MD HB1625

Changes newborn screening fee structure from a maximum cap ("not exceed") to a minimum floor ("not less than"), requiring fees to be at least sufficient to cover administrative, laboratory, and follow-up costs

Freezes mandatory screening requirements to core conditions listed on the federal Recommended Uniform Screening Panel as of May 31, 2026, rather than automatically adopting future additions

Grants the Maryland Department of Health discretion to implement, delay, or decline testing for new core conditions added to the federal panel after May 31, 2026, based on Advisory Council recommendations regarding risks, harms, accessibility, and costs

Extends the implementation timeline from 18 months to 2 years for new conditions the Department chooses to implement, and requires legislative reporting if implementation is delayed beyond 2 years or declined

Takes effect June 1, 2026