Maryland 2022 Regular Session

Maryland Senate Bill SB282 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	sb0282
6	6
7	7	SENATE BILL 282
8	8	J1, F1 2lr2076
9	9	SB 425/21 – FIN CF 2lr2436
10	10	By: Senator Augustine
11	11	Introduced and read first time: January 19, 2022
12	12	Assigned to: Finance
13	13
14	14	A BILL ENTITLED
15	15
16	16	AN ACT concerning 1
17	17
18	18	Workgroup on Screening Related to Adverse Childhood Experienc es 2
19	19
20	20	FOR the purpose of establishing the Workgroup on Screening Related to Adverse Childhood 3
21	21	Experiences; requiring the Workgroup to take certain actions regarding screenings 4
22	22	related to adverse childhood experiences, including updating, improving, and 5
23	23	developing screening tools for use by primary care providers, studying actions that 6
24	24	primary care providers should take after screening a minor, developing a Youth Risk 7
25	25	Behavior Survey template, and making and developing recommendations for 8
26	26	improving the Youth Risk Behavior and the Youth Tobacco surveys and the surveys’ 9
27	27	data and trends report; and generally relating to the Workgroup on Screening 10
28	28	Related to Adverse Childhood Experiences. 11
29	29
30	30	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12
31	31	That: 13
32	32
33	33	(a) There is a Workgroup on Screening Related to Adverse Childhood 14
34	34	Experiences. 15
35	35
36	36	(b) The Workgroup consists of the following members: 16
37	37
38	38	(1) the State Superintendent of Schools, or the State Superintendent’s 17
39	39	designee; 18
40	40
41	41	(2) the Secretary of Health, or the Secretary’s designee; 19
42	42
43	43	(3) the Director of the Maryland Department of Health’s Office of 20
44	44	Population Health Improvement, or the Director’s designee; 21
45	45
46	46	(4) the Executive Director of the Maryland State Council on Child Abuse 22
47	47	and Neglect, or the Executive Director’s designee; 23
48	48	2 SENATE BILL 282
49	49
50	50
51	51	(5) the following members, appointed by the Secretary of Health: 1
52	52
53	53	(i) one mental health expert; 2
54	54
55	55	(ii) one managed care plan expert; 3
56	56
57	57	(iii) one behavioral health expert; 4
58	58
59	59	(iv) one child welfare expert; 5
60	60
61	61	(v) one primary care provider who performs physical examinations 6
62	62	on children entering school for the first time; 7
63	63
64	64	(vi) the coordinator and epidemiologist charged with administering 8
65	65	Maryland’s Youth Risk Behavior Survey under § 7–420 of the Education Article and the 9
66	66	Youth Tobacco Survey, as defined in § 13–1001 of the Health – General Article; 10
67	67
68	68	(vii) one representative from the Behavioral Health Administration 11
69	69	with expertise in adverse childhood experiences and positive childhood experiences; 12
70	70
71	71	(viii) two members of the research community with expertise in 13
72	72	adverse childhood experiences and positive childhood experiences; 14
73	73
74	74	(ix) one coordinator of a local adverse childhood experiences 15
75	75	initiative in the State; 16
76	76
77	77	(x) one director of a local management board in the State with 17
78	78	expertise in adverse childhood experiences and positive childhood experiences; 18
79	79
80	80	(xi) one director of a county parks and recreation department or a 19
81	81	similar department in the State; 20
82	82
83	83	(xii) one director of children’s services for a county library system in 21
84	84	the State; 22
85	85
86	86	(xiii) one individual with expertise in public health communications 23
87	87	and marketing on issues and policies related to children’s well–being; and 24
88	88
89	89	(xiv) one representative of the State Domestic Violence Coalition; 25
90	90
91	91	(6) the following members, appointed by the State Superintendent of 26
92	92	Schools: 27
93	93
94	94	(i) one parent of a child in a public primary or secondary school; 28
95	95
96	96	(ii) in consultation with the Public School Superintendents’ 29
97	97	Association of Maryland or the Maryland Association of Elementary School Principals, one 30 SENATE BILL 282 3
98	98
99	99
100	100	local superintendent or principal implementing efforts to have the superintendent’s school 1
101	101	system or principal’s school become trauma–informed; 2
102	102
103	103	(iii) one parent of a public middle school or high school student in the 3
104	104	State: 4
105	105
106	106	1. interested in and knowledgeable about the impact of 5
107	107	adverse childhood experiences and positive childhood experiences; and 6
108	108
109	109	2. active in the student’s local public school; 7
110	110
111	111	(iv) in consultation with the Maryland Association of School Health 8
112	112	Nurses, one school nurse in a local school system in the State with expertise in adverse 9
113	113	childhood experiences and positive childhood experiences research; and 10
114	114
115	115	(v) one local school system coordinator of mental health services or 11
116	116	student support services; 12
117	117
118	118	(7) one representative of the Maryland School Psychologists’ Association, 13
119	119	designated by the President of the Association; and 14
120	120
121	121	(8) one representative of the Maryland Psychological Association, 15
122	122	designated by the President of the Association. 16
123	123
124	124	(c) The Workgroup shall elect the chair of the Workgroup by a majority vote at 17
125	125	the first meeting. 18
126	126
127	127	(d) The Maryland Department of Health shall provide staff for the Workgroup. 19
128	128
129	129	(e) A member of the Workgroup: 20
130	130
131	131	(1) may not receive compensation as a member of the Workgroup; but 21
132	132
133	133	(2) is entitled to reimbursement for expenses under the Standard State 22
134	134	Travel Regulations, as provided in the State budget. 23
135	135
136	136	(f) On or before October 1, 2023, the Workgroup shall: 24
137	137
138	138	(1) update, improve, and develop screening tools that primary care 25
139	139	providers can use in a primary care setting to identify and treat minors who have a mental 26
140	140	health disorder that may be caused by or related to an adverse childhood experience; 27
141	141
142	142	(2) submit the screening tools to the Maryland Department of Health; 28
143	143
144	144	(3) recommend changes to the physical examination form that the State 29
145	145	Department of Education requires of all new students entering a public school, including 30
146	146	requiring that a physical examination include an assessment of trauma; 31 4 SENATE BILL 282
147	147
148	148
149	149
150	150	(4) study and make recommendations on the actions a primary care 1
151	151	provider should take after screening a minor for a mental health disorder that may be 2
152	152	caused by or related to an adverse childhood experience and finding that the minor shows 3
153	153	signs of trauma; 4
154	154
155	155	(5) study best practices in Youth Risk Behavior Survey data summaries 5
156	156	and trends reports from across the country, including those that report on adverse 6
157	157	childhood experiences and positive childhood experiences; 7
158	158
159	159	(6) develop a Youth Risk Behavior Survey template for a State– and 8
160	160	county–level data summary and trends report on adverse childhood experiences and 9
161	161	positive childhood experiences to be distributed for use and action by State and local 10
162	162	policymakers, adverse childhood experiences and trauma–informed State and local 11
163	163	initiatives, and philanthropic, business, faith–based, and community–based organizations, 12
164	164	that includes: 13
165	165
166	166	(i) the prevalence of individual adverse childhood experiences 14
167	167	among the population of middle school and high school students in the State, including 15
168	168	information disaggregated by gender, race, ethnicity, sexual orientation, and county; 16
169	169
170	170	(ii) the relationship between the number of adverse childhood 17
171	171	experiences and the risk behaviors and negative outcomes in the middle school and high 18
172	172	school student population in the State, including information disaggregated by gender, 19
173	173	race, ethnicity, sexual orientation, and county; 20
174	174
175	175	(iii) the relationship between individual positive childhood 21
176	176	experiences and risk behaviors and negative outcomes in the middle school and high school 22
177	177	student population in the State, including information disaggregated by gender, race, 23
178	178	ethnicity, sexual orientation, and county; 24
179	179
180	180	(iv) data trends for the immediately preceding 5 years, to the extent 25
181	181	data is available, in the prevalence of adverse childhood experiences and positive childhood 26
182	182	experiences in the State; 27
183	183
184	184	(v) the identification and a summary of the best available policies, 28
185	185	programs, and practices that prevent adverse childhood experiences and promote positive 29
186	186	childhood experiences, as determined by available evidence; 30
187	187
188	188	(vi) effective public health communications, marketing, and 31
189	189	distribution of the Youth Risk Behavior Survey adverse childhood experiences and positive 32
190	190	childhood experiences State– and county–level data summary and trends report; and 33
191	191
192	192	(vii) any other information and factors that the Workgroup 34
193	193	determines are important for effective reporting, distribution, and action on the data at the 35
194	194	State and local level; 36
195	195	SENATE BILL 282 5
196	196
197	197
198	198	(7) make recommendations for improving the Youth Risk Behavior Survey 1
199	199	and the Youth Tobacco Survey and the surveys’ data and trends reports, including: 2
200	200
201	201	(i) whether the surveys should be expanded to reach all students in 3
202	202	middle school and high school; 4
203	203
204	204	(ii) whether the analyses and reporting should be made publicly 5
205	205	available at the zip code, census, or school level; and 6
206	206
207	207	(iii) any other criteria that the Workgroup determines are important 7
208	208	to ensuring the prevention and mitigation of adverse childhood experiences and risk 8
209	209	behaviors and the promotion of positive childhood experiences; and 9
210	210
211	211	(8) develop recommendations for unifying and coordinating child– and 10
212	212	family–serving agencies to better link youth and families to needed interventions and 11
213	213	services. 12
214	214
215	215	(g) On or before October 1, 2023, the Workgroup shall report its findings and 13
216	216	recommendations to the Governor and, in accordance with § 2 –1257 of the State 14
217	217	Government Article, the General Assembly. 15
218	218
219	219	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 16
220	220	October 1, 2022. It shall remain effective for a period of 2 years and, at the end of September 17
221	221	30, 2024, this Act, with no further action required by the General Assembly, shall be 18
222	222	abrogated and of no further force and effect. 19
223	223