1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *sb0281* |
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6 | 6 | | |
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7 | 7 | | SENATE BILL 281 |
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8 | 8 | | J1 3lr0368 |
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9 | 9 | | CF HB 214 |
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10 | 10 | | By: Senators Lam, Rosapepe, Augustine, Benson, and Salling |
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11 | 11 | | Introduced and read first time: January 26, 2023 |
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12 | 12 | | Assigned to: Finance |
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13 | 13 | | |
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14 | 14 | | A BILL ENTITLED |
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15 | 15 | | |
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16 | 16 | | AN ACT concerning 1 |
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17 | 17 | | |
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18 | 18 | | Commission on Public Health – Establishment 2 |
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19 | 19 | | |
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20 | 20 | | FOR the purpose of establishing the Commission on Public Health to make 3 |
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21 | 21 | | recommendations to improve the delivery of foundational public health services in 4 |
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22 | 22 | | the State; requiring the Commission to conduct a certain assessment on or before a 5 |
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23 | 23 | | certain date; and generally relating to the Commission on Public Health. 6 |
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24 | 24 | | |
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25 | 25 | | BY adding to 7 |
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26 | 26 | | Article – Health – General 8 |
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27 | 27 | | Section 13–4801 through 13–4807 to be under the new subtitle “Subtitle 48. 9 |
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28 | 28 | | Commission on Public Health” 10 |
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29 | 29 | | Annotated Code of Maryland 11 |
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30 | 30 | | (2019 Replacement Volume and 2022 Supplement) 12 |
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31 | 31 | | |
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32 | 32 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 13 |
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33 | 33 | | That the Laws of Maryland read as follows: 14 |
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34 | 34 | | |
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35 | 35 | | Article – Health – General 15 |
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36 | 36 | | |
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37 | 37 | | SUBTITLE 48. COMMISSION ON PUBLIC HEALTH. 16 |
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38 | 38 | | |
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39 | 39 | | 13–4801. 17 |
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40 | 40 | | |
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41 | 41 | | (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAV E THE MEANINGS 18 |
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42 | 42 | | INDICATED. 19 |
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43 | 43 | | |
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44 | 44 | | (B) “COMMISSION” MEANS THE COMMISSION ON PUBLIC HEALTH. 20 |
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45 | 45 | | |
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46 | 46 | | (C) “FOUNDATIONAL PUBLIC H EALTH SERVICES ” INCLUDES: 21 |
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47 | 47 | | 2 SENATE BILL 281 |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | (1) THE FOLLOWING FOUNDAT IONAL AREAS: 1 |
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51 | 51 | | |
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52 | 52 | | (I) COMMUNICABLE DISEASE CONTROL; 2 |
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53 | 53 | | |
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54 | 54 | | (II) CHRONIC DISEASE AND I NJURY PREVENTION; 3 |
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55 | 55 | | |
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56 | 56 | | (III) ENVIRONMENTAL PUBLIC HEALTH; 4 |
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57 | 57 | | |
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58 | 58 | | (IV) MATERNAL, CHILD, AND FAMILY HEALTH ; AND 5 |
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59 | 59 | | |
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60 | 60 | | (V) ACCESS TO AND LINKAGE WITH CLINICAL CARE ; AND 6 |
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61 | 61 | | |
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62 | 62 | | (2) THE FOLLOWING FOUNDAT IONAL CAPABILITIES : 7 |
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63 | 63 | | |
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64 | 64 | | (I) ASSESSMENT AND SURVEI LLANCE; 8 |
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65 | 65 | | |
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66 | 66 | | (II) COMMUNITY PARTNERSHIP DEVELOPM ENT; 9 |
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67 | 67 | | |
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68 | 68 | | (III) EQUITY; 10 |
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69 | 69 | | |
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70 | 70 | | (IV) ORGANIZATIONAL COMPET ENCIES; 11 |
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71 | 71 | | |
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72 | 72 | | (V) POLICY DEVELOPMENT AN D SUPPORT; 12 |
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73 | 73 | | |
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74 | 74 | | (VI) ACCOUNTABILITY AND PE RFORMANCE MANAGEMENT ; 13 |
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75 | 75 | | |
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76 | 76 | | (VII) EMERGENCY PREPAREDNES S AND RESPONSE ; AND 14 |
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77 | 77 | | |
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78 | 78 | | (VIII) COMMUNICATIONS . 15 |
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79 | 79 | | |
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80 | 80 | | 13–4802. 16 |
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81 | 81 | | |
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82 | 82 | | THERE IS A COMMISSION ON PUBLIC HEALTH. 17 |
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83 | 83 | | |
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84 | 84 | | 13–4803. 18 |
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85 | 85 | | |
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86 | 86 | | (A) THE COMMISSION CONSISTS O F THE FOLLOWING MEMB ERS: 19 |
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87 | 87 | | |
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88 | 88 | | (1) THE DEPUTY SECRETARY FOR PUBLIC HEALTH, OR THE DEPUTY 20 |
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89 | 89 | | SECRETARY’S DESIGNEE; 21 |
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90 | 90 | | |
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91 | 91 | | (2) THE DEPUTY SECRETARY FOR BEHAVIORAL HEALTH, OR THE 22 |
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92 | 92 | | DEPUTY SECRETARY’S DESIGNEE; 23 SENATE BILL 281 3 |
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93 | 93 | | |
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94 | 94 | | |
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95 | 95 | | |
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96 | 96 | | (3) THE DIRECTOR OF THE OFFICE OF MINORITY HEALTH AND 1 |
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97 | 97 | | HEALTH DISPARITIES, OR THE DIRECTOR’S DESIGNEE; 2 |
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98 | 98 | | |
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99 | 99 | | (4) THE EXECUTIVE DIRECTOR OF THE MARYLAND HEALTH CARE 3 |
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100 | 100 | | COMMISSION, OR THE EXECUTIVE DIRECTOR’S DESIGNEE; 4 |
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101 | 101 | | |
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102 | 102 | | (5) THE EXECUTIVE DIRECTOR OF THE HEALTH SERVICES COST 5 |
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103 | 103 | | REVIEW COMMISSION, OR THE EXECUTIVE DIRECTOR’S DESIGNEE; AND 6 |
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104 | 104 | | |
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105 | 105 | | (6) THE FOLLOWING MEMBERS , APPOINTED BY THE GOVERNOR: 7 |
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106 | 106 | | |
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107 | 107 | | (I) TWO LOCAL HEALTH OFFI CERS; 8 |
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108 | 108 | | |
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109 | 109 | | (II) TWO REPRESENTATIVES F ROM STATE ACADEMIC 9 |
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110 | 110 | | INSTITUTIONS WITH EXPERTIS E IN PUBLIC HEALTH S YSTEMS; 10 |
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111 | 111 | | |
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112 | 112 | | (III) A FACULTY MEMBER FROM A PUBLIC HEALTH PROG RAM AT 11 |
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113 | 113 | | A HISTORICALLY BLACK COLLEGE OR UNIVERSIT Y; 12 |
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114 | 114 | | |
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115 | 115 | | (IV) A STATE RESIDENT WITH E XPERTISE IN PUBLIC H EALTH 13 |
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116 | 116 | | INFORMATION TECHNOLO GY; 14 |
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117 | 117 | | |
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118 | 118 | | (V) A STATE RESIDEN T WITH EXPERTISE IN THE PUBLIC 15 |
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119 | 119 | | HEALTH WORKFORCE ; 16 |
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120 | 120 | | |
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121 | 121 | | (VI) A STATE RESIDENT WITH E XPERTISE IN HEALTH E QUITY; 17 |
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122 | 122 | | |
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123 | 123 | | (VII) A STATE RESIDENT WITH E XPERIENCE AS A SAFET Y NET 18 |
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124 | 124 | | PROVIDER; 19 |
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125 | 125 | | |
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126 | 126 | | (VIII) A STATE BUSINESS LEADER WITH DEMONSTRATED 20 |
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127 | 127 | | EXPERTISE IN IMPROVI NG POPULATION HEALTH IN ALL JURISDICTIONS IN THE 21 |
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128 | 128 | | STATE; 22 |
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129 | 129 | | |
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130 | 130 | | (IX) A CHIEF EXECUTIVE OFFI CER OF A HOSPITAL LO CATED IN 23 |
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131 | 131 | | THE STATE; 24 |
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132 | 132 | | |
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133 | 133 | | (X) A CONSUMER HEALTH ADVO CATE IN THE STATE; AND 25 |
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134 | 134 | | |
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135 | 135 | | (XI) A HEALTH CARE PROFESSI ONAL LICENSED IN THE STATE. 26 |
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136 | 136 | | 4 SENATE BILL 281 |
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137 | 137 | | |
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138 | 138 | | |
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139 | 139 | | (B) THE MEMBERS OF THE COMMISSION APPOINTED UNDER SUBSECTION 1 |
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140 | 140 | | (A)(6)(II) OF THIS SECTION SHAL L COCHAIR THE COMMISSION. 2 |
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141 | 141 | | |
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142 | 142 | | (C) A MEMBER OF THE COMMISSION: 3 |
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143 | 143 | | |
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144 | 144 | | (1) MAY NOT RECEIVE COMPE NSATION AS A MEMBER OF THE 4 |
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145 | 145 | | COMMISSION; BUT 5 |
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146 | 146 | | |
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147 | 147 | | (2) IS ENTITLED TO REIMBU RSEMENT FOR EXPENSES UNDER THE 6 |
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148 | 148 | | STANDARD STATE TRAVEL REGULATIONS, AS PROVIDED IN THE STATE BUDGET . 7 |
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149 | 149 | | |
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150 | 150 | | 13–4804. 8 |
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151 | 151 | | |
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152 | 152 | | THE ACADEMIC INSTITUTION S REPRESENTED BY THE COCHAIRS OF THE 9 |
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153 | 153 | | COMMISSION SHALL PROV IDE STAFF SUPPORT FOR THE COMMISSION. 10 |
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154 | 154 | | |
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155 | 155 | | 13–4805. 11 |
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156 | 156 | | |
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157 | 157 | | THE PURPOSE OF THE COMMISSION IS TO MAKE RECOMMENDATIONS TO 12 |
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158 | 158 | | IMPROVE THE DELIVERY OF FOUNDATIONAL PUBL IC HEALTH SERVICES I N THE 13 |
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159 | 159 | | STATE. 14 |
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160 | 160 | | |
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161 | 161 | | 13–4806. 15 |
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162 | 162 | | |
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163 | 163 | | (A) ON OR BEFORE OCTOBER 1, 2024, THE COMMISSION SHALL ASSE SS THE 16 |
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164 | 164 | | CAPABILITY OF THE DEPARTMENT AND LOCAL HEALTH DEPARTMENTS I N THE 17 |
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165 | 165 | | STATE TO PROVID E FOUNDATIONAL PUBLI C HEALTH SERVICES TO ALL RESIDENTS 18 |
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166 | 166 | | OF THE STATE. 19 |
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167 | 167 | | |
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168 | 168 | | (B) (1) IN CONDUCTING THE ASS ESSMENT REQUIRED UND ER 20 |
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169 | 169 | | SUBSECTION (A) OF THIS SECTION, THE COMMISSION SHALL : 21 |
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170 | 170 | | |
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171 | 171 | | (I) CONSIDER THE FOLLOWIN G FACTORS: 22 |
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172 | 172 | | |
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173 | 173 | | 1. THE STATE’S RESPONSE TO COVID–19; 23 |
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174 | 174 | | |
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175 | 175 | | 2. THE STATE’S RESPONSE TO OVERDO SE DEATHS; 24 |
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176 | 176 | | |
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177 | 177 | | 3. RACIAL AND ETHNIC DIS PARITIES IN MATERNAL 25 |
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178 | 178 | | MORTALITY AND BIRTH OUTCOMES IN THE STATE; AND 26 |
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179 | 179 | | |
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180 | 180 | | 4. SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , 27 |
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181 | 181 | | ANY OTHER FACTORS CO NSIDERED APPROPRIATE BY THE COMMISSION; AND 28 SENATE BILL 281 5 |
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182 | 182 | | |
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183 | 183 | | |
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184 | 184 | | |
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185 | 185 | | (II) HOLD AT LEAST THREE P UBLIC MEETINGS IN DI FFERENT 1 |
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186 | 186 | | AREAS OF THE STATE THAT INCLUDE AN OPPORTUNITY FOR PUBL IC COMMENT. 2 |
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187 | 187 | | |
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188 | 188 | | (2) THE COMMISSION MAY NOT CO NSIDER MORE THAN THR EE 3 |
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189 | 189 | | ADDITIONAL FACTORS U NDER PARAGRAPH (1)(I)4 OF THIS SUBSEC TION. 4 |
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190 | 190 | | |
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191 | 191 | | (3) IN CONDUCTING THE ASS ESSMENT REQUIRED UND ER 5 |
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192 | 192 | | SUBSECTION (A) OF THIS SECTION, THE COMMISSION MAY : 6 |
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193 | 193 | | |
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194 | 194 | | (I) REQUEST AND OBTAIN DA TA FROM THE DEPARTMENT , 7 |
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195 | 195 | | LOCAL HEALTH DEPARTM ENTS, AND THE STATE–DESIGNATED HEALTH 8 |
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196 | 196 | | INFORMATION EXCHANGE ; 9 |
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197 | 197 | | |
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198 | 198 | | (II) REQUEST INTERVIEWS WITH STATE AND LOCAL HEALT H 10 |
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199 | 199 | | OFFICIALS; AND 11 |
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200 | 200 | | |
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201 | 201 | | (III) FORM WORKGROUPS . 12 |
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202 | 202 | | |
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203 | 203 | | (C) (1) BASED ON THE ASSESSME NT CONDUCTED UNDER S UBSECTION (A) 13 |
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204 | 204 | | OF THIS SECTION , THE COMMISSION SHALL MAKE RECOMMENDATIONS FOR 14 |
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205 | 205 | | REFORM IN THE FOLLOW ING AREAS: 15 |
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206 | 206 | | |
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207 | 207 | | (I) ORGANIZATION OF STATE AND LOCAL PUBLI C HEALTH 16 |
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208 | 208 | | DEPARTMENTS ; 17 |
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209 | 209 | | |
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210 | 210 | | (II) INFORMATION TECHNOLOG Y; 18 |
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211 | 211 | | |
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212 | 212 | | (III) WORKFORCE, INCLUDING HUMAN RESO URCES; 19 |
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213 | 213 | | |
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214 | 214 | | (IV) PROCUREMENT ; 20 |
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215 | 215 | | |
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216 | 216 | | (V) FUNDING; AND 21 |
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217 | 217 | | |
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218 | 218 | | (VI) ANY OTHER AREA CONSID ERED APPROPRIATE BY THE 22 |
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219 | 219 | | COMMISSION. 23 |
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220 | 220 | | |
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221 | 221 | | (2) THE RECOMMENDATIONS M ADE UNDER PARAGRAPH (1) OF THIS 24 |
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222 | 222 | | SUBSECTION SHALL INC LUDE WHETHER FUNDING OR LEGISLATION IS RE QUIRED TO 25 |
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223 | 223 | | IMPLEMENT THE RECOMM ENDATION. 26 |
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224 | 224 | | |
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225 | 225 | | (3) THE COMMISSION SHALL JUST IFY EACH RECOMMENDAT ION 27 |
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226 | 226 | | MADE UNDER PARAGRAPH (1) OF THIS SUBSECTION BASED ON HOW THE 28 6 SENATE BILL 281 |
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227 | 227 | | |
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228 | 228 | | |
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229 | 229 | | RECOMMENDATION CONTR IBUTES TO THE PROVIS ION OF FOUNDATIONAL PUBLIC 1 |
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230 | 230 | | HEALTH SERVICES . 2 |
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231 | 231 | | |
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232 | 232 | | (4) (I) THE COMMISSION SHALL MAKE A DRAFT OF ITS 3 |
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233 | 233 | | RECOMMENDATIONS AVAI LABLE FOR PUBLIC COM MENT FOR 30 DAYS. 4 |
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234 | 234 | | |
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235 | 235 | | (II) THE FINAL REPORT OF T HE COMMISSION S HALL INCLUDE A 5 |
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236 | 236 | | RESPONSE TO ANY PUBL IC COMMENT RECEIVED ON THE DRAFT 6 |
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237 | 237 | | RECOMMENDATIONS . 7 |
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238 | 238 | | |
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239 | 239 | | (5) (I) THE COMMISSION SHALL USE BEST EFFORTS TO REAC H 8 |
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240 | 240 | | CONSENSUS ON ITS REC OMMENDATIONS . 9 |
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241 | 241 | | |
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242 | 242 | | (II) IF THE COMMISSION CANNOT REA CH CONSENSUS ON ITS 10 |
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243 | 243 | | RECOMMENDATIONS , THE COMMISSION SHALL INCL UDE THE OPPORTUNITY FOR 11 |
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244 | 244 | | DISSENTING COMMENTS IN THE COMMISSION’S FINAL REPORT. 12 |
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245 | 245 | | |
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246 | 246 | | 13–4807. 13 |
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247 | 247 | | |
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248 | 248 | | ON OR BEFORE OCTOBER 1, 2025, THE COMMISSION SHALL SUBM IT A REPORT 14 |
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249 | 249 | | OF ITS FINDINGS AND RECOMMENDATIONS TO T HE GOVERNOR AND , IN 15 |
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250 | 250 | | ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, THE SENATE 16 |
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251 | 251 | | BUDGET AND TAXATION COMMITTEE, THE SENATE FINANCE COMMITTEE, THE 17 |
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252 | 252 | | HOUSE APPROPRIATIONS COMMITTEE, AND THE HOUSE HEALTH AND 18 |
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253 | 253 | | GOVERNMENT OPERATIONS COMMITTEE. 19 |
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254 | 254 | | |
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255 | 255 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 20 |
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256 | 256 | | October 1, 2023. It shall remain effective for a period of 4 years and, at the end of September 21 |
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257 | 257 | | 30, 2027, this Act, with no further action required by the General Assembly, shall be 22 |
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258 | 258 | | abrogated and of no further force and effect. 23 |
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259 | 259 | | |
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