MD
Maryland House Bill HB1149

Maryland 2023 Regular Session

Maryland House Bill HB1149 Compare Versions

OldNewDifferences
1- WES MOORE, Governor Ch. 636
21
3-– 1 –
4-Chapter 636
5-(House Bill 1149)
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+ *hb1149*
89
9-Medicaid Waiver Programs – Waitlist and Registry Reduction
10-(End the Wait Act)
10+HOUSE BILL 1149
11+J1 3lr2717
12+ CF SB 622
13+By: Delegates Pena–Melnyk, Cullison, Kelly, Lehman, and Taveras Taveras,
14+Alston, Bagnall, Bhandari, Chisholm, Guzzone, Hill, Hutchinson,
15+S. Johnson, Kaiser, Kerr, Kipke, R. Lewis, Lopez, Martinez, M. Morgan,
16+Reilly, Rosenberg, White, and Woods
17+Introduced and read first time: February 10, 2023
18+Assigned to: Health and Government Operations
19+Committee Report: Favorable with amendments
20+House action: Adopted
21+Read second time: March 7, 2023
1122
12-FOR the purpose of requiring certain Medicaid funding to be used to provide community
13-services to individuals waiting for services through certain waiver programs;
14-authorizing certain Medicaid funding to be used for hiring and retaining providers
15-expanding provider capacity in certain waiver programs; altering the uses of certain
16-funding appropriated to the Dedicated Purpose Account in the fiscal year 2023
17-budget bill; and generally relating to Medicaid waiver programs.
23+CHAPTER ______
1824
19-BY repealing and reenacting, with amendments,
20- Article – Health – General
21-Section 15–150
22- Annotated Code of Maryland
23- (2019 Replacement Volume and 2022 Supplement)
25+AN ACT concerning 1
2426
25-BY repealing and reenacting, with amendments,
26- Chapter 484 of the Acts of the General Assembly of 2022
27- Supplemental Budget No. 5, Item 14
27+Medicaid Waiver Programs – Waitlist and Registry Reduction 2
28+(End the Wait Act) 3
2829
29- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
30-That the Laws of Maryland read as follows:
30+FOR the purpose of requiring certain Medicaid funding to be used to provide community 4
31+services to individuals waiting for services through certain waiver programs; 5
32+authorizing certain Medicaid funding to be used for hiring and retaining providers 6
33+expanding provider capacity in certain waiver programs; altering the uses of certain 7
34+funding appropriated to the Dedicated Purpose Account in the fiscal year 2023 8
35+budget bill; and generally relating to Medicaid waiver programs. 9
3136
32-Article – Health – General
37+BY repealing and reenacting, with amendments, 10
38+ Article – Health – General 11
39+Section 15–150 12
40+ Annotated Code of Maryland 13
41+ (2019 Replacement Volume and 2022 Supplement) 14
3342
34-15–150.
43+BY repealing and reenacting, with amendments, 15
44+ Chapter 484 of the Acts of the General Assembly of 2022 16
45+ Supplemental Budget No. 5, Item 14 17
3546
36- (a) (1) (i) The Department shall develop plans to reduce the waitlists for
37-the following waiver programs by 50%, beginning in fiscal year 2024:
47+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 18
48+That the Laws of Maryland read as follows: 19 2 HOUSE BILL 1149
3849
39- 1. The Community Pathways Waiver;
4050
41- 2. The Community Supports Waiver;
4251
43- 3. The Family Supports Waiver;
52+Article – Health – General 1
4453
45- 4. The Brain Injury Waiver;
54+15–150. 2
4655
47- 5. The Home– and Community–Based Options Waiver;
56+ (a) (1) (i) The Department shall develop plans to reduce the waitlists for 3
57+the following waiver programs by 50%, beginning in fiscal year 2024: 4
4858
49- 6. The Medical Day Care Services Waiver; and Ch. 636 2023 LAWS OF MARYLAND
59+ 1. The Community Pathways Waiver; 5
5060
51-– 2 –
61+ 2. The Community Supports Waiver; 6
5262
53- 7. The Model Waiver for Medically Fragile Children.
63+ 3. The Family Supports Waiver; 7
5464
55- (ii) The Department shall develop a plan to reduce the registry for
56-the Autism Waiver that includes conducting eligibility determinations of individuals on the
57-registry and, beginning in fiscal year 2024, providing services to at least 50% of individuals
58-determined eligible.
65+ 4. The Brain Injury Waiver; 8
5966
60- (2) The plans required under this subsection shall include:
67+ 5. The Home– and Community–Based Options Waiver; 9
6168
62- (i) An assessment of whether each waiver program needs to recruit
63-and retain new providers;
69+ 6. The Medical Day Care Services Waiver; and 10
6470
65- (ii) Measures to recruit and retain providers for each waiver
66-program to expand the capacity of the programs;
71+ 7. The Model Waiver for Medically Fragile Children. 11
6772
68- (iii) Any changes in reimbursement rates needed to ensure provider
69-capacity to provide services under the waiver programs;
73+ (ii) The Department shall develop a plan to reduce the registry for 12
74+the Autism Waiver that includes conducting eligibility determinations of individuals on the 13
75+registry and, beginning in fiscal year 2024, providing services to at least 50% of individuals 14
76+determined eligible. 15
7077
71- (iv) The expected time frame for conducting eligibility
72-determinations for the Autism Waiver;
78+ (2) The plans required under this subsection shall include: 16
7379
74- (v) The expected time frame for reducing the waitlist or registry for
75-each waiver program by 50%; and
80+ (i) An assessment of whether each waiver program needs to recruit 17
81+and retain new providers; 18
7682
77- (vi) The projected cost of the measures to be implemented under the
78-plans.
83+ (ii) Measures to recruit and retain providers for each waiver 19
84+program to expand the capacity of the programs; 20
7985
80- (3) Provisions of the plans relating to the Autism Waiver shall be developed
81-in conjunction with the Maryland State Department of Education.
86+ (iii) Any changes in reimbursement rates needed to ensure provider 21
87+capacity to provide services under the waiver programs; 22
8288
83- (b) On or before January 1, 2023, the Department shall submit the plans to the
84-Governor and, in accordance with § 2–1257 of the State Government Article, the chairs of
85-the Senate Budget and Taxation Committee, the Senate Education, Health, and
86-Environmental Affairs Committee, the Senate Finance Committee, the House
87-Appropriations Committee, and the House Health and Government Operations Committee.
89+ (iv) The expected time frame for conducting eligibility 23
90+determinations for the Autism Waiver; 24
8891
89- (c) (1) Beginning in fiscal year 2024, the Governor shall include in the annual
90-budget bill sufficient funds to carry out this section.
92+ (v) The expected time frame for reducing the waitlist or registry for 25
93+each waiver program by 50%; and 26
9194
92- (2) FUNDING INCLUDED IN T HE ANNUAL BUDGET BIL L UNDER
93-PARAGRAPH (1) OF THIS SUBSECTION MAY BE AL LOCATED TO PROGRAMS
94-IDENTIFIED UNDER SUB SECTION (A) OF THIS SECTION FOR THE PURPOSE OF HIRIN G
95-AND RETAINING PROVID ERS.
95+ (vi) The projected cost of the measures to be implemented under the 27
96+plans. 28
97+ HOUSE BILL 1149 3
9698
97-Chapter 484 of the Acts of 2022 WES MOORE, Governor Ch. 636
9899
99-– 3 –
100-Supplemental Budget No. 5
100+ (3) Provisions of the plans relating to the Autism Waiver shall be developed 1
101+in conjunction with the Maryland State Department of Education. 2
101102
102-14. Y01A02.01 Dedicated Purpose Account
103+ (b) On or before January 1, 2023, the Department shall submit the plans to the 3
104+Governor and, in accordance with § 2–1257 of the State Government Article, the chairs of 4
105+the Senate Budget and Taxation Committee, the Senate Education, Health, and 5
106+Environmental Affairs Committee, the Senate Finance Committee, the House 6
107+Appropriations Committee, and the House Health and Government Operations Committee. 7
103108
104- In addition to the appropriation shown on page 135 of the printed bill (first reading
105-file bill), to provide funding to support legislative operating budget priorities. Following
106-Legislative Policy Committee review, the Department of Budget and Management shall
107-process a budget amendment effective July 1, 2022 transferring most of the funds listed
108-below to the appropriate budgeted programs.
109+ (c) (1) Beginning in fiscal year 2024, the Governor shall include in the annual 8
110+budget bill sufficient funds to carry out this section. 9
109111
110- (1) Apprenticeships …………………………………………………...25,000,000
112+ (2) FUNDING INCLUDED IN T HE ANNUAL BUDGET BIL L UNDER 10
113+PARAGRAPH (1) OF THIS SUBSECTION M AY BE ALLOCATED TO P ROGRAMS 11
114+IDENTIFIED UNDER SUB SECTION (A) OF THIS SECTION FOR THE PURPOSE OF HIRIN G 12
115+AND RETAINING PROVID ERS. 13
111116
112- (2) [Autism Waiver Expansions ] MEDICAID WAIVER
113-EXPANSIONS ……………………………………… ……………………………………...30,000,000
117+Chapter 484 of the Acts of 2022 14
118+Supplemental Budget No. 5 15
114119
115- (3) New Unified Financial Aid System for Higher Education …….8,000,000
120+14. Y01A02.01 Dedicated Purpose Account 16
116121
117- (4) M00A01.01 Hospital Assistance/Workforce Support ………...50,000,000
122+ In addition to the appropriation shown on page 135 of the printed bill (first reading 17
123+file bill), to provide funding to support legislative operating budget priorities. Following 18
124+Legislative Policy Committee review, the Department of Budget and Management shall 19
125+process a budget amendment effective July 1, 2022 transferring most of the funds listed 20
126+below to the appropriate budgeted programs. 21
118127
119- (5) T00G00.02 Tourism Grants ……………………………………...10,000,000
128+ (1) Apprenticeships …………………………………………………...25,000,000 22
120129
121- (6) T00G00.05 Arts Grants …………………………………………..40,000,000
130+ (2) [Autism Waiver Expansions ] MEDICAID WAIVER 23
131+EXPANSIONS ……………………………………………………………………………...30,000,000 24
122132
123- (7) N00G00.08 Additional Benefit – Temporary Cash Assistance and
124-Temporary Disability Assistance Program ……………………………………………35,000,000
133+ (3) New Unified Financial Aid System for Higher Education …….8,000,000 25
125134
126- (8) M00A01.01 Assisted Living Facilities ………………………….20,000,000
135+ (4) M00A01.01 Hospital Assistance/Workforce Support ………...50,000,000 26
127136
128- (9) M00A01.01 Assistance to Nursing Homes ……………………..20,000,000
137+ (5) T00G00.02 Tourism Grants ……………………………………...10,000, 000 27
129138
130- (10) T00F00.29 Western Maryland Economic Future Investment
131-Program …………………………………………………………………………………….20,000,000
139+ (6) T00G00.05 Arts Grants …………………………………………..40,000,000 28
132140
133- (11) D40W01.12 Historic Revitalization Tax Credit ……………….10,000,000
141+ (7) N00G00.08 Additional Benefit – Temporary Cash Assistance and 29
142+Temporary Disability Assistance Program ……………………………………………35,000,000 30
134143
135- (12) R75T00.01 Implement Strategic Plan for the Universities at Shady
136-Grove ………………………………………………………………………………………….5,000,000
144+ (8) M00A01.01 Assisted Living Facilities ………………………….20, 000,000 31
145+ 4 HOUSE BILL 1149
137146
138- (13) R00A01.01 Bonus – Noncertificated Education Support
139-Professionals ………………………………………………………………………………...8,000,000
140147
141- (14) T00F00.15 Small, Minority, Women–Owned Businesses Account for
142-Fund Managers ……………………………………………………………………………..4,000,000
148+ (9) M00A01.01 Assistance to Nursing Homes ……………………..20,000,000 1
143149
144- (15) M00A01.01 Pediatric Cancer Research ………………………….5,000,000
145- Ch. 636 2023 LAWS OF MARYLAND
150+ (10) T00F00.29 Western Maryland Economic Future Investment 2
151+Program …………………………………………………………………………………….20,000,000 3
146152
147-– 4 –
148- (16) D15A05.05 Expand Maryland Corps Program …………………5,000,000
153+ (11) D40W01.12 Historic Revitalization Tax Credit ……………….10,000,000 4
149154
150- (17) M00F02.01 Loan Assistance Repayment Programs for Physicians and
151-Physicians Assistants ………………………………………………………………………3,000,000
155+ (12) R75T00.01 Implement Strategic Plan for the Universities at Shady 5
156+Grove ………………………………………………………………………………………….5,000,000 6
152157
153- (18) R62I00.54 Loan Assistance Repayment Programs for Nurses and
154-Nurses Assistants …………………………………………………………………………..1,000,000
158+ (13) R00A01.01 Bonus – Noncertificated Education Support 7
159+Professionals ………………………………………………………………………………...8,000,000 8
155160
156- (19) R00A02.07 Non–Public Special Education School Teacher
157-Salaries ………………………………………………………………………………………4,000,000
161+ (14) T00F00.15 Small, Minority, Women–Owned Businesses Account for 9
162+Fund Managers ……………………………………………………………………………..4,000,000 10
158163
159- (20) M00F03.04 Enhanced Alzheimer’s Services and Research …...3,500,000
164+ (15) M00A01.01 Pediatric Cancer Research ………………………….5,000,000 11
160165
161- (21) W00A01.03 Establish Maryland State Police Gun Center ……3,400,000
166+ (16) D15A05.05 Expand Maryland Corps Program …………………5,000,000 12
162167
163- (22) D21A01.04 Grants to Violence Prevention and Interruption
164-Organizations ……………………………………………………………………………….2,500,000
168+ (17) M00F02.01 Loan Assistance Repayment Programs for Physicians and 13
169+Physicians Assistants ………………………………………………………………………3,000,000 14
165170
166- (23) R62I00 Formerly Incarcerated Youth Grant Program ……….1,200,000
171+ (18) R62I00.54 Loan Assistance Repayment Programs for Nurses and 15
172+Nurses Assistants …………………………………………………………………………..1,000,000 16
167173
168- (24) S00A24.02 Baltimore Regional Neighborhood Initiative ….…1,040,000
174+ (19) R00A02.07 Non–Public Special Education School Teacher 17
175+Salaries ………………………………………………………………………………………4,000,000 18
169176
170- (25) S00A24.02 National Capital Strategic Economic Development
171-Fund …………………………………………………………………………………………..1,000,000
177+ (20) M00F03.04 Enhanced Alzheimer’s Services and Research …...3,500,000 19
172178
173- (26) D38I01.02 State Board of Elections Public Communications for General
174-Election …………………………………………………………………………………………500,000
179+ (21) W00A01.03 Establish Maryland State Police Gun Center ……3,400,000 20
175180
176- (27) C00A00.06 Prosecutorial Transparency Reporting ………………600,000
181+ (22) D21A01.04 Grants to Violence Prevention and Interruption 21
182+Organizations ……………………………………………………………………………….2,500,000 22
177183
178- (28) D05E01.11 State Center Redevelopment Plan ……………………500,000
184+ (23) R62I00 Formerly Incarcerated Youth Grant Program ……….1,200,000 23
179185
180- (29) Q00C02.01 Parole & Probation review murders of offenders under
181-supervision …………………………………………………………………………………….323,000
186+ (24) S00A24.02 Baltimore Regional Neighborhood Initiative ….…1,040,000 24
182187
183- (30) T00F00.04 Maryland New Start Act ……………………………….175,000
188+ (25) S00A24.02 National Capital Strategic Economic Development 25
189+Fund …………………………………………………………………………………………..1,000,000 26
184190
185- (31) A15O00.01 Disparity Grant Funding …………………………..15,368,715
191+ (26) D38I01.02 State Board of Elections Public Communications for General 27
192+Election …………………………………………………………………………………………500,000 28
186193
187- (32) J00A01.03 Street and Sidewalk Improvements to Comply with
188-Americans with Disabilities Act – Baltimore City ……………………………………10,000,000
194+ (27) C00A00.06 Prosecutorial Transparency Reporting ………………600,000 29 HOUSE BILL 1149 5
189195
190- (33) W00A01.02 Grants to Police Departments to Acquire License Plate
191-Readers ……………………………………………………………………………………….5,000,000
192196
193- (34) E50C00.08 Homeowner Protection Fund ………………………..1,300,000 WES MOORE, Governor Ch. 636
194197
195-– 5 –
198+ (28) D05E01.11 State Center Redevelopment Plan ……………………500,000 1
196199
197- (35) R00A02.13 Learning in Extended Academic Programs
198-(LEAP) ………………………………………………………………………………………..4,500,000
200+ (29) Q00C02.01 Parole & Probation review murders of offenders under 2
201+supervision …………………………………………………………………………………….323,00 0 3
199202
200- (36) D21A02.01 Local Management Boards ………………………….1,500,000
203+ (30) T00F00.04 Maryland New Start Act ……………………………….175,000 4
201204
202- (37) D21A01.01 Grants to Domestic Violence Centers ……………..3,000,000
205+ (31) A15O00.01 Disparity Grant Funding …………………………..15,368,715 5
203206
204- (38) M00L01.02 Operating Grant to Center for Neuroscience of Social
205-Injustice at the Kennedy Krieger Institute ……………………………………………..2,250,000
207+ (32) J00A01.03 Street and Sidewalk Improvements to Comply with 6
208+Americans with Disabilities Act – Baltimore City ……………………………… ……10,000,000 7
206209
207- (39) M00L01.02 Greater Baltimore Regional Integrated Crisis
208-System ………………………………………………………………………………………..2,000,000
210+ (33) W00A01.02 Grants to Police Departments to Acquire License Plate 8
211+Readers ……………………………………………………………………………………….5,000,000 9
209212
210- (40) M00A01.01 Grant to Children’s National Hospital …………….1,500,000
213+ (34) E50C00.08 Homeowner Protection Fund ………………………..1,300,000 10
211214
212- (41) R00A03.01 Funds to Initiate Maryland School for the Blind Pay
213-Plan …………………………………………………………………………………………...1,200,000
215+ (35) R00A02.13 Learning in Extended Academic Progra ms 11
216+(LEAP) ………………………………………………………………………………………..4,500,000 12
214217
215- (42) D21A01.01 Grants to Police Departments to Coordinate Task Forces
216-that Cross Jurisdictional Boundaries ……………………………………………………1,000 ,000
218+ (36) D21A02.01 Local Management Boards ………………………….1,500,000 13
217219
218- (43) V00E01.01 Grant to ROCA for Operations Outside
219-Baltimore City ………………………………………………………………………………1,000,000
220+ (37) D21A01.01 Grants to Domestic Violence Centers ……………..3,000,000 14
220221
221- (44) M00F01.01 Grant to Vision for Baltimore ………………………1,000,000
222+ (38) M00L01.02 Operating Grant to Center for Neuroscience of So cial 15
223+Injustice at the Kennedy Krieger Institute ……………………………………………..2,250,000 16
222224
223- (45) R00A02.13 Operating Grant to Thread ……………………………750,000
225+ (39) M00L01.02 Greater Baltimore Regional Integrated Crisis 17
226+System ………………………………………………………………………………………..2,000,000 18
224227
225- (46) R75T00.01 Grant to the University of Baltimore’s Schaefer Center for
226-Public Policy …………………………………………………………………………………...575,102
228+ (40) M00A01.01 Grant to Children’s National Hospital …………….1,500,000 19
227229
228- (47) L00A01.02 Pride of Baltimore ………………………………………300,000
230+ (41) R00A03.01 Funds to Initiate Maryland School for the Blind Pay 20
231+Plan …………………………………………………………………………………………...1,200,000 21
229232
230- (48) R75T00.01 Bowie State University …………………………………..50,000
233+ (42) D21A01.01 Grants to Police Departments to Coordinate Task Forces 22
234+that Cross Jurisdictional Boundaries ……………………………………………………1,000,000 23
231235
232- Object. 12 Grants, Subsidies and Contributions …………………………….370,031,817
236+ (43) V00E01.01 Grant to ROCA for Operations Outside 24
237+Baltimore City ………………………………………………………………………………1,000,000 25
233238
234- General Fund Appropriation, provided that no less than $317,031,817 of this
235-appropriation shall be transferred by budget amendment by July 1, 2022, in accordance
236-with the programs and funding amounts allocated in the purpose detail of this
237-supplemental appropriation. Funds for apprenticeships and development of a new unified
238-financial aid system for higher education along with $20,000,000 of the funds for expansion
239-of the autism waiver shall be transferred when agencies incur related expenses.
240- Ch. 636 2023 LAWS OF MARYLAND
239+ (44) M00F01.01 Grant to Vision for Baltimore ………………………1,000,000 26
241240
242-– 6 –
243- Further provided that no more than $250,000 of the appropriation made for
244-apprenticeships shall be used to support fiscal 2023 administrative costs associated with
245-public safety, transportation, health care, and higher education apprenticeship workgroups
246-operated by the Maryland Department of Labor.
241+ (45) R00A02.13 Operating Grant to Thread ………… …………………750,000 27
242+ 6 HOUSE BILL 1149
247243
248- Further provided that at least $10,000,000 of the appropriation made for [autism
249-waiver expansions] MEDICAID WAIVER EXPAN SIONS shall be transferred by budget
250-amendment in fiscal 2023 to program R00A02.07 Students with Disabilities. It is the
251-intention of the legislature that the Maryland Department of Health and the Maryland
252-State Department of Education shall apply to the Centers for Medicare & Medicaid Services
253-for an addendum to expand the current waiver by 1,350 slots. THE REMAINING FUNDING
254-OF THE APPROPRIATION MADE FOR MEDICAID WAIVER EXPAN SIONS MAY BE USED
255-FOR THE PURPOSE OF H IRING AND RETAINING PROVIDERS SHALL BE USED TO
256-PROVIDE COMMUNITY SE RVICES TO INDIVIDUALS WAITING FOR SERVICES THROUGH
257-THE COMMUNITY PATHWAYS WAIVER, THE COMMUNITY SUPPORTS WAIVER, THE
258-FAMILY SUPPORTS WAIVER, THE BRAIN INJURY WAIVER, THE HOME– AND
259-COMMUNITY–BASED OPTIONS WAIVER, THE MEDICAL DAY CARE SERVICES
260-WAIVER, AND THE MODEL WAIVER FOR MEDICALLY FRAGILE CHILDREN. A
261-PORTION OF THESE FUN DS MAY BE USED FOR T HE PURPOSE OF EXPAND ING
262-PROVIDER CAPACITY IN THE COMMUNITY PATHWAYS WAIVER, THE COMMUNITY
263-SUPPORTS WAIVER, THE FAMILY SUPPORTS WAIVER, THE BRAIN INJURY WAIVER,
264-THE HOME– AND COMMUNITY–BASED OPTIONS WAIVER, THE MEDICAL DAY CARE
265-SERVICES WAIVER, THE MODEL WAIVER FOR MEDICALLY FRAGILE CHILDREN,
266-AND THE AUTISM WAIVER, INCLUDING HIRING AND RETAINING STAFF AND
267-PROVIDERS, INCREASING PROVIDER RATES, AND ADDRESSING OTHER ISSUES THAT
268-LIMIT PROVIDER CAPACITY .
269244
270- Further provided that the $50,000,000 appropriation made for program M00A01.01
271-Executive Direction for the purpose of hospital assistance/workforce support shall be
272-allocated to acute and psychiatric care hospitals based on a plan developed by the Health
273-Services Cost Review Commission.
245+ (46) R75T00.01 Grant to the University of Baltimore’s Schaefer Center for 1
246+Public Policy …………………………………………………………………………………...575,102 2
274247
275- Further provided that the $40,000,000 appropriation made for program T00G00.05
276-Maryland State Arts Council for the purpose of supporting Arts Grants shall be allocated
277-by the Maryland State Arts Council and can include, but should not be limited to, entities
278-traditionally funded by the council. The funds shall not be included in the fiscal 2024
279-calculation of Arts Council formula funding.
248+ (47) L00A01.02 Pride of Baltimore ………………………………………300,000 3
280249
281- Further provided that the $35,000,000 appropriation made for program N00G00.08
282-Assistance Payments shall be used to provide a $45 per recipient per month additional
283-benefit for Temporary Cash Assistance and Temporary Disability Assistance Program
284-recipients.
250+ (48) R75T00.01 Bowie State University ………………… ………………..50,000 4
285251
286- Further provided that the $20,000,000 appropriation made for program T00F00.29
287-Rural Maryland Economic Development shall be used to provide a grant to the Western WES MOORE, Governor Ch. 636
252+ Object. 12 Grants, Subsidies and Contributions …………………………….370,031,817 5
288253
289-– 7 –
290-Maryland Economic Future Investment Board for the Western Maryland Economic Future
291-Investment Fund to be used for grants and loans for capital infrastructure projects and
292-business development projects that improve economic conditions in the region and expenses
293-necessary to administer the grants and loans contingent upon enactment of SB 474 or HB
294-838 establishing the fund.
254+ General Fund Appropriation, provided that no less than $317,031,817 of this 6
255+appropriation shall be transferred by budget amendment by July 1, 2022, in accordance 7
256+with the programs and funding amounts allocated in the purpose detail of this 8
257+supplemental appropriation. Funds for apprenticeships and development of a new unified 9
258+financial aid system for higher education along with $20,000,000 of the funds for expansion 10
259+of the autism waiver shall be transferred when agencies incur related expenses. 11
295260
296- Further provided that the $10,000,000 appropriation made for program D40W01.12
297-Maryland Historic Revitalization Tax Credit shall be used to provide continued and
298-expanded funding for the Historic Revitalization Tax Credit Program.
261+ Further provided that no more than $250,000 of the appropriation made for 12
262+apprenticeships shall be used to support fiscal 2023 administrative costs associated with 13
263+public safety, transportation, health care, and higher education apprenticeship workgroups 14
264+operated by the Maryland Department of Labor. 15
299265
300- Further provided that the $8,000,000 appropriation made for program R00A01.01
301-Office of the State Superintendent shall be used to provide noncertificated education
302-support professionals with a $500 bonus.
266+ Further provided that at least $10,000,000 of the appropriation made for [autism 16
267+waiver expansions] MEDICAID WAIVER EXPAN SIONS shall be transferred by budget 17
268+amendment in fiscal 2023 to program R00A02.07 Students with Disabilities. It is the 18
269+intention of the legislature that the Maryland Department of Health and the Maryland 19
270+State Department of Education shall apply to the Centers for Medicare & Medicaid Services 20
271+for an addendum to expand the current waiver by 1,350 slots. THE REMAINING FUNDING 21
272+OF THE APPROPRIATION MADE FOR MEDICAID WAIVER EXPAN SIONS MAY BE USED 22
273+FOR THE PURPOSE OF H IRING AND RETAINING PROVIDERS SHALL BE USED TO 23
274+PROVIDE COMMUNITY SE RVICES TO INDIVIDUAL S WAITING FOR SERVIC ES THROUGH 24
275+THE COMMUNITY PATHWAYS WAIVER, THE COMMUNITY SUPPORTS WAIVER, THE 25
276+FAMILY SUPPORTS WAIVER, THE BRAIN INJURY WAIVER, THE HOME– AND 26
277+COMMUNITY–BASED OPTIONS WAIVER, THE MEDICAL DAY CARE SERVICES 27
278+WAIVER, AND THE MODEL WAIVER FOR MEDICALLY FRAGILE CHILDREN. A 28
279+PORTION OF THESE FUN DS MAY BE USED FOR T HE PURPOSE OF EXPAND ING 29
280+PROVIDER CAPACITY IN THE COMMUNITY PATHWAYS WAIVER, THE COMMUNITY 30
281+SUPPORTS WAIVER, THE FAMILY SUPPORTS WAIVER, THE BRAIN INJURY WAIVER, 31
282+THE HOME– AND COMMUNITY–BASED OPTIONS WAIVER, THE MEDICAL DAY CARE 32
283+SERVICES WAIVER, THE MODEL WAIVER FOR MEDICALLY FRAGILE CHILDREN, 33
284+AND THE AUTISM WAIVER, INCLUDING HIRING AND RETAINING STAFF AND 34
285+PROVIDERS, INCREASING PROVIDER RATES, AND ADDRESSING OTHER ISSUES THAT 35
286+LIMIT PROVIDER CAPAC ITY. 36
303287
304- Further provided that the $4,000,000 appropriation made for program T00F00.15
305-Small, Minority, and Women–Owned Businesses Account shall be split equally among the
306-fund managers.
288+ Further provided that the $50,000,000 appropriation made for program M00A01.01 37
289+Executive Direction for the purpose of hospital assistance/workforce support shall be 38 HOUSE BILL 1149 7
307290
308- Further provided that the $5,000,000 appropriation made for program M00A01.01
309-Executive Direction to provide pediatric cancer research grants shall be contingent upon
310-enactment of SB51 or HB775 establishing the Maryland Pediatric Cancer Fund.
311291
312- Further provided that the $1,000,000 appropriation made for program R62I00.54 to
313-fund Loan Assistance Repayment Programs For Nurses and Nursing Assistants shall be
314-transferred, contingent upon the enactment of SB 696 or HB 975 establishing the program
315-within the Maryland Department of Health, instead to program M00F02.01 Office of
316-Population Health Improvement for the Maryland Loan Assistance Repayment Program
317-for Nurses and Nursing Workers.
292+allocated to acute and psychiatric care hospitals based on a plan developed by the Health 1
293+Services Cost Review Commission. 2
318294
319- Further provided that the $3,500,000 appropriation made for program M00F03.04
320-Family Health and Chronic Disease services to provide funding for enhanced Alzheimer’s
321-services and research shall be expended in a manner consistent with the implementation
322-of the recommendations of the Virginia I. Jones Alzheimer’s Council.
295+ Further provided that the $40,000,000 appropriation made for program T00G00.05 3
296+Maryland State Arts Council for the purpose of supporting Arts Grants shall be allocated 4
297+by the Maryland State Arts Council and can include, but should not be limited to, entities 5
298+traditionally funded by the council. The funds shall not be included in the fiscal 2024 6
299+calculation of Arts Council formula funding. 7
323300
324- Further provided that the $3,400,000 appropriation made for program W00A01.03
325-Criminal Investigation Bureau to establish the Maryland State Police Gun Center within
326-the Department of State Police shall be contingent upon the enactment of SB 861.
301+ Further provided that the $35,000,000 appropriation made for program N00G00.08 8
302+Assistance Payments shall be used to provide a $45 per recipient per month additional 9
303+benefit for Temporary Cash Assistance and Temporary Disability Assistance Program 10
304+recipients. 11
327305
328- Further provided that the $1,200,000 appropriation made for program R62I00 to
329-fund the Formerly Incarcerated Youth Grant Program, providing such students who receive
330-Pell Grants with an additional grant award of up to $3,000, shall be contingent upon
331-enactment of SB 904.
306+ Further provided that the $20,000,000 appropriation made for program T00F00.29 12
307+Rural Maryland Economic Development shall be used to provide a grant to the Western 13
308+Maryland Economic Future Investment Board for the Western Maryland Economic Future 14
309+Investment Fund to be used for grants and loans for capital infrastructure projects and 15
310+business development projects that improve economic conditions in the region and expenses 16
311+necessary to administer the grants and loans contingent upon enactment of SB 474 or HB 17
312+838 establishing the fund. 18
332313
333- Further provided that $40,000 of the appropriation made for program S00A24.02
334-Neighborhood Revitalization – Capital for the Baltimore Regional Neighborhood Initiative
335-may be expended only for a grant to Southeast Community Development Corporation. Ch. 636 2023 LAWS OF MARYLAND
314+ Further provided that the $10,000,000 appropriation made for program D40W01.12 19
315+Maryland Historic Revitalization Tax Credit shall be used to provide continued and 20
316+expanded funding for the Historic Revitalization Tax Credit Program. 21
336317
337-– 8 –
318+ Further provided that the $8,000,000 appropriation made for program R00A01.01 22
319+Office of the State Superintendent shall be used to provide noncertificated education 23
320+support professionals with a $500 bonus. 24
338321
339- Further provided that the $600,000 appropriation made for program C00A00.06
340-Administrative Office of the Courts shall be contingent upon enactment of SB 763 or HB
341-1429.
322+ Further provided that the $4,000,000 appropriation made for program T00F00.15 25
323+Small, Minority, and Women–Owned Businesses Account shall be split equally among the 26
324+fund managers. 27
342325
343- Further provided that the $500,000 appropriation made for program D05E01.11
344-Miscellaneous Grants to Local Governments may only be expended to provide a grant to
345-the Baltimore City Department of Planning for the creation of a redevelopment plan for
346-State Center.
326+ Further provided that the $5,000,000 appropriation made for program M00A01.01 28
327+Executive Direction to provide pediatric cancer research grants shall be contingent upon 29
328+enactment of SB51 or HB775 establishing the Maryland Pediatric Cancer Fund. 30
347329
348- Further provided that the $323,000 appropriation made for program Q00C02.01
349-Division of Parole and Probation – Support Services may only be used to support new
350-personnel assigned to examine and review murders involving offenders who are supervised
351-by the division. Further provided that by December 31, 2022, and annually thereafter, the
352-division must report to the budget committees, along with the Senate Judicial Proceedings
353-Committee and the House Judiciary Committee, on (1) agency activities intended to reduce
354-the number of murders involving supervised offenders; (2) actions taken to examine and
355-review murders, including policy and program recommendations made to the Secretary;
356-and (3) the number of supervised offenders who were shooting victims, homicide victims,
357-or charged with or identified as suspects in specified crimes.
330+ Further provided that the $1,000,000 appropriation made for program R62I00.54 to 31
331+fund Loan Assistance Repayment Programs For Nurses and Nursing Assistants shall be 32
332+transferred, contingent upon the enactment of SB 696 or HB 975 establishing the program 33
333+within the Maryland Department of Health, instead to program M00F02.01 Office of 34
334+Population Health Improvement for the Maryland Loan Assistance Repayment Program 35
335+for Nurses and Nursing Workers. 36
358336
359- Further provided that the $175,000 appropriation made for program T00F00.04
360-Office of Business Development may only be expended to fund operating expenses
361-associated with establishing the Maryland New Start Grant Program and Maryland New
362-Start Microloan Program contingent upon enactment of SB 554 or HB 158.
337+ Further provided that the $3,500,000 appropriation made for program M00F03.04 37
338+Family Health and Chronic Disease services to provide funding for enhanced Alzheimer’s 38 8 HOUSE BILL 1149
363339
364- Further provided that the $15,368,715 appropriation made for program A15O00.01
365-Disparity Grants may only be expended to provide supplemental funding allocated in the
366-following amounts:
367340
368- (a) $11,316,425 to Baltimore City;
341+services and research shall be expended in a manner consistent with the implementation 1
342+of the recommendations of the Virginia I. Jones Alzheimer’s Council. 2
369343
370- (b) $726,821 to Caroline County;
344+ Further provided that the $3,400,000 appropriation made for program W00A01.03 3
345+Criminal Investigation Bureau to establish the Maryland State Police Gun Center within 4
346+the Department of State Police shall be contingent upon the enactment of SB 861. 5
371347
372- (c) $1,386,458 to Cecil County;
348+ Further provided that the $1,200,000 appropriation made for program R62I00 to 6
349+fund the Formerly Incarcerated Youth Grant Program, providing such students who receive 7
350+Pell Grants with an additional grant award of up to $3,000, shall be contingent upon 8
351+enactment of SB 904. 9
373352
374- (d) $819,998 to Somerset County; and
353+ Further provided that $40,000 of the appropriation made for program S00A24.02 10
354+Neighborhood Revitalization – Capital for the Baltimore Regional Neighborhood Initiative 11
355+may be expended only for a grant to Southeast Community Development Corporation. 12
375356
376- (e) $1,119,013 to Wicomico County.
357+ Further provided that the $600,000 appropriation made for program C00A00.06 13
358+Administrative Office of the Courts shall be contingent upon enactment of SB 763 or HB 14
359+1429. 15
377360
378- Further provided that the $1,000,000 appropriation made for program M00F01.01
379-Executive Direction may only be expended to provide a grant to the Baltimore City Health
380-Department for the Vision for Baltimore program.
381- WES MOORE, Governor Ch. 636
361+ Further provided that the $500,000 appropriation made for program D05E01.11 16
362+Miscellaneous Grants to Local Governments may only be expended to provide a grant to 17
363+the Baltimore City Department of Planning for the creation of a redevelopment plan for 18
364+State Center. 19
382365
383-– 9 –
384- Further provided that the $500,000 appropriation made for the Pride of Baltimore
385-may only be transferred by budget amendment in fiscal 2023 to program J00A01.02
386-Operating Grants–in–Aid to provide a Secretary’s grant to the Pride of Baltimore.
366+ Further provided that the $323,000 appropriation made for program Q00C02.01 20
367+Division of Parole and Probation – Support Services may only be used to support new 21
368+personnel assigned to examine and review murders involving offenders who are supervised 22
369+by the division. Further provided that by December 31, 2022, and annually thereafter, the 23
370+division must report to the budget committees, along with the Senate Judicial Proceedings 24
371+Committee and the House Judiciary Committee, on (1) agency activities intended to reduce 25
372+the number of murders involving supervised offenders; (2) actions taken to examine and 26
373+review murders, including policy and program recommendations made to the Secretary; 27
374+and (3) the number of supervised offenders who were shooting victims, homicide victims, 28
375+or charged with or identified as suspects in specified crimes. 29
387376
388- Further provided that the $50,000 appropriation made for program R75T00.01
389-Support for State Operated Institutions of Higher Education may only be expended to
390-provide funding to Bowie State University (R30B23) for a project specialist to staff the
391-Maryland Truth and Reconciliation Commission……………………… ..................370,031,817
377+ Further provided that the $175,000 appropriation made for program T00F00.04 30
378+Office of Business Development may only be expended to fund operating expenses 31
379+associated with establishing the Maryland New Start Grant Program and Maryland New 32
380+Start Microloan Program contingent upon enactment of SB 554 or HB 158. 33
392381
393- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect June
394-1, 2023.
382+ Further provided that the $15,368,715 appropriation made for program A15O00.01 34
383+Disparity Grants may only be expended to provide supplemental funding allocated in the 35
384+following amounts: 36
395385
396-Approved by the Governor, May 16, 2023.
386+ (a) $11,316,425 to Baltimore City; 37
387+ HOUSE BILL 1149 9
388+
389+
390+ (b) $726,821 to Caroline County; 1
391+
392+ (c) $1,386,458 to Cecil County; 2
393+
394+ (d) $819,998 to Somerset County; and 3
395+
396+ (e) $1,119,013 to Wicomico County. 4
397+
398+ Further provided that the $1,000,000 appropriation made for program M00F01.01 5
399+Executive Direction may only be expended to provide a grant to the Baltimore City Health 6
400+Department for the Vision for Baltimore program. 7
401+
402+ Further provided that the $500,000 appropriation made for the Pride of Baltimore 8
403+may only be transferred by budget amendment in fiscal 2023 to program J00A01.02 9
404+Operating Grants–in–Aid to provide a Secretary’s grant to the Pride of Baltimore. 10
405+
406+ Further provided that the $50,000 appropriation made for program R75T00.01 11
407+Support for State Operated Institutions of Higher Education may only be expended to 12
408+provide funding to Bowie State University (R30B23) for a project specialist to staff the 13
409+Maryland Truth and Reconciliation Commission……………………… ..................370,031,817 14
410+
411+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect June 15
412+1, 2023. 16
413+
414+
415+
416+
417+Approved:
418+________________________________________________________________________________
419+ Governor.
420+________________________________________________________________________________
421+ Speaker of the House of Delegates.
422+________________________________________________________________________________
423+ President of the Senate.