# Maryland HB 0498: Certificate of Need - Intermediate Health Care Facilities

Maryland HB 0498, Certificate of Need - Intermediate Health Care Facilities, is a 2026 Regular Session House bill sponsored by Bonnie Cullison (Democratic); status signed, last action 2026-04-14 (Approved by the Governor - Chapter 69) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB0498-2026RS
- 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 0498
- State: Maryland
- Session: 2026 Regular Session
- Title: Certificate of Need - Intermediate Health Care Facilities
- Status: signed
- Chamber: House
- Introduced: 2026-01-27
- Last action: 2026-04-14, Approved by the Governor - Chapter 69
- Sponsor: Bonnie Cullison (Democratic)
- Cosponsors: 0
- Subjects: Health Care Facilities and Regulation, Certifications, Health -see also- COVID19; EnvHlth; MedCon; etc., Health Care Commission, Health Care Facilities -see also- Clinics; Hospices; etc, Health Planning and Cost Review, Notices, Standards and Best Practices, Substance Abuse Treatment, Time
- Touches household money: no
- Roll calls: 2 (178 yes, 4 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Easier approvals for SUD facilities and beds: benefit, low. Beginning October 1, 2026, some residential substance use treatment centers do not need a full Certificate of Need to open. They must give the Health Services Cost Review Commission written notice at least 45 days before opening. The Commission must find the plan is not inconsistent with the State…

## Sponsors and cosponsors

- Sponsor: Bonnie Cullison (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 | 132 | 4 |   |

## Actions (14)

- 2026-04-14: Approved by the Governor - Chapter 69
- 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 (132-4) (House)
- 2026-02-24: Second Reading Passed (House)
- 2026-02-24: Favorable Adopted (House)
- 2026-02-23: Favorable Report by Health (House)
- 2026-02-11: Hearing 2/11 at 2:00 p.m. (House)
- 2026-02-11: Hearing canceled (House)
- 2026-01-28: Hearing 2/11 at 1:30 p.m. (House)
- 2026-01-27: First Reading Health (House)

## Bill text

- Enacted, 2026-04-14: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_69_hb0498t.pdf)
- Third Reading, 2026-02-24: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0498t.pdf)
- First Reading, 2026-01-27: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0498f.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_69_hb0498t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0498t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb0498f.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)
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Source: PRIA, https://policyrisk.com/state-bill/MD-HB0498-2026RS (as of 2026-10-19).