Maryland Register Issue Date:  March 6, 2026 Volume 53  •  Issue 5  • Pages 219 — 274 IN THIS ISSUE Governor General Assembly Regulations Errata Special Documents General Notices

Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before February 13, 2026 5 p.m. Pursuant to State Government Article, §7-206, Annotated Code of Maryland, I hereby certify that this issue contains all documents required to be codified as of February 13, 2026. Gail S. Klakring Administrator, Division of State Documents Office of the Secretary of State

Information About the Maryland Register and COMAR

MARYLAND REGISTER

The Maryland Register is an official State publication published every other week throughout the year. A cumulative index is published quarterly.

The Maryland Register is the temporary supplement to the Code of Maryland Regulations. Any change to the text of regulations published in COMAR, whether by adoption, amendment, repeal, or emergency action, must first be published in the Register.

The following information is also published regularly in the Register:

• Governor’s Executive Orders

• Attorney General’s Opinions in full text

• Open Meetings Compliance Board Opinions in full text

• State Ethics Commission Opinions in full text

• Court Rules

• District Court Administrative Memoranda

• Courts of Appeal Hearing Calendars

• Agency Hearing and Meeting Notices

• Synopses of Bills Introduced and Enacted by the General Assembly

• Other documents considered to be in the public interest

CITATION TO THE MARYLAND REGISTER

The Maryland Register is cited by volume, issue, page number, and date. Example:

• 19:8 Md. R. 815—817 (April 17, 1992) refers to Volume 19, Issue 8, pages 815—817 of the Maryland Register issued on April 17, 1992.

CODE OF MARYLAND REGULATIONS (COMAR)

COMAR is the official compilation of all regulations issued by agencies of the State of Maryland. The Maryland Register is COMAR’s temporary supplement, printing all changes to regulations as soon as they occur. At least once annually, the changes to regulations printed in the Maryland Register are incorporated into COMAR by means of permanent supplements.

CITATION TO COMAR REGULATIONS

COMAR regulations are cited by title number, subtitle number, chapter number, and regulation number. Example: COMAR 10.08.01.03 refers to Title 10, Subtitle 08, Chapter 01, Regulation 03.

DOCUMENTS INCORPORATED BY REFERENCE

Incorporation by reference is a legal device by which a document is made part of COMAR simply by referring to it. While the text of an incorporated document does not appear in COMAR, the provisions of the incorporated document are as fully enforceable as any other COMAR regulation. Each regulation that proposes to incorporate a document is identified in the Maryland Register by an Editor’s Note. The Cumulative Table of COMAR Regulations Adopted, Amended or Repealed, found online, also identifies each regulation incorporating a document. Documents incorporated by reference are available for inspection in various depository libraries located throughout the State and at the Division of State Documents. These depositories are listed in the first issue of the Maryland Register published each year. For further information, call 410-974-2486.

HOW TO RESEARCH REGULATIONS

An Administrative History at the end of every COMAR chapter gives information about past changes to regulations. To determine if there have been any subsequent changes, check the ‘‘Cumulative Table of COMAR Regulations Adopted, Amended, or Repealed’’ which is found online at http://www.dsd.state.md.us/PDF/CumulativeTable.pdf. This table lists the regulations in numerical order, by their COMAR number, followed by the citation to the Maryland Register in which the change occurred. The Maryland Register serves as a temporary supplement to COMAR, and the two publications must always be used together. A Research Guide for Maryland Regulations is available. For further information, call 410-260-3876.

SUBSCRIPTION INFORMATION

For subscription forms for the Maryland Register and COMAR, see the back pages of the Maryland Register. Single issues of the Maryland Register are $15.00 per issue.

CITIZEN PARTICIPATION IN
THE REGULATION-MAKING PROCESS

Maryland citizens and other interested persons may participate in the process by which administrative regulations are adopted, amended, or repealed, and may also initiate the process by which the validity and applicability of regulations is determined. Listed below are some of the ways in which citizens may participate (references are to State Government Article (SG),

Annotated Code of Maryland):

• By submitting data or views on proposed regulations either orally or in writing, to the proposing agency (see ‘‘Opportunity for Public Comment’’ at the beginning of all regulations appearing in the Proposed Action on Regulations section of the Maryland Register). (See SG, §10-112)

• By petitioning an agency to adopt, amend, or repeal regulations. The agency must respond to the petition. (See SG §10-123)

• By petitioning an agency to issue a declaratory ruling with respect to how any regulation, order, or statute enforced by the agency applies. (SG, Title 10, Subtitle 3)

• By petitioning the circuit court for a declaratory judgment

on the validity of a regulation when it appears that the regulation interferes with or impairs the legal rights or privileges of the petitioner. (SG, §10-125)

• By inspecting a certified copy of any document filed with the Division of State Documents for publication in the Maryland Register. (See SG, §7-213)

Maryland Register (ISSN 0360-2834). Postmaster: Send address changes and other mail to: Maryland Register, State House, Annapolis, Maryland 21401. Tel. 410-260-3876. Published biweekly, with cumulative indexes published quarterly, by the State of Maryland, Division of State Documents, State House, Annapolis, Maryland 21401. The subscription rate for the Maryland Register is $225 per year (first class mail). All subscriptions post-paid to points in the U.S. periodicals postage paid at Annapolis, Maryland, and additional mailing offices.

Wes Moore, Governor; Susan C. Lee, Secretary of State; Gail S. Klakring, Administrator; Tracey A. Johnstone, Editor, Maryland Register; Tarshia N. Neal, Subscription Manager; Tami Cathell, Help Desk, COMAR and Maryland Register Online.

Front cover: State House, Annapolis, MD, built 1772—79.

Illustrations by Carolyn Anderson, Dept. of General Services

Note: All products purchased are for individual use only. Resale or other compensated transfer of the information in printed or electronic form is a prohibited commercial purpose (see State Government Article, §7-206.2, Annotated Code of Maryland). By purchasing a product, the buyer agrees that the purchase is for individual use only and will not sell or give the product to another individual or entity.

Closing Dates for the Maryland Register

Schedule of Closing Dates and Issue Dates for the
Maryland Register ..................................................................... 222

COMAR Research Aids

Table of Pending Proposals ........................................................... 223

Index of COMAR Titles Affected in This Issue

COMAR Title Number and Name Page

03 Comptroller of the Treasury .............................................. 243

08 Department of Natural Resources ..................................... 243

09 Maryland Department of Labor ......................................... 247

10 Maryland Department of Health ................................ 243, 248

11 Department of Transportation ............................................ 244

14 Independent Agencies ....................................................... 244

17 Department of Budget and Management ........................... 246

24 Department of Commerce ................................................. 246

PERSONS WITH DISABILITIES

Individuals with disabilities who desire assistance in using the publications and services of the Division of State Documents are encouraged to call (410) 974-2486, or (800) 633-9657, or FAX to (410) 974-2546, or through Maryland Relay.

The Governor

EXECUTIVE ORDER 01.01.2026.04

Declaration of a State of Preparedness—Winter
Storm .. 226

EXECUTIVE ORDER 01.01.2026.05

Declaration of a State of Emergency—Winter
Storm .. 226

EXECUTIVE ORDER 01.01.2026.06

Rescission of Executive Orders 01.01.2026.01, 01.01.2026.04 and 01.01.2026.05 227

General Assembly

SYNOPSIS NO. 3

House Bills . 228

Senate Bills . 238

Chapters . 242

Final Action on Regulations

03 COMPTROLLER OF THE TREASURY

NEW TIRE FEE AND TIRE RECYCLING FEE

General Regulations . 243

08 DEPARTMENT OF NATURAL RESOURCES

FISHERIES SERVICE

Striped Bass . 243

BOATING

Certificate of Boat Number 243

10 MARYLAND DEPARTMENT OF HEALTH

MEDICAL CARE PROGRAMS

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services 243

11 DEPARTMENT OF TRANSPORTATION

STATE HIGHWAY ADMINISTRATION

Vehicle Equipment—Portable Variable Messaging
Signs—Authorization . 244

MOTOR VEHICLE ADMINISTRATION—VEHICLE REGISTRATION

Certificates of Title . 244

Issuance of Chesapeake Bay Commemorative
Plates . 244

Issuance of Special Agricultural Registration
Plates . 244

14 INDEPENDENT AGENCIES

MARYLAND CANNABIS ADMINISTRATION

Definitions . 244

General Regulations . 244

Application Process and Issuance of Licenses . 244

Standard Cannabis Licenses . 244

Cannabis Grower Operations . 244

Cannabis Processor Operations . 244

Cannabis Dispensary Operations . 244

Cannabis Products . 244

Complaints, Enforcement, Record Keeping, and Inspections of Cannabis Businesses 244

Cannabis Business Agents . 244

Finished Product Packaging . 244

Fees . 244

17 DEPARTMENT OF BUDGET AND MANAGEMENT

PERSONNEL SERVICES AND BENEFITS

Leave . 246

24 DEPARTMENT OF COMMERCE

ECONOMIC DEVELOPMENT

Enterprise Zones . 246

Proposed Action on Regulations

09 MARYLAND DEPARTMENT OF LABOR

DIVISION OF LABOR AND INDUSTRY

Employee Injury and Illness Records and Reports . 247

10 MARYLAND DEPARTMENT OF HEALTH

MEDICAL CARE PROGRAMS

Freestanding Clinics . 248

Residential Treatment Center Services 2. 48

Mental Health Case Management: Care Coordination
for Adults . 248

Specialty Mental Health Services . 248

Mental Health Case Management: Care Coordination
for Children and Youth . 248

MARYLAND HEALTHCHOICE PROGRAM

Maryland Medicaid Managed Care Program: Non-Capitated Covered Services 248

MEDICAL CARE PROGRAMS

1915(i) Intensive Behavioral Health Services for
Children, Youth, and Families . 251

Mental Health Case Management: Care Coordination
for Children and Youth . 256

LABORATORIES

Medical Laboratories — Testing for Hereditary and Congenital Disorders in Newborn Infants 257

PREVENTIVE MEDICINE

Newborn Screening . 257

BOARD OF NURSING— CERTIFICATE HOLDERS

Certified Nursing Assistants . 258

Nursing Assistant Training Programs . 258

Certified Medicine Aides . 258

Errata

COMAR 10.01.23 . 270

Special Documents

DEPARTMENT OF THE ENVIRONMENT

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 26-WQC-0001 . 271

Water Quality Certification 25-WQC-0014 . 271

General Notices

CANNABIS PUBLIC HEALTH ADVISORY COUNCIL

Public Meeting . 272

STATE COLLECTION AGENCY LICENSING BOARD

Public Meeting . 272

DEPARTMENT OF THE ENVIRONMENT

Public Meeting . 272

Public Meeting . 272

COMMISSIONER OF FINANCIAL REGULATION

Public Meeting . 272

Public Meeting . 272

MARYLAND HEALTH CARE COMMISSION

Public Meeting . 272

Notice of Applications for Acquisitions—
CommuniCare . 272

MARYLAND INSURANCE ADMINISTRATION

Public Hearing . 272

MARYLAND STATE LOTTERY AND GAMING CONTROL COMMISSION

Public Meeting . 273

BOARD OF OCCUPATIONAL THERAPY PRACTICE

Public Meeting . 273

DEPARTMENT OF VETERANS AND MILITARY FAMILIES / FAMILIES / MARYLAND VETERANS HOME COMMISSION

First meeting of the year 273

COMAR Online

The Code of Maryland Regulations is available at www.dsd.state.md.us as a free service of the Office of the Secretary of State, Division of State Documents. The full text of regulations is available and searchable. Note, however, that the printed COMAR continues to be the only official and enforceable version of COMAR.

The Maryland Register is also available at www.dsd.state.md.us.

For additional information, visit www.dsd.maryland.gov, Division of State Documents, or call us at (410) 974-2486 or 1 (800) 633-9657.

Availability of Monthly List of
Maryland Documents

The Maryland Department of Legislative Services receives copies of all publications issued by State officers and agencies. The Department prepares and distributes, for a fee, a list of these publications under the title ‘‘Maryland Documents’’. This list is published monthly, and contains bibliographic information concerning regular and special reports, bulletins, serials, periodicals, catalogues, and a variety of other State publications. ‘‘Maryland Documents’’ also includes local publications.

Anyone wishing to receive ‘‘Maryland Documents’’ should write to: Legislative Sales, Maryland Department of Legislative Services, 90 State Circle, Annapolis, MD 21401.

CLOSING DATES AND ISSUE DATES THROUGH
December 2026^†

Issue Date	Emergency and Proposed Regulations 5 p.m.*	Notices, etc. 10:30 a.m.	Final Regulations 10:30 a.m.
March 20	March 2	March 9	March 11
April 3	March 16	March 23	March 25
April 17	March 30	April 6	April 8
May 1	April 13	April 20	April 22
May 15	April 27	May 4	May 6
May 29	May 11	May 18	May 20
June 12**	May 22	June 1	June 3
June 26	June 8	June 15	June 17
July 10	June 22	June 29	July 1
July 24	July 6	July 13	July 15
August 7	July 20	July 27	July 29
August 21	August 3	August 10	August 12
September 4	August 17	August 24	August 26
September18**	August 31	September 4	September 9
October 2	September14	September21	September23
October 16	September28	October 5	October 7
October 30**	October 9	October 19	October 21
November 13	October 26	November 2	November 4
November30***	November 9	November16	November18
December 11	November23	November30	December 2
December28***	December 7	December14	December16

^† Please note that this table is provided for planning purposes and that the Division of State Documents (DSD) cannot guarantee submissions will be published in an agency’s desired issue. Although DSD strives to publish according to the schedule above, there may be times when workload pressures prevent adherence to it.

* Also note that proposal deadlines are for submissions to DSD for publication in the Maryland Register and do not take into account the 15-day AELR review period. The due date for documents containing 8 to 18 pages is 48 hours before the date listed; the due date for documents exceeding 18 pages is 1 week before the date listed.

NOTE: ALL DOCUMENTS MUST BE SUBMITTED IN TIMES NEW ROMAN, 9-POINT, SINGLE-SPACED FORMAT. THE PAGE COUNT REFLECTS THIS FORMATTING.

** Note closing date changes due to holidays.

*** Note issue date changes due to holidays.

The regular closing date for Proposals and Emergencies is Monday.

Cumulative Table of COMAR Regulations
Adopted, Amended, or Repealed

This table, previously printed in the Maryland Register lists the regulations, by COMAR title, that have been adopted, amended, or repealed in the Maryland Register since the regulations were originally published or last supplemented in the Code of Maryland Regulations (COMAR). The table is no longer printed here but may be found on the Division of State Documents website at www.dsd.state.md.us.

Table of Pending Proposals

The table below lists proposed changes to COMAR regulations. The proposed changes are listed by their COMAR number, followed by a citation to that issue of the Maryland Register in which the proposal appeared. Errata and corrections pertaining to proposed regulations are listed, followed by “(err)” or “(corr),” respectively. Regulations referencing a document incorporated by reference are followed by “(ibr)”. None of the proposals listed in this table have been adopted. A list of adopted proposals appears in the Cumulative Table of COMAR Regulations Adopted, Amended, or Repealed.

02 OFFICE OF THE ATTORNEY GENERAL

02.01.06.01, .05—.10 • 53:3 Md. R. 124 (2-6-26)

02.06.04.01—.06 • 52:6 Md. R. 270 (3-21-25)

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

05.24.01.01—.04 • 52:13 Md. R. 660 (6-27-25)

08 DEPARTMENT OF NATURAL RESOURCES

08.01.07.10 • 52:17 Md. R 878 (8-22-25)

08.01.10.01—.06 • 52:17 Md. R 878 (8-22-25)

08.02.03.14 • 53:2 Md. R. 63 (1-23-26)

08.02.05.02 • 53:2 Md. R. 64 (1-23-26)

08.02.08.01 • 53:2 Md. R. 68 (1-23-26)

08.02.15.02, .09, .10., 12 • 53:2 Md. R. 64 (1-23-26)

08.02.25.03 • 53:2 Md. R. 64 (1-23-26)

08.04.09 .01 • 53:4 Md. R. 188 (2-20-26)

08.07.01.25 • 52:17 Md. R 878 (8-22-25)

08.07.06.25 • 52:17 Md. R 878 (8-22-25)

08.08.05.03 • 52:7 Md. R. 326 (4-4-25)

08.18.16.02 • 53:2 Md. R. 68 (1-23-26)

08.18.20.03 • 53:2 Md. R. 69 (1-23-26)

09 MARYLAND DEPARTMENT OF LABOR

09.03.06.02,.04 • 52:2 Md. R. 79 (1-24-25) (corr)

09.03.09.06 • 52:7 Md. R. 328 (4-4-2025)

09.03.16.01—.10 • 52:24 Md. R 1201 (12-01-25)

09.08.01.01, .03, .04, .28 • 53:2 Md. R. 70 (1-23-26)

09.08.06.02 • 53:2 Md. R. 70 (1-23-26)

09.08.07.02 • 53:2 Md. R. 70 (1-23-26)

09.10.03.01-2, .01-3 • 52:24 Md. R 1206 (12-01-25)

09.10.03.09 • 53:2 Md. R. 71 (1-23-26)

09.11.01.23 • 52:24 Md. R 1207 (12-01-25)

09.11.07.01 • 52:12 Md. R. 600 (6-13-25)

09.11.09.02 • 52:25 Md. R. 1275 (12-12-25)

09.12.21.01, .02, .04 • 53:5 Md. R. 247 (3-06-26)

09.12.56.03, .05 • 52:25 Md. R. 1275 (12-12-25) (ibr)

09.12.57.02 • 53:1 Md. R. 30 (1-09-26) (ibr)

09.12.66.02, .03, .09—.20 • 52:23 Md. R.1143 (11-14-25) (ibr)

09.12.66.02,.03, .09—.22 • 53:4 Md. R. 189 (2-20-26) (ibr)

09.12.81.01, .02, .06 • 52:26 Md. R. 1323 (12-26-25) (ibr)

09.15.05.01—.03 • 53:1 Md. R. 31 (1-09-26)

09.19.02.04 • 53:1 Md. R. 31 (1-09-26)

09.22.02.03, .05 • 52:6 Md. R. 273 (3-21-25)

• 52:16 Md. R. 850 (8-8-25)

09.30.01, .01—.10 • 52:2 Md. R 371 (4-18-25)

09.34.10.01—.02 • 52:26 Md. R.1334 (12-26-25)

09.34.11.01—.14 • 52:26 Md. R. 1334 (12-26-25)

09.34.12 .01—.06 • 52:26 Md. R. 1334 (12-26-25)

09.34.13.01—.13 • 52:26 Md. R. 1334 (12-26-25)

09.34.14 01, .02 • 52:26 Md. R. 1334 (12-26-25)

09.37.03.01, .02, .08 • 52:23 Md. R. 1146 (11-14-25)

09.38.01.05 • 53:3 Md. R. 125 (2-6-26)

09.42.01.01—.03 • 52:21 Md. R 1031 (10-17-25)

09.42.02.01—.10 • 52:21 Md. R 1034 (10-17-25)

09.42.03.01—.10 • 52:21 Md. R 1036 (10-17-25)

09.42.04.01—.12 • 52:22 Md. R. 1099 (10-31-25)

09.42.05.01—.05 • 52:21 Md. R 1040 (10-17-25)

10 MARYLAND DEPARTMENT OF HEALTH

Subtitles 01—08 (1st volume)

10.01.07.01, .02, .04—.10 • 52:24 Md.R 1207 (12-01-25) (ibr)

10.01.15.02, .03, .05—.07 • 53:2 Md. R. 72 (1-23-26)

10.04.01.01, .04 • 53:4 Md. R. 192 (2-20-26)

10.07.01.01,.38, .39 • 52:22 Md. R. 1104 (10-31-25)

10.07.01.23 • 53:2 Md. R. 73 (1-23-26)

10.07.04 .02, .04, .17 • 52:26 Md. R. 1345 (12-26-25)

Subtitle 09 (2nd volume)

10.09.04.07 • 52:25 Md. R. 1276 (12-12-25)

10.09.08.01 • 53:5 Md. R. 248 (3-06-26)

10.09.11.11 • 52:24 Md. R 1209 (12-01-25)

10.09.24.02, .07, .12 • 52:24 Md. R 1209 (12-01-25)

10.09.29.01,.04 • 53:5 Md. R. 248 (3-06-26)

10.09.33.01, .04, .06—.09 • 53:1 Md. R. 32 (1-09-26)

10.09.43.10, .13 • 52:24 Md. R 1209 (12-01-25)

10.09.45.02—.04, .08 • 53:5 Md. R. 248 (3-06-26)

10.09.46, .12 • 52:25 Md. R. 1278 (12-12-25)

10.09.49.02, .07, .08 • 52:26 Md. R. 1346 (12-26-25)

10.09.53.07 • 52:12 Md. R. 605 (6-13-25)

10.09.54.04, .22 • 52:12 Md. R. 606 (6-13-25)

10.09.57.10 • 53:2 Md. R. 73 (1-23-26)

10.09.59.05,.06 • 53:5 Md. R. 248 (3-06-26)

10.09.79.02 • 53:2 Md. R. 73 (1-23-26)

10.09.89.02,.03,.05,.07,.09—.18 • 53:5 Md. R. 251 (3-06-26)

10.09.90.17 • 53:5 Md. R. 248 (3-06-26)

10.09.90.02, .07, .08, .11, .13 • 53:5 Md. R. 256 (3-06-26)

Subtitles 10—22 (3rd volume)

10.10.13.12 • 53:5 Md. R. 257 (3-06-26)

10.11.01.02 • 53:2 Md. R. 73 (1-23-26)

10.11.02.03 • 53:2 Md. R. 73 (1-23-26)

10.11.08.01, .02, .04, .06, .07 • 52:24 Md. R 1211 (12-01-25)

10.12.03.01• 53:2 Md. R. 73 (1-23-26)

10.22.12.03, .05, .07 • 53:2 Md. R. 73 (1-23-26)

Subtitles 23—36 (4th volume)

10.26.02.02—.09 • 53:2 Md. R. 75 (1-23-26)

10.27.01 .01, .05, .10 • 53:4 Md. R. 193 (2-20-26)

10.27.02.01 • 52:12 Md. R. 609 (6-13-25)

10.27.05.07 • 52:12 Md. R. 609 (6-13-25)

10.27.10.02 • 52:16 Md. R. 856 (8-8-25)

10.27.18.01,.02 • 52:12 Md. R. 609 (6-13-25)

10.27.26.02 • 52:12 Md. R. 609 (6-13-25)

10.28.05.03 • 52:7 Md. R. 334 (4-4-25)

10.28.07.02 • 52:7 Md. R. 334 (4-4-25)

10.28.08.01—.04 • 52:7 Md. R. 334 (4-4-25)

10.28.11.04 • 52:7 Md. R. 334 (4-4-25)

10.28.12.02 • 52:7 Md. R. 334 (4-4-25)

10.29.16 .02 • 53:4 Md. R. 195 (2-20-26)

10.29.17 .02—.04,.06,.07 • 53:4 Md. R. 195 (2-20-26)

10.29.18 .02,.03,.06 • 53:4 Md. R. 195 (2-20-26)

10.29.19 .01—.03,.05—.08, .10—.12 • 53:4 Md. R. 195 (2-20-26)

10.29.20 .02 • 53:4 Md. R. 195 (2-20-26)

10.29.22 .01 • 53:4 Md. R. 195 (2-20-26)

10.32.05.02—.06 • 52:11 Md. R. 563 (5-30-25)

10.32.25.01—.06 • 52:13 Md. R. 670 (6-27-25)

10.34.02.02,.03 • 52:24 Md. R 1215 (12-01-25)

10.34.19.01—.03, .05—.19 • 52:23 Md. R. 1164 (11-14-25)

10.35.01.01—.03, .06, .08, .11—.14, .16, .18—.20 • 53:1 Md. R. 33 (1-09-26)

10.35.02.01—.07 • 53:1 Md. R. 33 (1-09-26)

Subtitles 37—52 (5th volume)

10.39.01.01—.11 • 53:5 Md. R. 258 (3-06-26)

10.39.02.01—.11 • 53:5 Md. R. 258 (3-06-26)

10.39.03.01,.02 • 53:5 Md. R. 258 (3-06-26)

10.39.06.08, .10 • 53:4 Md. R. 200 (2-20-26)

10.42.02.02,06 • 52:14 Md. R 720 (7-11-25)

10.44.01.01—.30 • 52:17 Md. R 882 (8-22-25)

10.44.20.02 • 52:23 Md. R.1171 (11-14-25)

10.52.12.05 • 53:5 Md. R. 257 (3-06-26)

Subtitles 53—69 (6th volume)

10.65.07.02 • 52:14 Md. R 721 (7-11-25)

10.65.12.01—.05 • 52:14 Md. R 721 (7-11-25)

10.67.08 .02 • 53:5 Md. R. 248 (3-06-26)

10.69.01.01—.13 • 52:12 Md. R. 609 (6-13-25)

10.69.02.01—.06 • 52:12 Md. R. 609 (6-13-25)

10.69.03.01—.03 • 52:12 Md. R. 609 (6-13-25)

11 DEPARTMENT OF TRANSPORTATION

Subtitles 1—10

11.04.15.01—.04 • 52:11 Md. R. 568 (5-30-25)

Subtitles 11—23 (MVA)

11.11.05.02—.04, .06 • 52:13 Md. R. 682 (6-27-25)

11.12.07.01 • 52:26 Md. R. 1348 (12-26-25)

11.13.13.01—.03 • 52:2 Md. R. 126 (1-24-25) (err)

11.14.01.01—.18 • 52:14 Md. R 723 (7-11-25)

11.14.02.01—.29 • 52:14 Md. R 723 (7-11-25)

11.14.03.01—.14 • 52:14 Md. R 723 (7-11-25)

11.14.04.01—.23 • 52:14 Md. R 723 (7-11-25)

11.14.05.01—.11 • 52:14 Md. R 723 (7-11-25)

11.14.06.01—.07 • 52:14 Md. R 723 (7-11-25)

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

12.11.10.06,.09 • 53:2 Md. R. 79 (1-23-26)

13A STATE BOARD OF EDUCATION

13A.01.05.12 • 52:17 Md. R 889 (8-22-25)

13A.02.01.01 • 52:26 Md. R. 1350 (12-26-25)

13A.02.10.01—.16 • 53:4 Md. R. 202 (2-20-26)

13A.03.08.01—.08 • 52:14 Md. R 783 (7-11-25)

13A.03.08.01—.08 • 53:1 Md. R. 36 (1-09-26)

13A.04.18.01 • 53:1 Md. R. 37 (1-09-26)

13A.05.04.01—.03 • 52:17 Md. R 889 (8-22-25)

• 53:3 Md. R. 126 (2-6-26)

13A.08.01.05 • 53:4 Md. R. 207 (2-20-26)

13A.08.01.10-1 • 53:3 Md. R. 127 (2-6-26)

13A.12.04.10 • 53:3 Md. R. 127 (2-6-26)

13A.15.01.02 • 52:23 Md. R. 1173 (11-14-25)

13A.15.04.03 • 52:23 Md. R. 1173 (11-14-25)

13A.15.16.01—.10 • 52:23 Md. R. 1173 (11-14-25)

14 INDEPENDENT AGENCIES

14.22.01.05 • 52:6 Md. R. 288 (3-21-25)

14.23.01.01, .19 • 53:3 Md. R. 128 (2-6-26)

14.23.02.01 • 53:3 Md. R. 128 (2-6-26)

14.23.04.01, .10, .12 • 53:3 Md. R. 128 (2-6-26)

14.39.02.05, .08, .10, .11 • 53:2 Md. R. 80 (1-23-26)

14.39.02.06 • 52:17 Md. R 900 (8-22-25)

14.39.02.12 • 51:23 Md. R. 1046 (11-15-24)

14.39.03.06 • 53:2 Md. R. 80 (1-23-26)

14.41.01.01— 16 • 52:10 Md. R. 472 (5-16-25)

15 MARYLAND DEPARTMENT OF AGRICULTURE

15.01.21 .02, .04—.06 • 53:4 Md. R. 208 (2-20-26)

15.06.02.06 • 53:2 Md. R. 81 (1-23-26)

15.06.04.02—.07 • 53:2 Md. R. 81 (1-23-26)

17 DEPARTMENT OF BUDGET AND MANAGEMENT

17.04.11.31 • 53:1 Md. R. 38 (1-09-26)

20 PUBLIC SERVICE COMMISSION

20.31.01.02 • 52:6 Md. R. 290 (3-21-25)

20.31.03.04 • 52:6 Md. R. 290 (3-21-25)

20.50.14.01—.13 • 52:24 Md. R 1230 (12-01-25) (ibr)

22 STATE RETIREMENT AND PENSION SYSTEM

22.04.02.02—.04 • 53:1 Md. R. 42 (1-09-26)

24 DEPARTMENT OF COMMERCE

24.05.01.06, .08, .10 • 53:1 Md. R. 42 (1-09-26)

26 DEPARTMENT OF THE ENVIRONMENT

Subtitles 01—07 (Part 1)

26.04.01.01, .01-1, .20, .31 • 53:2 Md. R. 84 (1-23-26) (ibr)

26.04.14.01—.12 • 53:3 Md. R. 129 (2-6-26)

Subtitles 08—12 (Part 2)

26.09.01.02—.04 • 52:24 Md. R 1239 (12-01-25) (ibr)

26.09.02.03, .06, .07, .10, .11 • 52:24 Md. R 1239 (12-01-25)

26.09.03.01—.09 • 52:24 Md. R 1239 (12-01-25)

26.09.04.03, .06 • 52:24 Md. R 1239 (12-01-25)

26.11.20 .02 • 52:26 Md. R. 1351 (12-26-25)

26.11.02.19 • 52:24 Md. R 1248 (12-01-25)

26.11.09.01, .07 • 52:12 Md. R. 627 (6-13-25)

Subtitles 13—18 (Part 3)

26.13.01.03—.05 • 52:10 Md. R. 478 (5-16-25)

26.13.02.01, .04, .04-1, .04-7, .05, .06, .07, .07-1, .11, .13, .16, .19,.23 • 52:10 Md. R. 478 (5-16-25)

26.13.03.01,.01-1,.02,.03-3,.03-4,.03-5,.03-7,.05,.05-4,.06 • 52:10 Md. R. 478 (5-16-25)

26.13.04.01 • 52:10 Md. R. 478 (5-16-25)

26.13.05.01, .04, .05,.14 • 52:10 Md. R. 478 (5-16-25)

26.13.06.01, .02, .05, .22 • 52:10 Md. R. 478 (5-16-25)

26.13.07.01, .02, .02-6, ,17, .20,.20-1—.20-6 • 52:10 Md. R. 478 (5-16-25)

26.13.09.01 • 52:10 Md. R. 478 (5-16-25)

26.13.10.01, .04, .06, .08, .09-1,.14, .16-1, .17, .19, .20, .25, .32—.49 • 52:10 Md. R. 478 (5-16-25)

26.13.11.01 • 52:10 Md. R. 478 (5-16-25)

26.16.08.05 • 52:26 Md. R. 1352 (12-26-25)

Subtitles 19—30 (Part 4)

26.28.02.02 • 52:24 Md. R 1248 (12-01-25)

30 MARYLAND INSTITUTE FOR

EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

30.01.01.02 • 52:6 Md. R. 291 (3-21-25)

30.02.01.01 • 52:6 Md. R. 291 (3-21-25)

30.02.02.02—.09 • 52:6 Md. R. 291 (3-21-25)

33 STATE BOARD OF ELECTIONS

33.05.01.04 • 52:13 Md. R. 690 (6-27-25)

33.07.07.01—.03 • 52:25 Md. R. 1280 (12-12-25)

33.07.10.01 • 53:3 Md. R. 138 (2-6-26)

33.07.11.01 • 52:13 Md. R. 690 (6-27-25)

33.08.05.01,.06,.08,.09 • 53:3 Md. R. 138 (2-6-26)

33.09.03.05 • 53:3 Md. R. 138 (2-6-26)

33.11.06.01 • 53:3 Md. R. 138 (2-6-26)

33.14.02.14 • 52:5 Md. R. 249 (3-7-25)

33.14.02.14 • 52:15 Md. R. 821 (7-25-25)

33.17.07.03 • 53:3 Md. R. 138 (2-6-26)

33.19.02.01 • 53:3 Md. R. 138 (2-6-26)

34 DEPARTMENT OF PLANNING

34.04.07.02, .03, .05 • 52:25 Md. R. 1285 (12-12-25)

36 MARYLAND STATE LOTTERY AND GAMING CONTROL AGENCY

36.03.06.01, .03 • 52:26 Md. R. 1353 (12-26-25)

36.03.10.11, .12, .43 • 52:26 Md. R. 1355 (12-26-25)

36.03.10.38 • 52:26 Md. R.1353 (12-26-25)

36.03.11.04 • 52:26 Md. R. 1355 (12-26-25)

36.05.03.04, .05 • 52:26 Md. R. 1355 (12-26-25)

36.07.04.14 • 52:26 Md. R. 1353 (12-26-25)

36.07.06.08 • 52:26 Md. R. 1353 (12-26-25)

36.08.04.01 • 52:26 Md. R. 1355 (12-26-25)

36.10.04.03 • 52:26 Md. R. 1355 (12-26-25)

36.10.10.01 • 52:26 Md. R.1353 (12-26-25)

36.10.10.03 • 52:26 Md. R. 1355 (12-26-25)

36.10.13.29, .41 • 52:26 Md. R. 1353 (12-26-25)

36.10.13.34 • 52:26 Md. R. 1355 (12-26-25)

36.10.13.39 • 52:17 Md. R 908 (8-22-25)

36.10.14.06 • 52:26 Md. R. 1355 (12-26-25)

36.10.18.04, .06 • 52:26 Md. R. 1355 (12-26-25)

The Governor

EXECUTIVE ORDER 01.01.2026.04

Declaration of a State of Preparedness - Winter Storm

WHEREAS, The State of Maryland is subject to a variety of hazards and disasters, including an impending emergency as defined in Section 14-101(c) of the Public Safety Article of the Maryland Code;

WHEREAS, Pursuant to Executive Order 01.01.2023.20, the Governor may declare a State of Preparedness when he determines that there is a significant risk of a public emergency as defined in the Maryland Emergency Management Act, Md. Code, Public Safety Article§ 14-301;

WHEREAS, The declaration of a State of Preparedness ensures a proactive, collaborative and forward-leaning State response to potential or actual emergencies;

WHEREAS, Having been advised and informed by the Maryland Department of Emergency Management that that there is significant risk of snow in all areas of Maryland beginning Sunday, February 22, 2026 as a result of an impactful winter storm;

WHEREAS, Action is needed to prepare to protect the lives and property of Maryland residents and visitors that may be impacted by the winter storm;

WHEREAS, Transportation, power utility, water utility, and other critical infrastructures may be negatively affected by the impact of the winter storm;

WHEREAS, State and local government agencies may require additional resources and support to implement proactive actions and meet the public safety and welfare needs of Maryland residents who may be negatively impacted by the storm;

NOW, THEREFORE, I, WES MOORE, GOVERNOR OF THE STATE OF MARYLAND, BY VIRTUE OF THE AUTHORITY VESTED IN ME BY THE CONSTITUTION AND LAWS OF MARYLAND, INCLUDING BUT NOT LIMITED TO TITLE 14 OF THE PUBLIC SAFETY ARTICLE OF THE MARYLAND CODE, AND BASED ON THE ABOVE FINDINGS, HEREBY DECLARE THAT A STATE OF PREPAREDNESS EXISTS IN THE STATE AND THAT PREPARATIONS MUST BE MADE FOR THE ANTICIPATED SEVERE WEATHER, AND HEREBY PROCLAIM THE FOLLOWING EXECUTIVE ORDER, EFFECTIVE IMMEDIATELY:

A. The Maryland Department of Emergency Management is hereby directed to coordinate the State preparedness and response to impacts of the winter storm anticipated to begin on Sunday, February 22, 2026.

B. All other appropriate State authorities are hereby authorized to activate their emergency preparedness plans and engage, deploy, use, and coordinate available resources in furtherance of those plans.

GIVEN Under My Hand and the Great Seal of the State of Maryland, in the City of Annapolis, this 21st Day of February 2026.

Wes Moore

Governor

ATTEST:

Susan C. Lee

Secretary of State

[26-05-17]

EXECUTIVE ORDER 01.01.2026.05

Declaration of a State of Emergency – Winter Storm

WHEREAS, The State of Maryland is subject to a variety of hazards and disasters, including an impending emergency as defined in Section 14-101(c) of the Public Safety Article of the Maryland Code;

WHEREAS, Having been advised and informed by the Maryland Department of Emergency Management that, as a result of a significant winter storm expected to impact the State beginning Sunday afternoon, February 22, 2026, and continuing through Monday, February 23, 2026, including the risk of heavy snow with blizzard conditions in some areas, hazardous road conditions, and power outages, action is needed to prepare to protect the lives and property of Maryland residents and visitors; 

WHEREAS, Because of the potential impacts of this severe weather and in preparation for all contingencies, an emergency exists statewide;

WHEREAS, Transportation, power utilities, water utilities, and other critical infrastructures may be negatively affected by the impacts of the storm; 

WHEREAS, State and local government agencies may require additional resources and support to implement proactive actions and meet the public safety and welfare needs of Maryland residents who may be negatively impacted by the consequences of the storm and require sheltering due to power outages, transportation disruptions, and other unforeseen impacts of winter weather;

WHEREAS, In order to waive certain regulations to facilitate emergency response and restoration activities, to activate certain emergency contracts, and to facilitate the deployment of requisite resources within provisions of Maryland law;

NOW, THEREFORE, I, WES MOORE, GOVERNOR OF THE STATE OF MARYLAND, BY VIRTUE OF THE AUTHORITY VESTED IN ME BY THE CONSTITUTION AND LAWS OF MARYLAND, INCLUDING BUT NOT LIMITED TO TITLE 14 OF THE PUBLIC SAFETY ARTICLE OF THE MARYLAND CODE, AND BASED ON THE ABOVE FINDINGS, HEREBY DECLARE THAT A STATE OF EMERGENCY EXISTS IN THE STATE AND THAT PREPARATIONS MUST BE MADE FOR THE ANTICIPATED SIGNIFICANT WINTER STORM EXPECTED TO BEGIN ON FEBRUARY 22, 2026, AND  HEREBY PROCLAIM THE FOLLOWING EXECUTIVE ORDER, EFFECTIVE IMMEDIATELY:

A. The Maryland Department of Emergency Management is hereby directed to coordinate the State response and recovery to impacts of the winter storm.

B. All other appropriate State authorities are hereby authorized to activate their emergency preparedness plans and engage, deploy, use, and coordinate available resources in furtherance of those plans.

C. The Maryland National Guard is hereby called into State Service.

GIVEN Under My Hand and the Great Seal of the State of Maryland, in the City of Annapolis, this 22^nd Day of February 2026.

Wes Moore

Governor

ATTEST:

Susan C. Lee

Secretary of State

[26-05-18]

EXECUTIVE ORDER 01.01.2026.06

Rescission of Executive Orders 01.01.2026.01, 01.01.2026.04 and 01.01.2026.05

WHEREAS,I, Wes Moore, Governor of the State of Maryland, issued Executive Order 01.01.2026.01, Executive Order 01.01.2026.04 and Executive Order 01.01.2026.05 due to the threat to public health and safety caused by the impact of severe weather throughout the State of Maryland;

WHEREAS, The emergency conditions caused by the severe weather no longer exist.

NOW THEREFORE, I, WES MOORE, GOVERNOR OF THE STATE OF MARYLAND, BY VIRTUE OF THE AUTHORITY VESTED IN ME BY THE CONSTITUTION AND LAWS OF MARYLAND, HEREBY PROCLAIM THAT THE STATE OF EMERGENCY THAT EXISTED IN MARYLAND IS TERMINATED AND I HEREBY RESCIND EXECUTIVE ORDER 01.01.2026.01, EXECUTIVE ORDER 01.01.2026.04 AND EXECUTIVE 01.01.2026.05.

GIVEN Under My Hand and the Great Seal of the State of Maryland, in the City of Annapolis, this 26th Day of February 2026.

Wes Moore

Governor

ATTEST:

Susan C. Lee

Secretary of State

[26-05-19]

The General Assembly

For additional up-to-date information concerning bills introduced in the General Assembly, log on to http://mlis.state.md.us and click on Bill Information and Status. You may then enter a specific bill number for information about that bill. You may also click on Senate Synopsis or House Synopsis for the most recent synopsis list for each house, or click on Synopsis Index for a listing of all bill synopses since the beginning of the legislative session.

SYNOPSIS NO. 3

House Bills

HB1019 Dels Howard and Buckel. School Bus Transition - Propane-Powered School Buses - Grant Program, Fund, and Purchase.

HB1020 Del Chang. State Police Retirement System - Mandatory Retirement Age - Alteration.

HB1021 Del White Holland, et al. Health Occupations - Licensed Psychologists - Prescriptive Authority.

HB1022 Del Ruth, et al. PFAS Chemicals - Product Phase Outs and Registration Requirements.

HB1023 Del Rose, et al. Lab-Grown Meat - Prohibition.

HB1024 Del Rose, et al. Eminent Domain - Agricultural and Conservation Easements - Prohibited Taking.

HB1025 Dels Rose and Miller. State Board of Cosmetologists - Licensing - Eyelash Extensions.

HB1026 Del Queen. Business Regulation - Rounding Cash Transactions - Authorization.

HB1027 Del Terrasa, et al. Election Law - Telephone Voting System - Requirements.

HB1028 Caroline County Delegation. Caroline County Board of Education - Member Compensation - Increase.

HB1029 Del Roberts, et al. Real Property - Termination of Residential Real Estate Contracts - Contingency Clauses.

HB1030 Chr JUD (Md Jud Conf). Office of the State Prosecutor - Investigation of Threats - Judges.

HB1031 Del Bartlett. Law Enforcement - Use of Force - National Guard Members.

HB1032 Del Wolek. Prekindergarten Programs and Primary and Secondary Schools - Student Privacy Policy Requirements and Discrimination Reporting.

HB1033 Del Wolek. Department of Social and Economic Mobility - Maryland Chamber of Commerce Grant Program - Established (Business Networks Access Act).

HB1034 Del Stinnett, et al. Child Care Entities - Child Abuse and Neglect - Training and Reporting Requirements.

HB1035 Del Fisher, et al. Income Tax - Subtraction Modification - Overtime Compensation.

HB1036 Del Bartlett. Office of the Attorney General - Independent Investigations Division - Federal Law Enforcement or Immigration Enforcement.

HB1037 Del Foley, et al. Public Service Commission - Broadband and Voice Over Internet Protocol Service - Oversight (Broadband Accountability and Affordability Act).

HB1038 Caroline County Delegation. Caroline County - Regulation of Animals - Dogs.

HB1039 Del Fisher, et al. Education – Primary and Secondary Schools – Alternative School Options (Right to Learn Act).

HB1040 Dels Stein and Watson. Maryland Strategic Energy Investment Fund - Mandated Uses - Climate Change Programs.

HB1041 Del Spiegel, et al. Youth Camps - Structures in Flood Hazard Areas - Prohibition.

HB1042 Del Woorman. Health Occupations - Structural Racism Training - Funding Sources.

HB1043 Del Smith. Homeschool Students in Maryland - Right to Play.

HB1044 Del Valentine, et al. Criminal Procedure - Postconviction Release - Crimes Resulting in Death of Young Victim.

HB1045 Del Cullison. Prescription Drug Monitoring Program - Data Disclosure to Federal Law Enforcement - Limitation.

HB1046 Del Guyton. School and School-Sponsored Activities - Report of Suspected Abuse or Neglect - Parental Notification.

HB1047 Del Hutchinson. State Board of Physicians - Delegation of Duties - Alterations.

HB1048 Del Shetty, et al. Public Health - Chain Restaurants - Sodium and Added Sugars Warning Icons.

HB1049 Del Crosby. Credit Unions - Mergers and Consolidations - Alteration of Voting Requirement.

HB1050 Del Feldmark. State Department of Education - Organ Donation - Development of Educational Materials.

HB1051 Del Rosenberg. Public Health - Patient Access to Medication.

HB1052 Del Feldmark. Maryland School for the Deaf - Membership of Board of Trustees - Alterations.

HB1053 Del Schmidt. Criminal Law - Second Degree Assault - Sports Official.

HB1054 Del Phillips, et al. Criminal Law - Ethics Violations, Malfeasance, Misfeasance, and Nonfeasance - Statute of Limitations.

HB1055 Del Solomon, et al. Health - Newborn Screening Program - Gaucher Disease.

HB1056 Del Alston, et al. General Provisions - Commemorative Days - Purple Lights Night.

HB1057 Del Ebersole, et al. Education - Artificial Intelligence - Guidelines, Professional Development, and Collaborative (Artificial Intelligence Ready Schools Act).

HB1058 Del Woods, et al. Youth Delinquency Prevention Fund - Establishment.

HB1059 Del Valderrama, et al. Education - Asian American History - Professional Development and Library Materials.

HB1060 Del Smith. Primary and Secondary Schools - Petitions for Emergency Evaluation - Requirement for Tracking and Reporting and Study.

HB1061 Del Williams. Criminal Law - Wearing, Carrying, or Transporting a Handgun - Prior Convictions.

HB1062 Dels Embry and Taveras. Estates and Trusts - Jurisdiction Over Property of Minors or Disabled Persons - Authorized Transactions.

HB1063 Del Boyce, et al. Natural Resources - Hunting - Management.

HB1064 Del Bagnall, et al. Maryland Office of the Inspector General - Establishment.

HB1065 Del Lehman, et al. Coal Combustion By-Product Materials - Grant Program and Procurement Preference.

HB1066 Del Lehman, et al. Municipal Elections - Qualified Electronic Transmission Systems - Authorization for Use.

HB1067 Dels Guyton and Allen. Hunting - Lead and Lead-Based Ammunition - Phase-Out.

HB1068 Del Solomon. Health Insurance - Special Enrollment Period for Newly Hired Employees of Small Businesses.

HB1069 Del Fair. Election Law - Canvassing of Absentee Ballots - Preemption by Federal Judicial Action.

HB1070 Del Smith. Department of Social and Economic Mobility - Workforce Opportunities Grant Program and Fund.

HB1071 Del Foley, et al. Environment - Stormwater Management - Agricultural Land.

HB1072 Del R. Long. State Procurement - Preferences - Francis Scott Key Bridge Reconstruction.

HB1073 Del Lewis. Landlord and Tenant - Residential Leases - Prospective Tenant Criminal History Records Check (Maryland Fair Chance Housing Act).

HB1074 Dels Hornberger and Vogel. Public Ethics Law - Participation Restrictions and Requirements for Local Governments and School Boards.

HB1075 Del Smith. Higher Education - Maryland Graduate and Professional Scholarship Program - Eligible Institutions.

HB1076 Del Smith. Higher Education Institutions - Over-the-Counter Contraception - Access and Reporting.

HB1077 Del Miller. Education - Career and Technical Education - Workgroup to Study Tiered Stackable Credentials Framework.

HB1078 Del Edelson. Economic Development - Maryland Stadium Authority - Carroll Park Soccer Stadium and Facility.

HB1079 Del Hutchinson, et al. Office of Regulatory Management and State Government Authorizations.

HB1080 Del Solomon. Income Tax - Addition Modifications - Excluded Opportunity Fund Gains, Foreign-Derived Deduction Eligible Income, and Interest.

HB1081 Dels Korman and Edelson. Maryland Transit Administration Reform Act.

HB1082 Del R. Long. Large Load Customers - Data Centers and Rate Schedule Requirements.

HB1083 Montgomery County Delegation. Montgomery County Board of Elections - Membership MC 6-26.

HB1084 Montgomery County Delegation. Montgomery County - County Board of Education - School Operation Requirements MC 14-26.

HB1085 Del Miller. Maryland Office of the Inspector General - Establishment (Maryland Government Efficiency and Accountability Act of 2026).

HB1086 Montgomery County Delegation. Montgomery County - Crosswalk Monitoring Systems - Authorization MC 10-26.

HB1087 Del S. Johnson. Health Care Facilities - Surgical Smoke - Smoke Evacuation Systems.

HB1088 Del Spiegel. Property Tax - Petition to Review Value of Commercial Real Property.

HB1089 Dels Wu and Fair. Consumer Protection - Data Broker Registry - Establishment.

HB1090 Montgomery County Delegation. Montgomery County - Board of Education - Mandatory School Holidays MC 9-26.

HB1091 Del Kerr. Health Insurance and Dental Plan Organizations - Dentists - Assignment of Benefits and Reimbursement of Nonpreferred Providers.

HB1092 Del Martinez, et al. Maryland Department of Health - Adolescent Psychiatric Inpatient Beds - Capacity in Prince George's County and Report.

HB1093 Del Cullison. Health Insurance - Provider Panels - Requirements.

HB1094 Dels Hutchinson and Adams. Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement.

HB1095 Calvert County Delegation. Calvert County - Property Tax Credit - Tobacco Barns.

HB1096 Del J. Long, et al. Property Tax Credits - Notice Through Property Tax Bill.

HB1097 Del Roberts, et al. Public High Schools - Sports Injury Recordkeeping and Reporting - Requirements.

HB1098 Del Stewart. Bankruptcy Proceedings - Exemptions From Execution - Residential Real Property.

HB1099 Del Vogel. General Assembly - Term Limits.

HB1100 Del Pruski. Telecommunications Infrastructure - Protections.

HB1101 Worcester County Delegation. Worcester County - Alcoholic Beverages - Temporary To-Go Event Permit and Class C Per Diem Municipal To-Go Beer, Wine, and Liquor License.

HB1102 Del Buckel, et al. Correctional Officers' Retirement System - Allegany County.

HB1103 Del Mangione, et al. State Designations - Symbol of Remembrance for September 11 - Freedom Flag.

HB1104 Del Fraser-Hidalgo. Residential Solar Energy Systems - Local Inspections and Permitting.

HB1105 Del Embry, et al. Statute of Limitations - Prosecution or Enforcement of Local Consumer Protection Codes.

HB1106 Del Taveras, et al. Maryland Commission on Women's Health Advancement - Establishment.

HB1107 Del Martinez, et al. Maryland Medical Assistance Program and Health Insurance - Required Coverage for Aesthetic Services and Restorative Care for Victims of Domestic Violence (Healing Our Scars Act).

HB1108 Dels Stewart and Hornberger. Labor and Employment - Greenhouse Workers - Collective Bargaining and Heat Protection.

HB1109 Chr HLT, et al. Public Health Reform Act.

HB1110 Del Lewis. Judicial In Rem Tax Foreclosure - Notice Requirements.

HB1111 Del Pruski. Alcoholic Beverages - Class 3 Wineries and Class 4 Limited Wineries - Bulk Wine.

HB1112 Del Cullison. Health Insurance Coverage Protection Commission - Study on Individual and Group Health Insurance Market Stability.

HB1113 Del Lewis. Vehicle Laws - Bus Obstruction Monitoring Systems and Bus Stop Zones.

HB1114 Del Martinez, et al. HIV Prevention Drugs - Prescribing, Dispensing, and Insurance Coverage.

HB1115 Del Pruski, et al. Education - Career Ladder - National Board Certification Associated Salary Increases.

HB1116 Howard County Delegation. Howard County - Illegal Dumping - Surveillance System Pilot Program Ho. Co. 6-26.

HB1117 Del Lopez, et al. Elopement Response Devices - Insurance and Maryland Medical Assistance Program Coverage and Provision Under State Programs.

HB1118 Del White Holland, et al. Health, Health Insurance, and Health Occupations - Perinatal Mental Health Conditions.

HB1119 Del Cullison. Health Occupations - Social Workers - Scopes of Practice.

HB1120 Del Rogers, et al. Professional Licensing Portability - Members of the Foreign Service and Spouses.

HB1121 Dels Bagnall and D. Jones. Public Health – Perimenopausal, Menopausal, and Postmenopausal Conditions.

HB1122 Del Simmons. Employees’ Pension System – Sheriff of Anne Arundel County – Vesting.

HB1123 Del Stinnett, et al. Criminal Law - Minor's Access to Firearms - Penalty.

HB1124 Dels Palakovich Carr and Crosby. Commercial Law - Consumer Protections - Health Care Financing.

HB1125 Dels Phillips and White Holland. State Capital Program - Covered Projects - Public Engagement and Community Outreach Requirements (Community Engagement and Outreach Act of 2026).

HB1126 Del Qi. Health Insurance and Managed Care Organizations - Laboratory Services - Contract Providers.

HB1127 Del Wivell, et al. Washington County - Homestead Property Tax Credit - Eligible Properties.

HB1128 Dels Qi and Spiegel. Income Tax – Angel Investor Tax Credit for Investments in Emergent Technology.

HB1129 Del Lopez, et al. Maryland Medical Assistance Program - Provider Agencies - Wages and Leave for Personal Care Aides.

HB1130 Del Martinez, et al. State Highway Administration - Maryland Route 410 (East-West Highway) Pedestrian Safety Action Plan - Expansion.

HB1131 Del Lopez, et al. Public Health - Pregnancy Loss - Prohibited Actions (Pregnancy Outcome Protection Act).

HB1132 Del Terrasa, et al. Condominiums and Homeowners Associations - Resale Contracts - Notice Requirements (Keeping Affordable Housing Affordable Act).

HB1133 Del Taveras, et al. Public Health - Drug Manufacturer-Funded Disease Awareness Campaigns - Registration and Required Disclosure.

HB1134 Del Taveras, et al. Pharmaceutical Drugs and Devices - Gifts to Health Care Professionals - Prohibition.

HB1135 Del Lopez, et al. Health Occupations - Pharmacists - Vaccination Orders.

HB1136 Del D. Jones. Nonprofit Hospitals - Community Benefits.

HB1137 Del Allen. Land Use - Multifamily Developments and Mixed-Use Developments - Authorization (Bring Back Main Street Act).

HB1138 Del Forbes. State Retirement and Pension System – Cost–of–Living Adjustments – Clarification.

HB1139 Del Forbes (Chr Jt Com on Pnsns). State Retirement and Pension System - Eligible Governmental Units.

HB1140 Del Forbes. Baltimore County Board of Education - Membership - Alterations.

HB1141 Dels S. Johnson and A. Johnson. Municipal Incorporation - County Commissioners or County Council - Required Approval of Referendum Request.

HB1142 Del Wilkins. Task Force to Modernize County and Municipal Revenue Structures.

HB1143 Del Lopez, et al. Public Health - Office of the Chief Medical Examiner - Perinatal Autopsies (Lung Float Test Ban).

HB1144 Del Crutchfield. Child Support - Adjusted Actual Income - Definition.

HB1145 Del Lewis (BCA). Juvenile Records - Access by Baltimore City Mayor's Office.

HB1146 Del Alston, et al. Crime of Violence - Medical Facilities and Places of Worship - Penalty (Sacred Places Safety Act).

HB1147 Del Foley. Public Service Commission – Administrative Operations and Personnel Matters (Public Service Commission Flexibility Act).

HB1148 Del Kaiser, et al. Property Taxes - Tax Sales, Heirs Protection Program, and Tax Credits.

HB1149 Dels Young and Hornberger. State Finance - Claims of the State - Settlement.

HB1150 Del Kerr. Health Occupations - Pharmacists - Minor Conditions and HIV Prevention and Treatment.

HB1151 Del Hutchinson, et al. Maryland Department of Health – Study on Maryland Medical Assistance Program Reimbursement of Hospice Room and Board Services.

HB1152 Del Williams. Department of State Police - Special Police Officers - Study.

HB1153 Del Guzzone, et al. Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding.

HB1154 Del Phillips. Correctional Services - Restrictive Housing.

HB1155 Calvert County Delegation. Calvert County - Procurement - Long-Term Contracts for Infrastructure and Asset Management.

HB1156 Del Fisher. Calvert County - Length of Service Award Program - Benefits.

HB1157 Del Guzzone, et al. Health Insurance - Plan Benefits and Coverage - Annual Reporting (Transparency, Reporting, Understanding, Timeliness, and Honesty (TRUTH) in Mental Health Coverage Act).

HB1158 Del Fisher. Calvert County - Contracts for Infrastructure or Asset Management - Contract Duration.

HB1159 Del Lopez. Public Health and Health Insurance - Access to Abortion Care - Reporting Requirements.

HB1160 Calvert County Delegation. Calvert County - CalvertHealth Medical Center.

HB1161 Del Korman. Board of Public Works - Contract Review - Climate and Sustainability Information (BPW Climate Transparency Act).

HB1162 Del Alston. Correctional Services – Medication–Assisted Treatment Funding.

HB1163 Howard County Delegation. Howard County - Voting Age - Board of Education Elections Ho. Co. 5-26.

HB1164 Del Foley. Water Companies, Sewage Disposal Companies, and Water and Sewage Disposal Companies – Rate Consolidation and Limited–Income Mechanisms.

HB1165 Del Williams. State Procurement - Apprenticeship Program Accountability and Completion.

HB1166 Del Palakovich Carr. Motor Vehicles - Dealers - Front Registration Plate Display.

HB1167 Chr HLT and Del Cullison. Maryland Department of Health - Medicaid Management Information System - Mainframe System Replacement.

HB1168 Del Bagnall. Local School Systems - Sexual Abuse and Sexual Misconduct - Response Policy and After-Action Review.

HB1169 Howard County Delegation. Howard County - Highways - Speed Limits Ho. Co. 8-26.

HB1170 Howard County Delegation. Howard County - Speed Monitoring Systems - Expansion of Authorization Ho. Co. 9-26.

HB1171 Howard County Delegation. Howard County Board of Education - Student Member - Voting Ho. Co. 7-26.

HB1172 Howard County Delegation. Howard County - Economic Development Authority - Alterations Ho. Co. 14-26.

HB1173 Del Kerr, et al. State Procurement - Contractors and Vendors - Restrictions on Use of State Funds and Resources.

HB1174 Howard County Delegation. Howard County - Board of Education - Mandatory School Holidays Ho. Co. 11-26.

HB1175 Del Allen. Land Use - Residential Housing - Oversight, Regulation, and Taxation (Building Affordably in My Back Yard Act).

HB1176 Howard County Delegation. Howard County – Board of Education Budget – Minimum Funding Ho. Co. 10–26.

HB1177 Del Stinnett, et al. Small Business Reserve Program - Veteran-Owned Small Business Enterprises - Outreach.

HB1178 Dels Harrison and Toles. Municipalities - Annexation - Limitations.

HB1179 Del Nkongolo, et al. Consumer Protection - Application Store Accountability Act.

HB1180 Del Qi. State Board of Architects - Grounds for Discipline - Requirements.

HB1181 Del Bagnall. Family Law - Children in Out-of-Home Placement - Voluntary Placement Agreements.

HB1182 Del McCaskill. Public and Nonpublic Schools - Student Elopement - Locative Devices.

HB1183 Del McCaskill. Baltimore County - Alcoholic Beverages - Manufacturer's Limited Beer, Wine, and Liquor Permit.

HB1184 Del Acevero, et al. Civil Actions - Nonprofit Organizations - Unauthorized Support of Israeli Settlement Activity (Not On Our Dime Act).

HB1185 PG Co Deleg and Mont Co Deleg. Washington Suburban Sanitary Commission - Personnel Management - Disciplinary Actions PG/MC 104-26.

HB1186 Del Rogers, et al. Peer-to-Peer Car Sharing Programs - Insurance and Liability.

HB1187 Del Hinebaugh. Water Companies and Sewage Disposal Companies - Eminent Domain Proceedings and Service Rates.

HB1188 Dels Boafo and Amprey. Excess Ownership of Single-Family Residences Excise Tax (End Hedge Fund Control of Maryland Homes Act of 2026).

HB1189 Del Hinebaugh. Property and Casualty Insurance - Distribution of Premium Tax Proceeds to State Disaster Recovery Fund.

HB1190 Del Hinebaugh. Public Utilities - Off-Grid Electricity Providers - Exemption.

HB1191 Del Boafo. Secondhand Precious Metal Object Dealers - Temporary Event-Based Dealer Limited License - Establishment.

HB1192 Del Bagnall. State Board of Sign Language Interpreters - Membership and Licensing.

HB1193 Del Hinebaugh. Department of Natural Resources - Savage Highlands State Park - Hotel Rental Surcharge.

HB1194 Del D. Jones. Correctional Officers' Retirement System - Reemployment After Retirement - Exemption From Earnings Offset.

HB1195 Del Stein. Net Energy Metering, SUNRISE Program, and Community Solar Energy Generating Systems Program (SUNRISE Act).

HB1196 Del J. Long, et al. Environment - Mobile Home Parks - Water Quality Testing.

HB1197 Dels Palakovich Carr and Feldmark. Taxes - Whistleblower Reward Program - Alterations.

HB1198 Del Lopez, et al. Civil Actions - Coerced Debt - Debtor Protections.

HB1199 Del Fraser-Hidalgo. Study on Greenhouse Gas Emissions Economy-Wide Cap-and-Invest Program (Maryland Climate Crisis Equity Act).

HB1200 Del Wivell, et al. Vehicle Laws - Electronic and Video Tolls - Exemption for Registered Owners Undergoing Cancer Treatment.

HB1201 Del Wivell, et al. Condominiums and Homeowners Associations - Reserve Studies - Exemptions.

HB1202 Del Acevero, et al. Public Schools – Content Standards, Curriculum, and Bullying Policies – Culture and History of Palestine.

HB1203 Del Hinebaugh. Garrett County - Alcoholic Beverages Act of 2026.

HB1204 Del Wivell, et al. Primary and Secondary Education - Education Savings Account Program - Establishment.

HB1205 Del Wims, et al. Education - Minimum Wage for Education Support Professionals.

HB1206 Del Phillips. Procurement - Disadvantaged Business Enterprise (DBE) Reevaluation Assistance Program - Established.

HB1207 Del Hinebaugh. State Lakes Protection and Restoration Fund - Alteration and Mandatory Appropriation.

HB1208 Del Fisher. Calvert County - Payment in Lieu of Taxes Agreements - Emergency Services.

HB1209 Del Cullison, et al. Conversion Therapy - Prohibitions and Causes of Action.

HB1210 Del Tomlinson, et al. Certificates of Public Convenience and Necessity and Transmission Lines - Notice to Landowners.

HB1211 Del Tomlinson. Condominiums - Unit Owner Responsibility for Damage or Destruction.

HB1212 Del Hutchinson, et al. Workgroup on Seafood Marketing.

HB1213 Del Ruth, et al. State Transfer Tax - Rate - Alterations (Housing Affordability for Buyers and Sellers).

HB1214 Del Amprey. Vehicle Manufacturers and Dealers - Dealer Associations - Administrative Hearings.

HB1215 Del Stonko, et al. Maryland Stadium Authority - Sale of Shamrock Farms to Carroll County.

HB1216 Del Phillips. Insurance – Certificates of Guarantee for County Bond Requirements – All Counties.

HB1217 Del Wivell, et al. Environment - Building Energy Performance Standards and Energy Use Intensity Targets - Exemptions.

HB1218 Dels Wilkins and Phillips. Department of Housing and Community Development - Severe Health and Safety Risk Properties - Intervention Plan.

HB1219 Del Fraser-Hidalgo. Climate Change, Homeowner's Insurance, and Emergency Management - Study.

HB1220 Del Solomon. Business Regulation - Data Broker Registry.

HB1221 Dels Foley and Hutchinson. Public Safety - Short-Term Rental Units - Fire Safety (Jillian and Lindsay Wiener Short-Term Rental Fire Safety Act).

HB1222 Prince George's County Delegation. Prince George's County - State's Attorney Salary - Alteration PG 426-26.

HB1223 Prince George's County Delegation. Farmers Markets - Street Food Vending Zones - Requirements PG 411-26.

HB1224 Prince George's County Delegation. Property Taxes - Special Rate for Vacant and Abandoned Property - Charter County Tax Limitation PG 408-26.

HB1225 Del Fraser-Hidalgo. Weights and Measures - Electric Vehicle Charging Equipment - Registration Fees.

HB1226 Del Bartlett. Maryland Illegal Online Gambling Enforcement Act.

HB1227 Prince George's County Delegation. Prince George's County - Crosswalk Monitoring Systems - Authorization PG 323-26.

HB1228 Del Qi. Insurance - Premium Receipts Tax - Exemption for Captive Insurance Procured by Nonprofit Hospitals and Health Care Systems.

HB1229 Del Stewart. Consumer Protection and Labor and Employment - Food Service Facilities and Minimum Wage.

HB1230 PG Co Deleg and Mont Co Deleg. Washington Suburban Sanitary Commission - Procurement - Alterations PG/MC 102-26.

HB1231 Del Wivell, et al. Washington County - Dually Enrolled Students.

HB1232 Del Edelson (BCA), et al. Baltimore City - Economic Development Project in Downtown RISE District - Payment in Lieu of Taxes.

HB1233 Washington County Delegation. Washington County - Mobile Food Service Facilities and Semipermanent Food Service Facilities - Toilet and Lavatory Facilities.

HB1234 Del Williams. Prince George's County - Maryland Stadium Authority - Blue Line Corridor Facilities.

HB1235 Del Roberts, et al. State Procurement - Competitive Sealed Bids and Proposals - In-State Evaluation Preference.

HB1236 Dels Wivell and Valentine. Real Property – Prohibition on Restrictions of Accessory Dwelling Units – Historic District Exemption.

HB1237 Del Ruth, et al. Pesticide Applications - Subscription Contract Requirements and Registry Establishment.

HB1238 Del Acevero, et al. Taxation - Ultra-High-Net-Worth Individual Surtax and Wealth Tax.

HB1239 Del Kaiser, et al. Public Safety - Critical Infrastructure Protection.

HB1240 Dels Fair and Buckel. Sports Wagering - Wagers on Historical Horse Races - Authorization.

HB1241 Del Acevero, et al. Labor and Employment - Bereavement Leave - Qualified Relationships.

HB1242 Del Allen. Transportation of Persons With Disabilities - Transportation Network Companies - Requirements.

HB1243 Prince George's County Delegation. Prince George's County - Personal Property Tax Exemption for Small Manufacturers PG 423-26.

HB1244 Del Rose, et al. Overhead Transmission Lines and Eminent Domain - Property Value - Damages.

HB1245 Del Edelson. Baltimore First Responders Child Care Support and Accessibility Program - Establishment.

HB1246 Del Lewis. Maryland Department of Health - Employment Training and Opportunity Database.

HB1247 Prince George's County Delegation. Prince George's County - Tax Increment Financing - Extraordinary Development District - Alterations PG 425-25.

HB1248 Del Wolek. Part-Time State Employment Pilot Program - Established (Maryland Workforce Retention, Recruitment, and Reentry Act).

HB1249 Del Hill. Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition.

HB1250 Del Qi, et al. Consumer Protection and Product Liability - Chatbots.

HB1251 Del Woods, et al. Health Facilities and Health Insurance - Palliative Care - Required Access and Coverage (Edna G. Neal Palliative Care Act).

HB1252 Montgomery County Delegation. Department of Housing and Community Development - Montgomery County Study MC 19-26.

HB1253 Del Behler, et al. Gas Companies - Infrastructure Investments - Cost Recovery and Customer Notification (Break STRIDE Act).

HB1254 Del Feldmark. Education - Public Schools - Service Contracts and Professional Development.

HB1255 Del Young. Expansion of Commercial Gaming - Internet Gaming Referendum.

HB1256 Del Nkongolo, et al. Income Tax - Angel Investor Tax Credit.

HB1257 Del Stein, et al. Baltimore County Board of Education - Financial Reporting Requirements.

HB1258 Del Smith. Child Placement Services - Advertising by Unlicensed Person - Prohibition.

HB1259 Del Feldmark. Zoning Authorities - Operation of Family Child Care Homes - Prohibitions and Requirements.

HB1260 Del Feldmark. Common Ownership Communities - Online Publication of Resale Disclosures.

HB1261 Del Coley, et al. Consumer Protection - Artificial Intelligence Toys (Artificial Intelligence Toy Safety Act).

HB1262 Del Ruff, et al. Public Safety - Law Enforcement Officers - Restrictions.

HB1263 Del Hill, et al. Public Health - Workgroup on Postoperative Cosmetic Care.

HB1264 Del Hill, et al. Public Health - Maryland Medical Assistance Program - Tobacco Cessation.

HB1265 Del McComas, et al. Election Law - Candidate Truthfulness - Oath.

HB1266 Del Valentine, et al. Criminal Procedure - Victims of Sexual Assault Offenses - Test Kit Submission Requirements.

HB1267 Del Lehman, et al. Patuxent Research Refuge and Beltsville Agricultural Research Center - Zoning Classification (Protecting Patuxent Research Refuge Act).

HB1268 Del Behler, et al. Environmental Permits - Requirements for Burden Analysis, Issuance and Renewal, and Public Participation (Cumulative Harms for Environmental Restoration for Improving Shared Health - CHERISH Our Communities Act).

HB1269 Del Bhandari. Common Ownership Communities - Reserve Accounts and Reserve Studies - Alterations.

HB1270 Prince George's County Delegation. Prince George's County - Alcoholic Beverages - Notice of License Applications PG 322-26.

HB1271 Del Ruff, et al. Reparations - Board, Fund, and Excise Tax on Endowments - Establishment.

HB1272 Del Acevero, et al. Family Law - Kinship Care.

HB1273 Del Miller. Maryland Homeowner Protection and Homestead Tax Credit Portability Act of 2026.

HB1274 Del Miller. Education - Posthumous Diploma Awards - Authorized.

HB1275 Dels Wims and Coley. Public Schools - Interscholastic Athletics - Academic Eligibility.

HB1276 Del Wolek, et al. West North Avenue Development Authority - Neighborhood Social Connection and Development Program - Establishment (WNADA Neighborhood Social Connection and Development Act).

HB1277 Del Smith. Education - Maryland Institute for Literacy and Equity - Establishment.

HB1278 Del Smith. Maryland Positive Youth Development Commission and Fund - Establishment.

HB1279 Del Ruff, et al. Catalytic Revitalization Project Tax Credit - Alterations.

HB1280 Del Wims, et al. Supporting Our Caregiver Infrastructure Program - Feasibility Study.

HB1281 Del Ciliberti, et al. Health - Abortion - Ultrasound and Wait Time.

HB1282 Del Young, et al. Tobacco Products, Other Tobacco Products, and Electronic Smoking Devices - Advertising to Minors - Prohibition.

HB1283 Del Terrasa, et al. Maryland Transportation Authority - Video Tolls - Collection.

HB1284 Del Guzzone. Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs.

HB1285 Del Guzzone. Health - Opioid Overdose Reversal Drugs - Possession, Storage, and Administration Past Expiration Date.

HB1286 Del Behler, et al. Anne Arundel County - Alcoholic Beverages - Barbershop and Beauty Salon License.

HB1287 Del A. Johnson. Certificate of Public Convenience and Necessity - BURDEN Analysis (CHERISH Our Communities Act).

HB1288 Del A. Johnson. County Boards of Education - Appointed Members in Leadership Positions - Prohibition.

HB1289 Del Terrasa. Task Force on the Implementation of Approval Voting and Ranked-Choice Voting.

HB1290 Del Woods, et al. Child in Need of Assistance - Proceedings - Child's Right to be Present.

HB1291 Del Roberts, et al. Public Health - Maryland Medical Assistance Program - Continuity of Care.

HB1292 Dels Bagnall and Cullison. Child Advocacy Centers - Continuity of Care Standards for Health Care Professionals and Reports of Violations.

HB1293 Del Ruff, et al. Behavioral Health Programs - Residents at Inpatient Facilities - Sex Offender Registry Compliance.

HB1294 Del Wilson. Criminal Law - Child Sexual Abuse Material - Artificial Intelligence Software.

HB1295 Del Ziegler, et al. Vehicle Laws - Fully Autonomous Vehicles.

HB1296 Del Terrasa, et al. Preliminary Subdivision and Site Plans – Safe School Route Reports – Requirement.

HB1297 Del Palakovich Carr. Income Tax - Student Loan Debt Relief Tax Credit - Alterations.

HB1298 Del A. Johnson. Third-Party Litigation Financing - Licensing and Regulation.

HB1299 Del Taylor, et al. Real Property - Residential Sales - Communications During Appraisal Process.

HB1300 Del Hill, et al. Maryland Commission for Women - Alterations.

HB1301 Del McComas, et al. Land Use - Historic Preservation Commission - Right of Appeal.

HB1302 Del Hornberger, et al. Property Tax Credit - Disabled Public Safety and Judicial Officers, Surviving Spouses, and Cohabitants - Eligibility.

HB1303 Del Amprey, et al. Alcoholic Beverages - Class A License - Retail Establishments (Alcoholic Beverages Modernization Act of 2026).

HB1304 Del R. Long. Natural Resources - Fishing Without a License - Enforcement.

HB1305 Del Kaiser, et al. State Child Welfare System - Reporting.

HB1306 Del Phillips, et al. Assisted Outpatient Treatment - Surrender or Seizure of Firearms.

HB1307 Del Wilson. State Finance and Procurement - Employers Receiving State Public Funds - Unfair Labor Practices.

HB1308 Del Hornberger, et al. Homeowners' Property Tax Credit - Eligibility and Calculation - Alterations.

HB1309 Del Crutchfield, et al. Commission to Review and Assess Racial Disparities in the State Criminal Justice System - Establishment.

HB1310 Del Coley, et al. Public High Schools - Student Transcripts - Traumatic Loss Notation.

HB1311 Del Embry, et al. Higher Education – Student Financial Assistance for Incarcerated Individuals – Alterations.

HB1312 Del Pruski. Legal Tender - Specie - Establishment.

HB1313 Del Embry, et al. Higher Education - Tuition Exemption - Incarcerated Individuals.

HB1314 Del Ivey. Natural Resources - Chesapeake Bay Trust - Urban Trees Program.

HB1315 Del Pruski. Department of the Environment - Vessel-Based Microplastic Particle Removal Technologies - Study.

HB1316 Del Ruth, et al. Public Health - Universal Health Care Program - Study and Commission.

HB1317 Del Ivey. State Government - Data-Sharing Agreements and Personal Identifying Information - Prohibition and Reporting (Maryland Data Privacy and Federal Shield Act).

HB1318 Del Wivell, et al. Department of Human Services - Supplemental Nutrition Assistance Program - Error Reduction.

HB1319 Del Grammer, et al. Public Safety - Militia - Active Duty Combat (Defend the Guard).

HB1320 Del Rosenberg. Criminal Procedure - Victim Notification - Request at the Time of Charging.

HB1321 Del Palakovich Carr. Child Care Scholarship Program - Enrollment and Copays - Alterations.

HB1322 Del Grammer, et al. Higher Education - Freedom of Expression on Campus - Protection (Maryland Campus Area Free Expression Act).

HB1323 Del Rosenberg. Health Care Decisions Act - Surrogate Decision Making - Hospital Surrogate Committee.

HB1324 Del Rosenberg. Baltimore City - Natural Resources - Sunday Deer Hunting and Archery Hunting Safety Zones.

HB1325 Del McComas, et al. Workers' Compensation - Evaluation of Permanent Impairments - Licensed Social Worker-Clinical.

HB1326 Del Wilson. Child Abuse and Neglect - Disclosure of Reports and Records.

HB1327 Del Bhandari. Key Bridge Heroes Commemoration Day and Memorial Tribute Ceremony.

HB1328 Del Feldmark. Public Safety - Department of State Police - School Mapping Data Program.

HB1329 Del Miller, et al. Education - Public School Construction - Funding.

HB1330 Dels Hornberger and Wims. Homeowners’ Property Tax Credit – Year–Round Application.

HB1331 Del Grammer, et al. Maryland Department of Health and Department of Human Services - Public Benefits - Eligibility and Prohibitions.

HB1332 Del Fisher. Calvert County - County Commissioners - Prohibited Agreements.

HB1333 Del Bhandari. Public Safety - Maryland Law Enforcement Public Service Medal.

HB1334 Del Miller, et al. Education - Engagement Policies and School Compact (Maryland Public Education Parental Partnership Act).

HB1335 Del Kaiser, et al. Department of Information Technology - Recruitment, Retention, and Compensation of Information Technology and Cybersecurity Professionals - Independent Study.

HB1336 Del Wilson. Procurement Contracts and Construction Contracts - Payments.

HB1337 Del Fair. Frederick County - Well and Septic Service - Plan Approval.

HB1338 Del Ruth. Motor Vehicles - Driver's Licenses - Eligibility.

HB1339 Del Embry. Handgun Roster Reform.

HB1340 Dels Amprey and Ruff. State Government - Prison Education Delivery Reform Commission - Establishment.

HB1341 Del Ebersole, et al. Public Schools - School Security Personnel - Immigration Investigation and Enforcement.

HB1342 Del Young. Agriculture - Controlled-Environment and Hydroponic Agriculture.

HB1343 Del Young. Internet Gaming - Authorization and Implementation.

HB1344 Del Young, et al. Maryland Transit Administration - Locally Operated Transit Systems - Study.

HB1345 Dels Cardin and Taylor. Maryland Trust Act - In Terrorem Clause - Void.

HB1346 Del Amprey. State Department of Assessments and Taxation - Expedited Document Processing and Fees.

HB1347 Del Baker, et al. Task Force to Study Postrelease Services and Requirements (Bri's Law).

HB1348 Del Embry. Human Trafficking - Reports to Regional Navigators and Prosecutions - Authorization.

HB1349 Del Wivell, et al. Public Service Commission - Implementation Plan to Convert Formerly Operational Fossil Fuel Generating Stations.

HB1350 Del McComas, et al. Family Law - Child Abuse and Neglect - Reporting.

HB1351 Dels Amprey and Ruff. Home Improvement Contractors - Disaster Mitigation Services - Regulation and Prohibition.

HB1352 Del Wilson. State Procurement - Worker Residency Requirements.

HB1353 Del Fair, et al. Homeless Individuals - Fee and Examination Exemptions.

HB1354 Del Hornberger, et al. State Board of Veterinary Medical Examiners - Veterinarians, Veterinary Technicians, and Veterinary Assistants.

HB1355 Del Amprey. Financial Institutions - Payment Stablecoin Services - Establishment and Regulation (Maryland Stablecoin Act).

HB1356 Del Lopez, et al. Labor and Employment - Civic and Related Activities - Protection (Maryland Employee Civic Activity and Lawful Expression Protection Act).

HB1357 Del Kaiser, et al. Consumer Protection - Menstrual Hygiene Products - Labeling Requirements.

HB1358 Del Nkongolo, et al. Labor and Employment - Workforce Development and Local Workforce Development Boards (Local Workforce Solutions Investment Act.

HB1359 Dels Ruth and Phillips. Police Pursuits of Fleeing Suspects - Standards (Dimeka Thornton Act).

HB1360 Del Lehman, et al. Maryland Public Ethics Law - Regulated Lobbyists - Reporting Requirements.

HB1361 Del Rosenberg. Criminal Law - Controlled Dangerous Substances and Criminal Organizations.

HB1362 Del Wivell, et al. Condominiums and Homeowners Associations - Meetings - Recording Requirements.

HB1363 Del Nkongolo. Criminal Procedure - Domestic Violence Offenders - Registration.

HB1364 Del Pena-Melnyk. Public Health - Mammograms - Arterial Calcification Notice.

HB1365 Del Pena-Melnyk. Health Occupations and Insurance - Menopause - Provider Training and Coverage Requirements.

HB1366 Del Nkongolo. Family Law - Final Protective Orders - Duration.

HB1367 Del Cullison, et al. Commission on Re-Imagining Health Care in Maryland.

HB1368 Del Rosenberg. Special Education - Individualized Education Program - Notification of Missed Services (Shifra's Act).

HB1369 Del Solomon (Joint Audit and Evaluation Committee). Department of Budget and Management - Audit and Finance Compliance Unit - Establishment.

HB1370 Del Hornberger. Town of Rising Sun - Stop Sign Monitoring Systems - Authorization of Pilot Program.

HB1371 Del Young, et al. Maryland-Africa and the Caribbean Investment and Development Program - Establishment.

HB1372 Del Solomon (Joint Audit and Evaluation Committee). Public Health - Office of Health Care Quality Information and Maryland Department of Health Centralization Commission.

HB1373 Del Martinez. State Department of Education - Independent Regulatory Framework for After School and Out of School Time Child Care Programs - Study.

HB1374 Del Solomon. Alternative Fuel, Fuel-Efficient, and Electric Vehicles - Highway Use Fees.

HB1375 Del Howard, et al. Health Insurance - Lyme Disease and Related Tick-Borne Illnesses - Long-Term Antibiotic Treatment.

HB1376 Del Rosenberg. Maryland Medical Assistance Program, Maryland Children's Health Program, and Health Insurance - Transfers to Special Pediatric Hospitals - Requirements.

HB1377 Del Kaiser, et al. Prescription Drug Repository Program - Redirecting Safe Prescription Drugs Pilot Program.

HB1378 Del Terrasa, et al. Corporations and Associations - Limitations on Election and Ballot Issue Activities (Maryland Corporate Power Reset Act).

HB1379 Del R. Long. Vehicle Laws - Vehicle Registration Fees - Sixth Legislative District.

HB1380 Del Fair. Health Insurance - Prescriptions for Gender-Affirming Care and Hormone Therapy - Coverage and Dispensing Requirements.

HB1381 Del Guyton. Vehicle Laws - Stopping, Standing, or Parking in a Bike Lane or Bicycle Path - Prohibition.

HB1382 Del Young, et al. State Procurement - Prohibited Certifications - Boycotts of Foreign Countries.

HB1383 Del Guyton. Children in Need of Assistance - Permanency Plan Requirements.

HB1384 Del Kipke. Maryland Medical Assistance Program - State Pharmacy Benefits Manager.

HB1385 Del Hill, et al. Health Insurance - Use of Artificial Intelligence - Human Evaluation.

HB1386 Del Tomlinson, et al. Criminal Law - Distribution of Heroin or Fentanyl Causing Death or Serious Bodily Injury (Victoria, Scottie, Ashleigh, and Yader's Law).

HB1387 Del Coley, et al. Maryland Automobile Insurance Fund - Fund Producer Minimum Commission Rate - Repeal.

HB1388 Del Jacobs, et al. Oysters - Rotational Harvest - Pilot Program.

HB1389 Del D. Jones, et al. Public Health - Female Genital Mutilation.

HB1390 Del Howard, et al. Public Schools - Veterans' Day - Excused Student Absence.

HB1391 Del Howard, et al. Vehicle Emissions Inspection Program - Testing and Inspection - Grounds for Failure.

HB1392 Del Grammer, et al. Public Safety - Law Enforcement - Quotas (Community-Oriented Policing Act).

HB1393 Del Nkongolo. Motor Vehicle Administration - Telephone Queuing System - Establishment.

HB1394 Del McComas, et al. Criminal Law – Homicide by Motor Vehicle or Vessel – Restitution to Child (Bentley’s Law).

HB1395 Del Jacobs, et al. Consumer Protection - Agricultural Equipment Warranties.

HB1396 Del Miller, et al. Commission on Blueprint Fiscal Sustainability and Student Achievement - Establishment.

HB1397 Del Toles, et al. School Construction - Gross Area Baseline Calculation - Aquatic Facilities.

HB1398 Del Nawrocki, et al. State Transfer Tax - Temporary Suspension.

HB1399 Del Hill. Consumer Protection - Consumer Reporting Agencies - Use of Algorithmic Systems.

HB1400 Del Jacobs, et al. Shellfish Aquaculture - Penalties - Suspension or Revocation of Permit or Registration Card.

HB1401 Del McComas, et al. Public Health - Abortion - Informed Consent.

HB1402 Del Stinnett, et al. Medical Examiner - Release of Body - Requirements for Muslims.

HB1403 Dels McComas and Hornberger. Election Law - Initiative Process.

HB1404 Del Reilly, et al. Public Utilities - Energy Generation and Transmission.

HB1405 Del Healey, et al. Election Law - Campaign Finance Activities - Candidates for State Office.

HB1406 Del Smith, et al. Criminal Law - Self-Defense - Prior Acts by Victim.

HB1407 Del Rosenberg. Election Law - Absentee Ballots - Notice of Timely Receipt.

HB1408 Del Guyton. Motor Vehicles - Automated Traffic Enforcement Systems - Impoundment.

HB1409 Del Ross, et al. Gaming - Problem Gambling - Prevalence Study and Fund Revenue.

HB1410 Del Simmons. Income Tax - Credit for Paid Organ Donation Leave.

HB1411 Del Ruth. Data Center Planning and Transparency Act.

HB1412 Del Hornberger. Natural Resources - Crabs - Requirements and Prohibited Acts.

HB1413 Del Hornberger. Maryland Department of Planning - District of Columbia Retrocession - Study.

HB1414 Del Martinez, et al. Nursing Homes - Direct Care Wages and Benefits and Cost Reports.

HB1415 Del Moreno. Public Safety - Law Enforcement Officers - Identification.

HB1416 Dels J. Long and Woods. State Procurement and Recipients of State Funding - Electric Vehicle Charging Equipment - Minority Business Enterprise Participation.

HB1417 Del Arikan, et al. Public Safety - Handgun Permit Requirement - Repeal (Maryland Constitutional Carry Act).

HB1418 Del Arikan, et al. Public and Nonpublic Schools - Employing Individuals Charged With Crimes - Prohibition.

HB1419 Del Solomon (Joint Audit and Evaluation Committee). Department of State Police - Centralized Background Check Division.

HB1420 Joint Audit and Evaluation Committee. Health Occupations - Criminal History Records Checks.

HB1421 Del McComas, et al. Task Force to Study Pedestrian and Bicyclist Injuries and Fatalities.

HB1422 Del Solomon (Joint Audit and Evaluation Committee). State Personnel - State Fiscal Leadership Capacity.

HB1423 Del Wims. Maryland Department of Health - Workgroup on Home- and Community-Based Services.

HB1424 Del Behler. Anne Arundel County - Community Sewerage Systems - Homeowners Association Control.

HB1425 Del Clippinger. Baltimore City - Alcoholic Beverages Licenses - Revisions.

HB1426 Del Solomon. Clinical Research Pharmacies and Clinical Trials - Permits, Ownership, and Definition of Practice of Medicine.

HB1427 Del Ruth. Property Tax Credits - Renters' Tax Credit, Homeowners' Tax Credit, and Homestead Tax Credit - Altering Eligibility and Amount.

HB1428 Del Anderson. Somerset County Board of Education - Alterations.

HB1429 Del Hornberger, et al. Consumer Protection - Right to Repair - Motor Vehicles and Farm Equipment.

HB1430 Del Chang. Maryland Public Charter School Program - School Facilities - Funding.

HB1431 Del Buckel. Sports Wagering - Licenses - Application Period.

HB1432 Del Conaway. Motor Vehicles - Vehicles Previously Registered as Historic Vehicles - Emissions Inspection and Insurance.

HB1433 Del McCaskill. Community Colleges - Collective Bargaining - Definition of Supervisory Employee.

HB1434 Del McCaskill. Maryland Department of Health - Caregiver Resource Webpage - Establishment.

HB1435 Del Spiegel, et al. Health Insurance - Required Coverage - Hormone-Related Care.

HB1436 Del Buckel. Office of the Attorney General - Federal- and State-Assisted Housing Programs - Grievance Process.

HB1437 Del Howard, et al. Income Tax - Credit for Long-Term Care Premiums.

HB1438 Del Woorman, et al. State Board of Education - Public High School Graduation Requirements.

HB1439 Del Reilly, et al. Real Property - Partition of Property - Liens and Purchase Price Adjustments.

HB1440 Del Woorman, et al. Maryland Medical Assistance Program and Health Insurance - Coverage and Utilization Review - Drugs Reviewed by the Prescription Drug Affordability Board.

HB1441 Del Embry. Criminal Law - Public Consumption and Open Container - Prepayment of Citation.

HB1442 Del J. Long, et al. Community Choice Aggregation Pilot Program - Definition, Application, and Workgroup - Modifications.

HB1443 Del Arentz. Retail Supply of Electricity and Gas - Regulation and Consumer Protection - Alterations.

HB1444 Washington County Delegation. Washington County - On-Site Sewage Disposal System Regulations - Exemptions.

HB1445 Del Wolek, et al. Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act).

HB1446 Del Toles. Commercial Driver's Instructional Permits - School Vehicles - Knowledge Test.

HB1447 Del Fair. Motor Vehicle Administration - Improper Registration - Investigation and Penalties.

HB1448 Del Tomlinson. Municipal Elections - Information on Candidates and Voting Procedures and Locations.

HB1449 Del Nawrocki, et al. Maryland Office of the Inspector General - Establishment.

HB1450 Del S. Johnson. Health Insurance - Coordination of Benefits - Carrier Responsibilities and Retroactive Denials of Reimbursement.

HB1451 Del McComas, et al. Public Health - Women's Health Care Data - Report.

HB1452 Del Toles. Economic Development - Prince George's County Suitland Development Authority - Established.

HB1453 Del Miller. Gaming - Extensions of Credit, Penalties, Player Protections, and Distribution of Proceeds - Alterations.

HB1454 Del Queen. Campaign Finance - Security Expenditures - Authorization.

HB1455 Del Young, et al. State Retirement and Pension System - Divestment From Israel.

HB1456 Del Embry, et al. Consumer Protection - Residential Property Advertisement - Ownership Verification.

HB1457 Washington County Delegation. Washington County - Juveniles - Truancy Reduction Pilot Program.

HB1458 Del Shetty, et al. State Supplemental Nutrition Assistance Program for Refugees and Asylees - Establishment.

HB1459 Del Jacobs, et al. Public Safety - Stationary Energy Storage Systems.

HB1460 Del Taveras, et al. Landlord and Tenant - Investor-Owned Single-Family Rental Property - Landlord Requirements.

HB1461 Del Taveras, et al. Health Insurance - Coverage for Specialty Drugs - Rheumatologic Conditions.

HB1462 Del Kerr. Department of Social and Economic Mobility – Individuals With Disabilities.

HB1463 Del Howard, et al. Anne Arundel County Board of Education - Constituent Services Liaison - Establishment.

HB1464 Del Guzzone. Health Insurance - Third-Party Administrators - Verification of Eligibility.

HB1465 Del Terrasa, et al. Environment - Stream and Floodplain Restoration Projects - Requirements and Limitations.

HB1466 Del Wims. Department of Housing and Community Development - Appraisal Gap From Historic Redlining Financial Assistance Program - Qualified Properties.

HB1467 Del Arikan, et al. Criminal Law - Fourth Degree Sexual Offense - Out-of-State Convictions.

HB1468 Del Ruff, et al. Hospitals - Patients in Active Labor - Safe Discharge Labor Plans.

HB1469 Del Cullison. Health Insurance - Workgroup to Study the Definition of Specialty Drug.

HB1470 Del Cullison. Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee.

HB1471 Del Embry. Consumer Protection - Identity Theft Debt.

HB1472 Del Qi, et al. Better Small Business Employee Benefit Act of 2026.

HB1473 The Spkr. Economic Development - Maryland's Future Board - Establishment.

HB1474 Del Ebersole. Baltimore County - Alcoholic Beverages Licenses - Transfers and Conversions.

HB1475 The Spkr. Consumer Protection - Dynamic Pricing Disclosure and Prohibition on Rent-Setting.

HB1476 The Spkr. Public Service Commission - Net Energy Metering - Successor Program.

HB1477 Del Odom, et al. Public Health - Ibogaine Clinical Research Grant Program - Establishment (Veterans Mental Health Innovations Act).

HB1478 Del Reilly, et al. State Procurement - Prompt Payment of Subcontractors and Suppliers - Alteration.

HB1479 Del Boafo, et al. Labor and Employment - Minimum Wage - Increase (Maryland Raise the Wage Act).

HB1480 Del Clippinger. Labor Law - Child Labor Penalties, Private Sector Employee Labor Relations, and State Employee Labor Standards.

HB1481 Del Reilly, et al. Tissue Banks and Hospitals - Autologous and Directed Blood Donations.

HB1482 Del Arentz, et al. Property Tax - Credit for Dwelling House of Disabled Veterans and Surviving Spouses - Revisions.

HB1483 Del Kaiser, et al. Clinical Professional Counseling - Out-of-State Providers - Use of Telehealth for Continuity of Care.

HB1484 Del Arentz, et al. Child Sex Offenders - Plea Agreements and Places for Children.

HB1485 Chr HLT. Public Health - Crisis Response System - Resources for Family Members and Trauma-Informed Care Training (Tiarra's Law).

HB1486 Del Arentz, et al. Workers' Compensation - Average Weekly Wage - Multiple Employers.

HB1487 Del Wells. Public Health – Baltimore City Mobile Infant and Maternal Health Pilot Program.

HB1488 Del D. Jones, et al. Constitutional Language - Modernization.

HB1489 Del Simmons. Criminal Procedure - Motion to Reduce Duration of Sentence - Eligibility (Vincent Anthony Fisher III Act).

HB1490 Del Shetty, et al. Family Investment Program - Temporary Cash Assistance - Good Cause and Adequate Reason Exceptions.

HB1491 Del Odom, et al. Education - Interjurisdictional Safe Pathways Commission - Establishment.

HB1492 Del Ebersole, et al. Collective Bargaining - Public Employees - Revocation of Certification and School and Library Employees' Right to Strike.

HB1493 Charles County Delegation. Charles County - Student Bus Transportation Providers - Provider Displacement.

HB1494 Del J. Long. Electricity and Retail Gas Supply - Customer Choice, Consumer Protection, and Green Power (Retail Energy Modernization and Consumer Choice Act).

HB1495 Del Adams, et al. Vehicle Laws - Registration Plates.

HB1496 Del Adams, et al. Vehicle Laws – Causing Serious Injury or Death of Vulnerable Individual.

HB1497 Charles County Delegation. Charles County - Rent Stabilization - Seniors.

HB1498 Wicomico County Delegation. Wicomico County - Class A Beer, Wine, and Liquor License - Alterations.

HB1499 Del Adams, et al. Business Regulation - Home Improvement Contracts - Deposits.

HB1500 Del Howard, et al. State Agencies - Adoption of Regulations - Required.

HB1501 Del Fair. Department of Housing and Community Development - Homeless Shelter Certification.

HB1502 Dels Hornberger and Pruski. Consumer and Display Fireworks - Regulation and Tax.

HB1503 Carroll County Delegation. Carroll County - District Planning Commission - Authorized.

HB1504 Del Healey. Highways - Sidewalks and Bicycle Pathways - Construction and Reconstruction.

HB1505 Del Simmons. Higher Education - Loan Repayment and Scholarships for Correctional Officers.

HB1506 Del Ross. Condominiums and Homeowners Associations - New Owner Fees - Limitations.

HB1507 Del Adams, et al. Motor Vehicles - Enhanced Tinted Windows - Medical Exemption.

HB1508 Del Nawrocki, et al. State Highway Administration - Highway Work Permits - Notice.

HB1509 Del Roberts. Financial Institutions - Mortgage Servicers - Insurance Proceeds.

HB1510 Del Grammer, et al. Unemployment Insurance - Fraud Prevention, Detection, and Enforcement.

HB1511 Del Healey. Public Safety - State Clearinghouse for Missing Persons.

HB1512 Del Conaway. Business Regulation - Rounding Cash Transactions - Remittance to Comptroller.

HB1513 Calvert County Delegation. Calvert County - Public Facilities Bonds.

HB1514 Calvert County Delegation. Calvert County - County Officials and Board of Education - Salaries and Benefits.

HB1515 Del Adams, et al. Labor and Employment - Noncompete and Conflict of Interest Clauses - Employer Relocation.

HB1516 Del Fraser-Hidalgo. Human Services - Energy Assistance Programs - Administration and Funding.

HB1517 Dels Behler and Allen. Land Use - Qualified Project - Retaliatory Downzoning.

HB1518 Del Buckel, et al. Property Tax Assessments - 5-Year Assessment Cycle.

HB1519 Dels Amprey and Boafo. Cannabis - Management Service Agreements, Advertising, and Penalties - Alterations (Cannabis Reform and Opportunity Act).

HB1520 Del Tomlinson. Courts - Exemption From Judgment - Alterations and Additions.

HB1521 Del Ruff, et al. Income Tax - Credit for Contributions, Volunteerism, and Employment Initiatives for At-Risk Youth.

HB1522 Del Odom, et al. Traffic Control Signal Monitoring and Speed Monitoring Systems - Exemptions From Liability - Vehicle Rental Companies.

HB1523 Del Ross. Alcohol, Tobacco, and Cannabis Commission - Unauthorized Consumable Products - Enforcement and Seizure.

HB1524 Del J. Long. Labor and Employment - Paid Leave - Attendance at School Functions.

HB1525 Del Wivell, et al. Regional Greenhouse Gas Initiative, EmPOWER Energy Efficiency Programs, and Community Solar Energy Generating Systems.

HB1526 Carroll County Delegation. Carroll County - Alcoholic Beverages - Class 1 Distillery On-Premises Consumption Permit.

HB1527 Del Arikan. Complementary and Alternative Health Care - Practice Authorized (Complementary and Alternative Health Care Practice Act).

HB1528 Del Ross, et al. Education - Homeschool Students - Extracurricular Activities.

HB1529 Dels Ross and Holmes. Baltimore County - Local Commission on Common Ownership Communities.

HB1530 Del Woorman, et al. Higher Education - Undocumented Students - Out-of-State Tuition Exemption Eligibility.

HB1531 Del Fair. Maryland Helping Everyone Afford Life-Saving Treatments and Health Care (HEALTH) Fund - Establishment.

HB1532 The Spkr, et al. Continuing the Next Generation Energy Act.

HB1533 Del Alston, et al. Public Health - Cosmetic Products - Enforcement and Penalties for Prohibited Ingredients (Crown and Care Act - Protecting Communities from Harmful Hair Chemicals).

HB1534 Del Miller. Data Centers - Standards for Operation and Siting.

HB1535 Del Jacobs, et al. Natural Resources - Recreational Fishing - Mobile Reporting Application.

HB1536 Del Lopez, et al. Maryland Enforcement Limits and Transparency (MELT) Act.

HB1537 Del Amprey. Public Health - Newborn Screening Program - Metachromatic Leukodystrophy.

HB1538 Del Miller, et al. Land Use - Accessory Dwelling Units - Requirements and Prohibitions (Maryland Generational Housing Act of 2026).

HB1539 Del Wilson. Maryland Labor Relations Act.

HB1540 Del Harrison. University of Maryland Capital Region Medical Center - Funding - Repeal of Termination Date.

HB1541 Del Bhandari. Workgroup to Study Extreme Risk Protective Orders (Sagar Ghimire Act).

HB1542 Del Rosenberg. Public Health - Goods, Services, or Technologies Used in Death Sentences - Prohibition.

HB1543 Del Bhandari. Labor and Employment - Temporary Workers.

HB1544 Del Rosenberg. Maryland Justice Corps Program - Establishment.

HB1545 Del Miller. Frederick County - Special Education Video and Audio Recording Program - Established.

HB1546 Del Metzgar. Baltimore County - Homestead Property Tax Credit - Individuals at Least 65 Years Old.

HB1547 Del Rosenberg. Environment - Reduction of Lead Risk in Housing - Modified Risk Reduction Standard.

HB1548 Dels Stinnett and Simmons. Real Property - Residential Lease - Terminology.

HB1549 Del Rosenberg. Reduction of Lead Risk in Housing - Rental Dwelling Unit - Definition.

HB1550 Del Grammer. Eminent Domain and Condemnation Authority - Repeal (Property Rights Protection Act).

HB1551 Del Metzgar. Department of Agriculture - Regulation of Dog Breeders.

HB1552 Del Solomon, et al. Alcoholic Beverages - Class L Beer, Wine, and Liquor License - Established.

HB1553 Del Alston, et al. Estates and Trusts - Guardianship of the Person of a Disabled Person - Emergency and Temporary Guardianship Petitions.

HB1554 Dels Hornberger and Sample-Hughes. Sales and Use Tax - Electricity for Agriculture Purposes - Study and Report.

HB1555 Del Miller, et al. Education - Blueprint for Maryland's Future - Oversight Requirements.

HB1556 Del Ross. Business Regulation - Sugary Beverage Advertisements - Warning Labels.

HB1557 Del Solomon (Joint Audit and Evaluation Committee). Procurement - Department of General Services - Real Estate Advisory Committee.

HB1558 Del Woods, et al. State Board of Physicians - Anesthesiologist Assistants - Licensing.

HB1559 The Spkr. Children in Unlicensed Settings and Pediatric Hospital Overstay Patients - Placement.

HB1560 Del Behler. Forest Conservation - Incentives - Pilot Program and Fund.

HB1561 Del Queen. Electricity Generation and Storage - Investor-Owned Electric Companies and Front-of-the-Meter Storage (Affordable Energy Act).

HB1562 Del Wu. Consumer Protection - Telecommunications Service Outage - Automatic Credit (Automatic Telecommunications Service Outage Credit Act).

HB1563 The Spkr and Del Bhandari. Emergency Room Services and Post-Acute Care - Coverage and Facility Studies.

HB1564 Del Turner, et al. Public Health - Drugs and Medical Devices Used in Death Sentences - Prohibition.

HB1565 Del Miller, et al. Public Health - Obesity Management and Treatment Programs (Healthy Maryland for Every Body).

HB1566 Del Queen. Real Property - Deeds of Trust - Recordation of Assignments.

HB1567 Del Odom. Vehicle Laws - Bicycles, Motor Scooters, and EPAMDs - Overtaking and Passing (Pass Pedestrians Safely Act).

HB1568 Del Ross. Local Government - Animal Control - Dogs At Large (Dog Leash Laws).

HB1569 Dels Young and Woorman. Parking Enforcement - Vehicles in Custody or Control of Auto Repair or Storage Facility.

HB1570 Del Young. State Government - Governmental Procedures - Development and Review of Standards.

HB1571 Del Holmes. Real Property - Access to Counsel in Evictions Program and Mobile Home Parks.

HB1572 Del Ghrist. Renewable Energy Portfolio Standard – Eligible Sources – Waste–to–Energy.

HB1573 Del Young. Income Tax - Credit for Small Political Contributions.

HB1574 Del Solomon, et al. Child Care Providers - Licensing and Registration Alterations and Workgroup to Study Illegally Provided Child Care.

HB1575 Del Phillips, et al. Correctional Services and Public Safety - Immigration Enforcement - Prohibitions (Community Trust Act).

HB1576 Del Rosenberg. Sales and Use Tax - Electronic Smoking Devices and Vaping Liquid - Maryland Pediatric Cancer Fund.

HB1577 Del Ross. Common Ownership Communities - Common Areas - Approval of Alterations.

HB1578 Chr GVC (Dept). State Procurement - Procurement Preferences - Reauthorization and Revisions.

HB1579 Chr GVC (Dept). State Personnel - Family and Medical Leave - Limits and Use.

HB1580 Chr W&M (Dept). Economic Development - Maryland Enhanced Tax Increment Financing (TIF) Districts.

HB1581 Chr APP (Dept). Horse Racing - Facility Ownership, Development, Licensing, and Operations - Alterations.

HB1582 Chr W&M (Dept). Education - Program of Educational Accountability - Alterations (Comprehensive Outcomes and Measures of Progress for Supporting Schools (COMPASS Act)).

HB1583 Chr JUD (Dept). Private Passenger Motor Vehicle Insurance - Fairness and Affordability Study.

HB1584 Del Stewart. Delivery Network Companies and Delivery Network Services - Regulation and Transparency.

HB1585 Del Kerr. Maryland Economic Development Corporation - Major Information Technology Development Projects - Project Management.

HB1586 Del McComas, et al. Protective Orders - Coercive Control.

HB1587 Del Patterson. Gaming - Electronic Instant Bingo Machines - Operation and Maximum Number of Machines.

HB1588 Wicomico County Delegation. Wicomico County - Orphans' Court Judge - Annual Salary.

HB1589 Del Martinez, et al. Certificates of Birth, Licenses, and Identification Cards - Sex Designation (Birth Certificate Modernization Act).

HB1590 Del Ziegler. Alcoholic Beverages - Class 8 Farm Brewery and Class 10 Farm Distillery Licenses.

HB1591 Del Arentz, et al. State and Private Wetlands - Nonwater-Dependent Project - Definition.

HB1592 Del Barnes. Education - Regional Resource Centers and County Libraries - Funding.

HB1593 Del Guyton. Developmental Disabilities Administration - Self-Directed Services Manual - Public Comment.

HB1594 Del Kipke. Veterans' Discounts Act.

HB1595 Dels Hornberger and Palakovich Carr. Property Taxes - Authority of Counties to Establish a Subclass and Set a Special Rate for Personal Property of Data Centers.

HB1596 Del Qi. Maryland Technology Development Corporation - Maryland Growth Initiative - Established.

HB1597 Del Hill. Health - Unregulated Space in Hospital Operating Suites - Pilot Project.

HB1598 Dels McCaskill and Toles. Horse Racing - Racetrack Facility Renewal Account Grants - Alterations.

HB1599 Del Jacobs, et al. Chesapeake Bay Enhancement Program - Established.

HB1600 Del Fair. Homeowners Associations - Reserve Funding, Meeting Notices, Voting, and Records.

HB1601 Del Griffith. Real Property - Deeds - Recordation Requirements.

HB1602 Del Griffith. Counties - No-Cost Preventive Cancer Screenings for Volunteer Firefighters.

HB1603 Del S. Johnson. Health Insurance - Vision Benefits - Regulation of Insurers and Vision Benefit Managers.

HB1604 Del Kerr. Public School System Contracts - Prohibited Provisions.

HB1605 Del Griffith. Compensation for Individuals Erroneously Convicted - County Cost-Sharing - Repeal.

HB1606 Del Odom. Credit Regulation - Maximum Interest Rate for Active Service Members (Service Members Civil Relief Act).

HB1607 Del Odom. Community Solar Energy Generating Systems - Prohibited Locations - Adjacent Parcels.

[26-05-13]

Senate Bills

SB0720 Sen Hester. Education - Artificial Intelligence - Guidelines, Professional Development, and Collaborative (Artificial Intelligence Ready Schools Act).

SB0721 Sen Waldstreicher. Developmental Disabilities Administration - Services - Eligibility for Recently Relocated Individuals (Ralph's Act).

SB0722 Sen Waldstreicher. Task Force on Not-for-Profit Funeral Establishments.

SB0723 Sen Jennings. Real Property - Deeds - Recordation Requirements.

SB0724 Sen Lewis Young. State Retirement and Pension System - Cost-of-Living Adjustments - Clarification.

SB0725 Sen Waldstreicher. Transfer of Real Property - Recordation Certification and State Transfer Tax (Land Transfer Accountability Act).

SB0726 Sen Feldman. Primary and Secondary Education - Educator Professional Development - Course on Well-Being and Flourishing.

SB0727 Sens Lewis Young and Brooks. Municipal Elections - Qualified Electronic Transmission Systems - Authorization for Use.

SB0728 Sens Carozza and Mautz. Higher Education - Community College Promise Scholarship Eligibility - Delmar High School Graduates.

SB0729 Sen Henson. Real Property - Access to Counsel in Evictions Program and Mobile Home Parks.

SB0730 Sen M. Washington. Judicial In Rem Tax Foreclosure - Notice Requirements.

SB0731 Sen M. Washington. Human Services - Maryland Statewide Independent Living Council - Legal Status.

SB0732 Sen M. Washington. Cannabis - Community Reinvestment and Repair Fund - Distribution and Use of Funds for Baltimore City.

SB0733 Sen M. Washington. Land Use - Definitions and Boards of Appeals.

SB0734 Sen Lewis Young (Chr Jt Com on Pnsns). State Retirement and Pension System - Eligible Governmental Units.

SB0735 Sen King. Property Tax - Petition to Review Value of Commercial Real Property.

SB0736 Sen Benson. Criminal Law - Obscene Matter - Visual Representation of Child.

SB0737 Sen Benson. Juvenile Law - Probation and Treatment Services - Required Disposition (Parental Accountability Act).

SB0738 Sen Augustine. Maryland Medical Assistance Program and Health Insurance - Required Coverage - Mobile Crisis and Crisis Stabilization.

SB0739 Sen Kramer. Climate Change, Homeowner's Insurance, and Emergency Management - Study.

SB0740 Sen Kramer. Transportation Network Companies - Deactivation of Operators.

SB0741 Sens Beidle and Hettleman. Financial Institutions and Activities - Virtual Currency Kiosks - Alterations.

SB0742 Sens Guzzone and Zucker. Maryland Medical Assistance Program and Developmental Disabilities Administration - Home- and Community-Based Services Eligibility Determinations (Maryland Protecting People With Disabilities Act).

SB0743 Sen James. Workgroup to Study State Laws on Electric Bicycles - Establishment.

SB0744 Sen McKay. Criminal Law - Interference of Custody Orders - Penalties.

SB0745 Sen McKay. Police Training - Autism and Dementia (LEAD Act of 2026).

SB0746 Sen McKay. Police Discipline - Municipal Law Enforcement Agencies - Suspension Pending Appeal of Trial Board Decision.

SB0747 Sen McKay. Condominiums - Mandatory Insurance Coverage.

SB0748 Sen McKay. Correctional Officers' Retirement System - Allegany County.

SB0749 Sen Gile, et al. Residential Retail Customer and Retail Electricity Suppliers - Definition and Alterations.

SB0750 Sen Lewis Young, et al. Local Government - Trap-Neuter-Return Policies for Community Cats - Requirements and Restrictions (Ash's Law).

SB0751 Sen Mautz. Vehicle Laws – Required Security – Exemption of Farm Area Motor Vehicles.

SB0752 Sens Sydnor and Augustine. Commission to Review and Assess Racial Disparities in the State Criminal Justice System - Establishment.

SB0753 Sen Kramer. Fiduciary Institutions - Exploitation of Seniors and Vulnerable Adults - Protections and Required Referral (Vulnerable Adult Banking Protection Act).

SB0754 Sen M. Washington. Land Use - Preservation of Natural Resources.

SB0755 Sens Muse and Hershey. Natural Resources - Striped Bass Recreational Seasons and Fisheries Regulations.

SB0756 Sen McCray (BCA). Baltimore City – Economic Development Project in Downtown RISE District – Payment in Lieu of Taxes.

SB0757 Sen Rosapepe. Consumer Protection - Disclosure of Tariffs and Local Sourcing.

SB0758 Sen Watson, et al. Common Ownership Communities - Candidate or Proposition Signs - Display Period.

SB0759 Sen Watson, et al. Financial Institutions - Digital Assets and Digital Asset Staking - Regulation (Maryland Financial Innovation Act of 2026).

SB0760 Sens Watson and West. Real Property - Recordation and Land Records - Revisions.

SB0761 Sen Watson. Expansion of Commercial Gaming - Internet Gaming Referendum.

SB0762 Sen Guzzone. Horse Racing - Racetrack Facility Renewal Account Grants - Alterations.

SB0763 Sen Guzzone. Maryland Technology Development Corporation - Maryland Growth Initiative - Established.

SB0764 Sen Zucker, et al. Education – Minimum Wage for Education Support Professionals.

SB0765 Sen Zucker. Property Taxes - Tax Sales, Heirs Protection Program, and Tax Credits.

SB0766 Sen Zucker. Taxes - Whistleblower Reward Program - Expansion.

SB0767 Sen Ferguson. Property Tax - Credit for Commercial Buildings Rented to Small Businesses.

SB0768 Sen Carozza. State Retirement and Pension System - Transfers of Service.

SB0769 Chr B&T (Dept). University System of Maryland - Academic Facilities Bonding Authority.

SB0770 Sen Ferguson. Economic Development - Maryland's Future Board - Establishment.

SB0771 Sen Ferguson. Human Services - Energy Assistance Programs - Administration and Funding.

SB0772 Sen Ferguson. Maryland Department of Health - Employment Training and Opportunity Database.

SB0773 Sen Augustine. Health Occupations - Pharmacists - Vaccination Orders.

SB0774 Sen Augustine. Health Insurance - Plan Benefits and Coverage - Annual Reporting (Transparency, Reporting, Understanding, Timeliness, and Honesty (TRUTH) in Mental Health Coverage Act).

SB0775 Sen Smith. Public Safety - Gun Buyback Programs - Destruction of Firearms.

SB0776 Sen Smith. Commission on the House of Reformation and Instruction for Colored Children - Establishment.

SB0777 Sen Salling. Labor and Employment - Workforce Development and Local Workforce Development Boards (Local Workforce Solutions Investment Act).

SB0778 Sen Feldman. Clinical Research Pharmacies and Clinical Trials - Permits, Ownership, and Definition of Practice of Medicine.

SB0779 Sen Feldman. Better Small Business Employee Benefit Act of 2026.

SB0780 Sen Brooks. Certificate of Public Convenience and Necessity - BURDEN Analysis (CHERISH Our Communities Act).

SB0781 Sen Brooks. Environmental Permits - Requirements for Burden Analysis, Issuance and Renewal, and Public Participation (Cumulative Harms for Environmental Restoration for Improving Shared Health - CHERISH Our Communities Act).

SB0782 Sen Jackson. Telecommunications Infrastructure - Protections.

SB0783 Sen Jackson. Credit Unions - Mergers and Consolidations - Alteration of Voting Requirement.

SB0784 Sen Jackson. Financial Institutions - Consumer Credit - Application of Licensing Requirements.

SB0785 Sen Guzzone. Public Health and Health Insurance - Access to Abortion Care - Reporting Requirements.

SB0786 Sen Guzzone. Transportation of Persons With Disabilities - Transportation Network Companies - Requirements.

SB0787 Sen Guzzone, et al. Maryland Economic Development Corporation - Major Information Technology Development Projects - Project Management.

SB0788 Sen Jennings. Real Property - Recordation of Deeds - Certification of Preparation.

SB0789 Sen Jennings. Vehicle Laws - Automotive Repair Facilities - Advanced Driver Assistance Systems.

SB0790 Sen Lam (Commission on Public Health). Public Health Reform Act.

SB0791 Sen Lam. Correctional Services and Public Safety – Immigration Enforcement – Prohibitions (Community Trust Act).

SB0792 Sen Lam. Hospitals - Immigration Enforcement Action - Policy Requirement.

SB0793 Sen Lam. Income Tax - Credit for Paid Organ Donation Leave.

SB0794 Sen Lam. Health Insurance - Special Enrollment Period for Pregnancy - Coverage Effective Date.

SB0795 Sen Lam. Health Insurance - Vision Benefits - Regulation of Insurers and Vision Benefit Managers.

SB0796 Sen Lam. Commercial Law - Consumer Protections - Health Care Financing.

SB0797 Sen Lam. Maryland Medical Assistance Program and Health Insurance - Claims for Reimbursement - Downcoding.

SB0798 Sen Lam. Public Health - Maryland Medical Assistance Program - Tobacco Cessation.

SB0799 Sen McKay. Water Companies and Sewage Disposal Companies - Eminent Domain Proceedings and Service Rates.

SB0800 Sen McKay. Task Force on the Implementation of Approval Voting and Ranked-Choice Voting.

SB0801 Sen McKay. Regional Greenhouse Gas Initiative, EmPOWER Energy Efficiency Programs, and Net Energy Metering.

SB0802 Sen McKay. Garrett County - Alcoholic Beverages Act of 2026.

SB0803 Sen Beidle. Alcoholic Beverages - Class 3 Wineries and Class 4 Limited Wineries - Bulk Wine.

SB0804 Sen Beidle. Labor and Employment - Occupational Safety and Health - Revisions to Heat Stress Standards.

SB0805 Sen Hettleman. Income Tax - Student Loan Debt Relief Tax Credit - Alterations.

SB0806 Chr Joint Audit and Evaluation Committee. Health Occupations - Criminal History Records Checks.

SB0807 Sen Bailey. Alcoholic Beverages - Class 8 Farm Brewery and Class 10 Farm Distillery Licenses.

SB0808 Sen King. Health Insurance - Provider Panels - Requirements.

SB0809 Sen King. Supporting Our Caregiver Infrastructure Program - Feasibility Study.

SB0810 Sen King. Public Schools - School Security Personnel - Immigration Investigation and Enforcement.

SB0811 Sen Hayes. Real Property - New Home Sales - Entry of Final Sale Price in Multiple Listing Service.

SB0812 Sen Hayes. Homeowners' Property Tax Credit - Eligibility and Calculation - Alterations.

SB0813 Sen Hayes. Health Insurance and Dental Plan Organizations - Dentists - Assignment of Benefits and Reimbursement of Nonpreferred Providers.

SB0814 Sen Hayes. Residential Property - Service Agreement - Defunct Service Providers.

SB0815 Sen Hayes. Correctional Services – Maryland Correctional Enterprises – Report.

SB0816 Sen Hayes. West North Avenue Development Authority - Neighborhood Social Connection and Development Program - Establishment (WNADA Neighborhood Social Connection and Development Act).

SB0817 Sen Hayes. Real Property - Residential Sales - Communications During Appraisal Process.

SB0818 Sen Hayes. State Center - Development - Contract, Plan Requirements, and Advisory Group.

SB0819 Sen Hayes. Judicial In Rem Tax Foreclosure - Notice Requirements.

SB0820 Sen Hayes. Alcohol, Tobacco, and Cannabis Commission - Unauthorized Consumable Products - Enforcement and Seizure.

SB0821 Sen Smith. Abandoned Sears Building - Acquisition by the Department of General Services.

SB0822 Sen Smith. Correctional Services - Maryland Parole Commission - Improvements in Transparency and Equity.

SB0823 Sen Smith. Correctional Services - Maryland Parole Commission - Members.

SB0824 Sen Smith. Vehicle Laws - Licensing of Manufacturers and Distributors as Dealers - Requirements.

SB0825 Sen Hester. Public Safety - Critical Infrastructure Protection.

SB0826 Sen Hester. Income Tax – Angel Investor Tax Credit for Investments in Emergent Technology.

SB0827 Sen Hester. Consumer Protection and Product Liability - Chatbots.

SB0828 Sen Hester. State Finance - Delinquent Federal Funds (Federal Obligations Enforcement Act).

SB0829 Sen Waldstreicher. Land Use - Multifamily Developments and Mixed-Use Developments - Authorization (Bring Back Main Street Act).

SB0830 Sen Waldstreicher. Handgun Roster Reform.

SB0831 Sen Ferguson. Labor Law - Child Labor Penalties, Private Sector Employee Labor Relations, and State Employee Labor Standards.

SB0832 Sen Hershey. Nonprofit Hospitals - Community Benefits.

SB0833 Sen Hershey. Queen Anne's County - Authorized Uses of Revenues From Development Impact Fees - Expansion.

SB0834 Sens Hershey and Ready. Energy Efficiency and Conservation Programs, Services, and Plans - Moratorium.

SB0835 Cecil County Senators. Cecil County - Orphans' Court Judges - Compensation.

SB0836 Carroll County Senators. Carroll County - District Planning Commission - Authorized.

SB0837 Sens Ready and Lam. Maryland Medical Assistance Program and Health Insurance - Coverage and Utilization Review - Drugs Reviewed by the Prescription Drug Affordability Board.

SB0838 Sen Ready. Public Health - Cottage Food Businesses and Home Bakeries.

SB0839 Sen Ready. Medical Assistance Programs - Drug Dispensing - Cost-of-Dispensing Survey and Fee-for-Service Professional Dispensing Fee.

SB0840 Sens West and Hester. Maryland Stadium Authority - Electricity Generating Facilities - Site Planning.

SB0841 Sens Feldman and Ferguson. Maryland Energy Administration - Renewable Energy Generation Projects - Alternative Compliance Fee Auctions.

SB0842 Sen Feldman. Public Service Commission - Administrative Operations and Personnel Matters (Public Service Commission Flexibility Act).

SB0843 Sen Feldman. Net Energy Metering, SUNRISE Program, and Community Solar Energy Generating Systems Program (SUNRISE Act).

SB0844 The Pres (DLS). Annual Corrective Bill.

SB0845 Sen Carozza. Maryland Voter Registration List Accuracy and Integrity Act.

SB0846 Sen Carozza. Worcester County - Alcoholic Beverages - Temporary To-Go Event Permit and Class C Per Diem Municipal To-Go Beer, Wine, and Liquor License.

SB0847 Sens Carozza and Mautz. Wicomico County - Property Tax Credit - Salisbury Neighborhood Housing Services, Inc..

SB0848 Sen Gallion. Municipal Elections - Information on Candidates and Voting Procedures and Locations.

SB0849 Sen Gallion. Consumer Protection - Agricultural Equipment Warranties.

SB0850 Sen Gallion, et al. Electric and Gas Companies - Energy Efficiency, Conservation, and Demand Response Programs - Alterations (Utility Affordability and Ratepayer Protection Act of 2026).

SB0851 Anne Arundel County Senators. Anne Arundel County - Property Tax Credit - Rural Legacy Program.

SB0852 Anne Arundel County Senators. Anne Arundel County – Alcoholic Beverages – Barbershop and Beauty Salon License.

SB0853 Sen Sydnor. Economic Development Activity - Nondisclosure Agreements.

SB0854 Sen Sydnor. Public Safety - Law Enforcement Officers - Restrictions.

SB0855 Sen Sydnor. Baltimore County - Alcoholic Beverages - Manufacturer's Limited Beer, Wine, and Liquor Permit.

SB0856 Sen Sydnor. Motor Vehicles - Driver's Licenses - Eligibility.

SB0857 Sen Waldstreicher. Labor and Employment - Civic and Related Activities - Protection (Maryland Employee Civic Activity and Lawful Expression Protection Act).

SB0858 Sen Hettleman (Joint Audit and Evaluation Committee). Department of Budget and Management - Audit and Finance Compliance Unit - Establishment.

SB0859 Sen Hettleman (Joint Audit and Evaluation Committee). State Personnel - State Fiscal Leadership Capacity.

SB0860 Sen Zucker, et al. Department of Aging – Aging Resilience Fund – Establishment.

SB0861 Sens Zucker and Feldman. Environment - Stormwater Management - Agricultural Land.

SB0862 Sen Zucker. Gaming - Problem Gambling - Prevalence Study and Fund Revenue.

SB0863 Sen A. Washington, et al. Prince George's County Special Education Service Delivery, Transparency, and Accountability Act.

SB0864 Sen A. Washington. Higher Education - Tuition Exemption for Foster Care Recipients - Eligibility.

SB0865 Sen A. Washington. Workgroup on the Affordability of Private Passenger Automobile Insurance – Extension and Alteration of Membership and Duties.

SB0866 Sen A. Washington. Public Health - Chain Restaurants - Sodium and Added Sugars Warning Icons.

SB0867 Sen A. Washington. Economic Development - Maryland Aerospace and Technology Commission - Alterations.

SB0868 Sen A. Washington. State Highway Administration - Maryland Route 410 (East-West Highway) Pedestrian Safety Action Plan - Expansion.

SB0869 Sen A. Washington. Economic Development - Maryland Workforce Launch Pilot Program - Establishment.

SB0870 Sen A. Washington. Maryland Department of Health - Adolescent Psychiatric Inpatient Beds - Capacity in Prince George's County and Report.

SB0871 Sen Smith. Civil Actions - Punitive Damage Awards - Surcharge.

SB0872 Sen M. Washington. Reduction of Lead Risk in Housing - Rental Dwelling Unit - Definition.

SB0873 Sen M. Washington. Environment - Reduction of Lead Risk in Housing - Modified Risk Reduction Standard.

SB0874 Sen M. Washington. Health Occupations - Social Workers - Scopes of Practice.

SB0875 Sen Carozza, et al. Oysters - Rotational Harvest - Pilot Program.

SB0876 Sen Attar. Recovery Residences - Certification - Requirement.

SB0877 Sen Attar. Baltimore City - Stop Sign Monitoring Systems Pilot Program - Mt. Washington Neighborhood.

SB0878 Sen Attar. Health Facilities - Certified Recovery Residences - Unannounced Inspections.

SB0879 Sen Attar. Baltimore City - Natural Resources - Sunday Deer Hunting and Archery Hunting Safety Zones.

SB0880 Sen Kramer. Part-Time State Employment Pilot Program - Established (Maryland Workforce Retention, Recruitment, and Reentry Act).

SB0881 Sen Kramer. Commercial Financing - Small Business Truth in Lending Act.

SB0882 Sen Kramer. Income Tax - Credit for Student Loan Debt of Educators Working in Public Schools.

SB0883 Sen Hayes. Economic Development - Maryland Stadium Authority - Carroll Park Soccer Stadium and Facility.

SB0884 Sen Watson. Internet Poker Authorization and Regulation Act of 2026.

SB0885 Sen Watson. Internet Gaming and Online Bingo - Authorization and Implementation.

SB0886 Sen Muse. Consumer Protection and Labor and Employment - Food Service Facilities and Minimum Wage.

SB0887 Sens Lam and McCray. Labor and Employment - Greenhouse Workers - Collective Bargaining and Heat Protection.

SB0888 Sens Lam and Ellis. Election Districts - General Assembly and Representatives in Congress.

SB0889 Sen Lam. Consumer Protection and Labor and Employment - Electronic Shelving Labels and Surveillance-Based Price and Wage Setting - Prohibitions.

SB0890 Sen Gile. Insurance - Premium Receipts Tax - Exemption for Captive Insurance Procured by Nonprofit Hospitals and Health Care Systems.

SB0891 Sen Gile, et al. Health, Health Insurance, and Health Occupations - Perinatal Mental Health Conditions.

SB0892 Sen Gile, et al. Public Health – Perimenopausal, Menopausal, and Postmenopausal Conditions.

SB0893 Sen Gile. Business Regulation - Rounding Cash Transactions - Authorization.

SB0894 Sen Gile. Third-Party Litigation Financing - Licensing and Regulation.

SB0895 Sen Gile. Public Safety - Department of State Police - School Mapping Data Program.

SB0896 Sen Hershey, et al. Vehicle Laws - Registration Fees - Alterations.

SB0897 Cecil County Senators. Cecil County - Alcoholic Beverages - Alteration of License Quota.

SB0898 Sen McCray. Maryland Medical Assistance Program – Registered Behavior Technicians – Reimbursement.

SB0899 Sen Ready. Firearms Dealers - Firearm Hold Agreements.

SB0900 Sen Ready. Labor and Employment - Noncompete and Conflict of Interest Clauses - Employer Relocation.

SB0901 Sen Brooks, et al. Election Law - Telephone Voting System - Requirements.

SB0902 Sen Brooks. General Assembly - Home Security System Expenses - Campaign Funds and Reimbursement.

SB0903 Sen Carozza, et al. Education - Engagement Policies and School Compact (Maryland Public Education Parental Partnership Act).

SB0904 Sen Zucker, et al. Education - Public Schools - Service Contracts and Professional Development.

SB0905 Sen Zucker, et al. Maryland Technology Development Corporation - Maryland Advanced Manufacturing Grant Program - Established.

SB0906 Sens James and Ready. Criminal Law - Distribution of Heroin or Fentanyl Causing Death or Serious Bodily Injury (Victoria, Scottie, Ashleigh, and Yader's Law).

SB0907 Sen Love. Public Health - Female Genital Mutilation.

SB0908 Sen Love. Correctional Services - Restrictive Housing.

SB0909 Sen Love, et al. Vehicle Laws - Fully Autonomous Vehicles.

SB0910 Sen Mautz. Health Insurance - Graduate-Level Clinical Interns - Required Reimbursement.

SB0911 Sen Mautz. Environment - Weather Engineering - Prohibition.

SB0912 Sen Mautz. Vehicle Emissions Inspection Program - Exemption for Vehicles Formerly Registered as Historic.

SB0913 Sen Mautz. Motor Vehicles - Enhanced Tinted Windows - Medical Exemption.

SB0914 Sen Mautz. Vehicle Laws - Causing Serious Injury or Death of Vulnerable Individual.

SB0915 Sen Mautz. State Board of Physicians - Delegation of Duties - Alterations.

SB0916 Sen Mautz. Workgroup on Seafood Marketing.

SB0917 Sen Mautz. Health Occupations - Practice of Audiology - Definition.

SB0918 Sen Mautz. Wicomico County - Sunday Hunting Time Restrictions - Repeal.

SB0919 Sen Lewis Young, et al. Homeowners Associations - Reserve Funding, Meeting Notices, Voting, and Records.

SB0920 Sen Harris, et al. Economic Development - Small, Minority, and Women-Owned Business Accounts - Management Fees (Small Business Increased Access to Capital Act).

SB0921 Sens Harris and Charles. Traffic Control Signal Monitoring and Speed Monitoring Systems - Exemptions From Liability - Vehicle Rental Companies.

SB0922 Sen Harris. Collective Bargaining - Local Government Employees and Public Employee Relations Act.

SB0923 Sen Harris. Solar Photovoltaic Modules, Energy Storage, and Zero-Emission Vehicles - Advisory Councils, Checkoff Programs, and Funds.

SB0924 Sen Harris. Department of Social and Economic Mobility - Maryland Chamber of Commerce Grant Program - Established (Business Networks Access Act).

SB0925 Sen Harris. Sales and Use Tax – Distribution of Cannabis Sales Tax Revenue – Maryland Veterans Trust Fund.

SB0926 Sen Harris. Producer Responsibility for Packaging and Paper Products - Definition of Exempt Material - Alteration.

SB0927 Sen Hayes, et al. Baltimore City - Alcoholic Beverages - Related Event Promoter's Permit.

SB0928 Sen Harris, et al. County Boards of Education - Student Electronic Communication Device Use Policy - Establishment (Maryland Phone-Free Schools Act).

SB0929 Sen Harris. Home Improvement Contractors - Disaster Mitigation Services - Regulation and Prohibition.

SB0930 Sen Harris. State Police Retirement System - Special Disability Retirement.

SB0931 Sen Harris. Maryland Public Ethics Law - Virtual Currency and Domestic Partners.

SB0932 Sen Harris. Consumer Protection - Social Media Platforms - Display of User Location.

SB0933 Chr JPR. Judiciary Department - Commission on Judicial Disabilities - Temporary Appointment.

SB0934 Sen Corderman. Education - Public School Construction - Funding.

SB0935 Sen Corderman, et al. Income Tax - Subtraction Modification - Donations to Food Banks and Other Charitable Entities.

SB0936 Sen West, et al. Vehicle Laws - Bus Obstruction Monitoring Systems and Bus Stop Zones.

SB0937 Sen Henson. Landlord and Tenant - Residential Leases - Prospective Tenant Criminal History Records Check (Maryland Fair Chance Housing Act).

SB0938 Sen Henson. Community Development - Affordable Multifamily Rental Housing Stabilization Program - Establishment.

SB0939 Sen Henson. Bankruptcy Proceedings - Exemptions From Execution - Residential Real Property.

SB0940 Sen Henson. Environment - Mobile Home Parks - Water Quality Testing.

SB0941 Sen Henson. Department of Housing and Community Development - Severe Health and Safety Risk Properties - Intervention Plan.

SB0942 Sen Henson. Assisted Outpatient Treatment - Surrender or Seizure of Firearms.

SB0943 Sen Charles. State Procurement - Competitive Sealed Bids and Proposals - In-State Evaluation Preference (Buy Maryland, Buy Local Act).

SB0944 Sen Charles. Correctional Services - Reentry Readiness Program.

SB0945 Sen Charles. Admissions and Amusement Tax and Sales and Use Tax - University of Maryland, College Park Athletic Competitions and Game Day Surcharge.

SB0946 Sen McCray. Historic Revitalization Tax Credit - Alterations.

SB0947 Sen McCray. Maryland Transit Administration Reform Act.

SB0948 Sen Kagan. Election Law - Internet-Delivered Absentee Ballots - Information and Receipt Limitation.

SB0949 Sen Kagan. Election Law - Canvassing of Absentee Ballots - Preemption by Federal Judicial Action.

SB0950 Sen Kagan. Conversion Therapy - Prohibitions and Causes of Action.

SB0951 Sen Ellis. State Board of Physicians – Anesthesiologist Assistants – Licensing.

SB0952 Charles County Senators. Economic Development - Charles County Waldorf Urban Redevelopment Corridor Authority - Established.

SB0953 Charles County Senators. Charles County - Rent Stabilization - Seniors.

SB0954 Sen Harris. Electricity Generation and Storage - Investor-Owned Electric Companies and Front-of-the-Meter Storage (Affordable Energy Act).

SB0955 Sen Kagan. Real Property - Condominiums and Homeowners Associations - Elections.

SB0956 Sen Jennings. Maryland Transportation Authority - Video Tolls - Collection.

SB0957 Sens Gile and Simonaire. Education - Career Ladder - National Board Certification Associated Salary Increases.

SB0958 Sen Gile. Alcoholic Beverages – Class L Beer, Wine, and Liquor License – Established.

SB0959 Carroll County Senators. Carroll County - Alcoholic Beverages - Class 1 Distillery On-Premises Consumption Permit.

SB0960 Sen Rosapepe. Maryland Public Charter School Program - School Facilities - Funding.

SB0961 Sen Salling. Income Tax Credit - Venison Donation - Alterations.

SB0962 Sen Kagan, et al. January 6th Insurrectionists - Prohibition on Service in Certain Government Roles.

SB0963 Sen Hester. Maryland Department of Health - Medicaid Management Information System - Mainframe System Replacement.

SB0964 Sen McCray. Public Works Contracts - Apprenticeship Requirements (Maryland Workforce Apprenticeship Utilization Act).

SB0965 Sen Charles. Motor Vehicles - Out-of-State Drivers - Automated Enforcement (Out-of-State Driver Accountability Act).

SB0966 Sen Feldman. Public Service Commission - Net Energy Metering - Successor Program.

SB0967 Sen Gallion. Land Use - Historic Preservation Commission - Right of Appeal.

SB0968 Sen Gallion. Education - School Bus - Fire Safety Standards.

SB0969 Sen Mautz. Health Insurance - Lyme Disease and Related Tick-Borne Illnesses - Long-Term Antibiotic Treatment.

SB0970 Sen Zucker. Sports Wagering - Independent Evaluation of Sports Wagering.

SB0971 Sen Hayes. Natural Resources - Establishment of Gwynns Falls State Park.

SB0972 Sen Hayes. Baltimore City - 40th Alcoholic Beverages District - Class B Beer, Wine, and Liquor Licenses.

SB0973 Sen Ready. Income Tax - Credit for Long-Term Care Premiums.

SB0974 Caroline County Senators. Caroline County - Alcoholic Beverages - Inspector.

SB0975 Sen Corderman. Department of Social and Economic Mobility - Individuals With Disabilities.

SB0976 Sens Carozza and Mautz. Wicomico County - Orphans' Court Judge - Annual Salary.

SB0977 Sen Harris. Maryland Positive Youth Development Commission and Fund – Establishment.

SB0978 Sen A. Washington. Community Colleges - Collective Bargaining - Definition of Supervisory Employee.

SB0979 Sen McCray (BCA). Statute of Limitations - Prosecution or Enforcement of Local Consumer Protection Codes.

SB0980 Sen Salling. Property Tax - Credit for Dwelling House of Disabled Veterans and Surviving Spouses - Alterations.

SB0981 Sen Muse. Common Ownership Communities - Ombudsman Unit, Governing Document Database, and Local Commissions.

SB0982 Sen McCray. Mutual Insurance Holding Companies - Conversion to Mutual Insurers.

SB0983 Sen McCray. Higher Education - Academic Program Approval - Objections.

[26-05-14]

Chapters

CH0001 SB0245 (Amended) Sen Smith, et al. Public Safety - Immigration Enforcement Agreements – Prohibition.

CH0002 HB0444 (Amended) Del Williams, et al. Public Safety - Immigration Enforcement Agreements – Prohibition.

[26-05-12]

Final Action on Regulations

Symbol Key

• Roman type indicates text already existing at the time of the proposed action.

• Italic type indicates new text added at the time of proposed action.

• Single underline, italic indicates new text added at the time of final action.

• Single underline, roman indicates existing text added at the time of final action.

• [[Double brackets]] indicate text deleted at the time of final action.

Title 03
COMPTROLLER OF THE TREASURY

Subtitle 08 NEW TIRE FEE AND TIRE RECYCLING FEE

03.08.01 General Regulations

Authority: ; Environment Article, §9-228, Transportation Article, §22-421, Annotated Code of Maryland

Notice of Final Action

[25-303-F]

On February 24, 2026, the Comptroller of the Treasury adopted amendments to Regulations .01—.04 under COMAR 03.08.01 Tire Recycling Fee. This action, which was proposed for adoption in 53:1 Md. R. 26—27 (January 9, 2026), has been adopted as proposed.

Effective Date: March 16, 2026.

BROOKE E. LIERMAN
Comptroller of the Treasury

Title 08
DEPARTMENT OF NATURAL RESOURCES

Subtitle 02 FISHERIES SERVICE

08.02.15 Striped Bass

Authority: Natural Resources Article, §4-215, Annotated Code of Maryland

Notice of Final Action

[25-302-F]

On February 24, 2026, the Secretary of Natural Resources adopted amendments to Regulation .04 under COMAR 08.02.15 Striped Bass. This action, which was proposed for adoption in 53:1 Md. R. 27—29 (January 9, 2026), has been adopted as proposed.

Effective Date: March 16, 2026.

JOSH KURTZ
Secretary of Natural Resources

Subtitle 04 BOATING

08.04.03 Certificate of Boat Number

Authority: Natural Resources Article, §§8-704, 8-710.2, 8-712, and 8-712.1, Annotated Code of Maryland

Notice of Final Action

[25-291-F]

On February 24, 2026, the Secretary of Natural Resources adopted amendments to Regulations .05—.08 under COMAR 08.04.03 Certificate of Boat Number. This action, which was proposed for adoption in 53:1 Md. R. 29—30 (January 9, 2026), has been adopted as proposed.

Effective Date: March 16, 2026.

JOSH KURTZ

Secretary of Natural Resources

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 09 MEDICAL CARE PROGRAMS

10.09.23 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services

Authority: Health-General Article, §§2-104(b), 15-103, 15-105, and 15-141.2, Annotated Code of Maryland

Notice of Final Action

[25-257-F]

On February 13, 2026, the Secretary of Health adopted amendments to Regulation .04 under COMAR 10.09.23 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services. This action, which was proposed for adoption in 52:24 Md. R. 1210—1211 (December 1, 2025), has been adopted as proposed.

Effective Date: March 16, 2026.

MEENA SESHAMANI, MD, PHD

Secretary of Health

Title 11
DEPARTMENT OF TRANSPORTATION

Subtitle 04 STATE HIGHWAY ADMINISTRATION

11.04.19 Vehicle Equipment—Portable Variable Messaging Signs—Authorization

Authority: Transportation Article, §§22-218(c)(7) and 22-218.2(a), Annotated Code of Maryland

Notice of Final Action

[25-237-F]

On February 20, 2026, the Administrator of the State Highway Administration adopted new Regulations .01—.03 under a new chapter, COMAR 11.04.19 Vehicle Equipment—Portable Variable Messaging Signs—Authorization. This action, which was proposed for adoption in 52:26 Md. R. 1347—1348 (December 26, 2025), has been adopted as proposed.

Effective Date: March 16, 2026.

WILLIAM PINE
Administrator

Subtitle 15 MOTOR VEHICLE ADMINISTRATION—VEHICLE REGISTRATION

11.15.14 Certificates of Title

Authority: Transportation Article, §§12-104(b), 13-106, 13-108.1, and 13-110, Annotated Code of Maryland

Notice of Final Action

[25-222-F]

On February 17, 2026, the Administrator of the Motor Vehicle Administration adopted amendments to Regulation .02, .04—.06, and .08 under COMAR 11.15.14 Certificates of Title. This action, which was proposed for adoption in 52:24 Md. R. 1218—1219 (December 1, 2025), has been adopted as proposed.

Effective Date: March 16, 2026.

CHRISTINE NIZER
Administrator

Subtitle 15 MOTOR VEHICLE ADMINISTRATION—VEHICLE REGISTRATION

11.15.15 Issuance of Chesapeake Bay Commemorative Plates

Authority: Transportation Article, §§12-104(b) and 13-618, Annotated Code of Maryland

Notice of Final Action

[25-236-F]

On February 11, 2026, the Administrator of the Motor Vehicle Administration adopted amendments to Regulation .02 under COMAR 11.15.15 Issuance of Chesapeake Bay Commemorative Plates. This action, which was proposed for adoption in 52:26 Md. R. 1348—1349 (December 26, 2025), has been adopted as proposed.

Effective Date: March 16, 2026.

CHRISTINE NIZER

Administrator

Subtitle 15 MOTOR VEHICLE ADMINISTRATION—VEHICLE REGISTRATION

11.15.30 Issuance of Special Agricultural Registration Plates

Authority: Transportation Article, §§12-104(b) and 13-619.2, Annotated Code of Maryland

Notice of Final Action

[25-245-F]

On February 11, 2026, the Administrator of the Motor Vehicle Administration adopted amendments to Regulation .02 under COMAR 11.15.30 Issuance of Special Agriculture Registration Plates. This action, which was proposed for adoption in 52:26 Md. R. 1349 (December 26, 2025), has been adopted as proposed.

Effective Date: March 16, 2026.

CHRISTINE NIZER

Administrator

Title 14
INDEPENDENT AGENCIES

Subtitle 17 MARYLAND CANNABIS ADMINISTRATION

Notice of Final Action

[25-247-F-I]

On February 24, 2026, the Maryland Cannabis Administration adopted:

(1) Amendments to Regulation .01 under COMAR 14.17.01 Definitions;

(2) Amendments to Regulation .04 and new Regulation .06 under COMAR 14.17.02 General Regulations;

(3) Amendments to Regulation .05 under COMAR 14.17.05 Application Process and Issuance of Licenses;

(4) Amendments to Regulations .02, .04, .05, and .11 under COMAR 14.17.06 Standard Cannabis Licenses;

(5) Amendments to Regulations .03, .07, and .09 under COMAR 14.17.10 Cannabis Grower Operations;

(6) Amendments to Regulations .03, .04, .17, and .19 under COMAR 14.17.11 Cannabis Processor Operations;

(7) Amendments to Regulations .02, .03, and .11 under COMAR 14.17.12 Cannabis Dispensary Operations;

(8) Amendments to Regulation .05 under COMAR 14.17.13 Cannabis Products;

(9) Amendments to Regulation .04 under COMAR 14.17.14 Complaints, Enforcement, Record Keeping, and Inspections of Cannabis Businesses;

(10) Amendments to Regulations .02 and .05 under COMAR 14.17.15 Cannabis Business Agents;

(11) Amendments to Regulation .01 under COMAR 14.17.18 Finished Product Packaging; and

(12) Amendments to Regulation .02 under COMAR 14.17.21 Fees.

This action, which was proposed for adoption in 52:23 Md. R. 1177—1182 (November 14, 2025), has been adopted with the nonsubstantive changes shown below.

Effective Date: March 16, 2026.

Attorney General’s Certification

In accordance with State Government Article, §10-113, Annotated Code of Maryland, the Attorney General certifies that the following changes do not differ substantively from the proposed text. The nature of the changes and the basis for this conclusion are as follows:

COMAR 14.17.01.01B(9-1): MCA is rescinding the proposed definition of “cartoon”.

COMAR 14.17.02.06: MCA is increasing the notice period for participation in MCA pilot programs from 30 days to 60 days. Additionally, MCA is providing opt-out provisions for pilot program participation under certain circumstances.

COMAR 14.17.10.03F: MCA is rescinding the proposed regulations for growers on corrective and preventive action.

COMAR 14.17.11.04E: MCA is clarifying the name of this section to better articulate its intent.

COMAR 14.17.11.04E(1): MCA is limiting corrective and preventive action requirements to apply only when a processor’s test results indicate confirmed presence of a pathogen more than once in a 60-day period.

COMAR 14.17.12.02O(1)(e): MCA is removing the word “only” to permit dispensaries to fulfill drive-through or walk-up orders that are not pre-orders.

COMAR 14.17.12.02P(3): MCA is removing the word “only” to permit dispensaries to fulfill curbside pick-up orders that are not pre-orders.

COMAR 14.17.12.03E: MCA is removing a requirement that micro dispensary delivery agents wear cameras while operating delivery vehicles and during delivery; renumbering to agree with rescissions.

COMAR 14.17.18.01B: MCA is rescinding proposed deletion of the “cartoon” definition for the purposes of packaging and labeling.

14.17.01 Definitions

Authority: Alcoholic Beverages and Cannabis Article, §36-101, Annotated Code of Maryland

.01 Definitions.

A. (proposed text unchanged)

B. Terms Defined

(1)—(9) (proposed text unchanged)

[[(9-1) “Cartoon” means any drawing, illustration, computer-generated image or other depiction that:

(a) Includes any of the following:

(i) The use of comically exaggerated features;

(ii) The attribution of human characteristics to animals, plants, or other objects, or the similar use of anthropomorphic technique;

(iii) The attribution of animal, plant, or other object characteristics to humans; or

(iv) The attribution of unnatural or extra-human abilities or characteristics to humans, plants, animals or other objects; or

(b) The Administration determines to be especially appealing to persons under the age of 21.]]

(10)—(58) (proposed text unchanged)

14.17.02 General Regulations

Authority: Alcoholic Beverages and Cannabis Article, §§36-201, 36-401, and 36-403, Annotated Code of Maryland

.06 Pilot Authority.[JL1] [JL2] [AB3]

The Administration may require licensees to participate in pilot programs to test efficacy of proposed initiatives to improve regulation of cannabis, provided the following criteria are met.

A.—B. (proposed text unchanged)

C. The Administration shall provide a minimum of [[30]] 60 days’ notice to any licensee selected to participate prior to the start date of pilot participation.

D. (proposed text unchanged)

E. The Administration may consider a licensee's written request to opt out of a pilot program based on:

(1) Anticipated hardship by the proposed pilot program; or

(2) Participation in an Administration pilot program in the prior 6 months.

14.17.10 Cannabis Grower Operations

Authority: Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, 36-401, 36-402, and 36-410, Annotated Code of Maryland

.03 Cannabis Grower Controls.

A.—E. (proposed text unchanged)

[[F. Corrective and Preventive Action.

(1) If a grower’s test results indicate an overall failure rate as determined and published by the Administration, the grower shall:

(a) Conduct an investigation to determine the root cause of repeated tests outside action limits;

(b) Decontaminate all areas, including rooms, equipment, and surfaces used for cultivation;

(c) Provide, in the manner designated by the Administration:

(i) A report of the investigation; and

(ii) The licensee’s plan to correct and prevent future contamination; and

(d) If applicable, update and implement standard operating procedures needed to ensure passing samples in the future.

(2) The Administration may require a grower to:

(a) Conduct further investigation; and

(b) Implement additional procedures to prevent future contamination.]]

14.17.11 Cannabis Processor Operations

Authority: Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, and 36-401, Annotated Code of Maryland

.04 Cannabis Product Processing.

A.—D. (proposed text unchanged)

E. [[Contamination Correction and Prevention]] Corrective and Preventive Action.

(1) If a processor’s test results indicate the [[presumptive]] confirmed presence of a pathogen more than once in a 60-day period, the processor shall:

(a)—(e) (proposed text unchanged)

(2) (proposed text unchanged)

14.17.12 Cannabis Dispensary Operations

Authority: Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, 36-401, and 36-410, Annotated Code of Maryland

.02 Standard Cannabis Dispensary.

A.—N. (proposed text unchanged)

O. Drive-through or Walk-up Dispensing Services.

(1) A dispensary providing drive-through or walk-up dispensing services shall:

(a)—(d) (proposed text unchanged)

(e) [[Only fulfill]] Fulfill pre-orders in compliance with Regulation .08 of this chapter through the drive-through or walk-up dispensing method.

(2) (proposed text unchanged)

P. To provide curbside pick-up, a standard dispensary shall:

(1)—(2) (proposed text unchanged)

(3) [[Only fulfill]] Fulfill pre-orders in compliance with Regulation .08 of this chapter; and

(4) (proposed text unchanged)

.03 Micro Dispensary.

A.—D. (proposed text unchanged)

E. Delivery Operations.

(1) A micro dispensary shall [[[]]verify[[]]][[:]]

[[(a) Verify]] that the individual placing the order is a consumer who is at least 21 years old, a qualifying patient, or a registered caregiver prior to order placement, using an ordering system that complies with Regulation .08 of this chapter[[[]].[[]]][[; and

(b) Obtain consent from patients, caregivers, and consumers to be captured on video during delivery.]]

(2)—(4) (proposed text unchanged)

[[(5) Agents conducting deliveries shall wear a camera that records video-only surveillance for the duration of the time they are operating a delivery vehicle that contains cannabis or cannabis products and making deliveries.]]

[[6]] (5)—[[10]] (9) (proposed text unchanged)

F. (proposed text unchanged)

G.—K. (proposed text unchanged)

14.17.18 Finished Product Packaging

Authority: Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, and 36-203.1, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

[[[]](1) “Cartoon” means a drawing showing the features of the subject in a simplified or exaggerated way.[[]]]

[[[]](2)[[]]] (1)—[[[]](6)[[]]] (5) (proposed text unchanged)

TABATHA ROBINSON

Director

Title 17
DEPARTMENT OF BUDGET AND MANAGEMENT

Subtitle 04 PERSONNEL SERVICES AND BENEFITS

17.04.11 Leave

Authority: State Personnel and Pensions Article, §§4-106 and 9-101, Annotated Code of Maryland

Notice of Final Action

[25-269-F]

On February 24, 2026, the Secretary of Budget and Management adopted new Regulation .31 under COMAR 17.04.11 Leave. This action, which was proposed for adoption in 53:1 Md. R. 38—42 (January 9, 2026), has been adopted as proposed.

Effective Date: March 16, 2026.

YAAKOV JAKE WEISSMANN

Secretary

Title 24
DEPARTMENT OF COMMERCE

Subtitle 05 ECONOMIC DEVELOPMENT

24.05.01 Enterprise Zones

Authority: Economic Development Article, §2-108 and Title 5, Subtitle 7, Annotated Code of Maryland

Notice of Final Action

[25-271-F]

On February 24, 2026, the Secretary of Commerce adopted amendments to Regulations .06, .08, and .10 under COMAR 24.05.01 Enterprise Zones. This action, which was proposed for adoption in 53:1 Md. R. 42—43 (January 9, 2026), has been adopted as proposed.

Effective Date: March 16, 2026.

HARRY COKER, JR.

Secretary

Proposed Action on Regulations

Title 09
MARYLAND DEPARTMENT OF LABOR

Subtitle 12 DIVISION OF LABOR AND INDUSTRY

09.12.21 Employee Injury and Illness Records and Reports

Authority: Labor and Employment Article, §§2-106(b)(5), 5-312, and 5-702—5-704, Annotated Code of Maryland

Notice of Proposed Action

[26-019-P]

The Commissioner of Labor and Industry proposes to amend Regulations .01, .02, and .04 under COMAR 09.12.21 Employee Injury and Illness Records and Reports.

Statement of Purpose

The purpose of this action is to require all public bodies to comply with the recording and reporting requirements of workplace injuries and illnesses in 29 CFR §1904, regardless of size or industry, as prescribed in the Davis Martinez Public Employee Safety and Health Act of 2025 (SB 26/HB 176). This action also adds “as amended” to the adoption of the federal standard 29 CFR §1904 to ensure the most recent federal standard is in effect.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Mischelle F Vanreusel, Deputy Commissioner, Division of Labor and Industry, 10946 Golden West Drive Suite 160, or call 410-767-2225, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing will be held on Virtual hearing to be held on March 17, 2026 at 10 a.m. See https://labor.maryland.gov/labor/mosh/ for hearing details and link.

.01 Purpose.

[A.] This chapter establishes the requirements for employers in Maryland to record and report work-related fatalities, injuries, and illnesses in accordance with federal and State law, regulations, and procedures.

[B. This chapter establishes partial exemptions for employers with ten or fewer employees and for establishments in certain industries.]

.02 Incorporation by Reference.

In this chapter, Recording and Reporting Occupational Injuries and Illnesses, 29 CFR Part 1904 (2019), is incorporated by reference as amended with the following changes[;].

A.—B. (text unchanged)

C. In 29 CFR §1904 Subpart B – Scope, add “Note to Subpart B for Public Bodies: all exclusion or exemptions from the scope of 29 CFR §1904.1—.3, including Appendix A to Subpart B, only apply to private sector establishments; all public bodies, regardless of size or industry, shall comply with the recording and reporting requirements in 1904.”

.04 Variance Procedure for Record Keeping.

[A. State or Local Government Employers. The Commissioner shall consider an application for variance from the record keeping and reporting requirements by a State or local government employer consistent with COMAR 09.12.20.17, and subject to the approval of the federal Occupational Safety and Health Administration.]

[B] Private Sector Employers. MOSH may not issue a variance to a private sector employer and shall recognize all variances issued by the federal Occupational Safety and Health Administration.

DEVKI K. VIRK
Commissioner of Labor and Industry

Title 10
MARYLAND DEPARTMENT OF HEALTH

Notice of Proposed Action

[26-011-P]

The Secretary of Health proposes to:

(1) Amend Regulation .01 under COMAR 10.09.08 Freestanding Clinics;

(2) Amend Regulations .01 and .04 under COMAR 10.09.29 Residential Treatment Center Services;

(3) Amend Regulations .02—.04 and .08 under COMAR 10.09.45 Mental Health Case Management: Care Coordination for Adults;

(4) Amend Regulations .05 and .06 under COMAR 10.09.59 Specialty Mental Health Services;

(5) Amend Regulation .17 under COMAR 10.09.90 Mental Health Case Management: Care Coordination for Children and Youth; and

(6) Amend Regulation .02 under COMAR 10.67.08 Maryland Medicaid Managed Care Program: Non-Capitated Covered Services.

Statement of Purpose

The purpose of this action is to:

(1) Update the list of carved-out behavioral health diagnosis codes to reflect the addition of new International Classification of Disease, 10th Revision (ICD-10) diagnosis codes;

(2) Correct an ICD-10 diagnosis code;

(3) Clarify Managed Care Organization responsibility for substance use disorder services in a hospital setting;

(4) Update the practitioner requirements for practitioners prescribing buprenorphine per the Consolidated Appropriations Act of 2023;

(5) Align the references to the COMAR 10.67.08.02 eligible diagnosis codes where applicable in COMAR 10.09.59, 10.09.29, 10.09.90, 10.09.45, and 10.09.08; and

(6) Remove and replace the term “mental hygiene” from COMAR 10.09.45 in accordance with SB163 (2025) Health – General Article – References to Mental Health.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing has not been scheduled.

Subtitle 09 MEDICAL CARE PROGRAMS

10.09.08 Freestanding Clinics

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(11) (text unchanged)

(12) “Mental health services” means those services described in COMAR 10.67.08.02 that are rendered to treat an individual for a diagnosis as set forth in [COMAR 10.67.08.02M and N] COMAR 10.67.08.02N and COMAR 10.67.08.02O.

(13)—(23) (text unchanged)

10.09.29 Residential Treatment Center Services

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(10) (text unchanged)

(10-1) “Mental health services” means those services described in COMAR 10.09.59.06 rendered to treat an individual for a diagnosis set forth in [COMAR 10.67.08.02 M] COMAR 10.67.08.02O.

(11)—(18) (text unchanged)

.04 Covered Services.

The Program covers inpatient psychiatric services for the diagnosis, active treatment, and care of recipients under 21 years old with mental disease when the services are:

A.—D. (text unchanged)

E. For the treatment of a mental illness listed in [COMAR 10.67.08.02M] COMAR 10.67.08.02O.

10.09.45 Mental Health Case Management: Care Coordination for Adults

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1) “Administrative services organization (ASO)” means the entity with which the [Mental Hygiene Administration] Department may contract to provide the services described in COMAR 10.67.08 for the public mental health system.

(2)—(13) (text unchanged)

(14) “Mental health services” means those services described in [COMAR 10.67.08.10C] COMAR 10.67.08.02 rendered to treat an individual for a diagnosis set forth in [COMAR 10.67.08.10A] COMAR 10.67.08.02O.

[(15) “Mental Hygiene Administration (MHA)” means the Department's administration that is charged with the responsibility for providing services to mentally ill individuals, as defined in Health-General Article, Title 10, Annotated Code of Maryland.]

[(16)] (15)—[(22)] (21) (text unchanged)

.03 Participant Eligibility.

A. (text unchanged)

B. Waiver of Specific Diagnostic Criteria. The specific diagnostic criteria may be waived if an individual is:

(1) Committed as not criminally responsible and is conditionally released from a [Mental Hygiene Administration (MHA)] Department facility, according to the provisions of Health-General Article, Title 12, Annotated Code of Maryland; or

(2) In a [MHA] Department facility, or is a [MHA-funded] Department-funded individual in a psychiatric inpatient hospital who requires community services, excluding individuals who are eligible for Developmental Disabilities Administration's residential services.

C.—E. (text unchanged)

.04 Conditions for Mental Health Case Management Provider Participation.

A. (text unchanged)

B. Mental health case management services may be provided by local health departments according to COMAR 10.04.04, which allows the [Director of the MHA] Department to utilize the local health departments as vendors unless the health officer believes the service provided by alternate vendors would be preferable.

C.—E. (text unchanged)

.08 Preauthorization.

All covered services under this chapter shall be preauthorized and comply with the requirements of [COMAR 10.09.70.07] COMAR 10.09.59.08.

10.09.59 Specialty Mental Health Services

Authority: Health-General Article, §§2-104(b), 2-105(b), 15-102.8, 15-103, 15-105, and 15-105.2, Annotated Code of Maryland

.05 Eligibility.

A. (text unchanged)

B. Individuals are eligible for Psychiatric Rehabilitation Programs for adults if the individual:

(1) (text unchanged)

(2) Has a diagnosis listed in [COMAR 10.67.08.02N] COMAR 10.67.08.02O; and

(3) (text unchanged) 

C. Individuals are eligible for Psychiatric Rehabilitation Programs for minors if the individual:

(1)—(3) (text unchanged)

(4) Has a diagnosis listed in [COMAR 10.67.08.02N] COMAR 10.67.08.02O and severe functional impairments in at least one life domain;

(5)—(6) (text unchanged)

D. (text unchanged)

.06 Covered Services.

A. The ASO shall reimburse the following specialty mental health services rendered to participants when authorized by the ASO:

(1) Medically necessary specialty mental health services delivered by providers listed in Regulation .04 of this chapter, for which the primary diagnosis is listed in [COMAR 10.67.08.02M or N] COMAR 10.67.08.02N or COMAR 10.67.08.02O;

(2) (text unchanged)

(3) Presumptive drug tests and definitive drug tests, when ordered by a specialty mental health provider, with a behavioral health primary diagnosis listed in [COMAR 10.67.08.02M or N] COMAR 10.67.08.02N or COMAR 10.67.08.02O on the claim.

B. (text unchanged)

10.09.90 Mental Health Case Management: Care Coordination for Children and Youth

Authority: Health-General Article, §2-104(b), Annotated Code of Maryland

.17 Preauthorization.

All covered services under this chapter shall be preauthorized and comply with the requirements of [COMAR 10.09.70.07] COMAR 10.09.59.08 and COMAR 10.09.89 for services delivered to 1915(i) participants.

Subtitle 67 MARYLAND HEALTHCHOICE PROGRAM

10.67.08 Maryland Medicaid Managed Care Program: Non-Capitated Covered Services

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

.02 Behavioral Health Non-Capitated Covered Services.

A. An MCO is not responsible for reimbursing for the following substance use disorder services, regardless of diagnosis:

(1) Services delivered by a community-based provider as described in COMAR 10.09.80 with the following procedure codes:

H0001—J0574	(text unchanged)
J0577	Injection, Buprenorphine extended-release (Brixadi), less than or equal to 7 days of therapy
J0578	Injection, Buprenorphine extended-release (Brixadi), greater than 7 days and up to 28 days of therapy
Q9991—Q9992	(text unchanged)

(2) (text unchanged)

B.—D. (text unchanged)

E. An MCO shall be responsible for the following substance use disorder services with a primary diagnosis listed in §N of this regulation when provided by a hospital:

(1) Detoxification services in a medical surgical bed and all associated professional services; and

(2) Professional services in an emergency department setting.

[E.] F. An MCO is not responsible for reimbursing for mental health services with a primary diagnosis listed in [§N] §O of this regulation when the services are provided by a hospital and the services are the result of the treatment of mental health diagnosis.

[F.] G.—[G.] H. (text unchanged)

[H.] I. An MCO is not responsible for reimbursing the behavioral poisoning diagnoses listed in [§P] §Q of this regulation in an emergency department setting.

[I.] J. An MCO is not responsible for services billed by specialty mental health providers listed in COMAR 10.09.59 when the bill includes the specialty behavioral health diagnoses listed in [§M] §N or [N] §O in the primary diagnosis field.

[J.] K.—[K.] L. (text unchanged)

[L.] M. An MCO is not responsible for reimbursing for services billed by a physician, nurse practitioner, or physician assistant related to prescribing buprenorphine or Vivitrol when the following conditions are met:

(1) [The physician delivering buprenorphine has a DATA 2000 waiver;] The practitioner delivering buprenorphine is a DEA registered practitioner with Schedule III authority;

(2)—(4) (text unchanged)

(5) The procedure code listed on the claims is one of the following:

99202—J0574	(text unchanged)
J0577	Injection, Buprenorphine extended-release (Brixadi), less than or equal to 7 days of therapy
J0578	Injection, Buprenorphine extended-release (Brixadi), greater than 7 days and up to 28 days of therapy
Q9991—80305	(text unchanged)
80306	Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g. immunoassay) read by instrument-assisted direct optical observation (e.g. dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service
80307	(text unchanged)

[M.] N. Table of substance use disorder diagnoses, for dates of service on or after October 1, 2015:

F1010—F1410	(text unchanged)
F1411	Cocaine abuse, in remission
F14120—F1510	(text unchanged)
F1511	Other stimulant abuse, in remission
F15120—F1610	(text unchanged)
F1611	Hallucinogen abuse, in remission
F16120—F1810	(text unchanged)
F1811	Inhalant abuse, in remission
F18120—F1910	(text unchanged)
F1911	Other psychoactive substance abuse, in remission
F19120—R785	(text unchanged)

[N.] O. Table of mental health diagnoses, for dates of service on or after October 1, 2015:

F200—F5000	(text unchanged)
[F5001] F50010	[Anorexia nervosa, restricting type] Anorexia nervosa, restricting type, mild
[F5002] F50011	[Anorexia nervosa, binge eating/purging type] Anorexia nervosa, restricting type, moderate
[F502] F50012	[Bulimia nervosa] Anorexia nervosa, restricting type, severe
[F5081] F50013	[Binge eating disorder] Anorexia nervosa, restricting type, extreme
F50014	Anorexia nervosa, restricting type, in remission
F50019	Anorexia nervosa, restricting type, unspecified
F50020	Anorexia nervosa, binge eating/purging type, mild
F50021	Anorexia nervosa, binge eating/purging type, moderate
F50022	Anorexia nervosa, binge eating/purging type, severe
F50023	Anorexia nervosa, binge eating/purging type, extreme
F50024	Anorexia nervosa, binge eating/purging type, in remission
F50029	Anorexia nervosa, binge eating/purging type, unspecified
F5020	Bulimia nervosa, unspecified
F5021	Bulimia nervosa, mild
F5022	Bulimia nervosa, moderate
F5023	Bulimia nervosa, severe
F5024	Bulimia nervosa, extreme
F5025	Bulimia nervosa, in remission
F50810	Binge eating disorder, mild
F50811	Binge eating disorder, moderate
F50812	Binge eating disorder, severe
F50813	Binge eating disorder, extreme
F50814	Binge eating disorder, in remission
F50819	Binge eating disorder, unspecified
F5082	(text unchanged)
F5083	Pica in adults
F5084	Rumination disorder in adults
F5089—Z046	(text unchanged)

[O.] P. (text unchanged)

[P.] Q. Table of poisoning diagnoses, for dates of service on or after July 1, 2016:

T360X2A—T368X2A	(text unchanged)
[T369X2A] T3692XA	(text unchanged)
T36AX2A	Poisoning by fluoroquinolone antibiotics, intentional self-harm, initial encounter
T370X2A—T44992A	(text unchanged)
T45AX2A	Poisoning by immune checkpoint inhibitors and immunostimulant drugs, intentional self-harm, initial encounter
T450X2A—T50992A	(text unchanged)

MEENA SESHAMANI, MD, PHD
Secretary of Health

Subtitle 09 MEDICAL CARE PROGRAMS

10.09.89 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families

Authority: Health-General Article, §§2-104(b) and 15-105, Annotated Code of Maryland

Notice of Proposed Action

[25-313-P]

The Secretary of Health proposes to amend Regulations .02, .03, .05, .07, and .09, adopt new Regulation .10, amend and recodify existing Regulations .11—.14 to be Regulations .12—.15, respectively, and recodify existing Regulations .10 and .15—.18 to be Regulations .11 and .16—.19, respectively, under COMAR 10.09.89 1915(i) Intensive Behavioral Health Services for Children, Youth, and Families.

Statement of Purpose

The purpose of this action is to:

(1) Include the definition of a Local Behavioral Health Authority (LBHA);

(2) Update participant eligibility to implement expanded eligibility criteria approved by CMS in the 1915(i) State Plan Amendment;

(3) Increase the timeframe for a face-to-face psychosocial assessment from 30 to 60 days prior to the enrollment submission;

(4) Extend the reevaluation of the POC from 45 days to at least every 60 days;

(5) Extend the timeframe for Child and Family Team meetings from 45 days to at least every 60 days;

(6) Update requirements for Family Support Organizations (FSOs) to expand provider network capacity for Family Peer Support Services;

(7) Implement reimbursement and provider participation criteria for new Youth Peer Support Services;

(8) Add licensed clinical art therapists as eligible providers of Art Behavioral Services;

(9) Increase the number of weekly face-to-face contacts Intensive In-Home Service (IIHS) providers must have with participants from one to two encounters;

(10) Codify the provider reimbursement rate increase of 8 percent effective January 1, 2024, according to Senate Bill 181/House Bill 200, Fiscal Year 2024 budget bill, and Senate Bill 555/House Bill 549, Fair Wage Act of 2023;

(11) Update the listed provider reimbursement rates to the 3 percent rate increase, effective for Fiscal Year 2025, according to Senate Bill 360/House Bill 350 Fiscal Year 2025 budget bill; and

(12) Clarify telehealth service provisions and limitations in accordance with HB 869/SB 372, Preserve Telehealth Access Act of 2025.

Estimate of Economic Impact

I. Summary of Economic Impact. The total fiscal impact of the expansion of eligibility criteria and implementation of Youth Peer Support Services is $21,811,526.

II. Types of Economic Impact.

Impacted Entity	Revenue (R+/R-) Expenditure (E+/E-)	Magnitude
A. On issuing agency:
Maryland Department of Health	(E+)	$21,811,526
B. On other State agencies:	NONE
C. On local governments:	NONE
	Benefit (+) Cost (-)	Magnitude
D. On regulated industries or trade groups:
Maryland Medicaid Care Coordination Organizations and 1915(i) Providers	(+)	$21,811,526
E. On other industries or trade groups:	NONE
F. Direct and indirect effects on public:	NONE

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

A. (a) The total expenditure ($21,811,526.40) is based on a per member per year cost ($11,971.20) and the estimated total number of individuals under the expanded eligibility accessing the service (1,822).(b) The per member per year cost includes existing 1915(i) services and the addition of Youth Peer Support Services. (c) The total expenditure is subject to a 52.70 percent federal match, utilizing 52.70 percent of federal funds ($11,494,674.00) and 47.30 percent of general funds ($10,316,852.00).

D. See A above.

Economic Impact on Small Businesses

The proposed action has a meaningful economic impact on small businesses. An analysis of this economic impact follows:

To the extent that providers of these services are small businesses, they will see a positive impact because they may see an increase in the number of participants they provide services to as well as the option to expand the services they provide to include Youth Peer Support Services.

Impact on Individuals with Disabilities

The proposed action has an impact on individuals with disabilities as follows:

The proposed action implements expanded eligibility criteria for 1915(i) services and adds coverage of Youth Peer Support Services. To the extent that individuals with disabilities utilize these services, they may benefit from this expansion.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing has not been scheduled.

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(3) (text unchanged)

(4) “Behavioral Health Administration (BHA)” means the Department’s administration, [as defined by Health General Article Title XX, Annotated Code of Maryland, or its designee.] as described under Health-General Article, Title 7.5, Annotated Code of Maryland.

(5)—(8) (text unchanged)

(9) “Core service agency (CSA)” [has the meaning stated in COMAR 10.21.17.] means the county or multicounty authority, designated under Health-General Article, Title 10, Subtitle 12, Annotated Code of Maryland, to carry out the duties set forth therein.

(10)—(14) (text unchanged)

(15) “Evidence-based Practice (EBP)" means a set of standardized, replicable interventions for which rigorous scientific research conducted by multiple, independent investigators exists to demonstrate the effectiveness of the interventions, when implemented in accordance with established fidelity standards, in achieving defined, measurable outcomes for the targeted population for which the practice is intended.

[(15)] (16)—[(16)] (17) (text unchanged)

[(17) “Family peer support” means a service as described in Regulation .09 of this chapter.]

(18) (text unchanged)

[(19) “Family support organization (FSO)” means an approved entity under Regulation .09D of this chapter.]

(19) “Family Peer Support Services" means a set of nonclinical activities to support parents and caregivers of youth enrolled in services provided under this chapter in care coordination and the 1915(i) process.

(20) “Family Support Organization (FSO)" means an organization who provides peer support services to parents, caregivers, and youth enrolled in services provided under this chapter.

(21) “Local Behavioral Health Authority (LBHA)” has the meaning stated in Health-General Article, §7.5-101, Annotated Code of Maryland.

[(20)] (22) (text unchanged)

(23) “Intensive In-Home Services (IIHS)" means a strength-based service intervention provided in the participant's home by a licensed mental health professional and non-licensed in-home stabilizer staff that includes functional assessments, treatment planning, individualized interventions, transition support, and crisis response and intervention.

[(21)] (24)—[(24)] (27) (text unchanged)

[(25)] (28) “Natural support” means a family member, friend, [or] community member, or organization selected by the participant or family, or both, to participate [on] in the CFT.

[(26)] (29)—[(29)] (32) (text unchanged)

[(30)] (33) “Public [mental health system] Behavioral Health System” [means the system for the delivery of mental health treatment and supports to eligible individuals as described in COMAR 10.67.08.] has the meaning stated in COMAR 10.09.59.01.

[(31)] (34)—[(37)] (40) (text unchanged)

(41) “Telehealth” has the meaning stated in COMAR 10.09.49.02.

(42) “Youth peer support” means a set of nonclinical activities provided by individuals in recovery from behavioral health disorders who use their personal lived experience and training to support youth enrolled in services provided under this chapter.

.03 Participant Eligibility.

A.—C. (text unchanged)

D. Consent.

(1) For individuals younger than 16 years old, the family or medical guardian of the participant shall give consent for the individual to participate in the 1915(i)[;].

(2) (text unchanged)

E. The applicant shall:

(1) Have a face-to-face psychosocial assessment completed or updated within [30] 60 days of submission of the enrollment to the ASO that:

(a)—(b) (text unchanged)

(c) Is conducted by a provider not [associated] affiliated with the CCO by which the participant may eventually be served; and

(2) (text unchanged)

[F. The accessibility or intensity of currently available community supports and services are inadequate to meet the applicant’s needs due to the severity of the impairment without the provision of one or more of the services contained in the 1915(i) benefit.]

[G.] F.—[L.] K. (text unchanged)

.05 1915(i) Model.

A.—B. (text unchanged)

C. Each participant shall have an individualized POC that is managed by the CCO, pursuant to COMAR 10.09.90[:].

D. In partnership with the CFT, the CCO shall:

(1) Reevaluate the POC at least every [45] 60 days with re-administration of BHA-approved assessments as appropriate, and more frequently in response to a crisis;

(2)—(9) (text unchanged)

(10) Meet at least every [45] 60 days or more frequently as clinically indicated to:

(a)—(b) (text unchanged)

E. (text unchanged)

.07 Denial, Emergency Suspension of Approval, and Disciplinary Action.

A. (text unchanged)

B. Disciplinary Action.

(1)—(2) (text unchanged)

(3) Except under §C of this regulation, the Department shall send written notice of the proposed action not less than 45 calendar days in advance of the proposed action taken under this regulation to the:

(a)—(c) (text unchanged)

(d) Applicable CSA or LBHA.

(4)—(5) (text unchanged)

C. Emergency Suspension of Approval.

(1) (text unchanged)

(2) If the Department takes the action under §C(1) of this regulation, the Department shall promptly give written notice of the proposed emergency suspension to the:

(a)—(c) (text unchanged)

(d) Applicable CSA or LBHA.

(3)—(4) (text unchanged)

.09 Covered Services — Family Peer Support Services.

Family peer support services:

A. (text unchanged)

B. Are delivered by a family peer support partner employed by a family support organization (FSO);

C. May include, but are not limited to:

(1)—(7) (text unchanged)

(8) Helping the family to acquire the skills and knowledge needed to attain greater self-sufficiency and maximum autonomy and assisting the family to develop the skills and confidence to independently identify, seek out and access resources that will assist in:

(a)—(c) (text unchanged)

(d) Addressing and encouraging activities related to health and wellness[.];

D. Are provided by a family support organization (FSO) that:

(1) (text unchanged)

[(2) Has a board of directors comprised of more than 50 percent of individuals who are:

(a) Caregivers with a current or previous primary daily responsibility for raising a child or youth with behavioral health challenges,

(b) Individuals who have experience with State or local services and systems as a consumer who has or had behavioral health challenges; or

(c) Both §D(2)(a) and (b) of this regulation.

(3) Submits a list of board members with identification of those who are caregivers meeting the criteria in §D(2)(b) of this regulation;]

[(4)] (2) Establishes hiring practices that give preference to:

(a)—(b) (text unchanged)

(c) Both [§D(4)(a) and (b)] §D(2)(a) and (b) of this regulation;

[(5)] (3) Submits a copy of the organization's personnel policy that sets forth the preferred employment criteria stated in [§D(4)] §D(2) of this regulation;

[(6)] (4) Employs a staff that is comprised of at least [75] 50 percent of individuals who are:

(a)—(b) (text unchanged)

[(7)] (5) Submits a list of staff and positions held with identification of those who fit the experienced caregiver and consumer criteria stated in [§D(6)] §D(4) of this regulation; and

[(8)] (6) Submits a certificate of eligibility that includes:

(a) Attestation of compliance with [§D(1)—(6)] §D(1)—(4) of this regulation; and

(b) (text unchanged)

E. (text unchanged)

.10 Covered Services — Youth Peer Support Services.

A. Youth Peer Specialists.

(1) Youth peer support services shall be delivered directly to the participant by a youth peer specialist who is:

(a) Employed by a FSO as defined in COMAR 10.09.89.09D;

(b) A peer recovery specialist who meets one of the criteria in §A(2) of this regulation;

(c) 18 years old or older;

(d) Self-identified as a person in long-term recovery from the effects of a behavioral health disorder for a period of 2 years or more; and

(e) An individual who has experience with State or local services and systems as a consumer of behavioral health services.

(2) A youth peer support specialist shall be either:

(a) Certified as a peer support specialist by the BHA or its designee;

(b) In the process of obtaining a peer support specialist certification by the BHA or its designee; or

(c) Under the supervision of a certified youth peer supervisor described in §B of this regulation.

(3) A youth peer specialist may not provide youth peer support services to 1915(i) enrollees older than themselves.

B. Youth Peer Supervisors. Youth peer support services shall be delivered under the supervision of the youth peer supervisor who shall:

(1) Be 21 years old or older; and

(2) Have at least 3 years of experience providing family or youth peer support or working with children with serious behavioral health challenges and their families;

C. Youth peer support services may include, but are not limited to:

(1) Promoting wellness through modeling;

(2) Assisting the youth with understanding the person-centered planning process;

(3) Coaching, supporting, and training in order to ensure the youth’s success in navigating various social contexts, learning new skills, and making functional progress;

(4) Coaching the youth to understand the care planning process and articulate goals during the person-centered planning process;

(5) Providing mutual support, hope, reassurance, and advocacy that includes sharing one’s own personal story;

(6) Serving as an advocate, mentor, or facilitator for resolution of issues;

(7) Helping the youth develop self-advocacy skills and gain the ability to play a proactive role in their own treatment; and

(8) Skills development for coping with and managing behavioral health symptoms and trauma, wellness, resiliency, and recovery support.

[.11] .12 Covered Services — Expressive and Experiential Behavioral Services.

A. (text unchanged)

B. Qualification to Provide Expressive and Experiential Behavioral Services.

(1) To provide expressive and experiential behavioral services, an individual shall have:

(a) (text unchanged)

(b) Current registration in the applicable association as outlined in [§E(5)] §B(3) of this regulation[;].

(2) A licensed clinical professional art therapist may provide art behavioral services without meeting the association registration requirements described in §B(3)of this regulation.

[(2)] (3) Association Registration.

(a)—(b) (text unchanged)

(c) For Equine-Assisted Behavioral Services. To provide equine-assisted behavioral services, an individual shall be currently certified by:

(i) The Equine Assisted Growth and Learning Association [(EAGALA)] to provide services under the [EAGALA] Equine Assisted Growth and Learning Association model;

(ii) Professional Association of Therapeutic Horsemanship International [(PATHI)]; or

(iii) A comparable association with certification requirements at least equivalent to [EAGALA or PATHI] the Equine Assisted Growth and Learning Association or Professional Association of Therapeutic Horsemanship International.

(d)—(f) (text unchanged)

[.12] .13 Covered Services — Intensive In-Home Services.

A. Intensive In-Home Services (IIHS):

(1)—(2) (text unchanged)

(3) Are intended to support a child to remain in his or her home and reduce hospitalizations and out-of-home placements or changes of living arrangements through focused intervention in the home and community; [and]

(4) May be used in situations such as the start of a child's enrollment in the 1915(i), upon discharge from a hospital or residential treatment center, or to prevent or stabilize after a crisis situation[.]; and

(5) Shall include a minimum of two face-to-face contacts with the participant per week of service with at least one of the contacts provided in-person.

B. Types of IIHS Providers. The Department may approve two types of IIHS providers:

(1) (text unchanged)

(2) Promising Practice IIHS providers (non-EBP), to include providers of the In-Home Intervention Program for Children [(IHIP-C)] and other promising practices, as determined by the Department.

C. An EBP-IIHS provider shall [have]:

(1) Have a certificate or letter from the national or intermediate surveyor or developer of the particular evidence-based practice to demonstrate that the EBP-IIHS provider meets all requirements for Department-approved EBP-IIHS, to include participating in all fidelity monitoring activities[.]; and

(2) Meet the requirements of §E of this regulation.

D. A Non-EBP IIHS provider shall:

(1) Be a Department-approved [IHIP-C] In-Home Intervention Program for Children provider or have a certificate or letter from a national or intermediate purveyor or developer of another promising practice; and

(2) (text unchanged)

E. All [non-EBP] IIHS providers [not approved by the Department as IHIP-C providers] shall:

(1)—(4) (text unchanged)

(5) Employ in-home stabilizers who:

(a)—(c) (text unchanged)

(d) Have completed relevant, comprehensive, appropriate training before providing services, as outlined by the purveyor, developer, or the Department and approved by the Department; and

[(6) Provide a minimum of one face-to-face contact with the participant per week of service;

(7) Ensure a minimum of 50 percent of the mental health professionals' contacts with the participant or family, or both, is face-to-face; and

(8) Ensure that a minimum of 50 percent of the mental health professionals' time is spent working outside the agency's office and in the participant's home or community, as documented in case notes.]

(6) Provide services consistent with the State-approved EBP or State-approved promising practice model.

[.13] .14 Limitations.

A.—C. (text unchanged)

D. Intensive in-home services may not be reimbursed for the same day of service or on the same day of service as:

(1) (text unchanged)

(2) Mobile [crisis response] treatment services; or

(3) (text unchanged)

E. The Program may not reimburse for IIHS:

(1) If fewer than two face-to-face contacts occur per week; and

(2) None of the weekly face-to-face contacts are in-person.

[E.] F. Out-of-home respite and community-based respite services may not be reimbursed for the same day of service or on the same day of service as:

(1)—(2) (text unchanged)

(3) Any other public [mental] behavioral health system respite services.

[F.] G.—[G.] H. (text unchanged)

[H. No more than 25 percent of the family support organization’s claims in a 30-day period for family peer support may be telephonic for a participant or the participant’s family.]

I. The Program may not reimburse for the following services via telehealth:

(1) Out-of-home respite;

(2) Community-based respite services; and

(3) Equine-assisted behavioral services.

J. The Program may not reimburse for the following services via audio-only telehealth:

(1) Art behavioral services;

(2) Dance behavioral services;

(3) Horticulture behavioral services;

(4) Music behavioral services; and

(5) Drama behavioral services.

[.14] .15 Payment Procedures.

A.—D. (text unchanged)

E. Family peer support services as described in Regulation .09 of this chapter shall be reimbursed at the following rates:

(1) For dates of service from July 1, [2022] 2023 through [June 30] December 31, 2023:

(a) [$21.65] $22.30 per 15-minute unit for face-to-face services; or

(b) [$10.82] $11.14 per 15-minute unit for telephonic or other non-face-to-face activities.

(2) [Effective July 1, 2023] For dates of service from January 1, 2024 through June 30, 2024:

(a) [$22.30] $24.08 per 15-minute unit for face-to-face services; or

(b) [$11.84] $11.14 per 15-minute unit for telephonic or other non-face-to-face activities.

(3) Effective July 1, 2024:

(a) $24.80 per 15-minute unit of family peer support or face-to-face services; or

(b) $12.39 per 15-minute unit for telephonic or other non-face-to-face activities.

F. Youth peer support services as described in Regulation .10 of this chapter shall be reimbursed at $24.80 per 15-minute unit of youth peer support services.

[F.] G. Respite services as described in [Regulation .10] Regulation .11 of this chapter shall be reimbursed at the following rates:

(1) For dates of service from July 1, [2022] 2023 through [June 30] December 31, 2023:

(a) [$34.12] $35.14 per 1-hour unit of service for community-based respite services; or

(b) [$270.46] $287.57 per unit of out-of-home respite care.

(2) [Effective July 1, 2023] For dates of service from January 1, 2024 through June 30, 2024:

(a) [$35.14] $37.95 per 1-hour unit of service for community-based respite services; or

(b) [$278.57] $300.86 per unit of out-of-home respite care.

(3) Effective July 1, 2024:

(a) $39.09 per 1-hour unit of service for community-based respite services; or

(b) $309.89 per unit of out-of-home respite care.

[G.] H. Expressive and experiential behavioral services as described in [Regulation .11] Regulation .12 of this chapter, when provided by a licensed mental health professional, shall be reimbursed at the following rates:

(1) For dates of service from July 1, [2022] 2023 through [June 30] December 31, 2023

(a) For individual therapy:

(i) [$92.77] $95.55 per 45—50-minute session; or

(ii) [$121.55] $125.20 per 75—80-minute session; and

(b) For group therapy:

(i) [$36.87] $37.98 per 45—60-minute session; or

(ii) [$47.95] $49.39 per prolonged (75—90-minute) session.

(2) [Effective July 1, 2023] For dates of service from January 1, 2024 through June 30, 2024:

(a) For individual therapy:

(i) [$95.55] $103.19 per 45—50-minute session; or

(ii) [$125.20] $135.22 per 75—80-minute session; and

(b) For group therapy:

(i) [$37.98] $41.02 per 45—60-minute session; or

(ii) [$49.39] $53.34 per prolonged (75—90-minute) session.

(3) Effective July 1, 2024:

(a) For individual therapy:

(i) $106.29 per 45—50-minute session; or

(ii) $139.28 per 75—80-minute session; and

(b) For group therapy:

(i) $42.25 per 45—60-minute session; or

(ii) $54.94 per prolonged (75—90-minute) session.

[H.] I. Expressive and experiential behavioral services as described in [Regulation .11] Regulation .12 of this chapter, when provided by a non-licensed mental health professional, shall be reimbursed at the following rates:

(1) For dates of service from July 1, [2022] 2023 through [June 30] December 31, 2023:

(a) For individual therapy:

(i) [$84.33] $86.86 per 45-minute session; or

(ii) [$109.64] $112.93 per 75—80-minute session; and

(b) For group therapy:

(i) [$32.78] $33.76 per 45—60-minute session; or

(ii) [$42.59] $43.87 per prolonged (75—90-minute) session.

(2) [Effective July 1, 2023] For dates of service from January 1, 2024 through June 30, 2024:

(a) For individual therapy:

(i) [$86.86] $93.81 per 45-minute session; or

(ii) [$112.93] $121.96 per 75—80-minute session; and

(b) For group therapy:

(i) [$33.76] $36.46 per 45—60-minute session; or

(ii) [$43.87] $47.38 per prolonged (75—90-minute) session.

(3) Effective July 1, 2024:

(a) For individual therapy:

(i) $96.62 per 45-minute session; or

(ii) $125.62 per 75—80-minute session; and

(b) For group therapy:

(i) $37.55 per 45—60-minute session; or

(ii) $48.80 per prolonged (75—90-minute) session.

[I.] J. Intensive in-home services as described in [Regulation .12] Regulation .13 of this chapter shall be reimbursed at the following rates:

(1) For dates of service from July 1, [2022] 2023 through [June 30] December 31, 2023:

(a) [$337.54] $347.67 per week of service for EBP-IIHS providers; or

(b) [$267.78] $297.87 per week of service for non-EBP IIHS providers.

(2) [Effective July 1, 2023] For dates of service from January 1, 2024 through June 30, 2024:

(a) [$347.67] $375.48 per week of service for EBP-IIHS providers; or

(b) [$275.81] $297.87 per week of service for non-EBP IIHS providers.

(3) Effective July 1, 2024:

(a) $386.74 per week of service for EBP-IIHS providers; or

(b) $306.81 per week of service for non-EBP IIHS providers.

MEENA SESHAMANI, MD, PhD

Secretary of Health

Subtitle 09 MEDICAL CARE PROGRAMS

10.09.90 Mental Health Case Management: Care Coordination for Children and Youth

Authority: Health-General Article, §2-104(b), Annotated Code of Maryland

Notice of Proposed Action

[26-012-P]

The Secretary of Health proposes to amend Regulations .02, .07, .08, .11, and .13 under COMAR 10.09.90 Mental Health Case Management: Care Coordination for Children and Youth.

Statement of Purpose

The purpose of this action is to:

(1) Include the definition of a Local Behavioral Health Authority (LBHA);

(2) Update the participant eligibility for Targeted Case Management (TCM) Level III to align with the updated 1915(i) eligibility criteria;

(3) Extend the timeframe for Child and Family Team (CFT) meetings from 45 days to at least every 60 days;

(4) Extend the re-evaluation of the Plan of Care (POC) for TCM Level III from 45 days to at least every 60 days;

(5) Increase the length of time to update the POC after the CFT meeting from 5 days to 10 days; and

(6) Align criminal background check policy with the policy for other behavioral health providers set forth in COMAR 10.63.01.05C.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has an impact on individuals with disabilities as follows:

The proposed action implements updates for TCM Level III to align with updated 1915(i) eligibility criteria. To the extent that individuals with disabilities utilize these services, they may benefit from this action.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing has not been scheduled.

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(4) (text unchanged)

(5) “Child and Adolescent Service Intensity Instrument (CASII)” means a standardized assessment tool that provides a determination of the appropriate level of service intensity needed by a child or adolescent and their family.

[(5)] (6)—[(6)] (7) (text unchanged)

[(7)] (8) [“Core service agency”] “Core service agency (CSA)” [has the meaning stated in COMAR 10.21.17] means the county or multicounty authority, designated under Health-General Article, Title 10, Subtitle 12, Annotated Code of Maryland, to carry out the duties set forth therein.

[(8)] (9) (text unchanged)

(10) “Early Childhood Service Intensity Instrument (ECSII)” means a standardized assessment tool used to determine the intensity of services needed for infants, toddlers, and children from ages 0—5 years.

(11) “Local Behavioral Health Authority (LBHA)” has the meaning stated in Health-General Article, §7.5-101, Annotated Code of Maryland.

[(9)] (12)—[(22)] (25) (text unchanged)

.07 Participant Eligibility — Level III — Intensive Care Coordination.

A. The participant shall meet at least one of the following conditions:

(1)—(2) (text unchanged)

(3) The participant meets the following conditions:

(a)—(b) (text unchanged)

(c) A comprehensive psychosocial assessment performed by a licensed mental health professional who is not affiliated with the CCO finds that the participant exhibits a significant impairment in functioning, representing potential serious harm to self or others, across settings, including the home, school, or community;

(d) The psychosocial assessment supports the completion of the Early Childhood Service Intensity Instrument (ECSII) for youth ages 0—5 or the Child and Adolescent Service Intensity Instrument (CASII) for youth ages 6—21, by which the participant receives a score of:

(i) [3] 2 or higher on the ECSII; or

(ii) [3] 2 or higher on the CASII; and

(e) [Youth with a score of 3, 4, or 5 on the CASII also shall meet the conditions outlined in §B of this regulation; and] Meet the conditions of either §B or §C of this regulation, as applicable.

[(f) Youth with a score of 3 or 4 on the ECSII also shall meet the conditions outlined in §C of this regulation.]

B. Youth with a score of [3, 4, or 5] 2, 3, or 4 on the CASII shall meet one of the following criteria to be eligible based on their impaired functioning and service intensity level:

(1) (text unchanged)

(2) Living in the community, be 6 through 21 years old, and have:

(a) Any combinations of 2 or more inpatient psychiatric hospitalizations [or] , emergency room visits, crisis stabilization center visits, or mobile crisis team responses in the past 12 months; or

(b) (text unchanged)

C. Youth who are younger than 6 years old who have a score of a [3 or 4] 2, 3, or 4 on the ECSII shall either:

(1) (text unchanged)

(2) If living in the community, meet one or more of the following criteria in the past 12 months:

(a)—(b) (text unchanged)

(c) Had one or more crisis stabilization center visits;

(d) Had one or more mobile crisis team responses;

[(c)] (e)—[(j)] (l) (text unchanged)

.08 Conditions for Provider Participation.

A.—B. (text unchanged)

C. Required Criminal Background Checks. The provider shall [, at the provider’s own expense and for all staff, volunteers, students, and individuals providing care coordination services to participants and their families:] comply with the criminal background check policy outlined in COMAR 10.63.01.05C.

[(1) Before employment, submit an application for a child care criminal history record check to the Criminal Justice Information System Central Repository, Department of Public Safety and Correctional Services (DPSCS), in accordance with Family Law Article, §5-561, Annotated Code of Maryland;

(2) Request that DPSCS send the report to:

(a) The director of the agency if the request is from a provider agency concerning staff, volunteers, students, or interns who will work with the participant or family; or

(b) The Department’s designee, if the provider is a self-employed, independent practitioner, or the director of the agency;

(3) Review the results of the background checks;

(4) Store background checks in a secure manner consistent with State and federal law; and

(5) Maintain written documentation in the individual’s personnel file that the director and all direct service provider staff including, but not limited to, volunteers, interns, and students, meet the criteria set forth in this regulation.]

D.—F. (text unchanged)

.11 Covered Services.

A.—D. (text unchanged)

E. Comprehensive Participant Assessment and Periodic Participant Reassessment.

(1)—(3) (text unchanged)

(4) Coordination and Facilitation of the CFT. The care coordinator shall:

(a) (text unchanged)

(b) Convene the CFT at [least every 6 months, or more frequently, as clinically necessary] the frequency described in Regulation .13A of this chapter; and

(c) (text unchanged)

(5) (text unchanged)

F. Development and Periodic Revision of the POC.

(1)—(5) (text unchanged)

(6) After the POC is developed, the CCO shall update the POC as often as clinically indicated based on the strengths and needs of the participant but not less than:

(a)—(b) (text unchanged)

(c) For Level III participants, every [45] 60 calendar days; [and]

(d) For all participants, within 7 calendar days following a crisis event[.]; and

(e) For all participants, within 10 calendar days of every CFT meeting, to include changes in progress, services, or other areas.

.13 Covered Services — Child and Family Team Meetings.

The CCO shall:

A. Coordinate and facilitate the CFT, with CFT meetings convened [at least every 45 calendar days or more frequently as clinically indicated;] as often as clinically necessary, but no less than:

(1) Within 7 calendar days following a crisis event;

(2) For Level I participants, every 6 months;

(3) For Level II participants, every 3 months; and

(4) For Level III participants, every 60 calendar days.

B. (text unchanged)

C. Update the POC [to include change in progress, services, or other areas within 5 calendar days of the CFT meeting] in accordance with Regulation .11F(6) of this chapter; and

D. Ensure that the care coordinator:

(1)—(2) (text unchanged)

(3) At the first meeting:

(a)—(b) (text unchanged)

(c) [For 1915(i) participants, provides] Provides an overview of the care coordination process to all participants, including those receiving 1915(i) services.

MEENA SESHAMANI, MD, PHD
Secretary of Health

Notice of Proposed Action

[26-017-P]

The Secretary of Health proposes to amend:

(1) Regulation .12 under COMAR 10.10.13 Medical Laboratories—Testing for Hereditary and Congenital Disorders in Newborn Infant s; and

(2) Regulation .05 under COMAR 10.52.12 Newborn Screening .

Statement of Purpose

The purpose of this action is to add Infantile Krabbe Disease (“Krabbe”) to the Maryland Newborn Screening Panel as recommended by the U.S. Department of Health and Human Services, Recommended Uniform Screening Panel (RUSP) and the Maryland Advisory Council on Hereditary and Congenital Disorders. Implementation of testing for Krabbe is also required by House Bill 96 (Chapter 177 of 2024) and Senate Bill 117 (Chapter 178 of 2024). Testing for Krabbe will assist with early diagnosis and allow for treatment to manage symptoms and slow the progression of this rare disease.

Estimate of Economic Impact

I. Summary of Economic Impact. The estimated expenditure for reagents and supplies to conduct testing for Infantile Krabbe Disease is approximately $1,400,000 for 75,000 newborns per year for FY 2026.

II. Types of Economic Impact.

Impacted Entity	Revenue (R+/R-) Expenditure (E+/E-)	Magnitude
A. On issuing agency:
Maryland Department of Health	(E+)	$1,400,000
B. On other State agencies:	NONE
C. On local governments:	NONE
	Benefit (+) Cost (-)	Magnitude
D. On regulated industries or trade groups:	NONE
E. On other industries or trade groups:	NONE
F. Direct and indirect effects on public:	NONE

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

A. This calculation assumes the high end of babies born in the State in the Fiscal Year (75,000) the Department sees an average of 65,000 to 75,000 births per year. Further, in subsequent years, the Department assumes an adjustment of 1% for inflation resulting int the following projected costs in subsequent years: FY 2027: $1,414,000.00, FY 2028: $1,428,140.00, FY 2029: $1,442,421.40, FY2030: $1,456,845.61.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing has not been scheduled.

Subtitle 10 Laboratories

10.10.13 Medical Laboratories — Testing for Hereditary and Congenital Disorders in Newborn Infants

Authority: Health-General Article, §13-111(d)(2), Annotated Code of Maryland

.12 First-Tier, Supplemental, and Second-Tier Tests.

A.—B. (text unchanged)

C. First-Tier Tests. The Department’s public health laboratory shall perform a first-tier test on a newborn infant to screen for the following hereditary and congenital disorders, which are approved for screening by the Council and the Secretary:

(1)—(59) (text unchanged)

(60) X-linked Adrenoleukodystrophy (X-ALD); [and]

(61) Guanidinoacetate Methyltransferase Deficiency (GAMT)[.]; and

(62) Infantile Krabbe Disease.

D. (text unchanged)

Subtitle 52 Preventive Medicine

10.52.12 Newborn Screening

Authority: Health-General Article, §§13-109 and 13-111, Annotated Code of Maryland

.05 Selection of Disorders for Screening.

A.(text unchanged)

B. The selected disorders are:

(1)—(59) (text unchanged)

(60) X-linked Adrenoleukodystrophy (X-ALD); [and]

(61) Guanidinoacetate Methyltransferase Deficiency (GAMT)[.]; and

(62) Infantile Krabbe Disease.

C. (text unchanged)

MEENA SESHAMANI, MD, PHD
Secretary of Health

Subtitle 39 Board of Nursing—[CERTIFIED NURSING ASSISTANTS] CERTIFICATE HOLDERS

Notice of Proposed Action

[26-016-P]

The Secretary of Health proposes to:

(1) Repeal existing Regulations .01 and .09, adopt new Regulations .01, .02, .07, and .08, amend and recodify existing Regulations .03—.08 to be Regulations .04—.06 and .09—.11 respectively, and recodify existing Regulation .02 to be Regulation .03 under COMAR 10.39.01 Certified Nursing Assistants;

(2) Repeal existing Regulation .01, adopt new Regulations .08 and .11, amend Regulations .09 and .10, and amend and recodify existing Regulations .02—.08 to be Regulations .01—.07 respectively under COMAR 10.39.02 Nursing Assistant Training Programs; and

(3) Amend Regulations .01 and .02 under COMAR 10.39.03 Certified Medicine Aides.

This action was considered by the public at a public meeting held on December 17, 2025, notice of which was given by publication on the Board’s website at: https://health.maryland.gov/mbon/Pages/meet ings-index.aspx, pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to alter the designation of and licensure requirements for a certified nursing assistant (CNA), creating new designations of “certified nursing assistant-I” (CNA-I) and “certified nursing assistant-II” (CNA-II), pursuant to HB 1125, Certified Nursing Assistants – Licensing Requirements and Administrative Updates, 2024, Ch. 818; SB 999, Certified Nursing Assistants – Licensing Requirements and Administrative Updates, 2024, Ch. 819; and HB 19, Health Occupations – Nursing – Loan Repayment, Education, and Sunset Extension (Building Opportunities for Nurses Act of 2025), 2025, Ch. 416.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through April 6, 2026. A public hearing has not been scheduled.

10.39.01 [Certification of] Certified Nursing Assistants

Authority: Health Occupations Article, §§ 8-205, 8-206, [8-303, 8-304, 8-308,] and 8-6A-01-[8-6A-16] 8-6A-17, Annotated Code of Maryland; Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

.01 Exceptions.

This chapter does not apply to an individual who:

A. Other than a certified nursing assistant, practices a health occupation, that the individual is authorized to practice under the Health Occupations Article, Annotated Code of Maryland;

B. Provides for the gratuitous care of friends, domestic partners, or family members;

C. Performs nursing assistant tasks while a nursing student enrolled in an accredited nursing program if the individual either:

(1) Is practicing under the direct supervision of qualified faculty or preceptors; or

(2) Successfully completed the portion of the approved nursing education program that the Board determines meets the requirements of an approved nursing assistant training program as described in Regulation .05D of this chapter;

D. Performs nursing assistant tasks:

(1) While a student enrolled in an approved nursing assistant training program or approved acute care nursing assistant training program; and

(2) While practicing under the direct supervision of qualified faculty or preceptors;

E. Practices as a certified nursing assistant-I for less than 4 months in accordance with 42 CFR §483.35(d);

F. Performs nursing tasks delegated by a registered nurse or licensed practical nurse so long as the delegated nursing tasks do not become a routine part of the individual's job duties;

G. Performs nursing tasks delegated by an advanced practice registered nurse in accordance with Health Occupations Article, § 8-6A-02(d), Annotated Code of Maryland; or

H. Performs technical tasks delegated by a licensed certified midwife in accordance with Health Occupations Article, § 8-6A-02(e), Annotated Code of Maryland.

.02 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board.

(2) “Board” means the Maryland Board of Nursing.

(3) “Central Repository” means the Maryland Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.

(4) “Certificate” means a certificate issued by the Board to practice as a certified nursing assistant in the State.

(5) Certified Nursing Assistant (CNA).

(a) “Certified nursing assistant (CNA)” means an individual, regardless of title, who, for compensation and subject to regulations adopted by the Board, routinely performs:

(i) Nursing tasks delegated by a registered nurse, licensed practical nurse, or advanced practice registered nurse; or

(ii) Technical tasks delegated by a licensed certified midwife.

(b) “Certified nursing assistant (CNA)” does not include dialysis technician or medication technician.

(6) Certified Nursing Assistant-I (CNA-I).

(a) “Certified nursing assistant-I (CNA-I)” means a CNA who:

(i) Meets the requirements set by the Board and federal law; and

(ii) May practice in any practice setting.

(b) “Certified nursing assistant-I (CNA-I)” includes a:

(i) CNA who was certified as a geriatric nursing assistant on March 31, 2026;

(ii) Certified medicine aide; and

(iii) CNA who is certified under Health Occupations Article, §8-6A-05(c)(5), Annotated Code of Maryland.

(7) “Certified nursing assistant-II (CNA-II)” means a CNA who:

(a) On March 31, 2026, was certified as a CNA but not certified as a geriatric nursing assistant; and

(b) May not practice in a nursing facility or skilled nursing facility.

(8) “Criminal history records check (CHRC)” means the performance of both a State criminal history records check by the Central Repository and a national criminal history records check performed by the Federal Bureau of Investigation (FBI).

(9) “Criminal history record information” means information provided by the criminal history records check regarding an applicant’s criminal arrests, charges, and convictions and other dispositions of criminal charges.

(10) “Good standing” means without an encumbrance that limits or restricts practice, such as revocation, suspension, or probation.

(11) “Nursing assistant competency evaluation” means an examination approved by the Board that:

(a) Determines the competency of the individual to practice as a CNA-I; and

(b) Meets the requirements under federal law.

(12) “Nursing assistant training program” means a course of training approved by the Board that meets the requirements under federal and State law.

(13) “Service member” has the meaning stated in State Government Article, §9-901, Annotated Code of Maryland.

(14) “Temporary nurse aide” means an individual who practiced as a geriatric nursing assistant without certification during the national Coronavirus Disease 2019 (COVID-19) Public Health Emergency, as declared on January 31, 2020, and periodically continued by the United States Secretary of Health and Human Services, pursuant to the waiver of the requirements of 42 CFR §483.35(d) issued by the Centers for Medicare and Medicaid Services on March 6, 2020.

(15) “Technical task” means a routine clinical act or task that does not require clinical judgment and is performed with the supervision as specified in COMAR 10.69.02.

(16) “Temporary nurse aide training” means an 8-hour online training and examination program offered by:

(a) The American Health Care Association;

(b) The National Center for Assisted Living; or

(c) Another comparable program approved by the Board.

[.03] .04 General Provisions for Applications.

A. An applicant shall submit:

(1) (text unchanged)

(2) To a [criminal history records check (CHRC)] CHRC in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland;

(3)—(5) (text unchanged)

B.—D. (text unchanged)

[.04] .05 Qualifications [of Applicants] for Certification.

A. Initial Certification. An applicant for initial nursing assistant certification shall [provide satisfactory evidence of completing a CNA program that] have successfully:

(1) [Is approved by the Board; or] Completed:

(a) An approved nursing assistant training program;

(b) An approved acute care nursing assistant training program;

(c) A portion of an approved nursing education program that has been determined by the Board to meet the requirements of a nursing assistant training program set by the Board; or

(d) Service member training and education that has been determined by the Board to be substantially equivalent to a nursing assistant training program approved by the Board in accordance with Health Occupations Article, §1-702, Annotated Code of Maryland; and

(2) [In another state or territory meets the standards for an approved CNA training program established by the Board] Passed a nursing assistant competency evaluation.

B. [An applicant for nursing assistant certification shall be 16 years old or older.] Certification by Endorsement. An applicant for nursing assistant certification by endorsement shall:

(1) Hold a certificate to practice as a nursing assistant that:

(a) Was issued by another state or territory of the United States that has certification requirements that are essentially similar to those set forth in Health Occupations Article, §8-6A-05, Annotated Code of Maryland; and

(b) Is in good standing; and

(2) Have successfully completed a nursing assistant training program that meets the standards for an approved nursing assistant training program set by the Board.

C. [An] Any applicant for nursing assistant certification may not have:

(1) Committed any act or omission that would be grounds for discipline or denial of certification under Health Occupations Article, §8-6A-10, Annotated Code of Maryland; [and] or

(2) (text unchanged)

D. Nursing Education Programs.

(1) To meet the requirements of a nursing assistant training program set by the Board, a portion of a nursing education program must include courses with content that primarily focuses on:

(a) Nursing fundamentals;

(b) Mental health;

(c) Health assessment;

(d) Nursing ethics; and

(e) The content listed under 42 CFR §483.152(b).

(2) If a portion of a nursing education program does not include courses with content that primarily focuses on the subject matters set forth in § D(1) of this regulation, the Board may review and approve other equivalent subject matters as meeting the requirements of a nursing assistant training program set by the Board.

E. A CNA-II who seeks certification as a CNA-1 shall meet the qualifications set forth in §A of this regulation.

F. Temporary Nurse Aides.

(1) A temporary nurse aide applying for certification as a CNA-1 shall be deemed to have completed a nursing assistant training program approved by the Board if the temporary nurse aide:

(a) Completed a temporary nurse aide training course;

(b) Completed a minimum of 100 hours of on-the-job training as a temporary nurse aide that:

(i) Met the requirements under 42 CFR §483.152(a) and 42 CFR §483.152(b)(2)—(7); and

(ii) Was not provided in a facility described under 42 CFR §483.151(b)(2)—(3); and

(c) In addition to the minimum 100 hours of on-the-job training, worked as a temporary nurse aide competently for a minimum of 160 hours.

(2) A temporary nurse aide whose on-the-job training did not meet all of the requirements under 42 CFR 483.152(a) and 42 CFR 483.152(b)(2)—(7) may receive supplemental training in those requirements and be deemed to meet the requirement of §F(1)(b)(i) of this regulation.

[.05] .06 Application for Certification.

A. [An applicant shall:

(1) Comply with all of the requirements under Regulation .03A of this chapter; and

(2) Pay the required fee to the Board.] Initial Certification.

(1) An applicant for initial certification shall:

(a) Comply with all of the requirements under Regulation .04A of this chapter;

(b) Pay the required fee to the Board; and

(c) Submit to the Board one of the items in §A(2) of this regulation.

(2) Verification Requirements.

(a) For graduates of a nursing assistant or acute care nursing assistant training program, an application that has been signed by the administrator or faculty of the training program completed by the applicant;

(b) For service members, documentation demonstrating successful completion of service member training and education that has been determined by the Board to be substantially equivalent to a nursing assistant training program approved by the Board;

(c) For nursing students and graduates, an official transcript demonstrating successful completion of a portion of an approved nursing education program that the Board determines meets the requirements for a nursing assistant training program set by the Board; or

(d) For foreign-educated nursing graduates, a copy of an evaluation of the applicant’s transcript through a Board-approved vendor demonstrating successful completion of a portion of an approved nursing education program that meets the requirements for a nursing assistant training program set by the Board.

(3) A program coordinator or faculty of a nursing assistant or acute care nursing assistant training program:

(a) May sign an application before graduation; and

(b) Shall submit written verification, as required by the Board, of program completion to the Board after 5 business days of the applicant’s program completion.

(4) An applicant shall submit an application for initial certification after 24 months of the date of completion of an approved nursing assistant training program, an approved acute care nursing assistant training program, or portion of an approved nursing education program.

(5) If an applicant fails to meet § A(4) of this regulation, an applicant still seeking certification shall take or re-take an approved nursing assistant training program or approved acute care nursing assistant training program and comply with §A(4) of this regulation.

[B. Each application for certification shall be signed by the administrator or faculty of the nursing assistant training program.

C. Applications may be signed before graduation. The person signing the application is responsible for submitting written verification of program completion to the Board within 5 business days of program completion.]

[D.] B. Certification by Endorsement. An applicant [certified as a nursing assistant in another state or territory is eligible for certification if the applicant] for nursing assistant certification by endorsement shall:

(1) [Complies] Comply with all of the requirements under [Regulation .03A] Regulation .04A of this chapter;

(2) [Pays] Pay the required fee to the Board; and

(3) [Submits] Submit the following verifications directly to the Board from the appropriate authority:

(a) A certificate to practice as a nursing assistant in good standing from another state or territory with certification requirements that are essentially similar to the requirements in this State; and

(b) A certificate of completion from [an approved] a nursing assistant training program in that state or territory[;] that meets the standards for an approved nursing assistant training program set by the Board.

[(c) A statement that the applicant has not committed any act or omission that would be grounds for discipline or denial of certification; and

(d) A statement that the applicant has no record of abuse, negligence, or misappropriation of a client's property or any disciplinary action taken or pending in any state or territory of the United States against the certification of the CNA.]

C. Every applicant shall attest on the application whether the applicant has:

(1) Committed any act or omission that would be grounds for discipline or denial of certification; and

(2) A record of abuse, negligence, or misappropriation of a client’s property or any disciplinary action taken or pending in any state or territory of the United States against the certification of the applicant.

D. A CNA-II who seeks certification as a CNA-I shall:

(1) Submit an application to the Board on the form required by the Board; and

(2) Comply with §§A(1)(c) and A(3)—(5) of this regulation.

[E. A certificate may not be issued until the Board has:

(1) Received and reviewed the criminal history records information; and

(2) Approved the application.

F. The Board may issue a temporary practice certificate in accordance with Health Occupations Article, §8-6A-07(g), Annotated Code of Maryland, to an applicant who:

(1) Has met the appropriate certification requirements to the satisfaction of the Board;

(2) Does not have a criminal record; and

(3) Has not been the subject of a health professional disciplinary action in this State or another jurisdiction.

G. Unless the Board suspends or revokes a temporary practice certificate, the temporary practice certificate expires 90 days after issuance.

H. A temporary practice certificate may be extended up to an additional 90 days if the applicant is awaiting the completion of the criminal history record information.]

E. A temporary nurse aide applying for certification as a CNA-1 shall:

(1) Comply with §A of this regulation; and

(2) Ensure that the administrator, director of nursing, or human resources representative of the applicant’s employer submits to the Board an attestation, on the form required by the Board, that:

(a) Is completed by the:

(i) Applicant;

(ii) Registered Nurse instructor or supervisor of the applicant during employment; and

(iii) Administrator or director of nursing for the employer; and

(b) Verifies that the applicant satisfies the requirements of Regulation .05F of this chapter.

.07 Nursing Assistant Competency Evaluation.

A. An individual is eligible to sit for a nursing assistant competency evaluation if the individual:

(1) Meets the education requirements set forth in Regulation .05A(1) of this chapter; or

(2) Must retake a nursing assistant competency evaluation in order to renew or reinstate a certification in accordance with Regulation .10C(2)(a) of this chapter.

B. Except for service members, an individual shall sit for a nursing assistant competency evaluation after 24 months of meeting the educational requirements set forth in Regulation .05A(1) of this chapter.

C. An individual who fails to sit for a nursing assistant competency evaluation after 24 months of meeting the educational qualifications must re-take an approved nursing assistant training program or approved acute care nursing assistant training program in order to be eligible to sit for a nursing assistant competency evaluation.

D. Re-testing.

(1) An individual who fails to obtain a passing score on the first examination may retake a nursing assistant competency evaluation three additional times.

(2) An individual shall wait at least 45 calendar days from the date of the prior evaluation before retaking a nursing assistant competency evaluation.

(3) An individual who fails to obtain a passing score after taking a nursing assistant competency evaluation four times must complete a new approved nursing assistant training program or approved acute care nursing assistant training program before retaking a nursing assistant competency evaluation.

.08 Temporary Practice Certificate.

A. The Board may issue a temporary practice certificate to an applicant who:

(1) Has met the appropriate certification requirements to the satisfaction of the Board;

(2) Does not have a criminal record; and

(3) Has not been the subject of a health professional disciplinary action in this State or another jurisdiction.

B. Unless the Board suspends or revokes a temporary practice certificate, the temporary practice certificate expires 90 calendar days after the date of issuance.

C. A temporary practice certificate may be extended up to an additional 90 calendar days if the applicant is awaiting the completion of the criminal history records check.

[.06] .09 Issuance of Certification.

[The Board shall issue a certificate to each applicant qualifying for certification if the applicant meets all the requirements of this chapter. The initial certificate may not be issued for less than 90 days.]

A. The Board may not issue a certificate to an applicant until the Board has:

(1) Received and reviewed the criminal history record information of the applicant; and

(2) Approved the application.

B. Unless subject to discipline, the Board shall issue a certificate to each applicant who meets all the requirements of this chapter and Health Occupations Article, §§8-6A-05 and 8-6A-06, Annotated Code of Maryland.

[.07] .10 Expiration and Renewal.

A. [The Board shall renew the certificate of each certificate holder who meets the requirements of Health Occupations Article, §8-6A-08, Annotated Code of Maryland and of this regulation] Expiration.

(1) Unless renewed for an additional two-year term, and except as otherwise provided in §A(2) of this regulation, a certificate expires in accordance with the following schedule:

(a) The certificate of a certificate holder with an odd-numbered birth year expires on the 28th day of the certificate holder’s birth month in an odd-numbered year; and

(b) The certificate of a certificate holder with an even-numbered birth year expires on the 28th day of the certificate holder’s birth month in an even-numbered year.

(2) A certificate shall not expire within 180 calendar days of the date of issuance.

B. [The certificate holder shall renew the certificate every 2 years by birth month according to the following schedule:

(1) A certificate holder with an odd-numbered birth year shall always renew in an odd-numbered year not later than the 28th day of the certificate holder’s birth month; and

(2) A certificate holder with an even-numbered birth year shall always renew in an even-numbered year not later that the 28th day of the certificate holder’s birth month.] Renewal Notice.

(1) At least 3 months before a certificate expires, the Board shall send the certificate holder a renewal notice by either:

(a) First-class mail to the last known address of the certificate holder; or

(b) Electronic means to the last known electronic address of the certificate holder.

(2) The renewal notice shall provide:

(a) The date on which the certificate holder’s certificate is scheduled to expire;

(b) The date by which the Board must receive a renewal application in order for a certificate to remain active until the renewal application submitted by the certificate holder is processed by the Board, in accordance with State Government Article, §10-226(b), Annotated Code of Maryland;

(c) The amount of the renewal fee; and

(d) If the certificate holder is required to submit to a CHRC in accordance with §D of this regulation:

(i) Notice that the certificate holder must submit to a CHRC in order to renew the certificate; and

(ii) Written instructions for how to complete a CHRC.

(3) It is the responsibility of the certificate holder to:

(a) Be aware of the expiration date of the certificate; and

(b) Renew the certificate before it expires.

(4) Failure of a certificate holder to receive the renewal notice sent by the Board does not relieve the certificate holder of the responsibility to renew a certificate before it expires.

C. [At least 3 months before a certificate expires, the Board shall send the certificate holder a renewal notice by:

(1) First-class mail to the last known address of the certificate holder; or

(2) Electronic means to the last known electronic address of the certificate holder.] Renewal Requirements.

(1) The Board shall renew a certificate if the individual applying for renewal:

(a) Is otherwise entitled to be certified;

(b) Submits a complete application for renewal on the form required by the Board;

(c) Pays the renewal fee;

(d) Provides satisfactory evidence, as required by the Board, of16 hours of active employment, for compensation, as a nursing assistant within the 2-year period immediately preceding the date of expiration or meet the requirements under §C(2) of this regulation; and

(e) If required to submit to a CHRC in accordance with § D of this regulation, complies with the requirements of Regulation .04A of this chapter.

(2) If the individual applying for renewal does not have 16 hours of active employment as a nursing assistant within the 2-year period immediately preceding the date of individual the individual shall:

(a) If a CNA-I, take and pass a nursing assistant competency evaluation; or

(b) If a CNA-II, complete a nursing assistant training program.

[D. The certificate holder shall notify the Board if a renewal notice is not received.

E. The Board cannot guarantee that renewal applications received later than 30 days before the expiration date will be processed before the expiration date.

F. An individual applying for renewal of a certificate shall provide satisfactory evidence of 16 hours of active employment, for compensation, as a nursing assistant within the 2-year period immediately preceding the date of renewal.

G. An individual who do not meet the requirement of §F of this regulation are required to successfully complete a Board-approved CNA education program.

H. Upon notification by the Board that a criminal history records check is required before renewal of certification, a renewal applicant shall comply with all requirements under Regulation .03A of this chapter.

I. After notification to the certificate holder at the address provided to the Board that a criminal history records check is required for renewal, the Board may not renew a certificate until the Board has received written documentation that the applicant has submitted to a criminal history record check in accordance with Health Occupations Article, §§8-303 and 8-6A-08(k), Annotated Code of Maryland.]

[J.] D. [Criminal history records checks] Schedule for CHRCs. CHRCs for renewal applicants shall be scheduled according to the certificate holder’s birth month as follows:

[(1) In 2010 — all applicants with a June birth month;

(2) In 2011 — all applicants with a July birth month;

(3) In 2012 — all applicants with an August birth month;

(4) In 2013 — all applicants with a September birth month;

(5) In 2014 — all applicants with an October birth month;

(6) In 2015 — all applicants with a November birth month;

(7) In 2016 — all applicants with a December birth month;

(8) In 2017 — all applicants with a January birth month;

(9) In 2018 — all applicants with a February birth month;

(10) In 2019 — all applicants with a March birth month;

(11) In 2020 — all applicants with an April birth month; and

(12) In 2021 — all applicants with a May birth month.]

(1) In 2025 — all applicants with an August or September birth month;

(2) In 2026 — all applicants with a September or October birth month;

(3) In 2027 — all applicants with an October or November birth month;

(4) In 2028 — all applicants with a November or December birth month;

(5) In 2029 — all applicants with a December or January birth month;

(6) In 2030 — all applicants with a January or February birth month;

(7) In 2031 — all applicants with a February or March birth month;

(8) In 2032 — all applicants with a March or April birth month;

(9) In 2033 — all applicants with an April or May birth month;

(10) In 2034 — all applicants with a May or June birth month;

(11) In 2035 — all applicants with a June or July birth month; and

(12) In 2036 — all applicants with a July or August birth month.

E. Grace Period. A certificate holder has a 30 calendar day grace period beyond the expiration date of the certificate to renew the certificate.

[K. The Board shall mail out to every renewal applicant who is required to have a criminal history records check in the selected birth month, instructions for downloading the forms, completing the renewal application, and how to obtain a criminal history records check.

L. If a renewal applicant is out of the state, the Board shall mail a packet to the applicant with the required renewal documents and instructions for completing the documents.

M. Expiration of Certificate.

(1) A certificate expires on the 28th day of the certificate holder's birth month.

(2) A certificate holder has a 30-day grace period beyond the expiration of the certificate to renew a certificate.

(3) The Board may impose a civil fine, not to exceed $50, on a certified nursing assistant who fails to renew a certificate within 30 days after the expiration date and practices as a certified nursing assistant during the period of expiration.]

[.08] .11 Administrative Reinstatement.

A. The Board shall reinstate the certificate of a [former] certificate holder who has failed to renew the certificate for any reason, if the [former] certificate holder meets the renewal requirements in Health Occupations Article, §8-6A-08, Annotated Code of Maryland, and [Regulation .07] Regulation .10 of this chapter.

B. An applicant for administrative reinstatement who has failed to renew the [applicant’s] certificate for a period of 1 year or more [is required to] shall submit to a [criminal history records check] CHRC before the certificate is reinstated.

10.39.02 Nursing Assistant Training Programs

Authority: Health Occupations Article, §§ 8-205, 8-6A-05(a)(6), and 8-6A-14, Annotated Code of Maryland; Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

[.02] .01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1) “Acute care nursing assistant training program” means a course of training that meets the acute care nursing assistant training program curriculum approved by the Board.

[(1)] (2) (text unchanged)

[(2) “Certified medicine aide (CMA)” means a CNA who:

(a) Is a geriatric nursing assistant as required by COMAR 10.07.02.44;

(b) Has successfully completed a course meeting the criteria of COMAR 10.07.02.44;

(c) Functions in a setting licensed under COMAR 10.07.02; and

(d) Performs the delegated nursing function of medication administration under the direct supervision of a registered nurse or licensed practical nurse.]

(3) “Certified Nursing Assistant (CNA)[.]” has the meaning stated in COMAR 10.39.01.02B.

[(a) “Certified nursing assistant (CNA)” means an individual, regardless of title, who routinely performs nursing tasks delegated by an RN or LPN for compensation.

(b) “Certified nursing assistant (CNA)” does not include:

(i) A medication technician; or

(ii) An individual who merely provides assistance with activities of daily living unless the client's needs are such that adverse health consequences are predictable.]

(4) Certified Nursing Assistant-I (CNA-I).

(a) “Certified nursing assistant-I (CNA-I)” means a CNA who:

(i) Meets the requirements set by the Board and federal law; and

(ii) May practice in any practice setting.

(b) “Certified nursing assistant-I (CNA-I)” includes a:

(i) CNA who was certified as a geriatric nursing assistant on March 31, 2026;

(ii) Certified medicine aide; and

(iii) CNA who is certified under Health Occupations Article, §8-6A-05(c)(5), Annotated Code of Maryland.

[(4)] (5) (text unchanged)

[(5)] (6) “Clinical facility” means a setting where clients are physically present and that provides facilities for supervised clinical training [experiences of nursing assistants, with the faculty of the program responsible for planning, implementing, and evaluating these experiences.

(6) “:Controlling institution” means an organization that offers a nursing assistant training program].

(7) “Direct supervision” means that the registered nurse or licensed practical nurse is physically present while the [trainee] student demonstrates patient care skills.

[(8)”Geriatric nursing assistant competency examination (GNA-CE)” means an examination that meets the criteria set by 42 CFR §483.154 to determine entry level competence for a GNA.]

(8) “Distance education” means a formal education process in which the delivery of instruction occurs through the use of telecommunication technologies because the students and instructors are in different places.

(9) “Hybrid training program” means a nursing assistant training program that provides:

(a) Didactic instruction through distance education;

(b) On-site classroom laboratory training; and

(c) Supervised clinical training.

[(9)] (10) (text unchanged)

[(10) “Medication technician” means an individual who has completed a 20-hour course in medication administration approved by the Board.]

(11) (text unchanged)

(12) “Nursing assistant competency evaluation” means an examination approved by the Board that:

(a) Determines the competency of the individual to practice as a CNA-I; and

(b) Meets the requirements under federal law.

(13) “Nursing assistant training program” means a course of training approved by the Board that meets the requirements under federal and State law.

[(12)] (14) “Program completion” means that the [trainee achieves a passing grade on the theory and clinical portions of the training program and on the comprehensive final examination.] student:

(a) Completed and demonstrated competency in the program objectives and performance indicators during the didactic, laboratory, and clinical portions of the training program; and

(b) Passed the final written examination.

(15) “Program provider” means an individual, organization, facility, or educational institution that conducts a nursing assistant training program or an acute care nursing assistant training program.

[(13)] (16) (text unchanged)

[(14)] (17) “Supervised clinical training” means training in person at a clinical facility in which the [trainee] student demonstrates knowledge and skills while performing tasks on [an individual] a client under the [direct] supervision of an RN or an LPN.

(18) “Traditional program” means a training program that provides on-site didactic instruction, classroom laboratory training, and supervised clinical training.

(19) “Training program” means a nursing assistant training program or an acute care nursing assistant training program.

(20) “Unencumbered” means without limitation or restriction on practice, such as revocation, suspension, or probation.

[(15)] (21) “Written agreement” means a contract [with] between a program provider and a clinical facility outlining the terms required, by both the program and the facility, for supervised clinical training of [student nursing assistants] students.

[.03] .02 [Training Program Approval.] Initial Approval and Ongoing Responsibilities.

A. Approval Requirements.

(1) All training programs shall be approved by [the Board.]:

(a) The Board; and

(b) The Maryland Higher Education Commission (MHEC) in accordance with Health Occupations Article, §8-6A-14(a), Annotated Code of Maryland and COMAR 13B.01.01.03.

(2) [In addition to the requirement stated in §A(1) of this regulation, all programs shall be approved by the Maryland Higher Education Commission or Department of Education except those excluded under COMAR Title 13B.] Public High School Training Programs. If the training program is offered by a public high school, the training program shall be approved by the State Board of Education.

(3) (text unchanged)

B. [An organization wishing to offer a nursing assistant training program shall:

(1) Submit to the Board a proposal demonstrating compliance with the requirements stated in Regulations .04—.08 of this chapter; and

(2) Contact the Board to obtain the training program requirements and a program application packet.] Application. At least 120 days before the proposed start date of the training program, a program provider seeking initial approval of a training program shall:

(1) Submit a complete application on the form required by the Board;

(2) Demonstrate that the training program meets all of the applicable requirements in this chapter; and

(3) Provide any additional information requested by the Board during the Board’s review of the application.

C. [The program proposal shall:

(1) Demonstrate that the length of time for the program is adequate for trainees to be successful in achieving the program objectives; and

(2) State the criteria for successful program completion including the required passing standard on the final examination.] Board Action.

(1) Following receipt of a complete application, the Board’s professional staff may conduct a survey visit and submit a survey visit report to the Board.

(2) The Board shall:

(a) Approve a training program that meets all of the applicable requirements of this chapter; or

(b) Deny approval of a training program that does not meet all of the applicable requirements of this chapter.

D. [The Board shall review programs for renewal of approval every 2 years.] Term. Board approval of a training program is valid for 2 years.

E. Ongoing Responsibilities.

(1) A training program shall obtain approval from the Board before making any substantial changes to the program.

(2) Substantial changes include:

(a) Changes to faculty;

(b) Significant changes to curriculum, including an increase or decrease in program hours; and

(c) Removal or addition of clinical facilities or classroom locations.

(2) A training program shall submit to the Board an annual report, on the form required by the Board, that includes statistics on enrollments, program completions, attrition rates, and nursing assistant competency evaluation results.

F. Nursing Assistant Competency Evaluation Performance.

(1) A training program shall maintain an average pass rate of 90 percent of the average pass rate for all states using the applicable Board-approved vendors for the nursing assistant competency evaluation.

(2) The Board shall annually review the performance of graduates from each training program on the nursing assistant competency evaluation.

[.04] .03 Administration [and Organization].

A. [The facility offering the training program shall:

(1) Be accredited or approved by the appropriate agency; and

(2) Have a statement of equal opportunity.] Equal Opportunity Statement. The training program provider shall have a statement of equal opportunity.

B. [The controlling institution shall provide the financial support and resources needed to operate a program which meets the legal and educational requirements of the Board and fosters achievement of program objectives.] A training program offered by a nursing facility or skilled nursing facility shall not charge a fee for any portion of the program, including textbooks and other required course materials, in accordance with 42 CFR §483.152(c).

[C. The financial resources provided by the controlling institution shall support:

(1) The number of instructors adequate to ensure that each trainee is provided with a didactic and clinical program of learning that fosters achievement of program objectives;

(2) Adequate educational facilities;

(3) Appropriate equipment; and

(4) Qualified administrative personnel.]

[.05] .04 Faculty.

[A. Each course instructor shall:

(1) Be a registered nurse licensed to practice registered nursing in Maryland or have a multistate licensure privilege to practice registered nursing in this State;

(2) Have a minimum of 2 years of nursing experience, at least 1 year of which was in caring for the elderly or chronically ill in the past 5 years; and

(3) Complete a course with a minimum of 16 hours of instruction in the principles of adult education, or have a minimum of 2 years of teaching experience.]

A. Faculty Requirements.

(1) Each course instructor and program coordinator shall have:

(a) An active, unencumbered license to practice as a Registered Nurse or a multistate licensure privilege to practice as a Registered Nurse in the State;

(b) A minimum of 2 years of nursing experience; and

(c) Completed a course in teaching adults or have experience in teaching adults or supervising nursing assistants.

(2) Long-Term Care Facility Experience Requirements. Either the program coordinator or all course instructors shall have at least 1 year of experience in the provision of long-term care facility services, which may include:

(a) Providing direct client care or supervisory oversight in a long-term care facility or unit, including in a geriatrics department, chronic care hospital, or other long-term care setting; and

(b) Teaching a nursing assistant training program that complies with federal law.

[B. Each program shall have an RN instructor who has overall supervisory responsibility for the operation of the program.]

B. Course Instructors.

(1) Course instructors in training programs in public secondary schools in the State shall also meet the requirements set forth in COMAR 13A.12.02.02.

(2) The course instructor is responsible for:

(a) Participating in the development and evaluation of the training program, including the acquisition of learning resources and instructional materials;

(b) Implementing the training program and ensuring course objectives are met;

(c) Supervising classroom, laboratory, and clinical learning experiences, including direct supervision of a student the first time a student performs a patient care skill during a clinical learning experience and until the student demonstrates proficiency in that skill; and

(d) Evaluating student performance during didactic, clinical, and laboratory training.

[C. Instructors in CNA programs in Maryland public secondary schools shall meet the requirements under §A(1) and (2) of this regulation as well as those found in COMAR 13A.12.02.24A(1) and (2).]

C. Program Coordinator.

(1) Each training program shall have a program coordinator who:

(a) Provides general supervision of the training of nursing assistants; and

(b) Maintains responsibility for the overall operation of the program.

(2) Except as provided in §C(3) of this regulation, the program coordinator may also be a course instructor.

(3) In a facility-based program, the facility’s director of nursing may be the program coordinator but may not perform any actual training.

[D. Responsibilities. The course instructor is responsible for:

(1) Participating in development and evaluation of the training program;

(2) Implementing the approved training program;

(3) Supervising classroom laboratory experiences;

(4) Evaluating student performance in the classroom; and

(5) Providing supervision and clinical evaluation of each trainee at the clinical training site.]

D. Supplemental Personnel.

(1) Other health professional personnel may supplement the course instructor, including, but not limited to:

(a) Registered nurses in accordance with §D(3) of this regulation;

(b) Licensed practical nurses in accordance with §D(4) of this regulation;

(c) Pharmacists;

(d) Dietitians;

(e) Social workers;

(f) Sanitarians;

(g) Fire safety experts;

(h) Nursing home administrators;

(i) Gerontologists;

(j) Psychologists;

(k) Physical and occupational therapists;

(l) Activities specialists;

(m) Speech/language/hearing therapists; and

(n) Resident rights experts.

(2) Supplemental personnel shall have at least 1 year of experience in their respective field.

(3) A registered nurse functioning as supplemental personnel shall:

(a) Hold a current, unencumbered license in the State or multistate licensure privilege as a registered nurse; and

(b) Have had at least 1 year of direct client care experience as a registered nurse.

(4) A licensed practical nurse functioning as supplemental personnel shall:

(a) Hold a current, unencumbered license in the State or multistate licensure privilege as a practical nurse; and

(b) Have had at least 1 year of direct client care experience as a licensed practical nurse.

(5) Other supplemental personnel providing instruction shall provide instruction under the supervision of the course instructor.

[E. Other health professionals may teach selected portions of the curriculum that relate to the health professionals' area of expertise.]

[.06] .05 [Resources, Facilities, and Services.] Facilities and Resources.

A. [Physical Facilities. The physical facilities shall be adequate to meet the needs of the training program and shall include the following:

(1) Adequate space for privacy of faculty-student conferences;

(2) Classroom, laboratories, and conference rooms; and

(3) Space for equipment and instructional materials.] General Facility Requirements. All classroom, laboratory, and clinical facilities used by a training program:

(1) Shall be approved by the Board;

(2) Shall be approved or accredited by the appropriate agency;

(3) May not be on conditional or provisional approval status; and

(4) May not meet any of the factors set forth in 42 CFR §483.151(b)(2)—(3).

B. [Instructional Resources. Learning resources and instructional materials such as books, audiovisual materials, and computer software shall be current, accessible, and relevant to the role of the CNA and shall adhere to the following guidelines:

(1) Clinical resources shall have a publication date not older than 5 years from the current year;

(2) Texts and other resources selected shall be relevant to the curriculum and written at a level appropriate to nursing assistants; and

(3) Acquisitions shall be selected with the participation of the nursing assistant faculty.] Classroom and Laboratory Facilities. Classroom and laboratory facilities shall include:

(1) Adequate space for privacy of faculty-student conferences; and

(2) Space for equipment and instructional materials.

C. Resources.

(1) All instructional learning resources and materials shall:

(a) Be accessible and relevant to the role of the CNA;

(b) Have a publication date not older than 5 years from the current year; and

(c) Be written at an 8th grade level.

(2) Laboratory Equipment.

(a) Laboratory equipment, at a minimum, shall include materials to support the following classroom activities:

(i) Infection control;

(ii) Basic nursing skills;

(iii) Personal care skills; and

(iv) Basic restorative services;

(b) The Board shall maintain on its website a list of the specific equipment required for laboratory facilities.

[C.] D. Clinical Facilities.

[(1) Facilities used for clinical learning experiences shall be approved by the appropriate government authorities.

(2) Facilities with conditional or provisional approval status may not be used for student learning experiences.

(3) The Board shall approve the use of each clinical facility before utilization for student experience.

(4) There shall be a minimum of one instructor for each 8 students in the clinical area.

(5) Clinical facilities shall meet the following requirements:

(a) A sufficient number and variety of clients to provide training experiences for all students to achieve the stated objectives;

(b) A sufficient number of RNs and other nursing personnel to ensure safe and continuous care of clients; and

(c) Conformance with accepted standards of nursing care and practice.

(6) Written Agreements.

(a) The training program shall have a written agreement with any clinical facility that is not a part of the controlling institution.

(b) Written agreements between the program and the cooperating facilities shall:

(i) Be developed jointly with the clinical facility;

(ii) Be reviewed periodically;

(iii) Include provision for adequate notice of termination;

(iv) Specify the responsibility of the training program to the facility and the responsibility of the facility to the training program; and

(v) Identify the functions and responsibilities of the parties involved.]

(1) Clinical facilities shall:

(a) Have a sufficient number and variety of clients to provide training experiences for all students to achieve the stated objectives;

(b) Have a sufficient number of registered nurses and other nursing personnel to ensure safe and continuous care of clients; and

(c) Conform with accepted standards of nursing care and practice.

(2) There shall be a minimum of 1 course instructor for each 8 students in the clinical area.

(3) Written Agreements.

(a) Except for facility-based programs, a training program shall have a written agreement with a clinical facility for student training experiences.

(b) The written agreement developed in accordance with §D(3)(a) of this regulation shall:

(i) Be developed jointly with the clinical facility and the training program;

(ii) Be reviewed periodically by the clinical facility and the training program;

(iii) Include a provision for adequate notice of termination;

(iv) Specify the responsibility of the training program to the clinical facility and the responsibility of the clinical facility to the training program; and

(v) Identify the functions and responsibilities of the parties involved.

[.07] .06 [Training Program.] Curriculum.

A. [The training program shall provide a minimum of 100 hours of instruction.] Program Hours.

(1) A training program shall provide a minimum of 100 hours of instruction.

(2) Of the 100 hours, a minimum of:

(a) 60 hours shall be devoted to didactic instruction and classroom laboratory training, with at least 16 hours of in-person laboratory training in the pre-clinical curriculum listed in §B(3) of this regulation; and

(b) 40 hours shall be devoted to supervised clinical training in a clinical facility.

(3) A training program shall have at least 16 of the 40 hours of supervised clinical training in the provision of long-term care facility services or caring for the elderly or chronically ill of any age, which shall be performed under direct supervision.

[B. Of the 100 hours, a minimum of:

(1) 60 hours shall be devoted to didactic instruction and classroom laboratory practice; and

(2) 40 hours shall be devoted to clinical training experiences in a clinical facility.]

[C.] B. Curriculum Content.

[(1) The following content areas shall form the framework of the curriculum:

(a) Role of the CNA;

(b) Infection control;

(c) Safety and environment;

(d) Mobility and positioning;

(e) Elimination;

(f) Data collection;

(g) Hygiene;

(h) Treatments;

(i) Communication:

(i) Observing, recording, and reporting;

(ii) Interpersonal relations; and

(j) Legal and ethical considerations.]

(1) The curriculum for a training program shall include the subject matters and skills listed in 42 CFR §483.152(b).

[(2) A training program shall provide at least 16 hours of classroom laboratory training before a trainee's direct assignment to client care. This instruction shall include the following topics:

(a) Role of the CNA;

(b) Infection control;

(c) Safety and emergency procedures, including the Heimlich maneuver;

(d) The environment;

(e) Communication:

(i) Observing, recording, and reporting;

(ii) Interpersonal relations; and

(f) Legal and ethical considerations.]

(2) The curriculum for an acute care nursing assistant training program shall include:

(a) The subject matters listed in 42 CFR §483.152(b); and

(b) All basic skills required of a nursing assistant in any acute care practice setting, including:

(i) Caring for patients with acute and chronic medical conditions in a hospital facility;

(ii) Observing and reporting changes in patient condition, including potential emergencies and safety issues, to the licensed nurse;

(iii) Transport of specimens;

(iv) Transport of medications;

(v) Point of care testing;

(vi) Specimen collecting;

(vii) Equipment management;

(viii) Time management in the acute care setting;

(ix) De-escalation of assertive or aggressive patients and family members; and

(x) Electronic documentation of care and basic computer skills.

[(3) The training program shall identify the unit objectives and performance indicators for each of the areas in §C(1) of this regulation in its training criteria.]

(3) The pre-clinical curriculum of a training program shall include the following topics:

(a) Role of the CNA;

(b) Infection control;

(c) Safety and emergency procedures, including the Heimlich maneuver;

(d) Communication and interpersonal skills;

(e) Promoting clients’ independence; and

(f) Legal and ethical considerations, including respecting clients’ rights.

(4) A training program shall provide instruction in the pre-clinical curriculum before a student has any direct contact with a client.

C. Each training program shall identify the unit objectives and performance indicators for each of the areas in §B of this regulation in its training criteria.

D. Laboratory Instruction and Clinical Learning Experience.

(1) Each training program shall provide laboratory instruction in and require students to demonstrate clinical competence in performing skills consistent with the subjects under §B of this regulation.

(2) A training program shall ensure that students may not perform any services during their clinical learning experience for which they have not trained and been found proficient by the course instructor.

[.08] .07 Evaluation.

A. Each training program shall have an objective final written examination that measures achievement of the performance indicators.

B. To successfully complete the training program, each [trainee] student shall:

(1) Complete the [approved training program] required minimum hours provided in Regulation .06A of this chapter;

(2) (text unchanged)

(3) [Pass a comprehensive] Achieve a passing score of at least 75 percent on the written final examination; and

(4) Demonstrate competence in meeting the objectives and performance indicators [contained in the training requirements] during didactic, laboratory, and clinical instruction.

C. [Each trainee shall be evaluated on their ability to meet the program objectives in the classroom, laboratory, and clinical setting.] The training program shall provide the following to students who complete the program:

(1) A certificate of completion using the form required by the Board; and

(2) Registration information for a nursing assistant competency evaluation.

D. [Each program shall submit to the Board, on a quarterly basis, statistics on enrollments, program completions, and attrition rates.] A program coordinator or faculty of a training program:

(1) May sign a student’s application for certification as a nursing assistant before graduation; and

(2) Shall submit to the Board written verification, as required by the Board, of each student’s program completion within 5 business days of program completion.

[E. The GNA-CE performance of candidates from each program shall be reviewed annually by the Board.

F. A program may not modify an approved curriculum without the Board's permission.

G. A program may not modify its faculty without the Board's permission.]

.08 Renewal of Approval.

A. Expiration. Unless renewed, Board approval of a training program expires 2 years from the last date of approval.

B. Renewal application. At least 120 days before the date of expiration of approval, a training program shall submit:

(1) A complete application on the form required by the Board; and

(2) All accompanying documentation required by the application or requested by the Board.

C. Survey Visit. Following receipt of a renewal application from a training program, the Board’s professional staff shall conduct an announced or unannounced on-site survey visit and submit a survey visit report to the Board.

D. Board Action. The Board shall:

(1) Renew approval of a training program for another 2-year term if the training program meets the applicable requirements of this chapter; or

(2) Initiate withdrawal of approval proceedings in accordance with Regulation .09 of this chapter if the training program fails to meet the applicable requirements of this chapter.

E. Enrollment. A training program that fails to renew its approval:

(1) Shall be listed on nonrenewed status in the Board’s records; and

(2) May not enroll any new students to the program following the expiration of approval.

.09 Withdrawal of Approval.

A. [The Board's professional staff may visit a program annually and provide a report to the Board.] Notice of Deficiencies.

(1) If the Board determines that there is a basis for withdrawal of approval under §C of this regulation, the Board shall issue a written notice of deficiencies to the training program.

(2) The notice of deficiencies shall notify the training program of the:

(a) Requirements with which the program has not complied;

(b) Reasons for the Board’s determination; and

(c) Requirement to submit a written plan of correction in accordance with §B of this regulation.

B. [The Board may withdraw approval from any program:

(1) That fails to comply with a requirement of this regulation;

(2) That discontinues its curriculum for a period exceeding 6 months; or

(3) Whose graduates achieve less than 90 percent of the national success rate on the GNA-CE.] Written Plan of Correction.

(1) A training program shall submit a written plan of correction after 30 calendar days of the date of the notice of deficiencies unless granted an extension by the Board for good cause.

(2) The written plan of correction shall:

(a) Address all deficiencies noted by the Board; and

(b) Include dates of completion for correcting the deficiencies.

(3) The Board shall review the plan of correction and may approve or modify the dates of completion for correcting deficiencies.

(4) The training program shall correct the deficiencies within the time frame approved by the Board.

C. Grounds for Withdrawal. The Board may withdraw approval of a training program that:

(1) Fails to comply with any of the applicable requirements of this chapter;

(2) Fails to correct deficiencies within the time frame approved by the Board;

(3) Enrolls new students after expiration of approval; or

(4) Has a graduate pass rate of less than 90 percent of the pass rate for all states using the applicable Board-approved vendors for a nursing assistant competency evaluation.

D. Procedure for Withdrawal.

(1) Before withdrawing approval of a training program under §C of this regulation, the Board shall:

(a) Notify the program of its intent to withdraw approval; and

(b) Give the program an opportunity to request an evidentiary hearing before the Board.

(2) The notice of intent to withdraw approval and hearing shall comply with the Administrative Procedure Act.

E. Mandatory Withdrawal. Notwithstanding any other section of this regulation, the Board shall withdraw approval of a training program upon receipt of notice from the Office of Healthcare Quality that the facility is prohibited from holding a training program pursuant 42 CFR §483.151(f)(1) or 42 CFR §483.151(f)(3).

F. Reinstatement. A training program whose approval was withdrawn may apply for reinstatement of approval by submitting a reinstatement application demonstrating that the program meets all of the applicable requirements of this chapter.

.10 Voluntary [Closing] Closure.

A. [When the facility, institution, or individual considers closing a nursing assistant training program, the facility, institution, or individual shall:

(1) Notify the Board in writing of the intended closing date; and

(2) Continue the program until the committed class schedule of currently enrolled students is completed.] When a training program provider considers closing a program, the training program provider shall:

(1) Notify the Board in writing of:

(a) The intended closing date; and

(b) The arrangements for custody and safeguarding of student and graduate records; and

(2) Continue the program until the committed class schedule of currently enrolled students is completed.

B. Custody of Student Records.

(1) [If the nursing assistant training program closes, but the controlling institution continues to function, the controlling institution shall assume responsibility for the records of the students and the graduates. The Board shall be advised of the arrangements made to safeguard the records.] If the training program provider is a facility or educational institution that will continue to function, the facility or educational institution shall assume responsibility for the student and graduate records of the closed training program.

(2) [If a controlling institution that has obtained a certificate of approval from the Maryland Higher Education Commission plans to cease operations, the institution shall file the records of students and graduates, or legible copies of those records, with the Maryland Higher Education Commission as required by Education Article, §11-401, Annotated Code of Maryland.] Except as provided in §B(1) of this regulation, a training program provider that is required to obtain approval from the Maryland Higher Education Commission (MHEC) shall file student and graduate records, or legible copies of those records, with MHEC in accordance with Education Article, §11-401, Annotated Code of Maryland.

(3) [If a controlling institution that is not required to obtain Maryland Higher Education Commission approval plans to cease operations, the Board and the controlling institution shall reach a mutual agreement about the disposition of student records.] A training program provider that is not required to obtain MHEC approval shall reach a mutual agreement with the Board about the disposition of student records.

.11 Hybrid Nursing Assistant Training Programs.

A. Scope. This regulation applies to hybrid nursing assistant training programs.

B. Approval. The Board shall approve a hybrid training program that meets all of the requirements of this regulation.

C. Prerequisite Qualifications. A program seeking initial approval as a hybrid training program shall:

(1) Comply with the requirements set forth in Regulation .02 of this chapter;

(2) Be approved by the Board as a traditional training program for at least 2 years before the program applies for initial approval as a hybrid training program; and

(3) Comply with all requirements set forth under this chapter and be in good standing with the Board at the time that the program applies for initial approval as a hybrid training program.

D. Application and Approval Requirements.

(1) A training program seeking initial approval as a hybrid training program shall apply for approval on a form required by the Board.

(2) To be eligible for Board approval, a hybrid training program shall:

(a) Host sessions no longer than 4 hours per session;

(b) Specify the technology platform to be used for each content area of the curriculum;

(c) Conduct lab and clinical training:

(i) In person with a course instructor who meets the requirements under Regulation .04 of this chapter; and

(ii) No later than 2 weeks after the completion of didactic instruction;

(d) Require test sessions to be conducted in person;

(e) Have a policy, which is provided to the Board as a part of the application, for:

(i) Admissions, including determining whether a student has sufficient access to a computer and learning resources;

(ii) Orienting students to online modules;

(iii) Providing troubleshooting assistance for enrolled students; and

(iv) In the case of technology failure, an alternative method of instruction and notification to the Board of the technology failure and the use of the alternative method of instruction;

(f) Have sufficient mechanisms for:

(i) Requiring the use of a personal identification number that confirms the identity of the students and instructor;

(ii) Ensuring that all students have demonstrated competency on all virtual education content;

(iii) Tracking and auditing active student participation in online instruction;

(iv) Confirming student identity during and after completion of online modules and live sessions; and

(v) Safeguarding appropriate security measures;

(g) Provide the Board with access rights to the program to verify program compliance and monitor distance learning sessions; and

(h) Provide the Board with statistics about the performance of students in the program, including:

(i) Student exam pass rates;

(ii) The rate at which students repeat each module of the program; and

(iii) Any other information requested by the Board regarding student participation in and

completion of the program.

E. Reapproval. An approved hybrid training program shall apply for renewal of approval in accordance with Regulation .08 of this chapter.

F. Withdrawal of Approval. The Board may withdraw approval of a hybrid training program in accordance with Regulation .09 of this chapter.

10.39.03 Certified Medicine Aides

Authority: Health Occupations Article, §8-205, Annotated Code of Maryland; Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(3) (text unchanged)

(4) Certified Nursing Assistant (CNA).

[(a) “Certified nursing assistant (CNA)” means an individual who is certified by the Board to routinely perform nursing tasks delegated by an RN or LPN for compensation.

(b) “Certified nursing assistant (CNA)” does not include:

(i) A medication assistant or a medication technician as defined in Health Occupations Article, §8-6A-01(f), Annotated Code of Maryland; or

(ii) An individual who merely provides assistance with activities of daily living unless the client's needs are such that adverse health consequences are predictable.]

(a) “Certified nursing assistant (CNA)” means an individual, regardless of title, who, for compensation and subject to regulations adopted by the Board, routinely performs:

(i) Nursing tasks delegated by a registered nurse, licensed practical nurse, or advanced practice registered nurse; or

(ii) Technical tasks delegated by a licensed certified midwife.

(b) “Certified nursing assistant (CNA)” does not include dialysis technician or medication technician.

(5) Certified Nursing Assistant-I (CNA-I).

(a) “Certified nursing assistant-I (CNA-I)” means a CNA who:

(i) Meets the requirements set by the Board and federal law; and

(ii) May practice in any practice setting.

(b) “Certified nursing assistant-I (CNA-I)” includes a:

(i) CNA who was certified as a geriatric nursing assistant on March 31, 2026;

(ii) Certified medicine aide; and

(iii) CNA who is certified pursuant to § 8-6A-05(c)(5) of the Health Occupations Article, Annotated Code of Maryland.

(6) “Certified nursing assistant-II (CNA-II)” means a CNA who:

(a) On March 31, 2026, was certified as a CNA but not certified as a geriatric nursing assistant; and

(b) May not practice in a nursing facility or skilled nursing facility.

[(5)] (7) (text unchanged)

[(6) “Geriatric nursing assistant (GNA)” has the meaning stated in COMAR 10.39.01.]

[(7)] (8)—[(8)] (9) (text unchanged)

.02 Certification and Qualification.

A. An applicant for certification as a CMA shall provide evidence satisfactory to the Board of meeting the following requirements:

(1) Current certification by the Board as an active [CNA] CNA-I in good standing;

(2) Current employment and work experience as required by the Board in a setting acceptable to the Board, including:

(a) Current employment and 2 years of full-time experience as a [CNA] CNA-I in a facility licensed under 42 CFR Part 483 et seq.; or

(b) Current employment and 1 year of full-time experience as a [GNA] CNA-I in a facility licensed in Maryland under COMAR 10.07.02; and

(3) (text unchanged)

B. (text unchanged)

C. Before renewal of certification as a CMA, and subject to the requirements in Health Occupations Article, §8-6A-08, Annotated Code of Maryland, and [COMAR 10.39.01.06] COMAR 10.39.01.09, the applicant shall:

(1)—(2) (text unchanged)

MEENA SESHAMANI, MD, PhD
Secretary of Health

Errata

COMAR 10.01.23

At 53:4 Md. R. 185 (February 20, 2026), column 1, lines 6—7 from the bottom:

For: A.—C. (proposed text unchanged)

D. Eligible Practice Sites. An eligible practice site shall:

Read: A.—B. (proposed text unchanged)

C. Eligible Practice Sites. An eligible practice site shall:

[26-05-16]

Special Documents

DEPARTMENT OF THE ENVIRONMENT

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 26-WQC-0001

Maryland Transportation Authority

300 Authority Drive

Baltimore, MD 21222

Add’l. Info: Pursuant to COMAR 26.08.02.10F(1)(d), the Maryland Department of the Environment is providing notice of a scheduled Public Hearing for Water Quality Certification 26-WQC-0001.

Location: US 50 over Chesapeake Bay, within Anne Arundel and Queen Anne’s Counties

The Maryland Transportation Authority has requested a Water Quality Certification for construction of pier protections at the Chesapeake Bay Bridge. The project will include construction of a protection system to the piers closest to the main navigation spans that accommodate inbound and outbound vessel traffic in the federal navigation channel. The protection structures are designed to protect the Chesapeake Bay Bridge against vessel impacts, mainly the four towers supporting the main spans of the Eastbound and Westbound Bay Bridges adjacent to the federal navigation channel. The total proposed permanent impacts are 147,280 square feet of fill (3.38 acres) within State tidal waters.

The purpose of this notice is to solicit comments from the public about the proposed work and to announce the date of a Maryland Department of the Environment public informational hearing on the request for certification. At this time, no decision has been made as to whether a certification will be issued. Two public informational hearings will be held. One public informational hearing has been scheduled for the referenced project on Monday, April 20, 2026 at the Anne Arundel Community College, Arnold Campus, 101 College Pkwy, Arnold, MD 21012. An in-person poster session will be held from 6:00 PM to 6:30 PM; the informational hearing will begin at 6:30 PM and end no later than 8:00 PM. A second public informational hearing has been scheduled on Thursday, April 23, 2026 at the Kent Island Volunteer Fire Department, 1610 Main St, Chester, MD 21619. An in-person poster session will be held from 6:00 PM to 6:30 PM; the informational hearing will begin at 6:30 PM and end no later than 8:00 PM. Written comments will be accepted until April 30, 2026. Additional information on this project is available at the following link: https://mde.maryland.gov/programs/water/WetlandsandWaterways/Pages/BayBridgeProtection.aspx.

Please be aware that the Public Informational Hearings are accessible to individuals with disabilities as defined under the Americans with Disabilities Act (ADA). Individuals who require reasonable accommodation or a language interpreter to participate in the scheduled meeting should contact MDE by email at [email protected] or call 410-537-3152 (MD Relay TTY: 7-1-1) at least 5 business days in advance of the meeting.

Contact: Ed Tinney at ed.tinney@maryland.gov or 410-537-3745.

[26-05-11]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 25-WQC-0014

Vidi Aquam LLC

c/o Amanda Poskaitis

1753 Ebling Trail

Annapolis, MD 21401

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 25-WQC-0014

Location: This project is located at 2625 Grove Neck Rd., Earleville, MD 21919.

The purpose of the project is to control shoreline erosion, create marsh habitat, and improve riparian access

Description of Authorized Work:

1. Remove an existing pier and associated structures.

2. Construct a living shoreline with two headland control structures (breakwaters) that include anchored woody material along approximately 631 linear feet of shoreline:

a) Breakwater 1 is approximately 325 feet long by 87.5 feet wide, not to exceed 165 feet channelward of the mean high water line;

b) breakwater 2 is approximately 237.5 feet long by 87.5 feet , not to exceed 165 feet channelward of the mean high water line;

c) Install approximately 2,148 cubic yards of sand and 2,855 cubic yards of stone for tombolo/habitat construction and plant with approximately 8,612 square feet of low marsh vegetation, 9,559 square feet of high marsh vegetation, and 11,699 square feet of vegetation above the current upper limits of tidal wetlands.

3. Construct a 165-foot long by 6-foot wide timber pier with a 20-foot long by 10-foot wide “hammerhead” platform, a 34-foot long “L” shaped finger pier, three boat lifts with associated piles, two dolphins, and one osprey platform, all within a maximum of 175-feet channelward of the mean high water line.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision: This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision, and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Miles Simmons at [email protected] or at 410-901-4044.

[26-05-10]

General Notices

Notice of ADA Compliance

The State of Maryland is committed to ensuring that individuals with disabilities are able to fully participate in public meetings. Anyone planning to attend a meeting announced below who wishes to receive auxiliary aids, services, or accommodations is invited to contact the agency representative at least 48 hours in advance, at the telephone number listed in the notice or through Maryland Relay.

CANNABIS PUBLIC HEALTH ADVISORY COUNCIL

Subject: Public Meeting

Date and Time: April 15, 2026, 4—6 p.m.

Place: Google Meet joining info
Video call link: https://meet.google.com/btq-rgds-cah
Or dial: (US) +1 240-623-1615 PIN: 544 531 272#
Contact: Jody Sheely 443-683-1511

[26-05-03]

STATE COLLECTION AGENCY LICENSING BOARD

Subject: Public Meeting

Date and Time: April 14, 2026, 2—3 p.m. Thereafter, the public meetings will take place the second Tuesday of every month, accessed via the Google Meet information below.

Place: Google Meet joining info:
Video call link: https://meet.google.com/xvf-xcuh-dou
Or dial: (US) +1 716-332-3758 PIN: 696 128 539#
More phone numbers: https://tel.meet/xvf-xcuh-dou?pin=6064082328141
Add'l. Info: If necessary, the Board will convene in a closed session to seek the advice of counsel or review confidential materials, pursuant to General Provisions Article, Maryland Annotated Code §3-305.

Contact: Ayanna Daugherty 410-230-6019

[26-05-09]

DEPARTMENT OF THE ENVIRONMENT

Subject: Public Meeting

Date and Time: March 25, 2026, 9 a.m.—4 p.m.

Place: 1800 Washington Blvd, Baltimore, MD

Add'l. Info: Board of Well Drillers Monthly Meeting
Time zone: America/New_York
Google Meet joining info
Video call link: https://meet.google.com/oif-ebvx-acw
Or dial: (US) +1 401-830-2792 PIN: 175 410 239#
More phone numbers: https://tel.meet/oif-ebvx-acw?pin=2883363267752

Contact: Amanda Redmiles 410-537-4466

[26-05-02]

DEPARTMENT OF THE ENVIRONMENT

Subject: Public Meeting

Date and Time: March 25, 2026, 9 a.m.—4 p.m.

Place: 1800 Washington Blvd, Baltimore, MD

Add'l. Info: Board of Well Drillers Monthly Meeting
Time zone: America/New_York
Google Meet joining info
Video call link: https://meet.google.com/oif-ebvx-acw
Or dial: (US) +1 401-830-2792 PIN: 175 410 239#
More phone numbers: https://tel.meet/oif-ebvx-acw?pin=2883363267752

Contact: Amanda Redmiles 410-537-4466

[26-05-02]

COMMISSIONER OF FINANCIAL REGULATION

Subject: Public Meeting

Date and Time: March 17, 2026, 9:30—10:30 a.m.

Place: Online via Google Meet.
Google Meet information for participation via web conference will be posted to the Office of Financial Regulation website.,

Add'l. Info: This is the fifth meeting of the Advisory Board for the Maryland Community Investment Venture Fund assembled to assist the Office of Financial Regulation pursuant to Financial Institutions Article, §2-118.1, Annotated Code of Maryland. If necessary, the Advisory Board will convene in a closed session to seek advice of counsel or review confidential materials, pursuant to General Provisions Article, §3-305, Annotated Code of Maryland.

Contact: Stephen J. Clampett 443-915-2383

[26-05-15]

COMMISSIONER OF FINANCIAL REGULATION

Subject: Public Meeting

Date and Time: March 20, 2026, 1—3 p.m.

Place: Google Meet joining info:
Video call link: https://meet.google.com/mco-cjpg-dqj
Or dial: (US) +1 262-885-7022 PIN: 550 367 512#
More phone numbers: https://tel.meet/mco-cjpg-dqj?pin=1299343031366
Add'l. Info: Maryland Licensing Workgroup - This is the sixth meeting of the Maryland Licensing Workgroup assembled to assist the Office of Financial Regulation pursuant to Chapter 119 (H.B.1516), Acts of 2025.

Contact: Meredith Merchant 410-230-6099

[26-05-06]

MARYLAND HEALTH CARE COMMISSION

Subject: Public Meeting

Date and Time: March 19, 2026, 1—4 p.m.

Place: 4160 Patterson Avenue, Room 100, Baltimore, MD

Add'l. Info: Meeting will be hybrid. To attend via Zoom, please register on the Commission webpage: www.mhcc.maryland.gov

Contact: Valerie Wooding 410-764-3570

[26-05-01]

MARYLAND HEALTH CARE COMMISSION

Subject: Notice of Applications for Acquisitions - CommuniCare

Add'l. Info: On February 9, 2026, the Commission posted applications for the acquisition of 18 Maryland nursing homes currently owned by CommuniCare. The Commission is soliciting public comment on these acquisitions for the next 30 days. Please send all comments to:

Maryland Health Care Commission
[email protected]
4160 Patterson Ave Baltimore, MD 21215
410-764-3460

Contact: Deanna Dunn 410-764-3276

[26-05-07]

MARYLAND INSURANCE ADMINISTRATION

Subject: Public Hearing

Date and Time: March 19, 2026, 1 —4 p.m.

Add'l. Info: The Maryland Insurance Administration will conduct a public hearing on specific rate increase requests being made by certain Long-Term Care Insurance carriers operating in Maryland. The hearing will focus on a rate increase requests before the Maryland Insurance Administration. In the individual long-term care market, this include a requests from American General Life Insurance and Transamerica Life Insurance Company. The purpose of the hearing is for insurance company officials to explain the reasons for the rate increases, and for the MIA to consider whether the proposed rate increase is in compliance with Maryland’s laws and regulations relating to long-term care insurance. Interested stakeholders will also have the opportunity to provide comments at the hearing. Prior to the hearing, copies of each company’s actuarial memorandum will be posted to the Maryland Insurance Administration’s website.The hearing will be held via Zoom.Thursday March 19, 2026, 1—4 p.m.

The Zoom dial-in information is below:
Dial-in Information:
ZoomGov Link:  https://maryland-insurance.zoomgov.com/j/1613185624
Dial-in: (646) 828-7666 
Webinar ID: 161 318 5624
Information about the Maryland Relay Service can be found at doit.maryland.gov/mdrelay
If you wish to provide oral testimony, please RSVP to Nancy Muehlberger. Testimony will only be heard from those who have RSVP’d in advance of the public hearing. Written comments and RSVPs should be sent to Nancy Muehlberger by March 14, 2026, either by email to:
[email protected] or by mail to 200 St. Paul Place, Suite 2700, Baltimore, Md. 21202 or by fax to 410-468-2038.
Any questions regarding this matter should be directed to Nancy Muehlberger, Analyst, by March 14, 2026 by email to [email protected].

For more information on the hearing, please see the following link:
https://insurance.maryland.gov/Consumer/Pages/Long-Term-Care-Hearing-March-19-2026.aspx

Contact: Nancy Muehlberger 410-468-2050

[26-05-08]

MARYLAND STATE LOTTERY AND GAMING CONTROL COMMISSION

Subject: Public Meeting

Date and Time: March 26, 2026, 10 a.m.—12 p.m.

Place: Montgomery Business Park
1800 Washington Blvd - Ste 330, Baltimore, MD

Add'l. Info: Meeting will be in person at Lottery Headquarters. A link to view the livestream will be available on the website the day of the meeting - https://www.mdgaming.com/commission-meeting-3-26-2026/

Contact: Kathy Lingo 410-230-8790

[26-05-05]

BOARD OF OCCUPATIONAL THERAPY PRACTICE

Subject: Public Meeting

Date and Time: March 20, 2026, 9:30 a.m.—12 p.m.

Place: via Google Meet

Add'l. Info: Health Occupations Article, Title 10, Annotated Code of Maryland, and COMAR 10.46 amendments, additions, and revisions, including fee changes, may be discussed/voted on. Budget information may also be discussed. It may be necessary to go into executive session. Sign language interpreters and/or appropriate accommodations for qualified individuals with disabilities will be provided upon request. Please call 1-800-735-2255.

Contact: Lauren Murray 410-402-8556

[26-05-04]

DEPARTMENT OF VETERANS AND MILITARY FAMILIES /
MARYLAND VETERANS HOME COMMISSION

Subject: First meeting of the year.

Date and Time: March 11, 10:30—11:30 a.m.

Place: Charlotte Hall Veterans Home inside the Assisted Living Facility (Murphy Hall)29449 Charlotte Hall Rd, Charlotte Hall, MD 20622

Contact: Rodney Jones at 240-249-0478

[26-05-20]

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[JL1]Pending: should we include an opt-out or veto? As of 1/14 AB and TR were undecided.

[JL2]Proposed language:

“A.(1) If selected for a pilot program, a licensee may request to be excused from participation if the participation would present an undue hardship as determined by the Administration.

(2) A licensee may be excused from participation based on undue hardship no more than twice during a license period.”

OR

“E. A licensee may request to be excluded from participation in the pilot program up to twice in the license period, if participation in the pilot program would represent an undue hardship as determined by the Administration.”

[AB3]Given the “may require” in A, I think opt-out language is unnecessary and can be communicated through guidance