Maryland 2025 Regular Session

Maryland House Bill HB1474

Introduced
2/7/25  
Refer
2/7/25  
Report Pass
3/15/25  
Engrossed
3/17/25  
Refer
3/17/25  
Report Pass
4/5/25  
Enrolled
4/7/25  
Chaptered
5/20/25  

Caption

State Board of Professional Counselors and Therapists - Temporary Telehealth Licenses - Establishment

Impact

The implementation of HB1474 is expected to have significant implications for state laws governing professional counseling. Should the bill pass, it would permit out-of-state counselors to operate within Maryland's jurisdiction under defined conditions, facilitating clinical services via telehealth. This adaptation reflects a growing trend in telehealth adoption driven by increasing demands for mental health resources among college students. However, the temporary license will only last six months and cannot be renewed, ensuring that the provision is meant to remain a stopgap rather than a permanent solution.

Summary

House Bill 1474 aims to establish a temporary telehealth license for out-of-state licensed professional counselors to provide clinical professional counseling services to students enrolled in Maryland institutions of higher education. This measure defines a regulatory framework allowing such counselors to deliver services through telehealth, thereby expanding access to mental health care for students who maintain a previous therapeutic relationship with the counselor for a minimum of six months. The bill is seen as an important step in addressing mental health needs, particularly for students who may struggle to find adequate support within their immediate geographical area.

Sentiment

The sentiment surrounding HB1474 appears to be generally supportive, especially among mental health advocates and educational institutions looking to support students' well-being. Proponents recognize the need for flexible mental health services and the advantages of telehealth, particularly during times when in-person access may be restricted. Nonetheless, some concerns have been expressed regarding the potential limitations of temporary licensing and whether this approach might compromise care continuity for students transitioning to local counselors after the temporary period ends.

Contention

Notable points of contention include the implications of out-of-state counselors practicing in Maryland without thorough integration into local licensing frameworks. Critics argue that while expanding access to services is vital, it must not come at the expense of state oversight and the quality assurance frameworks that local licenses provide. The bill's provision to automatically cease operation if a national compact for counseling is established indicates a recognition of the evolving nature of professional licensing across state lines, signaling an ongoing debate on balancing accessibility with regulatory integrity.

Companion Bills

No companion bills found.

Previously Filed As

MD SB14

Health Occupations – Clinical and Graduate Alcohol and Drug Counselors – Licensure

MD HB291

Health Occupations - Clinical and Graduate Alcohol and Drug Counselors - Licensure

MD SB243

State Board of Professional Counselors and Therapists - Behavior Analyst Advisory Committee - Sunset Extension

MD SB409

Health Occupations - Clinical Marriage and Family Therapists - Reciprocal Licensure Requirements

MD HB628

Health Occupations - Clinical Marriage and Family Therapists - Reciprocal Licensure Requirements

MD HB934

State Board of Physicians - Performance of X-Ray Duties Without a License

MD SB830

State Board of Physicians - Performance of X-Ray Duties Without a License

MD HB545

Janet L. Hoffman Loan Assistance Repayment Program - Nancy Grasmick Public School Professional Award - Public School Nurses

MD SB441

Janet L. Hoffman Loan Assistance Repayment Program - Nancy Grasmick Public School Professional Award - School Nurses

MD SB218

Physicians and Allied Health Professions - Reorganization and Revisions

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