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Dept. of Health v. Thompson

2026-08-25

Summary

Holding. The Supreme Court granted the Department's petitions for certiorari, vacated the Circuit Court's judgment, and remanded the cases for reconsideration in light of its recent decision in Maryland Department of Health v. Boulden, which established that sanctions under the statute must be designed to compel compliance with respect to the particular defendant before the court and that courts lack authority to order the Department to forego reliance on clinical acuity or to mandate chronological admission.

The Maryland Department of Health was required by statute to place defendants found incompetent to stand trial and dangerous into designated healthcare facilities within ten business days of receiving a court commitment order. When the Department failed to meet this deadline for six defendants held at the Baltimore County Detention Center, the District Court ordered the Department to reimburse the detention facility $141 per day for each defendant. On appeal, the Circuit Court modified the sanction to require the Department to admit defendants in strict chronological order of their commitment orders and to cease using clinical acuity screening and medical records in its admission decisions. The Department appealed, and the case was transferred to the Supreme Court of Maryland, which had pending guidance from another case on the scope of sanctions available under the statute.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Scope of sanctions courts may impose on the Department of Health for failing to meet the 10-day deadline for admitting incompetent and dangerous defendants
  • Whether courts may require chronological admission of defendants regardless of clinical acuity
  • Whether courts may prohibit the Department from using clinical acuity screening and medical records in admission decisions

Procedural posture

Petitions for certiorari were filed by the Department of Health from a Circuit Court judgment that imposed non-monetary sanctions requiring chronological admission and prohibiting acuity screening, following a District Court order for monetary reimbursement sanctions.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

majority opinion

Circuit Court for Baltimore County

Case Nos. C-03-CV-25-003883, C-03-CV-25-003886

C-03-CV-25-003888, C-03-CV-25-003885,

C-03-CV-25-003890 & C-03-CV-25-003889

IN THE SUPREME COURT

OF MARYLAND

Petition No. 376, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

RACHEL D. THOMPSON, et al.

Petition No. 377, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

STASHAUNA DAREE M. WHITAKER, et al.

Petition No. 378, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

Pursuant to the Maryland Uniform Electronic Legal WILLIAM ANTOINE LUNN, et al. Materials Act (§§ 10-1601 et seq. of the State

Government Article) this document is authentic.

2026.08.25

10:49:25 -04'00'

Gregory Hilton, Clerk

Petition No. 379, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

DEVONTE J. SCOTT, et al.

Petition No. 380, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

CORTNI ALSTON, et al.

Petition No. 381, September Term, 2025

MARYLAND DEPARTMENT OF HEALTH

v.

MICHAEL MAGGIO, et al.

Watts,

Booth,

Biran,

Eaves,

Killough,

JJ.

PER CURIAM ORDER

Filed: August 25, 2026

*

IN THE

MARYLAND DEPARTMENT OF

*

HEALTH SUPREME COURT

*

OF MARYLAND

v.

*

Petition No. 376

September Term, 2026

*

RACHEL D. THOMPSON, et al.

(Cir. Ct. No. C-03-CV-25-003883)

*

* * * * * * * * * * * * * * *

*

IN THE

MARYLAND DEPARTMENT OF

HEALTH *

SUPREME COURT

*

OF MARYLAND

v.

*

Petition No. 377

September Term, 2026

STASHAUNA DAREE M. *

WHITAKER, et al.

(Cir. Ct. No. C-03-CV-25-003886)

*

* * * * * * * * * * * * * * *

*

IN THE

MARYLAND DEPARTMENT OF

*

HEALTH SUPREME COURT

*

OF MARYLAND

v.

*

Petition No. 378

September Term, 2026

*

WILLIAM ANTOINE LUNN, et al.

(Cir. Ct. No. C-03-CV-25-003888)

*

* * * * * * * * * * * * * * *

*

IN THE

MARYLAND DEPARTMENT OF *

SUPREME COURT

HEALTH

*

OF MARYLAND

v. *

Petition No. 379

September Term, 2026

*

DEVONTE J. SCOTT, et al.

(Cir. Ct. No. C-03-CV-25-003885)

*

* * * * * * * * * * * * * * *

*

IN THE

MARYLAND DEPARTMENT OF

*

HEALTH SUPREME COURT

*

OF MARYLAND

v.

*

Petition No. 380

September Term, 2026

*

CORTNI ALSTON, et al.

(Cir. Ct. No. C-03-CV-25-003890)

*

* * * * * * * * * * * * * * *

*

IN THE

MARYLAND DEPARTMENT OF

*

HEALTH SUPREME COURT

*

OF MARYLAND

v.

*

Petition No. 381

September Term, 2026

*

MICHAEL MAGGIO, et al.

(Cir. Ct. No. C-03-CV-25-003889)

*

ORDER

Pending before the Court are the petitions for certiorari in the above-captioned

consolidated cases. The Court held these petitions pending its decision in Maryland

Department of Health v. Boulden, No. 35, September Term, 2025. The Court issued its

opinion in Boulden on July 15, 2026.

The Maryland Department of Health (the “Department”) is required to place every

defendant found incompetent to stand trial and dangerous (“IST”) in a designated

healthcare facility as soon as possible, but not later than 10 business days after the

Department receives the court commitment order. See Md. Code, Crim. Proc. (“CP”)

§ 3-106(c)(2)(i) (2025 Repl. Vol.). If the Department fails to meet the 10-day deadline, the

court “may impose any sanction reasonably designed to compel compliance, including

requiring the Health Department to reimburse a detention facility for expenses and costs

incurred in retaining the defendant” beyond the deadline. Id. § 3-106(c)(4).

In the consolidated cases before this Court, all six defendants, Rachel Thompson,

Stashauna Whitaker, William Lunn, Devonte Scott, Cortni Alston, and Michael Maggio,

were found IST by the District Court sitting in Baltimore County. The defendants were

detained at the Baltimore County Detention Center (“BCDC”) while they awaited transfer

to a Department facility. The Department failed to admit the defendants to designated

healthcare facilities within the 10-day deadline. Each defendant moved for sanctions under

CP § 3-106(c)(4).

The District Court held a consolidated hearing on defendants’ motions for sanctions

on August 5, 2025. The District Court imposed as a sanction the requirement that the

Department reimburse BCDC in the amount of $141.00 for each day the Department

violated CP § 3-106(c)(2)(i) with respect to each defendant. The court ran each sanction

retroactively to the eleventh business day following the issuance of the commitment order

and ordered that the daily sanction would continue “until the date on which the Defendant

is admitted to an MDH facility.” The Department noted a de novo appeal to the Circuit

Court for Baltimore County.

On November 10, 2025, the circuit court issued a written ruling and order imposing

the following “non-monetary sanctions” on the Department:

1. The Department shall refrain from requiring or relying upon clinical

acuity screening surveys, as such screening is not authorized by

statute or by regulation under COMAR;

2. The Department shall cease requesting or conditioning admission

upon the production of medical records from the BCDC or any other

local detention facility for the purpose of confirming or ranking a

defendant’s acuity, as no such requirement exists in law or regulation;

and

3. The Department shall admit defendants found incompetent to stand

trial and dangerous to a health care facility in the chronological order

of their commitment orders, consistent with the plain language and

legislative intent of § 3-106(c)(2).

The Department noted an appeal to the Appellate Court of Maryland. The Appellate

Court subsequently transferred the cases to this Court on November 24, 2025. This Court

docketed the filings as noncompliant petitions for certiorari and allowed the Department to

file a supplement by December 10, 2025. On December 8, 2025, this Court granted the

Department’s emergency motion to stay enforcement of the circuit court’s sanctions orders

pending the decision on these consolidated petitions.

The Department then filed its supplement to the petitions for writ of certiorari,

seeking review of the following question in all six cases:

Did the circuit court abuse its discretion in issuing a sanction under Criminal

Procedure § 3-106(c)(4) that requires the Department to admit all committed

criminal defendants “in the chronological order of their commitment orders,”

regardless of the acuity of their condition?

Respondents subsequently filed a consolidated Answer to the Petition for Writ of

Certiorari.

In Boulden, this Court held that CP § 3-106(c)(4) authorizes courts to impose

sanctions to compel the Department to admit a defendant to a designated healthcare facility

as soon as possible after the 10-day deadline has run. We held that “[i]f the court can

reasonably conclude, based on the evidence before it, that the Department has not taken

available steps to admit the particular defendant before the court as soon as possible, the

court may impose a sanction that is designed to coerce the Department to do so.” Maj. Slip Op. at 33. We explained that § 3-106(c)(4)’s plain language “requires that a court impose

a sanction under § 3-106(c)(4) only for the purpose of compelling compliance with respect

to the particular defendant before the court – i.e., admitting the defendant to a designated

facility.” Maj. Slip Op. at 30.

On their face, the requirements imposed by the circuit court in these cases do not

comply with Boulden’s holding that a sanction compel compliance with respect to the

particular defendant before the court. In addition, nothing in Boulden authorizes a circuit

court to order the Department to forego its reliance on acuity. Neither the plain language

of § 3-106(c)(4) nor this Court’s interpretation of that provision in Boulden authorizes a

court to order the Department to prioritize acuity in any particular manner.

With respect to each pending petition for a writ of certiorari, the Court grants the

petition, vacates the judgment of the Circuit Court for Baltimore County, and remands for

reconsideration in light of Boulden.

Chief Justice Fader did not participate in the consideration of these petitions. Justice

Gould does not join this Order.

/s/ Shirley M. Watts

Senior Justice