MD HB49

Prohibits physicians from performing abortions after a fetal heartbeat is detected, requiring heartbeat testing before any abortion procedure using methods appropriate for estimated gestational age

Eliminates existing state protections against interference with abortion decisions before viability and removes the provision shielding providers from civil or criminal liability for good-faith abortion decisions

Restricts abortion procedures to licensed physicians only, removing authorization for other "qualified providers" to perform abortions

Requires mandatory informed consent procedures including sonograms at least 24 hours before abortion (or 2 hours for women living 100+ miles from providers), display of sonogram images, audible heartbeat, and physician explanation of results

Creates private civil enforcement mechanism allowing any private citizen to sue abortion providers or those who aid abortions for minimum $10,000 per violation, while prohibiting state officials from direct enforcement and granting sovereign immunity against constitutional challenges