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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

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

15-day notice after federal hospital warning

If the Centers for Medicare and Medicaid Services issues a warning tied to a triggering event under Maryland’s all-payer model, the commission must notify leaders. It must write to the Governor, the Secretary, and the General Assembly within 15 days. This rule starts June 1, 2026.

Hospitals must adopt and post immigration enforcement policy

Each hospital adopts a written policy for immigration enforcement events. Do this by January 1, 2027, or within three months after the state model is posted, whichever comes first. The policy must follow guidance from the Attorney General. Hospitals must post the policy on their website, share it with all staff, and train all staff every year. Hospitals run by a state or local unit that already must follow the Attorney General’s guidance are exempt.

State guide for hospital immigration enforcement

The state health commission develops a model policy for hospital responses to immigration enforcement. It consults the Attorney General and the Maryland Hospital Association. The policy protects patient privacy and the safety of patients, guests, and staff. The commission posts the model on its website by October 1, 2026. The law takes effect June 1, 2026.

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 {703220/1 (Delegate Arikan) Rejected

Yes: 36 • No: 96

House vote • 4/10/2026

Floor Amendment {193324/1 (Delegate Arikan) Rejected

Yes: 36 • No: 96 • Other: 9

House vote • 4/10/2026

Third Reading Passed

Yes: 99 • No: 33 • Other: 9

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

  • Third Reading

    3/18/2026

    PDF

  • First Reading

    2/6/2026

    PDF

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