1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXIS TING LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *sb0857* |
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6 | 6 | | |
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7 | 7 | | SENATE BILL 857 |
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8 | 8 | | J3, J1 2lr2825 |
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9 | 9 | | |
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10 | 10 | | By: Senator Klausmeier |
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11 | 11 | | Introduced and read first time: February 7, 2022 |
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12 | 12 | | Assigned to: Finance |
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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 | | Hospital Flu Vaccines 2 |
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19 | 19 | | |
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20 | 20 | | FOR the purpose of requiring hospitals to immunize patients against the influenza virus 3 |
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21 | 21 | | and pneumococcal disease except under certain circumstances; providing for the 4 |
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22 | 22 | | manner of obtaining consent for and conducting the immunizations for a hospital 5 |
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23 | 23 | | patient; and generally relating to offering immunizations to hospital patients. 6 |
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24 | 24 | | |
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25 | 25 | | BY repealing and reenacting, with amendments, 7 |
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26 | 26 | | Article – Health – General 8 |
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27 | 27 | | Section 18–404 9 |
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28 | 28 | | Annotated Code of Maryland 10 |
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29 | 29 | | (2019 Replacement Volume and 2021 Supplement) 11 |
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30 | 30 | | |
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31 | 31 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 |
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32 | 32 | | That the Laws of Maryland read as follows: 13 |
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33 | 33 | | |
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34 | 34 | | Article – Health – General 14 |
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35 | 35 | | |
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36 | 36 | | 18–404. 15 |
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37 | 37 | | |
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38 | 38 | | (a) (1) In this section the following words have the meanings indicated. 16 |
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39 | 39 | | |
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40 | 40 | | (2) “Employee” means an individual employed full–time or part–time 17 |
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41 | 41 | | directly, through contract with another entity, or as an independent contractor, by a related 18 |
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42 | 42 | | institution. 19 |
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43 | 43 | | |
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44 | 44 | | (3) “HOSPITAL” HAS THE MEANING STAT ED IN § 19–301 OF THIS 20 |
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45 | 45 | | ARTICLE. 21 |
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46 | 46 | | 2 SENATE BILL 857 |
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47 | 47 | | |
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48 | 48 | | |
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49 | 49 | | [(3)] (4) “Medically contraindicated” means that a medical treatment is 1 |
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50 | 50 | | potentially detrimental to the health of the individual intended to be treated. 2 |
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51 | 51 | | |
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52 | 52 | | [(4)] (5) “Related institution” has the meaning provided under § 19–301 3 |
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53 | 53 | | of this article. 4 |
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54 | 54 | | |
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55 | 55 | | (b) (1) Subject to subsection (e) of this section, each related institution in the 5 |
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56 | 56 | | State shall immunize residents against the influenza virus and pneumococcal disease. 6 |
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57 | 57 | | |
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58 | 58 | | (2) Subject to subsection (e) of this section, each related institution in the 7 |
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59 | 59 | | State shall immunize employees against the influenza virus. 8 |
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60 | 60 | | |
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61 | 61 | | (3) SUBJECT TO SUBSECTION (E) OF THIS SECTION, EACH HOSPITAL 9 |
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62 | 62 | | IN THE STATE SHALL IMMUNIZE PATIENTS AGAINST INF LUENZA VIRUS AND 10 |
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63 | 63 | | PNEUMOCOCCAL DISEASE . 11 |
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64 | 64 | | |
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65 | 65 | | [(3)] (4) Before an immunization under this section is administered, the 12 |
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66 | 66 | | HOSPITAL OR related institution shall obtain written consent to administer the 13 |
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67 | 67 | | immunization from: 14 |
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68 | 68 | | |
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69 | 69 | | (i) The resident [or], employee, OR PATIENT receiving the 15 |
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70 | 70 | | immunization; or 16 |
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71 | 71 | | |
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72 | 72 | | (ii) The PARENT OR legal guardian of the resident OR PATIENT 17 |
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73 | 73 | | receiving the immunization. 18 |
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74 | 74 | | |
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75 | 75 | | (c) Each HOSPITAL OR related institution shall conduct the immunizations 19 |
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76 | 76 | | required under subsection (b) of this section: 20 |
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77 | 77 | | |
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78 | 78 | | (1) In accordance with the recommendations established by the Advisory 21 |
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79 | 79 | | Committee on Immunization Process of the United States Centers for Disease Control and 22 |
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80 | 80 | | Prevention that are in effect at the time the HOSPITAL OR related institution conducts the 23 |
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81 | 81 | | immunizations; and 24 |
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82 | 82 | | |
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83 | 83 | | (2) [By] FOR A RELATED INSTITU TION, BY December 1 of each year that 25 |
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84 | 84 | | the immunization is required. 26 |
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85 | 85 | | |
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86 | 86 | | (d) A HOSPITAL THAT ACCEPT S AN INDIVIDUAL AS A NEW PATIENT OR 27 |
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87 | 87 | | related institution that accepts an individual as a new resident or accepts an individual as 28 |
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88 | 88 | | a new employee after December 1 but before April 1 shall: 29 |
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89 | 89 | | |
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90 | 90 | | (1) Determine the individual’s status for immunization as required under 30 |
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91 | 91 | | subsection (b) of this section; and 31 |
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92 | 92 | | |
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93 | 93 | | (2) If necessary, provide or arrange for an immunization as required under 32 |
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94 | 94 | | subsection (b) of this section. 33 SENATE BILL 857 3 |
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95 | 95 | | |
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96 | 96 | | |
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97 | 97 | | |
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98 | 98 | | (e) A resident [or], employee, OR PATIENT is not required to receive a vaccine 1 |
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99 | 99 | | under this section if: 2 |
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100 | 100 | | |
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101 | 101 | | (1) The vaccine is medically contraindicated for the resident [or], 3 |
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102 | 102 | | employee, OR PATIENT; 4 |
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103 | 103 | | |
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104 | 104 | | (2) The vaccine is against the resident’s [or], employee’s, OR PATIENT’S 5 |
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105 | 105 | | religious beliefs; or 6 |
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106 | 106 | | |
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107 | 107 | | (3) After being fully informed by the HOSPITAL OR related institution of 7 |
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108 | 108 | | the health risks associated with not receiving a vaccine, the resident [or], employee, OR 8 |
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109 | 109 | | PATIENT refuses the vaccine. 9 |
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110 | 110 | | |
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111 | 111 | | (f) (1) (i) Each related institution shall document the annual 10 |
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112 | 112 | | immunization against influenza virus and immunization against pneumococcal disease 11 |
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113 | 113 | | received by each resident in the resident’s medical record. 12 |
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114 | 114 | | |
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115 | 115 | | (ii) Each related institution shall document the annual 13 |
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116 | 116 | | immunization against influenza virus received by each employee in the employee’s 14 |
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117 | 117 | | personnel file. 15 |
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118 | 118 | | |
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119 | 119 | | (III) EACH HOSPITAL SHALL D OCUMENT THE ANNUAL 16 |
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120 | 120 | | IMMUNIZATION AGAINST INFLUENZA VIRUS AND IMMUNIZATION AGAINST 17 |
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121 | 121 | | PNEUMOCOCCAL DISEASE RECEIVED BY EACH PAT IENT IN THE PATIENT’S MEDICAL 18 |
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122 | 122 | | RECORD. 19 |
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123 | 123 | | |
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124 | 124 | | (2) If a resident [or], employee, OR PATIENT refuses to be immunized as 20 |
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125 | 125 | | required under subsection (b) of this section, the HOSPITAL OR related institution shall 21 |
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126 | 126 | | document the refusal and the reason for the refusal. 22 |
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127 | 127 | | |
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128 | 128 | | (g) Each HOSPITAL AND related institution shall: 23 |
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129 | 129 | | |
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130 | 130 | | (1) Notify each prospective resident [and], each prospective employee, AND 24 |
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131 | 131 | | EACH PROSPECTIVE PAT IENT of the immunization requirements of this section and 25 |
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132 | 132 | | request that the resident [or], employee, OR PATIENT agree to be immunized in accordance 26 |
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133 | 133 | | with subsection (b)(3) of this section; and 27 |
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134 | 134 | | |
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135 | 135 | | (2) Make available to all residents [and], employees, AND PATIENTS of the 28 |
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136 | 136 | | HOSPITAL OR related institution educational and informational materials relating to 29 |
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137 | 137 | | immunization against influenza virus and immunization against pneumococcal disease. 30 |
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138 | 138 | | |
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139 | 139 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 31 |
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140 | 140 | | October 1, 2022. 32 |
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141 | 141 | | |
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