Maryland 2022 Regular Session

Maryland House Bill HB935 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4	4	[Brackets] indicate matter deleted from existing law.
5	5	hb0935
6	6
7	7	HOUSE BILL 935
8	8	J1, J5 2lr1433
9	9	CF SB 637
10	10	By: Delegate Bagnall
11	11	Introduced and read first time: February 7, 2022
12	12	Assigned to: Health and Government Operations and Appropriations
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Health and Health Insurance – Behavioral Health Services – Expansion 2
19	19	(Behavioral Health System Modernization Act) 3
20	20
21	21	FOR the purpose of requiring the Maryland Medical Assistance Program to provide 4
22	22	reimbursement for certain behavioral health peer recovery, measurement–based 5
23	23	care, and crisis response services, subject to certain limitations; requiring the 6
24	24	Maryland Department of Health to expand access to and provide reimbursement for 7
25	25	certain behavioral health collaborative care, case management, and wraparound 8
26	26	services; requiring the Governor to include in the annual budget bill certain 9
27	27	appropriations to fund certain behavioral health services and supports; requiring 10
28	28	certain insurers, nonprofit health service plans, and health maintenance 11
29	29	organizations to provide coverage and reimbursement for certain behavioral health 12
30	30	services; and generally relating to the expansion of the provision, funding, and 13
31	31	coverage of behavioral health services. 14
32	32
33	33	BY adding to 15
34	34	Article – Health – General 16
35	35	Section 7.5–901 to be under the new subtitle “Subtitle 9. Funding for Wellness and 17
36	36	Recovery Centers, Recovery Community Centers, and Peer Recovery 18
37	37	Services”; 15–101(a–1), (a–2), and (e–1) and 15–103(a)(2)(xviii); and 15–1101 19
38	38	and 15–1102 to be under the new subtitle “Subtitle 11. Home – and 20
39	39	Community–Based Services for Children and Youth” 21
40	40	Annotated Code of Maryland 22
41	41	(2019 Replacement Volume and 2021 Supplement) 23
42	42
43	43	BY repealing and reenacting, without amendments, 24
44	44	Article – Health – General 25
45	45	Section 15–101(a) and 15–103(a)(1) 26
46	46	Annotated Code of Maryland 27
47	47	(2019 Replacement Volume and 2021 Supplement) 28
48	48	2 HOUSE BILL 935
49	49
50	50
51	51	BY repealing and reenacting, with amendments, 1
52	52	Article – Health – General 2
53	53	Section 15–101(a–1) and (a–2), 15–103(a)(2)(xvi) and (xvii), and 15–141.1 3
54	54	Annotated Code of Maryland 4
55	55	(2019 Replacement Volume and 2021 Supplement) 5
56	56
57	57	BY adding to 6
58	58	Article – Insurance 7
59	59	Section 15–717 and 15–857 8
60	60	Annotated Code of Maryland 9
61	61	(2017 Replacement Volume and 2021 Supplement) 10
62	62
63	63	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 11
64	64	That the Laws of Maryland read as follows: 12
65	65
66	66	Article – Health – General 13
67	67
68	68	SUBTITLE 9. FUNDING FOR WELLNESS AND RECOVERY CENTERS, RECOVERY 14
69	69	COMMUNITY CENTERS, AND PEER RECOVERY SERVICES. 15
70	70
71	71	7.5–901. 16
72	72
73	73	THE GOVERNOR SHALL INCLUDE IN THE ANNUAL BUDGET BILL T HE 17
74	74	FOLLOWING AMOUNTS FO R WELLNESS AND RECOV ERY CENTERS , RECOVERY 18
75	75	COMMUNITY CENTERS , AND PEER RECOVERY SE RVICES: 19
76	76
77	77	(1) $15,000,000 FOR FISCAL YEAR 2024; 20
78	78
79	79	(2) $18,000,000 FOR FISCAL YEAR 2025; 21
80	80
81	81	(3) $21,000,000 FOR FISCAL YEAR 2026; AND 22
82	82
83	83	(4) $24,000,000 FOR FISCAL YEAR 2027 AND EACH FISCAL YEAR 23
84	84	THEREAFTER . 24
85	85
86	86	15–101. 25
87	87
88	88	(a) In this title the following words have the meanings indicated. 26
89	89
90	90	(A–1) “BEHAVIORAL HEALTH CRI SIS RESPONSE SERVICE S” MEANS 27
91	91	EVIDENCE–BASED RESOU RCES DESIGNED TO SER VE INDIVIDUALS EXPER IENCING A 28
92	92	MENTAL HEALTH OR SUB STANCE USE EMERGENCY , INCLUDING: 29
93	93
94	94	(1) CRISIS CALL CENTERS A ND HOTLINE SERVICES ; 30
95	95	HOUSE BILL 935 3
96	96
97	97
98	98	(2) MOBILE CRISIS SERVICE S; AND 1
99	99
100	100	(3) CRISIS RECEIVING AND STABILIZATION SERVIC ES. 2
101	101
102	102	(A–2) “CERTIFIED PEER RECOVE RY SPECIALIST” MEANS AN INDIVIDUAL WHO 3
103	103	HAS BEEN CERTIFIED B Y AN ENTITY APPROVED BY THE DEPARTMENT FOR THE 4
104	104	PURPOSE OF PROVIDING PEER SUPPORT SERVICE S, AS DEFINED UNDER § 7.5–101 5
105	105	OF THIS ARTICLE. 6
106	106
107	107	[(a–1)] (A–3) “Dental managed care organization” means a pre–paid dental 7
108	108	plan that receives fees to manage dental services. 8
109	109
110	110	[(a–2)] (A–4) “Dental services” means diagnostic, emergency, preventive, and 9
111	111	therapeutic services for oral diseases. 10
112	112
113	113	(E–1) “MEASUREMENT –BASED CARE” MEANS AN EVIDENCE –BASED PRACTICE 11
114	114	THAT INVOLVES THE SY STEMATIC COLLECTION OF DATA TO MONITOR T REATMENT 12
115	115	PROGRESS, ASSESS OUTCOMES , AND GUIDE TREATMENT DECISIONS, FROM INITIAL 13
116	116	SCREENING TO COMPLET ION OF CARE, THAT IS USED TO EVAL UATE: 14
117	117
118	118	(1) SYMPTOMS; 15
119	119
120	120	(2) FUNCTIONING AND SA TISFACTION WITH LIFE ; 16
121	121
122	122	(3) READINESS TO CHANGE ; AND 17
123	123
124	124	(4) THE TREATMENT PROCESS . 18
125	125
126	126	15–103. 19
127	127
128	128	(a) (1) The Secretary shall administer the Maryland Medical Assistance 20
129	129	Program. 21
130	130
131	131	(2) The Program: 22
132	132
133	133	(xvi) Beginning on January 1, 2021, shall provide, subject to the 23
134	134	limitations of the State budget and § 15–855(b)(2) of the Insurance Article, and as permitted 24
135	135	by federal law, services for pediatric autoimmune neuropsychiatric disorders associated 25
136	136	with streptococcal infections and pediatric acute onset neuropsychiatric syndrome, 26
137	137	including the use of intravenous immunoglobulin therapy, for eligible Program recipients, 27
138	138	if pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections 28
139	139	and pediatric acute onset neuropsychiatric syndrome are coded for billing and diagnosis 29
140	140	purposes in accordance with § 15–855(d) of the Insurance Article; [and] 30
141	141	4 HOUSE BILL 935
142	142
143	143
144	144	(xvii) Beginning on January 1, 2022, may not include, subject to federal 1
145	145	approval and limitations of the State budget, a frequency limitation on covered dental 2
146	146	prophylaxis care or oral health exams that requires the dental prophylaxis care or oral 3
147	147	health exams to be provided at an interval greater than 120 days within a plan year; AND 4
148	148
149	149	(XVIII) BEGINNING ON JANUARY 1, 2023, SHALL PROVIDE , 5
150	150	SUBJECT TO THE LIMITATIONS O F THE STATE BUDGET , AND AS PERMITTED BY 6
151	151	FEDERAL LAW , REIMBURSEMENT FOR : 7
152	152
153	153	1. SERVICES PROVIDED BY CERTIFIED PEER RECOVERY 8
154	154	SPECIALISTS; 9
155	155
156	156	2. MEASUREMENT –BASED CARE PROVIDED IN 10
157	157	BEHAVIORAL HEALTH SE TTINGS, INCLUDING OUTPATIENT MENTAL HEALTH 11
158	158	CENTERS; AND 12
159	159
160	160	3. BEHAVIORAL HEALTH CRI SIS RESPONSE SERVICE S. 13
161	161
162	162	15–141.1. 14
163	163
164	164	(a) [(1)] In this section [the following words have the meanings indicated. 15
165	165
166	166	(2)], “Collaborative Care Model” means an evidence–based approach for 16
167	167	integrating somatic and behavioral health services in primary care settings that includes: 17
168	168
169	169	[(i)] (1) Care coordination and management; 18
170	170
171	171	[(ii)] (2) Regular, proactive outcome monitoring and treatment for 19
172	172	outcome targets using standardized outcome measurement rating scales and electronic 20
173	173	tools, such as patient tracking; and 21
174	174
175	175	[(iii)] (3) Regular systematic psychiatric and substance use disorder 22
176	176	caseload reviews and consultation with a psychiatrist, an addiction medicine specialist, or 23
177	177	any other behavioral health medicine specialist as allowed under federal regulations 24
178	178	governing the model. 25
179	179
180	180	[(3) “Pilot Program” means the Collaborative Care Pilot Program.] 26
181	181
182	182	(b) This section may not be construed to prohibit referrals from a primary care 27
183	183	provider to a specialty behavioral health care provider. 28
184	184
185	185	[(c) There is a Collaborative Care Pilot Program in the Department. 29
186	186	HOUSE BILL 935 5
187	187
188	188
189	189	(d) The purpose of the Pilot Program is to establish and implement a 1
190	190	Collaborative Care Model in primary care settings in which health care services are 2
191	191	provided to Program recipients enrolled in HealthChoice. 3
192	192
193	193	(e) The Department shall administer the Pilot Program. 4
194	194
195	195	(f) (1) The Department shall select up to three sites at which a Collaborative 5
196	196	Care Model shall be established over a 4–year period. 6
197	197
198	198	(2) The sites selected by the Department shall be adult or pediatric 7
199	199	nonspecialty medical practices or health systems that serve a significant number of 8
200	200	Program recipients. 9
201	201
202	202	(3) To the extent practicable, one of the sites selected by the Department 10
203	203	under paragraph (1) of this subsection shall be located in a rural area of the State. 11
204	204
205	205	(g) The sites selected by the Department under subsection (f) of this section shall 12
206	206	ensure that treatment services, prescriptions, and care management that would be 13
207	207	provided to an individual under the Pilot Program are not duplicative of specialty 14
208	208	behavioral health care services being received by the individual. 15
209	209
210	210	(h) The Department shall provide funding to sites participating in the Pilot 16
211	211	Program for: 17
212	212
213	213	(1) Infrastructure development, including the development of a patient 18
214	214	registry and other monitoring, reporting, and billing tools required to implement a 19
215	215	Collaborative Care Model; 20
216	216
217	217	(2) Training staff to implement the Collaborative Care Model; 21
218	218
219	219	(3) Staffing for care management and psychiatric consultation provided 22
220	220	under the Collaborative Care Model; and 23
221	221
222	222	(4) Other purposes necessary to implement and evaluate the Collaborative 24
223	223	Care Model. 25
224	224
225	225	(i) The Department shall: 26
226	226
227	227	(1) Collaborate with stakeholders in the development, implementation, 27
228	228	and outcome monitoring of the Pilot Program; and 28
229	229
230	230	(2) Collect outcomes data on recipients of health care services under the 29
231	231	Pilot Program to: 30
232	232
233	233	(i) Evaluate the effectiveness of the Collaborative Care Model, 31
234	234	including by evaluating the number of and outcomes for individuals who: 32
235	235	6 HOUSE BILL 935
236	236
237	237
238	238	1. Were not diagnosed as having a behavioral health 1
239	239	condition before receiving treatment through the Pilot Program; 2
240	240
241	241	2. Were not diagnosed as having a behavioral health 3
242	242	condition before being referred to and treated by a specialty behavioral health provider; 4
243	243
244	244	3. Received behavioral health services in a primary care 5
245	245	setting before receiving treatment through the Pilot Program; and 6
246	246
247	247	4. Received specialty behavioral health care services before 7
248	248	being identified as eligible to receive treatment through the Pilot Program; and] 8
249	249
250	250	[(ii)] (C) [Determine whether to] THE DEPARTMENT SHALL 9
251	251	implement AND PROVIDE REIMBURS EMENT FOR SERVICES P ROVIDED IN 10
252	252	ACCORDANCE WITH the Collaborative Care Model statewide in primary care settings that 11
253	253	provide health care services to Program recipients. 12
254	254
255	255	[(j) The Department shall apply to the Centers for Medicare and Medicaid 13
256	256	Services for an amendment to the State’s § 1115 HealthChoice Demonstration waiver if 14
257	257	necessary to implement the Pilot Program. 15
258	258
259	259	(k) For fiscal year 2020, fiscal year 2021, fiscal year 2022, and fiscal year 2023, 16
260	260	the Governor shall include in the annual budget an appropriation of $550,000 for the Pilot 17
261	261	Program. 18
262	262
263	263	(l) On or before November 1, 2023, the Department shall report to the Governor 19
264	264	and, in accordance with § 2–1257 of the State Government Article, the General Assembly 20
265	265	on the Department’s findings and recommendations from the Pilot Program.] 21
266	266
267	267	SUBTITLE 11. HOME– AND COMMUNITY–BASED SERVICES FOR CHILDREN AND 22
268	268	YOUTH. 23
269	269
270	270	15–1101. 24
271	271
272	272	(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 25
273	273	INDICATED. 26
274	274
275	275	(B) “FAMILY–CENTERED TREATMENT ” MEANS AN EVIDENCE –BASED 27
276	276	PRACTICE USED TO STA BILIZE YOUTH IN THE HOME BY ADDRESSING U NDERLYING 28
277	277	FUNCTIONS OF BEHAVIO R IN ORDER TO REDUCE DISRUPTIONS I N THE HOME , 29
278	278	SCHOOL, AND COMMUNITY . 30
279	279
280	280	(C) “FUNCTIONAL FAMILY THE RAPY” MEANS A FAMILY –BASED 31
281	281	PREVENTION AND INTER VENTION PROGRAM FOR HIGH–RISK YOUTH THAT 32 HOUSE BILL 935 7
282	282
283	283
284	284	ADDRESSES COMPLEX AN D MULTIDIMENSIONAL P ROBLEMS THROUGH CLIN ICAL 1
285	285	PRACTICE THAT IS FLE XIBLY STRUCTURED AND CULTURALLY SENSITIVE . 2
286	286
287	287	(D) “MENTAL HEALTH CASE MA NAGEMENT PROGRAM ” MEANS A PROGRAM 3
288	288	THAT PROVIDES AN IDE NTIFIED SUBSET OF WR APAROUND SERVICES . 4
289	289
290	290	(E) “1915(I) MODEL” MEANS THE 1915(I) INTENSIVE BEHAVIORAL HEALTH 5
291	291	SERVICES FOR CHILDREN, YOUTH, AND FAMILIES PROGRAM ESTA BLISHED UNDER 6
292	292	TITLE 10, SUBTITLE 9, CHAPTER 89 OF THE CODE OF MARYLAND REGULATIONS. 7
293	293
294	294	(F) “WRAPAROUND SERVICES ” MEANS SERVICES PROVI DED TO CHILDREN 8
295	295	AND YOUTH WITH INTEN SIVE MENTAL HEALTH N EEDS AND THEIR FAMIL IES IN 9
296	296	THEIR COMM UNITIES, INCLUDING: 10
297	297
298	298	(1) INTENSIVE CARE COORDI NATION; 11
299	299
300	300	(2) CHILD AND FAMILY TEAM MEETINGS; AND 12
301	301
302	302	(3) PLANS OF CARE THAT AR E INDIVIDUALIZED TO EACH FAMILY AND 13
303	303	INCLUDE: 14
304	304
305	305	(I) FORMAL SUPPORTS , INCLUDING INDIVIDUAL AND FAMILY 15
306	306	THERAPY; AND 16
307	307
308	308	(II) INFORMAL SUPPORTS , INCLUDING INTENSIVE IN–HOME 17
309	309	SERVICES, RESPITE CARE, MOBILE CRISIS RESPON SE AND STABILIZATION , FAMILY 18
310	310	PEER SUPPORT , EXPERIENTIAL THERAPI ES, AND FLEXIBLE FUNDS F OR GOODS AND 19
311	311	SERVICES THAT ARE ID ENTIFIED IN THE PLAN OF CARE. 20
312	312
313	313	15–1102. 21
314	314
315	315	(A) THE DEPARTMENT SHALL ENSU RE THAT CARE COORDIN ATORS 22
316	316	DELIVERING SERVICES UNDER THE 1915(I) MODEL OR A MENTAL HE ALTH CASE 23
317	317	MANAGEMENT PROGRAM R ECEIVE TRAINING IN T HE DELIVERY OF WRAPA ROUND 24
318	318	SERVICES. 25
319	319
320	320	(B) THE DEPARTMENT SHALL PROV IDE REIMBURSEMENT FO R: 26
321	321
322	322	(1) WRAPAROUND SERVICES DELI VERED BY CARE COORDI NATORS 27
323	323	UNDER THE 1915(I) MODEL OR A MENTAL HE ALTH CASE MANAGEMENT PROGRAM 28
324	324	THAT IS COMMENSURATE WITH INDUSTRY STANDA RDS FOR THE REIMBURS EMENT 29
325	325	OF THE DELIVERY OF W RAPAROUND SERVICES ; AND 30
326	326	8 HOUSE BILL 935
327	327
328	328
329	329	(2) INTENSIVE IN–HOME SERVICES DELIVERED B Y PROVIDERS USING 1
330	330	FAMILY–CENTERED TREATMENT , FUNCTIONAL FAMILY TH ERAPY, AND OTHER 2
331	331	EVIDENCE–BASED PRACTICES UNDE R THE 1915(I) MODEL THAT IS COMMEN SURATE 3
332	332	WITH INDUSTRY STANDA RDS FOR THE REIMBURS EMENT OF THE DELIVER Y OF 4
333	333	FAMILY–CENTERED TRE ATMENT, FUNCTIONAL FAMILY TH ERAPY, AND OTHER 5
334	334	EVIDENCE–BASED PRACTICES . 6
335	335
336	336	(C) BEGINNING IN FISCAL Y EAR 2023, THE BEHAVIORAL HEALTH 7
337	337	ADMINISTRATION SHALL FUND 100 SLOTS IN THE MENTAL HEALTH CASE 8
338	338	MANAGEMENT PROGRAM F OR CHILDREN OR YOUTH WHO ARE NOT ELIGIBLE FOR 9
339	339	PROGRAM SERVICES AND AT RISK OF OUT–OF–HOME PLACEMENT . 10
340	340
341	341	(D) THE GOVERNOR SHALL INCLUD E IN THE ANNUAL OPER ATING BUDGET 11
342	342	BILL THE FOLLOWING A MOUNTS TO FUND CUSTO MIZED GOODS AND SERV ICES FOR 12
343	343	YOUTH RECEIVING SERV ICES UNDER THE 1915(I) MODEL OR MENTAL HEAL TH CASE 13
344	344	MANAGEMENT PROGRAM : 14
345	345
346	346	(1) $150,000 FOR FISCAL YEAR 2024; 15
347	347
348	348	(2) $250,000 FOR FISCAL YEAR 2025; AND 16
349	349
350	350	(3) $350,000 FOR FISCAL YEAR 2026 AND EACH FISCAL YEAR 17
351	351	THEREAFTER . 18
352	352
353	353	Article – Insurance 19
354	354
355	355	15–717. 20
356	356
357	357	(A) IN THIS SECTION, “CERTIFIED PEER RECOVERY SPECIALIST” MEANS AN 21
358	358	INDIVIDUAL WHO HAS B EEN CERTIFIED BY AN ENTITY APPROVED BY T HE 22
359	359	MARYLAND DEPARTMENT OF HEALTH FOR THE PURPOS E OF PROVIDING PEER 23
360	360	SUPPORT SERVICES , AS DEFINED UNDER § 7.5–101 OF THE HEALTH – GENERAL 24
361	361	ARTICLE. 25
362	362
363	363	(B) THIS SECTION APPLIES TO: 26
364	364
365	365	(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 27
366	366	PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 28
367	367	ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 29
368	368	CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 30
369	369	HOUSE BILL 935 9
370	370
371	371
372	372	(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 1
373	373	HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 2
374	374	CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 3
375	375
376	376	(C) IF A POLICY OR CONTRA CT SUBJECT TO THIS S ECTION PROVIDES FOR 4
377	377	REIMBURSEMENT FOR A SERVICE THAT IS WITH IN THE LAWFUL SCOPE OF 5
378	378	ACTIVITIES OF A CERTIFIED PEER RECOVERY SPECIA LIST PROVIDING SERVI CES 6
379	379	UNDER THE SUPERVISIO N OF A BEHAVIORAL HE ALTH PROGRAM LICENSE D BY THE 7
380	380	SECRETARY OF HEALTH UNDER § 7.5–401 OF THE HEALTH – GENERAL ARTICLE, 8
381	381	THE INSURED OR ANY O THER PERSON COVERED BY THE POLICY OR CON TRACT IS 9
382	382	ENTITLED TO REIMBURS EMENT FOR THE SERVIC E. 10
383	383
384	384	15–857. 11
385	385
386	386	(A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE THE MEAN INGS 12
387	387	INDICATED. 13
388	388
389	389	(2) “BEHAVIORAL HEALTH CRI SIS RESPONSE SERVICE S” MEANS 14
390	390	EVIDENCE–BASED SERVICES DESIG NED TO SERVE INDIVID UALS EXPERIENCING A 15
391	391	MENTAL HEALTH OR SUB STANCE USE EMERGENCY , INCLUDING: 16
392	392
393	393	(I) CRISIS CALL CENTERS AND HOTLINE SERVICES ; 17
394	394
395	395	(II) MOBILE CRISIS SERVICE S; AND 18
396	396
397	397	(III) CRISIS RECEIVING AND STABILIZATION SERVIC ES. 19
398	398
399	399	(3) “MEASUREMENT –BASED CARE ” MEANS AN EVIDENCE –BASED 20
400	400	PRACTICE THAT INVOLV ES THE SYSTEMATIC CO LLECTION OF DATA TO MONITOR 21
401	401	TREATMENT PROGRESS , ASSESS OUTCOMES , AND GUIDE TRE ATMENT DECISIONS , 22
402	402	FROM INITIAL SCREENI NG TO COMPLETION OF CARE, THAT IS USED TO EVAL UATE: 23
403	403
404	404	(I) SYMPTOMS; 24
405	405
406	406	(II) FUNCTIONING AND SATI SFACTION WITH LIFE ; 25
407	407
408	408	(III) READINESS TO CHANGE ; AND 26
409	409
410	410	(IV) THE TREATMENT PROCES S. 27
411	411
412	412	(B) THIS SECTION APPLIES TO: 28
413	413	10 HOUSE BILL 935
414	414
415	415
416	416	(1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT ISSUE 1
417	417	OR DELIVER HEALTH IN SURANCE POLICIES OR CONTRACTS IN THE STATE; AND 2
418	418
419	419	(2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 3
420	420	COVERAGE TO INDIVIDU ALS OR GROUPS UNDER CONTRACTS THAT ARE I SSUED OR 4
421	421	DELIVERED IN THE STATE. 5
422	422
423	423	(C) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE FOR : 6
424	424
425	425	(1) BEHAVIORAL HEALTH CR ISIS RESPONSE SERVIC ES; AND 7
426	426
427	427	(2) MEASUREMENT –BASED CARE PROVIDED IN A BEHAVIORAL 8
428	428	HEALTH SETTING . 9
429	429
430	430	SECTION 2. AND BE IT FURTHER ENACTED , That: 10
431	431
432	432	(a) (1) On or before December 1, 2022, the Maryland Department of Health 11
433	433	shall obtain any federal authority necessary to implement a plan for the expansion of 12
434	434	certified community behavioral health clinics in the State, including applying to the 13
435	435	Centers for Medicare and Medicaid Services for an amendment to any of the State’s 1115 14
436	436	waivers or the State plan. 15
437	437
438	438	(2) The Department’s implementation plan shall ensure access to certified 16
439	439	community behavioral health clinics in all counties in the State. 17
440	440
441	441	(b) The Maryland Department of Health shall review and consider options for 18
442	442	expanding the services provided under § 15–1102 of the Health – General Article, as 19
443	443	enacted by Section 1 of this Act, or adopting other existing programs or services to provide 20
444	444	wraparound services to children and youth with primary substance use disorders. 21
445	445
446	446	(c) On or before December 1, 2023, the Maryland Department of Health shall 22
447	447	review current eligibility requirements for the model established under § 1915(i) of the 23
448	448	Social Security Act, and mental health case management generally, and submit 24
449	449	recommendations for expanding eligibility and enrollment in these programs to the General 25
450	450	Assembly, in accordance with § 2–1257 of the State Government Article. 26
451	451
452	452	SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall apply to all 27
453	453	policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 28
454	454	after January 1, 2023. 29
455	455
456	456	SECTION 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 30
457	457	October 1, 2022. 31
458	458