026, the Maryland Department of Health to conduct the in-State cost-of-dispensing survey at least every 3 years; and requiring, within 6 months after the completion of the survey, the Department to adopt regulations establishing a fee-for-service professional dispensing fee based on the results of the survey. | ||||
Nonprofit Organizations Navigator | SB0069 | HB0147 | Senator Kagan | Nonprofit Organizations Navigator - Termination Provision - Repeal | Hearing 1/29 at 3:00 p.m. | Finance | Repealing a termination provision relating to provisions of law establishing a nonprofit organizations navigator within the Department of Commerce; etc. | |||
Nonprofit Organizations Navigator | HB0147 | SB0069 | Delegate Guzzone | Nonprofit Organizations Navigator - Termination Provision - Repeal | Hearing 1/27 at 2:00 p.m. | Government, Labor, and Elections | Repealing a termination provision relating to provisions of law establishing a nonprofit organizations navigator within the Department of Commerce. | |||
Over-the-Counter Contraception - Access | SB0532 | HB1076 | Senator Kagan | Higher Education Institutions - Over-the-Counter Contraception - Access and Reporting | Hearing 3/11 at 1:00 p.m. | Education, Energy, and the Environment | Requiring each public senior higher education institution and community college to submit a report on contraception access to the Maryland Higher Education Commission each year; requiring the Commission to submit a report on contraception access to the General Assembly each year; and requiring each community college to provide students with access to all methods of over-the-counter contraception. | |||
Over-the-Counter Contraception - Access | HB1076 | SB0532 | Delegate Smith | Higher Education Institutions - Over-the-Counter Contraception - Access and Reporting | First Reading Appropriations and Health | Appropriations | Requiring each public senior higher education institution and community college to submit a report on contraception access to the Maryland Higher Education Commission each year; requiring the Commission to submit a report on contraception access to the General Assembly each year beginning October 1, 2026; and requiring each community college to provide students with access to all methods of over-the-counter contraception. | |||
Prescription Drug Monitoring-Data Disclosure | HB1045 | Delegate Cullison | Prescription Drug Monitoring Program - Data Disclosure to Federal Law Enforcement - Limitation | First Reading Health | Health | Altering the circumstances under which the Prescription Drug Monitoring Program is required to disclose prescription monitoring data to a federal law enforcement agency to prohibit the disclosure if the Protected Health Care Commission determines that the data is sensitive health services information that has been determined by the Secretary of Health to be legally protected health care. | ||||
Regulation of Insurers and Vision Benefit Managers | SB0795 | Senator Lam | Health Insurance - Vision Benefits - Regulation of Insurers and Vision Benefit Managers | First Reading Finance | Finance | Establishing requirements for certain vision benefits, vision benefit plans, and vision benefit discount plans; requiring an insurer or a vision benefit manager to disclose certain information on its website and in certain communications and maintain certain methods of communication for use by participating eye care providers; establishing certain requirements and prohibitions for contracts between insurers or vision benefit managers and participating eye care providers; etc. | ||||
Responsible Use of Natural Psychedelics | HB0427 | SB0336 | Delegate Guzzone | Task Force on Responsible Use of Natural Psychedelic Substances - Extension | Hearing 2/10 at 2:30 p.m. | Health | Extending to December 31, 2027, the Task Force on Responsible Use of Natural Psychedelic Substances to study and make recommendations related to the use of natural psychedelic substances; and requiring the Task Force to submit an updated report of its findings and recommendations to the Governor and the General Assembly on or before October 31, 2026. | |||
Responsible Use of Natural Psychedelics | SB0336 | HB0427 | Senator Feldman | Task Force on Responsible Use of Natural Psychedelic Substances - Extension | Hearing 2/12 at 1:00 p.m. | Finance | Extending to December 31, 2027, the Task Force on Responsible Use of Natural Psychedelic Substances to study and make recommendations related to the use of natural psychedelic substances; and requiring the Task Force to submit an updated report of its findings and recommendations to the Governor and the General Assembly on or before October 31, 2026. | |||
SHOP Enrollment | SB0014 | HB0273 | Chair, Finance Committee | Health Insurance - Small Business Health Options Program (SHOP) Enrollment - Effective Dates | Second Reading Passed | Senate Floor (3rd Reading) | Altering the effective dates of enrollment in a Small Business Health Options (SHOP) Exchange plan for individuals who enroll during certain special enrollment periods; etc. | |||
SHOP Enrollment | HB0273 | SB0014 | Chair, Health Committee | Health Insurance - Small Business Health Options Program (SHOP) Enrollment - Effective Dates | Second Reading Passed | House Floor (3rd Reading) | Altering the effective dates of enrollment in a Small Business Health Options (SHOP) Exchange plan for individuals who enroll during certain special enrollment periods. | |||
Special Enrollment Period for Pregnancy | SB0794 | Senator Lam | Health Insurance - Special Enrollment Period for Pregnancy - Coverage Effective Date | First Reading Finance | Finance | Authorizing an individual who enrolls for coverage or enrolls a dependent for coverage during a certain special enrollment period for pregnancy to choose a certain date option on which the coverage will become effective; and requiring the carrier, if the individual fails to select the effective date, to select a certain date option. | ||||
Vaccinations-recommendations/coverage | SB0385 | HB0637 | President | Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act) | Hearing 2/10 at 1:00 p.m. | Finance | Support? | Requiring the Secretary of Health to issue recommendations for certain immunizations, screenings, and preventive services based on certain evidence-based scientific and clinical guidance; altering the authority of pharmacists to administer certain vaccinations; altering the health insurance coverage requirements for certain immunizations, screenings, and preventive services; and repealing obsolete language regarding the pertussis vaccine. | ||
Vaccinations-recommendations/coverage | HB0637 | SB0385 | Speaker | Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act) | Hearing 2/26 at 1:00 p.m. | Health | Support? | Requiring the Secretary of Health to issue recommendations for certain immunizations, screenings, and preventive services based on certain evidence-based scientific and clinical guidance; altering the authority of pharmacists to administer certain vaccinations; altering the health insurance coverage requirements for certain immunizations, screenings, and preventive services; and repealing obsolete language regarding the pertussis vaccine. | ||
Youth Psychiatric Rehab Parity | HB0071 | Delegate Sample-Hughes | Maryland Medical Assistance Program - Psychiatric Rehabilitation Program Services - Reimbursement (Youth Psychiatric Rehabilitation Parity Act of 2026) | Hearing canceled | Health | Requiring the Maryland Department of Health to adopt regulations requiring the Maryland Medical Assistance Program to reimburse a psychiatric rehabilitation program for a minimum of 6 and a maximum of 30 psychiatric rehabilitation community psychiatric support services delivered to certain individuals each month. |





