Maryland changes which mistreatment adult protective services investigates

Adult protective services uses revised definitions of abuse, neglect, and exploitation. These definitions cover adults who cannot meet their daily needs because of physical or mental limitations. A trusted person is someone reasonably expected to protect the adult’s interests or provide care. Emotional harm must substantially impair the adult’s ability to function because intentional acts cause severe emotional distress. Sexual abuse means sexual interaction without consent. Neglect excludes state-recognized nonmedical healing care provided with the adult’s consent. The revised definitions took effect October 1, 2026.

Local social services departments must assess the adult’s risk of harm and complete investigations with a formal finding within 60 days. The rules cover investigations of suspected abuse, neglect, self-neglect, or exploitation of adults unable to meet their daily needs. Further required fact-finding depends on finding that the adult is vulnerable, suffered covered mistreatment or self-neglect, and faces a strong likelihood of imminent harm. Confirming a case requires all three elements to be more likely than not. Other findings identify cases where an element is probably absent or information is insufficient. The changes took effect October 1, 2026. Investigations must still begin within 24 hours of an emergency report or five working days of other reports.

Required reporters may submit reports through an online reporting portal. This option covers health practitioners, police officers, and professional health or social services workers whose contact with an adult gives them reason to suspect covered mistreatment or self-neglect. Required reporters must still report as soon as possible. Phone, direct communication, written reports, and the statewide hotline remain options. Long-term care ombudsmen must follow federal rules protecting residents’ and complainants’ identities. The online reporting option took effect October 1, 2026.