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2026 Regular Session

HB1015

Developmental Disabilities Services - Expedited Eligibility Determinations for Recently Relocated Individuals (Ralph's Act)

Requiring the Maryland Department of Health to provide an expedited Medicaid eligibility determination for developmental disabilities services to individuals who received certain services in another state and relocated to the State; and requiring the Department to begin the determination process before an individual establishes residency in the State under certain circumstances.

Legislative progress

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This summary includes only completed milestones supported by recorded actions. It does not predict the next step, and it preserves later committee reassignments, concurrence, conference, veto, and approval actions when they occur.

Introduced in House February 6, 2026 House passed March 23, 2026 Senate passed April 9, 2026 House passed April 9, 2026 Enrolled April 9, 2026 Governor approved April 28, 2026

Recorded floor votes

3 roll calls are available for this bill. This record includes procedural and intermediate action as well as substantive final votes.

March 23, 2026 · House

Third Reading Passed

Passed ⭐ Substantive final action

137 yea–0 nay · 3 not voting · 1 absent

View roll call

April 9, 2026 · Senate

Third Reading Passed

Passed ⭐ Substantive final action

43 yea–0 nay · 1 not voting · 3 absent

View roll call

April 9, 2026 · House

Third Reading Passed

Passed ⭐ Substantive final action

132 yea–0 nay · 4 not voting · 5 absent

View roll call

Committee referrals

February 6, 2026 · House

Health

Instrument history

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This is the complete recorded action history in the current source package. Highlighted entries are marked as significant by the source. A roll-call link appears only when a vote-like action has one unambiguous same-day chamber vote.

  1. House Approved by the Governor - Chapter 184
  2. House Passed Enrolled View roll call
  3. House Third Reading Passed (132-0) View roll call
  4. House House Concurs Senate Amendments
  5. Senate Third Reading Passed (43-0) View roll call
  6. Senate Second Reading Passed with Amendments
  7. Senate Favorable with Amendments {833826/1 Adopted
  8. Senate Favorable with Amendments Report by Finance
  9. Senate Referred Finance
  10. House Third Reading Passed (137-0) View roll call
  11. House Second Reading Passed with Amendments View roll call
  12. House Favorable with Amendments {563220/1 Adopted View roll call
  13. House Favorable with Amendments Report by Health
  14. House Hearing 2/24 at 1:00 p.m.
  15. House First Reading Health
Source provenance