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Maryland House Bill HB48

Maryland 2023 Regular Session

Maryland House Bill HB48 Compare Versions

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1- WES MOORE, Governor Ch. 285
21
3-– 1 –
4-Chapter 285
5-(House Bill 48)
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+ *hb0048*
89
9-Maryland Medical Assistance Program – Collaborative Care Model Services –
10-Implementation and Reimbursement Expansion
10+HOUSE BILL 48
11+J1 3lr0899
12+ (PRE–FILED) CF SB 101
13+By: Delegate Bagnall
14+Requested: November 18, 2022
15+Introduced and read first time: January 11, 2023
16+Assigned to: Health and Government Operations
17+Committee Report: Favorable
18+House action: Adopted
19+Read second time: March 9, 2023
1120
12-FOR the purpose of repealing the Collaborative Care Pilot Program; requiring the
13-Maryland Department of Health to implement and provide reimbursement for
14-services provided in accordance with the Collaborative Care Model under the
15-Maryland Medical Assistance Program; and generally relating to the provision and
16-reimbursement of somatic and behavioral health services in primary care settings
17-under the Maryland Medical Assistance Program.
21+CHAPTER ______
1822
19-BY repealing and reenacting, with amendments,
20- Article – Health – General
21-Section 15–141.1
22- Annotated Code of Maryland
23- (2019 Replacement Volume and 2022 Supplement)
23+AN ACT concerning 1
2424
25-BY repealing and reenacting, with amendments,
26- Chapter 683 of the Acts of the General Assembly of 2018
27-Section 2
25+Maryland Medical Assistance Program – Collaborative Care Model Services – 2
26+Implementation and Reimbursement Expansion 3
2827
29-BY repealing and reenacting, with amendments,
30- Chapter 684 of the Acts of the General Assembly of 2018
31- Section 2
28+FOR the purpose of repealing the Collaborative Care Pilot Program; requiring the 4
29+Maryland Department of Health to implement and provide reimbursement for 5
30+services provided in accordance with the Collaborative Care Model under the 6
31+Maryland Medical Assistance Program; and generally relating to the provision and 7
32+reimbursement of somatic and behavioral health services in primary care settings 8
33+under the Maryland Medical Assistance Program. 9
3234
33- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
34-That the Laws of Maryland read as follows:
35+BY repealing and reenacting, with amendments, 10
36+ Article – Health – General 11
37+Section 15–141.1 12
38+ Annotated Code of Maryland 13
39+ (2019 Replacement Volume and 2022 Supplement) 14
3540
36-Article – Health – General
41+BY repealing and reenacting, with amendments, 15
42+ Chapter 683 of the Acts of the General Assembly of 2018 16
43+Section 2 17
3744
38-15–141.1.
45+BY repealing and reenacting, with amendments, 18
46+ Chapter 684 of the Acts of the General Assembly of 2018 19
47+ Section 2 20
48+ 2 HOUSE BILL 48
3949
40- (a) [(1)] In this section [the following words have the meanings indicated.
4150
42- (2)], “Collaborative Care Model” means an evidence–based approach for
43-integrating somatic and behavioral health services in primary care settings that includes:
51+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 1
52+That the Laws of Maryland read as follows: 2
4453
45- [(i)] (1) Care coordination and management;
46- Ch. 285 2023 LAWS OF MARYLAND
54+Article – Health – General 3
4755
48-– 2 –
49- [(ii)] (2) Regular, proactive outcome monitoring and treatment for
50-outcome targets using standardized outcome measurement rating scales and electronic
51-tools, such as patient tracking; and
56+15–141.1. 4
5257
53- [(iii)] (3) Regular systematic psychiatric and substance use disorder
54-caseload reviews and consultation with a psychiatrist, an addiction medicine specialist, or
55-any other behavioral health medicine specialist as allowed under federal regulations
56-governing the model.
58+ (a) [(1)] In this section [the following words have the meanings indicated. 5
5759
58- [(3) “Pilot Program” means the Collaborative Care Pilot Program.]
60+ (2)], “Collaborative Care Model” means an evidence–based approach for 6
61+integrating somatic and behavioral health services in primary care settings that includes: 7
5962
60- (b) This section may not be construed to prohibit referrals from a primary care
61-provider to a specialty behavioral health care provider.
63+ [(i)] (1) Care coordination and management; 8
6264
63- [(c) There is a Collaborative Care Pilot Program in the Department.
65+ [(ii)] (2) Regular, proactive outcome monitoring and treatment for 9
66+outcome targets using standardized outcome measurement rating scales and electronic 10
67+tools, such as patient tracking; and 11
6468
65- (d) The purpose of the Pilot Program is to establish and implement a
66-Collaborative Care Model in primary care settings in which health care services are
67-provided to Program recipients enrolled in HealthChoice.
69+ [(iii)] (3) Regular systematic psychiatric and substance use disorder 12
70+caseload reviews and consultation with a psychiatrist, an addiction medicine specialist, or 13
71+any other behavioral health medicine specialist as allowed under federal regulations 14
72+governing the model. 15
6873
69- (e) The Department shall administer the Pilot Program.
74+ [(3) “Pilot Program” means the Collaborative Care Pilot Program.] 16
7075
71- (f) (1) The Department shall select up to three sites at which a Collaborative
72-Care Model shall be established over a 4–year period.
76+ (b) This section may not be construed to prohibit referrals from a primary care 17
77+provider to a specialty behavioral health care provider. 18
7378
74- (2) The sites selected by the Department shall be adult or pediatric
75-nonspecialty medical practices or health systems that serve a significant number of
76-Program recipients.
79+ [(c) There is a Collaborative Care Pilot Program in the Department. 19
7780
78- (3) To the extent practicable, one of the sites selected by the Department
79-under paragraph (1) of this subsection shall be located in a rural area of the State.
81+ (d) The purpose of the Pilot Program is to establish and implement a 20
82+Collaborative Care Model in primary care settings in which health care services are 21
83+provided to Program recipients enrolled in HealthChoice. 22
8084
81- (g) The sites selected by the Department under subsection (f) of this section shall
82-ensure that treatment services, prescriptions, and care management that would be
83-provided to an individual under the Pilot Program are not duplicative of specialty
84-behavioral health care services being received by the individual.
85+ (e) The Department shall administer the Pilot Program. 23
8586
86- (h) The Department shall provide funding to sites participating in the Pilot
87-Program for:
87+ (f) (1) The Department shall select up to three sites at which a Collaborative 24
88+Care Model shall be established over a 4–year period. 25
8889
89- (1) Infrastructure development, including the development of a patient
90-registry and other monitoring, reporting, and billing tools required to implement a
91-Collaborative Care Model;
90+ (2) The sites selected by the Department shall be adult or pediatric 26
91+nonspecialty medical practices or health systems that serve a significant number of 27
92+Program recipients. 28
9293
93- (2) Training staff to implement the Collaborative Care Model;
94- WES MOORE, Governor Ch. 285
94+ (3) To the extent practicable, one of the sites selected by the Department 29
95+under paragraph (1) of this subsection shall be located in a rural area of the State. 30
96+ HOUSE BILL 48 3
9597
96-– 3 –
97- (3) Staffing for care management and psychiatric consultation provided
98-under the Collaborative Care Model; and
9998
100- (4) Other purposes necessary to implement and evaluate the Collaborative
101-Care Model.
99+ (g) The sites selected by the Department under subsection (f) of this section shall 1
100+ensure that treatment services, prescriptions, and care management that would be 2
101+provided to an individual under the Pilot Program are not duplicative of specialty 3
102+behavioral health care services being received by the individual. 4
102103
103- (i) The Department shall:
104+ (h) The Department shall provide funding to sites participating in the Pilot 5
105+Program for: 6
104106
105- (1) Collaborate with stakeholders in the development, implementation,
106-and outcome monitoring of the Pilot Program; and
107+ (1) Infrastructure development, including the development of a patient 7
108+registry and other monitoring, reporting, and billing tools required to implement a 8
109+Collaborative Care Model; 9
107110
108- (2) Collect outcomes data on recipients of health care services under the
109-Pilot Program to:
111+ (2) Training staff to implement the Collaborative Care Model; 10
110112
111- (i) Evaluate the effectiveness of the Collaborative Care Model,
112-including by evaluating the number of and outcomes for individuals who:
113+ (3) Staffing for care management and psychiatric consultation provided 11
114+under the Collaborative Care Model; and 12
113115
114- 1. Were not diagnosed as having a behavioral health
115-condition before receiving treatment through the Pilot Program;
116+ (4) Other purposes necessary to implement and evaluate the Collaborative 13
117+Care Model. 14
116118
117- 2. Were not diagnosed as having a behavioral health
118-condition before being referred to and treated by a specialty behavioral health provider;
119+ (i) The Department shall: 15
119120
120- 3. Received behavioral health services in a primary care
121-setting before receiving treatment through the Pilot Program; and
121+ (1) Collaborate with stakeholders in the development, implementation, 16
122+and outcome monitoring of the Pilot Program; and 17
122123
123- 4. Received specialty behavioral health care services before
124-being identified as eligible to receive treatment through the Pilot Program; and
124+ (2) Collect outcomes data on recipients of health care services under the 18
125+Pilot Program to: 19
125126
126- (ii) Determine whether to]
127+ (i) Evaluate the effectiveness of the Collaborative Care Model, 20
128+including by evaluating the number of and outcomes for individuals who: 21
127129
128- (C) THE DEPARTMENT SHAL L implement AND PROVIDE REIMBURS EMENT
129-FOR SERVICES PROVIDE D IN ACCORDANCE WITH the Collaborative Care Model
130-statewide in primary care settings that provide health care services to Program recipients.
130+ 1. Were not diagnosed as having a behavioral health 22
131+condition before receiving treatment through the Pilot Program; 23
131132
132- [(j) The Department shall apply to the Centers for Medicare and Medicaid
133-Services for an amendment to the State’s § 1115 HealthChoice Demonstration waiver if
134-necessary to implement the Pilot Program.
133+ 2. Were not diagnosed as having a behavioral health 24
134+condition before being referred to and treated by a specialty behavioral health provider; 25
135135
136- (k) For fiscal year 2020, fiscal year 2021, fiscal year 2022, and fiscal year 2023,
137-the Governor shall include in the annual budget an appropriation of $550,000 for the Pilot
138-Program.
136+ 3. Received behavioral health services in a primary care 26
137+setting before receiving treatment through the Pilot Program; and 27
139138
140- (l) On or before November 1, 2023, the Department shall report to the Governor
141-and, in accordance with § 2–1257 of the State Government Article, the General Assembly
142-on the Department’s findings and recommendations from the Pilot Program.] Ch. 285 2023 LAWS OF MARYLAND
139+ 4. Received specialty behavioral health care services before 28
140+being identified as eligible to receive treatment through the Pilot Program; and 29
143141
144-– 4 –
142+ (ii) Determine whether to] 30
143+ 4 HOUSE BILL 48
145144
146-Chapter 683 of the Acts of 2018
147145
148- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July
149-1, 2018. [It shall remain effective for a period of 6 years and, at the end of June 30, 2024,
150-this Act, with no further action required by the General Assembly, shall be abrogated and
151-of no further force and effect.]
146+ (C) THE DEPARTMENT SHALL implement AND PROVIDE REIMBURS EMENT 1
147+FOR SERVICES PROVIDE D IN ACCORDANCE WITH the Collaborative Care Model 2
148+statewide in primary care settings that provide health care services to Program recipients. 3
152149
153-Chapter 684 of the Acts of 2018
150+ [(j) The Department shall apply to the Centers for Medicare and Medicaid 4
151+Services for an amendment to the State’s § 1115 HealthChoice Demonstration waiver if 5
152+necessary to implement the Pilot Program. 6
154153
155- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July
156-1, 2018. [It shall remain effective for a period of 6 years and, at the end of June 30, 2024,
157-this Act, with no further action required by the General Assembly, shall be abrogated and
158-of no further force and effect.]
154+ (k) For fiscal year 2020, fiscal year 2021, fiscal year 2022, and fiscal year 2023, 7
155+the Governor shall include in the annual budget an appropriation of $550,000 for the Pilot 8
156+Program. 9
159157
160- SECTION 2. AND BE IT FURTHER ENACTED, That th is Act shall take effect
161-October 1, 2023.
158+ (l) On or before November 1, 2023, the Department shall report to the Governor 10
159+and, in accordance with § 2–1257 of the State Government Article, the General Assembly 11
160+on the Department’s findings and recommendations from the Pilot Program.] 12
162161
163-Approved by the Governor, May 3, 2023.
162+Chapter 683 of the Acts of 2018 13
163+
164+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 14
165+1, 2018. [It shall remain effective for a period of 6 years and, at the end of June 30, 2024, 15
166+this Act, with no further action required by the General Assembly, shall be abrogated and 16
167+of no further force and effect.] 17
168+
169+Chapter 684 of the Acts of 2018 18
170+
171+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 19
172+1, 2018. [It shall remain effective for a period of 6 years and, at the end of June 30, 2024, 20
173+this Act, with no further action required by the General Assembly, shall be abrogated and 21
174+of no further force and effect.] 22
175+
176+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 23
177+October 1, 2023. 24
178+
179+
180+
181+
182+Approved:
183+________________________________________________________________________________
184+ Governor.
185+________________________________________________________________________________
186+ Speaker of the House of Delegates.
187+________________________________________________________________________________
188+ President of the Senate.