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MarylandHB 04422026 Regular SessionHouse

Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

Sponsored By: Aaron M. Kaufman (Democratic)

Signed by Governor

Health Care Facilities and RegulationHealth OccupationsAssisted LivingElectronic CommunicationHealth Occupations -see also- (specific health occupations)Insurance -see also- Health Ins; MAIF; Motor Vehicle InsLiabilityMidwivesNamesNoticesNurses -see also- Nurse Practitioners; Nursing AssistantsNursing Homes -see also- AsstLiving; ContinCare; LTCareRecords -see also- Land Records; Vital RecordsSignaturesTime

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Bill Overview

Analyzed Economic Effects

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

Midwives must disclose insurance status

Beginning October 1, 2026, nurse midwives and licensed certified midwives must tell patients in writing if they have no professional liability insurance or it has lapsed and not been renewed. Patients get the notice at the first visit during any uninsured period, except visits for incidental free care. The notice is also part of each informed consent before any procedure is discussed or offered. The patient signs the notice at the visit or when consent is signed, and the midwife keeps it in the patient record. Midwives without coverage must post a clear, visible notice at the practice.

Nursing homes and assisted living insurance notice

Beginning October 1, 2026, nursing homes and facility-based assisted living programs must tell residents and applicants in writing if they have no professional liability insurance or it has lapsed and not been renewed. Prospective residents get the notice at their first visit during any uninsured period and at application if there is no coverage at admission. If coverage lapses, current residents must get notice within 30 days. The resident or applicant must sign the notice, and the provider keeps it in the record. Any facility without coverage must post a clear, visible notice for residents and guests.

Sponsors & Cosponsors

Sponsor

  • Aaron M. Kaufman

    Democratic • House

Cosponsors

  • Tiffany T. Alston

    Democratic • House

  • Heather Bagnall

    Democratic • House

  • Bonnie Cullison

    Democratic • House

  • Elizabeth Embry

    Democratic • House

  • Pam Lanman Guzzone

    Democratic • House

  • Terri L. Hill

    Democratic • House

  • Thomas S. Hutchinson

    Republican • House

  • Nicholaus R. Kipke

    Republican • House

  • Lesley J. Lopez

    Democratic • House

  • Matthew Morgan

    Republican • House

  • Ashanti Martinez

    Democratic • House

  • Edith J. Patterson

    Democratic • House

  • Teresa E. Reilly

    Republican • House

  • Samuel I. Rosenberg

    Democratic • House

  • Kim Ross

    Democratic • House

  • Malcolm P. Ruff

    Democratic • House

  • Steve Johnson

    Democratic • House

  • Deni Taveras

    Democratic • House

  • Jennifer White Holland

    Democratic • House

  • Greg Wims

    Democratic • House

  • Teresa Woorman

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 182 • No: 0

Senate vote • 4/6/2026

Third Reading Passed

Yes: 46 • No: 0

House vote • 2/26/2026

Third Reading Passed

Yes: 136 • No: 0

Actions Timeline

  1. Approved by the Governor - Chapter 33

    4/14/2026

  2. Returned Passed

    4/7/2026House

  3. Third Reading Passed (46-0)

    4/6/2026Senate

  4. Favorable Adopted Second Reading Passed

    3/31/2026Senate

  5. Favorable Report by Finance

    3/30/2026Senate

  6. Referred Finance

    2/27/2026Senate

  7. Third Reading Passed (136-0)

    2/26/2026House

  8. Second Reading Passed with Amendments

    2/24/2026House

  9. Favorable with Amendments {283826/1 Adopted

    2/24/2026House

  10. Favorable with Amendments Report by Health

    2/23/2026House

  11. Hearing 2/12 at 1:30 p.m.

    2/12/2026House

  12. Hearing canceled

    2/12/2026House

  13. Hearing 2/12 at 1:00 p.m.

    2/4/2026House

  14. First Reading Health

    1/22/2026House

Bill Text

  • Enacted

    4/14/2026

    PDF

  • Third Reading

    2/24/2026

    PDF

  • First Reading

    1/22/2026

    PDF

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