EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*sb0996*
SENATE BILL 996
J2, C4 4lr2403
CF HB 759
By: Senator Klausmeier
Introduced and read first time: February 2, 2024
Assigned to: Finance
Committee Report: Favorable
Senate action: Adopted
Read second time: February 17, 2024
CHAPTER ______
AN ACT concerning 1
Advanced Practice Registered Nurses – Professional Liability Insurance 2
Coverage – Notification Requirements 3
FOR the purpose of requiring advanced practice registered nurses practicing as an 4
advanced practice registered nurse in the State to notify patients in writing of certain 5
information relating to professional liability insurance coverage; requiring that the 6
notification be provided at certain visits and as part of certain informed consents, 7
signed by a patient at certain times, and retained as part of the advanced practice 8
registered nurse’s patient records; requiring each advanced practice registered nurse 9
practicing as an advanced practice registered nurse in the State who does not 10
maintain professional liability insurance coverage to post the information in a 11
certain location at the advanced practice registered nurse’s place of practice; and 12
generally relating to advanced practice registered nurses and professional liability 13
coverage. 14
BY adding to 15
Article – Health Occupations 16
Section 8–515 17
Annotated Code of Maryland 18
(2021 Replacement Volume and 2023 Supplement) 19
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 20
That the Laws of Maryland read as follows: 21
Article – Health Occupations 22 2 SENATE BILL 996
8–515. 1
(A) EACH ADVANCED PRACTIC E REGISTERED NURSE P RACTICING AS AN 2
ADVANCED PRACTICE RE GISTERED NURSE IN TH E STATE SHALL NOTIFY A PATIENT 3
IN WRITING IF: 4
(1) THE ADVANCED PRACTICE REGISTERED NURSE DOE S NOT 5
MAINTAIN PROFESSIONA L LIABILITY INSURANC E COVERAGE; OR 6
(2) THE ADVANCED PRACTICE REGISTERED NURSE ’S PROFESSIONAL 7
LIABILITY INSURANCE COVERAGE HAS LAPSED FOR ANY PERIOD OF TI ME AND HAS 8
NOT BEEN RENEWED . 9
(B) THE WRITTEN NOTIFICATION PROVIDE D TO THE PATIENT UND ER 10
SUBSECTION (A) OF THIS SECTION SHAL L BE: 11
(1) PROVIDED: 12
(I) AT THE FIRST VISIT BY THE PATIENT DURING A NY PERIOD 13
IN WHICH THE ADVANCED PRACTICE RE GISTERED NURSE DOES NOT MAINTAIN 14
PROFESSIONAL LIABILI TY INSURANCE, UNLESS THE VISIT IS FOR THE PURPOSE OF 15
RECEIVING INCIDENTAL MEDICAL C ARE THAT WILL BE REN DERED FREE OF 16
CHARGE; AND 17
(II) AS PART OF EACH INFOR MED CONSENT OBTAINED BEFORE 18
ANY PROCEDURE OR OPE RATION DISCUSSED OR OFFERED FOR THE PATI ENT’S 19
CONSIDERATIO N IS PERFORMED ; 20
(2) SIGNED BY THE PATIENT AT THE TIME OF THE P ATIENT’S VISIT OR 21
AT THE TIME THE INFORMED CONSENT IS SIGNED; AND 22
(3) RETAINED BY THE ADVAN CED PRACTICE REGISTE RED NURSE AS 23
PART OF THE ADVANCED PRACTICE REGISTERED NURSE’S PATIENT RECORDS . 24
(C) EACH ADVANCED PRACTIC E REGISTERED NURSE P RACTICING AS AN 25
ADVANCED PRACTICE RE GISTERED NURSE IN TH E STATE WHO DOES NOT MA INTAIN 26
PROFESSIONAL LIABILI TY INSURANCE COVERAG E SHALL POST THIS IN FORMATION 27
IN A CONSPICUOUS L OCATION IN THE ADVANC ED PRACTICE REGISTERED NURSE ’S 28
PLACE OF PRACTICE . 29
SECTION 2. AND BE IT FURTHER ENACTED, That the State Board of Nursing 30
shall develop appropriate language for the notification required under § 8–515 of the Health 31
Occupations Article as enacted by Section 1 of this Act. 32 SENATE BILL 996 3
SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 1
October 1, 2024. 2
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
President of the Senate.
________________________________________________________________________________
Speaker of the House of Delegates.