MD
Maryland Senate Bill SB734

Maryland 2022 Regular Session

Maryland Senate Bill SB734 Compare Versions

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1- LAWRENCE J. HOGAN, JR., Governor Ch. 667
21
3-– 1 –
4-Chapter 667
5-(Senate Bill 734)
62
7-AN ACT concerning
3+EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
4+ [Brackets] indicate matter deleted from existing law.
5+ Underlining indicates amendments to bill.
6+ Strike out indicates matter stricken from the bill by amendment or deleted from the law by
7+amendment.
8+ Italics indicate opposite chamber/conference committee amendments.
9+ *sb0734*
810
9-Health and Health Insurance Maryland Health Care Commission – Primary
10-Care Reform Commission Report and Workgroup
11+SENATE BILL 734
12+J1, J5 (2lr2423)
13+ENROLLED BILL
14+— Finance/Health and Government Operations —
15+Introduced by Senator Lam
1116
12-FOR the purpose of establishing the Primary Care Reform requiring the Maryland Health
13-Care Commission to review, examine, and make certain determinations and
14-recommendations provide an annual report to the Governor and the General
15-Assembly regarding primary care spending by certain payors of health care services
16-and improvements to the quality of and access to primary care services; requiring
17-the Commission to form a workgroup to develop the report; and generally relating to
18-the Primary Care Reform Maryland Health Care Commission and primary care.
17+Read and Examined by Proofreaders:
1918
20-BY adding to
21- Article – Health – General
22-Section 20–2201 and 20–2202 to be under the new subtitle “Subtitle 22. Primary
23-Care Reform Commission” 19–108.4
24- Annotated Code of Maryland
25- (2019 Replacement Volume and 2021 Supplement)
19+_______________________________________________
20+Proofreader.
21+_______________________________________________
22+Proofreader.
2623
27- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
28-That the Laws of Maryland read as follows:
24+Sealed with the Great Seal and presented to the Governor, for his approval this
2925
30-Article – Health – General
26+_______ day of _______________ at _________________ _______ o’clock, ________M.
3127
32-SUBTITLE 22. PRIMARY CARE REFORM COMMISSION.
28+______________________________________________
29+President.
3330
34-20–2201.
31+CHAPTER ______
3532
36- (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
37-INDICATED.
33+AN ACT concerning 1
3834
39- (B) “COMMISSION” MEANS THE PRIMARY CARE REFORM COMMISSION.
35+Health and Health Insurance Maryland Health Care Commission – Primary 2
36+Care Reform Commission Report and Workgroup 3
4037
41- (C) “PRIMARY CARE” MEANS HEALTH CARE PR OVIDED IN THE FOLLOW ING
42-FIELDS OUTPATIENT SE TTINGS:
38+FOR the purpose of establishing the Primary Care Reform requiring the Maryland Health 4
39+Care Commission to review, examine, and make certain determinations and 5
40+recommendations provide an annual report to the Governor and the General 6
41+Assembly regarding primary care spending by certain payors of health care services 7
42+and improvements to the quality of and access to primary care services; requiring 8
43+the Commission to form a workgroup to develop the report; and generally relating to 9
44+the Primary Care Reform Maryland Health Care Commission and primary care. 10
4345
44- (1) FAMILY PRACTICE ;
46+BY adding to 11
47+ Article – Health – General 12
48+Section 20–2201 and 20–2202 to be under the new subtitle “Subtitle 22. Primary 13
49+Care Reform Commission” 19–108.4 14 2 SENATE BILL 734
4550
46- (2) GENERAL PEDIATRICS ;
4751
48- (3) PRIMARY CARE INTERNAL MEDICINE; AND Ch. 667 2022 LAWS OF MARYLAND
52+ Annotated Code of Maryland 1
53+ (2019 Replacement Volume and 2021 Supplement) 2
4954
50-– 2 –
55+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 3
56+That the Laws of Maryland read as follows: 4
5157
52- (4) PRIMARY CARE OBSTETRI CS AND GYNECOLOGY .
58+Article – Health – General 5
5359
54- (D) “PRIMARY CARE SPENDING ” MEANS ANY EXPENDITUR E OF FUNDS MADE
55-BY THIRD–PARTY PAYORS , PUBLIC ENTITIES, OR THE STATE FOR THE PURPOSE OF
56-PAYING FOR PRIMARY C ARE SERVICES OR SUPPORTI NG PRIMARY CARE PROV IDERS,
57-REGARDLESS OF PAYMEN T METHODOLOGY .
60+SUBTITLE 22. PRIMARY CARE REFORM COMMISSION. 6
5861
59-20–2202.
62+20–2201. 7
6063
61- (A) THERE IS A PRIMARY CARE REFORM COMMISSION.
64+ (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 8
65+INDICATED. 9
6266
63- (B) (1) THE COMMISSION CONSISTS O F THE FOLLOWING MEMB ERS:
67+ (B) “COMMISSION” MEANS THE PRIMARY CARE REFORM COMMISSION. 10
6468
65- (I) THREE MEMBERS APPOINT ED BY THE GOVERNOR;
69+ (C) “PRIMARY CARE” MEANS HEALTH CARE PR OVIDED IN THE FOLLOW ING 11
70+FIELDS OUTPATIENT SE TTINGS: 12
6671
67- (II) FOUR MEMBERS APPOINTE D BY THE PRESIDENT OF THE
68-SENATE;
72+ (1) FAMILY PRACTICE ; 13
6973
70- (III) THREE MEMBERS APPOINT ED BY THE SPEAKER OF THE
71-HOUSE;
74+ (2) GENERAL PEDIATRICS ; 14
7275
73- (IV) ONE MEMBER DESIGNATED BY THE MARYLAND HOSPITAL
74-ASSOCIATION;
76+ (3) PRIMARY CARE IN TERNAL MEDICINE ; AND 15
7577
76- (V) ONE MEMBER DESIGNATED BY THE MARYLAND NURSES
77-ASSOCIATION; AND
78+ (4) PRIMARY CARE OBSTETRI CS AND GYNECOLOGY . 16
7879
79- (VI) ONE MEMBER DESIGNATED BY MEDCHI, THE MARYLAND
80-STATE MEDICAL SOCIETY.
80+ (D) “PRIMARY CARE SPENDING ” MEANS ANY EXPENDITUR E OF FUNDS MADE 17
81+BY THIRD–PARTY PAYORS , PUBLIC ENTITIES, OR THE STATE FOR THE PURPOSE OF 18
82+PAYING FOR PRIMARY C ARE SERVICES OR SUPP ORTING PRIMARY CARE PROVIDERS , 19
83+REGARDLESS OF PAYMEN T METHODOLOGY . 20
8184
82- (2) TO THE EXTENT PRACTIC ABLE, THE MEMBERSHIP OF TH E
83-COMMISSION SHALL :
85+20–2202. 21
8486
85- (I) HAVE EXPERIENCE IN HE ALTH CARE FINANCING ,
86-REIMBURSEMENT , AND REGULATION ;
87+ (A) THERE IS A PRIMARY CARE REFORM COMMISSION. 22
8788
88- (II) BE COMPOSED OF :
89+ (B) (1) THE COMMISSION CONSISTS O F THE FOLLOWING MEMB ERS: 23
8990
90- 1. PRACTICING PRIMARY CA RE PROVIDERS ;
91+ (I) THREE MEMBERS APPOINT ED BY THE GOVERNOR; 24
9192
92- 2. REPRESENTATIVES OF FE DERALLY QUALIFIED
93-HEALTH CENTERS ;
94- LAWRENCE J. HOGAN, JR., Governor Ch. 667
93+ (II) FOUR MEMBERS APPOINTED BY THE PRESIDENT OF THE 25
94+SENATE; 26
95+ SENATE BILL 734 3
9596
96-– 3 –
97- 3. PROVIDERS FROM PROFES SIONAL PRACTICE
98-GROUPS;
9997
100- 4. PRIMARY CARE ADVOCATE S;
98+ (III) THREE MEMBERS APPOINT ED BY THE SPEAKER OF THE 1
99+HOUSE; 2
101100
102- 5. PRIMARY CARE CONSUMER ADVOCATES ;
101+ (IV) ONE MEMBER DESIGNATED BY THE MARYLAND HOSPITAL 3
102+ASSOCIATION; 4
103103
104- 6. REPRESENTATIVES OF BU SINESSES;
104+ (V) ONE MEMBER DESIGNATED BY THE MARYLAND NURSES 5
105+ASSOCIATION; AND 6
105106
106- 7. HEALTH PLAN REPRESENT ATIVES; AND
107+ (VI) ONE MEMBER DESIGNATED BY MEDCHI, THE MARYLAND 7
108+STATE MEDICAL SOCIETY. 8
107109
108- 8. REPRESENTATIVES OF HO SPITALS OR HEALTH
109-SYSTEMS; AND
110+ (2) TO THE EXTENT PRACTIC ABLE, THE MEMBERSHIP OF TH E 9
111+COMMISSION SHALL : 10
110112
111- (III) REFLECT THE GEOGRAPHI C DIVERSITY OF THE STATE.
113+ (I) HAVE EXPERIENCE IN HE ALTH CARE FINANCING , 11
114+REIMBURSEMENT , AND REGULATION ; 12
112115
113- (C) A CHAIR OF THE COMMISSION SHALL BE S ELECTED BY A VOTE OF THE
114-MEMBERS OF THE COMMISSION.
116+ (II) BE COMPOSED OF : 13
115117
116- (D) THE MARYLAND INSURANCE ADMINISTRATION AND TH E DEPARTMENT
117-SHALL PROVIDE STAFF FOR THE COMMISSION.
118+ 1. PRACTICING PRIMARY CA RE PROVIDERS ; 14
118119
119- (E) (1) THE TERM OF A MEMBER OF THE COMMISSION IS 4 YEARS.
120+ 2. REPRESENTATIVES OF FE DERALLY QUALIFIED 15
121+HEALTH CENTERS ; 16
120122
121- (2) THE TERMS OF THE MEMB ERS ARE STAGGERED AS REQUIRED BY
122-THE TERMS FOR MEMBERS OF THE COMMISSION ON OCTOBER 1, 2022.
123+ 3. PROVIDERS FROM PROFES SIONAL PRACTICE 17
124+GROUPS; 18
123125
124- (3) A VACANCY IN THE COMMISSION SHALL BE F ILLED IN THE SAME
125-MANNER AS THE MEMBER BEING SUCCEEDED WAS APPOINTED.
126+ 4. PRIMARY CARE ADVOCATE S; 19
126127
127- (F) (1) THE COMMISSION SHALL MEET AS OFTEN AS ITS DUTI ES
128-REQUIRE, BUT NOT LESS THAN QU ARTERLY.
128+ 5. PRIMARY CARE CONSUMER ADVOCATES; 20
129129
130- (2) THE CHAIR OF THE COMMISSION SHALL PROV IDE ALL MEMBERS
131-WITH NOTICE OF A MEE TING AT LEAST 1 WEEK BEFORE THE DATE OF THE MEETING .
130+ 6. REPRESENTATIVES OF BU SINESSES; 21
132131
133- (3) THE CHAIR OF THE COMMISSION SHALL CALL A MEETING AT THE
134-REQUEST OF A MAJORITY OF THE COMMISSION MEMBERS .
132+ 7. HEALTH PLAN REPRESENT ATIVES; AND 22
135133
136- (4) SEVEN MEMBERS OF THE COMMISSION CONSTITUTE A QUORUM.
134+ 8. REPRESENTATIVES OF HO SPITALS OR HEALTH 23
135+SYSTEMS; AND 24
137136
138- (5) ACTION BY THE COMMISSION REQUIRES T HE AFFIRMATIVE VOTE
139-OF A MAJORITY OF THO SE PRESENT ONCE A QU ORUM IS MET.
140- Ch. 667 2022 LAWS OF MARYLAND
137+ (III) REFLECT THE GEOGRAPHI C DIVERSITY OF THE STATE. 25
141138
142-– 4 –
143- (G) A MEMBER OF THE COMMISSION:
139+ (C) A CHAIR OF THE COMMISSION SHALL BE S ELECTED BY A VOTE OF THE 26
140+MEMBERS OF THE COMMISSION. 27
141+ 4 SENATE BILL 734
144142
145- (1) MAY NOT RECEIVE COMPEN SATION AS A MEMBER O F THE
146-COMMISSION; BUT
147143
148- (2) IS ENTITLED TO REIMBU RSEMENT FOR EXPENSES UNDER THE
149-STANDARD STATE TRAVEL REGULATIONS , AS PROVIDED IN THE STATE BUDGET .
144+ (D) THE MARYLAND INSURANCE ADMINISTRATION AND TH E DEPARTMENT 1
145+SHALL PROVIDE STAFF FOR THE COMMISSION. 2
150146
151- (H) THE COMMISSION SHALL :
147+ (E) (1) THE TERM OF A MEMBER OF THE COMMISSION IS 4 YEARS. 3
152148
153- (1) REVIEW, EXAMINE, AND MAKE DETERM INATIONS REGARDING
154-PRIMARY CARE SPENDIN G BY ALL PAYORS IN T HE CONTEXT OF OVERAL L HEALTH
155-CARE SPENDING IN THE STATE; AND
149+ (2) THE TERMS OF THE MEMB ERS ARE STAGGERED AS REQUIRED BY 4
150+THE TERMS FOR MEMBERS OF THE COMMISSION ON OCTOBER 1, 2022. 5
156151
157- (2) MAKE RECOMMENDATIONS REGARDING :
152+ (3) A VACANCY IN THE COMMISSION SHALL BE F ILLED IN THE SAME 6
153+MANNER AS THE MEMBER BEING SUCCEEDED WAS APPOINTED. 7
158154
159- (I) WAYS TO IMPROVE THE Q UALITY OF AND ACCESS TO
160-PRIMARY CARE SERVICE S, WITH SPECIAL ATTENTION TO INCREAS ING HEALTH CARE
161-EQUITY, REDUCING HEALTH CARE DISPARITIES, AND AVOIDING INCREAS ED COSTS
162-TO PATIENTS AND THE HEALTH CARE SYSTEM ;
155+ (F) (1) THE COMMISSION SHALL MEET AS OFTEN AS ITS DUTI ES 8
156+REQUIRE, BUT NOT LESS TH AN QUARTERLY . 9
163157
164- (II) MEANS OF REDUCING BAR RIERS TO PRIMARY CAR E ACCESS
165-AND UTILIZATION IDEN TIFIED BY THE COMMISSION;
158+ (2) THE CHAIR OF THE COMMISSION SHALL PROV IDE ALL MEMBERS 10
159+WITH NOTICE OF A MEE TING AT LEAST 1 WEEK BEFORE THE DATE OF THE MEETING . 11
166160
167- (III) PROPOSED CHANGES TO T HE DEFINITION OF “PRIMARY
168-CARE” FOR THE PURPOSES OF THE COMMISSION’S FUTURE WORK ; AND
161+ (3) THE CHAIR OF THE COMMISSION SHALL CALL A MEETING AT THE 12
162+REQUEST OF A MAJORIT Y OF THE COMMISSION MEMBERS. 13
169163
170- (IV) RECOMMENDATIONS TO IN CREASE SPENDING ON P RIMARY
171-CARE BY THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND HEALTH IN SURERS,
172-NONPROFIT HEALTH SERVICE PLANS, AND HEALTH MAINTENAN CE ORGANIZATIONS .
164+ (4) SEVEN MEMBERS OF THE COMMISSION CONSTITUTE A QUORUM. 14
173165
174- (I) (1) (I) EACH MANAGED CARE ORG ANIZATION PARTICIPAT ING IN
175-THE MARYLAND MEDICAL ASSISTANCE PROGRAM SHALL PROVIDE THE
176-FOLLOWING INFORMATIO N TO THE COMMISSION:
166+ (5) ACTION BY THE COMMISSION REQUIRES T HE AFFIRMATIVE VOTE 15
167+OF A MAJORITY OF THO SE PRESENT ONCE A QU ORUM IS MET. 16
177168
178- 1. FOR 2017, 2018, 2019, 2020, AND 2021, AND FOR
179-EACH SUBSEQUENT YEAR ON THE REQUEST OF TH E COMMISSION:
169+ (G) A MEMBER OF THE COMMISSION: 17
180170
181- A. THE AMOUNT THE MANAGE D CARE ORGANIZATION
182-SPENT ON PRIMARY CAR E SERVICES FOR ENROL LEES; AND
171+ (1) MAY NOT RECEIVE COMPE NSATION AS A MEMBER OF THE 18
172+COMMISSION; BUT 19
183173
184- B. THE TOTAL AMOUNT THAT THE MANAGED CARE
185-ORGANIZATION SPENT O N HEALTH CARE SERVICES FOR ENROLLE ES; AND
186- LAWRENCE J. HOGAN, JR., Governor Ch. 667
174+ (2) IS ENTITLED TO REIMBU RSEMENT FOR EXPENSES UNDER THE 20
175+STANDARD STATE TRAVEL REGULATIONS, AS PROVIDED IN THE STATE BUDGET . 21
187176
188-– 5 –
189- 2. ANY OTHER INFORMATION REQUESTED BY THE
190-COMMISSION.
177+ (H) THE COMMISSION SHALL : 22
191178
192- (II) THE SECRETARY SHALL :
179+ (1) REVIEW, EXAMINE, AND MAKE DETERMINATI ONS REGARDING 23
180+PRIMARY CARE SPENDING BY ALL PAYORS IN THE CONTEX T OF OVERALL HEALTH 24
181+CARE SPENDING IN THE STATE; AND 25
193182
194- 1. ENFORCE THE PROVISION S OF SUBPARAGRAPH (I) OF
195-THIS PARAGRAPH ; AND
183+ (2) MAKE RECOMMENDATIONS REGARDING: 26
196184
197- 2. ADOPT REGULATIONS TO PROTECT THE
198-CONFIDENTIALITY OF A NY PROPRIETARY INFORMAT ION PROVIDED TO THE
199-COMMISSION UNDER THIS PARAGRAPH .
185+ (I) WAYS TO IMPROVE THE Q UALITY OF AND ACCESS TO 27
186+PRIMARY CARE SERVICE S, WITH SPECIAL ATTENTI ON TO INCREASING HEA LTH CARE 28 SENATE BILL 734 5
200187
201- (2) (I) EACH INSURER , NONPROFIT HEALTH SER VICE PLAN, AND
202-HEALTH MAINTENANCE O RGANIZATION THAT PRO VIDES HOSPITAL , MEDICAL, OR
203-SURGICAL BENEFITS TO INDIVIDUALS UNDER HE ALTH INSURANC E POLICIES OR
204-CONTRACTS THAT ARE D ELIVERED IN THE STATE SHALL PROVIDE T HE FOLLOWING
205-INFORMATION TO THE COMMISSION:
206188
207- 1. FOR 2017, 2018, 2019, 2020, AND 2021, AND FOR
208-EACH SUBSEQUENT YEAR ON THE REQUEST OF TH E COMMISSION:
189+EQUITY, REDUCING HEALTH CARE DISPARITIES, AND AVOIDING INCREAS ED COSTS 1
190+TO PATIENTS AND THE HEALTH CARE SYSTEM ; 2
209191
210- A. THE AMOUNT THE ENTITY SPENT ON PRIMARY CAR E
211-SERVICES FOR ENROLLE ES; AND
192+ (II) MEANS OF REDUCING BAR RIERS TO PRIMARY CAR E ACCESS 3
193+AND UTILIZATION IDEN TIFIED BY THE COMMISSION; 4
212194
213- B. THE TOTAL AMOUNT THAT THE ENTITY SPENT ON
214-HEALTH CARE SERVICES FOR ENROLLEES ; AND
195+ (III) PROPOSED CHANGES TO T HE DEFINITION OF “PRIMARY 5
196+CARE” FOR THE PURPOSES OF THE COMMISSION’S FUTURE WORK ; AND 6
215197
216- 2. ANY OTHER INFORMATION REQUESTED BY THE
217-COMMISSION.
198+ (IV) RECOMMENDATIONS TO IN CREASE SPENDING ON P RIMARY 7
199+CARE BY THE MARYLAND MEDICAL ASSISTANCE PROGRAM AND HEALTH IN SURERS, 8
200+NONPROFIT HEALTH SER VICE PLANS, AND HEALTH MAINTENA NCE ORGANIZATIONS . 9
218201
219- (II) THE MARYLAND INSURANCE COMMISSIONER SHALL :
202+ (I) (1) (I) EACH MANAGED CARE ORG ANIZATION PARTICIPAT ING IN 10
203+THE MARYLAND MEDICAL ASSISTANCE PROGRAM SHALL PROVIDE THE 11
204+FOLLOWING INFORMATIO N TO THE COMMISSION: 12
220205
221- 1. ENFORCE THE PROVISION S OF SUBPARAGRAPH (I) OF
222-THIS PARAGRAPH ; AND
206+ 1. FOR 2017, 2018, 2019, 2020, AND 2021, AND FOR 13
207+EACH SUBSEQUENT YEAR ON THE REQUEST OF THE COMMISSION: 14
223208
224- 2. ADOPT REGULATIONS TO PROTECT THE
225-CONFIDENTIALITY OF A NY PROPRIETARY INFOR MATION PROVIDED TO T HE
226-COMMISSION UNDER THIS PARAGRAPH .
209+ A. THE AMOUNT THE MANAGE D CARE ORGANIZATION 15
210+SPENT ON PRIMARY CAR E SERVICES FOR ENROL LEES; AND 16
227211
228- (J) THE COMMISSION MAY ACCEPT FUNDING OR GRANTS TO AID IN THE
229-WORK OF THE COMMISSION.
212+ B. THE TOTAL AMOUNT THAT THE MANAGED CARE 17
213+ORGANIZATION SPENT O N HEALTH CARE SERVIC ES FOR ENROLLEES ; AND 18
230214
231-19–108.4.
232- Ch. 667 2022 LAWS OF MARYLAND
215+ 2. ANY OTHER INFORMATION RE QUESTED BY THE 19
216+COMMISSION. 20
233217
234-– 6 –
235- (A) IN THIS SECTION, “PRIMARY CARE ” MEANS HEALTH CARE PR OVIDED IN
236-THE FOLLOWING FIELDS ’ OUTPATIENT SETTINGS :
218+ (II) THE SECRETARY SHALL : 21
237219
238- (1) FAMILY MEDICINE ;
220+ 1. ENFORCE THE PROVISION S OF SUBPARAGRAPH (I) OF 22
221+THIS PARAGRAPH ; AND 23
239222
240- (2) GENERAL PEDIATRICS ;
223+ 2. ADOPT REGULATIONS TO PROTECT THE 24
224+CONFIDENTIALITY OF A NY PROPRIETARY INFOR MATION PROVIDED TO T HE 25
225+COMMISSION UNDER THIS PARAGRAPH . 26
241226
242- (3) PRIMARY CARE INTERNAL MEDICINE; AND
227+ (2) (I) EACH INSURER , NONPROFIT HEALTH SER VICE PLAN, AND 27
228+HEALTH MAINTENANCE O RGANIZATION THAT PRO VIDES HOSPITAL , MEDICAL, OR 28
229+SURGICAL BENEFITS TO INDIVIDUALS UNDER HE ALTH INSURANCE POLIC IES OR 29
230+CONTRACTS THAT ARE D ELIVERED IN THE STATE SHALL PROVIDE T HE FOLLOWING 30
231+INFORMATION TO THE COMMISSION: 31
232+ 6 SENATE BILL 734
243233
244- (4) PRIMARY CARE OBSTETRI CS AND GYNECOLOGY ;
245234
246- (5) PRIMARY CARE NURSE PR ACTITIONER SERVICES ; AND
235+ 1. FOR 2017, 2018, 2019, 2020, AND 2021, AND FOR 1
236+EACH SUBSEQUENT YEAR ON THE REQUEST OF TH E COMMISSION: 2
247237
248- (6) PRIMARY CARE MIDWIFER Y.
238+ A. THE AMOUNT THE ENTITY SPENT ON PRIMARY CAR E 3
239+SERVICES FOR ENROLLEES; AND 4
249240
250- (K) (B) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2023
251-2024, THE COMMISSION SHALL PROV IDE A REPORT TO THE GOVERNOR AND, IN
252-ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE GENERAL
253-ASSEMBLY THAT INCLUDE S:
241+ B. THE TOTAL AMOUNT THAT THE ENTITY SPENT ON 5
242+HEALTH CARE SERVICES FOR ENROLLEES ; AND 6
254243
255- (1) AN ANALYSIS OF PRIMAR Y CARE SPENDING INVESTMENT OVER
256-THE IMMEDIATELY PREC EDING YEAR, INCLUDING DATA STRAT IFIED BY ZIP CODE
257-AND COUNTY, IN RELATION TO TOTAL HEALTH CARE SPENDING OVER THE PREVIOUS
258-YEAR; AND
244+ 2. ANY OTHER INFORMATION REQUESTED BY THE 7
245+COMMISSION. 8
259246
260- (2) WAYS TO IMPROVE THE Q UALITY OF AND ACCESS TO PRIMARY
261-CARE SERVICES , WITH SPECIAL ATTENTI ON TO INCREASING HEALTH CARE EQUITY,
262-REDUCING HEALTH CARE DISPARITIES, AND AVOIDING INCREAS ED COSTS TO
263-PATIENTS AND THE HEA LTH CARE SYSTEM ; AND
247+ (II) THE MARYLAND INSURANCE COMMISSIONER SHALL : 9
264248
265- (2) (3) ANY FINDINGS AND RECO MMENDATIONS OF THE
266-COMMISSION.
249+ 1. ENFORCE THE PROVISION S OF SUBPARAGRAPH (I) OF 10
250+THIS PARAGRAPH ; AND 11
267251
268- (C) (1) THE COMMISSION SHALL FORM A WORKGROUP TO D EVELOP THE
269-REPORT REQUIRED UNDE R SUBSECTION (B) OF THIS SECTION , INCLUDING BY
270-INTERPRETING THE RES ULTS OF THE REQUIRED ANALYSIS AND MAKING THE
271-RECOMMENDATIONS .
252+ 2. ADOPT REGULATIONS TO PROTECT THE 12
253+CONFIDENTIALITY OF A NY PROPRIETARY INFOR MATION PROVIDED TO T HE 13
254+COMMISSION UNDER THIS PARAGRAPH . 14
272255
273- (2) THE WORKGROUP REQUIRE D UNDER THIS SUBSECT ION SHALL
274-INCLUDE REPRESENTATI VES OF:
256+ (J) THE COMMISSION MAY ACCEPT FUNDING OR GRANTS TO AID IN THE 15
257+WORK OF THE COMMISSION. 16
275258
276- (I) THE MARYLAND PRIMARY CARE PROGRAM;
259+19–108.4. 17
277260
278- (II) THE HEALTH SERVICES REVIEW COMMISSION; LAWRENCE J. HOGAN, JR., Governor Ch. 667
261+ (A) IN THIS SECTION, “PRIMARY CARE ” MEANS HEALTH CARE PR OVIDED IN 18
262+THE FOLLOWING FIELDS ’ OUTPATIENT SETTINGS : 19
279263
280-– 7 –
264+ (1) FAMILY MEDICINE ; 20
281265
282- (III) THE MARYLAND INSURANCE ADMINISTRATION ;
266+ (2) GENERAL PEDIATRICS ; 21
283267
284- (IV) THE HEALTH CARE FINANCING DIVISION OF THE
285-MARYLAND DEPARTMENT OF HEALTH;
268+ (3) PRIMARY CARE INTERNAL MEDICINE; AND 22
286269
287- (V) THE PRIMARY CARE COMM UNITY, INCLUDING FROM THE
288-MARYLAND ACADEMY OF FAMILY PHYSICIANS, THE MARYLAND CHAPTER OF THE
289-AMERICAN ACADEMY OF PEDIATRICS, THE MARYLAND SECTION OF THE AMERICAN
290-COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS , THE MARYLAND NURSES
291-ASSOCIATION, THE MARYLAND AFFILIATE – AMERICAN COLLEGE OF NURSE
292-MIDWIVES, THE MARYLAND COMMUNITY HEALTH SYSTEM, AND THE MIDATLANTIC
293-ASSOCIATION OF COMMUNITY HEALTH CENTERS;
270+ (4) PRIMARY CARE OBSTETRI CS AND GYNECOLOGY ; 23
294271
295- (VI) PAYORS OF PRIMARY CAR E SERVICES , INCLUDING
296-CARRIERS AND MANAGED CARE ORGANIZATIONS ;
272+ (5) PRIMARY CARE NURSE PR ACTITIONER SERVICES ; AND 24
297273
298- (VII) HEALTH SERVICES R ESEARCHERS WITH EXPE RTISE IN
299-PRIMARY CARE ; AND
274+ (6) PRIMARY CARE MIDWIFER Y. 25
300275
301- (VIII) OTHER INTERESTED STAK EHOLDERS.
276+ (K) (B) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2023 26
277+2024, THE COMMISSION SHALL PROV IDE A REPORT TO THE GOVERNOR AND , IN 27 SENATE BILL 734 7
302278
303- SECTION 2. AND BE IT FURTHER ENACTED, That the terms of the initial
304-members of the Primary Care Reform Commission shall expire as follows:
305279
306- (1) four members in 2024;
280+ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE GENERAL 1
281+ASSEMBLY THAT INCLUDE S: 2
307282
308- (2) four members in 2025; and
283+ (1) AN ANALYSIS OF PRIMAR Y CARE SPENDING INVESTMENT OVER 3
284+THE IMMEDIATELY PREC EDING YEAR, INCLUDING DATA STRAT IFIED BY ZIP CODE 4
285+AND COUNTY, IN RELATION TO TOTAL HEALTH CARE SPENDING OVER THE PREVIOUS 5
286+YEAR; AND 6
309287
310- (3) five members in 2026.
288+ (2) WAYS TO IMPROVE THE Q UALITY OF AND ACCESS TO PRIMARY 7
289+CARE SERVICES , WITH SPECIAL ATTENTI ON TO INCREASING HEALTH CARE EQUITY, 8
290+REDUCING HEALTH CARE DISPARITIES, AND AVOIDING INCREAS ED COSTS TO 9
291+PATIENTS AND THE HEA LTH CARE SYSTEM ; AND 10
311292
312- SECTION 2. AND BE IT FURTHER ENACTED, That:
293+ (2) (3) ANY FINDINGS AND RECO MMENDATIONS OF THE 11
294+COMMISSION. 12
313295
314- (a) Before the Maryland Health Care Commission begins the analysis required
315-under Section 1 of this Act, the Commission shall establish a plan for the analysis and
316-report after receiving input and agreement from participants in the workgroup as to the
317-scope of and methodology for the analysis and report.
296+ (C) (1) THE COMMISSION SHALL FORM A WORKGROUP TO D EVELOP THE 13
297+REPORT REQUIRED UNDE R SUBSECTION (B) OF THIS SECTION , INCLUDING BY 14
298+INTERPRETING THE RES ULTS OF THE REQUIRED ANALYSIS AND MAKING THE 15
299+RECOMMENDATIONS . 16
318300
319- (b) On or before December 1, 2023, the Commission shall provide the plan
320-required under subsection (a) of this section to the Governor and, in accordance with §
321-2–1257 of the State Government Article, the General Assembly.
301+ (2) THE WORKGROUP REQUIRE D UNDER THIS SUBSECT ION SHALL 17
302+INCLUDE REPRESENTATI VES OF: 18
322303
323- SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
324-October 1, 2022.
325- Ch. 667 2022 LAWS OF MARYLAND
304+ (I) THE MARYLAND PRIMARY CARE PROGRAM; 19
326305
327-– 8 –
328-Enacted under Article II, § 17(c) of the Maryland Constitution, May 29, 2022.
306+ (II) THE HEALTH SERVICES REVIEW COMMISSION; 20
307+
308+ (III) THE MARYLAND INSURANCE ADMINISTRATION ; 21
309+
310+ (IV) THE HEALTH CARE FINANCING DIVISION OF THE 22
311+MARYLAND DEPARTMENT OF HEALTH; 23
312+
313+ (V) THE PRIMARY CARE COMM UNITY, INCLUDING FROM THE 24
314+MARYLAND ACADEMY OF FAMILY PHYSICIANS, THE MARYLAND CHAPTER OF THE 25
315+AMERICAN ACADEMY OF PEDIATRICS, THE MARYLAND SECTION OF THE AMERICAN 26
316+COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS , THE MARYLAND NURSES 27
317+ASSOCIATION, THE MARYLAND AFFILIATE – AMERICAN COLLEGE OF NURSE 28
318+MIDWIVES, THE MARYLAND COMMUNITY HEALTH SYSTEM, AND THE MIDATLANTIC 29
319+ASSOCIATION OF COMMUNITY HEALTH CENTERS; 30
320+
321+ (VI) PAYORS OF PRIMARY CAR E SERVICES , INCLUDING 31
322+CARRIERS AND MANAGED CARE ORGANIZATIONS ; 32
323+ 8 SENATE BILL 734
324+
325+
326+ (VII) HEALTH SERVICES R ESEARCHERS WITH EXPE RTISE IN 1
327+PRIMARY CARE ; AND 2
328+
329+ (VIII) OTHER INTERESTED STAK EHOLDERS. 3
330+
331+ SECTION 2. AND BE IT FURTHER ENACTED, That the terms of the initial 4
332+members of the Primary Care Reform Commission shall expire as follows: 5
333+
334+ (1) four members in 2024; 6
335+
336+ (2) four members in 2025; and 7
337+
338+ (3) five members in 2026. 8
339+
340+ SECTION 2. AND BE IT FURTHER ENACTED, That: 9
341+
342+ (a) Before the Maryland Health Care Commission begins the analysis required 10
343+under Section 1 of this Act, the Commission shall establish a plan for the analysis and 11
344+report after receiving input and agreement from participants in the workgroup as to the 12
345+scope of and methodology for the analysis and report. 13
346+
347+ (b) On or before December 1, 2023, the Commission shall provide the plan 14
348+required under subsection (a) of this section to the Governor and, in accordance with § 15
349+2–1257 of the State Government Article, the General Assembly. 16
350+
351+ SECTION 3. AND BE IT FURTHER ENAC TED, That this Act shall take effect 17
352+October 1, 2022. 18
353+
354+
355+
356+
357+
358+Approved:
359+________________________________________________________________________________
360+ Governor.
361+________________________________________________________________________________
362+ President of the Senate.
363+________________________________________________________________________________
364+ Speaker of the House of Delegates.