Maryland 2022 2022 Regular Session

Maryland House Bill HB517 Introduced / Bill

Filed 01/27/2022

                     
 
EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. 
        [Brackets] indicate matter deleted from existing law. 
          *hb0517*  
  
HOUSE BILL 517 
J1, J5   	2lr1706 
    	CF SB 460 
By: Delegate R. Lewis 
Introduced and read first time: January 21, 2022 
Assigned to: Health and Government Operations 
 
A BILL ENTITLED 
 
AN ACT concerning 1 
 
Consumer Health Access Program for Mental Health and Addiction Care – 2 
Establishment 3 
 
FOR the purpose of establishing the Consumer Health Access Program for Mental Health 4 
and Addiction Care to assist State residents in accessing mental health and 5 
substance use disorder services under public and private health insurance and 6 
address insurance–related barriers to mental health and substance use disorder 7 
services; establishing certain requirements on the Program relating to consumer 8 
medical records and other information; establishing the Consumer Health Access 9 
Program for Mental Health and Addiction Care Fund as a special, nonlapsing fund; 10 
requiring interest earnings of the Fund to be credited to the Fund; and generally 11 
relating to the Consumer Health Access Program for Mental Health and Addiction 12 
Care. 13 
 
BY adding to 14 
 Article – Health – General 15 
Section 13–4401 through 13–4409 to be under the new subtitle “Subtitle 44. 16 
Consumer Health Access Program for Mental Health and Addiction Care” 17 
 Annotated Code of Maryland 18 
 (2019 Replacement Volume and 2021 Supplement) 19 
 
BY repealing and reenacting, without amendments, 20 
Article – State Finance and Procurement 21 
Section 6–226(a)(2)(i) 22 
Annotated Code of Maryland 23 
(2021 Replacement Volume) 24 
 
BY repealing and reenacting, with amendments, 25 
Article – State Finance and Procurement 26 
Section 6–226(a)(2)(ii)144. and 145. 27 
Annotated Code of Maryland 28  2 	HOUSE BILL 517  
 
 
(2021 Replacement Volume) 1 
 
BY adding to 2 
Article – State Finance and Procurement 3 
Section 6–226(a)(2)(ii)146. 4 
Annotated Code of Maryland 5 
(2021 Replacement Volume) 6 
 
 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 7 
That the Laws of Maryland read as follows: 8 
 
Article – Health – General 9 
 
SUBTITLE 44. CONSUMER HEALTH ACCESS PROGRAM FOR MENTAL HEALTH AND 10 
ADDICTION CARE. 11 
 
13–4401. 12 
 
 (A) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEANINGS 13 
INDICATED. 14 
 
 (B) “CONNECTOR ENTITY REGI ONS” MEANS THE EIGHT GEOG RAPHICAL 15 
REGIONS IN MARYLAND THAT HAVE BE EN DESIGNATED BY THE MARYLAND HEALTH 16 
BENEFIT EXCHANGE FOR PURPOSES OF INSURANCE –RELATED OUTREACH , 17 
EDUCATION, AND ENROLLMENT UNDER THE PATIENT PROTECTION AND 18 
AFFORDABLE CARE ACT. 19 
 
 (C) “FUND” MEANS THE CONSUMER HEALTH ACCESS PROGRAM FOR 20 
MENTAL HEALTH AND ADDICTION CARE FUND. 21 
 
 (D) “HEALTH PLAN” MEANS HEALTH INSURANCE C OVERAGE FOR MENTAL 22 
HEALTH AND SUBSTANCE USE DISORDER BENEFIT S OFFERED BY ANY PAY ER OF 23 
HEALTH CARE SERVICES , INCLUDING STATE–REGULATED INDIVIDUAL AND GROUP 24 
PLANS, FULLY INSURED AND SE LF–INSURED EMPLOYER –SPONSORED PLANS , THE 25 
STATE EMPLOYEE HEALTH AND WELFARE BENEFITS PROGRAM, THE MARYLAND 26 
MEDICAL ASSISTANCE PROGRAM, THE MARYLAND CHILDREN’S HEALTH 27 
PROGRAM, MEDICARE, TRICARE, AND VETERANS ADMINISTRATION HEALTH 28 
BENEFITS.  29 
 
 (E) “HUB ENTITY” MEANS THE PRIVATE , COMMUNITY –BASED, NONPROFIT 30 
CORPORATION OR ORGANIZATIO N WITH OFFICES LOCAT ED IN THE STATE OR A 31 
PUBLIC UNIVERSITY IN THE STATE SELECTED BY THE INCUBATOR ENTITY AND 32 
RESPONSIBLE FOR OPER ATING THE PROGRAM. 33 
   	HOUSE BILL 517 	3 
 
 
 (F) “INCUBATOR ENTITY ” MEANS THE UNIVERSITY OF MARYLAND 1 
BALTIMORE SCHOOL OF SOCIAL WORK CENTER FOR ADDICTION RESEARCH, 2 
EDUCATION, AND SERVICES.  3 
 
 (G) “MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT” OR “PARITY 4 
ACT” MEANS THE PAUL WELLSTONE AND PETE DOMENICI MENTAL HEALTH 5 
PARITY AND ADDICTION EQUITY ACT OF 2008 AND IMPLEMENTING REG ULATIONS 6 
45 C.F.R. § 146.136 AND 29 C.F.R. § 2590.712. 7 
 
 (H) “PROGRAM” MEANS THE CONSUMER HEALTH ACCESS PROGRAM FOR 8 
MENTAL HEALTH AND ADDICTION CARE. 9 
 
 (I) “PROVIDER” MEANS:  10 
 
 (1) A LICENSED OR CERTIFIE D PRACTITIONER WHOSE SCOPE OF 11 
PRACTICE INCLUDES TH E PROVISION OF MENTAL HEALTH OR SUBSTANCE USE 12 
DISORDER TREATMENT ;  13 
 
 (2) A FACILITY LICENSED TO PROVIDE MENTAL HEALT H OR 14 
SUBSTANCE USE DISORD ER TREATMENT ; OR 15 
 
 (3) A CERTIFIED PEER COUNS ELOR WHO PROVIDES SU PPORT 16 
SERVICES TO PATIENTS WITH MENTAL HEALTH O R SUBSTANCE USE DISORDERS .  17 
 
 (J) “SPECIALTY ENTITY ” MEANS A PRIVATE , COMMUNITY –BASED, 18 
NONPROFIT CORPORATIO N OR ORGANIZATION WI TH OFFICES LOCATED I N THE 19 
STATE THAT ENTERS INT O A CONTRACT WITH TH E HUB ENTITY TO ASSI ST IN THE 20 
DELIVERY OF CONSUMER ASSISTANCE SERVICES . 21 
 
 (K) “SPOKE ENTITY ” MEANS THE PRIVATE , COMMUNITY –BASED, 22 
NONPROFIT CORPORATIO N OR ORGANIZATION WI TH OFFICES LOCATED I N THE 23 
STATE THAT ENTERS INT O A CONTRACT WITH TH E HUB ENTITY TO PROV IDE 24 
CONSUMER ASSISTANCE SERVICES IN ONE OF T HE EIGHT CONNECTOR E NTITY 25 
REGIONS.  26 
 
13–4402. 27 
 
 (A) THERE IS A CONSUMER HEALTH ACCESS PROGRAM FOR MENTAL 28 
HEALTH AND ADDICTION CARE. 29 
 
 (B) THE PURPOSES OF THE PROGRAM ARE TO : 30 
  4 	HOUSE BILL 517  
 
 
 (1) ASSIST STATE RESIDENTS IN AC CESSING MENTAL HEALT H AND 1 
SUBSTANCE USE DISORD ER SERVICES UNDER PU BLIC AND PR IVATE HEALTH 2 
INSURANCE; AND  3 
 
 (2) ADDRESS INSURANCE –RELATED BARRIERS TO MENTAL HEALTH 4 
AND SUBSTANCE USE DI SORDER SERVICES THRO UGH CONSUMER OUTREAC H AND 5 
EDUCATION, CLIENT ASSISTANCE AN D REPRESENTATION , DATA COLLECTION AND 6 
ANALYSIS, AND RESOLUTION OF SYSTEM–WIDE BARRIERS . 7 
 
 (C) THE PROGRAM SHALL BE ADMI NISTERED BY THE INCU BATOR ENTITY 8 
AND A HUB ENTITY SEL ECTED BY THE INCUBAT OR ENTITY. 9 
 
13–4403. 10 
 
 (A) THERE IS A CONSUMER HEALTH ACCESS PROGRAM FOR MENTAL 11 
HEALTH AND ADDICTION CARE FUND. 12 
 
 (B) THE PURPOSE OF THE FUND IS TO PROVIDE FU NDING TO THE 13 
INCUBATOR ENTITY , HUB ENTITY, AND SPOKE AND SPECIA LTY ENTITIES TO CARR Y 14 
OUT THE RESPONSIBILI TIES OF THE PROGRAM.  15 
 
 (C) THE INCUBATOR ENTITY AND THE HUB ENTITY S ELECTED BY THE 16 
INCUBATOR ENTITY SHA LL ADMINISTER THE FUND. 17 
 
 (D) (1) THE FUND IS A SPECIAL , NONLAPSING FUND THAT IS NOT 18 
SUBJECT TO § 7–302 OF THE STATE FINANCE AND PROCUREMENT ARTICLE. 19 
 
 (2) THE STATE TREASURER SHALL HOLD THE FUND SEPARATELY , 20 
AND THE COMPTROLLER SHALL ACC OUNT FOR THE FUND. 21 
 
 (E) THE FUND CONSISTS OF : 22 
 
 (1) MONEY APPROPRIATED IN THE STATE BUDGET TO THE FUND; 23 
 
 (2) INTEREST EARNINGS CRE DITED TO THE FUND UNDER 24 
SUBSECTION (F)(2) OF THIS SECTION; AND 25 
 
 (3) ANY OTHER MONEY FROM ANY OTHER SOURCE ACC EPTED FOR 26 
THE BENEFIT OF THE FUND. 27 
 
 (F) (1) THE STATE TREASURER SHALL INVES T THE MONEY OF THE FUND 28 
IN THE SAME MANNER A S OTHER STATE MONEY MAY BE IN VESTED. 29 
   	HOUSE BILL 517 	5 
 
 
 (2) ANY INTEREST EARNINGS OF THE FUND SHALL BE CREDITE D TO 1 
THE FUND. 2 
 
 (G) EXPENDITURES FROM THE FUND MAY BE MADE ONLY IN ACCORDANCE 3 
WITH THE STATE BUDGET . 4 
 
 (H) MONEY EXPENDED FROM T HE FUND FOR THE PROGRAM IS 5 
SUPPLEMENTAL TO AND IS NOT INTENDED TO T AKE THE PLACE OF FUN DING THAT 6 
OTHERWISE WOULD BE A PPROPRIATED FOR THE PROGRAM. 7 
 
13–4404. 8 
 
 CONTINGENT ON THE REC EIPT OF STATE FUNDING FOR THE PROGRAM, THE 9 
INCUBATOR ENTITY SHA LL IMPLEMENT THE PROGRAM BY: 10 
  
 (1) ON OR BEFORE JULY 1, 2023, CONDUCTING AND COMPL ETING AN 11 
APPLICATION PROCESS TO SELECT A HUB ENTI TY FOR THE PROGRAM THAT MEETS 12 
CRITERIA ESTABLISHED BY THE INCUBATOR ENT ITY THAT SHALL INCLUDE THAT 13 
THE HUB ENTITY HAVE : 14 
 
 (I) A PUBLIC INTEREST MISS ION; 15 
 
 (II) QUALIFIED STAFF WHO R EPRESENT THE RACIAL , ETHNIC, 16 
AND GENDER DIVERSITY OF RESIDENTS OF THE STATE AND INCLUDE IND IVIDUALS 17 
WITH PERSONAL EXPERI ENCE IN ACCESSING TR EATMENT FOR MENTA L HEALTH AND 18 
SUBSTANCE USE DISORD ERS; 19 
 
 (III) ORGANIZATIONAL EXPERT ISE OR DEMONSTRATED 20 
CAPACITY TO DEVELOP EXPERTISE IN: 21 
 
 1. MENTAL HEALTH AND SUB STANCE USE DISORDER 22 
SERVICES; 23 
 
 2. INSURANCE COVERAGE OF MENTAL HEALTH AND 24 
SUBSTANCE USE DISORD ER SERVICES; 25 
 
 3. PUBLIC OUTREACH AND E DUCATION ON INSURANC E 26 
COVERAGE AND SUBSTAN CE USE DISORDER TREA TMENT;  27 
 
 4. CLIENT ASSISTANCE AND REPRESENTATION TO 28 
RESOLVE INSURANCE DI SPUTES;  29 
  6 	HOUSE BILL 517  
 
 
 5. THE MENTAL HEALTH PARITY AND ADDICTION 1 
EQUITY ACT STANDARDS ; AND  2 
 
 6. DATA GATHERING AND AN ALYSIS; 3 
 
 (IV) NO DIRECT INVOLVEMENT IN THE LICENSING , 4 
CERTIFICATION , OR ACCREDITATION OF A MENTAL HEALTH OR S UBSTANCE USE 5 
DISORDER FACILITY OR A HEALTH PLAN ; 6 
 
 (V) NO DIRECT OWNERSHIP O R INVESTMENT IN A ME NTAL 7 
HEALTH OR SUBSTANCE USE DISO RDER FACILITY OR HEA LTH PLAN; 8 
 
 (VI) NO PARTICIPATION IN T HE MANAGEMENT OF A M ENTAL 9 
HEALTH OR SUBSTANCE USE DISORDER FACILIT Y OR HEALTH PLAN ; 10 
 
 (VII) NO AGREEMENT OR ARRAN GEMENT WITH AN OWNER OR 11 
OPERATOR OF A MENTAL HEALTH OR SUBSTA NCE USE DISORDER FAC ILITY OR A 12 
HEALTH PLAN THAT COU LD DIRECTLY OR INDIR ECTLY RESULT IN REMU NERATION, 13 
IN CASH OR IN KIND, TO THE ENTITY; AND 14 
 
 (VIII) A POLICY THAT ADDRESSE S ANY POTENTIAL CONF LICT OF 15 
INTEREST RELATED TO THE DELIVERY OF PROGRAM SERVICES AN D THE DELIVERY 16 
OF MENTAL HEALTH AND SUBSTANCE USE DISORD ER SERVICES; 17 
 
 (2) ASSISTING THE HUB ENT ITY IN SELECTING AND ENTERING INTO 18 
AN AGREEMENT TO DELI VER CONSUMER ASSISTA NCE SERVICES WITH ON E SPOKE 19 
ENTITY IN EACH OF TH E EIGHT CONNECTOR EN TITY REGIONS THA T MEETS THE 20 
CRITERIA ESTABLISHED BY THE HUB ENTITY ; 21 
 
 (3) ASSISTING THE HUB ENT ITY IN SELECTING AND ENTERING INTO 22 
AGREEMENTS TO DELIVE R CONSUMER ASSISTANC E SERVICES WITH ONE OR MORE 23 
SPECIALTY ENTITIES , AS NEEDED, THAT MEET THE CRITER IA ESTABLISHED BY TH E 24 
HUB ENTITY; AND 25 
 
 (4) OFFERING TECHNICAL AS SISTANCE TO THE HUB ENTITY UNDER 26 
AN AGREEMENT FOR A 3–YEAR PILOT PERIOD . 27 
 
13–4405. 28 
 
 (A) THE PROGRAM SHALL BE COMP OSED OF THE HUB ENTI TY, EIGHT SPOKE 29 
ENTITIES, A SPECIALTY ENTITY , AS NEEDED, AND VOLUNTEERS WITH APPROPRIATE 30 
TRAINING AND SUPERVI SION TO ASSIST WITH PROGRAM ACTIVITIES . 31 
   	HOUSE BILL 517 	7 
 
 
 (B) THE PROGRAM SHALL OPERATE A 3–YEAR PILOT PROGRAM T O HELP 1 
CONSUMERS , INCLUDING INDIVIDUAL S WHO ARE UNINSURED OR HAVE PRIVATE OR 2 
PUBLIC HEALTH PLANS , AND PROVIDERS NAVIGA TE AND RESOLVE ISSUES RELATED 3 
TO: 4 
 
 (1) HEALTH PLAN ENROLLMEN T AND COVERAGE ; 5 
 
 (2) CONSUMER ACCESS TO ME NTAL HEALTH AND SUBS TANCE USE 6 
DISORDER SERVICES ; AND 7 
 
 (3) ENFORCEMENT OF RIGHTS UNDER THE MENTAL HEALTH PARITY 8 
AND ADDICTION EQUITY ACT AND STATE AND FEDERAL INSURANCE LAWS . 9 
 
 (C) WITHIN 1 YEAR AFTER THE RECEI PT OF STATE FUNDING FOR THE 10 
PROGRAM, THE PROGRAM SHALL :  11 
 
 (1) CONDUCT IN–PERSON AND OTHER OUT REACH AND EDUCATION 12 
FOR RESIDENTS OF THE STATE TO IMPROVE HEAL TH LITERACY REGARDIN G: 13 
 
 (I) MENTAL HEALTH AND SUBSTANCE USE DISORD ER HEALTH 14 
BENEFIT COVERAGE AND AVAILABLE SERVICES ;  15 
 
 (II) ENROLLMENT IN HEALTH PLANS;  16 
 
 (III) ACCESS TO MENTAL HEAL TH AND SUBSTANCE USE 17 
DISORDER TREATMENT ; AND  18 
 
 (IV) RIGHTS UNDER THE MENTAL HEALTH PARITY AND 19 
ADDICTION EQUITY ACT; 20 
 
 (2) ESTABLISH AND OPERATE A TOLL–FREE HELPLINE AND AN  21 
ON–LINE ASSISTANCE PORT AL TO ALLOW CONSUMER S, PROVIDERS WHO ARE 22 
ACTING ON BEHALF OF CONSUMERS , AND INDIVIDUALS WITH IN THE STATE’S 23 
BEHAVIORAL HEALTH CR ISIS RESPONSE SYSTEM ACCESS TO THE SERVIC ES OF THE 24 
PROGRAM;  25 
 
 (3) ASSIST CONSUMERS AND PROVIDERS WHO ARE ACTING ON 26 
BEHALF OF CONSUMERS IN RESOLVING ISSUES RELATED TO HEALTH PL AN 27 
ENROLLMENT AND SERVI CE COVERAGE AND ACCE SS BY WORKING WITH 28 
APPROPRIATE REGULATO RY AGENCIES AND HEAL TH PLAN REPRESENTATI VES; 29 
 
 (4) ASSIST AND REPRESENT CONSUMERS IN THE FIL ING OF 30 
COMPLAINTS, GRIEVANCES, AND APPEALS, INCLUDING:  31  8 	HOUSE BILL 517  
 
 
 
 (I) COMPLAINTS THROUGH TH E INTERNAL GRIEVANCE AND 1 
EXTERNAL REVIEW PROC ESS UNDER TITLE 15, SUBTITLE 10A OF THE INSURANCE 2 
ARTICLE; 3 
 
 (II) APPEALS OF COVERAGE D ECISIONS UNDER TITLE 15, 4 
SUBTITLE 10D OF THE INSURANCE ARTICLE; 5 
 
 (III) EMPLOYER–SPONSORED PLAN INTER NAL AND EXTERNAL 6 
APPEAL PROCEDURES ;  7 
 
 (IV) MEDICAID FAIR HEARING S; AND 8 
 
 (V) MEDICARE APPEALS ; 9 
 
 (5) AS APPROPRIATE , WORK JOINTLY WITH STATE AGENCIES , 10 
INCLUDING THE DEPARTMENT , THE MARYLAND INSURANCE ADMINISTRATION , 11 
AND THE MARYLAND HEALTH BENEFIT EXCHANGE TO PROMOTE G REATER ACCESS 12 
TO MENTAL HEALTH AND SUBSTANCE USE DISORD ER SERVICES AND RESO LUTION 13 
OF CONSUMER COMPLAIN TS; 14 
 
 (6) ENTER INTO A MEMORAND UM OF UNDERSTANDING WITH THE 15 
HEALTH EDUCATION A ND ADVOCACY UNIT OF THE OFFICE OF THE ATTORNEY 16 
GENERAL TO COORDINATE CONSUMER ASSISTANCE SERVICES AND ENSURE 17 
EFFECTIVE AND NONDUP LICATIVE ASSISTANCE IN ADDRESSING HEALTH PLAN 18 
COMPLAINTS AND APPEA LS RELATED TO MENTAL HEALTH AND SUBSTANCE USE 19 
DISORDER SERVIC ES; 20 
 
 (7) COLLECT AND ANALYZE D ATA ON ALL SERVICES PROVIDED BY 21 
THE PROGRAM, INCLUDING DE –IDENTIFIED DEMOGRAPH IC INFORMATION ABOUT 22 
CONSUMERS WHO SOUGHT AND RECEIVED ASSISTA NCE, THE TYPES OF SERVICE S 23 
PROVIDED, AND OUTCOMES OF THE ASSISTANCE PROVIDED ; 24 
 
 (8) (I) IDENTIFY TRENDS AND G APS IN COVERAGE OF A ND ACCESS 25 
TO MENTAL HEALTH AND SUBSTANCE USE DISORD ER SERVICES;  26 
 
 (II) IDENTIFY TRENDS IN VI OLATIONS OF THE MENTAL HEALTH 27 
PARITY AND ADDICTION EQUITY ACT; AND  28 
 
 (III) RECOMMEND POLICIES AN D PRACTICES TO R ESOLVE 29 
DEFICIENCIES IN COVE RAGE AND ACCESS TO S ERVICES; 30 
   	HOUSE BILL 517 	9 
 
 
 (9) MAKE DATA , TREND ANALYSES , AND RECOMMENDATIONS 1 
AVAILABLE TO: 2 
 
 (I) MEMBERS OF THE PUBLIC ; 3 
 
 (II) GOVERNMENT AGENCIES ; 4 
 
 (III) THE OFFICE OF THE ATTORNEY GENERAL;  5 
 
 (IV) THE GENERAL ASSEMBLY; AND 6 
 
 (V) ANY OTHER ENTITY THAT THE PROGRAM DETERMINES 7 
APPROPRIATE ; 8 
 
 (10) CONDUCT ADVOCACY WITH GOVERNMENT AGENCIES IN THE 9 
STATE AND THE GENERAL ASSEMBLY TO ADDRESS S YSTEMIC GAPS IN ACCE SS TO 10 
MENTAL HEALTH AND SU BSTANCE USE DISORDER SERVICES AND VIOLATIONS OF 11 
THE MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT; AND 12 
 
 (11) ISSUE AN ANNUAL REPOR T THAT INCLUDES : 13 
 
 (I) AN ACCOUNTING OF ALL PROGRAM ACTIVITIES ; 14 
 
 (II) AN EVALUATION OF THE PERFORMANCE OF THE PROGRAM; 15 
 
 (III) A COMPLETE FISCAL AC COUNTING; 16 
 
 (IV) IDENTIFICATION OF INS URANCE GAPS AND ISSU ES 17 
AFFECTING CONSUMERS AND PROVIDERS ; AND 18 
 
 (V) RECOMMENDATIONS TO IM PROVE ACCESS TO MENT AL 19 
HEALTH AND SUBSTANCE USE DISORDER TREATME NT AND ENFORCEMENT O F THE 20 
MENTAL HEALTH PARITY AND ADDICTION EQUITY ACT. 21 
 
13–4406. 22 
 
 THE PROGRAM SHALL PROMOTE EQUITY IN ACCESS TO MENTAL HEALTH AND 23 
SUBSTANCE USE DISORD ER SERVICES BY: 24 
 
 (1) ENSURING THAT ALL CON SUMER ASSISTANCE SER VICES INCLUDE 25 
AND REPRESENT THE DI VERSITY OF THE POPUL ATION OF THE STATE WITH RESPECT 26 
TO RACE, ETHNICITY, LANGUAGE, RELIGION, GENDER DIVERSITY , SEXUAL 27 
ORIENTATION , SOCIOECONOMIC STATUS , AND DISABILITY STATU S; 28  10 	HOUSE BILL 517  
 
 
 
 (2) ENTERING AGREEMENTS W ITH SPOKE AND SPECIA LTY ENTITIES 1 
THAT ARE LED BY AND SERVE BLACK, HISPANIC, ASIAN, INDIGENOUS, DISABILITY, 2 
AND GENDER DIVERSE C OMMUNITIES AND SEEKI NG INPUT FROM DIVERS E 3 
COMMUNITIES IN CONSU MER ASSISTANCE SERVI CE DEVELOPMENT ; 4 
 
 (3) EMPLOYING INDIVIDUALS WITH LIVED EXPERIENC E IN MENTAL 5 
HEALTH AND SUBSTANCE USE DISORDER TREATME NT, INCLUDING INDIVIDUAL S 6 
ENGAGED IN PEER SERV ICE DELIVERY; 7 
 
 (4) DELIVERING CULTURALLY COMPETENT SERVICES T HAT ARE 8 
RESPONSIVE TO THE DI VERSE NEEDS OF RESID ENTS OF THE STATE AND PROVIDING 9 
SERVICES IN MULTIPLE LANGUAGES ; 10 
 
 (5) PROMOTING ACCESS BY O	FFERING SERVICES THR OUGH 11 
MULTIPLE MODALITIES, INCLUDING IN –PERSON, TELEPHONE , AND INTERNET 12 
SERVICES; AND 13 
 
 (6) COLLECTING AND ANALYZ ING DATA TO ADDRESS DISPARITIES IN 14 
ACCESSING MENTAL HEA LTH AND SUBSTANCE US E DISORDER SERVICES BY RACE, 15 
ETHNICITY, GENDER, AND GENDER IDENTITY . 16 
 
13–4407. 17 
 
 (A) THE PROGRAM: 18 
 
 (1) MAY REQUEST , OBTAIN, AND USE THE MEDICAL OR OTHER 19 
RECORDS OF A CONSUME R IN THE POSSESSION OF A HEALTH PLAN OR MENTAL 20 
HEALTH OR SUBSTANCE USE DISORDER PROVIDE R IF THE PROGRAM RECEIVES THE 21 
APPROPRIATE CONSENT FROM THE INDIVIDUAL OR THE LEGAL REPRESENTATI VE 22 
OF THE INDIVIDUAL ; 23 
 
 (2) SHALL USE AND DISCLOS E AN INDIVIDUAL ’S RECORDS IN 24 
COMPLIANCE WITH THE FEDERAL CONFIDENTIALITY OF ALCOHOL AND DRUG 25 
ABUSE PATIENT RECORDS REGULATION, 42 C.F.R. PART 2, THE HEALTH 26 
INSURANCE PORTABILITY AND ACCOUNTABILITY ACT, 45 C.F.R. §§ 160 AND 164, 27 
AND STATE HEALTH PRIVACY STANDARDS; AND  28 
 
 (3) MAY NOT DISCLOSE PERS ONAL IDENTIFYING INF ORMATION 29 
ABOUT A CONSUMER IN ANY FORM OTHER THAN AGGREGATE DATA IN AN Y PUBLIC 30 
DOCUMENT UNLESS THE INDIVIDUAL OR LEGAL REPRESENTATIVE OF THE 31 
INDIVIDUAL HAS PROVI DED THE APPROPRIATE CONSENT FOR RELEASE OF 32 
INFORMATION . 33   	HOUSE BILL 517 	11 
 
 
 
 (B) THE PROGRAM SHALL REQUEST AND PROMPTLY RECEIVE , WITH 1 
REASONABLE NOTICE , THE COOPERATION , ASSISTANCE, INFORMATION , AND 2 
RECORDS FROM STATE AGENCIES AS NEC ESSARY TO ENABLE THE PROGRAM TO 3 
INVESTIGATE A CONSUM ER’S COMPLAINT. 4 
 
13–4408. 5 
 
 THE PROGRAM SHALL PUBLISH A NOTICE CONCERNING THE SERVICES 6 
OFFERED BY THE PROGRAM THAT SHALL BE POSTED IN A CONSPICU OUS LOCATION 7 
AND INCLUDED IN WRIT TEN MATERIALS BY :  8 
 
 (1) EACH EMPLOYER THAT PROVID ES HEALTH INSURANCE OR A 9 
HEALTH PLAN ; 10 
 
 (2) MENTAL HEALTH AND SUB STANCE USE DISORDER PROVIDERS 11 
AND CRISIS SERVICES ; AND 12 
 
 (3) OTHER ENTITIES ON REA SONABLE REQUEST BY T HE PROGRAM. 13 
 
13–4409. 14 
 
 (A) THE GOVERNOR SHALL INCLUD E IN THE ANNUA L BUDGET BILL THE 15 
FOLLOWING AMOUNTS TO THE FUND: 16 
 
 (1) $1,000,000 FOR FISCAL YEAR 2024; 17 
 
 (2) $1,000,000 FOR FISCAL YEAR 2025; AND 18 
 
 (3) $1,000,000 FOR FISCAL YEAR 2026. 19 
 
 (B) (1) THE APPROPRIATION TO THE FUND FOR FISCAL YEAR 2024 20 
UNDER SUBSECTION (A)(1) OF THIS SECTION SHAL L BE USED TO FUND TH E 21 
INCUBATOR ENTITY TO CARRY OUT THE ACTIVI TIES SPECIFIED UNDER § 13–4404 OF 22 
THIS SUBTITLE. 23 
 
 (2) THE APPROPRIATIONS FO R FISCAL YEARS 2025 AND 2026 UNDER 24 
SUBSECTION (A)(2) AND (3) OF THIS SECTION SHAL L BE USED TO F UND THE HUB 25 
ENTITY, ANY SPOKE AND SPECIA LTY ENTITIES CONTRAC TED BY THE HUB ENTIT Y TO 26 
CARRY OUT THE ACTIVI TIES SPECIFIED UNDER § 13–4405 OF THIS SUBTITLE , AND 27 
ANY ACTIVITIES CONDU CTED BY THE INCUBATO R ENTITY IN FISCAL YEARS 2025 AND 28 
2026.  29 
  12 	HOUSE BILL 517  
 
 
 (C) THE PROGRAM MAY APPLY FOR AND AC CEPT GRANTS , GIFTS, AND 1 
OTHER FUNDS FROM FED ERAL AND STATE PROGRAMS AND FO UNDATIONS AND 2 
PRIVATE DONATIONS FO R THE PURPOSE OF CAR RYING OUT THE PROGRAM’S 3 
RESPONSIBILITIES . 4 
 
Article – State Finance and Procurement 5 
 
6–226. 6 
 
 (a) (2) (i) Notwithstanding any other provision of law, and unless 7 
inconsistent with a federal law, grant agreement, or other federal requirement or with the 8 
terms of a gift or settlement agreement, net interest on all State money allocated by the State 9 
Treasurer under this section to special funds or accounts, and otherwise entitled to receive 10 
interest earnings, as accounted for by the Comptroller, shall accrue to the General Fund of 11 
the State. 12 
 
 (ii) The provisions of subparagraph (i) of this paragraph do not apply 13 
to the following funds: 14 
 
 144. the Health Equity Resource Community Reserve Fund; 15 
[and] 16 
 
 145. the Access to Counsel in Evictions Special Fund; AND 17 
 
 146. THE CONSUMER HEALTH ACCESS PROGRAM FOR 18 
MENTAL HEALTH AND ADDICTION CARE FUND. 19 
 
 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 20 
October 1, 2022. 21