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 | | *hb0627* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 627 |
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8 | 8 | | J1 2lr0743 |
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9 | 9 | | |
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10 | 10 | | By: Delegate Kelly |
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11 | 11 | | Introduced and read first time: January 31, 2022 |
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12 | 12 | | Assigned to: Health and Government Operations |
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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 | | Maryland Medical Assistance Program – Registered Behavior Technicians – 2 |
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19 | 19 | | Reimbursement 3 |
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20 | 20 | | |
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21 | 21 | | FOR the purpose of requiring the Maryland Department of Health to provide 4 |
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22 | 22 | | reimbursement for applied behavior analysis services provided by registered 5 |
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23 | 23 | | behavior technicians under the Maryland Medical Assistance Program; prohibiting, 6 |
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24 | 24 | | subject to a certain exception, the Department from requiring as a condition of 7 |
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25 | 25 | | reimbursement that an individual receive a certain certification to provide applied 8 |
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26 | 26 | | behavior analysis services as a registered behavior technician to Program recipients; 9 |
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27 | 27 | | and generally relating to the Maryland Medical Assistance Program and applied 10 |
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28 | 28 | | behavior analysis services. 11 |
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29 | 29 | | |
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30 | 30 | | BY adding to 12 |
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31 | 31 | | Article – Health – General 13 |
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32 | 32 | | Section 15–114.2 14 |
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33 | 33 | | Annotated Code of Maryland 15 |
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34 | 34 | | (2019 Replacement Volume and 2021 Supplement) 16 |
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35 | 35 | | |
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36 | 36 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 17 |
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37 | 37 | | That the Laws of Maryland read as follows: 18 |
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38 | 38 | | |
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39 | 39 | | Article – Health – General 19 |
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40 | 40 | | |
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41 | 41 | | 15–114.2. 20 |
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42 | 42 | | |
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43 | 43 | | (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS 21 |
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44 | 44 | | INDICATED. 22 |
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45 | 45 | | |
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46 | 46 | | (2) (I) “APPLIED BEHAVIOR ANAL YSIS” MEANS THE DESIGN , 23 |
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47 | 47 | | IMPLEMENTATION , AND EVALUATION OF EN VIRONMENTAL MODIFICA TIONS USING 24 2 HOUSE BILL 627 |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | BEHAVIORAL STIMULI A ND CONSEQUENCES TO P RODUCE SOCIALLY SIGN IFICANT 1 |
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51 | 51 | | IMPROVEMENTS IN HU MAN BEHAVIOR . 2 |
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52 | 52 | | |
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53 | 53 | | (II) “APPLIED BEHAVIOR ANAL YSIS” INCLUDES THE DIRECT 3 |
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54 | 54 | | OBSERVATIONS , MEASUREMENT , AND FUNCTIONAL ANALY SIS OF THE RELATIONS 4 |
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55 | 55 | | BETWEEN ENVIRONMENT AND BEHAVIOR . 5 |
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56 | 56 | | |
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57 | 57 | | (3) “AUTISM SPECTRUM DISOR DER” MEANS A GROUP OF 6 |
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58 | 58 | | DEVELOPMENTAL DISORD ERS: 7 |
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59 | 59 | | |
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60 | 60 | | (I) CHARACTERIZED BY PERS ISTENT DEFICITS IN S OCIAL 8 |
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61 | 61 | | COMMUNICATION AND SO CIAL INTERACTION ACR OSS MULTIPLE CONTEXT S; 9 |
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62 | 62 | | |
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63 | 63 | | (II) CHARACTERIZED BY REST RICTED, REPETITIVE PATTERNS 10 |
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64 | 64 | | OF BEHAVIOR, INTERESTS, OR ACTIVITIES; AND 11 |
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65 | 65 | | |
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66 | 66 | | (III) WHOSE SYMPTOMS CAUSE CLINICALLY SIGNIFICANT 12 |
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67 | 67 | | IMPAIRMENT IN SOCIAL , OCCUPATIONAL , OR OTHER IMPORTANT A REAS OF 13 |
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68 | 68 | | CURRENT FUNCTIONING . 14 |
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69 | 69 | | |
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70 | 70 | | (4) “BOARD CERTIFIED BEHAV IOR ANALYST” MEANS A LICENSED 15 |
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71 | 71 | | PROFESSIONAL WHO : 16 |
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72 | 72 | | |
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73 | 73 | | (I) RENDERS AND PROVIDES DIRECTION FOR APPLIED 17 |
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74 | 74 | | BEHAVIORAL ANALYSIS SERVICES THAT ARE PR OVIDED TO INDIVIDUALS WITH 18 |
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75 | 75 | | AUTISM SPECTRUM DISO RDER; AND 19 |
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76 | 76 | | |
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77 | 77 | | (II) HAS OBTAINED A BEHAVIOR ANALYST CERTIFICATION 20 |
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78 | 78 | | BOARD CERTIFICATION . 21 |
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79 | 79 | | |
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80 | 80 | | (5) “BOARD CERTIFIED BEHAV IOR ANALYST–DOCTORAL” MEANS A 22 |
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81 | 81 | | LICENSED PROFESSIONA L WHO: 23 |
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82 | 82 | | |
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83 | 83 | | (I) RENDERS AND PROVIDES DIRECTION FOR APPLIED 24 |
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84 | 84 | | BEHAVIOR ANALYSIS TREATMENTS THAT ARE PROVIDED TO INDIVIDUALS WITH 25 |
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85 | 85 | | AUTISM SPECTRUM DISOR DER; AND 26 |
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86 | 86 | | |
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87 | 87 | | (II) HAS OBTAINED A BEHAVIOR ANALYST CERTIFICATION 27 |
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88 | 88 | | BOARD CERTIFICATION WITH A DOCTORAL –LEVEL CREDENTIAL . 28 |
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89 | 89 | | |
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90 | 90 | | (6) “REGISTERED BEHAVIOR T ECHNICIAN” MEANS A 29 |
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91 | 91 | | PARAPROFESSIONAL WHO DELIVERS APPLIED BEHAVIOR ANA LYSIS SERVICES THAT 30 HOUSE BILL 627 3 |
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92 | 92 | | |
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93 | 93 | | |
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94 | 94 | | ARE PROVIDED TO INDIVIDUALS WITH AUTISM SPECTRUM DISORDER UNDER THE 1 |
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95 | 95 | | SUPERVISION OF : 2 |
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96 | 96 | | |
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97 | 97 | | (I) A LICENSED PSYCHOLOGIST ; 3 |
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98 | 98 | | |
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99 | 99 | | (II) A BOARD CERTIFIED BEHAV IOR ANALYST–DOCTORAL; OR 4 |
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100 | 100 | | |
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101 | 101 | | (III) A BOARD CERTIFIED BEHAV IOR ANALYST. 5 |
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102 | 102 | | |
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103 | 103 | | (B) (1) THE DEPARTMENT SHALL PROV IDE REIMBURSEMENT FO R 6 |
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104 | 104 | | APPLIED BEHAVIOR ANA LYSIS SERVICES PROVI DED BY REGISTERED BEHAVI OR 7 |
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105 | 105 | | TECHNICIANS TO PROGRAM RECIPIENTS WITH AUTISM SPECTRUM DISORDER. 8 |
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106 | 106 | | |
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107 | 107 | | (2) EXCEPT AS PROVIDED UN DER PARAGRAPH (3) OF THIS 9 |
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108 | 108 | | SUBSECTION, THE DEPARTMENT MAY NOT REQUIRE AS A CONDITION OF 10 |
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109 | 109 | | REIMBURSEMENT UNDER THE PROGRAM THAT A N INDIVIDUAL RECEIVE A 11 |
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110 | 110 | | CERTIFICATION FROM T HE BEHAVIOR ANALYST CERTIFICATION BOARD OR OTHER 12 |
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111 | 111 | | CREDENTIALING ENTITY TO PROVIDE APPLIED BEHAVIOR ANA LYSIS SERVICES AS A 13 |
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112 | 112 | | REGISTERED BEHAVIOR TECHNICIAN. 14 |
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113 | 113 | | |
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114 | 114 | | (3) THE DEPARTMENT MAY REQUIR E AS A CONDITION OF 15 |
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115 | 115 | | REIMBURSEMENT UNDER THE PROGRAM THAT AN INDIVIDUAL OBTAIN A CURRENT 16 |
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116 | 116 | | CERTIFICATION ISSUED BY THE BEHAVIOR ANALYST CERTIFICATION BOARD OR 17 |
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117 | 117 | | OTHER CREDENTIALING ENTITY TO PROVIDE APPLIED BEHAVIOR ANA LYSIS 18 |
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118 | 118 | | SERVICES AS A REGISTERED BEHA VIOR TECHNICIAN WITHIN 90 DAYS AFTER THE 19 |
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119 | 119 | | INDIVIDUAL BEGINS PROVIDIN G APPLIED BEHAVIOR A NALYSIS SERVICES TO 20 |
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120 | 120 | | PROGRAM RECIPIENTS AS A REGISTERED BEHAVIO R TECHNICIAN AND MAINTAIN 21 |
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121 | 121 | | THE CERTIFICATION . 22 |
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122 | 122 | | |
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123 | 123 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 23 |
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124 | 124 | | October 1, 2022. 24 |
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