MANA
2025 Legislative Bill Tracking
Monday, December 8, 2025 4:00 AM


Bill (Crossfile)Bill Title & Upcoming HearingsSponsorStatusPosition / PriorityNotes
HB 19 (SB 216) Health Occupations - Nursing - Loan Repayment, Education, and Sunset Extension (Building Opportunities for Nurses Act of 2025)

Support
Chair, Health and Government Operations CommitteeApproved by the Governor - Chapter 416 (5/6) Support
Support

House Bill 19, also known as the "Building Opportunities for Nurses Act of 2025":
  • Purpose: The bill aims to alter the Maryland Loan Assistance Repayment Program for Nurses, update education requirements for nursing licensure, and extend the sunset provisions for the State Board of Nursing.

  • Key Changes:

    • Renames the Maryland Loan Assistance Repayment Program for Nurses and Nursing Support Staff to the Maryland Loan Assistance Repayment Program for Nurses.

    • Updates education requirements for licensure in registered nursing and licensure by endorsement in registered nursing.

    • Repeals the requirement for the State Board of Nursing to approve nursing assistant training program sites within a certain period.

    • Extends the termination dates of certain preceptorship program tax credits and provisions governing the authority of the Secretary of Health over the Board's staffing and infrastructure operations.

    • Establishes priorities for funding the repayment of education loans for nurses practicing in areas with healthcare workforce shortages or public health needs.



HB 39 (SB 356) Public Health - Repeal of Prohibition on Transfer of Human Immunodeficiency Virus (Carlton R. Smith Act) FairApproved by the Governor - Chapter 651 (5/20)
House Bill 39, also known as the "Public Health - Prohibition on Transfer of Human Immunodeficiency Virus - Repeal":
  • Purpose: The bill aims to repeal the prohibition on an individual from knowingly transferring or attempting to transfer the human immunodeficiency virus (HIV) to another individual.

  • Key Changes:

    • Repeals the prohibition on knowingly transferring or attempting to transfer HIV.

    • Removes the misdemeanor penalty for violating this prohibition, which previously included a fine of up to $2,500 or imprisonment for up to 3 years, or both.



HB 496 Income Tax - Credits for Nursing Program Preceptors in Areas With Health Care Workforce Shortages - Alterations R. LewisIn the House - Hearing 2/06 at 1:00 p.m. (Ways and Means) (1/21)
House Bill 496, titled "Income Tax - Credits for Nursing Program Preceptors in Areas With Health Care Workforce Shortages - Alterations":

- **Training Hours**: Alters the number of training hours required for health care practitioners to qualify for a state income tax credit.

- **Preceptorship Program**: Defines the preceptorship program and its requirements.

- **Credit Amount**: Specifies the amount of credit that can be claimed and the conditions under which it can be claimed.

- **Fund**: Establishes the Nurse Practitioner Preceptorship Tax Credit Fund to offset the costs of the tax credit.

- **Reporting**: Requires the Department of Health to report on the utilization of the tax credit and the status of the fund. The bill aims to support health care practitioners serving as preceptors in areas with health care workforce shortages by providing tax incentives.

HB 602 (SB 407) State Board of Nursing - Advanced Practice Nursing Licensure and Specialty Certification - Reciprocity Discussions (Maryland Border States Advanced Practice Nursing Act) HutchinsonApproved by the Governor - Chapter 673 (5/20)
House Bill 602, also called the Maryland Border States Advanced Practice Nursing Act, requires the State Board of Nursing to engage in discussions with neighboring jurisdictions (Delaware, Pennsylvania, Virginia, West Virginia, and the District of Columbia) to establish reciprocity agreements for advanced practice nursing licensure and specialty certification. The goal is to improve licensure portability, access to advanced practice registered nurses, and telehealth services. Reports on the progress and challenges of these discussions are due annually starting November 1, 2025, for four years. The act takes effect on July 1, 2025

HB 776 (SB 423) Maryland Medical Practice Act and Maryland Physician Assistants Act - Revisions Pena-MelnykApproved by the Governor - Chapter 676 (5/20)
House Bill 776, titled the Maryland Medical Practice Act and Maryland Physician Assistants Act - Revisions, introduces significant updates and reforms. Key provisions include: Language Updates: Streamlines and modernizes terminology across health occupation laws. Licensing Adjustments: Revises licensure requirements and exceptions for physicians, physician assistants, and allied health professionals. Disciplinary Measures: Expands grounds for disciplinary actions and enforces stricter reporting and administrative penalties. Regulatory Oversight: Grants enhanced authority to the State Board of Physicians, including allied health advisory committees. Fee Allocations: Adjusts fee usage and increases fines to fund healthcare regulation and rehabilitation programs. Administrative Improvements: Adds provisions for administrative penalties, streamlined application processing, and updated communication protocols. The act aims to enhance healthcare oversight and takes effect on October 1, 2025.

HB 1086 Maryland Medical Assistance Program and Health Insurance - Coverage for Anesthesia - Prohibiting Time Limitations MartinezApproved by the Governor - Chapter 683 (5/20)
The bill mandates that, starting January 1, 2026, the Maryland Medical Assistance Program, managed care organizations, and certain insurers provide coverage for anesthesia services without imposing time limitations.

HB 1288 (SB 658) Labor and Employment - Noncompete and Conflict of Interest Provisions RoseIn the House - Hearing canceled (2/26)
see crossfile

HB 1380 (SB 676) Health Care Facilities - Hospitals and Freestanding Birthing Centers - Perinatal Care Standards Pena-MelnykApproved by the Governor - Chapter 709 (5/20)
Purpose: To establish minimum perinatal care standards for hospitals and freestanding birthing centers. Key Provisions: Regulations for Perinatal Care: The Maryland Department of Health must adopt regulations setting minimum perinatal care standards that meet or exceed the Maryland Perinatal System Standards. Hospitals providing obstetrical services must comply with these standards as a condition of licensure. Freestanding Birthing Centers: Freestanding birthing centers must also meet the established minimum perinatal care standards as a condition of licensure. Standards Coverage: These standards will include various aspects of perinatal care to ensure quality and safety for patients. Effective Date: October 1, 2025.

SB 216 (HB 19) Health Occupations - Nursing - Loan Repayment, Education, and Sunset Extension (Building Opportunities for Nurses Act of 2025) Chair, Finance CommitteeIn the House - First Reading House Rules and Executive Nominations (4/5) Support
Purpose:
  • Update Nursing Loan Repayment and Education:

    • Rename and alter the Maryland Loan Assistance Repayment Program for Nurses.

    • Extend the sunset provisions for the Board of Nursing and related programs.

Key Provisions:

  • Loan Assistance Program:

    • Modify the name and purpose of the loan assistance repayment program.

    • Remove certain nursing support staff from eligibility.

  • Education Requirements:

    • Update education requirements for licensure in registered nursing.

    • Allow certain licensure by endorsement based on degree and clinical practice hours.

  • Regulatory Changes:

    • Extend the termination dates for various nursing-related programs and tax credits.

    • Authorize the State Board of Nursing to develop regulations for nurse education and licensure.

Effective Date: June 1, 2025.

SB 356 (HB 39) Public Health - Repeal of Prohibition on Transfer of Human Immunodeficiency Virus (Carlton R. Smith Act) SmithApproved by the Governor - Chapter 652 (5/20)
House Bill 356, also known as the "State Prescription Drug Benefits - Retirees":
  • Purpose: The bill aims to authorize certain retirees who began State service before a certain date to be eligible for prescription drug benefits in the State Employee and Retiree Health and Welfare Benefits Program.

  • Key Changes:

    • Specifies that prescription drug benefits shall be discontinued for certain Medicare-eligible retirees who began State service on or after a certain date and their Medicare-eligible spouses and dependent children.

    • Repeals the Maryland State Retiree Prescription Drug Coverage Program, the Maryland State Retiree Catastrophic Prescription Drug Assistance Program, and the Maryland State Retiree Life-Sustaining Prescription Drug Assistance Program.

    • Repeals a requirement that the Secretary of Budget and Management provide a certain notice.

    • Repeals a requirement for the Department of Budget and Management to submit certain reports and ensure Medicare-eligible retirees have access to certain services.



SB 407 (HB 602) State Board of Nursing - Advanced Practice Nursing Licensure and Specialty Certification - Reciprocity Discussions (Maryland Border States Advanced Practice Nursing Act) BeidleApproved by the Governor - Chapter 674 (5/20)
see crossfile

SB 423 (HB 776) Maryland Medical Practice Act and Maryland Physician Assistants Act - Revisions BeidleApproved by the Governor - Chapter 675 (5/20)
see cross file

SB 658 (HB 1288) Labor and Employment - Noncompete and Conflict of Interest Provisions ReadyIn the Senate - Hearing 2/19 at 1:00 p.m. (2/3)
Purpose:
  • Noncompete and Conflict of Interest Provisions:

    • Alter the provisions in employment contracts to ensure they are fair and not against public policy.

Key Provisions:

  • Applicability:

    • Applies to employment contracts for employees earning equal to or less than 150% of the state minimum wage, those licensed under the Health Occupations Article earning less than $350,000 annually, and licensed veterinary practitioners or technicians.

  • Prohibited Provisions:

    • Noncompete or conflict of interest provisions restricting an employee's ability to work in the same or similar business after separation from the employer are null and void.

    • Exceptions exist for contracts involving the use of client or patient lists or proprietary information.

  • Limitations:

    • For employees licensed under the Health Occupations Article earning more than $350,000 annually, noncompete provisions are limited to one year and a 10-mile geographical restriction.

    • Employers must inform patients of the new location of a former employee upon request.

Effective Date: October 1, 2025.

SB 676 (HB 1380) Health Care Facilities - Hospitals and Freestanding Birthing Centers - Perinatal Care Standards GileApproved by the Governor - Chapter 708 (5/20)
see crossfile