MD HB878

Extends Maryland's workers' compensation presumption of compensability for heart disease and hypertension to Carroll County correctional deputies, meaning these conditions are presumed to be occupational diseases suffered in the line of duty when they result in partial or total disability or death

Limits the presumption to heart disease or hypertension that is more severe than any pre-existing condition, requiring Carroll County correctional deputies to submit to a medical examination as a condition of employment to establish a baseline

Adds Carroll County correctional deputies to the definition of "public safety employee" under Section 9-628, making them eligible for enhanced permanent partial disability benefits (compensation at the 75–250 week rate even if awarded fewer than 75 weeks)

Requires currently employed Carroll County correctional deputies (employed on or before September 30, 2026) to provide a medical report disclosing any existing heart disease or hypertension to the Carroll County Sheriff's Office by December 31, 2026, as a condition of continued employment

Takes effect October 1, 2026, with the permanent partial disability provisions applying only prospectively to claims arising from events on or after the effective date