Maryland 2023 Regular Session

Maryland House Bill HB953 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	hb0953
6	6
7	7	HOUSE BILL 953
8	8	J1 3lr0430
9	9	HB 396/21 – HGO CF SB 618
10	10	By: Delegates Pena–Melnyk, Acevero, Addison, Alston, Bagnall, Bartlett, Boyce,
11	11	Bridges, Charkoudian, Crutchfield, Cullison, Ebersole, Embry, Feldmark,
12	12	Fennell, Forbes, Fraser –Hidalgo, Henson, Ivey, S. Johnson, Kaiser,
13	13	Kaufman, Kelly, Lehman, R. Lewis, Lopez, Love, Moon, Palakovich Carr,
14	14	Patterson, Queen, Reznik, Ruth, Shetty, Simpson, Solomon, Stein, Stew art,
15	15	Taveras, Terrasa, Turner, Vogel, Wells, Wilkins, Woods, and Young
16	16	Introduced and read first time: February 10, 2023
17	17	Assigned to: Health and Government Operations
18	18
19	19	A BILL ENTITLED
20	20
21	21	AN ACT concerning 1
22	22
23	23	Public Health – Overdose and Infectious Disease Prevention Services Program 2
24	24
25	25	FOR the purpose of authorizing a community–based organization, with the approval of the 3
26	26	Maryland Department of Health, to establish an Overdose and Infectious Disease 4
27	27	Prevention Services Program; authorizing a Program to bill the insurance carrier of 5
28	28	an individual who uses the services of the Program for the cost of covered services, 6
29	29	accept donations, grants, and other financial assistance, apply for certain grants, 7
30	30	coordinate with certain programs or organizations, and use mobile facilities; 8
31	31	prohibiting the location of a Program in certain areas; prohibiting certain persons, 9
32	32	under certain circumstances, from being subject to arrest, prosecution, or certain 10
33	33	penalties or from being denied any right or privilege for involvement in the operation 11
34	34	or use of services of a Program; and generally relating to an Overdose and Infectious 12
35	35	Disease Prevention Services Program. 13
36	36
37	37	BY adding to 14
38	38	Article – Health – General 15
39	39	Section 24–2201 through 24–2206 to be under the new subtitle “Subtitle 22. 16
40	40	Overdose and Infectious Disease Prevention Services Program” 17
41	41	Annotated Code of Maryland 18
42	42	(2019 Replacement Volume and 2022 Supplement) 19
43	43
44	44	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 20
45	45	That the Laws of Maryland read as follows: 21
46	46
47	47	Article – Health – General 22
48	48	2 HOUSE BILL 953
49	49
50	50
51	51	SUBTITLE 22. OVERDOSE AND INFECTIOUS DISEASE PREVENTION SERVICES 1
52	52	PROGRAM. 2
53	53
54	54	24–2201. 3
55	55
56	56	(A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 4
57	57	INDICATED. 5
58	58
59	59	(B) (1) “COMMUNITY–BASED ORGANIZATIO N” MEANS A PUBLIC OR 6
60	60	PRIVATE ORGANIZATION THAT: 7
61	61
62	62	(I) IS REPRESENTATIVE OF A COMMUNITY OR SIGNI FICANT 8
63	63	SEGMENTS OF A COMMUN ITY; AND 9
64	64
65	65	(II) PROVIDES EDUCATIONAL , HEALTH, OR SOCIAL SERVICES 10
66	66	TO INDIVIDUALS IN TH E COMMUNITY . 11
67	67
68	68	(2) “COMMUNITY–BASED ORGANIZA TION” INCLUDES: 12
69	69
70	70	(I) A HOSPITAL; 13
71	71
72	72	(II) A CLINIC; 14
73	73
74	74	(III) A SUBSTANCE USE DISORDER TREATMENT CENTER ; 15
75	75
76	76	(IV) A MEDICAL OFFICE ; 16
77	77
78	78	(V) A FEDERALLY QUALIFIED HEALTH CENTER ; 17
79	79
80	80	(VI) A MENTAL HEALTH FACILI TY; 18
81	81
82	82	(VII) A LOCAL HEALTH DEPARTM ENT; AND 19
83	83
84	84	(VIII) A FAITH–BASED ORGANIZATION . 20
85	85
86	86	(C) “PROGRAM” MEANS AN OVERDOSE AND INFECTIOUS DISEASE 21
87	87	PREVENTION SERVICES PROGRAM. 22
88	88
89	89	24–2202. 23
90	90
91	91	(A) SUBJECT TO SUBSECTION (B) OF THIS SECTION , A COMMUNITY –BASED 24
92	92	ORGANIZATION MAY EST ABLISH AN OVERDOSE AND INFECTIOUS DISEASE 25
93	93	PREVENTION SERVICES PROGRAM WITH THE APPR OVAL OF THE DEPARTMENT , IN 26
94	94	CONSULTATION WITH TH E LOCAL HEALTH DEPAR TMENT. 27 HOUSE BILL 953 3
95	95
96	96
97	97
98	98	(B) (1) THE DEPARTMENT MAY APPROV E NOT MORE THAN SIX 1
99	99	PROGRAMS, WITH EACH PROGRAM OPERATING AT A SINGLE LOCATION IN AN AREA 2
100	100	WITH A HIGH INCIDENCE OF DR UG USE. 3
101	101
102	102	(2) TO THE EXTENT PRACTIC ABLE, THE PROGRAMS APPROVED BY 4
103	103	THE DEPARTMENT UNDER PARA GRAPH (1) OF THIS SUBSECTION S HALL INCLUDE : 5
104	104
105	105	(I) TWO PROGRAMS LOCATED IN U RBAN AREAS OF THE STATE; 6
106	106
107	107	(II) TWO PROGRAMS LOCATED IN S UBURBAN AREAS OF THE 7
108	108	STATE; AND 8
109	109
110	110	(III) TWO PROGRAMS LOCATED IN R URAL AREAS OF THE STATE. 9
111	111
112	112	(C) THE DEPARTMENT , IN CONSULTATION WITH THE LOCAL HEALTH 10
113	113	DEPARTMENT , SHALL MAKE ITS DETER MINATION OF WHETHER TO APPROVE AN 11
114	114	APPLICATION SUBMITTE D UNDER THIS SECTION BASED ON THE ABILITY OF THE 12
115	115	COMMUNITY –BASED ORGANIZATION T O SATISFY THE REQUIR EMENTS OF §§ 13
116	116	24–2203, 24–2204, AND 24–2205 OF THIS SUBTITLE. 14
117	117
118	118	(D) THE DEPARTMENT , IN CONSULTATION WITH THE LOCAL HEALTH 15
119	119	DEPARTMENT , SHALL: 16
120	120
121	121	(1) APPROVE OR DENY AN AP PLICATION OF A COMMUNITY –BASED 17
122	122	ORGANIZATION WITHIN 45 DAYS AFTER THE DAY O N WHICH THE APPLICAT ION IS 18
123	123	RECEIVED; AND 19
124	124
125	125	(2) PROVIDE A WRITTEN EXP LANATION OF THE DEPARTMENT ’S 20
126	126	DETERMINATION TO THE COMMUNITY –BASED ORGANIZATION . 21
127	127
128	128	24–2203. 22
129	129
130	130	(A) A PROGRAM SHALL : 23
131	131
132	132	(1) PROVIDE A LOCATION SUPERVI SED BY HEALTH CARE 24
133	133	PROFESSIONALS OR OTH ER TRAINED STAFF WHE RE DRUG USERS CAN CO NSUME 25
134	134	PREOBTAINED DRUGS ; 26
135	135
136	136	(2) PROVIDE STERILE SUPPL IES FOR PERSONAL DRUG 27
137	137	ADMINISTRATION , COLLECT USED SUPPLIES, AND PROVIDE APPROPRIATE 28
138	138	DISPOSAL SERVICES O F USED SUPPLIES ; 29
139	139	4 HOUSE BILL 953
140	140
141	141
142	142	(3) ANSWER QUESTIONS ABOU T SAFE DRUG USE PRACTICES; 1
143	143
144	144	(4) ADMINISTER FIRST AID , IF NEEDED, MONITOR PARTICIPANTS FOR 2
145	145	POTENTIAL OVERDOSE , AND ADMINISTER RESCU E MEDICATIONS , INCLUDING 3
146	146	NALOXONE; 4
147	147
148	148	(5) PROVIDE ACCESS OR REF ERRALS TO SERVICES, INCLUDING: 5
149	149
150	150	(I) SUBSTANCE USE DISORDE R COUNSELING AND TRE ATMENT 6
151	151	SERVICES; 7
152	152
153	153	(II) TESTING FOR HIV, VIRAL HEPATITIS , AND SEXUALLY 8
154	154	TRANSMITTED DISEASES ; 9
155	155
156	156	(III) REPRODUCTIVE HEALTH E DUCATION AND SERVICE S; AND 10
157	157
158	158	(IV) WOUND CARE; 11
159	159
160	160	(6) EDUCATE PARTICIPANTS ON THE RISKS OF CONT RACTING HIV 12
161	161	AND VIRAL HEPATITIS ; 13
162	162
163	163	(7) PROVIDE OVERDOSE PREV ENTION EDUCATION AND ACCESS TO 14
164	164	OR REFERRALS TO OBTA IN NALOXONE; 15
165	165
166	166	(8) EDUCATE PARTICIPANTS REGARDING PROPER DIS POSAL OF 16
167	167	HYPODERMIC NEEDLES A ND SYRINGES; 17
168	168
169	169	(9) PROVIDE REASONABLE AN D ADEQUATE SECURITY OF THE 18
170	170	PROGRAM SITE AND EQUI PMENT; 19
171	171
172	172	(10) ESTABLISH A METHOD OF IDENTIFYING PROGRAM STAFF 20
173	173	MEMBERS WHO ARE AUTH ORIZED TO ACCESS DRUG ADMINISTRATION SUPPLIES AND 21
174	174	PROGRAM RECORDS ; AND 22
175	175
176	176	(11) TRAIN STAFF MEMBER S TO DELIVER SERVICE S OFFERED BY THE 23
177	177	PROGRAM. 24
178	178
179	179	(B) A PROGRAM MAY : 25
180	180
181	181	(1) WITH THE CONSENT OF T HE INDIVIDUAL, BILL THE INSURANCE 26
182	182	CARRIER OF AN INDIVI DUAL WHO USES THE SE RVICES OF THE PROGRAM FOR THE 27
183	183	COST OF COVERED SERV ICES; 28
184	184	HOUSE BILL 953 5
185	185
186	186
187	187	(2) ACCEPT DONATIONS , GRANTS, OR OTHER FINANCIAL 1
188	188	ASSISTANCE; 2
189	189
190	190	(3) APPLY FOR GRANTS FROM THE DEPARTMENT OR ANY NON PROFIT 3
191	191	OR OTHER PRIVATE ORG ANIZATION; 4
192	192
193	193	(4) COORDINATE WITH ANY S UBSTANCE USE PREVENT ION AND 5
194	194	OUTREACH PROGRAM , SYRINGE SERVICES PRO GRAM, OR COMMUNITY –BASED 6
195	195	ORGANIZATION ; AND 7
196	196
197	197	(5) USE A MOBILE FACILITY TO OPERATE AND PROVI DE SERVICES. 8
198	198
199	199	(C) A PROGRAM MAY NOT BE LO CATED IN AN AREA THA T IS ZONED FOR 9
200	200	RESIDENTIAL USES . 10
201	201
202	202	24–2204. 11
203	203
204	204	(A) THE FOLLOWING PERSONS ACTING IN ACCORDANCE WITH THE 12
205	205	PROVISIONS OF THIS S UBTITLE MAY NOT BE SUBJECT TO ARREST , PROSECUTION , 13
206	206	OR ANY CIVIL OR ADMI NISTRATIVE PENALTY , INCLUDING A CIVIL PE NALTY OR 14
207	207	DISCIPLINARY ACTION BY A PROFESSIONAL LI CENSING BOARD , OR BE DENIED ANY 15
208	208	RIGHT OR PRIVILEGE F OR INVOLVEMENT IN TH E OPERATION OR USE O F SERVICES 16
209	209	OF THE PROGRAM: 17
210	210
211	211	(1) AN INDIVIDUAL WHO USE S SERVICES OF A PROGRAM; 18
212	212
213	213	(2) A STAFF MEMBER OF A PROGRAM, INCLUDING A HEALTH C ARE 19
214	214	PROFESSIONAL , A MANAGER, AN EMPLOYEE , OR A VOLUNT EER; OR 20
215	215
216	216	(3) A PROPERTY OWNER WHO O WNS THE FACILITY AT WHICH A 21
217	217	PROGRAM IS LOCATED AN D OPERATES. 22
218	218
219	219	(B) A PROPERTY OWNER , A MANAGER, AN EMPLOYEE, A VOLUNTEER , OR AN 23
220	220	INDIVIDUAL USING THE SERVICES OF A PROGRAM AND ACTING IN ACCORDANCE 24
221	221	WITH THE PROVISIONS OF THIS SUBTITLE MAY NOT BE SUBJECT UNDER STATE OR 25
222	222	LOCAL LAW TO THE SEI ZURE OR FORFEITURE O F ANY REAL OR PERSON AL 26
223	223	PROPERTY USED IN CON NECTION WITH A PROGRAM. 27
224	224
225	225	24–2205. 28
226	226
227	227	NOTWITHSTANDING THE P ROVISIONS OF § 24–2204 OF THIS SUBTITLE , A 29
228	228	PROPERTY OWNER , A MANAGER, AN EMPLOYEE , A VOLUNTEER , OR AN INDIVIDUAL 30
229	229	USING THE SERVICES O F A PROGRAM IS NOT IMMUNE FROM CRIMINAL 31 6 HOUSE BILL 953
230	230
231	231
232	232	PROSECUTION FOR ANY ACTIVITIES NOT AUTHO RIZED OR APPROVED BY THE 1
233	233	PROGRAM. 2
234	234
235	235	24–2206. 3
236	236
237	237	ON OR BEFORE DECEMBER 1 EACH YEAR, A PROGRAM ESTABLISHED U NDER 4
238	238	THIS SUBTITLE SHALL SU BMIT TO THE DEPARTMENT AND , IN ACCORDANCE WITH § 5
239	239	2–1257 OF THE STATE GOVERNMENT ARTICLE, THE SENATE FINANCE COMMITTEE 6
240	240	AND THE HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE A REPORT 7
241	241	THAT INCLUDES THE FO LLOWING INFORMATION : 8
242	242
243	243	(1) THE NUMBER OF PROGRAM PARTICIPANTS AND THE NUMBER OF 9
244	244	TIMES A PARTICIPANT USED THE PROGRAM’S SERVICES; 10
245	245
246	246	(2) AGGREGATE INFORMATION REGARDING THE DEMOGR APHIC 11
247	247	PROFILE OF PROGRAM PARTICIPANTS ; 12
248	248
249	249	(3) THE NUMBER OF : 13
250	250
251	251	(I) ITEMS DISTRIBUTED FOR DRUG ADMINISTRATI ON FOR USE 14
252	252	ON–SITE, INCLUDING HYPODERMIC NEEDLES AN D SYRINGES; AND 15
253	253
254	254	(II) OVERDOSES EXPERIENCED ON–SITE AND OVERDOSES 16
255	255	REVERSED ON –SITE; 17
256	256
257	257	(4) THE NUMBER OF INDIVID UALS WHO RECEIVED OV ERDOSE CARE 18
258	258	AND THE TYPE AND NUM BER OF RESCUE DRUGS USED; 19
259	259
260	260	(5) THE NUMBER OF INDIVIDUAL S REFERRED BY THE PROGRAM TO 20
261	261	OTHER SERVICES AND T HE TYPE OF SERVICE T O WHICH THE INDIVIDU ALS WERE 21
262	262	REFERRED; AND 22
263	263
264	264	(6) ANY OTHER INFORMATION THAT THE DEPARTMENT DETERMINES 23
265	265	IS NECESSARY FOR ASS ESSING THE IMPACT OF THE PROGRAM. 24
266	266
267	267	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 25
268	268	1, 2023. It shall remain effective for a period of 4 years and, at the end of June 30, 2027, 26
269	269	this Act, with no further action required by the General Assembly, shall be abrogated and 27
270	270	of no further force and effect. 28
271	271