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2010 SESSION OF THE |
Volume 16, Number 3 |
February 17, 2010 |
Here are some of the hot issues as the 2010 Legislative Session develops:
Budget
Hearings
Lyme
Disease Legislation
Budget subcommittees are currently holding hearings on all state agency
budgets. These are the forums where budgets for all programs are reviewed and
analysts from the Department of Legislative Services (DLS) recommend actions to
the legislature. Below are highlights of hearings held this week that are of
particular interest to Johns Hopkins:
The Stem Cell Research Fund budget
was heard before the House Education and Economic Development Committee
yesterday. Governor O�Malley has proposed $12.4 million for the Stem Cell
Research Fund, a slight increase over his proposal in FY 2009. This amount is
nearly half the level of funding in the first year of the program (FY 2008), but
is responsive to the state�s fiscal situation. DLS has recommended an additional
fifty percent reduction � leaving only $6.2 million for FY 2011. TEDCO and the
Stem Cell Research Fund Commission testified in opposition to the cut, providing
rationale for maintaining the Governor�s proposal. We also submitted testimony
in opposition to the cut. The Maryland Catholic Conference testified that
whatever the funding level, the uses should be limited to adult stem cell
research. Traditionally the House is more inclined to fully fund this program,
while the Senate is likely to push for a cut. This matter will likely end up in
a conference committee, where the two chambers will negotiate a
compromise.
The Medical Care Program Budget was heard before the House
Health and Human Resources Subcommittee yesterday. The Governor�s budget
included a $123 million reduction in Medicaid payments to hospitals, a $20.5
million offset from the federal government for collecting rebates on MCO
pharmacy expenditures, $20 million in savings associated with the passage of the
false health claims legislation, and the use of $8.1 million in CRF funds to
support Medicaid. DHMH was again asked to give an explanation of how the $123
million reduction would be realized and gave no specifics, except to say that
�all options are on the table.� The Department of Legislative Services (DLS) did
make two recommendations, the first was to reduce the funding for the Statewide
Bonus for MCOs by 50% (or $2.5 million) and to reduce the funding to the CRF
Education and Agriculture grants by 10% (or $1.15 million). Since Priority
Partners is one of only two MCO�s who still qualify for the Statewide Bonus
(Maryland Physicians Care is the other) this would jeopardize our ability to
remain a statewide MCO, and would likely force us to cap membership or close in
some counties. DHMH aggressively disagreed with the legislative analyst�s
recommendation, noting that it would reduce network capacity in areas of the
state which are already underserved (in support of the position of Priority
Partners and MPC), in turn putting the HealthChoice program and waiver at
increased risk. This additional CRF reduction in the Education and Agricultural
grants would not affect Johns Hopkins.
Two additional DLS recommendations
were of interest. The first would add language in the BRFA authorizing the
transfer of Local Income Tax Reserve Account Funds to cover a possible shortfall
of $389 million that would occur should Congress fail to authorize the 6 month
extension of the increased FMAP reimbursement in the President�s budget. This
would be beneficial to the overall budget, because the legislature would not be
forced to cut that additional amount during the legislative session. The second
recommendation requests that DHMH submit a reconciliation of FY 2009 utilization
of the hospital assessment, which was supposed to be used to provide coverage to
only new enrollees.
Lyme
Disease Legislation
This week a bill that would have prohibited the Board of Physicians from
sanctioning physicians who treat patients diagnosed with �chronic Lyme disease�
with long term antibiotics was heard in the House Health and Government
Operations Committee. Proponents of the bill included patients and so-called
Lyme Literate Medical Doctors, who presented emotionally charged testimony. Dr.
Jonathan Zenilman, Chief of Infectious Diseases at Bayview, testified on behalf
of Johns Hopkins in opposition to the bill, indicating that both scientific
literature and his clinical expertise do not support the position of the
proposed legislation and its consequences would not represent good health
policy. The Board of Physicians also testified in opposition to the bill.
Following lively debate with the bill�s sponsor, the legislation was
withdrawn.
BILLS INTRODUCED
Employment/Labor/Worker's Compensation
HB0175 Labor and Employment - Credit Reports and Credit
Histories of Applicants andEmployees - Limitations on Use by Employers
HB 175 prohibits an employer from using a credit report or credit history to
determine whether or not to offer or deny employment to an applicant; discharge
an employee; or determine compensation or the terms, conditions, or privileges
of employment. An employer is authorized to request or consider an applicant�s
credit history if the applicant receives an offer of employment and the request
has a bona fide work-related purpose. Employees may sue for injunctive relief,
damages, or other relief against an employer that unlawfully uses the employee�s
credit report or history. Financial institutions where deposits are insured by a
federal agency and employers that are required under federal or state law to
review an employee�s credit report or history are exempt.
Effective Date: October 1, 2010 HB0404 Labor and Employment - Wage Payment and Collection
- Order to Pay Wages
HB 404 provides the Commissioner of Labor and Industry with an administrative
procedure for processing complaints for failure to pay wages that do not exceed
$5,000. The Commissioner shall send a copy of the complaint to the employer and
require a written response within 15 days. The Commissioner may issue an order
to pay wages or dismiss the claim. An employer may request a de novo hearing on
the order to pay wages. If a petition for review is not filed and the employer
was ordered to pay wages, the Commissioner may enforce payment in District Court
under certain circumstances.
Effective Date: October 1, 2010 HB0405 Workers' Compensation - Covered Employees and
Employers - Corporate or Limited Liability Company Officer
HB 405 authorizes an officer or certain members of a close corporation to
elect to be exempt from workers� compensation coverage.
Effective Date: October 1, 2010 HB0463 Human Relations - Employment Discrimination Based
on Family Responsibilities - Prohibitions
HB 463 alters the equal employment opportunity policy of the state to assure
equal opportunity regardless of family responsibilities by prohibiting
employers, employment agencies, and labor organizations from discriminating
against an individual based on family responsibilities.
Effective Date: October 1, 2010 HB0504 Employment Discrimination - Unlawful Employment
Practices - Motivating Factor
HB 504 clarifies that an unlawful employment practice is established when the
complainant demonstrates that race, color, religion, sex, age, national origin,
marital status, sexual orientation, genetic information, or disability was a
motivating factor for any employment practice, even though other factors also
motivated the practice.
Effective Date: October 1, 2010 SB0418 Labor and Employment - Maryland Wage and Hour Law
- Damages
SB 418 specifies that an employee who is entitled to recovery from an
employer due to a violation of the Maryland Wage and Hour Law must be awarded
counsel fees, other costs, and interest on the amount of recovery. In addition
to the difference between the wage paid to the employee and the wage required
under the subtitle, the court may also award an additional amount equal to two
times the difference between the wage paid to the employee and the wage required
as liquidated damages.
Effective Date: October 1, 2010 SB0419 Labor and Employment - Maryland Wage and Hour Law
- Criminal Penalties
SB 419 increases the misdemeanor penalties for employers that do not comply
with Maryland Wage and Hour Law. The minimum penalties are a $2,500 fine for a
first violation and a $5,000 fine for subsequent violations. Each workweek that
an employer does not pay the required wage is considered a separate offense.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0410 Education - Statewide Maintenance of Effort
Waiver
HB 410 is an emergency bill to waive the maintenance of effort requirements
for the counties and Baltimore City for fiscal year 2011 only.
Effective Date: Emergency Measure HB0413 Education - Instruction of Blind and Visually
Impaired Students - Use ofBraille
HB 413 requires the State Board of Education to establish standards for the
use of Braille in English, language arts, and mathematics instruction for the
blind and visually impaired students on or before September 1, 2010. The State
Board and the Professional Standards and Teacher Education Board are to review
and as appropriate modify recertification requirements for certification and
recertification requirements for teachers of blind and visually impaired
students.
Effective Date: October 1, 2010 HB0415 Education - Character Education Fund
HB 415 establishes the Character Education Fund in the State Department of
Education to encourage county boards to fund and implement character education
programs. The Governor is to include $100,000 in the state budget each fiscal
year for the fund. The Fund may only be used for providing matching grants to
county boards and to pay up to $25,000 annually for each program administration,
professional development, and technical assistance to local school systems with
character education programs that received grants from the fund. The Department
is to report to the Governor and the General Assembly on or before November 1 of
each year on the distribution of grants from the fund.
Effective Date: July 1, 2010 HB0439 Education - Innovative School Scheduling Models -
Low-Performing and At-RiskPublic Schools
HB 439, an emergency bill, will require the Maryland State Department of
Education to explore the use of innovative school scheduling models, including
extended year and year round schooling, in low performing and at-risk schools.
Requires the state to include funding for the scheduling models as part of the
state�s application to the US Department of Education for Race for the Top
funds.
Effective Date: Emergency Measure HB0440 Education - Teachers - National Board Certified
Teacher Pilot Program
HB 440 will require a staff development teacher participating in the National
Board Certified Teacher Pilot Program to be a nationally board certified
teacher. The State Superintendent is to select five schools from three public
school systems to participate in the pilot for three years. The school shall
have at least three teachers who have agreed to pursue certification by the
National Board of Professional Teaching Standards and have signed a letter of
intent to teach at the school for three years. Requires the state to include
funding for the pilot program as part of the state�s application to the US
Department of Education for Race for the Top funds. Effective Date: Emergency Measure HB0462 Education - Discrimination Prohibited - Protected
Classes
HB 462 will alter the law relating to discrimination in the employment of
public school teachers to conform to other provisions in state law governing
discrimination in employment. Ancestry, age, marital status, sexual orientation,
or disability are added to statuses that may not be used to discriminate against
a teacher in the employment of public school.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0525 Maryland False Health Claims Act of 2010
The Maryland False Health Claims Act will prohibit individuals from filing
false or fraudulent claims against a state health plan or a state health
program. The state or a person on behalf of the state is authorized to file a
civil action against an individual that filed a false claim against the state.
Specific intent to defraud the state is not required for a violation.
Individuals found in violation of the act are subject to compensatory damages,
treble damages, a civil penalty of $5,000 - $10,000 per violation and court
costs and attorney�s fees. The court may award a person that files a civil claim
on behalf of the state an amount equal to 15-30 percent of the proceeds of the
action or the settlement of the claim. If an employer retaliates against a
person for filing a claim on behalf of the state the person may file a civil
claim against the employer.
Effective Date: October 1, 2010 SB0611 Insurers, Health Maintenance Organizations, and
Managed Care Organizations -Compensation Reports
SB 611 requires each managed care organization, each health maintenance
organization, and each insurer to annually report to the Insurance Commissioner
on the compensation (including salary, bonuses, and perquisites) of each officer
and each executive of their organization.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] SB0593 Health Facilities - Freestanding Medical
Facilities - Rates
SB 593 amends current statute by adding freestanding medical facilities to
those facilities whose rates are set by the Health Services Cost Review
Commission (HSCRC). The bill requires the HSCRC to set the rates for these
facilities, and requires all payors to abide by those rates. The bill declares
that it is the intent of the General Assembly that services provided by
freestanding medical facilities and 19 freestanding medical facility pilot
projects be considered hospital services by all payors, including the federal
Medicare program, and the state�s MCOs.
Effective Date: July 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0302 State Board of Nursing - Membership - Nominations
for Vacancies
HB 302 adds one registered nurse (RN) member to the State Board of Nursing.
The new member is required to have practiced acute care for at least five years,
practice currently, and hold a B.S. degree in nursing. Additionally, the bill
expands the educational requirements that qualify an individual for the nurse
administrator member of the board. The bill also alters the process for board
member nominations by requiring the board to notify all active licensees and
appropriate professional nursing organizations of a vacancy, and then
authorizing any professional nursing organization that represents at least 25
affected nurses or any active nurse with a valid petition to submit a list of
qualified individuals for the board vacancy. A board member appointed after a
term has begun may serve an additional two consecutive full terms.
Effective Date: October 1, 2010 HB0722 Income Tax Exemption - Military Health Care
Pensions - Health Care WorkforceShortage
HB 722 authorizes a tax exemption equal to 100% of military retirement income
for an individual who commits to living in Maryland, and working in a health
care field identified as having a workforce shortage. The exemption is not
applicable to individuals whose federal adjusted income exceeds $65,000.
Effective Date: July 1, 2010 SB0402 Physicians - Professional Liability Insurance
Coverage - Notification andPosting Requirements
SB 402 requires licensed physicians in the state to notify patients in
writing on each visit if the physician does not carry professional liability
insurance coverage, or if the physician�s coverage has lapsed for any period of
time and has not been renewed. The bill requires the notification to be signed
by the patient at the time of his or her visit, and kept in the patient�s
records. The Board of Physicians is required to create regulations for
notification requirements. Physicians that do not carry medical insurance must
conspicuously place that information where they practice.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0416 Health Insurance - Definition of Bona Fide
Wellness Program
HB 416 requires that a bonafide wellness program include membership and
routine exercise at a health club or fitness center.
Effective Date: October 1, 2010 HB0435 Health Insurance - Reimbursement of Physicians -
Services Outside of Office Hours, by Telephone, or Online
HB 435 requires health insurance carriers to reimburse physicians' bonus
payments for services provided outside of normal office hours and when the
office is closed. It would also require a separate payment for consultations and
evaluations delivered over the phone or online. It does not specify the amount
of any such payments.
Effective Date: October 1, 2010 HB0478 Health Insurance - Prescription Drugs -
Cost-Sharing Obligations
HB 478 prohibits a carrier who sets a cost sharing obligation for
prescription drugs by class (generic, preferred brand-name, non-preferred
brand-name) from imposing a fee greater than the dollar amount set for the
non-preferred brand-name prescription.
Effective Date: October 1, 2010 HB0767 Maryland Health Security Act of 2010
HB 767 establishes a single-payer Maryland Health System to (1) provide
comprehensive and coordinated health care coverage that is not dependent on
employment to all state residents; (2) reduce costs; and (3) establish
mechanisms to reduce medical errors, decrease health disparities, resolve
provider shortages, and ensure transparency and accountability. Effective Date: Various SB0313 Health Insurance - Annual Preventive Care
SB 313 defines Annual Preventative Care as a child wellness visit, routine
GYN visit, or screening test of examination for colorectal cancer, chlamydia,
HPV, prostate cancer, or breast cancer. The bill also provides that a carrier
who provides annual preventative care must not deny payment for such care even
if 365 days have not passed since the last visit, and the care is not provided
more than 45 days before the anniversary date.
Effective Date: October 1, 2010 SB0445 Health Insurance - Habilitative Services -
Required Coverage
SB 445 increases the age limit for mandated coverage of habilitative services
for dependents from 19 to 25.
Effective Date: July 1, 2010 SB0625 Health Insurance - Payment and Fee
Disclosure
SB 625 requires a carrier to provide, when asked by an enrollee or a care
provider on behalf of an enrollee, an estimate of the payment amount for covered
service, and any co-payments, deductibles, and co-insurance which will apply.
The carrier also will provide an estimate for covered services to any
nonparticipating provider which will include the amount the carrier and enrollee
will pay, and what payments would be received if the provider was a
participating provider. The MIA Commissioner shall establish regulations
implementing this legislation.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0290 Licensed Physicians - Treatment of Lyme Disease -
Discipline
HB 290 (1) authorizes licensed physicians to prescribe or dispense specified
treatment for individuals with Lyme disease if specified requirements are met,
(2) alters specified circumstances when the State Board of Physicians may
initiate disciplinary actions and professional misconduct proceedings against
licensed physicians, and (3) provides for the enforcement of the Act.
Effective Date: July 1, 2010 HB0411 Statewide Advisory Commission on Immunizations -
Membership, Sunset Extension,and Study of HPV Vaccine
HB 411 (1) adds a consumer member to the Statewide Advisory Commission on
Immunizations, (2) extends the termination date of the Commission, (3) requires
the Commission to study the safety of the human papillomavirus (HPV) vaccine,
and (4) requires the Commission to include specified components in the study,
make recommendations, and report the results of its study.
Effective Date: June 1, 2010 HB0438 Vehicle Laws - Prohibition Against Smoking in
Vehicle Containing Young Child
HB 438 (1) prohibits the driver of a motor vehicle in which a person under 8
years of age is a passenger from smoking a tobacco product or allowing a
passenger to smoke in the motor vehicle, and (2) establishes a fine of up to $50
for a violation.
Effective Date: October 1, 2010 HB0712 Public Health - Medical Marijuana
HB 712 (1) requires the Department of Health and Mental Hygiene (DHMH) to
issue a specified request for proposals to select authorized growers of
marijuana for medical use, (2) provides for specified requirements of authorized
growers, (3) requires DHMH to establish a specified registration program to
authorize specified entities to distribute marijuana for medical purposes, and
(4) authorizes DHMH to charge a reasonable fee for the issuance of a specified
permit.
Effective Date: October 1, 2010 HB0720 Public Health - Nontobacco Nicotine
Products
HB 720 (1) prohibits a person from selling, distributing, or offering for
sale a product, or part of a product, that contains or delivers nicotine for
human consumption and that has not been approved by the United States Food and
Drug Administration, and (2) makes a violation of a specified provision of law a
misdemeanor subject to a specified fine.
Effective Date: October 1, 2010 HB0727 Food Service Facilities - Artificial Trans Fat -
Prohibition
HB 727 (1) prohibits a food service facility from using food containing
artificial trans fat for specified purposes, (2) provides for an exception to
the use of trans fat by a food service facility, (3) requires a food service
facility to maintain on-site the original label for specified food under
specified circumstances, and (4) requires the Department of Health and Mental
Hygiene (DHMH) to list specified food service facilities on the DHMH website
under specified circumstances.
Effective Date: October 1, 2010 HB0742 Medical Treatment - Homeless, Abandoned, and
Runaway Youth
HB 742 provides that a minor has the same capacity as an adult to consent to
medical treatment if the minor is (1) homeless, abandoned, or a runaway, (2) at
least 12 years old, and (3) certified as homeless, abandoned, or a runaway by a
specified health care provider or social worker.
Effective Date: October 1, 2010 HB0758 Public Health - Chain Restaurants - Nutrition
Information Labeling
HB 758 (1) requires chain restaurants to provide specified nutrition
information for standard menu items, (2) establishes how the nutrition
information is to be determined, (3) authorizes specified restaurants and
similar food establishments voluntarily to elect to be subject to specified
provisions of law, (4) requires the nutrition information to be displayed in a
specified manner, (5) authorizes a local health department to enforce the Act,
and (6) provides for civil penalties.
Effective Date: October 1, 2010 SB0414 Vehicle Laws - Equine Riding - Helmet Requirement
for Minors
SB 414 (1) prohibits a person under 18 years of age from riding an equine on
a highway, an equine-riding path, or a specified other property unless the
person is wearing a properly secured helmet that meets specified standards, (2)
establishes a schedule of fines for subsequent violations of the helmet
requirement, and (3) requires a court to order the parent or guardian of a minor
under 14 years of age who is convicted of a violation of the Act to pay the fine
imposed for the violation under specified circumstances.
Effective Date: October 1, 2010 SB0585 Commission on Surrogate Parenting
SB 585 (1) creates the Commission on Surrogate Parenting, (2) provides for
the composition, chair, and staffing of the Commission, (3) provides that a
member of the Commission may not receive compensation but may be reimbursed for
specified expenses, (4) requires the Commission to study specified issues
related to surrogate parenting, (5) requires the Commission to make specified
recommendations, if possible, and (6) requires the Commission to report its
findings and recommendations to the Governor and the General Assembly.
Effective Date: July 1, 2010 SB0627 Public Health - Medical Marijuana
SB 627 (1) requires the Department of Health and Mental Hygiene (DHMH) to
issue a specified request for proposals to select authorized growers of
marijuana for medical use, (2) provides for specified requirements of authorized
growers, (3) requires DHMH to establish a specified registration program to
authorize specified entities to distribute marijuana for medical purposes, and
(4) authorizes DHMH to charge a reasonable fee for the issuance of a specified
permit.
Effective Date: October 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0257 Evidence - Journalist's Testimonial Privileges -
Student
HB 257 extends the same non-disclosure of source and information privileges,
currently held by professional journalists, to postsecondary student
journalists.
Effective Date: October 1, 2010 HB0298 Office of Student Financial Assistance - Service
Obligation - Waiver
HB 298 provides that the MHEC Financial Assitance office grant a waiver of
remaining service obligations in connection with financial assistance if the
receipient: Effective Date: July 1, 2010 HB0506 Higher Education - Delegate Scholarships - Summer
School
HB 506 repeals the provision that shortens the duration of a delegate
scholarship 1/2 year for each summer of use, and provides that the amount used
for summer semester can not exceed 1/2 the amount alloted for an academic year
award.
Effective Date: October 1, 2010 HB0677 Higher Education - Nonpublic Institutions of
Higher Education - Free Speech
HB 677 provides that all nonpublic institutions which receive Sellinger Aid
may not make or enforce any rules which infringe upon their students' free
speech as defined under the first amendment. The bill also provides that a
student who feels his rights have been violated under this statute can file suit
in a civil court, and any legal fees incurred by the student in a prevailing
action should be paid by the defendant. The bill also states that this statute
does not prohibit an institution from imposing discipline for harrassment,
threats, intimidation, or hate crimes as defined by Maryland law.
Effective Date: October 1, 2010 SB0203 Family Education Savings Account Act - Subtraction
Modification for Contributions
SB 203 creates a subtraction modification under the state income tax for
contributions made by an individual to a Coverdell Education Savings Account.
The amount of the subtraction modification cannot exceed $1,000 for individuals
or $2,000 for joint filers. Effective Date: July 1, 2010 SB0275 Education - Maryland Longitudinal Data
System
SB 275, an administration bill, establishes the Maryland Longitudinal Data
System as a statewide data system containing individual-level student data from
all levels of education and into the workforce. It establishes the Maryland
Longitudinal Data System Center as an independent unit of state government and
provides the organizational placement, location, staffing, and funding of the
Center. Effective Date: July 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0434 Civil Jury Trials - Amount in Controversy
HB 434, a constitutional amendment, increases the maximum amount in
controversy in civil proceedings in which a trial by jury may be limited by
legislation from over $10,000 to over $20,000.
Effective Date: Constitutional Amendment HB0436 Courts - Jury Trials in Civil Actions - Amount in
Controversy
HB 436 prohibits a party in a civil action from requesting a jury trial if
the amount in controversy does not exceed $20,000, exclusive of attorney�s fees
if attorney�s fees are recoverable by law or contract. The bill is contingent on
the adoption by the voters of a constitutional amendment (HB 434 of 2010)
permitting the General Assembly to enact legislation limiting the right to a
jury trial in a civil proceeding to civil proceedings in which the amount in
controversy exceeds $20,000. The bill takes effect on the date of the
certification of the election results on the ratification of the constitutional
amendment. The bill applies prospectively to civil actions filed on or after the
bill�s effective date.
Effective Date: Contingent [GO
TO TOP] [GO
TO BILL LIST] HB0964 Environment - Stormwater Management - New
Development and RedevelopmentProjects
HB 964 delays the implementation of new stormwater regulations until May 4,
2020.
Effective Date: Emergency Measure HB1125 Stormwater Management - Development Projects -
Redevelopment and PreliminaryPlan Approval
HB 1125 alters the requirements that stormwater management regulations must
meet within the state. �Redevelopment� is defined as any construction or
alteration performed at a site with existing land use where the existing
impervious surface area exceeds 30% of the site size or the proposed project is
considered an affordable housing or transit-oriented development. Redevelopment
projects are required to reduce existing impervious surface area by some amount
between 20 � 50%, or provide water quality treatment using environmental site
design (ESD), alternative stormwater management measures, or other measures
equivalent to a 20 � 50% reduction in impervious surface area, or some
combination thereof. The amount of the required reduction will be determined by
the local government, which will consider the total square footage of the
project and the cost and feasibility of the proposed reduction.
Effective Date: Emergency Measure SB0442 Criminal Injuries Compensation Board - Right to
Hearing
SB 442 applies certain provisions of the Administrative Procedure Act to
claims filed with the Criminal Injuries Compensation Board. If a claimant
requests a hearing after the Board has issued proposed findings of fact,
conclusions of law or an order, the Board is required to hold a hearing in
accordance with the applicable provisions of the Administrative Procedure Act.
Effective Date: October 1, 2010 SB0686 Watershed Protection and Restoration Act
SB 686 instructs counties and municipalities to establish a stormwater
remediation fee and a local Watershed Protection and Restoration Fund by July 1,
2011. All property owners would be subject to the remediation fee. Residential
fees would be equal across the jurisdiction, while all commercial fees would be
assessed according to the amount of impervious surface on the property, and must
be greater than the residential fee. State-owned property is exempt.
Effective Date: July 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] HB0071 Senior Prescription Drug Assistance Program -
Appointment of Insurance Producers
HB 71, a departmental bill, prohibits an insurance provider from marketing
the Senior Prescription Drug Assistance Program or assisting a Medicare
beneficiary to enroll in the Program unless the insurance provider has been
appointed by, and has received training from the Program.
Effective Date: June 1, 2010 [GO
TO TOP] [GO
TO BILL LIST] SB0628 Maryland Stem Cell Research Fund - Annual Report -
Requirements
SB 628 requires the Stem Cell Research Fund Commission to report annually on
the number of patients treated as a direct result of the stem cell research
performed by each recipient; and, if the stem cell research has not been tested
in a clinical trial, the amount of time estimated before that research will be
tested in a clinical trial.
Effective Date: October 1, 2010
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
General Education
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
For more information, please contact: Delora
Sanchez
For more information, please contact:
Delora Sanchez
Effective when enacted.
For more information, please contact:
Delora Sanchez
For more information, please contact:
Delora Sanchez
Health Care
Administration
For more information, please contact:
Delora Sanchez
For more information, please contact:
Sheila Higdon
Health Care Facilities
For more information, please contact: Sheila
Higdon
Health Care Occupations
For more information, please contact:
Sheila Higdon
For more information, please contact: Sheila
Higdon
For more information, please contact:
Delora Sanchez
Health Insurance/Health Care Access
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
The bill
provides that each state resident is a member of the plan and is eligible to
receive benefits for services covered under the plan. A health insurer,
nonprofit health service plan, or health maintenance organization (HMO) may
offer benefits that do not duplicate services covered by the plan. Highlights of
the system for enrollees include no pre-existing condition limitations,
co-insurance, deductibles, or co-payments as well as choice of
provider.
A Maryland Health System Trust Fund is established to finance
the single-payer system and an Office of the Health Inspector General is created
to audit payments. The special, nonlapsing fund consists primarily of (1) money
from state and federal financial participation in Medicaid, the Maryland
Children�s Health Program (MCHP), and Medicare; (2) money from other federal
programs that pay for health care services; and (3) State and local funds
appropriated for health care services. Seven boards are established to
administer and oversee the Health System, with specific duties, membership
requirements, and term provisions, as follows:
1.) Maryland Health System
Policy Board to establish a benefits package, establish a global budget,
evaluate requests for capital expenses, and evaluate performance.
2.)
Maryland Health System Administrative Board to plan for and oversee the
transition to the Health System, implement specific plans to decrease
administrative costs, and administer payments and a statewide system of
electronic medical records.
3.) Maryland Health System Health Needs,
Planning, and Improvement Board to review requests for services not covered by
the Health System, develop a proposal for long-term care coverage for the Health
System by October 1, 2014, develop a health database and a comprehensive system
of community health centers, engage in health promotion, and approve grants to
local communities.
4.) Maryland Health System Quality Board to establish
clinical standards, a prescription drug formulary, guidelines for prescribing,
medical error programs, guidelines for care coordination, and programs to
monitor adherence to best practices of care.
5.) Maryland Health System
Patient Advocacy Board to advocate for and educate residents on the Health
System, prepare materials on member benefits and rights, establish a grievance
system, and create a Public Advisory Committee.
6.) Maryland Health
System Fund Board to manage the fund, establish a sufficient reserve account,
and recommend funding sources.
7.) Maryland Health System Payment Board
to establish and negotiate payment rates, negotiate discounts for prescription
drugs and medical equipment, and provide incentives to attract health care
professionals into needed practice fields and geographical areas.
Members
of all boards may not be, or have been, employed within the two-year period
immediately preceding appointment by pharmaceutical companies, medical equipment
companies, or for-profit insurance companies; nor may they accept employment
with such companies for two years following the end of their terms.
DHMH
must apply by October 1, 2010 for federal waivers to permit the state to deposit
all federal payments under state health care programs to the Maryland Health
System Fund. The Maryland Health System Policy Board must seek all waivers from
the federal Employee Retirement Income Security Act (ERISA) necessary to ensure
total participation in the Health System and report on any legislative changes
necessary to most effectively carry out the provisions of the bill.
The
bill�s provisions regarding the Maryland Health System take effect October 1,
2011, while the remainder of the bill�s provisions relating to the various
Boards to transition to and implement the system take effect October 1, 2010.
For more information, please contact: Sheila
Higdon
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
Health, General/Public/Environmental
For more information, please contact: Sheila
Higdon
For more information, please contact: Kevin
Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact:
Kevin Bowman
For more information, please contact: Kevin
Bowman
For more information, please contact:
Kevin Bowman
Higher
Education/Financial Aid
For more information, please contact: Mat
Palmer
1.) has completed 50% of the service obligation,
2.) complied
with all the terms during the obligation,
3.) has not received the money for
the remaining obligation,
4.) submits written notice of their intent to
terminate their obligation,
5.) submits a bonafide offer of employment at a
federal, state, or local government entity, nonprofit health organization, or an
FQHC, and
6.) pays a 5% early termination fee.
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
For more information, please contact: Mat
Palmer
Individuals who claim a subtraction
modification for contributions to the Maryland Prepaid College Trust, Maryland
College Investment Plan, or Maryland-Broker Dealer College Investment Plan
cannot claim the subtraction modification.
For more information, please contact: Mat
Palmer
The bill also provides that private higher education institutions
may contribute student data to the system.
For more information, please contact: Mat
Palmer
Medical
Liability/Tort Reform
For more information, please
contact: Delora Sanchez
For more information, please contact: Delora
Sanchez
Miscellaneous
For more information, please contact:
Matt Greenwood
Alternatively, a fee-in-lieu payment may be made in an amount to be
determined by the local government. The fee must in turn be used to create or
enhance stormwater management projects.
The bill also allows for any
project receiving preliminary plan approval before May 4, 2010 to submit a
stormwater management plan in compliance with the stormwater regulations as they
exist at that time, rather than the new set of regulations which will take
effect on May 4, 2010.
For more information, please contact:
Matt Greenwood
For more information, please contact:
Delora Sanchez
Counties and municipalities are required to use the funds in their
watershed protection and restoration fund for: improvements to stormwater
infrastructure; stormwater management permitting, inspection, and enforcement;
stormwater management planning; grants to nonprofit organizations for watershed
protection and rehabilitation projects as related to stormwater management
construction and design practices, stream and wetland restoration, and public
support, education, and outreach; and reasonable costs necessary to administer
the fund.
The bill also requires each county and municipality to report
annually to the Department of the Environment on the amount of impervious
surface in each county or municipality.
For more information, please contact: Matt
Greenwood
Prescription Drugs
For more information, please contact: Delora
Sanchez
Research/Human Subject
For more information, please contact:
Sheila Higdon
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Legislative Session Office
47 State Circle, Suite 203
Annapolis, MD
21401
410-269-0057
fax 410-269-1574
| Kevin Bowman | [email protected] |
| Mickey Geisler | [email protected] |
| Matt Greenwood | [email protected] |
| Sheila Higdon | [email protected] |
| Tom Lewis | [email protected] |
| Mat Palmer | [email protected] |
| Delora Sanchez | [email protected] |
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