Maryland 2025 Regular Session

Maryland Senate Bill SB376

Introduced
1/17/25  
Refer
1/17/25  
Report Pass
3/17/25  
Engrossed
3/17/25  
Refer
3/17/25  
Report Pass
4/3/25  
Enrolled
4/7/25  
Chaptered
5/20/25  

Caption

Maryland Department of Health and Office of Health Care Quality - Nursing Home Inspections - Reporting

Impact

The change introduced by SB376 would significantly alter the inspection landscape for nursing homes in Maryland. This bill mandates that nursing homes be surveyed at least once per year by the Department and gives counties the ability to conduct their own inspections. It is intended to enhance accountability and responsiveness to local issues, allowing for more timely inspection and investigation processes. Additionally, the bill requires the Maryland Department of Health and counties to share the costs associated with these inspections, promoting collaboration at the local level in safeguarding residents' welfare.

Summary

Senate Bill 376 aims to enhance the inspection and oversight of nursing homes in Maryland by delegating certain authorities from the Maryland Department of Health to county governments. The bill stipulates that upon a county's request, the Secretary of Health is required to delegate the authority to conduct site visits, full surveys, and investigations of nursing homes. The aim is to allow local entities to take a more active role in monitoring nursing homes, especially for compliance with health and safety regulations. The Maryland Department of Health will be responsible for entering into a memorandum of understanding with the requesting counties to facilitate this delegation.

Sentiment

The sentiment surrounding SB376 appears to be largely supportive among proponents who believe that local oversight will enhance the effectiveness of nursing home inspections and improve care quality. Advocates argue that giving counties more authority can lead to better tailored and quicker responses to issues. However, there are potential concerns regarding the feasibility of this delegation concerning resources, training, and consistency of inspections across counties, which may lead to uneven standards of care in different regions.

Contention

Notable points of contention around SB376 may arise from concerns about the adequacy of training and resources provided to county officials tasked with conducting these inspections. Critics may worry that without sufficient funding and training, the quality of inspections could diminish. Additionally, there may be apprehensions regarding accountability and the capability of local governments to manage these responsibilities effectively, which could lead to disparities in nursing home regulation throughout the state.

Companion Bills

MD HB429

Crossfiled Health Facilities - Augmentation of Survey Staff - Nursing Homes

MD SB825

Carry Over Health Facilities - Delegation of Inspection Authority - Nursing Homes

Previously Filed As

MD SB825

Health Facilities - Delegation of Inspection Authority - Nursing Homes

MD HB1475

Health Facilities - Delegation of Inspection Authority - Related Institutions and Nursing Homes

MD SB1000

Maryland Health Care Commission - Nursing Homes - Acquisitions

MD HB1122

Maryland Health Care Commission – Nursing Homes – Acquisitions

MD HB977

Maryland Department of Health - Office of the Chief Medical Examiner

MD SB974

State-Owned Nursing Homes - Deficiencies, Citations, and Fines - Contractor Reporting Requirements

MD HB1301

State-Owned Nursing Homes - Deficiencies, Citations, and Fines - Contractor Reporting Requirements

MD SB1059

Maternal Health – Assessments, Referrals, and Reporting (Maryland Maternal Health Act of 2024)

MD HB1051

Maternal Health – Assessments, Referrals, and Reporting (Maryland Maternal Health Act of 2024)

MD SB509

Health Care Facilities - Nursing Homes - Acquisitions and Licensure

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