Maryland law mirrors the language of the Roe v. Wade decision. It makes abortion fully accessible through the first 24 weeks, and available even after that if the pregnancy has any possible negative impact on the mother’s health, including her mental health. Abortion is essentially completely legal up until birth.

In 2021, State Delegate Ric Metzgar filed HB997, a bill to abolish abortion in Maryland. Issues with the revisers of statutes prevented the bill from ever being introduced in its correct form.