DISSINTER

HB 498 — Maryland

Certificate of Need - Intermediate Health Care Facilities

Repealing the exemption from the certificate of need requirement for a change in bed capacity for intermediate care facilities that offer substance use disorder treatment services; providing a certificate of need is not required for a change in bed capacity at certain facilities offering certain treatment services if a written notice is filed with the Commission 45 days before the facility's establishment, the facility is consistent with the State Health Plan, will result in more efficient service delivery, and is in the public interest; etc.

Latest action: Approved by the Governor - Chapter 69 · Apr 14, 2026

EnactedCertificationsHealthHealth Care CommissionHealth Care FacilitiesHealth Care Facilities and RegulationHealth Planning and Cost ReviewNoticesStandards and Best PracticesSubstance Abuse TreatmentTime

Synopsis written by the legislature's own staff, as published on the official bill page. Status label is derived from the recorded actions. The full text below is the record.

Committees: Health (House of Delegates); Finance (Senate)

Updated Apr 22, 2026

Timeline

  1. First Reading Health

    Jan 27, 2026 · House of Delegates

  2. Hearing 2/11 at 1:30 p.m.

    Jan 28, 2026 · House of Delegates

  3. Hearing canceled

    Feb 11, 2026 · House of Delegates

  4. Hearing 2/11 at 2:00 p.m.

    Feb 11, 2026 · House of Delegates

  5. Favorable Report by Health

    Feb 23, 2026 · House of Delegates

  6. Favorable Adopted

    Feb 24, 2026 · House of Delegates

  7. Second Reading Passed

    Feb 24, 2026 · House of Delegates

  8. Third Reading Passed

    Feb 26, 2026 · House of Delegates

  9. Referred Finance

    Feb 27, 2026 · Senate

  10. Favorable Report by Finance

    Mar 30, 2026 · Senate

  11. Favorable Adopted Second Reading Passed

    Mar 31, 2026 · Senate

  12. Third Reading Passed

    Apr 6, 2026 · Senate

  13. Returned Passed

    Apr 7, 2026 · House of Delegates

  14. Approved by the Governor - Chapter 69

    Apr 14, 2026 · executive

Sponsored by Bonnie Cullison

House of Delegates vote — 132–4

On Third Reading · Feb 20, 2026 · result: pass

132 yea · 4 nay · 5 absent, excused, abstain or not voting

Frank ConawayDistrict 40YeaAndre JohnsonDistrict 34AYeaJulie Palakovich CarrDistrict 17YeaDana SteinDistrict 11BYeaGabriel AceveroDistrict 39YeaCharlotte CrutchfieldDistrict 19YeaSteve JohnsonDistrict 34AYeaCheryl PasteurDistrict 11AYeaVaughn StewartDistrict 19YeaChris AdamsDistrict 37BYeaBonnie CullisonDistrict 19YeaDana JonesDistrict 30AYeaEdith PattersonDistrict 28YeaSean StinnettDistrict 41YeaJackie AddisonDistrict 45YeaDebra DavisDistrict 28YeaAnne KaiserDistrict 14YeaScott PhillipsDistrict 10YeaJosh StonkoDistrict 42CYeaNick AllenDistrict 8YeaEric EbersoleDistrict 44AYeaAaron KaufmanDistrict 18YeaJesse PippyDistrict 4YeaDeni TaverasDistrict 47BYeaTiffany AlstonDistrict 24YeaElizabeth EmbryDistrict 43AYeaKen KerrDistrict 3YeaAndrew PruskiDistrict 33AYeaKym TaylorDistrict 23YeaMarlon AmpreyDistrict 40YeaKris FairDistrict 3YeaNic KipkeDistrict 31YeaLily QiDistrict 15YeaJen TerrasaDistrict 13YeaKevin AndersonDistrict 38AYeaJessica FeldmarkDistrict 12AYeaMarc KormanDistrict 16YeaPam QueenDistrict 14YeaKaren TolesDistrict 25YeaLauren ArikanDistrict 7BYeaDiana FennellDistrict 47AYeaMary LehmanDistrict 21YeaTeresa ReillyDistrict 35AYeaChris TomlinsonDistrict 5YeaHeather Bagnall TudballDistrict 33CYeaLinda FoleyDistrict 15YeaRobbyn LewisDistrict 46YeaKent RobersonDistrict 25YeaVeronica TurnerDistrict 26YeaTerry BakerDistrict 1CYeaCathi ForbesDistrict 43BYeaJeff LongDistrict 27BYeaDenise RobertsDistrict 25YeaKris ValderramaDistrict 26YeaBen BarnesDistrict 21YeaDavid Fraser-HidalgoDistrict 15YeaBob LongDistrict 6YeaMike RogersDistrict 32YeaWilliam ValentineDistrict 2AYeaSandy BartlettDistrict 32YeaJeff GhristDistrict 36YeaLesley LopezDistrict 39YeaApril RoseDistrict 5YeaJoe VogelDistrict 17YeaBarry BeauchampDistrict 38BYeaMike GriffithDistrict 35AYeaSandy RosenbergDistrict 41YeaRon WatsonDistrict 23YeaDylan BehlerDistrict 30AYeaMichele GuytonDistrict 42BYeaKim RossDistrict 8YeaMelissa WellsDistrict 40YeaHarry BhandariDistrict 8YeaGuy GuzzoneDistrict 13YeaAletheia McCaskillDistrict 44BYeaMalcolm RuffDistrict 41YeaJennifer White HollandDistrict 10YeaAdrian BoafoDistrict 23YeaAndrea HarrisonDistrict 24YeaSusan McComasDistrict 34BYeaSheila RuthDistrict 44BYeaJheanelle WilkinsDistrict 20YeaChristopher BouchatDistrict 5YeaWayne HartmanDistrict 38CYeaRic MetzgarDistrict 6YeaSheree Sample-HughesDistrict 37AYeaNicole WilliamsDistrict 22YeaRegina BoyceDistrict 43AYeaAnne HealeyDistrict 22YeaApril MillerDistrict 4YeaMatthew SchindlerDistrict 2BYeaGreg WimsDistrict 39YeaJason BuckelDistrict 1BYeaTerri HillDistrict 12AYeaBernice Mireku-NorthDistrict 14YeaStuart SchmidtDistrict 33BYeaWilliam WivellDistrict 2AYeaJon CardinDistrict 11BYeaJim HinebaughDistrict 1AYeaDavid MoonDistrict 20YeaEmily ShettyDistrict 18YeaSarah WolekDistrict 16YeaMark ChangDistrict 32YeaMarvin HolmesDistrict 23YeaGabriel MorenoDistrict 13YeaGary SimmonsDistrict 12BYeaJamila WoodsDistrict 26YeaLorig CharkoudianDistrict 20YeaKevin HornbergerDistrict 35BYeaMatt MorganDistrict 29AYeaKaren SimpsonDistrict 3YeaTeresa WoormanDistrict 16YeaBrian ChisholmDistrict 31YeaSeth HowardDistrict 30BYeaTodd MorganDistrict 29CYeaWill SmithDistrict 20YeaChao WuDistrict 9AYeaBarrie CilibertiDistrict 4YeaTom HutchinsonDistrict 37BYeaLaToya NkongoloDistrict 31YeaJared SolomonDistrict 18YeaCaylin YoungDistrict 45YeaLuke ClippingerDistrict 46YeaJulian IveyDistrict 47AYeaDarrell OdomDistrict 27AYeaRyan SpiegelDistrict 17YeaNatalie ZieglerDistrict 9AYeaDerrick ColeyDistrict 24YeaJay JacobsDistrict 36YeaMark FisherDistrict 27CNayRobin GrammerDistrict 6NayRyan NawrockiDistrict 7ANayKathy SzeligaDistrict 7ANaySteve ArentzDistrict 36AbsentBrian CrosbyDistrict 29BAbsentMark EdelsonDistrict 46AbsentAdrienne JonesDistrict 10AbsentC.T. WilsonDistrict 28Absent
Speakeras recorded — not linked to a profileYea
Mangioneas recorded — not linked to a profileYea
Martinezas recorded — not linked to a profileYea
Official record — Maryland General Assembly roll call

Senate vote — 46–0

HB 498 HB 529 HB 619 HB 747 HB 838 HB 878 HB 975 HB 1002 HB 1389 HB 1420 · Mar 17, 2026 · result: pass

46 yea · 0 nay · 1 absent, excused, abstain or not voting

Arthur EllisDistrict 28YeaKatie HesterDistrict 9YeaKaren YoungDistrict 3YeaBryan SimonaireDistrict 31YeaDalya AttarDistrict 41YeaBrian FeldmanDistrict 15YeaShelly HettlemanDistrict 11YeaSara LoveDistrict 16YeaWill SmithDistrict 20YeaMalcolm AugustineDistrict 47YeaBill FoldenDistrict 4YeaCarl JacksonDistrict 8YeaJohnny MautzDistrict 37YeaCharles SydnorDistrict 44YeaJack BaileyDistrict 29YeaJason GallionDistrict 35YeaMary-Dulany JamesDistrict 34YeaCory McCrayDistrict 45YeaJeff WaldstreicherDistrict 18YeaPam BeidleDistrict 32YeaDawn GileDistrict 33YeaJ.B. JenningsDistrict 7YeaMike McKayDistrict 1YeaAlonzo WashingtonDistrict 22YeaJoanne BensonDistrict 24YeaGuy GuzzoneDistrict 13YeaCheryl KaganDistrict 17YeaAnthony MuseDistrict 26YeaMary WashingtonDistrict 43YeaBen BrooksDistrict 10YeaKevin HarrisDistrict 27YeaNancy KingDistrict 39YeaJustin ReadyDistrict 5YeaRon WatsonDistrict 23YeaMary Beth CarozzaDistrict 38YeaAntonio HayesDistrict 40YeaBen KramerDistrict 19YeaJim RosapepeDistrict 21YeaChris WestDistrict 42YeaNick CharlesDistrict 25YeaShaneka HensonDistrict 30YeaClarence LamDistrict 12YeaJohnny SallingDistrict 6YeaCraig ZuckerDistrict 14YeaPaul CordermanDistrict 2YeaSteve HersheyDistrict 36Absent
Mr. Presidentas recorded — not linked to a profileYea
Official record — Maryland General Assembly roll call
Fiscal and Policy Note — official analysis by legislative staff (PDF) Bill text (First reading) — Maryland General Assembly (PDF) Bill text (Third reading) — Maryland General Assembly (PDF) Official record — Maryland General Assembly bill page

Official records. Maryland legislators, bills and roll-call votes from the Maryland General Assembly, imported through Open States on Oct 27, 2026 (partial import — not yet the full session). Accuracy review against the official site is still under way. Campaign-finance records for Maryland are not imported yet.