Maryland 2023 Regular Session

Maryland House Bill HB633 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	WES MOORE, Governor Ch. 359
2	1
3		-	– 1 –
4		-	Chapter 359
5		-	(House Bill 633)
6	2
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	+	hb0633
8	9
9		-	Hospital Credentialing – Reappointment Process for Physician Staff –
10		-	Modification
	10	+	HOUSE BILL 633
	11	+	J3 3lr2364
	12	+	CF SB 258
	13	+	By: Delegate Bhandari
	14	+	Introduced and read first time: February 3, 2023
	15	+	Assigned to: Health and Government Operations
	16	+	Committee Report: Favorable
	17	+	House action: Adopted
	18	+	Read second time: March 1, 2023
11	19
12		-	FOR the purpose of requiring that the credential reappointment process for physician staff
13		-	included in certain minimum standards for hospitals licensed in the State be
14		-	conducted in accordance with standards of the accreditation body that accredits a
15		-	hospital, rather than with a certain frequency; and generally relating to the
16		-	credentialing process for hospital physician staff.
	20	+	CHAPTER ______
17	21
18		-	BY repealing and reenacting, without amendments,
19		-	Article – Health – General
20		-	Section 19–319(e)(2) and (7)
21		-	Annotated Code of Maryland
22		-	(2019 Replacement Volume and 2022 Supplement)
	22	+	AN ACT concerning 1
23	23
24		-	BY repealing and reenacting, with amendments,
25		-	Article – Health – General
26		-	Section 19–319(e)(4)
27		-	Annotated Code of Maryland
28		-	(2019 Replacement Volume and 2022 Supplement)
	24	+	Hospital Credentialing – Reappointment Process for Physician Staff – 2
	25	+	Modification 3
29	26
30		-	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
31		-	That the Laws of Maryland read as follows:
	27	+	FOR the purpose of requiring that the credential reappointment process for physician staff 4
	28	+	included in certain minimum standards for hospitals licensed in the State be 5
	29	+	conducted in accordance with standards of the accreditation body that accredits a 6
	30	+	hospital, rather than with a certain frequency; and generally relating to the 7
	31	+	credentialing process for hospital physician staff. 8
32	32
33		-	Article – Health – General
	33	+	BY repealing and reenacting, without amendments, 9
	34	+	Article – Health – General 10
	35	+	Section 19–319(e)(2) and (7) 11
	36	+	Annotated Code of Maryland 12
	37	+	(2019 Replacement Volume and 2022 Supplement) 13
34	38
35		-	19–319.
	39	+	BY repealing and reenacting, with amendments, 14
	40	+	Article – Health – General 15
	41	+	Section 19–319(e)(4) 16
	42	+	Annotated Code of Maryland 17
	43	+	(2019 Replacement Volume and 2022 Supplement) 18
36	44
37		-	(e) (2) As a condition of licensure, each hospital shall:
	45	+	SECTION 1. BE IT ENACTED BY TH E GENERAL ASSEMBLY OF MARYLAND, 19
	46	+	That the Laws of Maryland read as follows: 20
38	47
39		-	(i) Establish a credentialing process for the physicians who are
40		-	employed by or who have staff privileges at the hospital; and
	48	+	Article – Health – General 21 2 HOUSE BILL 633
41	49
42		-	(ii) Use the uniform standard credentialing form as the initial
43		-	application of a physician seeking to be credentialed.
44	50
45		-	(4) (I) The Secretary shall, by regulation and in consultation with
46		-	hospitals, physicians, interested community and advocacy groups, and representatives of
47		-	the Maryland Defense Bar and Plaintiffs’ Bar, establish minimum standards for a
48		-	credentialing process which shall include:
49		-	Ch. 359 2023 LAWS OF MARYLAND
50	51
51		-	– 2 –
52		-	[(i)] 1. A formal written appointment process documenting the
53		-	physician’s education, clinical expertise, licensure history, insurance history, medical
54		-	history, claims history, and professional experience[.];
	52	+	19–319. 1
55	53
56		-	[(ii)] 2. A requirement that an initial appointment to staff not be
57		-	complete until the physician has successfully completed a probationary period[.]; AND
	54	+	(e) (2) As a condition of licensure, each hospital shall: 2
58	55
59		-	[(iii)] 3. [A] SUBJECT TO SUBPARAGRA PH (II) OF THIS
60		-	PARAGRAPH , A formal, written reappointment process to be conducted [at least every 2
61		-	years] IN ACCORDANCE WITH S TANDARDS OF THE ACCR EDITATION BODY THAT
62		-	ACCREDITS A HOSPITAL .
	56	+	(i) Establish a credentialing process for the physicians who are 3
	57	+	employed by or who have staff privileges at the hospital; and 4
63	58
64		-	(II) The reappointment process ESTABLISHED UNDER
65		-	SUBPARAGRAPH (I)3 OF THIS PARAGRAPH shall document the physician’s pattern of
66		-	performance by analyzing:
	59	+	(ii) Use the uniform standard credentialing form as the initial 5
	60	+	application of a physician seeking to be credentialed. 6
67	61
68		-	1. Claims filed against the physician;
	62	+	(4) (I) The Secretary shall, by regulation and in consultation with 7
	63	+	hospitals, physicians, interested community and advocacy groups, and representatives of 8
	64	+	the Maryland Defense Bar and Plaintiffs’ Bar, establish minimum standards for a 9
	65	+	credentialing process which shall include: 10
69	66
70		-	2. Data dealing with utilization, quality, and risk;
	67	+	[(i)] 1. A formal written appointment process documenting the 11
	68	+	physician’s education, clinical expertise, licensure history, insurance history, medical 12
	69	+	history, claims history, and professional experience[.]; 13
71	70
72		-	3. Clinical skills;
	71	+	[(ii)] 2. A requirement that an initial appointment to staff not be 14
	72	+	complete until the physician has successfully completed a probationary period[.]; AND 15
73	73
74		-	4. Adherence to hospital bylaws, policies, and procedures;
	74	+	[(iii)] 3. [A] SUBJECT TO SUBPARAGRA PH (II) OF THIS 16
	75	+	PARAGRAPH , A formal, written reappointment process to be conducted [at least every 2 17
	76	+	years] IN ACCORDANCE WITH S TANDARDS OF THE ACCR EDITATION BODY THAT 18
	77	+	ACCREDITS A HOSPITAL . 19
75	78
76		-	5. Compliance with continuing education requirements;
	79	+	(II) The reappointment process ESTABLISHED UNDER 20
	80	+	SUBPARAGRAPH (I)3 OF THIS PARAGRAPH shall document the physician’s pattern of 21
	81	+	performance by analyzing: 22
77	82
78		-	6. ~~Mental and physical status~~; ~~and~~
	83	+	1. Claims filed against the physician; 23
79	84
80		-	7. The results of the practitioner performance evaluation
81		-	process under subsection (i) of this section.
	85	+	2. Data dealing with utilization, quality, and risk; 24
82	86
83		-	(7) If a hospital fails to establish or maintain a credentialing process
84		-	required under this subsection, the Secretary may impose the following penalties:
	87	+	3. Clinical skills; 25
85	88
86		-	~~(i) Delicensure of the~~ hospital; or
	89	+	4. Adherence to hospital bylaws, policies, and procedures; 26
87	90
88		-	~~(ii) $500 per day for each day the violation continues~~.
	91	+	5. Compliance with continuing education requirements; 27
89	92
90		-	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
91		-	October 1, 2023.
	93	+	6. Mental and physical status; and 28
92	94
93		-	Approved by the Governor, May 3, 2023.
	95	+	7. The results of the practitioner performance evaluation 29
	96	+	process under subsection (i) of this section. 30 HOUSE BILL 633 3
	97	+
	98	+
	99	+
	100	+	(7) If a hospital fails to establish or maintain a credentialing process 1
	101	+	required under this subsection, the Secretary may impose the following penalties: 2
	102	+
	103	+	(i) Delicensure of the hospital; or 3
	104	+
	105	+	(ii) $500 per day for each day the violation continues. 4
	106	+
	107	+	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 5
	108	+	October 1, 2023. 6
	109	+
	110	+
	111	+
	112	+
	113	+	Approved:
	114	+	________________________________________________________________________________
	115	+	Governor.
	116	+	________________________________________________________________________________
	117	+	Speaker of the House of Delegates.
	118	+	________________________________________________________________________________
	119	+	President of the Senate.