Maryland 2023 Regular Session

Maryland House Bill HB44 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	hb0044
6	6
7	7	HOUSE BILL 44
8	8	E4 3lr0463
9	9	HB 1120/22 – JUD (PRE–FILED) CF SB 107
10	10	By: Delegate Lopez
11	11	Requested: September 28, 2022
12	12	Introduced and read first time: January 11, 2023
13	13	Assigned to: Judiciary
14	14
15	15	A BILL ENTITLED
16	16
17	17	AN ACT concerning 1
18	18
19	19	Correctional Services – Pregnant Incarcerated Individuals – Substance Use 2
20	20	Disorder Assessment and Treatment 3
21	21
22	22	FOR the purpose of requiring that a pregnant incarcerated individual be screened for 4
23	23	substance use disorder at intake, referred to health care providers, and provided 5
24	24	with certain medications and treatment; requiring a correctional unit to arrange for 6
25	25	health insurance coverage and follow–up health care before release of a pregnant 7
26	26	incarcerated individual; requiring that a pregnant incarcerated individual be 8
27	27	provided with medical records on release; and generally relating to pregnant 9
28	28	incarcerated individuals. 10
29	29
30	30	BY adding to 11
31	31	Article – Correctional Services 12
32	32	Section 9–601.2 13
33	33	Annotated Code of Maryland 14
34	34	(2017 Replacement Volume and 2022 Supplement) 15
35	35
36	36	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 16
37	37	That the Laws of Maryland read as follows: 17
38	38
39	39	Article – Correctional Services 18
40	40
41	41	9–601.2. 19
42	42
43	43	(A) (1) IN THIS SECTION THE F OLLOWING WORDS HAVE T HE MEANINGS 20
44	44	INDICATED. 21
45	45
46	46	(2) “PREGNANT INCARCERATED INDIVIDUAL” MEANS AN 22
47	47	INCARCERATED INDIVID UAL AT ANY STAGE OF PREGNANCY , LABOR, DELIVERY, OR 23 2 HOUSE BILL 44
48	48
49	49
50	50	THE 12–WEEK POSTPARTUM PERI OD. 1
51	51
52	52	(3) “REPRODUCTIVE HEALTH C ARE PROVIDER ” MEANS: 2
53	53
54	54	(I) AN OBSTETRICIAN ; 3
55	55
56	56	(II) A GYNECOLOGIST ; 4
57	57
58	58	(III) A CERTIFIED NURSE MI DWIFE; OR 5
59	59
60	60	(IV) A PHYSICIAN , NURSE PRACTITIONER , OR PHYSICIAN ’S 6
61	61	ASSISTANT WITH SPECI ALIZATION IN TREATIN G PREGNANT PATIENTS . 7
62	62
63	63	(B) THIS SECTION APPLIES TO ALL CORRECTIONAL UNITS, AS DEFINED IN § 8
64	64	8–201 OF THIS ARTICLE. 9
65	65
66	66	(C) (1) A PREGNANT INCARCERATE D INDIVIDUAL, REGARDLESS OF THE 10
67	67	JURISDICTION OF CONF INEMENT OR THE LENGT H OF TIME THAT THE I NDIVIDUAL IS 11
68	68	EXPECTED TO BE AT TH E CORRECTIONAL UNIT , SHALL BE SCREENED FO R 12
69	69	SUBSTANCE USE DISOR DER AT INTAKE USING A VALIDATED SCREENIN G TOOL. 13
70	70
71	71	(2) A PREGNANT INCARCERATE D INDIVIDUAL WHO HAS BOTH A 14
72	72	POSITIVE PREGNANCY T EST AT INTAKE AND SC ORES POSITIVE ON THE SUBSTANCE 15
73	73	USE DISORDER SCREENI NG SHALL BE REFERRED IMMEDIATELY TO A BEH AVIORAL 16
74	74	HEALTH CARE PROVIDER AND A REPRO DUCTIVE HEALTH CARE PROVIDER FOR : 17
75	75
76	76	(I) FULL ASSESSMENT ; 18
77	77
78	78	(II) COUNSELING ON ALL AV AILABLE AND RECOMMEN DED 19
79	79	TREATMENT OPTIONS ; AND 20
80	80
81	81	(III) IF CLINICALLY APPROP RIATE, THE INITIATION OR 21
82	82	CONTINUATION OF MEDI CATION. 22
83	83
84	84	(3) IF A PREGNANT INCARCE RATED INDIVIDUAL WAS RECEIVING 23
85	85	MEDICATION TREATMENT FOR OPIOID USE DISOR DER PRIOR TO INCARCE RATION 24
86	86	AND DESIRES TO CONTI NUE THAT TREATMENT W HILE INSIDE THE CORR ECTIONAL 25
87	87	UNIT, THE CORRECTIONAL UNI T SHALL ENSURE THAT THE INDIVIDUAL CONTI NUES 26
88	88	TO RECEIVE THE SAME MEDICATION WITHOUT A BREAK IN CARE. 27
89	89
90	90	(4) A PREGNANT INCARCERATE D INDIVIDUAL WITH OP IOID USE 28
91	91	DISORDER WHO WAS NOT ON MEDICATION TREATM ENT BEFORE INCARCERA TION 29
92	92	SHALL BE STARTED ON APPROPRIATE MEDICATI ON TREATMENT WHILE I N CUSTODY 30 HOUSE BILL 44 3
93	93
94	94
95	95	IF: 1
96	96
97	97	(I) THE TREATMENT IS REC OMMENDED ; AND 2
98	98
99	99	(II) THE INDIVIDUAL CONSE NTS TO THE TREATMENT . 3
100	100
101	101	(5) A PREGNANT INCARCERATE D INDIVIDUAL FOR WHO M 4
102	102	MEDICATION FOR THE T REATMENT OF OPIOID U SE DISORDER IS INDIC ATED BUT 5
103	103	WHO DECLINES THIS TY PE OF TREATMENT , OR WHO WOULD LIKE TO TE RMINATE 6
104	104	THE USE OF MEDICATIO N WHILE INCARCERATED , SHALL BE: 7
105	105
106	106	(I) ALLOWED TO DECLINE O R TERMINATE MEDICATI ON 8
107	107	TREATMENT IN A TIMEL Y MANNER; AND 9
108	108
109	109	(II) COUNSELED ON THE RIS KS ASSOCIATED WITH T HE ACTION. 10
110	110
111	111	(6) ALL CORRECTIONAL UNIT S SHALL FOLLOW THE CLI NICAL 11
112	112	GUIDANCE OF THE AMERICAN COLLEGE OF NURSE MIDWIVES OR THE AMERICAN 12
113	113	COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS WHEN PR OVIDING CARE TO 13
114	114	PREGNANT INCARCERATE D INDIVIDUALS. 14
115	115
116	116	(D) BEFORE RELEASING A PR EGNANT INCARCERATED INDIVIDUAL, A 15
117	117	CORRECTIONAL UNIT SHA LL: 16
118	118
119	119	(1) CONTACT AND WORK WIT H THE APPROPRIATE GO VERNMENT 17
120	120	AGENCIES AND OTHER E NTITIES TO ARRANGE H EALTH INSURANCE COVE RAGE FOR 18
121	121	THE INDIVIDUAL , WITH COVERAGE TO BEC OME EFFECTIVE NOT LA TER THAN 24 19
122	122	HOURS AFTER RELEASE ; 20
123	123
124	124	(2) REFER THE INDIVIDUAL TO A QUALI FIED REPRODUCTIVE HE ALTH 21
125	125	CARE PROVIDER THAT O FFERS SPECIALIZED SE RVICES FOR PREGNANT AND 22
126	126	POSTPARTUM INDIVIDUA LS IN THE JURISDICTI ON OF THE INDIVIDUAL ’S RESIDENCE 23
127	127	TO CONTINUE PREGNANC Y–RELATED HEALTH CARE ; AND 24
128	128
129	129	(3) REFER THE INDIVIDUAL TO A COMMUNITY –BASED MENTAL 25
130	130	HEALTH AND SUBSTANCE USE PROFESSIONAL FOR TREATMENT AND MEDICA TION 26
131	131	CONTINUITY IN THE JU RISDICTION OF RESIDE NCE OF THE INDIVIDUA L. 27
132	132
133	133	(E) IMMEDIATELY ON RELEAS E OR WITHIN NOT MORE THAN 10 CALENDAR 28
134	134	DAYS AFTER RELEASE , A PREGNANT I NCARCERATED INDIVIDU AL SHALL BE 29
135	135	PROVIDED WITH A COMP LETE COPY OF THE IND IVIDUAL’S MEDICAL RECORDS , 30
136	136	MENTAL HEALTH EVALUA TIONS, ADDICTION EVALUATION S, AND TREATMENT 31
137	137	ASSESSMENTS . 32 4 HOUSE BILL 44
138	138
139	139
140	140
141	141	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 1
142	142	October 1, 2023. 2
143	143