1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb1467* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 1467 |
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8 | 8 | | J1 2lr3107 |
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9 | 9 | | CF SB 994 |
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10 | 10 | | By: Delegate Kipke |
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11 | 11 | | Introduced and read first time: February 26, 2022 |
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12 | 12 | | Assigned to: Rules and Executive Nominations |
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13 | 13 | | |
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14 | 14 | | A BILL ENTITLED |
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15 | 15 | | |
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16 | 16 | | AN ACT concerning 1 |
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17 | 17 | | |
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18 | 18 | | Public Health – Mental Health Advance Directives – Awareness and Statewide 2 |
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19 | 19 | | Database 3 |
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20 | 20 | | |
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21 | 21 | | FOR the purpose of requiring the Maryland Department of Health to develop and 4 |
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22 | 22 | | implement a public awareness campaign to encourage the use of mental health 5 |
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23 | 23 | | advance directives in the State; requiring the Maryland Behavioral Health Crisis 6 |
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24 | 24 | | Response System in the Behavioral Health Administration to establish a database 7 |
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25 | 25 | | of mental health advance directives; and generally relating to mental health advance 8 |
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26 | 26 | | directives. 9 |
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27 | 27 | | |
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28 | 28 | | BY repealing and reenacting, without amendments, 10 |
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29 | 29 | | Article – Health – General 11 |
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30 | 30 | | Section 5–602.1 12 |
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31 | 31 | | Annotated Code of Maryland 13 |
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32 | 32 | | (2019 Replacement Volume and 2021 Supplement) 14 |
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33 | 33 | | |
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34 | 34 | | BY adding to 15 |
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35 | 35 | | Article – Health – General 16 |
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36 | 36 | | Section 5–615.2 17 |
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37 | 37 | | Annotated Code of Maryland 18 |
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38 | 38 | | (2019 Replacement Volume and 2021 Supplement) 19 |
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39 | 39 | | |
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40 | 40 | | BY repealing and reenacting, with amendments, 20 |
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41 | 41 | | Article – Health – General 21 |
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42 | 42 | | Section 10–1402 22 |
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43 | 43 | | Annotated Code of Maryland 23 |
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44 | 44 | | (2019 Replacement Volume and 2021 Supplement) 24 |
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45 | 45 | | |
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46 | 46 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 25 |
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47 | 47 | | That the Laws of Maryland read as follows: 26 |
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48 | 48 | | 2 HOUSE BILL 1467 |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | Article – Health – General 1 |
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52 | 52 | | |
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53 | 53 | | 5–602.1. 2 |
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54 | 54 | | |
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55 | 55 | | (a) In this section, “mental health services” has the meaning stated in § 3 |
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56 | 56 | | 4–301(k)(1) of this article. 4 |
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57 | 57 | | |
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58 | 58 | | (b) An individual who is competent may make an advance directive to outline the 5 |
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59 | 59 | | mental health services which may be provided to the individual if the individual becomes 6 |
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60 | 60 | | incompetent and has a need for mental health services either during, or as a result of, the 7 |
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61 | 61 | | incompetency. 8 |
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62 | 62 | | |
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63 | 63 | | (c) (1) An individual making an advance directive for mental health services 9 |
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64 | 64 | | shall follow the procedures for making an advance directive provided under § 5–602 of this 10 |
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65 | 65 | | subtitle. 11 |
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66 | 66 | | |
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67 | 67 | | (2) The procedures provided under § 5–604 of this subtitle for the 12 |
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68 | 68 | | revocation of an advance directive shall apply to the revocation of an advance directive for 13 |
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69 | 69 | | mental health services. 14 |
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70 | 70 | | |
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71 | 71 | | (d) An advance directive for mental health services may include: 15 |
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72 | 72 | | |
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73 | 73 | | (1) The designation of an agent to make mental health services decisions 16 |
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74 | 74 | | for the declarant; 17 |
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75 | 75 | | |
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76 | 76 | | (2) The identification of mental health professionals, programs, and 18 |
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77 | 77 | | facilities that the declarant would prefer to provide mental health services; 19 |
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78 | 78 | | |
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79 | 79 | | (3) A statement of medications preferred by the declarant for psychiatric 20 |
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80 | 80 | | treatment; and 21 |
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81 | 81 | | |
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82 | 82 | | (4) Instruction regarding the notification of third parties and the release of 22 |
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83 | 83 | | information to third parties about mental health services provided to the declarant. 23 |
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84 | 84 | | |
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85 | 85 | | 5–615.2. 24 |
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86 | 86 | | |
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87 | 87 | | (A) THE DEPARTMENT SHALL DEVE LOP AND IMPLEMENT A PUBLIC 25 |
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88 | 88 | | AWARENESS CAMPAIG N TO ENCOURAGE THE U SE OF MENTAL HEALTH ADVANCE 26 |
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89 | 89 | | DIRECTIVES IN THE STATE. 27 |
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90 | 90 | | |
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91 | 91 | | (B) THE PUBLIC AWARENESS CAMPAIGN SHALL INCLU DE AWARENESS 28 |
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92 | 92 | | INITIATIVES TO ENCOU RAGE AND SUPPORT OUT REACH EFFORTS BY THE 29 |
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93 | 93 | | FOLLOWING PERSONS AN D GOVERNMENTAL AGENC IES TO INFORM PRESEN T OR 30 |
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94 | 94 | | FUTURE RECIPIENTS OF MENTAL HEALTH SERVIC ES AND MEMBERS OF TH EIR 31 |
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95 | 95 | | FAMILIES, HEALTH CARE PROVIDER S, AND OTHER BEHAVIORAL HEALTH CARE 32 |
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96 | 96 | | PARTNERS ABOUT MENTA L HEALTH ADVANCE DIR ECTIVES: 33 HOUSE BILL 1467 3 |
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97 | 97 | | |
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98 | 98 | | |
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99 | 99 | | |
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100 | 100 | | (1) THE DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL 1 |
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101 | 101 | | SERVICES; 2 |
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102 | 102 | | |
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103 | 103 | | (2) THE DEPARTMENT OF STATE POLICE; 3 |
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104 | 104 | | |
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105 | 105 | | (3) THE DEPARTMENT OF VETERANS AFFAIRS; 4 |
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106 | 106 | | |
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107 | 107 | | (4) LOCAL HEALTH DEPARTME NTS; 5 |
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108 | 108 | | |
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109 | 109 | | (5) LOCAL BEHAVIORAL HEAL TH AUTHORITIES ; 6 |
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110 | 110 | | |
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111 | 111 | | (6) BEHAVIORAL HEALTH PRO GRAMS; 7 |
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112 | 112 | | |
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113 | 113 | | (7) PRACTICING PSYCHIATRI STS, PSYCHOLOGISTS , PROFESSIONAL 8 |
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114 | 114 | | COUNSELORS AND THERA PISTS, AND SOCIAL WORKERS ; 9 |
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115 | 115 | | |
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116 | 116 | | (8) HEALTH CARE FACILITIE S; 10 |
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117 | 117 | | |
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118 | 118 | | (9) ACADEMIC INSTITUTIONS ; 11 |
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119 | 119 | | |
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120 | 120 | | (10) RELIGIOUS ORGANIZATIO NS; AND 12 |
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121 | 121 | | |
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122 | 122 | | (11) OTHER PERSONS WHO ENC OUNTER PRESENT OR FU TURE 13 |
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123 | 123 | | RECIPIENTS OF MENTAL HEALTH SERVICES . 14 |
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124 | 124 | | |
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125 | 125 | | 10–1402. 15 |
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126 | 126 | | |
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127 | 127 | | (a) There is a Maryland Behavioral Health Crisis Response System in the 16 |
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128 | 128 | | Behavioral Health Administration. 17 |
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129 | 129 | | |
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130 | 130 | | (b) The Crisis Response System shall: 18 |
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131 | 131 | | |
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132 | 132 | | (1) Operate a statewide network utilizing existing resources and 19 |
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133 | 133 | | coordinating interjurisdictional services to develop efficient and effective crisis response 20 |
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134 | 134 | | systems to serve all individuals in the State, 24 hours a day and 7 days a week; 21 |
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135 | 135 | | |
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136 | 136 | | (2) Provide skilled clinical intervention to help prevent suicides, homicides, 22 |
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137 | 137 | | unnecessary hospitalizations, and arrests or detention, and to reduce dangerous or 23 |
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138 | 138 | | threatening situations involving individuals in need of behavioral health services; [and] 24 |
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139 | 139 | | |
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140 | 140 | | (3) DEVELOP AND MAINTAIN A CENTRALIZED STATEW IDE DATABASE 25 |
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141 | 141 | | OF MENTAL HEALTH ADV ANCE DIRECTIVES THAT CAN BE READILY ACCES SED TO 26 |
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142 | 142 | | ASSIST RESPONSES TO BEHAVIORAL HEALTH CR ISES AND THE PROVISI ON OF 27 4 HOUSE BILL 1467 |
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143 | 143 | | |
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144 | 144 | | |
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145 | 145 | | MENTAL HEALTH SERVIC ES BY FIRST RESPONDE RS, HEALTH CARE PROVIDER S, 1 |
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146 | 146 | | CRISIS COMMUNICATION CENTERS, CRISIS TREATMENT CEN TERS, AND ANY OTHER 2 |
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147 | 147 | | PARTNERS DESIGNATED BY THE ADMINISTRATION ; AND 3 |
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148 | 148 | | |
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149 | 149 | | (4) Respond quickly and effectively to community crisis situations. 4 |
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150 | 150 | | |
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151 | 151 | | (c) The Administration shall consult with consumers of behavioral health 5 |
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152 | 152 | | services, family members, and behavioral health advocates in the development of the Crisis 6 |
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153 | 153 | | Response System. 7 |
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154 | 154 | | |
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155 | 155 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 8 |
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156 | 156 | | October 1, 2022. 9 |
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157 | 157 | | |
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