# Maryland HB 0442: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026) Maryland HB 0442, Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026), is a 2026 Regular Session House bill sponsored by Aaron M. Kaufman (Democratic); status signed, last action 2026-04-14 (Approved by the Governor - Chapter 33) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/MD-HB0442-2026RS - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Maryland HB 0442 - State: Maryland - Session: 2026 Regular Session - Title: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026) - Status: signed - Chamber: House - Introduced: 2026-01-22 - Last action: 2026-04-14, Approved by the Governor - Chapter 33 - Sponsor: Aaron M. Kaufman (Democratic) - Cosponsors: 21 - Subjects: Health Care Facilities and Regulation, Health Occupations, Assisted Living, Electronic Communication, Health Occupations -see also- (specific health occupations), Insurance -see also- Health Ins; MAIF; Motor Vehicle Ins, Liability, Midwives, Names, Notices, Nurses -see also- Nurse Practitioners; Nursing Assistants, Nursing Homes -see also- AsstLiving; ContinCare; LTCare, Records -see also- Land Records; Vital Records, Signatures, Time - Touches household money: no - Roll calls: 2 (182 yes, 0 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Midwives must disclose insurance status: benefit, low. 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 c… - Nursing homes and assisted living insurance notice: benefit, low. 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 p… ## Sponsors and cosponsors - Sponsor: Aaron M. Kaufman (Democratic), House - Cosponsor: Tiffany T. Alston (Democratic), House - Cosponsor: Heather Bagnall (Democratic), House - Cosponsor: Bonnie Cullison (Democratic), House - Cosponsor: Elizabeth Embry (Democratic), House - Cosponsor: Pam Lanman Guzzone (Democratic), House - Cosponsor: Terri L. Hill (Democratic), House - Cosponsor: Thomas S. Hutchinson (Republican), House - Cosponsor: Nicholaus R. Kipke (Republican), House - Cosponsor: Lesley J. Lopez (Democratic), House - Cosponsor: Matthew Morgan (Republican), House - Cosponsor: Ashanti Martinez (Democratic), House - Cosponsor: Edith J. Patterson (Democratic), House - Cosponsor: Teresa E. Reilly (Republican), House - Cosponsor: Samuel I. Rosenberg (Democratic), House - Cosponsor: Kim Ross (Democratic), House - Cosponsor: Malcolm P. Ruff (Democratic), House - Cosponsor: Steve Johnson (Democratic), House - Cosponsor: Deni Taveras (Democratic), House - Cosponsor: Jennifer White Holland (Democratic), House - Cosponsor: Greg Wims (Democratic), House - Cosponsor: Teresa Woorman (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-06 | Senate | Third Reading Passed | pass | 46 | 0 | | | 2026-02-26 | House | Third Reading Passed | pass | 136 | 0 | | ## Actions (14) - 2026-04-14: Approved by the Governor - Chapter 33 - 2026-04-07: Returned Passed (House) - 2026-04-06: Third Reading Passed (46-0) (Senate) - 2026-03-31: Favorable Adopted Second Reading Passed (Senate) - 2026-03-30: Favorable Report by Finance (Senate) - 2026-02-27: Referred Finance (Senate) - 2026-02-26: Third Reading Passed (136-0) (House) - 2026-02-24: Second Reading Passed with Amendments (House) - 2026-02-24: Favorable with Amendments {283826/1 Adopted (House) - 2026-02-23: Favorable with Amendments Report by Health (House) - 2026-02-12: Hearing 2/12 at 1:30 p.m. (House) - 2026-02-12: Hearing canceled (House) - 2026-02-04: Hearing 2/12 at 1:00 p.m. (House) - 2026-01-22: First Reading Health (House) ## Bill text - Enacted, 2026-04-14: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_33_hb0442t.pdf) - Third Reading, 2026-02-24: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0442t.pdf) - First Reading, 2026-01-22: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0442f.pdf) ## Related bills - SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization (became law) - SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishment (became law) - SB 0244: Code Revision - Health - Maryland Medical Assistance Program (became law) - SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-1 Specialists Act) (became law) - SB 0016: Child Support - Earnings Withholdings Limits (became law) - HB 0529: Code Revision - Health - Maryland Medical Assistance Program (became law) ## Sources - [Enacted (PDF)](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_33_hb0442t.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0442t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0442f.pdf) ## Related - [SB 0496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - A…](https://policyrisk.com/state-bill/MD-SB0496-2026RS) - [SB 0366: Motor Vehicles - Intelligent Speed Assistance System Pilot Program - Establishm…](https://policyrisk.com/state-bill/MD-SB0366-2026RS) - [SB 0244: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-SB0244-2026RS) - [SB 0148: Income Tax - Credit for 9-1-1 Specialist Retirement Income (Supporting Our 9-1-…](https://policyrisk.com/state-bill/MD-SB0148-2026RS) - [SB 0016: Child Support - Earnings Withholdings Limits](https://policyrisk.com/state-bill/MD-SB0016-2026RS) - [HB 0529: Code Revision - Health - Maryland Medical Assistance Program](https://policyrisk.com/state-bill/MD-HB0529-2026RS) - [Maryland bills](https://policyrisk.com/states/maryland/bills) - [Maryland state hub](https://policyrisk.com/states/maryland) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MD-HB0442-2026RS (as of 2026-10-19).