Maryland 2026 Regular Session

Maryland Senate Bill SB0878

Introduced
2/6/26  

Caption

Health Facilities - Certified Recovery Residences - Unannounced Inspections

Summary

SB 878 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 annual recertification inspection already performed by the approved credentialing entity. The bill is aimed at ensuring that recovery residences comply with statutory and regulatory requirements throughout the year, not just at the time of scheduled certification review. If the Department finds a deficiency during an unannounced inspection, it must notify the residence and give it one month to correct the problem. 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 noncompliance with its own requirements 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 Health-General Article governing certified recovery residences by creating § 19-2502.1 and amending § 19-2502. It expands the Department of Health’s oversight authority, increases inspection frequency, and gives the Department a direct role in triggering certification revocation through the credentialing entity. Recovery residences would face more frequent compliance checks and a formal remediation period before revocation, while the credentialing entity would retain its certification role but operate under Department direction in certain cases.

Sentiment

No committee transcripts or recorded votes were provided, so there is no direct evidence of legislative debate or formal support/opposition in the available materials. Based on the bill text alone, the measure appears to reflect a regulatory and consumer-protection approach focused on accountability and safety in recovery housing. The overall tone of the bill is corrective and oversight-oriented rather than punitive, since it includes notice and a one-month opportunity to cure deficiencies before revocation may occur.

Contention

The likely point of contention is the increased regulatory burden on certified recovery residences, which would be subject to at least two surprise inspections each year in addition to existing recertification inspections. Operators of recovery residences may view the bill as intrusive or administratively burdensome, while supporters are likely to argue that unannounced inspections are necessary to protect residents and ensure ongoing compliance. Another potential issue is the Department’s new authority to prompt revocation, which could raise questions about due process, enforcement discretion, and the balance of power between the Department and the credentialing entity.

Companion Bills

MD HB448

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 HB735

Certificate of Need - Psychiatric Health Care Facilities and Psychiatric and Mental Health Services - Exemption

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

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.