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Bill

HB 1087

Health Care Facilities - Surgical Smoke - Smoke Evacuation Systems

2026 Regular Session Introduced by Steve Johnson

Maryland requires healthcare facilities to install surgical smoke evacuation systems in operating rooms to protect staff and patients from harmful smoke exposure during procedures.

Approved by the Governor - Chapter 794
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Bill Summary · HB 1087

Legislative bill overview

HB 1087 requires Maryland health care facilities to install and maintain surgical smoke evacuation systems in operating rooms and other areas where surgical procedures generate smoke. The bill establishes standards for smoke evacuation equipment to protect both patients and medical staff from exposure to potentially harmful surgical plume byproducts during procedures.

Why is this important

Surgical smoke contains harmful particulates and chemical compounds that can accumulate in operating rooms without proper ventilation. Chronic exposure poses respiratory and other health risks to surgical teams and facility staff who spend years in these environments, while also potentially affecting patient safety during procedures.

Potential points of contention

  • Compliance costs: Healthcare facilities, particularly smaller hospitals and ambulatory surgery centers, may face significant capital expenses to purchase and install approved evacuation systems
  • Equipment standards ambiguity: The bill's specific technical requirements and approved equipment types could be contested if not clearly defined, creating compliance uncertainty
  • Retrofitting burden: Existing facilities may struggle with the practical and financial challenges of retrofitting older operating rooms with new ventilation systems

Compiled from official sources — confirm details with the bill’s official record.

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