Legislative Hotline

2010 SESSION OF THE
MARYLAND GENERAL ASSEMBLY






Volume 16, Number 4





March 1, 2010

Here are some of the hot issues as the 2010 Legislative Session develops:

False Claims Legislation
School of Nursing Seniors Visit Annapolis
Republican Alternative Budget Proposals
Office of Home Energy Programs


BILLS INTRODUCED
STAFF CONTACT INFORMATION



False Claims Legislation

A hearing on the 2010 False Health Claims Act was held before the Senate Judicial Proceedings Committee on Tuesday, February 23. The Lt. Governor, Secretary of Health, and Attorney General�s Office were the main proponents of the administration bill. The Lt. Governor�s testimony expressed a willingness to work on several parts of the bill with which we have major concerns. The Department however, reiterated that they need to retain a private right of action for whistleblowers to bring cases on behalf of the state � a provision we oppose � in the bill as a public policy measure.

Joanne Pollack, Esq., JHHS/JHM Chief General Counsel, provided testimony in support of the bill with amendments as part of a panel with the Maryland Hospital Association (MHA) and the Community Behavioral Health Association. Joanne gave excellent testimony as to the effect that a state false claims act would have on providers, based on experience that Johns Hopkins has had with cases filed under the federal false claims act. The testimony helped committee members understand the impact that the legislation would have on health providers if it were passed without the amendments that we submitted.

We are now working to get our amendments adopted onto the administration bill.


School of Nursing Seniors Visit Annapolis

On February 23, approximately 60 senior students from the JHSON spent a full day in Annapolis as part of their community health rotation. They met with legislators, attended Senate and House floor sessions, and spent several hours in committees listening to debate on bills pending before the General Assembly. In a wrap up meeting with members of the state affairs team, the students highlighted the bill hearings as especially educational as they heard testimony on the pros and cons of proposed legislation on such issues as a task force to study Lyme disease, stem cell research funding for sickle cell disease, and a prohibition on artificial trans fats.


Republican Alternative Budget Proposals

Tuesday, February 23, both the House and Senate Republican members presented their alternative budget proposals to an introductory joint briefing of the Senate Budget & Taxation Committee and House Appropriation Committee. These plans took different courses of how to reduce spending in FY 2011 and beyond. Here is a brief overview of the areas which affect Johns Hopkins:

Senate Plan (amount reduced from FY 2011 budget)
� Delete Sellinger Formula and provide $717 per FTE to all private institutions with an endowment less than $1 billion [as the only institution with an endowment exceeding $1 billion, Johns Hopkins would be excluded from receiving Sellinger funds] ($13 M)
� Delete Stem Cell Research Grants ($12.4 M)

House Plan (amount reduced from FY 2011 budget)
� Medicaid Performance Audits [no further explanation] ($195 M)
� Eliminate Medicaid Funded Abortions ($2.1 M)
� Delete Stem Cell Research Grants ($12.4 M)
� 1% across the board Reduction to State Agency Personnel Budgets [would affect DHMH and MHEC Staffing] ($6.3 M)

The Senate will be holding an official hearing on the Republican Plan (SB 1004) on Wednesday, March 3.


Office of Home Energy Programs

The budget for the Office of Home Energy Programs (OHEP) has been heard in both the House and Senate subcommittees. OHEP provides assistance with payment of utility bills for those living in subsidized housing or earning income up to 175% of the federal poverty level, allowing individuals to avoid resorting to more dangerous methods of heating and lighting their homes. This issue has been of importance to Johns Hopkins due to large numbers of emergency room visits caused by burns and other injuries from candles, open flames, and other non-conventional methods employed when utility shut-off has occurred. The energy assistance programs continue to serve more households, as well as increase the number of new eligible households served, in spite of a slight overall decrease in funding levels for FY 2010 and FY 2011.


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Economic Development
Employment/Labor/Worker's Compensation
General Business
General Education
Geriatrics
Health Care Administration
Health Care Facilities
Health Care Occupations
Health Insurance/Health Care Access
Health, General/Public/Environmental
Higher Education/Financial Aid
Medical Liability/Tort Reform
Miscellaneous
Prescription Drugs
Research/Human Subject
Transportation

BILLS INTRODUCED

Economic Development


HB0845 State Retirement and Pension System - Investments - Qualified Information Technology, Green Technology, Medical Device Technology, or Bioscience Businesses

HB 845 would require the Maryland State Retirement and Pension Board to invest $50 million over five (5) years in venture capital funds focusing on qualified information, green, or medical device technology, or bioscience businesses in the state.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

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Employment/Labor/Worker's Compensation


HB0591 Unemployment Insurance - Charging and Taxation

HB 591, an emergency measure, reduces from 13.5% to 11.8% the maximum unemployment insurance (UI) contribution rate that can be charged to employers in the State. If the ratio of the balance of the Unemployment Insurance Trust Fund (UITF) and taxable wages in the State is at or below 4.0%, the contribution rate charged to an employer must be calculated using Table D instead of Table E or F, as would be required under current law. The bill applies to contribution rates calculated for calendar years 2010 and 2011. The bill expires December 31, 2011, except that it remains in effect until the balance of UITF reaches the appropriate level to allow contribution rates to be calculated using Table C. If the balance of UITF reaches the appropriate level to apply Table C, the bill becomes null and void and the Secretary of Labor, Licensing, and Regulation must notify the Department of Legislative Services within seven days of UITF�s balance reaching that level.

Effective Date: Emergency Measure
For more information, please contact: Delora Sanchez

HB0746 Procurement - Living Wage - Repeal

HB 746 would repeal the state�s living wage law requiring minimum specified wage levels to be paid by vendors of state service contracts.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0751 Workers' Compensation - Temporary Total Disability Benefits - Credit

HB 751 would provide a credit to an employer or its insurer for compensation paid to an employee for temporary total disability benefits if treatment is delayed or suspended.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0755 Earned Income Credit Information Act

HB 755 would require the Comptroller to annually publish the maximum income eligibility for the state earned income tax credit and prepare a notice advising employees of the state and federal credit. Employers would be required to provide a copy of the notice by January 1st, electronically or in writing, to each employee who may be eligible for the credit, or to all employees.

Effective Date: January 1, 2011
For more information, please contact: Delora Sanchez

HB0764 State Board of Education - Financial Literacy Curriculum - Graduation Requirement

HB 764 requires the State Board of Education to develop curriculum content for a course in financial literacy, requires county boards to implement the curriculum content into public high schools within the county, and makes completion of a course in financial literacy a requirement for graduation.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0968 Workers' Compensation - Appeals - Evidence

HB 967 will allow medical records to be introduced as evidence in an appeal from a decision of the Workers� Compensation Commission. This bill will require notice to be provided to all parties, places a specified limit on a judgment, and will require the court to alter an award under certain circumstances.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0984 Employment - Applications for Employment - Prohibitions

HB 984 will prohibit an employer from failing or refusing to hire an applicant, or discharging a person because of the person's refusal to answer questions regarding religion, national origin, or marital status unless the individual�s religion, national origin or marital status is a bona fide occupational qualification for employment.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB1022 Human Relations - Sexual Orientation and Gender Identity - Antidiscrimination

HB 1022 prohibits discrimination based on gender identity for public accommodations, housing and employment. Prohibits discrimination based on sexual orientation or gender identity in commercial leasing. Employers are allowed to require an employee to adhere to reasonable workplace appearance and dress standards that are directly related to the nature of employment as long as the employee may appear and dress consistent with their gender identity.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

SB0500 Unemployment Insurance - Compensation for Lawyer or Agent Representation in Claim Proceedings

SB 500 will repeal the limit on compensation a lawyer may charge a claimant for representation in an unemployment insurance claim determination proceeding before a hearing examiner, special examiner or Board of Appeals in the Department of Labor, Licensing and Regulation.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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General Business


HB0888 Land Use - Community Benefit Agreements

HB 888 would allow all charter counties and Baltimore City to enter into a Community Benefit Agreement with a developer as part of a site plan or development permitting process. It defines a Community Benefit Agreement as "A voluntary agreement by a developer to provide specified benefits or concessions to the community in which development is taking place coincident with the development of a property."

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

HB1040 High Performance Buildings Act - Applicability to Recipients of State Aid

HB 1040 requires that any new building or major building renovation that is funded solely or partly by a grant of state aid be built as a high-performance building.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

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General Education


HB0350 Education - Early Learning Challenge Fund - Application for Grants

HB 350 requires the State Department of Education to apply for federal grants from the Early Learning Challenge Fund for early learning initiatives. The Department is required to identify the conditions necessary for a competitive application before submitting an application. The Department�s application must describe the ways it seeks to build a comprehensive, high-quality, early learning system for children birth to age five and include all the information required for the Early Learning Challenge Fund. This bill is contingent upon the passage of federal legislation enacting the Early Learning Challenge Fund.

Effective Date: Contingent
For more information, please contact: Delora Sanchez

HB0610 Education - Public Charter School Facility Revolving Loan Fund

HB 610 permits public charter schools to apply for a loan from the fund for the construction, purchase, renovation and maintenance of a public charter school facility. The fund is a special non-lapsing fund. A single loan to a charter school may not exceed $100,000 and aggregate loans may not exceed $150,000.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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Geriatrics


SB0797 Blue Ribbon Commission on Alzheimer's Disease and Related Disorders

SB 797 proposes to establish a Task Force on Alzheimer�s Disease and Related Disorders.

The proposed membership of the Task Force includes one (1) senator; one (1) member of the House of Delegates; the Secretaries (or designees) of the Departments of Health and Mental Hygiene, Aging, and Disabilities; the Maryland Insurance Commissioner; and the following members appointed by the Governor:

One (1) representative each of the US Department of Veteran Affairs and the Alzheimer�s Association, Greater Maryland Chapter,
One (1) attorney who works with the disabled or elderly,
One (1) physician currently conducting research in Alzheimer�s disease,
One (1) health care professional with expertise in addressing racial and ethnic health disparities,
One (1) psychologist or psychiatrist with expertise in Alzheimer�s disease,
One (1) physician with expertise in end-of-life and pain management,
One (1) RN with expertise in Alzheimer�s disease,
One (1) LPN with expertise in end-of-life care and pain management,
One (1) individual with early onset Alzheimer�s disease,
One (1) individual with early stage Alzheimer�s disease, and
Two (2) family caregivers of individuals with Alzheimer�s disease.

The Department of Health will staff the task force. Charge to the task force includes:

1.) Examining population data in the state for Alzheimer�s disease and related disorders.
2.) Surveying current research on Alzheimer�s disease and related disorders.
3.) Assessing existing services and resources and capacity for the state�s Alzheimer�s disease and related disorders population including the cost and availability of heath care, house and other support services, training requirements for long-term care staff, and quality care measures for nursing homes.
4.) Making recommendations regarding the steps the state should take in dealing with Alzheimer�s disease and related disorders, including a review of long-term care, family caregiver support and assistance to individuals with early onset and early stage Alzheimer�s disease.

The task force will be in effect from Oct 1, 2010 until Sept 30, 2012, at which time they will issue their findings and recommendations.

Effective Date: October 1, 2010
For more information, please contact: Sheila Higdon

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Health Care Administration


HB0431 Medical Review Committees - Subpoenas - Medical Records for Mental Health Services

HB 431 requires the Maryland Board of Physicians to notify a patient of the right to oppose the sharing of medical information when the board subpoenas the patient�s medical records for mental health services as a result of a complaint from another person.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0649 Environment - Pharmaceutical Disposal Act

HB 649 would prohibit a health care facility from discharging, disposing, flushing, pouring, or emptying and unused medication into a wastewater system with few exceptions. Health care facilities are required to modify its written medication protocols. The Department of Health and Mental Hygiene (DHMH) is to enforce the Pharmaceutical Disposal Act with the assistance of the Department of Agriculture. A person that violates the Act is guilty of a misdemeanor and subject to a $500 fine.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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Health Care Facilities


HB0870 State Board of Physicians - Facilities for Performing Elective Cosmetic Surgical Procedures

HB 870 authorizes the Board of Physicians to discipline a licensee who performs an elective cosmetic surgical procedure in a facility that is not accredited by the American Association for Accreditation of Ambulatory Surgical Facilities, the Accreditation Association for Ambulatory Health Care, or the Joint Commission on the Accreditation of Health Care Organizations, or not certified to participate in the Medicare program as enacted by the title XVIII of the Social Security Act.

Effective Date: October 1, 2010
For more information, please contact: Sheila Higdon

SB0812 End of Life Health Care Disclosure Act

SB 812 requires each health care facility to disclose specified practices established for the facility regarding the implementation of advance directives and the use of cardiopulmonary resuscitation and �do not resuscitate� orders. In addition, facilities must request a copy of any advance directive made by an individual. If an individual is not capable of making an informed decision, the facility must inform the proxy decision maker of the right to make decisions concerning the individual�s health care, provide information on the local hospice program, and request a copy of the individual�s advance directive.

Effective Date: Various
For more information, please contact: Sheila Higdon

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Health Care Occupations


HB0323 Health Occupations - Licensure of Physician Assistants

HB 323 requires a physician�s assistant (PA) to be licensed rather than certified by the State Board of Physicians, specifies qualifications for licensure as a PA, and defines a PA�s scope of practice. In addition, the bill removes the requirement for a delegation agreement between a physician and a PA to be approved by the board before a PA may practice and allows primary supervising physicians to determine a PA�s scope of practice based on specified criteria. It also repeals limitations on the number of physician's assistants to whom a physician may delegate medical acts.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0640 Maryland Loan Assistance Repayment Program for Physicians - Prince George's County Primary Care Physicians - Eligibility PG 403-10

HB 640 adds medical residents specializing in primary care in Prince George�s County and agreeing to practice for at least two years as a primary care physician in an eligible field of employment in Prince George�s County to those who are eligible to receive funds through the Loan Assistance Repayment Program.

Effective Date: July 1, 2010
For more information, please contact: Sheila Higdon

HB1410 Health Services Cost Review Commission - Podiatric Medical Examiners Residency Program

HB 1410 authorizes an accredited hospital to apply to the Health Services Cost Review Commission (HSCRC) for funding to establish a full three (3) year podiatric medical examiners residency program that meets the requirements for such a program set by the Council on Podiatric Medical Education. The Commission must select one accredited hospital and transfer funds sufficient to cover the cost of providing the program to four new podiatric medical residents each year for five (5) years. The hospitals receiving these funds must repay the HSCRC within ten (10) years of the date of receipt of the funds.

Effective Date: October 1, 2010
For more information, please contact: Sheila Higdon

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Health Insurance/Health Care Access


HB0585 Health Insurance - Mandated Benefits - Dental Implants

HB 585 would add coverage of dental implants and devices to the list of mandated benefits for the small group and individual market for all carriers, as well as for health maintenance organizations.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

HB0832 The Lorraine Sheehan Health and Community Services Act of 2010

HB 832 would increase the alcohol tax by approximately ten (10) cents per serving, and would divide the revenue raised as follows: 15% toward developmental disabilities, 15% toward addiction treatment, 15% toward mental health services, and the remaining amount to fund the expansion of Medicaid coverage to childless adults below 116% of the federal poverty line.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

HB0951 Health Insurance Carriers - Declinations of Applications for Coverage - Required Reporting

HB 951 would require a health insurance carrier to report the reason for declining an application for individual health insurance on a quarterly basis. The Maryland Insurance Agency must also post this information online and develop an annual report for each carrier disclosing this information.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

HB1015 Health Insurance - Purchasing Out of State - Feasibility Study

HB 1015 would require the Maryland Insurance Administration to study the feasabilty and desirability of allowing the sale of health insurance across state lines.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

HB1027 Gender Equity Health Coverage Act

HB 1027 would prohibit a health insurance carrier or health maintenance organization from making any changes to plan charges, copayment, coinsurance, etc. based on the applicant's gender.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

HB1075 Health Insurance - Payments for Services of Nonparticipating Health Care Providers

HB 1075 provides that a health insurance carrier must make any payment remitted to the enrollee for services provided by a nonparticipating provider payable to both the enrollee and the health care provider.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

HB1091 Health Insurance - Coverage of Autism Spectrum Disorders

HB 1091 requires all health insurance plans and health maintenance organizations to provide coverage for the diagnosis and treatment of autism spectrum disorders.

Effective Date: January 1, 2010
For more information, please contact: Mat Palmer

SB0700 Health Insurance - Child Wellness Benefits

SB 700 would mandate obesity evaluations and developmental evaluations be added to the child wellness benefits package.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

SB0745 Health Insurance - Ambulance Service Providers - Direct Reimbursement

SB 745 would require all health insurance carriers and health maintenance organizations to reimburse ambulance service providers directly for all covered services.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

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Health, General/Public/Environmental


HB0798 Task Force to Study Lyme Disease

HB 798 (1) establishes a Task Force to Study Lyme Disease, (2) provides for the membership, appointment, and staffing of the Task Force, and (3) requires the Task Force to study and make recommendations to the General Assembly, on or before a specified date, on issues relating to the prevention, diagnosis, and treatment of Lyme disease.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

HB0820 Firearm Safety Act of 2010

This bill (1) authorizes an investigative or law enforcement officer acting in a criminal investigation to intercept a wire, oral, or electronic communication in order to provide evidence of the commission of specified offenses relating to the sale, rental, purchase, or transfer of a regulated firearm under specified circumstances, (2) prohibits a person who has previously been convicted of specified crimes from possessing a firearm, and (3) requires a valid Maryland handgun purchase permit for the purchase or receipt of a regulation firearm.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

HB0932 Public Schools - New Construction or Renovation - Children's Environmental Health

This bill (1) requires each county board of education to adopt an environmental health plan for school construction or renovation projects that includes specified standards, (2) requires a plan adopted under the Act to include specified additional provisions for school construction or renovation that will be conducted while the public school is occupied, and (3) requires specified hazardous substance removal standards adopted under the Act to include specified provisions.

Effective Date: June 1, 2010
For more information, please contact: Kevin Bowman

HB0973 Public Schools - Maryland Youth Crisis Hotline - Distribution of Information

This bill (1) requires each county board of education to provide students in the 6th through 12th grades with the telephone number of the Maryland Youth Crisis Hotline in specified ways, (2) requires specified schools to hold a school-wide assembly during the first month of each year, (3) requires all students and school personnel to attend a specified school assembly, and (4) requires specified schools to send information about the Maryland Youth Crisis Hotline to the parents or guardians of specified students before the school year begins each year.

Effective Date: July 1, 2010
For more information, please contact: Kevin Bowman

HB0976 Reduction of Lead Risk in Housing

This bill (1) repeals provisions of law relating to specified qualified offers in connection with the liability of an owner of specified rental property, (2) repeals a provision of law relating to a specified window replacement program, and (3) repeals obsolete provisions of law relating to the reduction of lead risk in housing.

Effective Date: Contingent
For more information, please contact: Kevin Bowman

HB1041 The Lead Paint Reduction Act of 2010

This bill (1) authorizes specified parties in Baltimore City, Baltimore County, Prince George's County, and Anne Arundel County to seek monetary damages for the abatement of specified nuisances under specified circumstances including a condition related to lead paint, and (2) repeals provisions of law that restrict other provisions of law authorizing nuisance actions from being construed to grant standing for a civil action for a condition relating to lead paint.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

HB1153 Environment - Reducing Lead Risk in Housing - Lead Paint Dust Testing

This bill (1) alters the requirements for property owners to satisfy specified lead risk reduction standards relating to specified changes in occupancy in specified properties, (2) requires specified lead risk reduction standards to be performed in accordance with local fire code standards, and (3) makes conforming changes.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0492 Vehicle Laws - Protective Headgear Requirement for Motorcycle Riders - Exceptions

SB 492 (1) provides specified exceptions to the prohibition against operating or riding on a motorcycle without specified protective headgear, (2) requires the Motor Vehicle Administration to study the effect of the Act on motorcycle injuries and fatalities during the first two years that the Act is in effect and to report to the Governor and the General Assembly by December 31, 2012, and (3) provides for the termination of the Act.

Effective Date: June 1, 2010
For more information, please contact: Kevin Bowman

SB0504 Environment - Reducing Lead Risk in Housing - Lead Paint Dust Testing

This bill (1) alters the requirements for property owners to satisfy specified lead risk reduction standards relating to specified changes in occupancy in specified properties, (2) requires specified lead risk reduction standards to be performed in accordance with local fire code standards, and (3) makes conforming changes.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0516 Maryland Assault Weapons Ban of 2010

This bill (1) designates specified firearms as assault weapons, (2) prohibits with specified exceptions a person from transporting an assault weapon into the State or possessing, selling, offering to sell, transferring, or receiving an assault weapon, and (3) requires the Handgun Roster Board to compile and maintain a roster of prohibited assault weapons

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0539 Public Health - Chain Restaurants - Nutrition Information Labeling

This bill (1) requires chain restaurants to provide specified nutrition information for standard menu items, (2) establishes how the nutrition information is to be determined, (3) requires the nutrition information to be displayed in a specified manner, (4) authorizes a local health department to enforce the Act, and (5) provides for civil penalties.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0556 Environment - Decabrominated Diphenyl Ether - Prohibitions

This bill (1) prohibits, on or after specified dates, the manufacturing, processing, or distributing of specified products that contain decabrominated diphenyl ether, (2) provides that the Act does not prohibit retailers from selling, recycling, or disposing of specified products that contain decabrominated diphenyl ether under specified circumstances, and (3) provides that the Act does not prohibit a person from transporting or storing specified products that contain decabrominated diphenyl ether under specified circumstances.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0645 Firearm Safety Act of 2010

This bill (1) authorizes an investigative or law enforcement officer acting in a criminal investigation to intercept a wire, oral, or electronic communication in order to provide evidence of the commission of specified offenses relating to the sale, rental, purchase, or transfer of a regulated firearm under specified circumstances, (2) prohibits a person who has previously been convicted of specified crimes from possessing a firearm, (3) requires a valid Maryland handgun purchase permit for the purchase or receipt of a regulation firearm.

Effective Date: October 1, 2010
For more information, please contact: Kevin Bowman

SB0706 Mental Hygiene Administration - Placement of Individuals with Mental Illness - Study

This bill (1) requires the Mental Hygiene Administration and the Office of the Attorney General, in consultation with interested stakeholders, to conduct a specified evaluation, make a specified report, and develop specified plans, and (2) requires the Mental Hygiene Administration and the Office of the Attorney General to provide a specified report to the Governor and General Assembly on or before January 1, 2011.

Effective Date: July 1, 2010
For more information, please contact: Kevin Bowman

SB0814 Public Schools - New Construction or Renovation - Children's Environmental Health

This bill (1) requires each county board of education to adopt an environmental health plan for school construction or renovation projects that includes specified standards, (2) requires a plan adopted under the Act to include specified additional provisions for school construction or renovation that will be conducted while the public school is occupied, and (3) requires specified hazardous substance removal standards adopted under the Act to include specified provisions.

Effective Date: June 1, 2010
For more information, please contact: Kevin Bowman

SB0851 Maryland Health Improvement and Disease Prevention Act

This bill (1) establishes a Blue Ribbon Commission on Health Improvement and Disease Prevention, (2) provides for the membership, purpose, chair, staff, and reimbursement of the Commission, (3) requires the Commission to consider and make recommendations on specified incentives, and (4) requires the Commission to report its findings and recommendations to the Governor and General Assembly.

Effective Date: July 1, 2010
For more information, please contact: Kevin Bowman

SB0855 Patient Centered Medical Home Program

SB 855 requires the Maryland Health Care Commission to establish a Maryland Patient Centered Medical Home Program (Program) if the Commission concludes that the Program is likely to result in the delivery of more efficient and effective health care services and is in the public interest. In establishing the Program the Commission shall adopt:

1) Standards qualifying a primary care practice as a participant in the Program.
2) The payment method to be used by a carrier to pay a participating patient centered medical home (PCMH) for services associated with the coordination of covered health care services.
3) Standards to be used to determine the bonus, fee based incentive, bundled fees, or other incentives a carrier may pay to a participating PCMH based on the savings from reduced health care expenditures by qualifying individuals attributed to the participating PCHM.
4) Methods for attributing a patient to a participating PCMH.
5) A uniform set of health care quality and performance measures that the participating PCMH is to report to the Commission and to carriers.
6) The enrollment form notifying carriers a qualifying individual has voluntarily agreed to participate in the Maryland Program.
7) The process for primary care practices to commence and terminate participate in the Program.

In developing the standards referenced in #1 above, the Commission must consider:

1) The use of health information technology, including electronic medical records.
2) The relationship between the primary care practice, specialists, other providers, and hospitals.
3) The access standards for qualifying individuals to receive primary medical care in a timely manner.
4) The ability of the primary care practice to foster a partnership with qualifying individuals.

In developing the payment method the Commission, in consultation with carriers and primary care practices, shall:

1) Define the payment method used by a carrier to pay a participating PCMH for services associated with the coordination of covered health services.
2) Define the methodology for determining any bonus, fee based incentive, bundled fees, or other incentives to be paid by a carrier to a participating PCMH based on improvements in quality and efficiency.

The bill also requires individuals to complete forms adopted by the Commission in order to participate, or terminate participation in, the Program. Carriers participating in the Program are also required to accept those forms as the sole instrument for notification that a qualifying individual has voluntarily agreed to participate or terminate participation in the Program.

The bill requires the Commission to adopt regulations to establish the Program, provides that a carrier may elect to participate in the Program, and requires prominent carriers (other than Medicaid MCOs and defined as those reporting at least $90,000,000 in written premiums for health benefit plans in the state in the most recent Maryland Health Plan Benefit report submitted to the Insurance Commissioner) to participate in the Program. It also authorizes the Department of Health to require MCOs to participate as allowed by law, and subject to the limitations of the state budget. It permits the Commission to authorize a carrier to implement a single carrier Program, and it does not limit or prohibit a carrier from providing a bonus, fee based incentives, bundled incentives or other incentive-based compensation.

In addition, the bill stipulates that a carrier participating in the Program may:

1) Pay a PCMH for services associated with coordination of covered services to qualifying individuals.
2) Pay a PCMH provider a bonus, fee paid incentive, bundled fees or other incentives as approved by the Commission.
3) Share medical information about a qualifying individual participating in the PCMH with the qualifying individual�s PCMH and other treating providers rendering care to that individual.

The bill requires the Commission to retain a consultant to conduct an independent evaluation of the effectiveness of the Program in reducing health care costs and improving health care outcomes, and authorizes the Commission to include any single carrier PCMH program in that evaluation. The findings of the evaluation are due December 1, 2014, and the Commission is directed to consider the following in the evaluation:

1) Improvements in health care delivery
2) Satisfaction of qualifying individuals and primary care practices
3) The impact of health care expenditures resulting from the Program

Effective Date: July 1, 2010
For more information, please contact: Sheila Higdon

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Higher Education/Financial Aid


HB1369 Task Force to Study Standardizing and Accountability of Introductory Courses in Higher Education in Maryland

HB 1369 creates a task force to study the feasibility of standardizing introductory courses in higher education.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

SB0674 Robert Kittleman Scholarship Reform Act

SB 674 would eliminate the Senatorial and Delegate Scholarship programs.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

SB0708 Maryland Higher Education Business Coalition and Fund

SB 708 would create the Maryland Higher Education Business Coalition and Fund which would be used to promote partnerships between higher education institutions and business entities. There is no specified revenue source for this fund in the bill.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

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Medical Liability/Tort Reform


HB0622 Health Care Malpractice - Noneconomic Damages

HB 622 will raise the limit for noneconomic damages for personal injury or wrongful death from $650,000 to $680,000 for cases arising between January 1, 2010 and September 30, 2010 and from $680,000 to $740,000 for cases arising on or after October 1, 2010. The limitation on noneconomic damages will increase by $15,000 on October 1 annually, beginning October 1, 2011. In a wrongful death action where there are two or more claimants or beneficiaries, the maximum amount of the award or verdict is increased to 150% of $740,000.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0824 Civil Actions - Immunity from Civil Liability - Health Care Providers

HB 824 would provide immunity to health care providers and their agents who detain or cause the arrest of any person if there is probable cause to believe that person committed a theft of property of the health care provider or obtained specified personal information without authorization.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB1106 Criminal Law - Limited Immunity - Seeking Care or Medical Assistance for a Vulnerable Adult

HB 1106 provides that a person who has permanent or temporary care or responsibility for the supervision of a vulnerable adult and voluntarily seeks care and medical assistance for the vulnerable adult may not be charged with or prosecuted for a specified crimes if the evidence for the criminal prosecution was obtained solely as a result of seeking care or medical assistance for the vulnerable adult.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

SB0553 State Government - Maryland Tort Claims Act - Garrett County Physicians

SB 553 would include physicians that practice primarily in Garrett County as state personnel under the Maryland Tort Claims Act when the physician is providing prenatal or obstetrical services to an individual who is a resident of the state and on medical assistance. The bill would remain effective for five years from October 1, 2010 to September 30, 2015.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

SB0769 Health Care Malpractice - Noneconomic Damages

SB 769 will raise the limit for noneconomic damages for personal injury or wrongful death from $650,000 to $680,000 for cases arising between January 1, 2010 and September 30, 2010 and from $680,000 to $740,000 for cases arising on or after October 1, 2010. The limitation on noneconomic damages will increase by $15,000 on October 1, annually beginning October 1, 2011. In a wrongful death action where there are two or more claimants or beneficiaries, the maximum amount of the award or verdict is increased to 150% of $740,000.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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Miscellaneous


HB0782 Department of Information Technology - Security of Computer Systems

SB 782 would require the Secretary of Information Technology to develop and adopt regulations on the security of computer systems of the government and public education institutions.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer

HB0784 Criminal Injuries Compensation Notification - Law Enforcement Agencies

HB 784 would require a law enforcement unit, after a crime or delinquent act is reported, to provide written information to a victim of a violent crime about rights, services, procedures and information about the Criminal Injuries Compensation Fund.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

HB0999 Watershed Protection and Restoration Act

HB 999 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.

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.

Effective Date: July 1, 2010
For more information, please contact: Matt Greenwood

HB1408 Stormwater Management - Regulations - Delay and Adoption of New Regulations

HB 1408 delays the implementation of new stormwater regulations until May 4, 2012.

Effective Date: Emergency Measure
For more information, please contact: Matt Greenwood

HB1409 Stormwater Management - Development Projects - Special Taxing Districts

HB 1409 allows for projects within a �special taxing district,� defined as an area where property owners are subject to a fee by a community development authority, to comply with stormwater regulations as they were in effect on May 3, 2010 if the special taxing district is (1) approved and recorded by a local jurisdiction before May 4, 2015, or (2) issues the maximum principal amount of bonds authorized by the local jurisdiction before May 4, 2015.

Effective Date: Emergency Measure
For more information, please contact: Matt Greenwood

SB0604 College and Career Readiness Act of 2010

SB 604 would require the Maryland State Department of Education to adopt a definition of college and career readiness, and to adopt a common assessment and benchmarks to show progress toward college readiness. The bill would also require strategies and curricula to be developed and implemented to ensure students are college-ready and are successful in college.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

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Prescription Drugs


HB0868 State Board of Pharmacy - Wholesale Distributors - Accreditation and Reciprocity

HB 868 will change the circumstances by which the State Board of Pharmacy may grant �deemed status� (status that may allow a wholesale distributor to be exempt from initial and routine inspection requirements). The Board may only grant deemed status to a wholesale distributor currently accredited by an accreditation organization where the wholesale distributor is located, or located in a state that has requirements that are substantially equivalent to Maryland�s requirements. Wholesale distributors that receive a permit by reciprocity shall comply with specified requirements. Wholesale distributors not eligible for reciprocity are required to be accredited. The Board is required to grant deemed status to a wholesale distributor that is accredited or has been granted reciprocity by the Board.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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Research/Human Subject


HB0713 Drug Schedules - Marijuana

HB 713 would change the classification on marijuana from a Schedule I controlled dangerous substance to a Schedule II controlled dangerous substance.

Effective Date: October 1, 2010
For more information, please contact: Delora Sanchez

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Transportation


HB0271 Transportation - Public-Private Partnerships - Notice to the General Assembly

HB 271 defines a public-private partnership (P3) arrangement and requires the Maryland Department of Transportation (MDOT) to provide certain information to the Budget and Taxation, Finance, Ways and Means, and Appropriations committees and the Department of Legislative Services at least 45 days prior to issuing a �public notice of solicitation� and at least 10 days prior to entering into a P3 arrangement. The bill does not apply to procurements, contracts, leases, or agreements that MDOT routinely enters into to develop, operate, or maintain transportation facilities. The bill requires MDOT to notify the General Assembly of agreements with private entities under which the private entity assumes exceptional new responsibility for the development, operation, financing, or maintenance of a transportation facility.

Effective Date: June 1, 2010
For more information, please contact: Mat Palmer

HB0710 Blue Ribbon Commission on Maryland Transportation Funding

HB 710 establishes a Blue Ribbon Commission on Maryland Transportation Funding. The Maryland Department of Transportation (MDOT) and the Department of Legislative Services (DLS) must provide staff support for the commission. The commission must submit an interim report by January 1, 2011, and a final report by January 1, 2012, providing findings and recommendations to the Governor and the General Assembly.

Effective Date: July 1, 2010
For more information, please contact: Mat Palmer

HB0732 State Government - Priority Funding for Transportation Projects for BRAC

HB 732 requires the Maryland Department of Transportation (MDOT) to include in the list of Consolidated Transportation Program (CTP) priorities any capital project that is needed to accommodate projected transportation needs resulting from the final recommendations of the 2005 Defense Base and Realignment and Closure (BRAC) Commission.

Effective Date: October 1, 2010
For more information, please contact: Mat Palmer


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STAFF CONTACT INFORMATION
Please contact Government Relations if you have concerns or would like additional information. Your input assists us greatly in evaluating and formulating the position of Johns Hopkins on all legislation.

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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