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MarylandHB 14832026 Regular SessionHouse

Clinical Professional Counseling - Out-of-State Providers - Use of Telehealth for Continuity of Care

Sponsored By: Anne R. Kaiser (Democratic)

Signed by Governor

Health OccupationsPublic HealthCommittees and CommissionsCounselors and TherapistsHealth -see also- COVID19; EnvHlth; MedCon; etc.Health Occupations -see also- (specific health occupations)Internet -see also- Internet AccessInterstate AffairsLicenses -see also- AB Lic; Certifications; DrLic; PermitsMedical TechnologyMedical TreatmentsMental and Behavioral Health -see also- Aut; Cogn; Dev; etc.PatientsResidency -see also- Immigrants and CitizenshipSocial WorkersVirtual Environments

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 1 costs, 0 mixed.

Keep counseling after moving to Maryland

Beginning October 1, 2026, qualifying out-of-state counselors can continue your care by telehealth without a Maryland license. This lasts up to 6 months after you move to Maryland. It also covers returns after a continuous period living outside Maryland that was more than incidental. Your counselor must be licensed and in good standing, and your counseling relationship must have started outside Maryland. Your counselor must be unable to meet you in person because you are in Maryland. This route covers only continuity of care by telehealth, not in-person care or services beyond the counselor’s out-of-state license. The Board must set qualifications, application fees, conditions, limits, and enforcement rules.

Keep social work services after moving

Beginning October 1, 2026, qualifying out-of-state social work providers can continue your care by telehealth without a Maryland license. This lasts up to 6 months after you move to Maryland or return after a continuous, nonincidental relocation outside Maryland. Your provider must be licensed and in good standing in another state, or be a qualifying supervised graduate student. Students must attend an out-of-state social work program accredited by, or a candidate for accreditation by, the Council on Social Work Education. Your relationship must have started outside Maryland, and your provider must be unable to meet in person because you are in Maryland. This route covers only telehealth for continuity of care. The Board must set qualifications, fees, conditions, limits, and enforcement rules.

Temporary counseling license route ends for students

Beginning October 1, 2026, Maryland’s counseling Board no longer issues temporary telehealth licenses for out-of-state counselors serving qualifying college students. The former route covered students attending Maryland colleges and other higher education institutions. It required an established counseling relationship of at least 6 months. Students who relied on it lose this specific license route for receiving care from their out-of-state counselor.

Sponsors & Cosponsors

Sponsor

  • Anne R. Kaiser

    Democratic • House

Cosponsors

  • Tiffany T. Alston

    Democratic • House

  • Heather Bagnall

    Democratic • House

  • Bonnie Cullison

    Democratic • House

  • Michele Guyton

    Democratic • House

  • Pam Lanman Guzzone

    Democratic • House

  • Terri L. Hill

    Democratic • House

  • Thomas S. Hutchinson

    Republican • House

  • Aaron M. Kaufman

    Democratic • House

  • Nicholaus R. Kipke

    Republican • House

  • Lesley J. Lopez

    Democratic • House

  • Matthew Morgan

    Republican • House

  • Ashanti Martinez

    Democratic • House

  • Teresa E. Reilly

    Republican • House

  • Samuel I. Rosenberg

    Democratic • House

  • Kim Ross

    Democratic • House

  • Kathy Szeliga

    Republican • House

  • Deni Taveras

    Democratic • House

  • Jennifer White Holland

    Democratic • House

  • Teresa Woorman

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 308 • No: 0

House vote • 4/10/2026

Third Reading Passed

Yes: 131 • No: 0 • Other: 5

Senate vote • 4/9/2026

Third Reading Passed

Yes: 42 • No: 0 • Other: 2

House vote • 3/23/2026

Third Reading Passed

Yes: 135 • No: 0 • Other: 4

Actions Timeline

  1. Approved by the Governor - Chapter 242

    4/28/2026

  2. Passed Enrolled

    4/10/2026House

  3. Third Reading Passed (131-0)

    4/10/2026House

  4. House Concurs Senate Amendments

    4/10/2026House

  5. Third Reading Passed (42-0)

    4/9/2026Senate

  6. Second Reading Passed with Amendments

    4/8/2026Senate

  7. Favorable with Amendments {233526/1 Adopted

    4/8/2026Senate

  8. Favorable with Amendments Report by Finance

    4/8/2026Senate

  9. Hearing 3/31 at 1:00 p.m.

    3/25/2026Senate

  10. Referred Finance

    3/23/2026Senate

  11. Third Reading Passed (135-0)

    3/23/2026House

  12. Second Reading Passed with Amendments

    3/21/2026House

  13. Favorable with Amendments {703727/1 Adopted

    3/21/2026House

  14. Favorable with Amendments Report by Health

    3/21/2026House

  15. Hearing 3/11 at 3:10 p.m.

    3/11/2026House

  16. Hearing canceled

    3/11/2026House

  17. Hearing 3/11 at 2:40 p.m.

    3/11/2026House

  18. Hearing canceled

    3/11/2026House

  19. Hearing 3/11 at 2:15 p.m.

    3/11/2026House

  20. Hearing canceled

    3/11/2026House

  21. Hearing 3/11 at 1:00 p.m.

    2/13/2026House

  22. First Reading Health

    2/13/2026House

Bill Text

  • Enacted

    4/28/2026

    PDF

  • Enrolled

    4/10/2026

    PDF

  • Third Reading

    3/21/2026

    PDF

  • First Reading

    2/13/2026

    PDF

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