Maryland 2023 Regular Session

Maryland House Bill HB703 Compare Versions

Version 1 (Old)

Version 2 (New)

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		-	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	5		hb0703
9	6
10	7		HOUSE BILL 703
11	8		J1 3lr1884
12	9		CF SB 584
13		-	By: Delegate Kerr Delegates Kerr, Pena–Melnyk, Cullison, Alston, Bagnall,
14		-	Bhandari, Chisholm, Guzzone, Hill, Hutchinson, S. Johnson, Kaiser, Kipke,
15		-	R. Lewis, Lopez, Martinez, M. Morgan, Reilly, Rosenberg, Szeliga, Taveras,
16		-	White, and Woods
	10	+	By: Delegate Kerr
17	11		Introduced and read first time: February 6, 2023
18	12		Assigned to: Health and Government Operations
19		-	Committee Report: Favorable with amendments
20		-	House action: Adopted
21		-	Read second time: March 21, 2023
22	13
23		-	~~CHAPTER ______~~
	14	+	A BILL ENTITLED
24	15
25	16		AN ACT concerning 1
26	17
27		-	Public Health – Parkinson’s Disease Registry – Established Advisory Committee 2
28		-	and Website 3
	18	+	Public Health – Parkinson’s Disease Registry – Established 2
29	19
30		-	FOR the purpose of establishing a Parkinson’s Disease Registry in the Maryland 4
31		-	Department of Health; requiring the Department to collect certain data for the 5
32		-	Registry; authorizing the Department to share certain information in the Registry 6
33		-	with certain entities under certain conditions; providing for the confidentiality of 7
34		-	information collected under this Act; requiring the Department to maintain a record 8
35		-	of individuals granted access to confidential information in the Registry; altering the 9
36		-	duties of the Parkinson’s Disease Registry Advisory Committee; requiring the 10
37		-	Committee to meet on a certain basis beginning on a certain date, rather than with 11
38		-	the frequency established by the Secretary of Health; requiring the Maryland 12
39		-	Department of Health, in collaboration with the State –designated health 13
40		-	information exchange, to establish and maintain a certain website that has certain 14
41		-	information related to Parkinson’s disease; and generally relating to the 15
42		-	establishment of a Parkinson’s Disease Registry Parkinson’s disease. 16
	20	+	FOR the purpose of establishing a Parkinson’s Disease Registry in the Maryland 3
	21	+	Department of Health; requiring the Department to collect certain data for the 4
	22	+	Registry; authorizing the Department to share certain information in the Registry 5
	23	+	with certain entities under certain conditions; providing for the confidentiality of 6
	24	+	information collected under this Act; requiring the Department to maintain a record 7
	25	+	of individuals granted access to confidential information in the Registry; and 8
	26	+	generally relating to the establishment of a Parkinson’s Disease Registry. 9
43	27
44		-	BY repealing and reenacting, without amendments, 17
45		-	Article – Health – General 18
46		-	Section 18–1202 19
47		-	Annotated Code of Maryland 20
48		-	(2019 Replacement Volume and 2022 Supplement) 21 2 HOUSE BILL 703
	28	+	BY repealing and reenacting, with amendments, 10
	29	+	Article – Health – General 11
	30	+	Section 18–1201 and 18–1203 12
	31	+	Annotated Code of Maryland 13
	32	+	(2019 Replacement Volume and 2022 Supplement) 14
	33	+
	34	+	BY repealing 15
	35	+	Article – Health – General 16
	36	+	Section 18–1202 17
	37	+	Annotated Code of Maryland 18
	38	+	(2019 Replacement Volume and 2022 Supplement) 19
	39	+
	40	+	BY adding to 20
	41	+	Article – Health – General 21
	42	+	Section 18–1202 and 18–1204 through 18–1210 22
	43	+	Annotated Code of Maryland 23
	44	+	(2019 Replacement Volume and 2022 Supplement) 24
	45	+
	46	+	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 25
	47	+	That the Laws of Maryland read as follows: 26
	48	+	2 HOUSE BILL 703
	49	+
	50	+
	51	+	Article – Health – General 1
	52	+
	53	+	18–1201. 2
	54	+
	55	+	(a) In this subtitle the following words have the meanings indicated. 3
	56	+
	57	+	(b) “Advisory Committee” means the Parkinson’s Disease Registry Advisory 4
	58	+	Committee. 5
	59	+
	60	+	(c) (1) “PARKINSONISMS ” MEANS CONDITIONS RELATED TO 6
	61	+	PARKINSON’S DISEASE THAT CAUSE A COMBINATION OF THE MOVEMENT 7
	62	+	ABNORMALITIES SEEN I N PARKINSON’S DISEASE. 8
	63	+
	64	+	(2) “PARKINSONISMS ” INCLUDES MULTIPLE SYSTEM ATROPHY, 9
	65	+	DEMENTIA WITH LEWY BODIES, CORTICOBASAL DEGENERATION , AND PROGRESSIVE 10
	66	+	SUPRANUCLEAR PALSY. 11
	67	+
	68	+	(D) “Parkinson’s disease” means a chronic and progressive disorder resulting from 12
	69	+	deficiency of the neurotransmitter dopamine as the consequence of specific degenerative 13
	70	+	changes in the area of the brain called the basal ganglia, characterized by tremors at rest, 14
	71	+	slow movements, muscle rigidity, stooped posture, and unsteady or shuffling gait. 15
	72	+
	73	+	(E) “REGISTRY” MEANS THE PARKINSON’S DISEASE REGISTRY. 16
	74	+
	75	+	[18–1202. 17
	76	+
	77	+	There is a Parkinson’s Disease Registry Advisory Committee in the Department.] 18
	78	+
	79	+	18–1202. 19
	80	+
	81	+	THERE IS A PARKINSON’S DISEASE REGISTRY IN THE DEPARTMENT . 20
	82	+
	83	+	18–1203. 21
	84	+
	85	+	(A) THERE IS A PARKINSON’S DISEASE REGISTRY ADVISORY COMMITTEE 22
	86	+	IN THE DEPARTMENT . 23
	87	+
	88	+	[(a)] (B) The Advisory Committee shall: 24
	89	+
	90	+	(1) Assist in the development and implementation of a Parkinson’s Disease 25
	91	+	Registry; 26
	92	+
	93	+	(2) Determine what data shall be collected and be stored in a Parkinson’s 27
	94	+	Disease Registry and the methods to ensure the privacy and confidentiality of data collected 28
	95	+	and stored in the registry; and 29 HOUSE BILL 703 3
49	96
50	97
51	98
52		-	BY repealing and reenacting, with amendments, 1
53		-	Article – Health – General 2
54		-	Section 18–1201 and 18–1203 3
55		-	Annotated Code of Maryland 4
56		-	(2019 Replacement Volume and 2022 Supplement) 5
	99	+	(3) Advise the Department on Parkinson’s disease and maintaining a 1
	100	+	Parkinson’s Disease Registry. 2
57	101
58		-	BY repealing 6
59		-	Article – Health – General 7
60		-	Section 18–1202 8
61		-	Annotated Code of Maryland 9
62		-	(2019 Replacement Volume and 2022 Supplement) 10
	102	+	[(b)] (C) (1) The Secretary shall appoint individuals to serve on the Advisory 3
	103	+	Committee, including: 4
63	104
64		-	BY adding to 11
65		-	Article – Health – General 12
66		-	Section 18–1202 and 18–1204 through 18–1210 13
67		-	Annotated Code of Maryland 14
68		-	(2019 Replacement Volume and 2022 Supplement) 15
	105	+	(i) A neurologist; 5
69	106
70		-	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 16
71		-	That the Laws of Maryland read as follows: 17
	107	+	(ii) A movement disorder specialist; 6
72	108
73		-	~~Article – Health – General 18~~
	109	+	(iii) A primary care provider; 7
74	110
75		-	~~18–1201. 19~~
	111	+	(iv) A physician informaticist; 8
76	112
77		-	(a) ~~In this subtitle the following words have the meanings indicated. 20~~
	113	+	(v) A patient with Parkinson’s disease; 9
78	114
79		-	(b) “Advisory Committee” means the Parkinson’s Disease Registry Advisory 21
80		-	Committee. 22
	115	+	(vi) A public health professional; 10
81	116
82		-	(c) (1) “PARKINSONISMS ” MEANS CONDITIONS REL ATED TO 23
83		-	PARKINSON’S DISEASE THAT CAUSE A COMBINATION OF THE MOVEMENT 24
84		-	ABNORMALITIES SEEN I N PARKINSON’S DISEASE. 25
	117	+	(vii) A population health researcher familiar with disease registries; 11
85	118
86		-	(2) “PARKINSONISMS ” INCLUDES MULTIPLE SY STEM ATROPHY , 26
87		-	DEMENTIA WITH LEWY BODIES, CORTICOBASAL DEGENER ATION, AND PROGRESSIVE 27
88		-	SUPRANUCLEAR PALSY . 28
	119	+	(viii) A Parkinson’s disease researcher; and 12
89	120
90		-	(D) “Parkinson’s disease” means a chronic and progressive disorder resulting from 29
91		-	deficiency of the neurotransmitter dopamine as the consequence of specific degenerative 30
92		-	changes in the area of the brain called the basal ganglia, characterized by tremors at rest, 31
93		-	slow movements, muscle rigidity, stooped posture, and unsteady or shuffling gait. 32
	121	+	(ix) Any other individuals the Secretary determines are necessary. 13
94	122
95		-	(E) “REGISTRY” MEANS THE PARKINSON’S DISEASE REGISTRY. 33
96		-	HOUSE BILL 703 3
	123	+	(2) The Secretary shall establish: 14
97	124
	125	+	(i) The duration of term limits for members of the Advisory 15
	126	+	Committee; 16
98	127
99		-	~~[18–1202. 1~~
	128	+	(ii) The frequency of meetings of the Advisory Committee; 17
100	129
101		-	There is a Parkinson’s Disease Registry Advisory Committee in the Department.] 2
	130	+	(iii) Rules and procedures for conducting business of the Advisory 18
	131	+	Committee; and 19
102	132
103		-	18–1202. 3
	133	+	(iv) Any other rules necessary for the Advisory Committee to 20
	134	+	function effectively. 21
104	135
105		-	~~THERE IS A PARKINSON’S DISEASE REGISTRY IN THE DEPARTMENT~~ . 4
	136	+	18–1204. 22
106	137
107		-	18–1203. 5
	138	+	(A) THE DEPARTMENT SHALL COLL ECT DATA FOR THE REGISTRY, 23
	139	+	INCLUDING DATA ON THE IN CIDENCE OF PARKINSON’S DISEASE IN THE STATE AND 24
	140	+	RELATED EPIDEMIOLOGI CAL DATA. 25
108	141
109		-	(A) THERE IS A PARKINSON’S DISEASE REGISTRY ADVISORY COMMITTEE 6
110		-	IN THE DEPARTMENT . 7
111		-
112		-	[(a)] (B) The Advisory Committee shall: 8
113		-
114		-	(1) Assist in the development and implementation of a STATE Parkinson’s 9
115		-	Disease Registry; 10
116		-
117		-	(2) Determine what data shall be collected and be stored in a STATE 11
118		-	Parkinson’s Disease Registry and the methods to ensure the privacy and confidentiality of 12
119		-	data collected and stored in the registry; and 13
120		-
121		-	(3) Advise the Department on Parkinson’s disease and maintaining a 14
122		-	STATE Parkinson’s Disease Registry; AND 15
123		-
124		-	(4) CONSULT WITH ENTITIES THAT MAY BE ABLE TO COLLECT DATA 16
125		-	AND WORK IN PARTNERS HIP WITH THE FEDERAL CENTERS FOR DISEASE CONTROL 17
126		-	AND PREVENTION TO AID THE FEDERAL CENTERS FOR DISEASE CONTROL AND 18
127		-	PREVENTION IN CREATIN G A NATIONAL PARKINSON’S DISEASE REGISTRY. 19
128		-
129		-	(B) ENTITIES THAT MAY BE CONSULTED UNDER SUBS ECTION (A)(4) OF THIS 20
130		-	SECTION INCLUDE : 21
131		-
132		-	(1) THE STATE–DESIGNATED HEALTH IN FORMATION EXCHANGE ; 22
133		-
134		-	(2) NONPROFIT ORGANIZATIO NS; AND 23
135		-
136		-	(3) COLLEGES OR UNIVERSIT IES. 24
137		-
138		-	[(b)] (C) (1) The Secretary shall appoint individuals to serve on the Advisory 25
139		-	Committee, including: 26
140		-
141		-	(i) A neurologist; 27
142		-
143		-	(ii) A movement disorder specialist; 28 4 HOUSE BILL 703
	142	+	(B) THE ADVISORY COMMITTEE, IN CONSULTATION WITH THE 26
	143	+	DEPARTMENT , SHALL: 27 4 HOUSE BILL 703
144	144
145	145
146	146
147		-	(iii) A primary care provider; 1
	147	+	(1) IDENTIFY CATEGORIES OF DATA TO BE COLLECTED FOR THE 1
	148	+	REGISTRY RELATED TO: 2
148	149
149		-	(iv) ~~A physician informaticist~~; 2
	150	+	(I) PATIENT DEMOGRAPHICS , INCLUDING GEOGRAPHY ; AND 3
150	151
151		-	(v) ~~A patient with Parkinson’s disease~~; 3
	152	+	(II) DIAGNOSES; AND 4
152	153
153		-	(vi) A public health professional; 4
	154	+	(2) PERIODICALLY REVIEW T HE DATA COLLECTED FOR THE 5
	155	+	REGISTRY TO ASSESS WHETHER THE : 6
154	156
155		-	(vii) A population health researcher familiar with disease registries; 5
	157	+	(I) DATA INCLUDES SUFFICI ENT INFORMATION TO E NSURE 7
	158	+	THERE ARE NO DUPLICA TED PATIENT RECORDS IN THE REGISTRY; AND 8
156	159
157		-	(~~viii~~) ~~A Parkinson’s disease researcher;~~ ~~and 6~~
	160	+	(II) CATEGORIES OF DATA CO LLECTED SHOULD BE AL TERED. 9
158	161
159		-	~~(ix) Any other individuals the Secretary determines are necessary~~. 7
	162	+	18–1205. 10
160	163
161		-	(2) The Secretary shall establish: 8
	164	+	(A) (1) UNLESS OTHERWISE PROV IDED IN THIS SUBTITL E, ALL 11
	165	+	INFORMATION COLLECTE D FOR THE REGISTRY UNDER THIS S UBTITLE SHALL BE 12
	166	+	CONFIDENTIAL . 13
162	167
163		-	(i) The duration of term limits for members of the Advisory 9
164		-	Committee; 10
	168	+	(2) THE DEPARTMENT SHALL IMPLEMENT A CODING S YSTEM THAT 14
	169	+	REMOVES ANY PERSONAL LY IDENTIFIABLE INFO RMATION OF AN INDIVI DUAL FROM 15
	170	+	COLLECTED DATA . 16
165	171
166		-	(ii) The frequency of meetings of the Advisory Committee; 11
	172	+	(B) THE DEPARTMENT , IN CONSULTATION WITH THE ADVISORY 17
	173	+	COMMITTEE, SHALL ESTABLISH A SY STEM FOR THE COLLECT ION OF DATA FOR THE 18
	174	+	REGISTRY AND DISSEMINATION OF INFORMATION DETERMIN ING THE INCIDENCE 19
	175	+	AND PREVALENCE OF PARKINSON’S DISEASE AND RELATE D PARKINSONISMS . 20
167	176
168		-	(~~iii~~) ~~Rules and procedures for conducting business of~~ the Advisory 12
169		-	Committee~~; and 13~~
	177	+	(C) (1) THE DEPARTMENT , IN CONSULTATION WITH THE ADVISORY 21
	178	+	COMMITTEE, SHALL: 22
170	179
171		-	(iv) (III) Any other rules necessary for the Advisory Committee to 14
172		-	function effectively. 15
	180	+	(I) NOTIFY, IN WRITING AND ORALL Y, ALL INDIVIDUAL S IN THE 23
	181	+	STATE DIAGNOSED WITH PARKINSON’S DISEASE OR RELATED PARKINSONISMS 24
	182	+	ABOUT THE CREATION O F THE REGISTRY, DATA COLLECTION ASSO CIATED WITH 25
	183	+	THE REGISTRY, AND THE RIGHT TO OPT OUT OF PARTICIPATION IN THE REGISTRY; 26
	184	+	AND 27
173	185
174		-	(D) BEGINNING JULY 1, 2023, THE ADVISORY COMMITTEE SHALL MEET AT 16
175		-	LEAST QUARTERLY . 17
	186	+	(II) PROVIDE AN OPPORTUNIT Y TO OPT OUT OF PARTICIPAT ION 28
	187	+	IN THE REGISTRY. 29
	188	+	HOUSE BILL 703 5
176	189
177		-	18–1204. 18
178	190
179		-	(A) ~~THE DEPARTMENT SHALL COLL ECT DATA FOR THE REGISTRY,~~ 19
180		-	~~INCLUDING DATA ON THE INC IDENCE~~ OF ~~PARKINSON’S DISEASE~~ IN THE ~~STATE AND 20~~
181		-	~~RELATED EPIDEMIOLOGI CAL DATA~~. 21
	191	+	(2) (I) AN INDIVIDUAL WITH PARKINSON’S DISEASE OR RELATED 1
	192	+	PARKINSONISMS MAY OPT OUT OF PARTI CIPATING IN THE REGISTRY BY 2
	193	+	SUBMITTING WRITTEN N OTICE TO THE DEPARTMENT . 3
182	194
183		-	(B) THE ~~ADVISORY COMMITTEE, IN CONSULTATION WITH THE 22~~
184		-	DEPARTMENT ~~, SHALL~~: 23
	195	+	(II) IF AN INDIVIDUAL OPTS OUT OF PARTICIPA TION IN THE 4
	196	+	REGISTRY, THE DEPARTMENT : 5
185	197
186		-	(1~~) IDENTIFY CATEGORIES O F DATA TO BE COLLECT ED FOR THE 24~~
187		-	~~REGISTRY RELATED TO : 25~~
	198	+	1. SHALL RECORD AN INCID ENCE OF A PATIENT WI TH 6
	199	+	PARKINSON’S DISEASE; AND 7
188	200
189		-	(I) PATIENT DEMOGRAPHICS , INCLUDING GEOGRAPHY ; AND 26
	201	+	2. MAY NOT RECORD ANY AD DITIONAL INFORMATION 8
	202	+	ABOUT THE INDIVIDUAL . 9
190	203
191		-	(II) DIAGNOSES; AND 27 HOUSE BILL 703 5
	204	+	(D) THE DEPARTMENT MAY : 10
	205	+
	206	+	(1) CREATE, REVIEW, AND REVISE A LIST OF DATA POINTS REQUIRED 11
	207	+	AS PART OF MANDATED PARKINSON’S DISEASE REPORTING UNDER THIS SECTION , 12
	208	+	INCLUDING NECESSARY TRIGGERING DIAGNOSTI C CONDITIONS THAT AR E 13
	209	+	CONSISTENT WITH THE LATEST INTERNATIONAL STATISTICAL CLASSIFICATION OF 14
	210	+	DISEASES AND RELATED HEALTH PROBLEMS; AND 15
	211	+
	212	+	(2) IMPLEMENT THE COLLECT ION OF DATA POINTS O N THE LIST 16
	213	+	CREATED UNDER ITEM (1) OF THIS SUBSECTION T HROUGH A BULLETIN , OR SIMILAR 17
	214	+	INSTRUCTION, TO NURSE PRACTITIONE RS, PHYSICIANS, AND PHYSICIAN 18
	215	+	ASSISTANTS. 19
	216	+
	217	+	(E) AT LEAST 180 DAYS BEFORE THE DEPARTMENT ADOPTS MANDA TORY 20
	218	+	REPORTING OF PARKINSON’S DISEASE AND RELATE D PARKINSONISMS , THE 21
	219	+	DEPARTMENT SHALL PROV IDE NOTIFICATION OF THE MANDATORY REPORT ING OF 22
	220	+	PARKINSON’S DISEASE AND RELATE D PARKINSONISMS : 23
	221	+
	222	+	(1) ON THE DEPARTMENT ’S WEBSITE; 24
	223	+
	224	+	(2) DIRECTLY TO ASSOCIATIONS REPR ESENTING HOSPITALS , 25
	225	+	HEALTH CARE PROFESSI ONALS, AND OTHER HEALTH CAR E PROVIDERS IN THE 26
	226	+	STATE; AND 27
	227	+
	228	+	(3) DIRECTLY TO THE STATE BOARD OF NURSING AND THE STATE 28
	229	+	BOARD OF PHYSICIANS. 29
	230	+
	231	+	(F) (1) A NURSE PRACTITIONER , PHYSICIAN, OR PHYSICIAN AS SISTANT 30
	232	+	WHO DIAGNOSES PATIEN TS WITH PARKINSON’S DISEASE AND RELATE D 31
	233	+	PARKINSONISMS SHALL REPORT EACH CASE OF PARKINSON’S DISEASE AND 32 6 HOUSE BILL 703
	234	+
	235	+
	236	+	RELATED PARKINSONISM S TO THE REGISTRY IN A FORMAT DETERMINED BY THE 1
	237	+	DEPARTMENT . 2
	238	+
	239	+	(2) THE DEPARTMENT MAY U SE EXISTING REPORTING PROCEDURES 3
	240	+	TO IMPLEMENT THE REQ UIREMENT UNDER PARAG RAPH (1) OF THIS SUBSECTION 4
	241	+	FOR DIAGNOSIS REPORT ING AND DATA SUBMISS ION BY A NURSE PRACTITIONER , 5
	242	+	PHYSICIAN, OR PHYSICIAN ASSISTA NT. 6
	243	+
	244	+	18–1206. 7
	245	+
	246	+	(A) THE DEPARTMENT MAY ENTER INTO AGREEMENTS TO P ROVIDE DATA 8
	247	+	COLLECTED IN THE REGISTRY WITH PARKINSON’S DISEASE REGISTRIES IN OTHER 9
	248	+	STATES, FEDERAL PARKINSON’S DISEASE CONTROL AG ENCIES, LOCAL HEALTH 10
	249	+	DEPARTMENTS , OR HEALTH RESEARCHER S FOR THE STUDY OF PARKINSON’S 11
	250	+	DISEASE AND RELATED PARKINSONISMS . 12
	251	+
	252	+	(B) (1) BEFORE CONFIDENTIAL I NFORMATION IS DISCLO SED UNDER 13
	253	+	SUBSECTION (A) OF THIS SECTION , THE DEPARTMENT SHALL RECE IVE A WRITTEN 14
	254	+	AGREEMENT FROM THE P ARTNERING ENTITY TO MAINTAIN THE CONFIDE NTIALITY 15
	255	+	OF THE INFORMATION . 16
	256	+
	257	+	(2) IF THE ENTITY RECEIVI NG CONFIDENTIAL DATA FROM THE 17
	258	+	REGISTRY IS A RESEARC H ENTITY, THE RESEARCH ENTITY SHALL: 18
	259	+
	260	+	(I) OBTAIN APPROVAL FROM THE COMMITTEE AT THE 19
	261	+	RESEARCH ENTITY THAT NORMALLY REVIEW S RESEARCH PROJECTS FOR THE 20
	262	+	PROTECTION OF HUMAN SUBJECTS ESTABLISHED IN ACCORDANCE WITH TITLE 45 21
	263	+	OF THE CODE OF FEDERAL REGULATIONS; AND 22
	264	+
	265	+	(II) PROVIDE DOCUMENTATION TO THE DEPARTMENT THAT 23
	266	+	DEMONSTRATES , TO THE DEPARTMENT ’S SATISFACTION , THAT THE RESEARCH 24
	267	+	ENTITY HAS ESTABLISH ED PROCEDURES AND TH E ABILITY TO MAINTAI N THE 25
	268	+	CONFIDENTIALITY OF T HE DISCLOSED INFORMATION . 26
	269	+
	270	+	(C) THE DEPARTMENT SHALL ESTA BLISH PROCEDURES TO REVIEW AND 27
	271	+	APPROVE REQUESTS TO USE REGISTRY DATA FOR SCI ENTIFIC RESEARCH . 28
	272	+
	273	+	18–1207. 29
	274	+
	275	+	(A) NOTWITHSTANDING ANY O THER PROVISION OF LA W OR RULE OF 30
	276	+	PROCEDURE OR EVIDENC E IN THE MARYLAND RULES: 31
	277	+
	278	+	(1) A DATA DISCLOSURE AUTH ORIZED BY THIS SUBTI TLE MAY NOT: 32 HOUSE BILL 703 7
192	279
193	280
194	281
195		-	(2) ~~PERIODICALLY REVIEW T HE DATA COLLECTED FO R~~ THE 1
196		-	~~REGISTRY TO ASSESS WH ETHER~~ THE: 2
	282	+	(I) INCLUDE INFORMATION O THER THAN THE INFORM ATION 1
	283	+	NECESSARY FOR THE PU RPOSE OF THE DISCLOS URE; 2
197	284
198		-	(I) ~~DATA INCLUDES SUFFICI ENT INFORMATION TO E NSURE~~ 3
199		-	~~THERE ARE NO DUPLICA TED PATIENT RECORDS IN~~ THE ~~REGISTRY~~; ~~AND~~ 4
	285	+	(II) BE USED FOR A PURPOSE OTHER THAN THE PURPO SE FOR 3
	286	+	THE DISCLOSURE ; OR 4
200	287
201		-	(II) ~~CATEGORIES OF DATA CO LLECTED SHOULD~~ BE ~~AL TERED.~~ 5
	288	+	(III) BE FURTHER DISCLOSED ; 5
202	289
203		-	18–1205. 6
	290	+	(2) THE CONFIDENTIAL INFO RMATION COLLECTED FO R THE 6
	291	+	REGISTRY MAY NOT BE M ADE AVAILABLE FOR SU BPOENA, DISCLOSED, 7
	292	+	DISCOVERABLE , OR COMPELLED TO BE P RODUCED IN ANY CIVIL , CRIMINAL, 8
	293	+	ADMINISTRATIVE , OR OTHER PROCEEDING ; AND 9
204	294
205		-	(A) ~~(1) UNLESS OTHERWISE PROV IDED IN THIS SUBTITL E,~~ ~~ALL 7~~
206		-	~~INFORMATION COLLECTE~~ D ~~FOR THE REGISTRY UNDER THIS S UBTITLE SHALL BE 8~~
207		-	~~CONFIDENTIAL~~ . 9
	295	+	(3) THE CONFIDENT IAL INFORMATION COLL ECTED FOR THE 10
	296	+	REGISTRY MAY NOT BE D EEMED ADMISSIBLE AS EVIDENCE IN ANY CIVI L, CRIMINAL, 11
	297	+	ADMINISTRATIVE , TRIBUNAL, OR OTHER PROCEEDING . 12
208	298
209		-	(2) THE DEPARTMENT SHALL IMPLEMENT A CODING S YSTEM THAT 10
210		-	REMOVES ANY PERSONAL LY IDENTIFIABLE INFO RMATION OF AN INDIVI DUAL FROM 11
211		-	COLLECTED DATA . 12
	299	+	(B) (1) THIS SECTION DOES NOT PREEMPT THE AUTHORIT Y OF A HEALTH 13
	300	+	CARE PROVIDER , AS DEFINED IN § 19–132 OF THIS ARTICLE , PROVIDING 14
	301	+	DIAGNOSTIC SERVICES OR TREATMENT TO PATI ENTS WITH PARKINSON’S DISEASE 15
	302	+	OR RELATED PARKINSON ISMS TO MAINTAIN A PARKINSON’S DISEASE REGISTR Y. 16
212	303
213		-	(B) THE ~~DEPARTMENT , IN CONSULTATION WITH THE ADVISORY 13~~
214		-	~~COMMITTEE, SHALL ESTABLISH A SY STEM FOR THE COLLECT ION OF DATA FOR THE 14~~
215		-	~~REGISTRY AND DISSEMINATION OF INF ORMATION DETERMINING THE INCIDENCE 15~~
216		-	~~AND PREVALENCE~~ OF ~~PARKINSON’S DISEASE AND RELATE D PARKINSONISMS~~ . 16
	304	+	(2) THIS SECTION DOES NOT PROHIBIT THE PUBLICA TION OF 17
	305	+	REPORTS AND STATISTI CAL COMPIL ATIONS THAT DO NOT I DENTIFY INDIVIDUALS 18
	306	+	WITH PARKINSON’S DISEASE OR RELATED PARKINSONISMS OR IND IVIDUAL 19
	307	+	SOURCES OF INFORMATI ON. 20
217	308
218		-	(C) (1) THE DEPARTMENT , IN CONSULTATION WITH THE ADVISORY 17
219		-	COMMITTEE, SHALL: 18
	309	+	18–1208. 21
220	310
221		-	(I) NOTIFY, IN WRITING AND ORALL Y, ALL INDIVIDUALS I N THE 19
222		-	STATE DIAGNOSED WITH PARKINSON’S DISEASE OR RELATED PARKINSONISMS 20
223		-	ABOUT THE CREATION O F THE REGISTRY, DATA COLLECTION ASSO CIATED WITH 21
224		-	THE REGISTRY, AND THE RIGHT TO OPT OUT OF PARTICIPATION IN THE REGISTRY; 22
225		-	AND 23
	311	+	(A) THE DEPARTMENT SHALL MAINTAIN A RECORD OF INDIVIDUALS 22
	312	+	GRANTED ACCESS TO CO NFIDENTIAL INFORMATI ON FROM THE REGISTRY. 23
226	313
227		-	(II) PROVIDE AN OPPORTUNIT Y TO OPT OUT OF PARTICIPATION 24
228		-	IN THE REGISTRY. 25
	314	+	(B) THE DEPARTMENT MAY NOT DE NY A REQUEST FOR INS PECTION OF THE 24
	315	+	RECORD MAINTAINED UN DER SUBSECTION (A) OF THIS SECTION UNDER TITLE 4 OF 25
	316	+	THE GENERAL PROVISIONS ARTICLE. 26
229	317
230		-	(2) (I) AN INDIVIDUAL WITH PARKINSON’S DISEASE OR RELATED 26
231		-	PARKINSONISMS MAY OP T OUT OF PARTICIPATI NG IN THE REGISTRY BY 27
232		-	SUBMITTING WRITTEN N OTICE TO THE DEPARTMENT . 28
	318	+	(C) THE RECORD MAINTAINED UNDER SUBSECTION (A) OF THIS SECTION 27
	319	+	SHALL INCLUDE THE ACCESSING INDIVI DUAL’S: 28
233	320
234		-	(II) IF AN INDIVIDUAL OPTS OUT OF PARTICIPATION IN THE 29
235		-	REGISTRY, THE DEPARTMENT : 30
236		-	6 HOUSE BILL 703
	321	+	(1) NAME; 29
237	322
238		-
239		-	1. SHALL RECORD AN INCID ENCE OF A PATIENT WI TH 1
240		-	PARKINSON’S DISEASE; AND 2
241		-
242		-	2. MAY NOT RECORD ANY AD DITIONAL INFORMATION 3
243		-	ABOUT THE INDIVIDUAL . 4
244		-
245		-	(D) THE DEPARTMENT MAY : 5
246		-
247		-	(1) CREATE, REVIEW, AND REVISE A LIST OF DATA POINT S REQUIRED 6
248		-	AS PART OF MANDATED PARKINSON’S DISEASE REPORTING UNDER THIS SECTION , 7
249		-	INCLUDING NECESSARY TRIGGERING DIAGNOSTI C CONDITIONS THAT AR E 8
250		-	CONSISTENT WITH THE LATEST INTERNATIONAL STATISTICAL CLASSIFICATION OF 9
251		-	DISEASES AND RELATED HEALTH PROBLEMS; AND 10
252		-
253		-	(2) IMPLEMENT THE COLLECT ION OF DATA POINTS O N THE LIST 11
254		-	CREATED UNDER ITEM (1) OF THIS SUBSECTION T HROUGH A BULLETIN , OR SIMILAR 12
255		-	INSTRUCTION, TO NURSE PRACTITIONE RS, PHYSICIANS, AND PHYSICIAN 13
256		-	ASSISTANTS. 14
257		-
258		-	(E) AT LEAST 180 DAYS BEFOR E THE DEPARTMENT ADOPTS MAN DATORY 15
259		-	REPORTING OF PARKINSON’S DISEASE AND RELATE D PARKINSONISMS , THE 16
260		-	DEPARTMENT SHALL PROV IDE NOTIFICATION OF THE MANDATORY REPORT ING OF 17
261		-	PARKINSON’S DISEASE AND RELATE D PARKINSONISMS : 18
262		-
263		-	(1) ON THE DEPARTMENT ’S WEBSITE; 19
264		-
265		-	(2) DIRECTLY TO ASSOCIATI ONS REPRESENTING HOS PITALS, 20
266		-	HEALTH CARE PROFESSI ONALS, AND OTHER HEALTH CAR E PROVIDERS IN THE 21
267		-	STATE; AND 22
268		-
269		-	(3) DIRECTLY TO THE STATE BOARD OF NURSING AND THE STATE 23
270		-	BOARD OF PHYSICIANS. 24
271		-
272		-	(F) (1) A NURSE PRACTITIONER , PHYSICIAN, OR PHYSICIAN ASSISTANT 25
273		-	WHO DIAGNOSES PATIEN TS WITH PARKINSON’S DISEASE AND RELATE D 26
274		-	PARKINSONISMS SHALL REPORT EACH CASE OF PARKINSON’S DISEASE AND 27
275		-	RELATED PARKINSONISM S TO THE REGISTRY IN A FORMAT DETERMINED BY THE 28
276		-	DEPARTMENT . 29
277		-
278		-	(2) THE DEPARTMENT MAY USE EX ISTING REPORTING PROCED URES 30
279		-	TO IMPLEMENT THE REQ UIREMENT UNDER PARAG RAPH (1) OF THIS SUBSECTION 31
280		-	FOR DIAGNOSIS REPORT ING AND DATA SUBMISS ION BY A NURSE PRACT ITIONER, 32
281		-	PHYSICIAN, OR PHYSICIAN ASSISTA NT. 33
282		-	HOUSE BILL 703 7
283		-
284		-
285		-	18–1206. 1
286		-
287		-	(A) THE DEPARTMENT MAY ENTER INTO AGREEMENTS TO PROVIDE DATA 2
288		-	COLLECTED IN THE REGISTRY WITH PARKINSON’S DISEASE REGISTRIES IN OTHER 3
289		-	STATES, FEDERAL PARKINSON’S DISEASE CONTROL AG ENCIES, LOCAL HEALTH 4
290		-	DEPARTMENTS , OR HEALTH RESEARCHER S FOR THE STUDY OF PARKINSON’S 5
291		-	DISEASE AND RELATED PARKINSONISMS . 6
292		-
293		-	(B) (1) BEFORE CONFIDENTIAL I NFORMATION IS DISCLO SED UNDER 7
294		-	SUBSECTION (A) OF THIS SECTION , THE DEPARTMENT SHALL RECE IVE A WRITTEN 8
295		-	AGREEMENT FROM THE P ARTNERING ENTITY TO MAINTAIN THE CONFIDE NTIALITY 9
296		-	OF THE INFORMATION . 10
297		-
298		-	(2) IF THE ENTITY RECEIVI NG CONFIDE NTIAL DATA FROM THE 11
299		-	REGISTRY IS A RESEARC H ENTITY, THE RESEARCH ENTITY SHALL: 12
300		-
301		-	(I) OBTAIN APPROVAL FROM THE COMMITTEE AT THE 13
302		-	RESEARCH ENTITY THAT NORMALLY REVIEWS RES EARCH PROJECTS FOR T HE 14
303		-	PROTECTION OF HUMAN SUBJECTS ESTABLISHED IN ACCORDANCE WITH TITLE 45 15
304		-	OF THE CODE OF FEDERAL REGULATIONS; AND 16
305		-
306		-	(II) PROVIDE DOCUMENTATION TO THE DEPARTMENT THAT 17
307		-	DEMONSTRATES , TO THE DEPARTMENT ’S SATISFACTION , THAT THE RESEARCH 18
308		-	ENTITY HAS ESTABLISH ED PROCEDURES AND TH E ABILITY TO MAINTAI N THE 19
309		-	CONFIDENTIALITY OF T HE DISCLOSED INFORMAT ION. 20
310		-
311		-	(C) THE DEPARTMENT SHALL ESTA BLISH PROCEDURES TO REVIEW AND 21
312		-	APPROVE REQUESTS TO USE REGISTRY DATA FOR SCI ENTIFIC RESEARCH . 22
313		-
314		-	18–1207. 23
315		-
316		-	(A) NOTWITHSTANDING ANY O THER PROVISION OF LA W OR RULE OF 24
317		-	PROCEDURE OR EVIDENC E IN THE MARYLAND RULES: 25
318		-
319		-	(1) A DATA DISCLOSURE AUTH ORIZED BY THIS SUBTI TLE MAY NOT: 26
320		-
321		-	(I) INCLUDE INFORMATION O THER THAN THE INFORM ATION 27
322		-	NECESSARY FOR THE PU RPOSE OF THE DISCLOS URE; 28
323		-
324		-	(II) BE USED FOR A PURPOSE OTHER THAN THE PURPO SE FOR 29
325		-	THE DISCLOSURE ; OR 30
326		-
327		-	(III) BE FURTHER DISCLOSED ; 31
328		-	8 HOUSE BILL 703
329		-
330		-
331		-	(2) THE CONFIDENTIAL INFO RMATION COLLECTED FO R THE 1
332		-	REGISTRY MAY NOT BE M ADE AVAILABLE FOR SU BPOENA, DISCLOSED, 2
333		-	DISCOVERABLE , OR COMPELLED TO BE P RODUCED IN ANY CIVIL , CRIMINAL, 3
334		-	ADMINISTRATIVE , OR OTHER PROCEEDING ; AND 4
335		-
336		-	(3) THE CONFIDENTIAL INFO RMATION COLLECTED FO R THE 5
337		-	REGISTRY MAY NOT BE D EEMED ADMISSIBLE AS EVIDENCE IN ANY CIVI L, CRIMINAL, 6
338		-	ADMINISTRATIVE , TRIBUNAL, OR OTHER PROCEEDING . 7
339		-
340		-	(B) (1) THIS SECTION DOES NOT PREEMPT THE AUTHORIT Y OF A HEALTH 8
341		-	CARE PROVIDER , AS DEFINED IN § 19–132 OF THIS ARTICLE , PROVIDING 9
342		-	DIAGNOSTIC SERVICES OR TREATMENT TO PATI ENTS WITH PARKINSON’S DISEASE 10
343		-	OR RELATED PARKINSON ISMS TO MAINTAIN A PARKINSON’S DISEASE REGISTRY . 11
344		-
345		-	(2) THIS SECTION DOES NOT PROHIBIT THE PUBLICA TION OF 12
346		-	REPORTS AND S TATISTICAL COMPILATI ONS THAT DO NOT IDEN TIFY INDIVIDUALS 13
347		-	WITH PARKINSON’S DISEASE OR RELATED PARKINSONISMS OR IND IVIDUAL 14
348		-	SOURCES OF INFORMATI ON. 15
349		-
350		-	18–1208. 16
351		-
352		-	(A) THE DEPARTMENT SHALL MAIN TAIN A RECORD OF IND IVIDUALS 17
353		-	GRANTED ACCESS TO CO NFIDENTIAL INFORMATION FROM THE REGISTRY. 18
354		-
355		-	(B) THE DEPARTMENT MAY NOT DE NY A REQUEST FOR INS PECTION OF THE 19
356		-	RECORD MAINTAINED UN DER SUBSECTION (A) OF THIS SECTION UNDE R TITLE 4 OF 20
357		-	THE GENERAL PROVISIONS ARTICLE. 21
358		-
359		-	(C) THE RECORD MAINTAINED UNDER SUBSECTION (A) OF THIS SECTION 22
360		-	SHALL INCLUDE THE AC CESSING INDIVIDUAL ’S: 23
361		-
362		-	(1) NAME; 24
363		-
364		-	(2) TITLE; 25
365		-
366		-	(3) ADDRESS; 26
367		-
368		-	(4) ORGANIZATIONAL AFFILI ATION; 27
369		-
370		-	(5) DATES OF ACCESS; AND 28
371		-
372		-	(6) PURPOSE FOR ACCESSING THE INFORMATION . 29
373		-
374		-	18–1209. 30 HOUSE BILL 703 9
	323	+	(2) TITLE; 30 8 HOUSE BILL 703
375	324
376	325
377	326
378		-	THE DEPARTMENT SHALL ADOP T REGULATIONS NECESSARY TO CARRY O UT 1
379		-	THIS SUBTITLE. 2
	327	+	(3) ADDRESS; 1
380	328
381		-	~~18–1210. 3~~
	329	+	(4) ORGANIZATIONAL AFFILI ATION; 2
382	330
383		-	(A) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2023, THE 4
384		-	ADVISORY COMMITTEE SHALL REPOR T TO THE SECRETARY OF HEALTH AND, IN 5
385		-	ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE SENATE 6
386		-	FINANCE COMMITTEE AND THE HOUSE HEALTH AND GOVERNMENT OPERATIONS 7
387		-	COMMITTEE ON THE REGISTRY AND THE PREV ALENCE OF PARKINSON’S DISEASE IN 8
388		-	THE STATE. 9
	331	+	(5) DATES OF ACCESS; AND 3
389	332
390		-	(B) THE DEPARTMENT SHALL POST THE REPORT REQUIRED UNDER 10
391		-	SUBSECTION (A) OF THIS SECTION ON A DEDICATED WEBSITE ACCESSIBLE TO THE 11
392		-	PUBLIC. 12
	333	+	(6) PURPOSE FOR ACCESSING THE INFORMATION . 4
393	334
394		-	18–~~1204~~. 13
	335	+	18–1209. 5
395	336
396		-	(A) THE DEPARTMENT , IN COLLABORATION WIT H THE STATE–DESIGNATED 14
397		-	HEALTH INFORMATION E XCHANGE, SHALL ESTABLISH AND MAINTAIN A PUBLICLY 15
398		-	ACCESSIBLE WEBSITE T HAT HAS THE FOLLOWIN G INFORMATION IN A 16
399		-	DOWNLOADABLE FORMAT : 17
	337	+	THE DEPARTMENT SHALL ADOP T REGULATIONS NECESS ARY TO CARRY OUT 6
	338	+	THIS SUBTITLE. 7
400	339
401		-	~~(1) THE INCIDENCE OF PARKINSON’S DISEASE IN THE STATE; AND 18~~
	340	+	18–1210. 8
402	341
403		-	(2) TO THE EXTENT POSSIBL E, THE INCIDENCE OF PARKINSON’S 19
404		-	DISEASE DISAGGREGATE D BASED ON: 20
	342	+	(A) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2023, THE 9
	343	+	ADVISORY COMMITTEE SHALL REPOR T TO THE SECRETARY OF HEALTH AND, IN 10
	344	+	ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE SENATE 11
	345	+	FINANCE COMMITTEE AND THE HOUSE HEALTH AND GOVERNMENT OPERATIONS 12
	346	+	COMMITTEE ON THE REGISTRY AND THE PREV ALENCE OF PARKINSON’S DISEASE IN 13
	347	+	THE STATE. 14
405	348
406		-	(I) AGE, INCLUDING AGE OF DIA GNOSIS; 21
	349	+	(B) THE DEPARTMENT SHALL POST THE REPORT REQUIRED UNDER 15
	350	+	SUBSECTION (A) OF THIS SECTION ON A DEDICATED WEBSITE AC CESSIBLE TO THE 16
	351	+	PUBLIC. 17
407	352
408		-	(II) GENDER; 22
	353	+	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 18
	354	+	October 1, 2023. 19
409	355
410		-	(III) SEX; 23
411		-
412		-	(IV) RACE; 24
413		-
414		-	(V) ETHNICITY; AND 25
415		-
416		-	(VI) CASES BY COUNTY . 26
417		-
418		-	(B) THE WEBSITE REQUIRED UNDER SUBSECTION (A) OF THIS SECTION 27
419		-	SHALL: 28
420		-	10 HOUSE BILL 703
421		-
422		-
423		-	(1) INCLUDE THE DATA AVAI LABLE FOR THE 5–YEAR PERIOD ENDING 1
424		-	ON SEPTEMBER 30, 2023; AND 2
425		-
426		-	(2) BE UPDATED ON OR BEFO RE JANUARY 1 EACH YEAR, TO INCLUDE 3
427		-	ANY NEWLY AVAILABLE DATA. 4
428		-
429		-	SECTION 2. AND BE IT FURTHER ENACTED, That on or before July 1, 2024, the 5
430		-	Parkinson’s Disease Registry Advisory Committee shall report to the Senate Finance 6
431		-	Committee and the House Health and Government Operations Committee, in accordance 7
432		-	with § 2–1257 of the State Government Article, on recommendations for a path forward 8
433		-	toward the establishment of a fully functional State Parkinson’s Disease Registry. 9
434		-
435		-	SECTION 3. AND BE IT FURTHER ENACTED, That the Maryland Department of 10
436		-	Health shall establish the website required under § 18–1204 of the Health – General 11
437		-	Article, as enacted by Section 1 of this Act, on or before October 1, 2023. 12
438		-
439		-	SECTION 2. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 13
440		-	October June 1, 2023. 14
441		-
442		-
443		-
444		-
445		-	Approved:
446		-	________________________________________________________________________________
447		-	Governor.
448		-	________________________________________________________________________________
449		-	Speaker of the House of Delegates.
450		-	________________________________________________________________________________
451		-	President of the Senate.