Johns Hopkins Institutions



Legislative Hotline

2003 SESSION OF THE
MARYLAND GENERAL ASSEMBLY



Volume 11, Number 6 February 12, 2003


Here are some of the hot issues as the 2003 Legislative Session develops:

OPEN HEART CERTIFICATE OF NEED
CAREFIRST


BILLS INTRODUCED
STAFF CONTACT INFORMATION

OPEN HEART CERTIFICATE OF NEED

On Wednesday, February 5, 2003, in the Senate Finance Committee, a briefing was held on Certificate of Need (CON) and Open Heart Surgery. Three panels participated in the briefing and they included:

1. Maryland Health Care Commission

2. Opponents of CON
    Jay Schwartz representing St. Agnes & Anne Arundel Medical Center
    Laurence Merlis - CEO & President of GBMC

3. Proponents of CON
    John Tolmie - CEO & President of St. Joseph's
    Charles Cummings, M.D. - Chief of Cardiac Catheterization Lab, Sinai
    Luis Mispireta, M.D. - Chief of Cardiac Surgery, Union Memorial.

The MHCC gave a background of CON and the purpose of the State Health Plan. Barbara McLean explained that Advisory Committee on Outcome Assessment in Cardiology was addressing issues that include the co-location of open heart and angioplasty, outcome data, and interhospital transports.

Questions were raised about the need for open heart CON when it is not needed for brain surgery while another Senator raised the question regarding shortage of staff as to why nurses who care for brain surgery patients could not also care for heart patients.

Opponents of CON testified that MHCC was using the same arguments from 30 years ago that were not relevant today. Schwartz also questioned the validity of the volume and quality relationship and implied that it was just being used as a tool to keep others from getting open-heart programs. It was also stated that Maryland has higher mortality rates than states without CON and therefore, something must be wrong with the current system.

The proponents testified that there is a correlation between volume and quality and he need for open-heart surgery is declining. They stated that they have studies showing that mortality rates were actually lower in states that have a CON. Questions were raised about the minimum number needed to ensure quality programs and the amount of research being done by institutions that have CON for open heart. They specifically asked for information about cardiac being done at academic medical centers and how a drop in the number of open-heart cases performed would impact research. Legislation has been introduced that would eliminate the need for CON for open heart surgery and would require programs to be licensed as well as legislation that would allow new open heart programs for hospitals participating in the C-PORT Program.

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CAREFIRST

A briefing on the possibility of Carefirst converting to a for-profit company was held before the House Health and Government Operations Committee. Those that testified on the issue included officials from Carefirst, Wellpoint, Community Catalysts, the Maryland Hospital Association, MedChi and the Attorney General�s office.

The overarching theme of the briefing centered on ways to help Carefirst make insurance more accessible and affordable if the Insurance Commissioner does not approve the conversion. Bill Jews, CEO, explained that there is no immediate financial threat if Carefirst is not able to convert, but chances to convert in the future would decrease, as the company would not be able to compete with national companies.

Legislators appeared skeptical to the need for Carefirst to convert to a for-profit company. Questions were raised about compensation of the Board as well as bonuses for top executives.

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BILLS INTRODUCED
Budget
Economic Development
General Education
General Health Care
Health Care Facilities
Health Care Practitioners
Health Insurance
Higher Education
Mental Health
Pharmaceuticals
Public Health
Taxes
Tobacco Settlement
Tort Reform
Miscellaneous



BILLS INTRODUCED

Budget

HB0359     State Lottery and Racing Commission and Agency - Video Lottery Terminals
This bill would authorize four horse racetracks to offer video lottery terminals for public use. The bill establishes eligibility and disqualifying criteria for a video operation license; requiring specified investigations of applicants for video lottery operation licenses; and establishes the State Lottery and Horse Racing Agency and Commission. The bill creates an Education Trust Fund (ETF) of which a certain amount of the proceeds from video lottery terminals are to be distributed. The bill requires the Commission to purchase or lease and maintain control over video lottery terminals.

Effective Date: June 1, 2003

For more information, please contact: Bret Schreiber


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Economic Development

HB0362     Technology Procurement - Commission to Review
This bill establishes a commission to study issues related to the procurement of technology and technology-related services by the State. The bill requires the commission to make recommendations with regard to specified aspects of technology procurement; specifically those that encourage further development of the technology industry in Maryland. The bill also provides for the membership and staffing of the commission; requiring specified reports on or before November 1, 2003; and providing for the termination of the Act in 2 years.

Effective Date: June 1, 2003

For more information, please contact: Bret Schreiber


SB0253     State Government - Department of Technology - Creation and Duties
This bill creates the Department of Technology as a principal department of State government. The bill also creates the office of Secretary of Technology; specifying the duties and powers of the Secretary; and changing the composition of the membership of the State Information Technology Board (SITB). A representative of the Maryland Higher Education Commission (MHEC) and the Department of Business and Economic Development (DBED) shall serve on the SITB. This bill also requires the Secretary to submit an annual report on November 1, of each year.

Effective Date: July 1, 2003

For more information, please contact: Bret Schreiber


SB0340     Maryland Technology Investment Program
This bill creates the Maryland Technology Investment Program (MTIP); requiring the Board of Trustees (BOT) of the State Retirement and Pension System (SRPS) to establish and administer the Program; authorizing the BOT to adopt regulations. They will be required to enter into partnership agreements with venture capital general partners, and to ensure that a decision to enter into a partnership is based solely on the potential for investment returns for the State of Maryland. The Board will be permitted to provide venture capital investments in such areas as biotechnology parks that are affiliated with higher education institutions.

Effective Date: June 1, 2003

For more information, please contact: Bret Schreiber


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General Education

SB0295     Education - Principals - State Salary Grants
This bill establishes a State program of salary grants for principals, vice-principals, and assistant principals, with the goal of improving recruitment, and retention of well qualified individuals for these positions. The bill authorizes county boards of education to submit applications for a State grant under the program; requiring that a State grant be awarded for FY 2005 to a county board that applies, and establishes a 4% aggregate salary adjustment over a specified time period for these positions. The bill also establishes a formula to determine the amount of a State salary grant.

Effective Date: July 1, 2003

For more information, please contact: Bret Schreiber


SB0388     Education - Public Charter School Act of 2003
This bill establishes public school chartering authorities; enabling authorities to grant charters for public charter schools; establishing the application process, rights and duties of public charter schools, and an admissions policy. The bill also prohibits the charging of tuition and specified fees.

Effective Date: July 1, 2003

For more information, please contact: Bret Schreiber


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General Health Care

HB0231     Maryland Medical Assistance Program-Eligibility Requirements-Advance Directives
This bill requires an individual applying for benefits under the Maryland Medical Assistance Program (MMAP) to complete and sign advance directives, or a waiver stating they declined to do so, in order to be eligible for coverage under the Program. The Department of Health and Mental Hygiene (DHMH) would be responsible for keeping a copy of the advance directive in the applicant's records, as well as forwarding a copy to the applicant, and to service providers upon request.

Effective Date: July 1, 2003

For more information, please contact: Beth Chaney


SB0181     Mental Hygiene Administration - Traumatic Brain Injury Rehabilitation Fund
This bill creates a special fund to support traumatic brain injury. The fund is designed to support those individuals who on or after October 1, 2004, have suffered traumatic brain injuries, and are at least 21 years of age. The fund will be used in paying for services and products that are not covered by the individual's health insurance, other private health benefit programs, and will increase the individual's quality of life. The bill states that the fund will be the payer of last resort for services and products. Products and services eligible include: case management services, rehabilitative therapies, attendant care, home accessibility modifications, respite care, and appropriate equipment.

The fund will be supported by a $4 surcharge on court costs for: defendants convicted of an offense, investment earnings on the fund, any federal matching funds, and any other sources.

Effective Date: October 1, 2003

For more information, please contact: Jim Kaufman


SB0190     Developmentally Disabled Individuals - Medical Assistance and Other Services - Eligibility
This bill amends the current statute regarding Medical Assistance (MA) and other services for the developmentally disabled. The bill regulates what services can be funded through State general funds without a federal fund match; limiting the use of unmatched State funding to providing community-based services for individuals who are not eligible for MA, or for services not provided by MA. Non-matched State funds may not be used for any individual eligible for federal funds. An individual cannot access unmatched State funds if the same service can be accessed through the Medical Assistance Program (MAP), including the home and community based waiver programs.

The bill also limits the eligibility period in which an individual with a developmental disability can apply for MA. The bill requires an individual to apply either before the initiation of services, or within the first 30 days after the start of services.

Effective Date: October 1, 2003

For more information, please contact: Beth Chaney


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Health Care Facilities

HB0236     Cardiac Services - Licensing
This bill would eliminate the requirement for Certificate of Need (CON) for establishing an open heart surgery program. Instead, by January 2004, the Department of Health and Mental Hygiene (DHMH) would license each cardiac service program that meet specified requirements and regulations.

The term of each license would be three years, and three months before expiration. DHMH would send each hospital a renewal form, and a notice stating the expiration date. A license may not be granted or renewed if the mortality and morbidity rates for all patients undergoing surgery in the hospital significantly exceed the rates for all cardiac surgery patients in the State.

Applicants for the license must document a plan to staff and operate a program, adequate operating room capacity, compliance with regulations, and the ability to maintain the caseload. Within three years after a program has been initiated, it must attain and maintain 350 cardiac surgery cases annually, a minimum of 200 cardiac-related procedures performed annually, and develop or establish a cardiovascular disease prevention and early diagnostic program.

By November 2003, regulations must be adopted for the following: quality of care standards; utilization or peer review and control programs; requiring cardiac services be available on an emergency basis (24 hours each day, 7 days a week), establishing & maintaining ancillary and support services for a cardiac intensive care unit, catheterization labs, and number of appropriate operating rooms.

The Department may request and collect any statistical or other information necessary to develop standards for cardiac programs, monitor the delivery of cardiac services, and the number of surgeries performed in the State.

Also, by November 2003, regulations must be adopted setting the standard data set for volume and characteristics of interhospital transports collected by the Maryland Institute for Emergency Medical Services Systems (MIEMSS). MIEMMS will adopt regulation protocols to guide the rapid interhospital transport of cardiac patients. By December 2007, DHMH will report back to the General Assembly on issues including: the impact on health care costs, impact on the quality of medical care, access to cardiac services, and the impact on the number of interhospital transports.

Effective date: July 1, 2003

For more information, please contact: Nicole Xander


SB0284     Public Records - Motor Vehicle Records - Access by Hospitals
This bill amends the current statute governing the dissemination of personal information relating to the ownership of vehicles. The action would allow hospitals to acquire the personal information of the owner of any vehicle parked on hospital property. The information can be used for security purposes only.

Effective Date: October 1, 2003

For more information, please contact: Kate Bishop


SB0424     Hospitals - Certificate of Need - Open Heart Surgery
This bill would allow the Maryland Health Care Commission (MHCC) to grant a Certificate of Need (CON) for open heart surgery to a hospital that has done the following:

- filed an application,
- participated in the Cardiovascular Patient Outcomes Research Trial (C-PORT),
- diagnosed or treated at least 500 patients within 12 months prior to the application who have received interventional cardiac procedures at the hospital, or have been transported or referred to hospitals with open heart surgery for interventional cardiac procedures, and
- demonstrated clinical and resource capacity

Effective Date: October 1, 2003

For more information, please contact: Nicole Xander


SB0587     Maryland Trauma Services Funding Act
This bill creates the Maryland Trauma Services Fund (MTSF), and is designed to provide a subsidy for the documented costs of trauma physician uncompensated care, trauma on-call and stand-by costs; increasing the Medicaid fee schedule for trauma physicians, and unrecoverable costs of trauma center uncompensated care. The fund will be supported by a $4 surcharge on automobile insurance policies.

The fund will be administered by the Department of Budget and Management (DBM) in consultation with the Maryland Institute for Emergency Medical Services Systems (MIEMSS).

The bill also requires a Health Maintenance Organization (HMO) to pay both contracting and non-contracting trauma physicians the greater of 140% of the Medicare rate, the HMO rate as of January 1, 2003, or the contracted rate at the time the service is provided.

Finally, the bill requires the Health Services Costs Review Commission (HSCRC) to report before August 1, 2003, the status of including hospital rates funding related trauma costs for physician on-call availability, and regulatory requirements for the MIEMSS trauma center.

Effective Date: July 1, 2003

For more information, please contact: Jim Kaufman


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Health Care Practitioners

SB0268     State Board of Social Work Examiners - Sunset Extension and Program Evaluation
This bill extends the State Board of Social Work Examiners (SBSWE) until July 1, 2013. The bill states, that if a licensed social work associate or licensed graduate social worker is not appointed to the SBSWE within six months of a vacancy, a licensee of any license level shall be appointed if qualified.

Also, by October 2003, the Board and the Department of Health and Mental Hygiene (DHMH) shall report to the Maryland General Assembly (MGA) on the implementation of the recommendations of the Department of Legislative Services (DLS) contained in the sunset evaluation report dated October 2002.

Effective Date: July 1, 2003

For more information, please contact: Nicole Xander


SB0387     Maryland Optometry Act-Replacement Contact Lenses-Clarifications and Modifications
This bill clarifies current statute regarding the writing and dispensing of replacement contact lens prescriptions. The modifications allow an Optometrist to write a replacement contact lens prescription for a patient without a new fitting of the lenses if, upon examination, the patient's diagnosis has not changed. That prescription must be forwarded to the patient, or his designee within 7 business days. If a patient's contact lens prescription is dispensed by someone other than the licensed Optometrist, or someone directly or indirectly associated with the Optometrist, he will not liable for any injury to the patient caused by the negligence of the dispenser. Selling or dispensing replacement contact lenses without a valid and unexpired prescription is a violation of state law and subject to investigation.

Effective Date: October 1, 2003

For more information, please contact: Beth Chaney


SB0500     Department of Health and Mental Hygiene - State Board of Physicians
This bill renames the State Board of Physician Quality Assurance (BPQA) to the State Board of Physicians (Board), and increases Board membership from 15 to 21. Membership will be appointed by the Governor with the advice of the Secretary of Health and will include: 11 practicing licensed physicians, 1 of whom shall be a Doctor of Osteopathy; 1 appointed at the Governor's discretion; 1 representing DHMH; 1 who practices complementary and alternative methods of care. 1 physician will be a representative of an academic medical institution, appointed from a list containing 3 names from the Johns Hopkins University School of Medicine, and 3 names from the University of Maryland; 5 consumer members will be appointed with the advice and consent of the Senate; including a public member knowledgeable in risk management or quality assurance matters appointed from a list submitted by the Maryland Hospital Association (MHA). The consumer member may not have a substantial personal, business, professional or pecuniary connection with a medical field or with an institution of medical education or a health care facility.

The Chairman of the Board will not be appointed by the Governor, but will be elected by the Board members. The bill also stipulates how physicians will be notified of a vacancy on the Board and prohibits reappointment, or appointment of a physician from a particular medical specialty, if there are two current members serving on the Board from the same medical specialty.

The Governor will be required to appoint a new State Board of Physicians on August 1, 2003. The Board of Physicians Fund may set reasonable fees for the issuance and renewal of licenses and its other services; fees are to be set at the approximate cost of maintaining the Board. In addition, the Board shall fund the budget of the Physician Rehabilitation Committee (PRC), that is responsible for evaluating and providing assistance to impaired physicians in need of treatment and rehabilitation for alcoholism, chemical dependency or other physical, emotional or mental conditions. The Medical Chirurgical Faculty of the State of Maryland (MEDCHI) shall appoint the members of the PRC and the Chairman of the Board shall appoint one member of the Board to serve as a liaison to the PRC.

The bill repeals the provision requiring the Health Claims Arbitration Office to forward allegations requiring further investigation to the Faculty, and stipulates that the Board shall enter into a written contract with an entity or entities for further investigation and physician peer review of allegation (formerly a function of the MEDCHI). Following an allegation of grounds for disciplinary or other action, the Board may refer the allegation for further investigation to the entity that has contracted with the Board. Before the Board takes any action following the investigation, it shall give the individual against whom the action is contemplated an opportunity for a hearing before a hearing officer or a subcommittee of the Board.

The bill authorizes the Chairman of the Board to delegate authority to conduct a hearing to a subcommittee consisting of three or more Board members. It also repeals the provision that factual findings will be supported by clear and convincing evidence.

The affirmative vote of the full authorized Board membership is required prior to exoneration of charges if the Board finds no grounds for action.

Previously the Board was required to create an individual profile on each licensee. The bill additionally requires that the Board maintain the profile for public use and include the following added information:

1) a copy of the public order with a description of any action taken against a licensee
2) the number of medical malpractice court judgments and arbitration awards against a licensee within the most recent 10-year period
3) the number of medical malpractice settlements involving the licensee with a settlement amount of $150,000 or greater within the most recent 10-year period
4) a description of any actions relating to the licensee that might be grounds for disciplinary action that are reported to the Board by hospitals or related institutions within the most recent 10-year period
5) a description of a conviction or entry of a plea of guilty or nolo contendere by the licensee for a crime involving moral turpitude reported to the Board
6) medical education and practice information about the licensee
7) a statement on each licensee's profile of information to be taken into consideration by a consumer when viewing a licensee's profile, including factors to consider when revaluating a licensee's malpractice data.

The Board will be required to maintain a website that serves as a single point of entry where all physician profile information is available to the public on the Internet. The Board must provide a mechanism for the notification and prompt correction of any factual inaccuracies in a licensee's profile.

The Board will be required to report to: the Governor, the Senate Education, Health and Environmental Affairs (EHE), Budget and Taxation Committee (B&T), House Health and Government Operations (HGO), and Appropriations Committee (APP) by November 1, 2003, on the financial condition of the Board and a review of the impact of legislation enacted in 2003.

In addition, by January 1, 2004, the Board shall report to the Governor, EHE and HGO on investigative caseloads. The Board and the Office of the Attorney General shall also report on January 1, 2004, on all aspects of the Board investigative processes.

The bill also requires that investigations and peer review allegations shall utilize two peer reviewers, and in the event of a lack of agreement between the two reviewers, a third reviewer shall be utilized.

Contingent upon the Governor's including in the budget for fiscal year 2005 at least $750,000 for the operation of the Health Manpower Shortage Incentive Grant Program and the Loan Assistant Repayment Program, effective July 1, 2004, these two programs will no longer be funded through the Board of Physicians.

Effective Date: July 1, 2003

For more information, please contact: Sheila Higdon


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Health Insurance

HB0150     Acquisition of a Nonprofit Health Entity - Determination by Regulating Entity
This bill states that a determination by a regulating entity regarding a proposed acquisition of a non-profit health entity, may not take effect until the last day of next regular session of the Maryland General Assembly (MGA), beginning after the date of determination. The MGA may take action to approve, disapprove, or modify the determination.

Effective Date: Emergency Measure (effective upon enactment)

For more information, please contact: Jim Kaufman


HB0238     Health Insurance - Required Reimbursement - Podiatrists
According to this bill, if a policy or contract provides reimbursement for a service within the scope of practice of a licensed podiatrist, then the person covered by or entitled to reimbursement is entitled to the same amount of reimbursement for the services whether it was performed by a physician or licensed podiatrist. The bill applies to insurers, health services plans, Health Maintenance Organizations (HMOs), and Managed Care Organizations (MCOs)

Effective Date: October 1, 2003

For more information, please contact: Nicole Xander


HB0410     Health Insurance - Private Review Agents - Examination of Pharmacy Benefit Managers
This bill requires the Insurance Commissioner to conduct an examination of any Pharmacy Benefit Manager (PBM) registered as a private review agent, to determine whether the PBM is acting in compliance with the law. The examination shall be conducted every three years, paid by the person being examined.

Effective Date: October 1, 2003

For more information, please contact: Nicole Xander


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Higher Education

HB0349     Higher Education - Associate of Arts in Teaching Degree - Transfer to Baccalaureate Degree
This bill requires the Maryland Higher Education Commission (MHEC), in cooperation with the Maryland State Department of Education, to estimate the number of public elementary and secondary teachers by discipline that will be needed in upcoming years. Each year, public senior higher education institutions must accept the number of applicants with associate of arts in teaching (AAT) degrees that MHEC determines will be needed by the applicants' graduating years. Applicants must meet the academic standards of the institutions and must complete the normal number of credits needed to acquire baccalaureate degrees in teaching. Public senior higher education institutions must report annually on the number of applicants who hold AAT degrees, the number who are accepted, and the number who are enrolled in the institutions.

Effective Date: October 1, 2003

For more information, please contact: Bret Schreiber


SB0291     Higher Education - Student Financial Assistance - Maryland Teacher Scholarships
This bill alters the eligibility criteria for receiving a Maryland Teacher Scholarship to include students who pledge to work as nonpublic elementary and secondary school teachers in the State upon completion of their studies. The bill also alters the definition of "service obligation" to include teaching full time in a nonpublic elementary or secondary school that holds a certificate of approval from, or is registered with the State Board of Education (SBE).

Effective Date: October 1, 2003

For more information, please contact: Bret Schreiber


SB0555     Higher Education - Aid to Nonpublic Institutions - Calculation of Joseph A. Sellinger Program Grant
This bill alters the formula for calculating the amount of State aid to nonpublic institutions of higher education; limiting the amount of State aid appropriated on the basis of an institution's nonresident student enrollment to nonpublic institutions of higher education under the Joseph A. Sellinger Program. The aid will be calculated by taking the sum of the number of full-time equivalent students who are state residents, plus .75 times the number of full-time equivalent students who are not State residents enrolled at an institution.

Effective Date: October 1, 2003

For more information, please contact: Bret Schreiber


SB0568     Higher Education - Educational Excellence Awards - Funding
This bill requires at least $3 million appropriated for Educational Assistance Grants (EAG) to be allocated to institutions of higher education in the State to fund Educational Excellence Awards (EEA). Current law only requires funding be made if it is available.

Effective Date: October 1, 2003

For more information, please contact: Bret Schreiber


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Mental Health

HB0360     Mental Health - Early Childhood Mental Health Services - Pilot Program
This bill establishes the Early Childhood Mental Health Services Pilot Program (ECMHSPP). The Program is designed to foster the social and emotional development of children under age 6 through the provision of mental health screening and consultation. The screening is available to children in registered child care facilities, or in the care of licensed child care providers. The program also provides for the training of child care providers in the social and emotional development of a child, and the recruitment of early childhood mental health specialists. Similar Pilot Programs currently exist in Baltimore City and on the Eastern Shore.

The establishment of the ECMHSPP is dependent on the receipt of either federal or private funds. If the funds are received the bill will take effect on October 1, 2003, and remain effective for 4 years and 3 months, ending December 31, 2007, unless further action is taken by the General Assembly.

Effective Date: October 1, 2003

For more information, please contact: Beth Chaney


SB0209     Maryland Medical Assistance Program - Reimbursement for Outpatient Mental Health Treatment - Dual Eligibility
This bill requires Medicaid to reimburse an outpatient mental health care "provider" the entire amount of the Medicaid program fee for outpatient mental health treatment provided to an individual eligible for both Medicare and Medicaid, including any amount ordinarily withheld as a psychiatric exclusion, and any co-payment not covered under Medicare.

Effective Date: July 1, 2003

For more information, please contact: Sheila Higdon


SB0273     Mental Hygiene Administration - Emergency Evaluation - Standards and Content
The bill modifies current standards for involuntary admissions of individuals with mental disorders, authorizing additional criteria on which an individual making a petition for emergency evaluation to base the petition. This includes observation of the individual, their behavior, or other pertinent factors. The bill also amends existing language in the petition that refers to the evaluee's potential danger to their own life or safety, or that of others.

Effective Date: October 1, 2003

For more information, please contact: Sheila Higdon


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Miscellaneous

HB0062     Environment - Products That Contain Mercury - Labeling and Disposal
This bill would amend Section 6-905 of the Annotated Code of Maryland, and adds Section 6-905.1 and 6-905.2 regarding selling, labeling, and disposing of mercury-added products.

Section 6-905 would be amended to include dyes or pigments, electric switches, fluorescent lamps, and thermostats as mercury-added products.

Section 6-905.1 contains the same provisions as the previous Section 6-905, regarding the selling/provision of fever thermometers with mercury by marketers.

Section 6-905.2 is a new section that proposes the following:
-On or after April 1, 2005, a manufacturer or retailer cannot sell a mercury-added product in the State or for use in the State.

-Manufacturers must clearly label a mercury-added product with information that states that mercury is present in the product and the product may not be disposed of until the mercury is removed and reused, recycled or otherwise so as not to be part of solid waste or wastewater.

-On or after October 1, 2005, a person cannot dispose of a mercury-added product in a refuse disposal system located in the state unless the mercury is removed and reused, recycled or otherwise so as not to be part of solid waste or wastewater.

-On or after October 1, 2005, refuse disposal system operators must post signs that inform the public of the prohibition of the disposal of mercury-added products.

The Department of the Environment (DOE) must complete regulations for the implementation of this section by October 1, 2004, and must consult those impacted by the regulations beforehand.

Effective Date: October 1, 2003

For more information, please contact: Jason Spangler


HB0341     Maryland Heritage Structure Rehabilitation Tax Credit - Termination
This bill would alter the termination date from June 1, 2004 to June 1, 2003 of the Maryland Heritage Structure Rehabilitation Tax Credit; providing that the credit may not be claimed unless an application for approval of a plan of proposed rehabilitation was received by the Director of the Maryland Historical Trust on or before February 1, 2003.

Effective Date: June 1, 2003

For more information, please contact: Bret Schreiber


SB0214     Campaign Finance - Contribution Limitations
This bill increases the total amount a person may contribute to all campaign finance entities from $10,000 to $20,000 during an election cycle.

Effective Date: October 1, 2003

For more information, please contact: Lynette Floyd


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Pharmaceuticals

HB0363     Maryland Medical Assistance Program - Prior Authorization - Mental Health Drugs
This bill applies to the Maryland Pharmacy Assistance Program (MPAP) and any other pharmacy assistance programs developed by the Department of Health and Mental Hygiene (DHMH), but does not apply to the State's Managed Care Organizations (MCOs). It prohibits DHMH from establishing prior authorization requirements or restricting coverage for drugs used to treat mental illness and brain disorders including: atypical and conventional antipsychotic medications; active serotonin re-uptake inhibitors; atypical antidepressants; and drugs to treat epilepsy and other central nervous system brain disorders. The bill also directs DHMH to consider implementation of a quality improvement program and physician education initiatives on the psychiatric drug costs.

Effective Date: June 1, 2003

For more information, please contact: Sheila Higdon


SB0334     Maryland Health Care Foundation - Maryland Medbank Program - Extension and Funding
This bill would authorize the Maryland Medbank Program (MMP) to not only purchase interim supplies of prescription drugs for enrollees who have applied to participate in a manufacturer's patient assistance program (but have not yet received the approved drug), but to distribute medication to enrollees who have been approved to participate in a manufacturer's patient assistance program.

Beginning in FY 2005, and each fiscal year thereafter, the bill requires the Governor to include at least $3 million for the grant to the MMP.

Effective Date: July 1, 2003 (Sunset June 30, 2006)

For more information, please contact: Nicole Xander


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Public Health

HB0063     Vehicle Laws - Use of Hand-Held Telephone While Driving - Prohibition
This bill would make it illegal for drivers to operate a held telephone while the vehicle is in motion. Exceptions include calling 911, or a public safety agency regarding an emergency, an employee of an electric, gas or telephone company for emergency communication, or an operator of an emergency vehicle being used in official capacity.

Effective Date: October 1, 2003

For more information, please contact: Jason Spangler


SB0083     Law Enforcement - Forfeited Property and Agency-Owned Handguns - Disposition
This bill would amend both Section 3-501 and Section 13-206(a) of the Annotated Code of Maryland, by allowing a law enforcement unit or agency to sell, exchange, or transfer forfeited property or a handgun owned by the agency to a federally licensed gun dealer. Under the current Code, a law enforcement unit or agency can only destroy the forfeited property or handgun, or sell, exchange, or transfer the forfeited property or handgun to another law enforcement unit or agency (or assigned or retired officer in the case of a handgun).

Effective Date: October 1, 2003

For more information, please contact: Jason Spangler


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Taxes

SB0324     Tobacco Tax - Rate
The bill increases the tobacco tax from $1.00 to $1.36 per pack of 20 cigarettes.

Effective Date: July 1, 2003

For more information, please contact: Sheila Higdon


SB0529     Alcoholic Beverage Tax - Maryland Emergency Medical System Operation Fund
This bill doubles the alcohol tax, and requires that 100% of the additional funds collected, be transferred to the Maryland Emergency Medical Systems Operation Fund (MEMSOF). This fund provides grants to various components of the System to include local fire and rescue, University of Maryland Shock Trauma, and the State Police Aviation Division. The additional funds are to be dedicated to MEMSOF beginning in FY 2005, and continue until FY 2009.

Effective Date: July 1, 2003

For more information, please contact: Jim Kaufman


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Tobacco Settlement

HB0247     Cigarette Restitution Fund - Required Appropriations
The bill stipulates that appropriations made from the Cigarette Restitution Fund (CRF) for the purposes of the Maryland Medical Assistance Program (MMAP), may not be counted as appropriations satisfying the requirement to use 50% of the funds for the specific purposes to the Tobacco Use Prevention and Cessation Program, the Cancer Prevention, Education, Screening and Treatment Program and other specifically defined programs.

Effective Date: October 1, 2003

For more information, please contact: Sheila Higdon


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Tort Reform

HB0294     Consumer Protection - Maryland Consumer Protection Act - Scope
This bill amends the existing Maryland Consumer Protection Act (MCPA) by adding health care professionals to the list of professionals, as defined by Section 3-2A-01 of the Court Article, that are not subject to the MCPA. This Article also defines health care provider as: a hospital, a related institution, a physician, an osteopath, an optometrist, a chiropractor, a nurse, a dentist, a podiatrist, a psychologist, a social worker, and a physical therapist.

Effective Date: July 1, 2003

For more information, please contact: Jim Kaufman


SB0149     Courts - Right of Party to Be Present at Trial
This bill prevents a party to a court action from being excluded from the trial, except to preserve decorum, or to continue the orderly proceedings of the court. The bill states that the intent of the General Assembly is to allow a party to be present during an action, regardless of their physical or mental disability.

Effective Date: October 1, 2003

For more information, please contact: Jim Kaufman


SB0437     Health Care Records - Confidentiality - Ex Parte Communications With Health Care Providers
This bill prohibits health care providers and hospitals from communicating information about a patient to anyone in connection with an actual or potential personal injury claim, or family law proceeding, without the written consent of the patient or their authorized representative. However, if compelled by a subpoena or other legal proceeding for which proper notice has been given to the patient, a health care provider may communicate information without the authorization of the patient.

This does not prohibit a health care provider from communicating with their own insurer, or legal counsel in connection with an actual or potential claim directly involving the health care provider.

In addition, the bill adds language to existing statute allowing the disclosure of a medical record without the authorization of a patient, provided that the party requesting the release of the medical record provides the patient's health care provider with an affidavit that the patient has been informed of the request.

Effective Date: October 1, 2003

For more information, please contact: Sheila Higdon


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Sheila Higdon shigdon@jhmi.edu
Jim Kaufman jkaufma@jhmi.edu
Bret Schreiber bschreiber@jhu.edu
Nicole Xander nxander@jhmi.edu
Kate Bishop sbishop2@jhu.edu
Jason Spangler jspangle@jhsph.edu
Beth Chaney greltemp@jhmi.edu
Lynette Floyd lfloyd@jhmi.edu
Mickey Giesler mgeisler@jhu.edu

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Last updated 03feb12