# Maryland SB 0411: Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)

Maryland SB 0411, Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026), is a 2026 Regular Session Senate bill sponsored by Malcolm Augustine (Democratic); status signed, last action 2026-04-28 (Approved by the Governor - Chapter 235) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/MD-SB0411-2026RS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0411
- State: Maryland
- Session: 2026 Regular Session
- Title: Hospitals - Clinical Staffing Committees and Plans - Establishment (Safe Staffing Act of 2026)
- Status: signed
- Chamber: Senate
- Introduced: 2026-01-29
- Last action: 2026-04-28, Approved by the Governor - Chapter 235
- Sponsor: Malcolm Augustine (Democratic)
- Cosponsors: 3
- Subjects: Public Health, Committees and Commissions, Complaints, Dietitians and Nutritionists, Electronic Government, Emergencies -see also- Pandemics, Evaluations and Reviews, Health -see also- COVID19; EnvHlth; MedCon; etc., Health Care Commission, Health Occupations -see also- (specific health occupations), Hospitals -see also- Clinics; State Hospitals, Internet -see also- Internet Access, Notices, Nurses -see also- Nurse Practitioners; Nursing Assistants, Nursing Assistants, Patients, Physicians -see also- MedExmnrs; Pediatr; Psychiatrists etc., Plans and Proposals, Public Information, Reports, Standards and Best Practices, Work, Labor, and Employment -see also- JobTrn; Leave; etc.
- Touches household money: no
- Roll calls: 2 (139 yes, 34 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Hospital staff gain staffing plan access: benefit, low. Covered Maryland hospitals, excluding state hospitals, must give staff their staffing plans on request. Each patient unit must publicly display its plan and actual daily staffing for each shift. After a unit's plan changes, the hospital must promptly post or provide the updated plan. Nursing staff,…
- Maryland hospitals must follow staffing plans: benefit, low. The law takes effect October 1, 2026, and covers licensed Maryland hospitals, except state hospitals. Hospitals must establish and maintain staffing committees by July 1, 2027. Hospitals with 150 or fewer licensed beds need 3 managers and 2 employees on the committee. Those with 151 or more license…

## Sponsors and cosponsors

- Sponsor: Malcolm Augustine (Democratic), Senate
- Cosponsor: Shelly Hettleman (Democratic), Senate
- Cosponsor: Benjamin F. Kramer (Democratic), Senate
- Cosponsor: Cory V. McCray (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-04-13 | House | Third Reading Passed | pass | 97 | 34 | 9 |
| 2026-04-10 | Senate | Third Reading Passed | pass | 42 | 0 | 2 |

## Actions (13)

- 2026-04-28: Approved by the Governor - Chapter 235
- 2026-04-13: Returned Passed (Senate)
- 2026-04-13: Third Reading Passed (97-34) (House)
- 2026-04-13: Favorable Adopted Second Reading Passed (House)
- 2026-04-13: Favorable Report by Health (House)
- 2026-04-11: Rereferred to Health (House)
- 2026-04-11: Referred Rules and Executive Nominations (House)
- 2026-04-10: Third Reading Passed (42-0) (Senate)
- 2026-04-10: Second Reading Passed with Amendments (Senate)
- 2026-04-10: Favorable with Amendments {353621/1 Adopted (Senate)
- 2026-04-10: Favorable with Amendments Report by Finance (Senate)
- 2026-02-03: Hearing 2/17 at 1:00 p.m. (Senate)
- 2026-01-29: First Reading Finance (Senate)

## Bill text

- Enacted, 2026-04-28: [PDF](https://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_235_sb0411t.pdf)
- Third Reading, 2026-04-10: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0411t.pdf)
- First Reading, 2026-01-29: [PDF](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0411f.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_235_sb0411t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0411t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2026RS/bills/sb/sb0411f.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-SB0411-2026RS (as of 2026-10-19).