MarylandSB 07922026 Regular SessionSenate

Hospitals - Immigration Enforcement Action - Policy Requirement

Sponsored By: Clarence K. Lam (Democratic)

Signed by Governor

Health Care Facilities and RegulationPublic SafetyAttorney GeneralCommittees and CommissionsElectronic GovernmentHealth Services Cost Review CommissionHospitals -see also- Clinics; State HospitalsImmigrants and Citizenship -see also- ResidencyInternet -see also- Internet AccessJob Training -see also- Continuing Ed; Vocational RehabLaw Enforcement -see also- SRO; Sheriffs; State PoliceOpen GovernmentPrivacySafety -see also- Occupational SafetyStandards and Best PracticesWork, Labor, and Employment -see also- JobTrn; Leave; etc.

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Bill Overview

Analyzed Economic Effects

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

Hospitals must set immigration enforcement rules

The law takes effect June 1, 2026, and requires Maryland hospitals to adopt policies for immigration enforcement actions. The deadline is January 1, 2027, or three months after the state publishes its model policy, whichever comes first. Hospital policies must follow Maryland Attorney General guidance. Hospitals must clearly post their policies on their websites, share them with all staff, and train all staff every year. Government-run hospitals are exempt when already required to implement a policy consistent with that guidance. The State Health Services Cost Review Commission must publish a model policy on its website by October 1, 2026. It must develop the model with the Attorney General and Maryland Hospital Association, considering patient privacy and patient, guest, and staff safety.

Sponsors & Cosponsors

Sponsor

  • Clarence K. Lam

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 212 • No: 229

House vote • 4/10/2026

Floor Amendment {193324/1 (Delegate Arikan) Rejected

Yes: 36 • No: 96 • Other: 5

House vote • 4/10/2026

Floor Amendment {703220/1 (Delegate Arikan) Rejected

Yes: 36 • No: 96 • Other: 5

House vote • 4/10/2026

Third Reading Passed

Yes: 99 • No: 33 • Other: 5

Senate vote • 3/19/2026

Third Reading Passed

Yes: 41 • No: 4

Actions Timeline

  1. Approved by the Governor - Chapter 162

    4/28/2026
  2. Returned Passed

    4/10/2026Senate
  3. Third Reading Passed (99-33)

    4/10/2026House
  4. Floor Amendment {703220/1 (Delegate Arikan) Rejected (36-96)

    4/10/2026House
  5. Floor Amendment {193324/1 (Delegate Arikan) Rejected (36-96)

    4/10/2026House
  6. Favorable Adopted Second Reading Passed

    4/10/2026House
  7. Favorable Report by Health

    4/10/2026House
  8. Hearing 4/01 at 1:00 p.m.

    3/20/2026House
  9. Referred Health

    3/20/2026House
  10. Third Reading Passed (41-4)

    3/19/2026Senate
  11. Second Reading Passed with Amendments

    3/18/2026Senate
  12. Favorable with Amendments {333721/1 Adopted

    3/18/2026Senate
  13. Favorable with Amendments Report by Finance

    3/18/2026Senate
  14. Hearing 3/10 at 1:00 p.m.

    2/12/2026Senate
  15. First Reading Finance

    2/6/2026Senate

Bill Text

  • Enacted

    4/28/2026

  • Third Reading

    3/18/2026

  • First Reading

    2/6/2026

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