---
type: "Bill"
title: "Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative"
description: "Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2026"
identifier: "HB 945"
citation: "Maryland HB 945 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alston", "Bagnall", "Cullison", "Guzzone", "Hill", "Hutchinson", "Kaufman", "Kipke", "Lopez", "Martinez", "Reilly", "Rosenberg", "Ross", "S. Johnson", "Sample-Hughes", "Taveras", "White Holland"]
version_count: 3
action_count: 16
vote_count: 2
first_action: "2026-02-05"
last_action: "2026-05-26"
source: "openstates"
source_identifier: "ocd-bill/611461c8-83a2-4627-b024-6f9cfab5344f"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0945?ys=2026RS"
source_hash: "80f7c912aabd9ff61f5904c356b052363db6474bb577c172ca4956826807840c"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-md"]
---

# Maryland HB 945 (2026) — Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Chapter - Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_684_hb0945t.pdf)
2. **First - Nursing Homes - Complaints - Notification and Consultation** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0945f.pdf)
3. **Third - Nursing Homes and Assisted Living Facilities - Notification of Investigations and Establishment of the Health Care Quality Improvement Initiative** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0945t.pdf)

## Votes

- On Third Reading — **126–0** (pass) · lower
- On Third Reading — **43–0** (pass) · upper

## Sponsors

- Alston — primary (person)
- Bagnall — primary (person)
- Cullison — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Hutchinson — primary (person)
- Kaufman — primary (person)
- Kipke — primary (person)
- Lopez — primary (person)
- Martinez — primary (person)
- Reilly — primary (person)
- Rosenberg — primary (person)
- Ross — primary (person)
- S. Johnson — primary (person)
- Sample-Hughes — primary (person)
- Taveras — primary (person)
- White Holland — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-02-05** First Reading Health `referral-committee`
- **2026-02-13** Hearing 2/26 at 1:00 p.m.
- **2026-02-26** Hearing canceled
- **2026-02-26** Hearing 2/26 at 1:30 p.m.
- **2026-03-20** Favorable with Amendments Report by Health `committee-passage-favorable`
- **2026-03-20** Favorable with Amendments { `committee-passage-favorable`
- **2026-03-20** Second Reading Passed with Amendments
- **2026-03-21** Third Reading Passed `passage`
- **2026-03-23** Referred Finance `referral-committee`
- **2026-03-25** Hearing 3/31 at 1:00 p.m.
- **2026-04-13** Favorable Report by Finance `committee-passage-favorable`
- **2026-04-13** Favorable Adopted `committee-passage-favorable`
- **2026-04-13** Second Reading Passed
- **2026-04-13** Third Reading Passed `passage`
- **2026-04-13** Returned Passed
- **2026-05-26** Approved by the Governor - Chapter 684 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/611461c8-83a2-4627-b024-6f9cfab5344f`. Confidence: reported (aggregated from official Maryland legislature records).