Maryland 2026 Regular Session

Maryland House Bill HB448

Introduced
1/23/26  

Caption

Health Facilities - Certified Recovery Residences - Unannounced Inspections

Summary

HB448 would require the Maryland Department of Health to conduct at least two unannounced on-site inspections each year of every certified recovery residence. These inspections would be in addition to the existing required inspection conducted by the credentialing entity during each certification renewal period. The bill is aimed at ensuring that recovery residences comply with applicable statutory and regulatory standards throughout the year, not just at the time of scheduled recertification. If the Department finds a certified recovery residence out of compliance during one of these inspections, it must notify the residence of the deficiencies and give it one month to correct them. If the residence does not take corrective action within that period, the Department may direct the credentialing entity to revoke the residence’s certification. The bill also amends existing law so that the credentialing entity may revoke certification either for its own finding of noncompliance or when instructed by the Department under the new inspection and enforcement process.

Impact

The bill would add a new enforcement layer to Maryland’s recovery residence certification framework in Title 19 of the Health – General Article. It expands the Department of Health’s oversight authority, creates a mandatory inspection schedule for certified recovery residences, and establishes a formal remediation-and-revocation process for facilities that fail to comply. Recovery residence operators would face increased compliance monitoring, while the credentialing entity would retain certification authority but could be directed by the Department to revoke certification in certain cases.

Sentiment

No committee transcripts or recorded votes were provided, so there is no direct evidence of debate or partisan division in the available materials. Based on the bill text, the measure appears to be framed as a public health and accountability bill focused on ensuring safe and compliant recovery housing. The overall tone of the legislation is regulatory and corrective rather than punitive, emphasizing notice and an opportunity to cure before revocation.

Contention

The main policy tension is between stronger state oversight of recovery residences and the operational burden that frequent unannounced inspections may place on providers. Supporters would likely view the bill as necessary to protect residents in recovery settings and to address noncompliance more quickly. Potential opponents may argue that two surprise inspections per year, plus the possibility of certification revocation after a short remediation period, could be costly or disruptive for legitimate facilities, especially smaller operators.

Companion Bills

MD SB878

Crossfiled Health Facilities - Certified Recovery Residences - Unannounced Inspections

Previously Filed As

MD HB0448

Health Facilities - Certified Recovery Residences - Unannounced Inspections

MD HB0373

State Board of Dental Examiners - Disciplinary Action and Unannounced Inspections

MD HB722

Maryland Department of Health - Report on Oversight of Substance Use Disorder Treatment Programs and Recovery Residences

MD HB0498

Certificate of Need - Intermediate Health Care Facilities

MD HB1249

Certified Recovery Residences - Refusing Services to Individuals Receiving Medication-Assisted Treatment - Prohibition

MD SB376

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

MD HB429

Health Facilities - Augmentation of Survey Staff - Nursing Homes

MD HB0886

Certified Peer Recovery Specialists - Coverage Under the Maryland Medical Assistance Program and Health Insurance and Workgroup on Certification

MD HB378

Prince George's County - Assisted Living Programs - Inspections PG 405-25

MD SB264

Plant Disease Control - Nurseries - Inspection, Certification, and Licensing Fees

Similar Bills

HI HB881

Relating To Public Utilities.

HI HB881

Relating To Public Utilities.

CA AB745

An act to add Article 6.

NJ A3806

Requires DCA to approve credentialing entity to develop and administer voluntary recovery residence certification program.

NJ S3479

Requires DCA to approve credentialing entity to develop and administer voluntary recovery residence certification program.

VA SB270

Recovery residences; regulations.

MI HB5302

Health: substance use disorder prevention; competitive grant program to provide grants for recovery community organizations; modify. Amends sec. 273b of 1974 PA 258 (MCL 330.1273b).

VA HB931

Recovery residences; regulations.