MarylandHB 12842026 Regular SessionHouseWALLET

Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 0 costs, 2 mixed.

Home care agencies can train licensed nurses

Beginning October 1, 2026, residential service agencies that offer private duty nursing can hire a licensed nurse who lacks the Department’s required experience if the agency runs a state‑approved training and competency program. The agency must train the nurse to match patient needs, provide supervision by a qualified registered nurse, and assign a preceptor until the nurse proves competency. The agency must document completion in the personnel file and check competency at least once a year, or more often if the Department requires. The Maryland Department of Health must approve the training and the evaluations. These steps expand hiring while keeping patient safety protections in place.

Training rules do not change licensing

Beginning October 1, 2026, the new training and supervision rules for residential service agencies do not change nurse licensing, scope of practice, or standards of care. All existing professional licensing rules stay the same.

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Sponsors & Cosponsors

Sponsor

Guy Guzzone
Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 169 • No: 0

Senate vote • 4/13/2026

Third Reading Passed

Yes: 34 • No: 0

House vote • 3/23/2026

Third Reading Passed

Yes: 135 • No: 0 • Other: 3

Actions Timeline

Approved by the Governor - Chapter 217
4/28/2026
Returned Passed
4/13/2026House
Third Reading Passed (34-0)
4/13/2026Senate
Second Reading Passed
4/10/2026Senate
Favorable Adopted
4/10/2026Senate
Favorable Report by Finance
4/10/2026Senate
Hearing 3/31 at 1:00 p.m.
3/25/2026Senate
Referred Finance
3/23/2026Senate
Third Reading Passed (135-0)
3/23/2026House
Favorable Adopted Second Reading Passed
3/21/2026House
Favorable Report by Health
3/21/2026House
Hearing 3/11 at 3:10 p.m.
3/11/2026House
Hearing canceled
3/11/2026House
Hearing 3/11 at 2:40 p.m.
3/11/2026House
Hearing canceled
3/11/2026House
Hearing 3/11 at 2:15 p.m.
3/11/2026House
Hearing canceled
3/11/2026House
Hearing 3/11 at 1:00 p.m.
2/13/2026House
First Reading Health
2/12/2026House

Bill Text

Third Reading
3/21/2026
PDF
First Reading
2/12/2026
PDF

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