MD HB1281

Requires a 24-hour waiting period after transabdominal ultrasound imaging before an abortion can be performed, reduced to 2 hours for women residing at least 100 miles from the facility

Exempts victims of rape or incest from the waiting period requirements if the incident is reported to law enforcement

Mandates that ultrasound providers offer women the option to view the ultrasound image, receive a printed copy, and hear the fetal heartbeat, though women are not required to accept any of these offers

Requires facilities to maintain printed ultrasound images for 7 years or longer if required by other laws, and imposes penalties of up to $2,500 for qualified providers who violate these requirements

Takes effect October 1, 2026