Maryland 2025 Regular Session

Maryland House Bill HB1066 Compare Versions

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33 EXPLANATION: CAPITALS INDICATE MATTER ADDE D TO EXISTING LAW .
44 [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.
85 *hb1066*
96
107 HOUSE BILL 1066
118 J1 5lr2109
129
13-By: Delegates Ruth and Guzzone, Guzzone, Pena–Melnyk, Cullison, Alston,
14-Bagnall, Hill, Hutchinson, S. Johnson, Kaiser, Kipke, Lopez, Martinez,
15-Rosenberg, Taveras, Woods, Woorman, and Ross
10+By: Delegates Ruth and Guzzone
1611 Introduced and read first time: February 5, 2025
1712 Assigned to: Health and Government Operations
18-Committee Report: Favorable with amendments
19-House action: Adopted
20-Read second time: March 3, 2025
2113
22-CHAPTER ______
14+A BILL ENTITLED
2315
2416 AN ACT concerning 1
2517
2618 Commission on Behavioral Health Care Treatment and Access – Membership 2
2719 and Workgroups 3
2820
2921 FOR the purpose of altering the membership of the Commission on Behavioral Health Care 4
30-Treatment and Access; requiring the Commission on Behavioral Health Care 5
31-Treatment and Access to establish a workgroup on the improvement of health, social, 6
32-and economic outcomes related to substance use; and generally relating to the 7
33-Commission on Behavioral Health Care Treatment and Access. 8
22+Treatment and Access; requiring the Commission to establish a workgroup on the 5
23+improvement of health, social, and economic outcomes related to substance use; and 6
24+generally relating to the Commission on Behavioral Health Care Treatment and 7
25+Access. 8
3426
3527 BY repealing and reenacting, without amendments, 9
3628 Article – Health – General 10
3729 Section 13–4802 11
3830 Annotated Code of Maryland 12
3931 (2023 Replacement Volume and 2024 Supplement) 13
4032
4133 BY repealing and reenacting, with amendments, 14
4234 Article – Health – General 15
4335 Section 13–4803 and 13–4806 16
4436 Annotated Code of Maryland 17
4537 (2023 Replacement Volume and 2024 Supplement) 18
4638
4739 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 19
48-That the Laws of Maryland read as follows: 20 2 HOUSE BILL 1066
40+That the Laws of Maryland read as follows: 20
41+
42+Article – Health – General 21
43+
44+13–4802. 22
45+
46+ There is a Commission on Behavioral Health Care Treatment and Access, which 23
47+shall meet jointly with the Behavioral Health Advisory Council. 24
48+ 2 HOUSE BILL 1066
49+
50+
51+13–4803. 1
52+
53+ (a) The Commission consists of the following members: 2
54+
55+ (1) One member of the Senate of Maryland, appointed by the President of 3
56+the Senate; 4
57+
58+ (2) One member of the House of Delegates, appointed by the Speaker of the 5
59+House; 6
60+
61+ (3) One representative of Maryland’s Congressional Delegation; 7
62+
63+ (4) The Secretary of Health, or the Secretary’s designee; 8
64+
65+ (5) The Secretary of Human Services, or the Secretary’s designee; 9
66+
67+ (6) The Secretary of Juvenile Services, or the Secretary’s designee; 10
68+
69+ (7) The Deputy Secretary for Behavioral Health, or the Deputy Secretary’s 11
70+designee; 12
71+
72+ (8) The Maryland Insurance Commissioner, or the Commissioner’s 13
73+designee; 14
74+
75+ (9) The Executive Director of the Health Services Cost Review 15
76+Commission, or the Executive Director’s designee; 16
77+
78+ (10) The Executive Director of the Maryland Health Care Commission, or 17
79+the Executive Director’s designee; 18
80+
81+ (11) The Executive Director of the Maryland Community Health Resources 19
82+Commission, or the Executive Director’s designee; 20
83+
84+ (12) The Executive Director of the State–designated health information 21
85+exchange, or the Executive Director’s designee; 22
86+
87+ (13) The Executive Director of the Governor’s Office of Crime Prevention 23
88+and Policy, or the Executive Director’s designee; 24
89+
90+ (14) The Secretary of the Maryland Department of Disabilities, or the 25
91+Secretary’s designee; 26
92+
93+ (15) The Secretary of the Department of Public Safety and Correctional 27
94+Services, or the Secretary’s designee; 28
95+
96+ (16) The Special Secretary of the Governor’s Office for Children, or the 29
97+Special Secretary’s designee; 30 HOUSE BILL 1066 3
4998
5099
51100
52-Article – Health – General 1
101+ (17) The Special Secretary of Opioid Response, or the Special Secretary’s 1
102+designee; 2
53103
54-13–4802. 2
104+ (18) The Secretary of Aging, or the Secretary’s designee; and 3
55105
56- There is a Commission on Behavioral Health Care Treatment and Access, which 3
57-shall meet jointly with the Behavioral Health Advisory Council. 4
106+ (19) The following members appointed by the Governor: 4
58107
59-13–4803. 5
108+ (i) One representative of the Mental Health Association of 5
109+Maryland; 6
60110
61- (a) The Commission consists of the following members: 6
111+ (ii) One representative of the National Alliance on Mental Illness; 7
62112
63- (1) One member of the Senate of Maryland, appointed by the President of 7
64-the Senate; 8
113+ (iii) One representative of the Community Behavioral Health 8
114+Association of Maryland; 9
65115
66- (2) One member of the House of Delegates, appointed by the Speaker of the 9
67-House; 10
116+ (iv) One representative of a provider of residential behavioral health 10
117+services; 11
68118
69- (3) One representative of Maryland’s Congressional Delegation; 11
119+ (v) One representative of an acute care hospital; 12
70120
71- (4) The Secretary of Health, or the Secretary’s designee; 12
121+ (vi) One representative of an inpatient psychiatric hospital; 13
72122
73- (5) The Secretary of Human Services, or the Secretary’s designee; 13
123+ (vii) One individual with experience as a consumer of behavioral 14
124+health services; 15
74125
75- (6) The Secretary of Juvenile Services, or the Secretary’s designee; 14
126+ (viii) One family member of an individual with experience as a 16
127+consumer of behavioral health services; 17
76128
77- (7) The Deputy Secretary for Behavioral Health, or the Deputy Secretary’s 15
78-designee; 16
129+ (ix) One representative of a provider of substance use treatment 18
130+services; 19
79131
80- (8) The Maryland Insurance Commissioner, or the Commissioner’s 17
81-designee; 18
132+ (x) One representative of a school–based health center; 20
82133
83- (9) The Executive Director of the Health Services Cost Review 19
84-Commission, or the Executive Director’s designee; 20
134+ (xi) One individual with expertise in social determinants of health; 21
85135
86- (10) The Executive Director of the Maryland Health Care Commission, or 21
87-the Executive Director’s designee; 22
136+ (xii) One individual with expertise in health economics; 22
88137
89- (11) The Executive Director of the Maryland Community Health Resources 23
90-Commission, or the Executive Director’s designee; 24
138+ (xiii) One representative of a health insurance carrier; 23
91139
92- (12) The Executive Director of the State–designated health information 25
93-exchange, or the Executive Director’s designee; 26
140+ (xiv) One representative of a managed care organization; 24
94141
95- (13) The Executive Director of the Governor’s Office of Crime Prevention 27
96-and Policy, or the Executive Director’s designee; 28
97- HOUSE BILL 1066 3
142+ (xv) One representative from the Office of the Public Defender; 25
143+
144+ (xvi) One representative of the Developmental Disability Coalition; 26
145+ 4 HOUSE BILL 1066
98146
99147
100- (14) The Secretary of the Maryland Department of Disabilities, or the 1
101-Secretary’s designee; 2
148+ (xvii) One representative of the Maryland Chapter of the National 1
149+Council on Alcoholism and Drug Dependence; 2
102150
103- (15) The Secretary of the Department of Public Safety and Correctional 3
104-Services, or the Secretary’s designee; 4
151+ (xviii) One representative of the Maryland Psychological Association; 3
105152
106- (16) The Special Secretary of the Governor’s Office for Children, or the 5
107-Special Secretary’s designee; 6
153+ (xix) One representative of Disability Rights Maryland; 4
108154
109- (17) The Special Secretary of Opioid Response, or the Special Secretary’s 7
110-designee; 8
155+ (xx) One representative of a Federally Qualified Health Center; 5
111156
112- (18) The Secretary of Aging, or the Secretary’s designee; and 9
157+ (xxi) One representative of a local behavioral health authority; 6
113158
114- (19) The following members appointed by the Governor: 10
159+ (xxii) One individual with an intellectual disability who uses 7
160+self–directed behavioral health services; [and] 8
115161
116- (i) One representative of the Mental Health Association of 11
117-Maryland; 12
162+ (xxiii) One representative of the Mar yland State’s Attorneys’ 9
163+Association; 10
118164
119- (ii) One representative of the National Alliance on Mental Illness; 13
165+ (XXIV) ONE REPRESENTATIVE OF A PROVIDER OF HARM 11
166+REDUCTION SERVICES ; 12
120167
121- (iii) One representative of the Community Behavioral Health 14
122-Association of Maryland; 15
168+ (XXV) ONE INDIVIDUAL WITH EXPE RTISE IN PROVIDING H OUSING 13
169+OPTIONS FOR INDIVIDUALS WHO HAVE OR PREVIOUS LY HAD A SUBSTANCE USE 14
170+DISORDER; 15
123171
124- (iv) One representative of a provider of residential behavioral health 16
125-services; 17
172+ (XXVI) ONE INDIVIDUAL WITH E XPERTISE IN PROVIDING 16
173+HEALTH CARE SERVICES TO INDIVIDUALS EXPERIENCING HOMELES SNESS; 17
126174
127- (v) One representative of an acute care hospital; 18
175+ (XXVII) ONE INDIVIDUAL WITH PRIOR LIVED EXPERIENCE 18
176+WITH A SUBSTANCE USE DISORDER; 19
128177
129- (vi) One representative of an inpatient psychiatric hospital; 19
178+ (XXVIII) ONE INDIVIDUAL WITH E XPERIENCE SEEKING OR 20
179+RECEIVING TREATMENT FOR A SUBSTANCE USE DISORD ER WHILE INCARCERATE D; 21
130180
131- (vii) One individual with experience as a consumer of behavioral 20
132-health services; 21
181+ (XXIX) ONE INDIVIDUAL WITH E XPERIENCE AS A 22
182+PARTICIPANT IN A DRU G COURT PROGRAM ; AND 23
133183
134- (viii) One family member of an individual with experience as a 22
135-consumer of behavioral health services; 23
184+ (XXX) ONE INDIVIDUAL WITH EXPE RTISE IN DRUG POLICY 24
185+REFORM. 25
136186
137- (ix) One representative of a provider of substance use treatment 24
138-services; 25
187+ (b) To the extent practicable, the membership of the Commission shall reflect the 26
188+geographic and ethnic diversity of the State. 27
139189
140- (x) One representative of a school–based health center; 26
141-
142- (xi) One individual with expertise in social determinants of health; 27
143-
144- (xii) One individual with expertise in health economics; 28
145-
146- (xiii) One representative of a health insurance carrier; 29 4 HOUSE BILL 1066
147-
148-
149-
150- (xiv) One representative of a managed care organization; 1
151-
152- (xv) One representative from the Office of the Public Defender; 2
153-
154- (xvi) One representative of the Developmental Disability Coalition; 3
155-
156- (xvii) One representative of the Maryland Chapter of the National 4
157-Council on Alcoholism and Drug Dependence; 5
158-
159- (xviii) One representative of the Maryland Psychological Association; 6
160-
161- (xix) One representative of Disability Rights Maryland; 7
162-
163- (xx) One representative of a Federally Qualified Health Center; 8
164-
165- (xxi) One representative of a local behavioral health authority; 9
166-
167- (xxii) One individual with an intellectual disability who uses 10
168-self–directed behavioral health services; [and] 11
169-
170- (xxiii) One representative of the Maryland State’s Attorneys’ 12
171-Association; 13
172-
173- (XXIV) ONE REPRESENTATIVE OF A PROVIDER OF HARM 14
174-REDUCTION SERVICES ; 15
175-
176- (XXV) ONE INDIVIDUAL WITH E XPERTISE IN PROVIDIN G HOUSING 16
177-OPTIONS FOR INDIVIDU ALS WHO HAVE OR PREV IOUSLY HAD A SUBSTAN CE USE 17
178-DISORDER; 18
179-
180- (XXVI) ONE INDIVIDUAL WITH E XPERTISE IN PROVIDIN G 19
181-HEALTH CARE SERVICES TO INDIVIDUALS EXPER IENCING HOMELESSNESS ; 20
182-
183- (XXVII) ONE INDIVIDUAL WITH P RIOR LIVED EXPERIENC E 21
184-WITH A SUBSTANCE USE DI SORDER; 22
185-
186- (XXVIII) ONE INDIVIDUAL WITH E XPERIENCE SEEKING OR 23
187-RECEIVING TREATMENT FOR A SUBSTANCE USE DISORDER WHILE INCAR CERATED; 24
188-
189- (XXIX) ONE INDIVIDUAL WITH E XPERIENCE AS A 25
190-PARTICIPANT IN A DRU G COURT PROGRAM ; AND 26
191-
192- (XXX) ONE INDIVIDUAL WITH EXPE RTISE IN DRUG POLICY 27
193-REFORM. 28
190+ (c) The Governor, the President of the Senate, and the Speaker of the House 28
191+jointly shall designate the chair of the Commission. 29
194192 HOUSE BILL 1066 5
195193
196194
197- (b) To the extent practicable, the membership of the Commission shall reflect the 1
198-geographic and ethnic diversity of the State. 2
195+ (d) The Department shall provide staff for the Commission. 1
199196
200- (c) The Governor, the President of the Senate, and the Speaker of the House 3
201-jointly shall designate the chair of the Commission. 4
197+ (e) A member of the Commission: 2
202198
203- (d) The Department shall provide staff for the Commission. 5
199+ (1) May not receive compensation as a member of the Commission; but 3
204200
205- (e) A member of the Commission: 6
201+ (2) Is entitled to reimbursement for expenses under the Standard State 4
202+Travel Regulations, as provided in the State budget. 5
206203
207- (1) May not receive compensation as a member of the Commission; but 7
204+ (f) The Commission shall meet at least three times per year at the times and 6
205+places determined jointly by the Commission and the Behavioral Health Advisory Council. 7
208206
209- (2) Is entitled to reimbursement for expenses under the Standard State 8
210-Travel Regulations, as provided in the State budget. 9
207+13–4806. 8
211208
212- (f) The Commission shall meet at least three times per year at the times and 10
213-places determined jointly by the Commission and the Behavioral Health Advisory Council. 11
209+ (a) The Commission shall establish the following workgroups: 9
214210
215-13–4806. 12
211+ (1) Geriatric behavioral health; 10
216212
217- (a) The Commission shall establish the following workgroups: 13
213+ (2) Youth behavioral health, individuals with developmental disabilities, 11
214+and individuals with complex behavioral health needs; 12
218215
219- (1) Geriatric behavioral health; 14
216+ (3) Criminal justice–involved behavioral health; [and] 13
220217
221- (2) Youth behavioral health, individuals with developmental disabilities, 15
222-and individuals with complex behavioral health needs; 16
218+ (4) Behavioral health workforce development, infrastructure, coordination, 14
219+and financing; AND 15
223220
224- (3) Criminal justice–involved behavioral health; [and] 17
221+ (5) IMPROVEMENT OF HEALTH, SOCIAL, AND ECONOMIC OUTCOME S 16
222+RELATED TO SUBSTANCE USE. 17
225223
226- (4) Behavioral health workforce development, infrastructure, coordination, 18
227-and financing; AND 19
224+ (B) THE WORKGROUP REQUIRED UNDER SUBSECTION (A)(5) OF THIS 18
225+SECTION SHALL: 19
228226
229- (5) IMPROVEMENT OF HEALTH , SOCIAL, AND ECONOMIC OUTCOME S 20
230-RELATED TO SUBSTANCE USE. 21
227+ (1) EVALUATE AND REVIEW : 20
231228
232- (B) THE WORKGROUP RE QUIRED UNDER SUBSECT ION (A)(5) OF THIS 22
233-SECTION SHALL : 23
229+ (I) THE AVAILABILITY, AFFORDABILITY , AND ACCESSIBILITY 21
230+OF TREATMENT FOR SUB STANCE USE DISORDER AND RECOVERY SUPPORT 22
231+SERVICES, INCLUDING HOUSING AN D EMPLOYMENT SERVICE S, IN THE STATE; 23
234232
235- (1) EVALUATE AND REVIEW : 24
233+ (II) THE NUMBER AND PERCENTAGE OF INDIVI DUALS WHO ARE 24
234+DIRECTED TO SERVICES DESCRIBED IN ITEM (I) OF THIS ITEM BY THE CRIMINAL 25
235+JUSTICE SYSTEM OF THE STATE; 26
236236
237- (I) THE AVAILABILITY , AFFORDABILITY , AND ACCESSIBILITY 25
238-OF TREATMENT FOR SUB STANCE USE DISORDER AND RECOVERY SUPPORT 26
239-SERVICES, INCLUDING HOUSING AN D EMPLOYMENT SERVICE S, IN THE STATE; 27
240- 6 HOUSE BILL 1066
237+ (III) THE HEALTH OUTCOMES AFTE R RECEIVING SERVICES 27
238+DESCRIBED IN ITEM (I) OF THIS ITEM DISAGGREGATED BY WHE THER THE SERVICES 28 6 HOUSE BILL 1066
241239
242240
243- (II) THE NUMBER AND PERCEN TAGE OF INDIVIDUALS WHO ARE 1
244-DIRECTED TO SERVICES DESCRIBED IN ITEM (I) OF THIS ITEM BY THE CRIMINAL 2
245-JUSTICE SYSTEM OF TH E STATE; 3
241+WERE SOUGHT VOLUNTAR ILY OR MANDATED BY THE CRIMINAL JUSTICE SYS TEM OF 1
242+THE STATE; 2
246243
247- (III) THE HEALTH OUTCOMES A FTER RECEIVING SERVI CES 4
248-DESCRIBED IN ITEM (I) OF THIS ITEM DISAGGREGATED B Y WHETHER THE SERVIC ES 5
249-WERE SOUGHT VOLUNTAR ILY OR MANDATED BY T HE CRIMINAL JUSTICE SYSTEM OF 6
250-THE STATE; 7
244+ (IV) THE IMPACT OF CURRENT CRIMINAL JUSTICE 3
245+INVOLVEMENT RELATED TO SUBSTANCE USE IN THE STATE ON THE HEALTH AND 4
246+WELL–BEING OF INDIVIDUALS, FAMILIES, AND COMMUNITIES ; 5
251247
252- (IV) THE IMPACT OF CURRENT CRIMINAL JUSTICE 8
253-INVOLVEMENT RELATED TO SUBSTANCE USE IN THE STATE ON THE HEALTH A ND 9
254-WELL–BEING OF INDIVIDUALS, FAMILIES, AND COMMUNITIES ; 10
248+ (V) THE COST TO THE STATE AND LOCAL GOVER NMENTS 6
249+RESULTING FROM CURRE NT CRIMINAL JUSTICE INVOLVEMENT RELATED TO 7
250+SUBSTANCE USE IN THE STATE; 8
255251
256- (V) THE COST TO THE STATE AND LOCAL GOVER NMENTS 11
257-RESULTING FROM CURRE NT CRIMINAL JUSTICE INVOLVEMENT RELATED TO 12
258-SUBSTANCE USE IN THE STATE; 13
252+ (VI) THE EQUITABLE APPLICATIO N OF CURRENT CRIMINAL 9
253+JUSTICE INVOLVEMENT RELATED TO SUBSTANCE USE IN THE STATE; 10
259254
260- (VI) THE EQUITABLE APPLICA TION OF CURRENT CRIM INAL 14
261-JUSTICE INVOLVEMENT RELATED TO SUBSTANCE USE IN THE STATE; 15
255+ (VII) THE CURRENT RESEARCH ON THE EFFICACY OF 11
256+VOLUNTARY TREATMENT FOR SUBSTANCE USE DI SORDER COMPARED TO 12
257+TREATMENT MANDATED B Y CRIMINAL JUSTICE S YSTEMS, INCLUDING CRIMINAL 13
258+JUSTICE SYSTEMS OUTSIDE THE STATE; AND 14
262259
263- (VII) THE CURRENT RESEARCH ON THE EFFICACY OF 16
264-VOLUNTARY TREATMENT FOR SUBSTANCE USE DI SORDER COMPARED TO 17
265-TREATMENT MANDATED B Y CRIMINAL JUSTICE S YSTEMS, INCLUDING CRIMINAL 18
266-JUSTICE SYSTEMS OUTS IDE THE STATE; AND 19
260+ (VIII) THE AVAILABILITY AND ACCESSIBILITY OF DATA ON THE 15
261+ISSUES ENUMERATED IN THIS ITEM; AND 16
267262
268- (VIII) THE AVAILABILITY AND ACCESSIBILITY OF DAT A ON THE 20
269-ISSUES ENUMERATED IN THIS ITEM; AND 21
263+ (2) MAKE RECOMMENDATIONS ON CHANGES TO STATE LAWS , 17
264+POLICIES, AND PRACTICES NEEDED TO MITIGATE THE HARM S RELATED TO THE 18
265+CRIMINALIZATION OF S UBSTANCE USE WITH TH E GOAL OF IMPROVING THE PUBLIC 19
266+HEALTH AND SAFETY OF RESIDENTS OF THE STATE. 20
270267
271- (2) EVALUATE AND REVIEW T HE DEPARTMENT ’S REGULATIONS ON 22
272-THE STANDARDS FOR TH E DISCHARGE OF PATIE NTS FROM SUBSTANCE U SE 23
273-TREATMENT PROGRAMS T O ASSESS WHETHER THE STANDARDS ADEQUA TELY 24
274-CONSIDER THE PATIENT ’S MENTAL HEALTH OR S UBSTANCE USE DISORDE R 25
275-DIAGNOSIS AND THE IM PACT OF THE DISCHARG E STANDARDS ON THE P ATIENT; AND 26
268+ [(b)] (C) The workgroups established under subsection (a) of this section shall 21
269+meet at least two times per year at the times and places determined by the workgroup. 22
276270
277- (2) (3) (I) MAKE RECOMMENDATIONS ON CHANGES TO STATE 27
278-LAWS, POLICIES, AND PRACTICES NEEDED TO MITIGATE THE HARMS R ELATED TO 28
279-THE CRIMINALIZATION OF SUBSTANCE USE WIT H THE GOAL OF IMPROV ING THE 29
280-PUBLIC HEALTH AND SA FETY OF RESIDENTS OF THE STATE; AND 30
271+ [(c)] (D) The workgroups established under subsection (a) of this section shall 23
272+include members of the Commission and may include i ndividuals invited by the 24
273+Commission or the Behavioral Health Advisory Council to serve on the workgroup. 25
281274
282- (II) MAKE RECOMMENDATIONS ON CHANGES TO STATE LAWS, 31
283-POLICIES, AND PRACTICES RELATE D TO THE DISCHA RGE OF PATIENTS FROM 32
284-SUBSTANCE USE TREATM ENT PROGRAMS TO CONS IDER THE PATIENT ’S MENTAL 33
285-HEALTH OR SUBSTANCE USE DISORDER DIAGNOS IS IN MAKING AN APPR OPRIATE 34
286-PLACEMENT . 35 HOUSE BILL 1066 7
275+ [(d)] (E) On or before July 1 each year, beginning in 2024, the workgroups 26
276+established under subsection (a) of this section shall report and make recommendations to 27
277+the Commission and the Behavioral Health Advisory Council. 28
287278
288-
289-
290- [(b)] (C) The workgroups established under subsection (a) of this section shall 1
291-meet at least two times per year at the times and places determined by the workgroup. 2
292-
293- [(c)] (D) The workgroups established under subsection (a) of this section shall 3
294-include members of the Commission and may include individuals invited by the 4
295-Commission or the Behavioral Health Advisory Council to serve on the workgroup. 5
296-
297- [(d)] (E) On or before July 1 each year, beginning in 2024, the workgroups 6
298-established under subsection (a) of this section shall report and make recommendations to 7
299-the Commission and the Behavioral Health Advisory Council. 8
300-
301- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 9
302-October 1, 2025. 10
303-
304-
305-
306-
307-Approved:
308-________________________________________________________________________________
309- Governor.
310-________________________________________________________________________________
311- Speaker of the House of Delegates.
312-________________________________________________________________________________
313- President of the Senate.
279+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 29
280+October 1, 2025. 30