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Maryland House Bill HB1229

Maryland 2024 Regular Session

Maryland House Bill HB1229 Compare Versions

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1- WES MOORE, Governor Ch. 748
21
3-– 1 –
4-Chapter 748
5-(House Bill 1229)
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+ *hb1229*
89
9-Public Health – Kratom Consumer Protection Act
10+HOUSE BILL 1229
11+J1 4lr2585
1012
11-FOR the purpose of requiring a retailer that prepares, distributes, sells, or exposes for sale
12-a food that is represented to be a kratom product to disclose the factual basis on
13-which the representation is made; establishing prohibitions related to the
14-preparation, distribution, and sale of kratom products; requiring the Maryland
15-Department of Health, in collaboration with the Maryland Hospital Association, to
16-report to the General Assembly, on or before a certain date, on the number of adverse
17-health events observed in individuals after the use of opioid–like substances,
18-including kratom and tianeptine; and generally relating to kratom.
13+By: Delegates A. Jones and Pena–Melnyk, 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 Holland, and Woods
17+Introduced and read first time: February 8, 2024
18+Assigned to: Health and Government Operations
19+Committee Report: Favorable with amendments
20+House action: Adopted
21+Read second time: March 1, 2024
1922
20-BY adding to
21- Article – Health – General
22-Section 21–2D–01 through 21–2D–04 to be under the new subtitle “Subtitle 2D.
23-Kratom Consumer Protection Act”
24- Annotated Code of Maryland
25- (2023 Replacement Volume)
23+CHAPTER ______
2624
27- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
28-That the Laws of Maryland read as follows:
25+AN ACT concerning 1
2926
30-Article – Health – General
27+Public Health – Kratom Consumer Protection Act 2
3128
32-SUBTITLE 2D. KRATOM CONSUMER PROTECTION ACT.
29+FOR the purpose of requiring a retailer that prepares, distributes, sells, or exposes for sale 3
30+a food that is represented to be a kratom product to disclose the factual basis on 4
31+which the representation is made; establishing prohibitions related to the 5
32+preparation, distribution, and sale of kratom products; requiring the Maryland 6
33+Department of Health, in collaboration with the Maryland Hospital Association, to 7
34+report to the General Assembly, on or before a certain date, on the number of adverse 8
35+health events observed in individuals after the use of opioid–like substances, 9
36+including kratom and tianeptine; and generally relating to kratom. 10
3337
34-21–2D–01.
38+BY adding to 11
39+ Article – Health – General 12
40+Section 21–2D–01 through 21–2D–04 to be under the new subtitle “Subtitle 2D. 13
41+Kratom Consumer Protection Act” 14
42+ Annotated Code of Maryland 15
43+ (2023 Replacement Volume) 16
3544
36- (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS
37-INDICATED.
45+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 17
46+That the Laws of Maryland read as follows: 18
3847
39- (B) “KRATOM PRODUCT ” MEANS A FOOD PRODUCT OR DIET ARY
40-INGREDIENT PRODUCT MARKETED FOR HUMAN CONSUMPTION CONTAINING ANY
41-PART OF THE LEAF OF THE PLANT MITRAGYNA SPECIOSA.
48+Article – Health – General 19 2 HOUSE BILL 1229
4249
43- (C) (1) “RETAILER” MEANS A PERSON THAT :
4450
45- (I) SELLS, PREPARES, OR MAINTAINS KRATOM PRODUCTS; OR
4651
47- (II) ADVERTISES, REPRESENTS , OR HOLDS ITSELF OUT AS
48-SELLING, PREPARING, OR MAINTAINING KRATO M PRODUCTS. Ch. 748 2024 LAWS OF MARYLAND
52+SUBTITLE 2D. KRATOM CONSUMER PROTECTION ACT. 1
4953
50-– 2 –
54+21–2D–01. 2
5155
52- (2) “RETAILER” INCLUDES A MANUFA CTURER, WHOLESALER , STORE,
53-RESTAURANT , HOTEL, CATERING FACILITY , CAMP, BAKERY, DELICATESSEN ,
54-SUPERMARKET , GROCERY STORE , CONVENIENCE STORE , GAS STATION, OR FOOD OR
55-DRINK COMPANY .
56+ (A) IN THIS SUBTITLE THE FOLLOWING WORDS HAVE THE MEANINGS 3
57+INDICATED. 4
5658
57-21–2D–02.
59+ (B) “KRATOM PRODUCT ” MEANS A FOOD PRODUCT OR DIET ARY 5
60+INGREDIENT PRODUCT MARKETED FOR HUMAN CONSUMPTION CONTAINING ANY 6
61+PART OF THE LEAF OF THE PLANT MITRAGYNA SPECIOSA . 7
5862
59- (A) (1) A RETAILER THAT PREPAR ES, DISTRIBUTES, SELLS, OR EXPOSES
60-FOR SALE A FOOD THAT IS REPRE SENTED TO BE A KRATOM PRODUCT SHA LL
61-DISCLOSE ON THE PROD UCT LABEL THE FACTUA L BASIS ON WHICH THE
62-REPRESENTATION IS MA DE.
63+ (C) (1) “RETAILER” MEANS A PERSON THAT : 8
6364
64- (2) A RETAILER MAY NOT PRE PARE, DISTRIBUTE, SELL, OR EXPOSE
65-FOR SALE A FOOD REPRESENTED T O BE A KRATOM PRODUCT THA T DOES:
65+ (I) SELLS, PREPARES, OR MAINTAINS KRATOM PRODUCTS; OR 9
6666
67- (I) DOES NOT COMPLY WITH THE DISCLOSURE REQUIREME NT
68-ESTABLISHED UNDER PA RAGRAPH (1) OF THIS SUBSECTION ; OR
67+ (II) ADVERTISES, REPRESENTS , OR HOLDS ITSELF OUT AS 10
68+SELLING, PREPARING, OR MAINTAINING KRATO M PRODUCTS. 11
6969
70- (II) HAS NOT BEEN RECOGNIZ ED AS A DIETARY INGR EDIENT OR
71-APPROVED DRUG BY THE U.S. FOOD AND DRUG ADMINISTRATION .
70+ (2) “RETAILER” INCLUDES A MANUFACTU RER, WHOLESALER , STORE, 12
71+RESTAURANT , HOTEL, CATERING FACILITY , CAMP, BAKERY, DELICATESSEN , 13
72+SUPERMARKET, GROCERY STORE , CONVENIENCE STORE , GAS STATION, OR FOOD OR 14
73+DRINK COMPANY . 15
7274
73- (B) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , A RETAILER
74-MAY NOT PREPARE , DISTRIBUTE, SELL, OR EXPOSE FOR SALE A NY OF THE
75-FOLLOWING:
75+21–2D–02. 16
7676
77- (I) A KRATOM PRODUCT THAT IS ADULTERATED WITH A
78-DANGEROUS SUBSTANCE OTHER THAN KRATOM;
77+ (A) (1) A RETAILER THAT PREPAR ES, DISTRIBUTES, SELLS, OR EXPOSES 17
78+FOR SALE A FOOD THAT IS REPRE SENTED TO BE A KRATOM PRODUCT SHA LL 18
79+DISCLOSE ON THE PROD UCT LABEL THE FACTUAL BASIS ON WHI CH THE 19
80+REPRESENTATION IS MA DE. 20
7981
80- (II) A KRATOM PRODUCT THAT IS CONTAMINATED WITH A
81-DANGEROUS SUBSTANCE OTHER THAN KRATOM ;
82+ (2) A RETAILER MAY NOT PRE PARE, DISTRIBUTE, SELL, OR EXPOSE 21
83+FOR SALE A FOOD REPRESENTED T O BE A KRATOM PRODUCT THA T DOES: 22
8284
83- (III) A KRATOM PRODUCT CONTA INING A LEVEL OF
84-7–HYDROXYMITRAGYNINE I N THE ALKALOID FRACT ION THAT IS GREATER THAN 2%
85-OF THE ALKALOI D COMPOSITION OF THE PRODUCT;
85+ (I) DOES NOT COMPLY WITH THE DISCLOSURE REQUIREME NT 23
86+ESTABLISHED UNDER PA RAGRAPH (1) OF THIS SUBSECTION ; OR 24
8687
87- (IV) A KRATOM PRODUCT CONTA INING A SYNTHETIC AL KALOID,
88-INCLUDING SYNTHETIC MITRAGYNINE , SYNTHETIC 7–HYDROXYMITRAGYNINE , OR
89-ANY OTHER SYNTHETICA LLY DERIVED COMPOUND OF THE KRATOM PLANT ; OR
88+ (II) HAS NOT BEEN RECOGNIZ ED AS A DIETARY INGR EDIENT OR 25
89+APPROVED DRUG BY THE U.S. FOOD AND DRUG ADMINISTRATION . 26
9090
91- (V) A PRODUCT CONTAINING K RATOM THAT DOES NOT
92-INCLUDE ON ITS PACKA GE OR LABEL THE AMOU NT OF MITRAGYNINE AN D
93-7–HYDROXYMITRAGYNINE C ONTAINED IN THE PROD UCT. WES MOORE, Governor Ch. 748
91+ (B) (1) SUBJECT TO PARAGRAPH (2) OF THIS SUBSECTION , A RETAILER 27
92+MAY NOT PREPARE , DISTRIBUTE, SELL, OR EXPOSE FOR SALE ANY OF THE 28
93+FOLLOWING: 29
94+ HOUSE BILL 1229 3
9495
95-– 3 –
9696
97- (2) (I) FOR THE PURPOSE OF PA RAGRAPH (1)(I) OF THIS
98-SUBSECTION, A KRATOM PRODUCT IS ADULTERATED WITH A D ANGEROUS
99-SUBSTANCE OT HER THAN KRATOM IF :
97+ (I) A KRATOM PRODUCT THAT IS ADULTERATED WITH A 1
98+DANGEROUS SUBSTANCE OTHER THAN KRATOM ; 2
10099
101- 1. THE KRATOM PRODUCT IS MIXED OR PACKED WITH A
102-SUBSTANCE OTHER THAN KRATOM; AND
100+ (II) A KRATOM PRODUCT THAT IS CONTAMINATED WITH A 3
101+DANGEROUS SUBSTANCE OTHER THAN KRATOM ; 4
103102
104- 2. THAT SUBSTANCE AFFECT S THE QUALITY OR
105-STRENGTH OF THE KRAT OM PRODUCT TO A DEGR EE AS TO RENDER THE KRATOM
106-PRODUCT INJURIOUS TO A CONSUMER .
103+ (III) A KRATOM PRODUCT CONTA INING A LEVEL OF 5
104+7–HYDROXYMITRAGYNINE I N THE ALKALOID FRACT ION THAT IS GREATER THAN 2% 6
105+OF THE ALKALOID COMP OSITION OF THE PRODU CT; 7
107106
108- (II) FOR THE PURPOSE OF PA RAGRAPH (1)(II) OF THIS
109-SUBSECTION, A KRATOM PRODUCT IS CONTAMINATED WITH A DANGEROUS
110-SUBSTANCE OTHER THAN KRATOM IF THE KRATOM PRODUCT CONTAINS A
111-POISONOUS OR OTHERWI SE DELETERIOUS INGRE DIENT OTHER THAN KRA TOM,
112-INCLUDING A DRUG THAT IS DESIGNATED A S A CONTROLLED DANGE ROUS
113-SUBSTANCE UNDER TITLE 5 OF THE CRIMINAL LAW ARTICLE.
107+ (IV) A KRATOM PRODUCT CONTA INING A SYNTHETIC AL KALOID, 8
108+INCLUDING SYNTHETIC MITRAGYNINE , SYNTHETIC 7–HYDROXYMITRAGYNINE , OR 9
109+ANY OTHER SYNTHETICA LLY DERIVED COMPOUND OF THE KRATOM PLANT ; OR 10
114110
115- (C) A RETAILER MAY NOT DIS TRIBUTE, SELL, OR EXPOSE FOR SALE A
116-KRATOM PRODUCT TO AN INDIVIDUAL UNDER THE AGE OF 21 YEARS.
111+ (V) A PRODUCT CONTAINING K RATOM THAT DOES NOT 11
112+INCLUDE ON ITS PACKA GE OR LABEL THE AMOU NT OF MITRAGYNINE AN D 12
113+7–HYDROXYMITRAGYNINE C ONTAINED IN THE PROD UCT. 13
117114
118- (D) IN A PROSECUTION FOR A VIOLATION OF THIS SECTION , IT IS A DEFENSE
119-THAT THE DEFENDANT R ELIED IN GOOD FAITH ON THE REPRESENTATIO NS OF A
120-MANUFACTURER , PROCESSOR, PACKER, OR DISTRIBUTOR OF FOOD REPRESENTED
121-TO BE A KRATOM PRODUCT .
115+ (2) (I) FOR THE PURPOSE O F PARAGRAPH (1)(I) OF THIS 14
116+SUBSECTION, A KRATOM PRODUCT IS ADULTERATED WITH A D ANGEROUS 15
117+SUBSTANCE OTHER THAN KRATOM IF: 16
122118
123- (E) A RETAILER THAT VIOLAT ES SUBSECTION (A)(1) OF THIS SECTION IS
124-SUBJECT TO A CIVIL P ENALTY NOT EXCEEDING :
119+ 1. THE KRATOM PRODUCT IS MIXED OR PACKED WITH A 17
120+SUBSTANCE OTHER THAN KRATOM; AND 18
125121
126- (1) $500 $1,000 FOR A FIRST VIOLATIO N; AND
122+ 2. THAT SUBSTANCE AFFECT S THE QUALITY OR 19
123+STRENGTH OF THE KRATOM PRODUCT TO A DEGREE AS TO RENDER THE KRA TOM 20
124+PRODUCT INJURIOUS TO A CONSUMER . 21
127125
128- (2) $1,000 $2,000 FOR EACH SUBSEQUENT VIOLATION.
126+ (II) FOR THE PURPOSE OF PA RAGRAPH (1)(II) OF THIS 22
127+SUBSECTION, A KRATOM PRODUCT IS CONTAMINATED WITH A DANGEROUS 23
128+SUBSTANCE OTHER THAN KRATOM IF THE KRATOM PRODUCT CONTAINS A 24
129+POISONOUS OR OTHERWI SE DELETERIOUS INGRE DIENT OTHER THAN KRA TOM, 25
130+INCLUDING A DRUG THA T IS DESIGNATED AS A CONTROLLED DANGEROUS 26
131+SUBSTANCE UNDER TITLE 5 OF THE CRIMINAL LAW ARTICLE. 27
129132
130- (F) A RETAILER THAT VIOLAT ES SUBSECTION (A)(2), (B), OR (C) OF THIS
131-SECTION IS GUILTY OF A MISDEMEANOR AND ON CONVICTION IS SUBJEC T TO A FINE
132-NOT EXCEEDING $500 $5,000, IMPRISONMENT FOR NOT MORE THAN 90 DAYS, OR
133-BOTH.
133+ (C) A RETAILER MAY NOT DIS TRIBUTE, SELL, OR EXPOSE FOR S ALE A 28
134+KRATOM PRODUCT TO AN INDIVIDUAL UNDER THE AGE OF 21 YEARS. 29
134135
135- (G) IN ADDITION TO ANY OT HER PENALTIES S PECIFIED IN THIS SEC TION, A
136-RETAILER WHO VIOLATE S THIS SECTION IS LI ABLE FOR ANY CIVIL D AMAGES
137-SUSTAINED BY THE IND IVIDUAL RESULTING FR OM THE VIOLATION .
136+ (D) IN A PROSECUTION FOR A VIOLATION OF THIS SECTION, IT IS A DEFENSE 30
137+THAT THE DEFENDANT R ELIED IN GOOD FAITH ON THE REPRESENTATIO NS OF A 31
138+MANUFACTURER , PROCESSOR, PACKER, OR DISTRIBUTOR OF FOOD REPRESENTED 32
139+TO BE A KRATOM PRODUCT . 33
140+ 4 HOUSE BILL 1229
138141
139-21–2D–03. Ch. 748 2024 LAWS OF MARYLAND
140142
141-– 4 –
143+ (E) A RETAILER THAT VIOLAT ES SUBSECTION (A)(1) OF THIS SECTION IS 1
144+SUBJECT TO A CIVIL P ENALTY NOT EXCEEDING : 2
142145
143- (A) A RETAILER MAY NOT DIR ECTLY OR INDIRECTLY ADVERTISE A
144-THERAPEUTIC BENEFIT OF KRATOM.
146+ (1) $500 $1,000 FOR A FIRST VIOLATIO N; AND 3
145147
146- (A) (B) A RETAILER MAY NOT DIR ECTLY OR INDIRECTLY ADVERTISE OR
147-MARKET KRATOM PRODUC TS TO MINORS.
148+ (2) $1,000 $2,000 FOR EACH SUBSEQUENT VIOLATION. 4
148149
149- (B) (C) IT IS A VIOLATION OF SUBSECTION (A) (B) OF THIS SECTION FOR A
150-RETAILER TO USE ANY OF THE FOLLOWING IN THE ADVERTISING , PROMOTION ,
151-PACKAGING, OR LABELING OF A KRATOM PR ODUCT:
150+ (F) A RETAILER THAT VIOLAT ES SUBSECTION (A)(2), (B), OR (C) OF THIS 5
151+SECTION IS GUILTY OF A MISDEMEANOR AND ON CONVICTION IS SUBJEC T TO A FINE 6
152+NOT EXCEEDING $500 $5,000, IMPRISONMENT FOR NOT MORE THAN 90 DAYS, OR 7
153+BOTH. 8
152154
153- (1) A CARTOON;
155+ (G) IN ADDITION TO ANY OT HER PENALTIES S PECIFIED IN THIS SEC TION, A 9
156+RETAILER WHO VIOLATE S THIS SECTION IS LI ABLE FOR ANY CIVIL D AMAGES 10
157+SUSTAINED BY THE IND IVIDUAL RESULTING FR OM THE VIOLATION . 11
154158
155- (2) A SUPERHERO ;
159+21–2D–03. 12
156160
157- (3) A VIDEO GAME REFERENCE ;
161+ (A) A RETAILER MAY NOT DIR ECTLY OR INDIRECTLY ADVERTISE A 13
162+THERAPEUTIC BENEFIT OF KRATOM. 14
158163
159- (4) AN IMAGE OF A FOOD PR ODUCT PRIMARILY INTE NDED FOR
160-MINORS;
164+ (A) (B) A RETAILER MAY NOT DIR ECTLY OR INDIRECTLY ADVERTISE OR 15
165+MARKET KRATOM PRODUC TS TO MINORS. 16
161166
162- (5) A TRADEMARK THAT IMITA TES OR MIMICS THE TR ADEMARK OF A
163-PRODUCT THAT HAS BEE N ADVERTISED OR MARKETED PRIMARIL Y TO MINORS;
167+ (B) (C) IT IS A VIOLATION OF SUBSECTION (A) (B) OF THIS SECTION FOR A 17
168+RETAILER TO USE ANY OF THE FOLLOWING IN THE ADVERTISING , PROMOTION , 18
169+PACKAGING, OR LABELING OF A KRATOM PR ODUCT: 19
164170
165- (6) A SYMBOL OR CELEBRITY THAT IS PRIMARILY AS SOCIATED WITH
166-MINORS OR MEDIA PRIM ARILY DIRECTED TO MI NORS; AND
171+ (1) A CARTOON; 20
167172
168- (7) AN IMAGE OF AN INDIVI DUAL WHO APPEARS TO BE UNDER THE
169-AGE OF 27 YEARS.
173+ (2) A SUPERHERO ; 21
170174
171- (C) (D) IT IS A VIOLATION OF SUBSECTION (A) (B) OF THIS SECTION FOR A
172-RETAILER TO ADVERTIS E OR PROMOTE A KRATO M PRODUCT:
175+ (3) A VIDEO GAME REFERENCE ; 22
173176
174- (1) IN A NEWSPAPER , A MAGAZINE, A PERIODICAL, OR ANY OTHER
175-PUBLICATION FOR WHIC H INDIVIDUALS UNDER THE AGE OF 21 YEARS CONSTITUTE
176-15% OR MORE OF THE TOTAL AUDIENCE, AS MEASURED BY COMPE TENT AND
177-RELIABLE SURVEY EVID ENCE;
177+ (4) AN IMAGE OF A FOOD PR ODUCT PRIMARILY INTE NDED FOR 23
178+MINORS; 24
178179
179- (2) AT A CONCERT, A STADIUM, A SPORTING EVENT , OR ANY OTHER
180-PUBLIC EVENT FOR WHI CH INDIVIDUALS UNDER THE AGE OF 21 YEARS CONSTITUTE
181-15% OR MORE OF THE TOTAL AUDIENCE, AS MEASURED BY COMPE TENT AND
182-RELIABLE SURVEY EVID ENCE; OR
180+ (5) A TRADEMARK THAT IMITA TES OR MIMICS THE TR ADEMARK OF A 25
181+PRODUCT THAT HAS BEE N ADVERTISED OR MARKETED PRIMARIL Y TO MINORS; 26
183182
184- (3) ON AN OUTDOOR BILLBOA RD OR SIGN BOARD THA T IS WITHIN 500
185-FEET OF A SCHOOL . WES MOORE, Governor Ch. 748
183+ (6) A SYMBOL OR CELEBRITY THAT IS PRIMARILY AS SOCIATED WITH 27
184+MINORS OR MEDIA PRIM ARILY DIRECTED TO MI NORS; AND 28
185+ HOUSE BILL 1229 5
186186
187-– 5 –
188187
189-21–2D–04.
188+ (7) AN IMAGE OF AN INDIVI DUAL WHO APPEARS TO BE UNDER THE 1
189+AGE OF 27 YEARS. 2
190190
191- THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS
192-SUBTITLE.
191+ (C) (D) IT IS A VIOLATION OF SUBSECTION (A) (B) OF THIS SECTION FOR A 3
192+RETAILER TO ADVERTIS E OR PROMOTE A KRATO M PRODUCT: 4
193193
194- SECTION 2. AND BE IT FURTHER ENACTED, That, on or before December 31,
195-2025, the Maryland Department of Health, in collaboration with the Maryland Hospital
196-Association, shall report to the General Assembly, in accordance with § 2–1257 of the State
197-Government Article, on the number of adverse health events observed in individuals after
198-the use of opioid–like substances, including kratom and tianeptine.
194+ (1) IN A NEWSPAPER , A MAGAZINE, A PERIODICAL, OR ANY OTHER 5
195+PUBLICATION FOR WHIC H INDIVIDUALS UNDER THE AGE OF 21 YEARS CONSTITUTE 6
196+15% OR MORE OF THE TOTAL AU DIENCE, AS MEASURED BY COMPE TENT AND 7
197+RELIABLE SURVEY EVID ENCE; 8
199198
200- SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect
201-October 1, 2024.
199+ (2) AT A CONCERT, A STADIUM, A SPORTING EVENT , OR ANY OTHER 9
200+PUBLIC EVENT FOR WHI CH INDIVIDUALS UNDER THE AGE OF 21 YEARS CONSTITUTE 10
201+15% OR MORE OF THE TOTAL AUDIENCE, AS MEASURED BY COMPETEN T AND 11
202+RELIABLE SURVEY EVID ENCE; OR 12
202203
203-Approved by the Governor, May 16, 2024.
204+ (3) ON AN OUTDOOR BILLBOA RD OR SIGN BOARD THA T IS WITHIN 500 13
205+FEET OF A SCHOOL . 14
206+
207+21–2D–04. 15
208+
209+ THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 16
210+SUBTITLE. 17
211+
212+ SECTION 2. AND BE IT FURTHER ENACTED, That, on or before December 31, 18
213+2025, the Maryland Department of Health, in collaboration with the Maryland Hospital 19
214+Association, shall report to the General Assembly, in accordance with § 2–1257 of the State 20
215+Government Article, on the number of adverse health events observed in individuals after 21
216+the use of opioid–like substances, including kratom and tianeptine. 22
217+
218+ SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 23
219+October 1, 2024. 24
220+
221+
222+
223+Approved:
224+________________________________________________________________________________
225+ Governor.
226+________________________________________________________________________________
227+ Speaker of the House of Delegates.
228+________________________________________________________________________________
229+ President of the Senate.