# Maryland HB 1284: Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs

Maryland HB 1284, Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs, is a 2026 Regular Session House bill sponsored by Pam Lanman Guzzone (Democratic); status signed, last action 2026-04-28 (Approved by the Governor - Chapter 217) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-HB1284-2026RS
- 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 1284
- State: Maryland
- Session: 2026 Regular Session
- Title: Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs
- Status: signed
- Chamber: House
- Introduced: 2026-02-12
- Last action: 2026-04-28, Approved by the Governor - Chapter 217
- Sponsor: Pam Lanman Guzzone (Democratic)
- Cosponsors: 0
- Subjects: Public Health, Health Occupations, Evaluations and Reviews, Health -see also- COVID19; EnvHlth; MedCon; etc., Health, Department of, Health Occupations -see also- (specific health occupations), Home Care Services -see also- Respite Care, Job Training -see also- Continuing Ed; Vocational Rehab, Long-Term Care -see also- Continuing Care; Nursing Homes, Nurses -see also- Nurse Practitioners; Nursing Assistants, Recruitment and Hiring, Rules and Regulations, Work, Labor, and Employment -see also- JobTrn; Leave; etc.
- Touches household money: no
- Roll calls: 2 (169 yes, 0 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Home nursing agencies gain nurse training option: benefit, low. Beginning October 1, 2026, Maryland residential service agencies providing private duty nursing can hire licensed nurses who lack required clinical experience. Agencies must provide state-approved training based on patient needs and state-approved checks of each nurse’s skills. A registered nurse q…

## Sponsors and cosponsors

- Sponsor: Pam Lanman Guzzone (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-13 | Senate | Third Reading Passed | pass | 34 | 0 | 13 |
| 2026-03-23 | House | Third Reading Passed | pass | 135 | 0 | 3 |

## Actions (19)

- 2026-04-28: Approved by the Governor - Chapter 217
- 2026-04-13: Returned Passed (House)
- 2026-04-13: Third Reading Passed (34-0) (Senate)
- 2026-04-10: Second Reading Passed (Senate)
- 2026-04-10: Favorable Adopted (Senate)
- 2026-04-10: Favorable Report by Finance (Senate)
- 2026-03-25: Hearing 3/31 at 1:00 p.m. (Senate)
- 2026-03-23: Referred Finance (Senate)
- 2026-03-23: Third Reading Passed (135-0) (House)
- 2026-03-21: Favorable Adopted Second Reading Passed (House)
- 2026-03-21: Favorable Report by Health (House)
- 2026-03-11: Hearing 3/11 at 3:10 p.m. (House)
- 2026-03-11: Hearing canceled (House)
- 2026-03-11: Hearing 3/11 at 2:40 p.m. (House)
- 2026-03-11: Hearing canceled (House)
- 2026-03-11: Hearing 3/11 at 2:15 p.m. (House)
- 2026-03-11: Hearing canceled (House)
- 2026-02-13: Hearing 3/11 at 1:00 p.m. (House)
- 2026-02-12: First Reading Health (House)

## Bill text

- Enacted, 2026-04-28: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_217_hb1284t.pdf)
- Third Reading, 2026-03-21: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1284t.pdf)
- First Reading, 2026-02-12: [PDF](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1284f.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_217_hb1284t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1284t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/hb/hb1284f.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-HB1284-2026RS (as of 2026-10-19).