MD
Maryland Senate Bill SB1092

Maryland 2024 Regular Session

Maryland Senate Bill SB1092 Compare Versions

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1- WES MOORE, Governor Ch. 719
21
3-– 1 –
4-Chapter 719
5-(Senate Bill 1092)
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+ Italics indicate opposite chamber/conference committee amendments.
9+ *sb1092*
810
9-Vehicle Registration – Emergency Medical System Surcharge – Increase and
10-Distribution of Funds
11-Emergency Services – Funding
11+SENATE BILL 1092
12+J1, R4 (4lr1874)
13+ENROLLED BILL
14+— Budget and Taxation/Appropriations —
15+Introduced by Senator Guzzone
1216
13-FOR the purpose of increasing the motor vehicle registration emergency medical system
14-surcharge for certain motor vehicles; providing for the distribution of revenues
15-derived from the surcharge; and generally relating to the emergency medical system
16-surcharge for motor vehicle registration altering certain provisions of law related to
17-the Maryland Trauma Physician Services Fund, including provisions related to the
18-contents and sources of the funding, transfer of money from the Fund, and the
19-methodology used to determine eligibility for disbursements from the Fund;
20-increasing the fines for certain violations of the Maryland Vehicle Law related to
21-driving while impaired; altering the authorized uses of the Maryland Emergency
22-Medical System Operations Fund; stating that it is the intent of the General
23-Assembly that the annual appropriation to requiring the Governor to include a
24-certain appropriation in the annual budget bill for the Senator William H. Amoss
25-Fire, Rescue, and Ambulance Fund be increased to at least a certain amount
26-beginning in a certain fiscal year; and generally relating to the funding for
27-emergency services.
17+Read and Examined by Proofreaders:
2818
29-BY repealing and reenacting, without amendments,
30- Article – Health – General
31- Section 19–101
32- Annotated Code of Maryland
33- (2023 Replacement Volume)
19+_______________________________________________
20+Proofreader.
21+_______________________________________________
22+Proofreader.
3423
35-BY repealing and reenacting, with amendments,
36- Article – Health – General
37- Section 19–130
38- Annotated Code of Maryland
39- (2023 Replacement Volume)
24+Sealed with the Great Seal and presented to the Governor, for his approval this
4025
41-BY repealing and reenacting, without amendments,
42- Article – Public Safety
43- Section 8–102(a)
44- Annotated Code of Maryland
45- (2022 Replacement Volume and 2023 Supplement)
26+_______ day of _______________ at _________________ _______ o’clock, ________M.
4627
47-BY adding to
48- Article – Public Safety
49- Section 8–102(g) Ch. 719 2024 LAWS OF MARYLAND
28+______________________________________________
29+President.
5030
51-– 2 –
52- Annotated Code of Maryland
53- (2022 Replacement Volume and 2023 Supplement)
31+CHAPTER ______
5432
55-BY repealing and reenacting, with amendments,
56- Article – Transportation
57-Section 13–954 and 21–902(a) through (d)
58- Annotated Code of Maryland
59- (2020 Replacement Volume and 2023 Supplement)
33+AN ACT concerning 1
6034
61-BY repealing and reenacting, without amendments,
62- Article – Transportation
63-Section 13–955
64- Annotated Code of Maryland
65- (2020 Replacement Volume and 2023 Supplement)
35+Vehicle Registration – Emergency Medical System Surcharge – Increase and 2
36+Distribution of Funds 3
37+Emergency Services – Funding 4
6638
67- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
68-That the Laws of Maryland read as follows:
39+FOR the purpose of increasing the motor vehicle registration emergency medical system 5
40+surcharge for certain motor vehicles; providing for the distribution of revenues 6
41+derived from the surcharge; and generally relating to the emergency medical system 7
42+surcharge for motor vehicle registration altering certain provisions of law related to 8
43+the Maryland Trauma Physician Services Fund, including provisions related to the 9
44+contents and sources of the funding, transfer of money from the Fund, and the 10
45+methodology used to determine eligibility for disbursements from the Fund; 11
46+increasing the fines for certain violations of the Maryland Vehicle Law related to 12
47+driving while impaired; altering the authorized uses of the Maryland Emergency 13
48+Medical System Operations Fund; stating that it is the intent of the General 14
49+Assembly that the annual appropriation to requiring the Governor to include a 15 2 SENATE BILL 1092
6950
70-Article – Health – General
7151
72-19–101.
52+certain appropriation in the annual budget bill for the Senator William H. Amoss 1
53+Fire, Rescue, and Ambulance Fund be increased to at least a certain amount 2
54+beginning in a certain fiscal year; and generally relating to the funding for 3
55+emergency services. 4
7356
74- In this subtitle, “Commission” means the Maryland Health Care Commission.
57+BY repealing and reenacting, without amendments, 5
58+ Article – Health – General 6
59+ Section 19–101 7
60+ Annotated Code of Maryland 8
61+ (2023 Replacement Volume) 9
7562
76-19–130.
63+BY repealing and reenacting, with amendments, 10
64+ Article – Health – General 11
65+ Section 19–130 12
66+ Annotated Code of Maryland 13
67+ (2023 Replacement Volume) 14
7768
78- (a) (1) In this section the following words have the meanings indicated.
69+BY repealing and reenacting, without amendments, 15
70+ Article – Public Safety 16
71+ Section 8–102(a) 17
72+ Annotated Code of Maryland 18
73+ (2022 Replacement Volume and 2023 Supplement) 19
7974
80- (2) “Fund” means the Maryland Trauma Physician Services Fund.
75+BY adding to 20
76+ Article – Public Safety 21
77+ Section 8–102(g) 22
78+ Annotated Code of Maryland 23
79+ (2022 Replacement Volume and 2023 Supplement) 24
8180
82- (3) “Maryland Trauma Specialty Referral Centers” means:
81+BY repealing and reenacting, with amendments, 25
82+ Article – Transportation 26
83+Section 13–954 and 21–902(a) through (d) 27
84+ Annotated Code of Maryland 28
85+ (2020 Replacement Volume and 2023 Supplement) 29
8386
84- (i) The Johns Hopkins Health System Burn Program;
87+BY repealing and reenacting, without amendments, 30
88+ Article – Transportation 31
89+Section 13–955 32
90+ Annotated Code of Maryland 33
91+ (2020 Replacement Volume and 2023 Supplement) 34
8592
86- (ii) The Eye Trauma Center at the Wilmer Eye Institute at The
87-Johns Hopkins Hospital; and
93+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 35
94+That the Laws of Maryland read as follows: 36
8895
89- (iii) The Curtis National Hand Center at Union Memorial Hospital.
96+Article – Health – General 37
9097
91- (4) “REASONABLE COMPENSATI ON EQUIVALENT ” MEANS THE
92-LIMITATION ON THE CO ST ESTABLISHED BY TH E CENTERS FOR MEDICARE AND
93-MEDICAID SERVICES THAT A PROVI DER MAY CLAIM FOR CO MPENSATION OF
94-SERVICES.
95- WES MOORE, Governor Ch. 719
98+19–101. 38 SENATE BILL 1092 3
9699
97-– 3 –
98- [(4)] (5) “Rehabilitation hospital” means a facility classified as a special
99-rehabilitation hospital as described in § 19–307 of this title that is affiliated with a trauma
100-center by common ownership.
101100
102- [(5)] (6) (i) “Trauma center” means a facility designated by the
103-Maryland Institute for Emergency Medical Services Systems as:
104101
105- 1. The State primary adult resource center;
102+ In this subtitle, “Commission” means the Maryland Health Care Commission. 1
106103
107- 2. A Level I trauma center;
104+19–130. 2
108105
109- 3. A Level II trauma center;
106+ (a) (1) In this section the following words have the meanings indicated. 3
110107
111- 4. A Level III trauma center;
108+ (2) “Fund” means the Maryland Trauma Physician Services Fund. 4
112109
113- 5. A pediatric trauma center; or
110+ (3) “Maryland Trauma Specialty Referral Centers” means: 5
114111
115- 6. The Maryland Trauma Specialty Referral Centers.
112+ (i) The Johns Hopkins Health System Burn Program; 6
116113
117- (ii) “Trauma center” includes an out–of–state pediatric trauma
118-center that has entered into an agreement with the Maryland Institute for Emergency
119-Medical Services Systems.
114+ (ii) The Eye Trauma Center at the Wilmer Eye Institute at The 7
115+Johns Hopkins Hospital; and 8
120116
121- (7) “TRAUMA HEALTH CARE PR ACTITIONER” MEANS A HEALTH CARE
122-PRACTITIONER LICENSE D UNDER THE HEALTH OCCUPATIONS ARTICLE WHO
123-PROVIDES CARE IN A T RAUMA CENTER OR IN A REHABILITATION HOSPI TAL TO
124-TRAUMA PATIENTS ON T HE STATE TRAUMA REGISTRY AS DEFINED BY THE
125-MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS.
117+ (iii) The Curtis National Hand Center at Union Memorial Hospital. 9
126118
127- [(6)] (8) “Trauma physician” means a physician who provides care in a
128-trauma center or in a rehabilitation hospital to trauma patients on the State trauma
129-registry as defined by the Maryland Institute for Emergency Medical Services Systems.
119+ (4) “REASONABLE COMPENSATI ON EQUIVALENT ” MEANS THE 10
120+LIMITATION ON THE CO ST ESTABLISHED BY TH E CENTERS FOR MEDICARE AND 11
121+MEDICAID SERVICES THAT A PROVI DER MAY CLAIM FOR CO MPENSATION OF 12
122+SERVICES. 13
130123
131- [(7)] (9) “Uncompensated care” means care provided by a trauma
132-physician OR A TRAUMA HEALTH C ARE PRACTITIONER to a trauma patient on the State
133-trauma registry who:
124+ [(4)] (5) “Rehabilitation hospital” means a facility classified as a special 14
125+rehabilitation hospital as described in § 19–307 of this title that is affiliated with a trauma 15
126+center by common ownership. 16
134127
135- (i) Has no health insurance, including Medicare Part B coverage;
128+ [(5)] (6) (i) “Trauma center” means a facility designated by the 17
129+Maryland Institute for Emergency Medical Services Systems as: 18
136130
137- (ii) Is not eligible for medical assistance coverage; and
131+ 1. The State primary adult resource center; 19
138132
139- (iii) Has not paid the trauma physician OR TRAUMA HEALTH CAR E
140-PRACTITIONER for care provided by the trauma physician OR TRAUMA HEALTH CAR E
141-PRACTITIONER , after documented attempts by the trauma physician OR TRAUMA
142-HEALTH CARE PRACTITI ONER to collect payment. Ch. 719 2024 LAWS OF MARYLAND
133+ 2. A Level I trauma center; 20
143134
144-– 4 –
135+ 3. A Level II trauma center; 21
145136
146- (b) (1) There is a Maryland Trauma Physician Services Fund.
137+ 4. A Level III trauma center; 22
147138
148- (2) The purpose of the Fund is to subsidize the documented costs:
139+ 5. A pediatric trauma center; or 23
149140
150- (i) Of uncompensated care incurred by a trauma physician OR
151-TRAUMA HEALTH CARE P RACTITIONER in providing trauma care to a trauma patient on
152-the State trauma registry;
141+ 6. The Maryland Trauma Specialty Referral Centers. 24
153142
154- (ii) Of undercompensated care incurred by a trauma physician OR
155-TRAUMA HEALTH CARE P RACTITIONER in providing trauma care to an enrollee of the
156-Maryland Medical Assistance Program who is a trauma patient on the State trauma
157-registry;
143+ (ii) “Trauma center” includes an out–of–state pediatric trauma 25
144+center that has entered into an agreement with the Maryland Institute for Emergency 26
145+Medical Services Systems. 27
146+ 4 SENATE BILL 1092
158147
159- (iii) Incurred by a trauma center to maintain trauma physicians
160-on–call as required by the Maryland Institute for Emergency Medical Services Systems;
161148
162- (iv) Incurred by the State primary adult resource center to maintain
163-trauma surgeons, orthopedic surgeons, neurosurgeons, and anesthesiologists on–call and
164-on standby as required by the Maryland Institute for Emergency Medical Services Systems;
165-and
149+ (7) “TRAUMA HEALTH CARE PR ACTITIONER” MEANS A HEALTH CARE 1
150+PRACTITIONER LICENSE D UNDER THE HEALTH OCCUPATIONS ARTICLE WHO 2
151+PROVIDES CARE IN A T RAUMA CENTER OR IN A REHABILITATION HOSPI TAL TO 3
152+TRAUMA PATIENTS ON T HE STATE TRAUMA REGISTRY AS DEFINED BY THE 4
153+MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS. 5
166154
167- (v) Incurred by the Commission and the Health Services Cost
168-Review Commission to administer the Fund and audit reimbursement requests to assure
169-appropriate payments are made from the Fund.
155+ [(6)] (8) “Trauma physician” means a physician who provides care in a 6
156+trauma center or in a rehabilitation hospital to trauma patients on the State trauma 7
157+registry as defined by the Maryland Institute for Emergency Medical Services Systems. 8
170158
171- (3) The Commission and the Health Services Cost Review Commission
172-shall administer the Fund.
159+ [(7)] (9) “Uncompensated care” means care provided by a trauma 9
160+physician OR A TRAUMA HEALTH C ARE PRACTITIONER to a trauma patient on the State 10
161+trauma registry who: 11
173162
174- (4) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of
175-the State Finance and Procurement Article.
163+ (i) Has no health insurance, including Medicare Part B coverage; 12
176164
177- (5) Interest on and other income from the Fund shall be separately
178-accounted for and credited to the Fund, and are not subject to § 6–226(a) of the State
179-Finance and Procurement Article.
165+ (ii) Is not eligible for medical assistance coverage; and 13
180166
181- (c) The Fund consists of [motor]:
167+ (iii) Has not paid the trauma physician OR TRAUMA HEALTH CAR E 14
168+PRACTITIONER for care provided by the trauma physician OR TRAUMA HEALTH CAR E 15
169+PRACTITIONER , after documented attempts by the trauma physician OR TRAUMA 16
170+HEALTH CARE PRACTITI ONER to collect payment. 17
182171
183- (1) MOTOR vehicle registration surcharges paid into the Fund in
184-accordance with § 13–954(b)(2) of the Transportation Article;
172+ (b) (1) There is a Maryland Trauma Physician Services Fund. 18
185173
186- (2) AT LEAST 10% 20% OF THE FINES COLLECT ED UNDER §
187-21–902(A)(1), (B)(2), (C)(2), AND (D)(1) OF THE TRANSPORTATION ARTICLE; AND
188- WES MOORE, Governor Ch. 719
174+ (2) The purpose of the Fund is to subsidize the documented costs: 19
189175
190-– 5 –
191- (3) ANY OTHER MONEY TRANS FERRED FROM THE GENERAL FUND OF
192-THE STATE.
176+ (i) Of uncompensated care incurred by a trauma physician OR 20
177+TRAUMA HEALTH CARE P RACTITIONER in providing trauma care to a trauma patient on 21
178+the State trauma registry; 22
193179
194- (d) (1) Disbursements from the Fund shall be made in accordance with a
195-methodology established jointly by the Commission and the Health Services Cost Review
196-Commission to calculate costs incurred by trauma physicians and trauma centers that are
197-eligible to receive reimbursement under subsection (b) of this section.
180+ (ii) Of undercompensated care incurred by a trauma physician OR 23
181+TRAUMA HEALTH CARE P RACTITIONER in providing trauma care to an enrollee of the 24
182+Maryland Medical Assistance Program who is a trauma patient on the State trauma 25
183+registry; 26
198184
199- (2) The Fund shall transfer to the Maryland Department of Health an
200-amount sufficient to fully cover the State’s share of expenditures for the costs of
201-undercompensated care incurred by a trauma physician in providing trauma care to an
202-enrollee of the Maryland Medical Assistance Program who is a trauma patient on the State
203-trauma registry.
185+ (iii) Incurred by a trauma center to maintain trauma physicians 27
186+on–call as required by the Maryland Institute for Emergency Medical Services Systems; 28
204187
205- (3) The methodology developed under paragraph (1) of this subsection
206-shall:
188+ (iv) Incurred by the State primary adult resource center to maintain 29
189+trauma surgeons, orthopedic surgeons, neurosurgeons, and anesthesiologists on–call and 30
190+on standby as required by the Maryland Institute for Emergency Medical Services Systems; 31
191+and 32
192+ SENATE BILL 1092 5
207193
208- (i) Take into account:
209194
210- 1. The amount of uncompensated care provided by trauma
211-physicians;
195+ (v) Incurred by the Commission and the Health Services Cost 1
196+Review Commission to administer the Fund and audit reimbursement requests to assure 2
197+appropriate payments are made from the Fund. 3
212198
213- 2. The amount of undercompensated care attributable to the
214-treatment of Medicaid enrollees in trauma centers;
199+ (3) The Commission and the Health Services Cost Review Commission 4
200+shall administer the Fund. 5
215201
216- 3. The cost of maintaining trauma physicians on–call;
202+ (4) The Fund is a special, nonlapsing fund that is not subject to § 7–302 of 6
203+the State Finance and Procurement Article. 7
217204
218- 4. The number of patients served by trauma physicians in
219-trauma centers;
205+ (5) Interest on and other income from the Fund shall be separately 8
206+accounted for and credited to the Fund, and are not subject to § 6–226(a) of the State 9
207+Finance and Procurement Article. 10
220208
221- 5. The number of Maryland residents served by trauma
222-physicians in trauma centers; and
209+ (c) The Fund consists of [motor]: 11
223210
224- 6. The extent to which trauma–related costs are otherwise
225-subsidized by hospitals, the federal government, and other sources; and
211+ (1) MOTOR vehicle registration surcharges paid into the Fund in 12
212+accordance with § 13–954(b)(2) of the Transportation Article; 13
226213
227- (ii) Include an incentive to encourage hospitals to continue to
228-subsidize trauma–related costs not otherwise included in hospital rates.
214+ (2) AT LEAST 10% 20% OF THE FINES COLLECT ED UNDER § 14
215+21–902(A)(1), (B)(2), (C)(2), AND (D)(1) OF THE TRANSPORTATION ARTICLE; AND 15
229216
230- (4) The methodology developed under paragraph (1) of this subsection shall
231-use the following parameters to determine the amount of reimbursement made to trauma
232-physicians and trauma centers from the Fund:
217+ (3) ANY OTHER MONEY TRANS FERRED FROM THE GENERAL FUND OF 16
218+THE STATE. 17
233219
234- (i) 1. The cost incurred by a Level II trauma center to maintain
235-trauma surgeons, orthopedic surgeons, and neurosurgeons on–call shall be reimbursed:
236- Ch. 719 2024 LAWS OF MARYLAND
220+ (d) (1) Disbursements from the Fund shall be made in accordance with a 18
221+methodology established jointly by the Commission and the Health Services Cost Review 19
222+Commission to calculate costs incurred by trauma physicians and trauma centers that are 20
223+eligible to receive reimbursement under subsection (b) of this section. 21
237224
238-– 6 –
239- A. At a rate of up to [30%] 60% of the reasonable [cost
240-equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the
241-current year by the physician compensation component of the Medicare economic index as
242-designated by the Centers for Medicare and Medicaid Services; and
225+ (2) The Fund shall transfer to the Maryland Department of Health an 22
226+amount sufficient to fully cover the State’s share of expenditures for the costs of 23
227+undercompensated care incurred by a trauma physician in providing trauma care to an 24
228+enrollee of the Maryland Medical Assistance Program who is a trauma patient on the State 25
229+trauma registry. 26
243230
244- B. For the minimum number of trauma physicians required
245-to be on–call, as specified by the Maryland Institute for Emergency Medical Services
246-Systems in its criteria for Level II trauma centers;
231+ (3) The methodology developed under paragraph (1) of this subsection 27
232+shall: 28
247233
248- 2. The cost incurred by a Level III trauma center to maintain
249-trauma surgeons, orthopedic surgeons, neurosurgeons, and anesthesiologists on–call shall
250-be reimbursed:
234+ (i) Take into account: 29
251235
252- A. At a rate of up to [35%] 60% of the reasonable [cost
253-equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the
254-current year by the physician compensation component of the Medicare economic index as
255-designated by the Centers for Medicare and Medicaid Services; and
236+ 1. The amount of uncompensated care provided by trauma 30
237+physicians; 31
256238
257- B. For the minimum number of trauma physicians required
258-to be on–call, as specified by the Maryland Institute for Emergency Medical Services
259-Systems in its criteria for Level III trauma centers;
239+ 2. The amount of undercompensated care attributable to the 32
240+treatment of Medicaid enrollees in trauma centers; 33 6 SENATE BILL 1092
260241
261- 3. The cost incurred by a Level I trauma center or pediatric
262-trauma center to maintain trauma surgeons, orthopedic surgeons, and neurosurgeons
263-on–call when a post–graduate resident is attending in the trauma center shall be
264-reimbursed:
265242
266- A. At a rate of up to [30%] 60% of the reasonable [cost
267-equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the
268-current year by the physician compensation component of the Medicare economic index as
269-designated by the Centers for Medicare and Medicaid Services; and
270243
271- B. When a post –graduate resident is [permitted]
272-AUTHORIZED to be in the trauma center, as specified by the Maryland Institute for
273-Emergency Medical Services Systems in its criteria for Level I trauma centers or pediatric
274-trauma centers;
244+ 3. The cost of maintaining trauma physicians on–call; 1
275245
276- 4. The cost incurred by a Maryland Trauma Specialty
277-Referral Center to maintain trauma surgeons on–call in the specialty of the Center when a
278-post–graduate resident is attending in the Center shall be reimbursed:
246+ 4. The number of patients served by trauma physicians in 2
247+trauma centers; 3
279248
280- A. At a rate of up to [30%] 60% of the reasonable [cost
281-equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the
282-current year by the physician compensation component of the Medicare economic index as
283-designated by the Centers for Medicare and Medicaid Services; and WES MOORE, Governor Ch. 719
249+ 5. The number of Maryland residents served by trauma 4
250+physicians in trauma centers; and 5
284251
285-– 7 –
252+ 6. The extent to which trauma–related costs are otherwise 6
253+subsidized by hospitals, the federal government, and other sources; and 7
286254
287- B. When a post –graduate resident is [permitted]
288-AUTHORIZE D to be in the Center, as specified by the Maryland Institute for Emergency
289-Medical Services Systems in its criteria for a Maryland Trauma Specialty Referral Center;
290-and
255+ (ii) Include an incentive to encourage hospitals to continue to 8
256+subsidize trauma–related costs not otherwise included in hospital rates. 9
291257
292- 5. A. A Level II trauma center is eligible for a maximum
293-of [24,500] 26,280 hours of trauma on–call per year;
258+ (4) The methodology developed under paragraph (1) of this subsection shall 10
259+use the following parameters to determine the amount of reimbursement made to trauma 11
260+physicians and trauma centers from the Fund: 12
294261
295- B. A Level III trauma center is eligible for a maximum of
296-35,040 hours of trauma on–call per year;
262+ (i) 1. The cost incurred by a Level II trauma center to maintain 13
263+trauma surgeons, orthopedic surgeons, and neurosurgeons on–call shall be reimbursed: 14
297264
298- C. A Level I trauma center shall be eligible for a maximum of
299-4,380 hours of trauma on–call per year;
265+ A. At a rate of up to [30%] 60% of the reasonable [cost 15
266+equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the 16
267+current year by the physician compensation component of the Medicare economic index as 17
268+designated by the Centers for Medicare and Medicaid Services; and 18
300269
301- D. A pediatric trauma center shall be eligible for a maximum
302-of 4,380 hours of trauma on–call per year; and
270+ B. For the minimum number of trauma physicians required 19
271+to be on–call, as specified by the Maryland Institute for Emergency Medical Services 20
272+Systems in its criteria for Level II trauma centers; 21
303273
304- E. A Maryland Trauma Specialty Referral Center shall be
305-eligible for a maximum of 2,190 hours of trauma on–call per year;
274+ 2. The cost incurred by a Level III trauma center to maintain 22
275+trauma surgeons, orthopedic surgeons, neurosurgeons, and anesthesiologists on–call shall 23
276+be reimbursed: 24
306277
307- (ii) The cost of undercompensated care incurred by a trauma
308-physician in providing trauma care to enrollees of the Maryland Medical Assistance
309-Program who are trauma patients on the State trauma registry shall be reimbursed at a
310-rate of up to 100% of the Medicare payment for the service, minus any amount paid by the
311-Maryland Medical Assistance Program;
278+ A. At a rate of up to [35%] 60% of the reasonable [cost 25
279+equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the 26
280+current year by the physician compensation component of the Medicare economic index as 27
281+designated by the Centers for Medicare and Medicaid Services; and 28
312282
313- (iii) The cost of uncompensated care incurred by a trauma physician
314-in providing trauma care to trauma patients on the State trauma registry shall be
315-reimbursed at a rate of 100% of the Medicare payment for the service, minus any recoveries
316-made by the trauma physician for the care;
283+ B. For the minimum number of trauma physicians required 29
284+to be on–call, as specified by the Maryland Institute for Emergency Medical Services 30
285+Systems in its criteria for Level III trauma centers; 31
317286
318- (iv) The Commission, in consultation with the Health Services Cost
319-Review Commission, may establish a payment rate for uncompensated care incurred by a
320-trauma physician in providing trauma care to trauma patients on the State trauma registry
321-that is above 100% of the Medicare payment for the service if:
287+ 3. The cost incurred by a Level I trauma center or pediatric 32
288+trauma center to maintain trauma surgeons, orthopedic surgeons, and neurosurgeons 33 SENATE BILL 1092 7
322289
323- 1. The Commission determines that increasing the payment
324-rate above 100% of the Medicare payment for the service will address an unmet need in the
325-State trauma system; and
326290
327- 2. The Commission reports on its intention to increase the
328-payment rate to the Senate Finance Committee and the House Health and Government
329-Operations Committee, in accordance with § 2–1257 of the State Government Article, at
330-least 60 days before any adjustment to the rate;
331- Ch. 719 2024 LAWS OF MARYLAND
291+on–call when a post–graduate resident is attending in the trauma center shall be 1
292+reimbursed: 2
332293
333-– 8 –
334- (v) The Commission shall develop guidelines for the reimbursement
335-of the documented costs of the State primary adult resource center under subsection
336-(b)(2)(iv) of this section; [and]
294+ A. At a rate of up to [30%] 60% of the reasonable [cost 3
295+equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the 4
296+current year by the physician compensation component of the Medicare economic index as 5
297+designated by the Centers for Medicare and Medicaid Services; and 6
337298
338- (VI) THE COMMISSION, IN CONSULTATION WITH THE HEALTH
339-SERVICES COST REVIEW COMMISSION, MAY CHANGE THE PERCE NTAGE OF THE
340-REASONABLE COMPENSAT ION EQUIVALENT PAID TO TRAUMA HOSPITALS IF:
299+ B. When a post –graduate resident is [permitted] 7
300+AUTHORIZED to be in the trauma center, as specified by the Maryland Institute for 8
301+Emergency Medical Services Systems in its criteria for Level I trauma centers or pediatric 9
302+trauma centers; 10
341303
342- 1. THE COMMISSION DETERMINES THAT THE
343-PROJECTED REVENUE TO BE COLLECTED IN THE FUND IS ADEQUATE TO S UPPORT
344-THE PROPOSED INCREAS E IN THE PERCENTAGE OF REASONABLE COMPEN SATION
345-EQUIVALENT INFLATED TO THE CURRENT YEAR BY THE PHYSICIAN COM PENSATION
346-COMPONENT OF THE MEDICARE ECON OMIC INDEX; AND
304+ 4. The cost incurred by a Maryland Trauma Specialty 11
305+Referral Center to maintain trauma surgeons on–call in the specialty of the Center when a 12
306+post–graduate resident is attending in the Center shall be reimbursed: 13
347307
348- 2. THE COMMISSION REPORTS ON ITS INTENTION TO
349-CHANGE THE PERCENTAG E OF REASONABLE COMP ENSATION EQUIVALENT TO BE
350-PAID FOR ON–CALL COSTS TO THE SENATE FINANCE COMMITTEE AND THE HOUSE
351-HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDA NCE WITH §
352-2–1257 OF THE STATE GOVERNMENT ARTICLE, AT LEAST 60 DAYS BEFORE ANY
353-ADJUSTMENT TO THE AL LOWABLE HOURS ;
308+ A. At a rate of up to [30%] 60% of the reasonable [cost 14
309+equivalents] COMPENSATION EQUIVALENT hourly rate for the specialty, inflated to the 15
310+current year by the physician compensation component of the Medicare economic index as 16
311+designated by the Centers for Medicare and Medicaid Services; and 17
354312
355- (VII) THE COMMISSION, IN CONSULTATION WITH THE HEALTH
356-SERVICES COST REVIEW COMMISSION, MAY CHANGE THE NUMBE R OF ALLOWABLE
357-HOURS OF TRAUMA ON–CALL EACH YEAR IF TH E COMMISSION REPORTS ON ITS
358-INTENTION TO CHANGE THE NUMBER OF ALLOWA BLE HOURS TO THE SENATE
359-FINANCE COMMITTEE AND THE HOUSE HEALTH AND GOVERNMENT OPERATIONS
360-COMMITTEE, IN ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT
361-ARTICLE, AT LEAST 60 DAYS BEFORE ANY ADJU STMENT TO THE ALLOWA BLE HOURS;
313+ B. When a post –graduate resident is [permitted] 18
314+AUTHORIZED to be in the Center, as specified by the Maryland Institute for Emergency 19
315+Medical Services Systems in its criteria for a Maryland Trauma Specialty Referral Center; 20
316+and 21
362317
363- (VIII) THE COMMISSION MAY MODIFY THE PERCENTAGE PAID ,
364-AND THE MAXIMUM NUMB ER OF HOURS ALLOWED , OF THE REASONABLE
365-COMPENSATION EQUIVAL ENT FOR ON–CALL CARE HOURS NOT MORE THAN ONCE
366-EACH YEAR; AND
318+ 5. A. A Level II trauma center is eligible for a maximum 22
319+of [24,500] 26,280 hours of trauma on–call per year; 23
367320
368- [(vi)] (IX) The total reimbursement to emergency physicians from
369-the Fund may not exceed $300,000 annually.
321+ B. A Level III trauma center is eligible for a maximum of 24
322+35,040 hours of trauma on–call per year; 25
370323
371- (5) In order to receive reimbursement, a trauma physician OR TRAUMA
372-HEALTH CARE PRACTITI ONER in the case of costs of uncompensated care under
373-subsection (b)(2)(i) of this section, or a trauma center in the case of on–call costs under
374-subsection (b)(2)(iii) of this section, shall apply to the Fund on a form and in a manner
375-approved by the Commission and the Health Services Cost Review Commission.
376- WES MOORE, Governor Ch. 719
324+ C. A Level I trauma center shall be eligible for a maximum of 26
325+4,380 hours of trauma on–call per year; 27
377326
378-– 9 –
379- (6) (i) The Commission and the Health Services Cost Review
380-Commission shall adopt regulations that specify the information that trauma physicians,
381-TRAUMA HEALTH CARE P RACTITIONERS , and trauma centers must submit to receive
382-money from the Fund.
327+ D. A pediatric trauma center shall be eligible for a maximum 28
328+of 4,380 hours of trauma on–call per year; and 29
383329
384- (ii) The information required shall include:
330+ E. A Maryland Trauma Specialty Referral Center shall be 30
331+eligible for a maximum of 2,190 hours of trauma on–call per year; 31
385332
386- 1. The name and federal tax identification number of the
387-trauma physician rendering the service;
333+ (ii) The cost of undercompensated care incurred by a trauma 32
334+physician in providing trauma care to enrollees of the Maryland Medical Assistance 33
335+Program who are trauma patients on the State trauma registry shall be reimbursed at a 34 8 SENATE BILL 1092
388336
389- 2. The date of the service;
390337
391- 3. Appropriate codes describing the service;
338+rate of up to 100% of the Medicare payment for the service, minus any amount paid by the 1
339+Maryland Medical Assistance Program; 2
392340
393- 4. Any amount recovered for the service rendered;
341+ (iii) The cost of uncompensated care incurred by a trauma physician 3
342+in providing trauma care to trauma patients on the State trauma registry shall be 4
343+reimbursed at a rate of 100% of the Medicare payment for the service, minus any recoveries 5
344+made by the trauma physician for the care; 6
394345
395- 5. The name of the trauma patient;
346+ (iv) The Commission, in consultation with the Health Services Cost 7
347+Review Commission, may establish a payment rate for uncompensated care incurred by a 8
348+trauma physician in providing trauma care to trauma patients on the State trauma registry 9
349+that is above 100% of the Medicare payment for the service if: 10
396350
397- 6. The patient’s trauma registry number; and
351+ 1. The Commission determines that increasing the payment 11
352+rate above 100% of the Medicare payment for the service will address an unmet need in the 12
353+State trauma system; and 13
398354
399- 7. Any other information the Commission and the Health
400-Services Cost Review Commission consider necessary to disburse money from the Fund.
355+ 2. The Commission reports on its intention to increase the 14
356+payment rate to the Senate Finance Committee and the House Health and Government 15
357+Operations Committee, in accordance with § 2–1257 of the State Government Article, at 16
358+least 60 days before any adjustment to the rate; 17
401359
402- (iii) It is the intent of the General Assembly that trauma physicians
403-and trauma centers shall cooperate with the Commission and the Health Services Cost
404-Review Commission by providing information required under this paragraph in a timely
405-and complete manner.
360+ (v) The Commission shall develop guidelines for the reimbursement 18
361+of the documented costs of the State primary adult resource center under subsection 19
362+(b)(2)(iv) of this section; [and] 20
406363
407- (e) (1) Except as provided in paragraph (2) of this subsection and
408-notwithstanding any other provision of law, expenditures from the Fund for costs incurred
409-in any fiscal year may not exceed revenues of the Fund.
364+ (VI) THE COMMISSION, IN CONSULTATION WITH THE HEALTH 21
365+SERVICES COST REVIEW COMMISSION, MAY CHANGE THE PERCE NTAGE OF THE 22
366+REASONABLE COMPENSAT ION EQUIVALENT PAID TO TRAUMA HOSPITALS IF: 23
410367
411- (2) (i) The Commission, in consultation with the Health Services Cost
412-Review Commission and the Maryland Institute for Emergency Medical Services Systems,
413-shall develop a process for the award of grants to LEVEL I, Level II, and Level III trauma
414-centers [in the State to be used for equipment primarily used] in the delivery of trauma
415-care.
368+ 1. THE COMMISSION DETERMINES THAT THE 24
369+PROJECTED REVENUE TO BE COLLECTED IN THE FUND IS ADEQUATE TO S UPPORT 25
370+THE PROPOSED INCREAS E IN THE PERCENTAGE OF REASONABLE COMPEN SATION 26
371+EQUIVALENT INFLATED TO THE CURRENT YEAR BY THE PHYSICIAN COM PENSATION 27
372+COMPONENT OF THE MEDICARE ECONOMIC IND EX; AND 28
416373
417- (ii) 1. The Commission shall issue grants under this paragraph
418-from any balance carried over to the Fund from prior fiscal years.
374+ 2. THE COMMISSION REPORTS ON ITS INTENTION TO 29
375+CHANGE THE PERCENTAG E OF REASONABLE COMP ENSATION EQUIVALENT TO BE 30
376+PAID FOR ON–CALL COSTS TO THE SENATE FINANCE COMMITTEE AND THE HOUSE 31
377+HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDANCE WITH § 32
378+2–1257 OF THE STATE GOVERNMENT ARTICLE, AT LEAST 60 DAYS BEFORE ANY 33
379+ADJUSTMENT TO THE AL LOWABLE HOURS ; 34
419380
420- 2. [The total amount of grants awarded under this
421-paragraph in a fiscal year may not exceed 10% of the balance remaining in the Fund at the
422-end of the fiscal year immediately prior to the fiscal year in which grants are awarded]
423-THE TOTAL AMOUNT OF G RANTS AWARDED UNDER THIS PARAGRAPH IN A FISCAL
424-YEAR MAY NO T REDUCE THE BALANCE REMAINING IN THE FUND AT THE END OF TH E Ch. 719 2024 LAWS OF MARYLAND
381+ (VII) THE COMMISSION, IN CONSULTATION WITH THE HEALTH 35
382+SERVICES COST REVIEW COMMISSION, MAY CHANGE THE NUMBE R OF ALLOWABLE 36 SENATE BILL 1092 9
425383
426-– 10 –
427-FISCAL YEAR TO LESS THAN 15% OF THE REVENUE COLLE CTED IN THAT FISCAL
428-YEAR.
429384
430- (iii) The process developed by the Commission for the award of grants
431-under this paragraph shall include:
385+HOURS OF TRAUMA ON –CALL EACH YE AR IF THE COMMISSION REPORTS ON ITS 1
386+INTENTION TO CHANGE THE NUMBER OF ALLOWA BLE HOURS TO THE SENATE 2
387+FINANCE COMMITTEE AND THE HOUSE HEALTH AND GOVERNMENT OPERATIONS 3
388+COMMITTEE, IN ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT 4
389+ARTICLE, AT LEAST 60 DAYS BEFORE ANY ADJUSTMENT TO THE ALLOWABLE HOU RS; 5
432390
433- 1. Grant applications and review and selection criteria for
434-the award of grants;
391+ (VIII) THE COMMISSION MAY MODIFY THE PERCENTAGE PAID , 6
392+AND THE MAXIMUM NUMB ER OF HOURS ALLOWED , OF THE REASONABLE 7
393+COMPENSATION EQUIVAL ENT FOR ON–CALL CARE HOURS NOT MORE THAN ONCE 8
394+EACH YEAR; AND 9
435395
436- 2. Review by the Commission, if necessary, for any project
437-that exceeds certificate of need thresholds; and
396+ [(vi)] (IX) The total reimbursement to emergency physicians from 10
397+the Fund may not exceed $300,000 annually. 11
438398
439- 3. Any other procedure determined necessary by the
440-Commission.
399+ (5) In order to receive reimbursement, a trauma physician OR TRAUMA 12
400+HEALTH CARE PRACTITI ONER in the case of costs of uncompensated care under 13
401+subsection (b)(2)(i) of this section, or a trauma center in the case of on–call costs under 14
402+subsection (b)(2)(iii) of this section, shall apply to the Fund on a form and in a manner 15
403+approved by the Commission and the Health Services Cost Review Commission. 16
441404
442- (iv) Before awarding grants under this subsection in a fiscal year, the
443-Commission shall report to the Senate Finance Committee and the House Health and
444-Government Operations Committee, in accordance with § 2–1257 of the State Government
445-Article, on the process that the Commission has developed for awarding grants in that fiscal
446-year.
405+ (6) (i) The Commission and the Health Services Cost Review 17
406+Commission shall adopt regulations that specify the information that trauma physicians, 18
407+TRAUMA HEALTH CARE P RACTITIONERS , and trauma centers must submit to receive 19
408+money from the Fund. 20
447409
448- (f) On or before November 1 of each year, the Commission and the Health
449-Services Cost Review Commission shall report to the General Assembly, in accordance with
450-§ 2–1257 of the State Government Article, on:
410+ (ii) The information required shall include: 21
451411
452- (1) The amount of money in the Fund on the last day of the previous fiscal
453-year;
412+ 1. The name and federal tax identification number of the 22
413+trauma physician rendering the service; 23
454414
455- (2) The amount of money applied for by trauma physicians, TRAUMA
456-HEALTH CARE PRACTITI ONERS, and trauma centers during the previous fiscal year;
415+ 2. The date of the service; 24
457416
458- (3) The amount of money distributed in the form of trauma physician,
459-TRAUMA HEALTH CARE P RACTITIONER, and trauma center reimbursements during the
460-previous fiscal year;
417+ 3. Appropriate codes describing the service; 25
461418
462- (4) Any recommendations for altering the manner in which trauma
463-physicians, TRAUMA HEALTH CARE P RACTITIONERS , and trauma centers are
464-reimbursed from the Fund;
419+ 4. Any amount recovered for the service rendered; 26
465420
466- (5) The costs incurred in administering the Fund during the previous fiscal
467-year; [and]
421+ 5. The name of the trauma patient; 27
468422
469- (6) The amount that each hospital that participates in the Maryland
470-trauma system and that has a trauma center contributes toward the subsidization of
471-trauma–related costs for its trauma center; WES MOORE, Governor Ch. 719
423+ 6. The patient’s trauma registry number; and 28
472424
473-– 11 –
425+ 7. Any other information the Commission and the Health 29
426+Services Cost Review Commission consider necessary to disburse money from the Fund. 30
474427
475- (7) THE AMOUNT THE HEALTH SERVICES COST REVIEW
476-COMMISSION ALLOWED COSTS THAT HOSPITALS REPORTED TO THE HEALTH
477-SERVICES COST REVIEW COMMISSION AND ARE AC COUNTED FOR IN THE G LOBAL
478-BUDGETS OF THE HOSPI TALS FOR EACH OF THE FOLLOWING:
428+ (iii) It is the intent of the General Assembly that trauma physicians 31
429+and trauma centers shall cooperate with the Commission and the Health Services Cost 32 10 SENATE BILL 1092
479430
480- (I) IN HOSPITAL RATES FOR TRAUMA TRAUMA STANDBY;
481431
482- (II) FOR MAINTAINING ALLOWABLE TRAUMA CENT ER COSTS
483-FOR REIMBURSING THE TRAU MA DIRECTOR AND TRAU MA STAFF;
432+Review Commission by providing information required under this paragraph in a timely 1
433+and complete manner. 2
484434
485- (III) MAINTAINING MARYLAND INSTITUTE FOR EMERGENCY
486-MEDICAL SERVICES SYSTEMS TRAUMA PROTOC OLS;
435+ (e) (1) Except as provided in paragraph (2) of this subsection and 3
436+notwithstanding any other provision of law, expenditures from the Fund for costs incurred 4
437+in any fiscal year may not exceed revenues of the Fund. 5
487438
488- (IV) MAINTAINING SPECIALIZ ED TRAUMA STAFF ;
439+ (2) (i) The Commission, in consultation with the Health Services Cost 6
440+Review Commission and the Maryland Institute for Emergency Medical Services Systems, 7
441+shall develop a process for the award of grants to LEVEL I, Level II, and Level III trauma 8
442+centers [in the State to be used for equipment primarily used] in the delivery of trauma 9
443+care. 10
489444
490- (III) (V) FOR PROCURING PROCURING SPECIALIZED TRAUMA
491-EQUIPMENT; AND
445+ (ii) 1. The Commission shall issue grants under this paragraph 11
446+from any balance carried over to the Fund from prior fiscal years. 12
492447
493- (IV) (VI) FOR PROVIDING PROVIDING TRAUMA EDUCATION
494-AND TRAINING; AND
448+ 2. [The total amount of grants awarded under this 13
449+paragraph in a fiscal year may not exceed 10% of the balance remaining in the Fund at the 14
450+end of the fiscal year immediately prior to the fiscal year in which grants are awarded] 15
451+THE TOTAL AMOUNT OF G RANTS AWARDED UNDER THIS PARAGRAPH IN A FISCAL 16
452+YEAR MAY NOT REDUCE THE BALANCE REMAINING IN THE FUND AT THE END OF TH E 17
453+FISCAL YEAR TO LESS THAN 15% OF THE REVENUE COLLE CTED IN THAT FISCAL 18
454+YEAR. 19
495455
496- (8) ANY IMPROVEMENTS MADE BY TRAUMA CENTERS AS A RESULT OF
497-AN INCREASE IN FUNDI NG.
456+ (iii) The process developed by the Commission for the award of grants 20
457+under this paragraph shall include: 21
498458
499- (G) THE COMMISSION SHALL AWAR D AN ANNUAL GRANT FR OM THE FUND
500-IN THE AMOUNT UP TO $1,800,000 TO LEVEL I PEDIATRIC TRAUMA CEN TERS AS
501-FOLLOWS:
459+ 1. Grant applications and review and selection criteria for 22
460+the award of grants; 23
502461
503- (1) UP TO $900,000 TO JOHNS HOPKINS CHILDREN’S CENTER; AND
462+ 2. Review by the Commission, if necessary, for any project 24
463+that exceeds certificate of need thresholds; and 25
504464
505- (2) UP TO $900,000 TO CHILDREN’S NATIONAL MEDICAL CENTER.
465+ 3. Any other procedure determined necessary by the 26
466+Commission. 27
506467
507-Article – Public Safety
468+ (iv) Before awarding grants under this subsection in a fiscal year, the 28
469+Commission shall report to the Senate Finance Committee and the House Health and 29
470+Government Operations Committee, in accordance with § 2–1257 of the State Government 30
471+Article, on the process that the Commission has developed for awarding grants in that fiscal 31
472+year. 32
508473
509-8–102.
474+ (f) On or before November 1 of each year, the Commission and the Health 33
475+Services Cost Review Commission shall report to the General Assembly, in accordance with 34
476+§ 2–1257 of the State Government Article, on: 35
477+ SENATE BILL 1092 11
510478
511- (a) There is a Senator William H. Amoss Fire, Rescue, and Ambulance Fund.
512479
513- (G) BEGINNING IN FISCAL Y EAR 2026, THE GOVERNOR SHALL INCLUD E AN
514-ANNUAL APPROPRIATION TO THE FUND OF AT LEAST $16,500,000.
480+ (1) The amount of money in the Fund on the last day of the previous fiscal 1
481+year; 2
515482
516-Article – Transportation
483+ (2) The amount of money applied for by trauma physicians, TRAUMA 3
484+HEALTH CARE PRACTITI ONERS, and trauma centers during the previous fiscal year; 4
517485
518-13–954. Ch. 719 2024 LAWS OF MARYLAND
486+ (3) The amount of money distributed in the form of trauma physician, 5
487+TRAUMA HEALTH CARE P RACTITIONER, and trauma center reimbursements during the 6
488+previous fiscal year; 7
519489
520-– 12 –
490+ (4) Any recommendations for altering the manner in which trauma 8
491+physicians, TRAUMA HEALTH CARE PRA CTITIONERS, and trauma centers are 9
492+reimbursed from the Fund; 10
521493
522- (a) In this section, “motor vehicle” means a:
494+ (5) The costs incurred in administering the Fund during the previous fiscal 11
495+year; [and] 12
523496
524- (1) Class A (passenger) vehicle;
497+ (6) The amount that each hospital that participates in the Maryland 13
498+trauma system and that has a trauma center contributes toward the subsidization of 14
499+trauma–related costs for its trauma center; 15
525500
526- (2) Class B (for hire) vehicle;
501+ (7) THE AMOUNT THE HEALTH SERVICES COST REVIEW 16
502+COMMISSION ALLOWED COSTS THAT HOSPITALS REPORTED TO THE HEALTH 17
503+SERVICES COST REVIEW COMMISSION AND ARE AC COUNTED FOR IN THE G LOBAL 18
504+BUDGETS OF THE HOSPI TALS FOR EACH OF THE FOLLOWING: 19
527505
528- (3) Class C (funeral and ambulance) vehicle;
506+ (I) IN HOSPITAL RATES FOR TRAUMA TRAUMA STANDBY; 20
529507
530- (4) Class D (motorcycle) vehicle;
508+ (II) FOR MAINTAINING ALLOWABLE TRAUMA CENT ER COSTS 21
509+FOR REIMBURSING THE TRAUMA DIRECTOR AND TRAUMA STAFF; 22
531510
532- (5) Class E (truck) vehicle;
511+ (III) MAINTAINING MARYLAND INSTITUTE FOR EMERGENCY 23
512+MEDICAL SERVICES SYSTEMS TRAUMA PROTOC OLS; 24
533513
534- (6) Class F (tractor) vehicle;
514+ (IV) MAINTAINING SPECIALIZ ED TRAUMA STAFF ; 25
535515
536- (7) Class H (school) vehicle;
516+ (III) (V) FOR PROCURING PROCURING SPECIALIZED TRAUMA 26
517+EQUIPMENT; AND 27
537518
538- (8) Class J (vanpool) vehicle;
519+ (IV) (VI) FOR PROVIDING PROVIDING TRAUMA EDUCATION 28
520+AND TRAINING; AND 29
539521
540- (9) Class M (multipurpose) vehicle;
522+ (8) ANY IMPROVEMENTS MADE BY TRAUMA CENTERS AS A RESULT OF 30
523+AN INCREASE IN FUNDI NG. 31
524+ 12 SENATE BILL 1092
541525
542- (10) Class P (passenger bus) vehicle;
543526
544- (11) Class Q (limousine) vehicle;
527+ (G) THE COMMISSION SHALL AWAR D AN ANNUAL GRANT FR OM THE FUND 1
528+IN THE AMOUNT UP TO $1,800,000 TO LEVEL I PEDIATRIC TRAUMA CENTERS AS 2
529+FOLLOWS: 3
545530
546- (12) Class R (low speed) vehicle; or
531+ (1) UP TO $900,000 TO JOHNS HOPKINS CHILDREN’S CENTER; AND 4
547532
548- (13) Vehicle within any other class designated by the Administrator.
533+ (2) UP TO $900,000 TO CHILDREN’S NATIONAL MEDICAL CENTER. 5
549534
550- (b) (1) In addition to the registration fee otherwise required by this title, the
551-owner of any motor vehicle registered under this title shall pay a surcharge of [$17.00]
552-$40.00 per year for each motor vehicle registered.
535+Article – Public Safety 6
553536
554- (2) (I) [$2.50] $7.50 $6.50 of the surcharge collected under paragraph
555-(1) of this subsection shall be paid into the Maryland Trauma Physician Services Fund
556-established under § 19–130 of the Health – General Article.
537+8–102. 7
557538
558- (II) THE GOVERNOR ANNUALLY SHA LL ALLOCATE AT LEAST
559-$9.00 OF THE SURCHARGE COLLECTED UNDER PARAGRAPH (1) OF THIS
560-SUBSECTION TO THE R ADAMS COWLEY SHOCK TRAUMA CENTER.
539+ (a) There is a Senator William H. Amoss Fire, Rescue, and Ambulance Fund. 8
561540
562- (III) THE BALANCE OF THE SU RCHARGE COLLECTED UN DER
563-PARAGRAPH (1) OF THIS SUBSECTION S HALL BE PAID TO THE MARYLAND
564-EMERGENCY MEDICAL SYSTEM OPERATIONS FUND ESTABLISHED UNDE R § 13–955
565-OF THIS SUBTITLE. WES MOORE, Governor Ch. 719
541+ (G) BEGINNING IN FISCAL Y EAR 2026, THE GOVERNOR SHALL INCLUD E AN 9
542+ANNUAL APPROPRIATION TO THE FUND OF AT LEAST $16,500,000. 10
566543
567-– 13 –
544+Article – Transportation 11
568545
569-13–955.
546+13–954. 12
570547
571- (a) In this section, “Fund” means the Maryland Emergency Medical System
572-Operations Fund.
548+ (a) In this section, “motor vehicle” means a: 13
573549
574- (b) (1) There is a Maryland Emergency Medical System Operations Fund.
550+ (1) Class A (passenger) vehicle; 14
575551
576- (2) The Comptroller shall administer the Fund, including accounting for
577-all transactions and performing year–end reconciliation.
552+ (2) Class B (for hire) vehicle; 15
578553
579- (3) The Fund is a continuing, nonlapsing fund which is not subject to §
580-7–302 of the State Finance and Procurement Article.
554+ (3) Class C (funeral and ambulance) vehicle; 16
581555
582- (4) Interest and earnings on the Fund shall be separately accounted for and
583-credited to the Fund, and are not subject to § 6–226(a) of the State Finance and
584-Procurement Article.
556+ (4) Class D (motorcycle) vehicle; 17
585557
586- (c) The Fund consists of:
558+ (5) Class E (truck) vehicle; 18
587559
588- (1) Registration surcharges collected under § 13–954 of this subtitle;
560+ (6) Class F (tractor) vehicle; 19
589561
590- (2) All funds, including charges for accident scene transports and
591-interhospital transfers of patients, generated by an entity specified in subsection (e) of this
592-section that is a unit of State government; and
562+ (7) Class H (school) vehicle; 20
593563
594- (3) Revenues distributed to the Fund from the surcharges collected under
595-§ 7–301(f) of the Courts Article.
564+ (8) Class J (vanpool) vehicle; 21
596565
597- (d) Expenditures from the Fund shall be made pursuant to an appropriation
598-approved by the General Assembly in the annual State budget or by the budget amendment
599-procedure provided under § 7–209 of the State Finance and Procurement Article, provided
600-that any budget amendment shall be submitted to and approved by the Legislative Policy
601-Committee prior to the expenditure or obligation of funds.
566+ (9) Class M (multipurpose) vehicle; 22
602567
603- (e) The money in the Fund shall be used solely for:
568+ (10) Class P (passenger bus) vehicle; 23
604569
605- (1) Medically oriented functions of the Department of State Police, Special
606-Operations Bureau, Aviation Division;
570+ (11) Class Q (limousine) vehicle; 24
607571
608- (2) The Maryland Institute for Emergency Medical Services Systems;
572+ (12) Class R (low speed) vehicle; or 25 SENATE BILL 1092 13
609573
610- (3) The R Adams Cowley Shock Trauma Center at the University of
611-Maryland Medical System;
612574
613- (4) The Maryland Fire and Rescue Institute; Ch. 719 2024 LAWS OF MARYLAND
614575
615-– 14 –
576+ (13) Vehicle within any other class designated by the Administrator. 1
616577
617- (5) The provision of grants under the Senator William H. Amoss Fire,
618-Rescue, and Ambulance Fund in accordance with the provisions of Title 8, Subtitle 1 of the
619-Public Safety Article; and
578+ (b) (1) In addition to the registration fee otherwise required by this title, the 2
579+owner of any motor vehicle registered under this title shall pay a surcharge of [$17.00] 3
580+$40.00 per year for each motor vehicle registered. 4
620581
621- (6) The Volunteer Company Assistance Fund in accordance with the
622-provisions of Title 8, Subtitle 2 of the Public Safety Article.
582+ (2) (I) [$2.50] $7.50 $6.50 of the surcharge collected under paragraph 5
583+(1) of this subsection shall be paid into the Maryland Trauma Physician Services Fund 6
584+established under § 19–130 of the Health – General Article. 7
623585
624-21–902.
586+ (II) THE GOVERNOR ANNUALLY SHA LL ALLOCATE AT LEAST 8
587+$9.00 OF THE SURCHARGE COL LECTED UNDER PARAGRA PH (1) OF THIS 9
588+SUBSECTION TO THE R ADAMS COWLEY SHOCK TRAUMA CENTER. 10
625589
626- (a) (1) (i) A person may not drive or attempt to drive any vehicle while
627-under the influence of alcohol.
590+ (III) THE BALANCE OF THE SU RCHARGE COLLECTED UN DER 11
591+PARAGRAPH (1) OF THIS SUBSECTION S HALL BE PAID TO THE MARYLAND 12
592+EMERGENCY MEDICAL SYSTEM OPERATIONS FUND ESTABLISHED UNDE R § 13–955 13
593+OF THIS SUBTITLE. 14
628594
629- (ii) A person may not drive or attempt to drive any vehicle while the
630-person is under the influence of alcohol per se.
595+13–955. 15
631596
632- (iii) A person convicted of a violation of this paragraph is subject to:
597+ (a) In this section, “Fund” means the Maryland Emergency Medical System 16
598+Operations Fund. 17
633599
634- 1. For a first offense, imprisonment not exceeding 1 year or
635-a fine not exceeding [$1,000] $1,100 $1,200 or both; and
600+ (b) (1) There is a Maryland Emergency Medical System Operations Fund. 18
636601
637- 2. For a second offense, imprisonment not exceeding 2 years
638-or a fine not exceeding [$2,000] $2,200 $2,400 or both.
602+ (2) The Comptroller shall administer the Fund, including accounting for 19
603+all transactions and performing year–end reconciliation. 20
639604
640- (iv) For the purpose of determining subsequent offender penalties for
641-a violation of this paragraph, a prior conviction under subsection (b), (c), or (d) of this section
642-or § 8–738 of the Natural Resources Article, within 5 years before the conviction for a
643-violation of this paragraph, shall be considered a prior conviction.
605+ (3) The Fund is a continuing, nonlapsing fund which is not subject to § 21
606+7–302 of the State Finance and Procurement Article. 22
644607
645- (2) (i) A person may not violate paragraph (1) of this subsection while
646-transporting a minor.
608+ (4) Interest and earnings on the Fund shall be separately accounted for and 23
609+credited to the Fund, and are not subject to § 6–226(a) of the State Finance and 24
610+Procurement Article. 25
647611
648- (ii) A person convicted of a violation of this paragraph is subject to:
612+ (c) The Fund consists of: 26
649613
650- 1. For a first offense, imprisonment not exceeding 2 years or
651-a fine not exceeding $2,000 or both; and
614+ (1) Registration surcharges collected under § 13–954 of this subtitle; 27
652615
653- 2. For a second offense, imprisonment not exceeding 3 years
654-or a fine not exceeding $3,000 or both.
616+ (2) All funds, including charges for accident scene transports and 28
617+interhospital transfers of patients, generated by an entity specified in subsection (e) of this 29
618+section that is a unit of State government; and 30
619+ 14 SENATE BILL 1092
655620
656- (iii) For the purpose of determining subsequent offender penalties for
657-a violation of this paragraph, a prior conviction under this paragraph or subsection (b)(2),
658-(c)(2), or (d)(2) of this section shall be considered a prior conviction.
659621
660- (b) (1) (i) A person may not drive or attempt to drive any vehicle while
661-impaired by alcohol. WES MOORE, Governor Ch. 719
622+ (3) Revenues distributed to the Fund from the surcharges collected under 1
623+§ 7–301(f) of the Courts Article. 2
662624
663-– 15 –
625+ (d) Expenditures from the Fund shall be made pursuant to an appropriation 3
626+approved by the General Assembly in the annual State budget or by the budget amendment 4
627+procedure provided under § 7–209 of the State Finance and Procurement Article, provided 5
628+that any budget amendment shall be submitted to and approved by the Legislative Policy 6
629+Committee prior to the expenditure or obligation of funds. 7
664630
665- (ii) A person convicted of a violation of this paragraph is subject to:
631+ (e) The money in the Fund shall be used solely for: 8
666632
667- 1. For a first offense, imprisonment not exceeding 2 months
668-or a fine not exceeding $500 or both; and
633+ (1) Medically oriented functions of the Department of State Police, Special 9
634+Operations Bureau, Aviation Division; 10
669635
670- 2. For a second offense, imprisonment not exceeding 1 year
671-or a fine not exceeding $500 or both.
636+ (2) The Maryland Institute for Emergency Medical Services Systems; 11
672637
673- (iii) For the purpose of determining subsequent offender penalties for
674-a violation of this paragraph, a prior conviction under this subsection or subsection (a), (c),
675-or (d) of this section or § 8–738 of the Natural Resources Article shall be considered a prior
676-conviction.
638+ (3) The R Adams Cowley Shock Trauma Center at the University of 12
639+Maryland Medical System; 13
677640
678- (2) (i) A person may not violate paragraph (1) of this subsection while
679-transporting a minor.
641+ (4) The Maryland Fire and Rescue Institute; 14
680642
681- (ii) A person convicted of a violation of this paragraph is subject to:
643+ (5) The provision of grants under the Senator William H. Amoss Fire, 15
644+Rescue, and Ambulance Fund in accordance with the provisions of Title 8, Subtitle 1 of the 16
645+Public Safety Article; and 17
682646
683- 1. For a first offense, imprisonment not exceeding 1 year or
684-a fine not exceeding [$1,000] $1,100 $1,200 or both; and
647+ (6) The Volunteer Company Assistance Fund in accordance with the 18
648+provisions of Title 8, Subtitle 2 of the Public Safety Article. 19
685649
686- 2. For a second offense, imprisonment not exceeding 2 years
687-or a fine not exceeding [$2,000] $2,200 $2,400 or both.
650+21–902. 20
688651
689- (iii) For the purpose of determining subsequent offender penalties for
690-a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2),
691-(c)(2), or (d)(2) of this section shall be considered a prior conviction.
652+ (a) (1) (i) A person may not drive or attempt to drive any vehicle while 21
653+under the influence of alcohol. 22
692654
693- (c) (1) (i) A person may not drive or attempt to drive any vehicle while so
694-far impaired by any drug, any combination of drugs, or a combination of one or more drugs
695-and alcohol that the person cannot drive a vehicle safely.
655+ (ii) A person may not drive or attempt to drive any vehicle while the 23
656+person is under the influence of alcohol per se. 24
696657
697- (ii) A person convicted of a violation of this paragraph is subject to:
658+ (iii) A person convicted of a violation of this paragraph is subject to: 25
698659
699- 1. For a first offense, imprisonment not exceeding 2 months
700-or a fine not exceeding $500 or both; and
660+ 1. For a first offense, imprisonment not exceeding 1 year or 26
661+a fine not exceeding [$1,000] $1,100 $1,200 or both; and 27
701662
702- 2. For a second offense, imprisonment not exceeding 1 year
703-or a fine not exceeding $500 or both.
663+ 2. For a second offense, imprisonment not exceeding 2 years 28
664+or a fine not exceeding [$2,000] $2,200 $2,400 or both. 29
704665
705- (iii) For the purpose of determining subsequent offender penalties for
706-a violation of this paragraph, a prior conviction under this subsection or subsection (a), (b),
707-or (d) of this section or § 8–738 of the Natural Resources Article shall be considered a prior
708-conviction.
709- Ch. 719 2024 LAWS OF MARYLAND
666+ (iv) For the purpose of determining subsequent offender penalties for 30
667+a violation of this paragraph, a prior conviction under subsection (b), (c), or (d) of this section 31 SENATE BILL 1092 15
710668
711-– 16 –
712- (iv) It is not a defense to any charge of violating this subsection that
713-the person charged is or was entitled under the laws of this State to use the drug,
714-combination of drugs, or combination of one or more drugs and alcohol, unless the person
715-was unaware that the drug or combination would make the person incapable of safely
716-driving a vehicle.
717669
718- (2) (i) A person may not violate paragraph (1) of this subsection while
719-transporting a minor.
670+or § 8–738 of the Natural Resources Article, within 5 years before the conviction for a 1
671+violation of this paragraph, shall be considered a prior conviction. 2
720672
721- (ii) A person convicted of a violation of this paragraph is subject to:
673+ (2) (i) A person may not violate paragraph (1) of this subsection while 3
674+transporting a minor. 4
722675
723- 1. For a first offense, imprisonment not exceeding 1 year or
724-a fine not exceeding [$1,000] $1,100 $1,200 or both; and
676+ (ii) A person convicted of a violation of this paragraph is subject to: 5
725677
726- 2. For a second offense, imprisonment not exceeding 2 years
727-or a fine not exceeding [$2,000] $2,200 $2,400 or both.
678+ 1. For a first offense, imprisonment not exceeding 2 years or 6
679+a fine not exceeding $2,000 or both; and 7
728680
729- (iii) For the purpose of determining subsequent offender penalties for
730-a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2),
731-(b)(2), or (d)(2) of this section shall be considered a prior conviction.
681+ 2. For a second offense, imprisonment not exceeding 3 years 8
682+or a fine not exceeding $3,000 or both. 9
732683
733- (d) (1) (i) A person may not drive or attempt to drive any vehicle while the
734-person is impaired by any controlled dangerous substance, as that term is defined in §
735-5–101 of the Criminal Law Article, if the person is not entitled to use the controlled
736-dangerous substance under the laws of this State.
684+ (iii) For the purpose of determining subsequent offender penalties for 10
685+a violation of this paragraph, a prior conviction under this paragraph or subsection (b)(2), 11
686+(c)(2), or (d)(2) of this section shall be considered a prior conviction. 12
737687
738- (ii) A person convicted of a violation of this paragraph is subject to:
688+ (b) (1) (i) A person may not drive or attempt to drive any vehicle while 13
689+impaired by alcohol. 14
739690
740- 1. For a first offense, imprisonment not exceeding 1 year or
741-a fine not exceeding [$1,000] $1,100 $1,200 or both; and
691+ (ii) A person convicted of a violation of this paragraph is subject to: 15
742692
743- 2. For a second offense, imprisonment not exceeding 2 years
744-or a fine not exceeding [$2,000] $2,200 $2,400 or both.
693+ 1. For a first offense, imprisonment not exceeding 2 months 16
694+or a fine not exceeding $500 or both; and 17
745695
746- (iii) For the purpose of determining subsequent offender penalties for
747-a violation of this paragraph, a prior conviction under subsection (a), (b), or (c) of this section
748-or § 8–738 of the Natural Resources Article, within 5 years before the conviction for a
749-violation of this paragraph, shall be considered a prior conviction.
696+ 2. For a second offense, imprisonment not exceeding 1 year 18
697+or a fine not exceeding $500 or both. 19
750698
751- (2) (i) A person may not violate paragraph (1) of this subsection while
752-transporting a minor.
699+ (iii) For the purpose of determining subsequent offender penalties for 20
700+a violation of this paragraph, a prior conviction under this subsection or subsection (a), (c), 21
701+or (d) of this section or § 8–738 of the Natural Resources Article shall be considered a prior 22
702+conviction. 23
753703
754- (ii) A person convicted of a violation of this paragraph is subject to:
704+ (2) (i) A person may not violate paragraph (1) of this subsection while 24
705+transporting a minor. 25
755706
756- 1. For a first offense, imprisonment not exceeding 2 years or
757-a fine not exceeding $2,000 or both; and WES MOORE, Governor Ch. 719
707+ (ii) A person convicted of a violation of this paragraph is subject to: 26
758708
759-– 17 –
709+ 1. For a first offense, imprisonment not exceeding 1 year or 27
710+a fine not exceeding [$1,000] $1,100 $1,200 or both; and 28
760711
761- 2. For a second offense, imprisonment not exceeding 3 years
762-or a fine not exceeding $3,000 or both.
712+ 2. For a second offense, imprisonment not exceeding 2 years 29
713+or a fine not exceeding [$2,000] $2,200 $2,400 or both. 30
714+ 16 SENATE BILL 1092
763715
764- (iii) For the purpose of determining subsequent offender penalties for
765-a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2),
766-(b)(2), or (c)(2) of this section shall be considered a prior conviction.
767716
768- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July
769-1, 2024.
717+ (iii) For the purpose of determining subsequent offender penalties for 1
718+a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2), 2
719+(c)(2), or (d)(2) of this section shall be considered a prior conviction. 3
770720
771-Approved by the Governor, May 16, 2024.
721+ (c) (1) (i) A person may not drive or attempt to drive any vehicle while so 4
722+far impaired by any drug, any combination of drugs, or a combination of one or more drugs 5
723+and alcohol that the person cannot drive a vehicle safely. 6
724+
725+ (ii) A person convicted of a violation of this paragraph is subject to: 7
726+
727+ 1. For a first offense, imprisonment not exceeding 2 months 8
728+or a fine not exceeding $500 or both; and 9
729+
730+ 2. For a second offense, imprisonment not exceeding 1 year 10
731+or a fine not exceeding $500 or both. 11
732+
733+ (iii) For the purpose of determining subsequent offender penalties for 12
734+a violation of this paragraph, a prior conviction under this subsection or subsection (a), (b), 13
735+or (d) of this section or § 8–738 of the Natural Resources Article shall be considered a prior 14
736+conviction. 15
737+
738+ (iv) It is not a defense to any charge of violating this subsection that 16
739+the person charged is or was entitled under the laws of this State to use the drug, 17
740+combination of drugs, or combination of one or more drugs and alcohol, unless the person 18
741+was unaware that the drug or combination would make the person incapable of safely 19
742+driving a vehicle. 20
743+
744+ (2) (i) A person may not violate paragraph (1) of this subsection while 21
745+transporting a minor. 22
746+
747+ (ii) A person convicted of a violation of this paragraph is subject to: 23
748+
749+ 1. For a first offense, imprisonment not exceeding 1 year or 24
750+a fine not exceeding [$1,000] $1,100 $1,200 or both; and 25
751+
752+ 2. For a second offense, imprisonment not exceeding 2 years 26
753+or a fine not exceeding [$2,000] $2,200 $2,400 or both. 27
754+
755+ (iii) For the purpose of determining subsequent offender penalties for 28
756+a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2), 29
757+(b)(2), or (d)(2) of this section shall be considered a prior conviction. 30
758+
759+ (d) (1) (i) A person may not drive or attempt to drive any vehicle while the 31
760+person is impaired by any controlled dangerous substance, as that term is defined in § 32
761+5–101 of the Criminal Law Article, if the person is not entitled to use the controlled 33
762+dangerous substance under the laws of this State. 34
763+ SENATE BILL 1092 17
764+
765+
766+ (ii) A person convicted of a violation of this paragraph is subject to: 1
767+
768+ 1. For a first offense, imprisonment not exceeding 1 year or 2
769+a fine not exceeding [$1,000] $1,100 $1,200 or both; and 3
770+
771+ 2. For a second offense, imprisonment not exceeding 2 years 4
772+or a fine not exceeding [$2,000] $2,200 $2,400 or both. 5
773+
774+ (iii) For the purpose of determining subsequent offender penalties for 6
775+a violation of this paragraph, a prior conviction under subsection (a), (b), or (c) of this section 7
776+or § 8–738 of the Natural Resources Article, within 5 years before the conviction for a 8
777+violation of this paragraph, shall be considered a prior conviction. 9
778+
779+ (2) (i) A person may not violate paragraph (1) of this subsection while 10
780+transporting a minor. 11
781+
782+ (ii) A person convicted of a violation of this paragraph is subject to: 12
783+
784+ 1. For a first offense, imprisonment not exceeding 2 years or 13
785+a fine not exceeding $2,000 or both; and 14
786+
787+ 2. For a second offense, imprisonment not exceeding 3 years 15
788+or a fine not exceeding $3,000 or both. 16
789+
790+ (iii) For the purpose of determining subsequent offender penalties for 17
791+a violation of this paragraph, a prior conviction under this paragraph or subsection (a)(2), 18
792+(b)(2), or (c)(2) of this section shall be considered a prior conviction. 19
793+
794+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 20
795+1, 2024. 21
796+
797+
798+
799+Approved:
800+________________________________________________________________________________
801+ Governor.
802+________________________________________________________________________________
803+ President of the Senate.
804+________________________________________________________________________________
805+ Speaker of the House of Delegates.