---
type: "Bill"
title: "Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)"
description: "Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)"
jurisdiction: "us/states/md"
legislature: "Maryland General Assembly"
session: "2026"
identifier: "HB 442"
citation: "Maryland HB 442 (2026)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Alston", "Bagnall", "Cullison", "Embry", "Guzzone", "Hill", "Hutchinson", "Kaufman", "Kipke", "Lopez", "M. Morgan", "Martinez", "Patterson", "Reilly", "Rosenberg", "Ross", "Ruff", "S. Johnson", "Taveras", "White Holland", "Wims", "Woorman"]
version_count: 3
action_count: 14
vote_count: 1
first_action: "2026-01-22"
last_action: "2026-04-14"
source: "openstates"
source_identifier: "ocd-bill/b2216923-e7be-47df-bda1-f2cec625d229"
source_url: "http://mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0442?ys=2026RS"
source_hash: "86c60388403289608799fc17a189250f6eeac158087d197e341431c884adce6b"
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 442 (2026) — Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

## Version chain

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

1. **Chapter - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/Chapters_noln/CH_33_hb0442t.pdf)
2. **First - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, and Nurse Midwives - Disclosure** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0442f.pdf)
3. **Third - Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)** (committee substitute) — [source](http://mgaleg.maryland.gov/2026RS/bills/hb/hb0442t.pdf)

## Votes

- On Third Reading — **136–0** (pass) · lower

## Sponsors

- Alston — primary (person)
- Bagnall — primary (person)
- Cullison — primary (person)
- Embry — primary (person)
- Guzzone — primary (person)
- Hill — primary (person)
- Hutchinson — primary (person)
- Kaufman — primary (person)
- Kipke — primary (person)
- Lopez — primary (person)
- M. Morgan — primary (person)
- Martinez — primary (person)
- Patterson — primary (person)
- Reilly — primary (person)
- Rosenberg — primary (person)
- Ross — primary (person)
- Ruff — primary (person)
- S. Johnson — primary (person)
- Taveras — primary (person)
- White Holland — primary (person)
- Wims — primary (person)
- Woorman — primary (person)

## Timeline

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

- **2026-01-22** First Reading Health `referral-committee`
- **2026-02-04** Hearing 2/12 at 1:00 p.m.
- **2026-02-12** Hearing canceled
- **2026-02-12** Hearing 2/12 at 1:30 p.m.
- **2026-02-23** Favorable with Amendments Report by Health `committee-passage-favorable`
- **2026-02-24** Favorable with Amendments { `committee-passage-favorable`
- **2026-02-24** Second Reading Passed with Amendments
- **2026-02-26** Third Reading Passed `passage`
- **2026-02-27** Referred Finance `referral-committee`
- **2026-03-30** Favorable Report by Finance `committee-passage-favorable`
- **2026-03-31** Favorable Adopted Second Reading Passed `committee-passage-favorable`
- **2026-04-06** Third Reading Passed `passage`
- **2026-04-07** Returned Passed
- **2026-04-14** Approved by the Governor - Chapter 33 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b2216923-e7be-47df-bda1-f2cec625d229`. Confidence: reported (aggregated from official Maryland legislature records).