Old | New | Differences | |
---|---|---|---|
1 | - | WES MOORE, Governor Ch. 886 | |
2 | 1 | ||
3 | - | – 1 – | |
4 | - | Chapter 886 | |
5 | - | (Senate Bill 1071) | |
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 | + | Italics indicate opposite chamber/conference committee amendments. | |
9 | + | *sb1071* | |
8 | 10 | ||
9 | - | Hospitals – Opioid Overdose – Medication–Assisted Treatment and | |
10 | - | Opioid–Related Emergency Medical Conditions – Treatment | |
11 | + | SENATE BILL 1071 | |
12 | + | J1, J3 (4lr1663) | |
13 | + | ENROLLED BILL | |
14 | + | — Finance/Health and Government Operations — | |
15 | + | Introduced by Senator McKay | |
11 | 16 | ||
12 | - | FOR the purpose of requiring hospitals to establish and maintain certain protocols and | |
13 | - | capacity related to the treatment of patients who are being treated for an | |
14 | - | opioid–related overdose or opioid–related emergency medical condition; requiring | |
15 | - | hospitals to connect make a referral for patients who are diagnosed with opioid use | |
16 | - | disorder or administered or prescribed medication–assisted treatment medication | |
17 | - | for opioid use disorder to an appropriate provider to voluntarily continue treatment | |
18 | - | in the community under certain circumstances and work with peer support | |
19 | - | professionals for a certain purpose; requiring the Governor to include in the annual | |
20 | - | budget bill for a certain fiscal year a certain appropriation from the Opioid | |
21 | - | Restitution Fund for hospitals to provide training and resources to implement the | |
22 | - | requirements of this Act; and generally relating to hospitals and treatment for opioid | |
23 | - | use disorder and opioid–related emergency medical conditions. | |
17 | + | Read and Examined by Proofreaders: | |
24 | 18 | ||
25 | - | BY adding to | |
26 | - | Article – Health – General | |
27 | - | Section 19–308.10 | |
28 | - | Annotated Code of Maryland | |
29 | - | (2023 Replacement Volume) | |
19 | + | _______________________________________________ | |
20 | + | Proofreader. | |
21 | + | _______________________________________________ | |
22 | + | Proofreader. | |
30 | 23 | ||
31 | - | BY repealing and reenacting, with amendments, | |
32 | - | Article – State Finance and Procurement | |
33 | - | Section 7–331 | |
34 | - | Annotated Code of Maryland | |
35 | - | (2021 Replacement Volume and 2023 Supplement) | |
24 | + | Sealed with the Great Seal and presented to the Governor, for his approval this | |
36 | 25 | ||
37 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, | |
38 | - | That the Laws of Maryland read as follows: | |
26 | + | _______ day of _______________ at _________________ _______ o’clock, ________M. | |
39 | 27 | ||
40 | - | Article – Health – General | |
28 | + | ______________________________________________ | |
29 | + | President. | |
41 | 30 | ||
42 | - | ||
31 | + | CHAPTER ______ | |
43 | 32 | ||
44 | - | (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS | |
45 | - | INDICATED. | |
33 | + | AN ACT concerning 1 | |
46 | 34 | ||
47 | - | ||
48 | - | ||
35 | + | Hospitals – Opioid Overdose – Medication–Assisted Treatment and 2 | |
36 | + | Opioid–Related Emergency Medical Conditions – Treatment 3 | |
49 | 37 | ||
50 | - | – 2 – | |
38 | + | FOR the purpose of requiring hospitals to establish and maintain certain protocols and 4 | |
39 | + | capacity related to the treatment of patients who are being treated for an 5 | |
40 | + | opioid–related overdose or opioid–related emergency medical condition; requiring 6 | |
41 | + | hospitals to connect make a referral for patients who are diagnosed with opioid use 7 | |
42 | + | disorder or administered or prescribed medication–assisted treatment medication 8 | |
43 | + | for opioid use disorder to an appropriate provider to voluntarily continue treatment 9 | |
44 | + | in the community under certain circumstances and work with peer support 10 | |
45 | + | professionals for a certain purpose; requiring the Governor to include in the annual 11 | |
46 | + | budget bill for a certain fiscal year a certain appropriation from the Opioid 12 | |
47 | + | Restitution Fund for hospitals to provide training and resources to implement the 13 | |
48 | + | requirements of this Act; and generally relating to hospitals and treatment for opioid 14 | |
49 | + | use disorder and opioid–related emergency medical conditions. 15 2 SENATE BILL 1071 | |
51 | 50 | ||
52 | - | (1) MEANS A DRUG APPROVED BY T HE U.S. FOOD AND DRUG | |
53 | - | ADMINISTRATION FOR TH E TREATMENT OF OPIOI D USE DISORDER ; AND | |
54 | 51 | ||
55 | - | (2) DOES NOT INCLUDE A DR UG ADMINISTERED TO M ITIGATE | |
56 | - | OPIOID–RELATED OVERDOSE SYM PTOMS. | |
57 | 52 | ||
58 | - | (3) “MEDICATION–ASSISTED TREATMENT ” MEANS THE USE OF | |
59 | - | MEDICATION, IN COMBINATION WITH COUNSELING AND BEHAV IORAL HEALTH | |
60 | - | THERAPIES, TO PROVIDE A HOLISTI C APPROACH TO THE TR EATMENT OF OPIOID US E | |
61 | - | DISORDER. | |
53 | + | BY adding to 1 | |
54 | + | Article – Health – General 2 | |
55 | + | Section 19–308.10 3 | |
56 | + | Annotated Code of Maryland 4 | |
57 | + | (2023 Replacement Volume) 5 | |
62 | 58 | ||
63 | - | (4) “OPIOID USE DISORDER ” MEANS A MEDICALLY DI AGNOSED | |
64 | - | PROBLEMATIC PATTERN OF OPIOID USE THAT CAUS ES A SIGNIFICANT IMP AIRMENT | |
65 | - | OR DISTRESS. | |
59 | + | BY repealing and reenacting, with amendments, 6 | |
60 | + | Article – State Finance and Procurement 7 | |
61 | + | Section 7–331 8 | |
62 | + | Annotated Code of Maryland 9 | |
63 | + | (2021 Replacement Volume and 2023 Supplement) 10 | |
66 | 64 | ||
67 | - | | |
68 | - | ||
65 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 11 | |
66 | + | That the Laws of Maryland read as follows: 12 | |
69 | 67 | ||
70 | - | (1) PROVIDE TO A PATIENT BEFORE DISCHARGING T HE PATIENT | |
71 | - | APPROPRIATE , EVIDENCE–BASED INTERVENTIONS THAT REDUCE THE RISK OF | |
72 | - | SUBSEQUENT HARM AND FATALITY FOLLOWING A N OPIOID–RELATED OVERDOSE OR | |
73 | - | A VISIT FOR AN OPIOI D–RELATED EMERGENCY ME DICAL CONDITION ; | |
68 | + | Article – Health – General 13 | |
74 | 69 | ||
75 | - | (2) POSSESS, DISPENSE, ADMINISTER, AND PRESCRIBE | |
76 | - | MEDICATION–ASSISTED TREATMENT , INCLUDING AT LEAST ONE FORMULA TION OF | |
77 | - | EACH U.S. FOOD AND DRUG ADMINISTRATION –APPROVED FULL OPIOID AGONIST, | |
78 | - | AND PARTIAL OPIOID AGONI ST, AND LONG–ACTING OPIOID ANTAGO NIST USED FOR | |
79 | - | THE TREATMENT OF OPIOID USE DISORDER ; AND | |
70 | + | 19–308.10. 14 | |
80 | 71 | ||
81 | - | (3) TREAT A PATIENT WHO P RESENTS IN A HOSPITA L EMERGENCY | |
82 | - | DEPARTMENT FOR CARE AND TREATMENT OF AN OPIOID–RELATED OVERDOSE OR | |
83 | - | OPIOID–RELATED EMERGENCY ME DICAL CONDITION WITH A MEDICATION FOR | |
84 | - | OPIOID USE DISORDER IF THE TREATMENT : | |
72 | + | (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS 15 | |
73 | + | INDICATED. 16 | |
85 | 74 | ||
86 | - | ( | |
87 | - | ||
75 | + | (2) “MEDICATION” MEANS, “MEDICATION FOR OPIOI D USE 17 | |
76 | + | DISORDER”: 18 | |
88 | 77 | ||
89 | - | (II) IS VOLUNTARILY AGREED TO BY THE PATIENT . | |
78 | + | (1) MEANS A DRUG APPROVED BY T HE U.S. FOOD AND DRUG 19 | |
79 | + | ADMINISTRATION FOR TH E TREATMENT OF OPIOI D USE DISORDER ; AND 20 | |
90 | 80 | ||
91 | - | (C) A PROTOCOL ESTABLISHED BY A HOSPITAL UNDER THIS SECTION SHALL | |
92 | - | COMPLY WITH INCLUDE: | |
93 | - | WES MOORE, Governor Ch. 886 | |
81 | + | (2) DOES NOT INCLUDE A DR UG ADMINISTERED TO M ITIGATE 21 | |
82 | + | OPIOID–RELATED OVERDOSE SYM PTOMS. 22 | |
94 | 83 | ||
95 | - | – 3 – | |
96 | - | (1) APPLICABLE TRAINING AND WAIVER REQUIREME NTS | |
97 | - | ESTABLISHED BY THE F EDERAL DRUG ENFORCEMENT AGENCY; AND | |
84 | + | (3) “MEDICATION–ASSISTED TREATMENT ” MEANS THE USE OF 23 | |
85 | + | MEDICATION, IN COMBINATION WITH COUNSELING AND BEHAV IORAL HEALTH 24 | |
86 | + | THERAPIES, TO PROVIDE A HOLISTI C APPROACH TO THE TR EATMENT OF OPIOID US E 25 | |
87 | + | DISORDER. 26 | |
98 | 88 | ||
99 | - | (2) ANY REQUIREMENT BY TH E DEPARTMENT REGARDING | |
100 | - | PRESCRIBING OPIOID A GONIST TREATMENT ; | |
89 | + | (4) “OPIOID USE DISORDER ” MEANS A MEDICALLY DI AGNOSED 27 | |
90 | + | PROBLEMATIC PATTERN OF OPIOID USE THAT C AUSES A SIGNIFICANT IMPAIRMENT 28 | |
91 | + | OR DISTRESS. 29 | |
101 | 92 | ||
102 | - | (2) UNIFORM PRACTICES FOR SCREENING AND DIAGNO SING | |
103 | - | INDIVIDUALS WHO PRES ENT WITH AN O PIOID–RELATED OVERDOSE OR | |
104 | - | OPIOID–RELATED EMERGENCY ME DICAL CONDITION FOR AN OPIOID USE DISORD ER | |
105 | - | BASED ON THE CRITERI A IN THE MOST RECENT EDITION OF THE DIAGNOSTIC AND | |
106 | - | STATISTICAL MANUAL OF MENTAL DISORDERS; | |
93 | + | (B) EACH HOSPITAL SHALL E STABLISH AND MAINTAI N, AS PART OF ITS 30 | |
94 | + | EMERGENCY SERVICES , PROTOCOLS AND CAPACI TY TO: 31 | |
95 | + | SENATE BILL 1071 3 | |
107 | 96 | ||
108 | - | (3) UNIFORM PRACTICES FOR OFFERING AND ADMINI STERING | |
109 | - | OPIOID AGONIST MEDIC ATION TO TREAT AN OP IOID–RELATED OVERDOSE OR | |
110 | - | OPIOID USE DISORDER ; AND | |
111 | 97 | ||
112 | - | (4) UNIFORM PRACTICES TO IDENTIFY COMMUNITY –BASED | |
113 | - | TREATMENT SERVICES T HAT ARE APPROPRIATE FOR: | |
98 | + | (1) PROVIDE TO A PATIENT BEFORE DISCHARGING T HE PATIENT 1 | |
99 | + | APPROPRIATE , EVIDENCE–BASED INTERVENTIONS THAT REDUCE THE RISK OF 2 | |
100 | + | SUBSEQUENT HARM AND FATALITY FOLLOWING A N OPIOID–RELATED OVERDOSE OR 3 | |
101 | + | A VISIT FOR AN OPIOI D–RELATED EMERGENCY ME DICAL CONDITION ; 4 | |
114 | 102 | ||
115 | - | (I) TREATING OPIOID USE D ISORDERS; AND | |
103 | + | (2) POSSESS, DISPENSE, ADMINISTER, AND PRESCRIBE 5 | |
104 | + | MEDICATION–ASSISTED TREATMENT , INCLUDING AT LEAST ONE FORMULA TION OF 6 | |
105 | + | EACH U.S. FOOD AND DRUG ADMINISTRATION –APPROVED FULL OPIOID AGONIST, 7 | |
106 | + | AND PARTIAL OPIOID AGONI ST, AND LONG–ACTING OPIOID ANTAGO NIST USED FOR 8 | |
107 | + | THE TREATMENT OF OPIOID USE DISORDER ; AND 9 | |
116 | 108 | ||
117 | - | (II) ASSISTING PATIENTS TO VOLUNTARILY ACCESS O NGOING | |
118 | - | COMMUNITY –BASED TREATMENT AT D ISCHARGE. | |
109 | + | (3) TREAT A PATIENT WHO P RESENTS IN A HOSPITA L EMERGENCY 10 | |
110 | + | DEPARTMENT FOR CARE AND TREATMENT OF AN OPIOID–RELATED OVERDOSE OR 11 | |
111 | + | OPIOID–RELATED EMERGENCY ME DICAL CONDITION WITH A MEDICATION FOR 12 | |
112 | + | OPIOID USE DISORDER IF THE TREATMENT : 13 | |
119 | 113 | ||
120 | - | (D) BEFORE DISCHARGING A PATIENT WHO IS DIAGNOSED WITH AN OP IOID | |
121 | - | USE DISORDER OR ADMINISTERED OR PRES CRIBED MEDICATION–ASSISTED | |
122 | - | TREATMENT MEDICATION FOR OPIOI D USE DISORDER, A HOSPITAL SHALL CONNECT | |
123 | - | THE PATIENT WITH AN APPROPRIATE PROVIDER OR FACILITY TO VOLUN TARILY | |
124 | - | CONTINUE TREATMENT : | |
114 | + | (I) OCCURS AS RECOMMENDED BY THE TREATING HEAL TH 14 | |
115 | + | CARE PRACTITIONER ; AND 15 | |
125 | 116 | ||
126 | - | (1) MAKE A REFERRAL OF TH E PATIENT TO AN APPR OPRIATE | |
127 | - | PROVIDER OR FACILITY FOR A TIMELY APPOINT MENT, WHEN POSSIBLE , TO | |
128 | - | VOLUNTARILY CONTINUE TREATMENT I N THE COMMUNITY ; AND | |
117 | + | (II) IS VOLUNTARILY AGREED TO BY THE PATIENT . 16 | |
129 | 118 | ||
130 | - | (2) WORK WITH PEER SUPPOR T PROFESSIONALS , AS AVAILABLE, OR | |
131 | - | OTHER RESOURCES TO A SSIST THE PATIENT IN ACCESSING THE IDENTI FIED | |
132 | - | TREATMENT SERVICES . | |
119 | + | (C) A PROTOCOL ESTABLISHED BY A HOSPITAL UNDER THIS SECTION SHALL 17 | |
120 | + | COMPLY WITH INCLUDE: 18 | |
133 | 121 | ||
134 | - | Article – State Finance and Procurement | |
122 | + | (1) APPLICABLE TRAINING AND WAIVER REQUIREME NTS 19 | |
123 | + | ESTABLISHED BY THE F EDERAL DRUG ENFORCEMENT AGENCY; AND 20 | |
135 | 124 | ||
136 | - | 7–331. | |
125 | + | (2) ANY REQUIREMENT BY TH E DEPARTMENT REGARDING 21 | |
126 | + | PRESCRIBING OPIOID A GONIST TREATMENT ; 22 | |
137 | 127 | ||
138 | - | (a) In this section, “Fund” means the Opioid Restitution Fund. | |
139 | - | Ch. 886 2024 LAWS OF MARYLAND | |
128 | + | (2) UNIFORM PRACTICES FOR SCREENING AND DIAGNO SING 23 | |
129 | + | INDIVIDUALS WHO PRES ENT WITH AN O PIOID–RELATED OVERDOSE OR 24 | |
130 | + | OPIOID–RELATED EMERGENCY ME DICAL CONDITION FOR AN OPIOID USE DISORD ER 25 | |
131 | + | BASED ON THE CRITERI A IN THE MOST RECENT EDITION OF THE DIAGNOSTIC AND 26 | |
132 | + | STATISTICAL MANUAL OF MENTAL DISORDERS; 27 | |
140 | 133 | ||
141 | - | – 4 – | |
142 | - | (b) There is an Opioid Restitution Fund. | |
134 | + | (3) UNIFORM PRACTICES FOR OFFERING AND ADMINI STERING 28 | |
135 | + | OPIOID AGONIST MEDIC ATION TO TREAT AN OP IOID–RELATED OVERDOSE OR 29 | |
136 | + | OPIOID USE DISORDER ; AND 30 | |
143 | 137 | ||
144 | - | ( | |
145 | - | ||
138 | + | (4) UNIFORM PRACTICES TO IDENTIFY COMMUNITY –BASED 31 | |
139 | + | TREATMENT SERVICES T HAT ARE APPROPRIATE FOR: 32 | |
146 | 140 | ||
147 | - | (d) (1) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of | |
148 | - | this subtitle. | |
141 | + | (I) TREATING OPIOID USE D ISORDERS; AND 33 4 SENATE BILL 1071 | |
149 | 142 | ||
150 | - | (2) The State Treasurer shall hold the Fund separately, and the | |
151 | - | Comptroller shall account for the Fund. | |
152 | 143 | ||
153 | - | (e) The Fund consists of: | |
154 | 144 | ||
155 | - | (1) all revenues received by the State from any source resulting, directly or | |
156 | - | indirectly, from any judgment against, or settlement with, opioid manufacturers, opioid | |
157 | - | research associations, or any other person in the opioid industry relating to any claims | |
158 | - | made or prosecuted by the State to recover damages for violations of State law; and | |
145 | + | (II) ASSISTING PATIENTS TO VOLUNTARILY ACCESS O NGOING 1 | |
146 | + | COMMUNITY –BASED TREATMENT AT D ISCHARGE. 2 | |
159 | 147 | ||
160 | - | (2) the interest earnings of the Fund. | |
148 | + | (D) BEFORE DISCHARGING A PATIENT WHO IS DIAGNOSED WITH AN OP IOID 3 | |
149 | + | USE DISORDER OR ADMINISTERED OR PRES CRIBED MEDICATION–ASSISTED 4 | |
150 | + | TREATMENT MEDICATION FOR OPIOI D USE DISORDER, A HOSPITAL SHALL CONNECT 5 | |
151 | + | THE PATIENT WITH AN APPROPRIATE PROVIDER OR FACILITY TO VOLUN TARILY 6 | |
152 | + | CONTINUE TREATMENT : 7 | |
161 | 153 | ||
162 | - | (f) The Fund may be used only to provide funds for: | |
154 | + | (1) MAKE A REFERRAL OF TH E PATIENT TO AN APPR OPRIATE 8 | |
155 | + | PROVIDER OR FACILITY FOR A TIMELY APPOINT MENT, WHEN POSSIBLE , TO 9 | |
156 | + | VOLUNTARILY CONTINUE TREATMENT I N THE COMMUNITY ; AND 10 | |
163 | 157 | ||
164 | - | ( | |
165 | - | ||
166 | - | ||
158 | + | (2) WORK WITH PEER SUPPOR T PROFESSIONALS , AS AVAILABLE, OR 11 | |
159 | + | OTHER RESOURCES TO A SSIST THE PATIENT IN ACCESSING THE IDENTI FIED 12 | |
160 | + | TREATMENT SERVICES . 13 | |
167 | 161 | ||
168 | - | (i) improving access to medications proven to prevent or reverse an | |
169 | - | overdose; | |
162 | + | Article – State Finance and Procurement 14 | |
170 | 163 | ||
171 | - | (ii) supporting peer support specialists and screening, brief | |
172 | - | intervention, and referral to treatment services for hospitals, correctional facilities, and | |
173 | - | other high–risk populations; | |
164 | + | 7–331. 15 | |
174 | 165 | ||
175 | - | (iii) increasing access to medications that support recovery from | |
176 | - | substance use disorders; | |
166 | + | (a) In this section, “Fund” means the Opioid Restitution Fund. 16 | |
177 | 167 | ||
178 | - | (iv) expanding the Heroin Coordinator Program, including for | |
179 | - | administrative expenses; | |
168 | + | (b) There is an Opioid Restitution Fund. 17 | |
180 | 169 | ||
181 | - | ( | |
182 | - | ||
170 | + | (c) The purpose of the Fund is to retain the amount of settlement revenues 18 | |
171 | + | deposited to the Fund in accordance with subsection (e)(1) of this section. 19 | |
183 | 172 | ||
184 | - | ( | |
185 | - | ||
173 | + | (d) (1) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of 20 | |
174 | + | this subtitle. 21 | |
186 | 175 | ||
187 | - | (vii) supporting the behavioral health crisis hotline; WES MOORE, Governor Ch. 886 | |
176 | + | (2) The State Treasurer shall hold the Fund separately, and the 22 | |
177 | + | Comptroller shall account for the Fund. 23 | |
188 | 178 | ||
189 | - | ||
179 | + | (e) The Fund consists of: 24 | |
190 | 180 | ||
191 | - | (viii) organizing primary and secondary school education campaigns | |
192 | - | to prevent opioid use, including for administrative expenses; | |
181 | + | (1) all revenues received by the State from any source resulting, directly or 25 | |
182 | + | indirectly, from any judgment against, or settlement with, opioid manufacturers, opioid 26 | |
183 | + | research associations, or any other person in the opioid industry relating to any claims 27 | |
184 | + | made or prosecuted by the State to recover damages for violations of State law; and 28 | |
193 | 185 | ||
194 | - | (ix) enforcing the laws regarding opioid prescriptions and sales, | |
195 | - | including for administrative expenses; | |
186 | + | (2) the interest earnings of the Fund. 29 | |
196 | 187 | ||
197 | - | ( | |
198 | - | ||
188 | + | (f) The Fund may be used only to provide funds for: 30 | |
189 | + | SENATE BILL 1071 5 | |
199 | 190 | ||
200 | - | (xi) supporting and expanding other evidence–based interventions | |
201 | - | for overdose prevention and substance use treatment; | |
202 | 191 | ||
203 | - | (2) evidence–informed substance use disorder prevention, treatment | |
204 | - | recovery, or harm reduction pilot programs or demonstration studies that are not | |
205 | - | evidence–based if the Opioid Restitution Fund Advisory Council, established under § | |
206 | - | 7.5–902 of the Health – General Article: | |
192 | + | (1) programs, services, supports, and resources for evidence–based 1 | |
193 | + | substance use disorder prevention, treatment, recovery, or harm reduction that have the 2 | |
194 | + | purpose of: 3 | |
207 | 195 | ||
208 | - | (i) determines that emerging evidence supports the distribution of | |
209 | - | money for the pilot program or that there is a reasonable basis for funding the | |
210 | - | demonstration study with the expectation of creating an evidence–based program; and | |
196 | + | (i) improving access to medications proven to prevent or reverse an 4 | |
197 | + | overdose; 5 | |
211 | 198 | ||
212 | - | (ii) approves the use of money for the pilot program or demonstration | |
213 | - | study; and | |
199 | + | (ii) supporting peer support specialists and screening, brief 6 | |
200 | + | intervention, and referral to treatment services for hospitals, correctional facilities, and 7 | |
201 | + | other high–risk populations; 8 | |
214 | 202 | ||
215 | - | (3) evaluations of the effectiveness and outcomes reporting for substance | |
216 | - | use disorder abatement infrastructure, programs, services, supports, and resources for | |
217 | - | which money from the Fund was used, including evaluations of the impact on access to | |
218 | - | harm reduction services or treatment for substance use disorders and the reduction in | |
219 | - | drug–related mortality. | |
203 | + | (iii) increasing access to medications that support recovery from 9 | |
204 | + | substance use disorders; 10 | |
220 | 205 | ||
221 | - | ( | |
222 | - | ||
206 | + | (iv) expanding the Heroin Coordinator Program, including for 11 | |
207 | + | administrative expenses; 12 | |
223 | 208 | ||
224 | - | (2) Any interest earnings of the Fund shall be credited to the Fund. | |
209 | + | (v) expanding access to crisis beds and residential treatment 13 | |
210 | + | services for adults and minors; 14 | |
225 | 211 | ||
226 | - | ( | |
227 | - | ||
212 | + | (vi) expanding and establishing safe stations, mobile crisis response 15 | |
213 | + | systems, and crisis stabilization centers; 16 | |
228 | 214 | ||
229 | - | (2) FOR FISCAL YEAR 2026, THE GOVERNOR SHALL INCLUD E IN THE | |
230 | - | ANNUAL BUDGET BILL A N APPROPRIATION OF $500,000 FROM THE FUND TO | |
231 | - | PROVIDE TRAINING AND RESOURCES TO HOSPITA LS TO IMPLEMENT THE | |
232 | - | REQUIREMENTS OF § 19–308.10 OF THE HEALTH – GENERAL ARTICLE. | |
215 | + | (vii) supporting the behavioral health crisis hotline; 17 | |
233 | 216 | ||
234 | - | ||
235 | - | ||
217 | + | (viii) organizing primary and secondary school education campaigns 18 | |
218 | + | to prevent opioid use, including for administrative expenses; 19 | |
236 | 219 | ||
237 | - | – 6 – | |
238 | - | Corporation, and Cardinal Health Incorporated, as amended, the Janssen settlement | |
239 | - | agreement of July 21, 2021, as am ended, or any other opioid–related court or | |
240 | - | administrative judgment or settlement agreement involving the State and one or more of | |
241 | - | its political subdivisions: | |
220 | + | (ix) enforcing the laws regarding opioid prescriptions and sales, 20 | |
221 | + | including for administrative expenses; 21 | |
242 | 222 | ||
243 | - | (i) appropriations from the Fund in the State budget shall be made | |
244 | - | in accordance with the allocation and distribution of funds to the State and its political | |
245 | - | subdivisions: | |
223 | + | (x) research regarding and training for substance use treatment and 22 | |
224 | + | overdose prevention, including for administrative expenses; and 23 | |
246 | 225 | ||
247 | - | | |
248 | - | ||
226 | + | (xi) supporting and expanding other evidence–based interventions 24 | |
227 | + | for overdose prevention and substance use treatment; 25 | |
249 | 228 | ||
250 | - | 2 | |
251 | - | ||
252 | - | ||
253 | - | ||
229 | + | (2) evidence–informed substance use disorder prevention, treatment 26 | |
230 | + | recovery, or harm reduction pilot programs or demonstration studies that are not 27 | |
231 | + | evidence–based if the Opioid Restitution Fund Advisory Council, established under § 28 | |
232 | + | 7.5–902 of the Health – General Article: 29 | |
254 | 233 | ||
255 | - | (ii) the Secretary of Health shall establish and administer a grant | |
256 | - | program for the distribution of funds to political subdivisions of the State in accordance | |
257 | - | with: | |
234 | + | (i) determines that emerging evidence supports the distribution of 30 | |
235 | + | money for the pilot program or that there is a reasonable basis for funding the 31 | |
236 | + | demonstration study with the expectation of creating an evidence–based program; and 32 | |
237 | + | 6 SENATE BILL 1071 | |
258 | 238 | ||
259 | - | 1. the State–subdivision agreement of January 21, 2022, as | |
260 | - | amended; or | |
261 | 239 | ||
262 | - | 2. the requirements of any other opioid–related court or | |
263 | - | administrative judgment or settlement agreement, or any similar agreement reached under | |
264 | - | an opioid–related court or administrative judgment or settlement agreement, involving the | |
265 | - | State and one or more of its political subdivisions. | |
240 | + | (ii) approves the use of money for the pilot program or demonstration 1 | |
241 | + | study; and 2 | |
266 | 242 | ||
267 | - | [(3)] (4) The Attorney General shall identify and designate the | |
268 | - | controlling version of any agreement or amendment described under paragraph [(2)] (3) of | |
269 | - | this subsection. | |
243 | + | (3) evaluations of the effectiveness and outcomes reporting for substance 3 | |
244 | + | use disorder abatement infrastructure, programs, services, supports, and resources for 4 | |
245 | + | which money from the Fund was used, including evaluations of the impact on access to 5 | |
246 | + | harm reduction services or treatment for substance use disorders and the reduction in 6 | |
247 | + | drug–related mortality. 7 | |
270 | 248 | ||
271 | - | (i) (1) Money expended from the Fund for the programs and services described | |
272 | - | under subsection (f) of this section is supplemental to and is not intended to take the place | |
273 | - | of funding that otherwise would be appropriated for the programs and services. | |
249 | + | (g) (1) The State Treasurer shall invest the money of the Fund in the same 8 | |
250 | + | manner as other State money may be invested. 9 | |
274 | 251 | ||
275 | - | (2) Except as specified in subsection (f) of this section, money expended | |
276 | - | from the Fund may not be used for administrative expenses. | |
252 | + | (2) Any interest earnings of the Fund shall be credited to the Fund. 10 | |
277 | 253 | ||
278 | - | (j) The Governor shall: | |
254 | + | (h) (1) Expenditures from the Fund may be made only in accordance with the 11 | |
255 | + | State budget. 12 | |
279 | 256 | ||
280 | - | (1) develop key goals, key objectives, and key performance indicators | |
281 | - | relating to substance use treatment and prevention efforts; | |
282 | - | WES MOORE, Governor Ch. 886 | |
257 | + | (2) FOR FISCAL YEAR 2026, THE GOVERNOR SHALL INCLUD E IN THE 13 | |
258 | + | ANNUAL BUDGET BILL A N APPROPRIATION OF $500,000 FROM THE FUND TO 14 | |
259 | + | PROVIDE TRAINING AND RESOURCES TO HOSPITA LS TO IMPLEMENT THE 15 | |
260 | + | REQUIREMENTS OF § 19–308.10 OF THE HEALTH – GENERAL ARTICLE. 16 | |
283 | 261 | ||
284 | - | – 7 – | |
285 | - | (2) subject to subsection [(h)(2)] (H)(3) of this section, at least twice | |
286 | - | annually, consult with the Opioid Restitution Fund Advisory Council to identify | |
287 | - | recommended appropriations from the Fund; and | |
262 | + | [(2)] (3) For settlement funds received in accordance with the final 17 | |
263 | + | distributor agreement of July 21, 2021, with McKesson Corporation, Amerisource Bergen 18 | |
264 | + | Corporation, and Cardinal Health Incorporated, as amended, the Janssen settlement 19 | |
265 | + | agreement of July 21, 2021, as amended, or any other opioid–related court or 20 | |
266 | + | administrative judgment or settlement agreement involving the State and one or more of 21 | |
267 | + | its political subdivisions: 22 | |
288 | 268 | ||
289 | - | (3) report on or before November 1 each year, in accordance with § 2–1257 | |
290 | - | of the State Government Article, to the General Assembly on: | |
269 | + | (i) appropriations from the Fund in the State budget shall be made 23 | |
270 | + | in accordance with the allocation and distribution of funds to the State and its political 24 | |
271 | + | subdivisions: 25 | |
291 | 272 | ||
292 | - | | |
293 | - | ||
273 | + | 1. as agreed on in the State–subdivision agreement of 26 | |
274 | + | January 21, 2022, as amended; or 27 | |
294 | 275 | ||
295 | - | 1. use; | |
276 | + | 2. required under any other opioid –related court or 28 | |
277 | + | administrative judgment or settlement agreement, or any similar agreement reached under 29 | |
278 | + | an opioid–related court or administrative judgment or settlement agreement, involving the 30 | |
279 | + | State and one or more of its political subdivisions; and 31 | |
296 | 280 | ||
297 | - | 2. if applicable, jurisdiction; and | |
281 | + | (ii) the Secretary of Health shall establish and administer a grant 32 | |
282 | + | program for the distribution of funds to political subdivisions of the State in accordance 33 | |
283 | + | with: 34 | |
284 | + | SENATE BILL 1071 7 | |
298 | 285 | ||
299 | - | 3. budget program and subdivision; | |
300 | 286 | ||
301 | - | | |
302 | - | ||
287 | + | 1. the State–subdivision agreement of January 21, 2022, as 1 | |
288 | + | amended; or 2 | |
303 | 289 | ||
304 | - | (iii) the recommended appropriations from the Fund identified in | |
305 | - | accordance with item (2) of this subsection. | |
290 | + | 2. the requirements of any other opioid–related court or 3 | |
291 | + | administrative judgment or settlement agreement, or any similar agreement reached under 4 | |
292 | + | an opioid–related court or administrative judgment or settlement agreement, involving the 5 | |
293 | + | State and one or more of its political subdivisions. 6 | |
306 | 294 | ||
307 | - | SECTION 2. AND BE IT FURTHER ENACTED, Th at: | |
295 | + | [(3)] (4) The Attorney General shall identify and designate the 7 | |
296 | + | controlling version of any agreement or amendment described under paragraph [(2)] (3) of 8 | |
297 | + | this subsection. 9 | |
308 | 298 | ||
309 | - | ( | |
310 | - | ||
311 | - | ||
299 | + | (i) (1) Money expended from the Fund for the programs and services described 10 | |
300 | + | under subsection (f) of this section is supplemental to and is not intended to take the place 11 | |
301 | + | of funding that otherwise would be appropriated for the programs and services. 12 | |
312 | 302 | ||
313 | - | (b) On or before January 1, 2025, the Department shall report its findings and | |
314 | - | recommendations to the Senate Finance Committee and House Health and Government | |
315 | - | Operations Committee, in accordance with § 2–1257 of the State Government Article. | |
303 | + | (2) Except as specified in subsection (f) of this section, money expended 13 | |
304 | + | from the Fund may not be used for administrative expenses. 14 | |
316 | 305 | ||
317 | - | SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take | |
318 | - | effect January 1, 2025. | |
306 | + | (j) The Governor shall: 15 | |
319 | 307 | ||
320 | - | | |
321 | - | ||
308 | + | (1) develop key goals, key objectives, and key performance indicators 16 | |
309 | + | relating to substance use treatment and prevention efforts; 17 | |
322 | 310 | ||
323 | - | Approved by the Governor, May 16, 2024. | |
311 | + | (2) subject to subsection [(h)(2)] (H)(3) of this section, at least twice 18 | |
312 | + | annually, consult with the Opioid Restitution Fund Advisory Council to identify 19 | |
313 | + | recommended appropriations from the Fund; and 20 | |
314 | + | ||
315 | + | (3) report on or before November 1 each year, in accordance with § 2–1257 21 | |
316 | + | of the State Government Article, to the General Assembly on: 22 | |
317 | + | ||
318 | + | (i) an accounting of total funds expended from the Fund in the 23 | |
319 | + | immediately preceding fiscal year, by: 24 | |
320 | + | ||
321 | + | 1. use; 25 | |
322 | + | ||
323 | + | 2. if applicable, jurisdiction; and 26 | |
324 | + | ||
325 | + | 3. budget program and subdivision; 27 | |
326 | + | ||
327 | + | (ii) the performance indicators and progress toward achieving the 28 | |
328 | + | goals and objectives developed under item (1) of this subsection; and 29 | |
329 | + | ||
330 | + | (iii) the recommended appropriations from the Fund identified in 30 | |
331 | + | accordance with item (2) of this subsection. 31 | |
332 | + | 8 SENATE BILL 1071 | |
333 | + | ||
334 | + | ||
335 | + | SECTION 2. AND BE IT FURTHER ENACTED, Th at: 1 | |
336 | + | ||
337 | + | (a) The Maryland Department of Health shall study whether and how funding 2 | |
338 | + | from the Opioid Restitution Fund can be used to provide training and resources to hospitals 3 | |
339 | + | to implement Section 1 of this Act, including a recommended funding amount. 4 | |
340 | + | ||
341 | + | (b) On or before January 1, 2025, the Department shall report its findings and 5 | |
342 | + | recommendations to the Senate Finance Committee and House Health and Government 6 | |
343 | + | Operations Committee, in accordance with § 2–1257 of the State Government Article. 7 | |
344 | + | ||
345 | + | SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 8 | |
346 | + | effect January 1, 2025. 9 | |
347 | + | ||
348 | + | SECTION 2. 4. 2. AND BE IT FURTHER ENACTED, That , except as provided in 10 | |
349 | + | Section 3 of this Act, this Act shall take effect October 1, 2024 January 1, 2025. 11 | |
350 | + | ||
351 | + | ||
352 | + | ||
353 | + | Approved: | |
354 | + | ________________________________________________________________________________ | |
355 | + | Governor. | |
356 | + | ________________________________________________________________________________ | |
357 | + | President of the Senate. | |
358 | + | ________________________________________________________________________________ | |
359 | + | Speaker of the House of Delegates. |