EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. [Brackets] indicate matter deleted from existing law. *hb1115* HOUSE BILL 1115 J1 5lr2965 CF SB 493 By: Delegate Rosenberg Introduced and read first time: February 5, 2025 Assigned to: Appropriations A BILL ENTITLED AN ACT concerning 1 Maryland Pediatric Cancer Fund – Funding 2 FOR the purpose of requiring the Governor to include in the annual budget bill a certain 3 appropriation to the Maryland Pediatric Cancer Fund; altering the funding sources 4 of the Maryland Pediatric Cancer Fund to include money from the Cigarette 5 Restitution Fund; altering the authorized uses of the Cigarette Restitution Fund to 6 include providing funding to the Maryland Pediatric Cancer Fund; and generally 7 relating to funding for the Maryland Pediatric Cancer Fund. 8 BY repealing and reenacting, with amendments, 9 Article – Health – General 10 Section 20–120 11 Annotated Code of Maryland 12 (2023 Replacement Volume and 2024 Supplement) 13 BY repealing and reenacting, without amendments, 14 Article – State Finance and Procurement 15 Section 7–317(a) 16 Annotated Code of Maryland 17 (2021 Replacement Volume and 2024 Supplement) 18 BY repealing and reenacting, with amendments, 19 Article – State Finance and Procurement 20 Section 7–317(f)(1) and (g) 21 Annotated Code of Maryland 22 (2021 Replacement Volume and 2024 Supplement) 23 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 24 That the Laws of Maryland read as follows: 25 Article – Health – General 26 2 HOUSE BILL 1115 20–120. 1 (a) (1) In this section the following words have the meanings indicated. 2 (2) “Fund” means the Maryland Pediatric Cancer Fund established under 3 this section. 4 (3) “Pediatric cancer research” includes research to develop and advance 5 the understanding of pediatric cancer and the techniques and modalities effective in the 6 prevention, cure, screening, and treatment of pediatric cancer. 7 (b) (1) There is a Maryland Pediatric Cancer Fund. 8 (2) The Fund consists of: 9 (i) Money appropriated in the State budget to the Fund; [and] 10 (II) MONEY FROM THE CIGARETTE RESTITUTION FUND 11 APPROPRIATED IN ACCO RDANCE WITH § 7–317 OF THE STATE FINANCE AND 12 PROCUREMENT ARTICLE; AND 13 [(ii)] (III) Any donations or other money from any other source 14 accepted for the benefit of the Fund. 15 (3) The Secretary shall administer the Fund. 16 (4) The Fund shall be used only for pediatric cancer research and 17 administrative expenses as provided in subsection (c) of this section. 18 (5) The Fund shall be maintained for the purposes stated in this section 19 and unspent portions of the Fund shall remain in the Fund and may not revert to the 20 General Fund of the State. 21 (6) Money expended from the Fund for pediatric cancer research is 22 supplemental and is not intended to take the place of funding that would otherwise be 23 appropriated to the Department for pediatric cancer research. 24 (7) All expenditures from the Fund shall be made only in accordance with 25 an appropriation approved by the General Assembly in the annual State budget or through 26 an approved budget amendment under §§ 7–209 and 7–210 of the State Finance and 27 Procurement Article. 28 (8) [(i)] For fiscal year [2023] 2027 AND EACH FISCAL YEAR 29 THEREAFTER , the Governor shall include in the annual budget bill an appropriation of 30 $5,000,000 to the Fund. 31 HOUSE BILL 1115 3 [(ii) If $5,000,000 is not included in the annual budget bill for fiscal 1 year 2023, then the Governor shall include in the annual budget bill for fiscal year 2024 an 2 appropriation of $5,000,000 to the Fund.] 3 (c) (1) (i) Each year, the Secretary may: 4 1. Distribute funds from the Fund to a promotional account 5 to be allocated to a State–based childhood cancer organization to be used to promote further 6 donations to the Fund and to educate the State scientific community about the 7 opportunities for childhood cancer research through the Fund; and 8 2. Use funds from the Fund to administer the Fund, 9 including for staff and administrative costs associated with the Commission established 10 under § 20–121 of this title. 11 (ii) The amounts distributed and used under subparagraph (i) of this 12 paragraph may not exceed a total of 5% of the Fund. 13 (2) (i) After making the distribution allowed under paragraph (1) of 14 this subsection, the Secretary shall use the remainder of the Fund only to provide grants 15 to eligible physicians, hospitals, laboratories, educational institutions, and other 16 organizations and persons to conduct pediatric cancer research. 17 (ii) Money received from the grant program under this section may 18 not be used to pay for institutional overhead expenses, organizational expenses, or charges 19 that are not directly related to pediatric cancer research or expenses arising from 20 community–based support services. 21 (d) (1) On or before August 31 each year, the Secretary shall submit a report 22 to the General Assembly, in accordance with § 2–1257 of the State Government Article, on 23 the administration of the Fund. 24 (2) The report required under this subsection shall include: 25 (i) A description of promotional efforts undertaken with money from 26 the Fund; and 27 (ii) A detailed accounting of the use of the Fund. 28 (e) The Secretary shall adopt regulations to implement a pediatric cancer grant 29 program under this section. 30 Article – State Finance and Procurement 31 7–317. 32 4 HOUSE BILL 1115 (a) There is a Cigarette Restitution Fund. 1 (f) (1) The Cigarette Restitution Fund shall be used to fund: 2 (i) the Tobacco Use Prevention and Cessation Program established 3 under Title 13, Subtitle 10 of the Health – General Article; 4 (ii) the Cancer Prevention, Education, Screening, and Treatment 5 Program established under Title 13, Subtitle 11 of the Health – General Article; 6 (iii) the activities of the Southern Maryland Agricultural 7 Development Commission, in accordance with § 13–611 of the Economic Development 8 Article; 9 (iv) for each of fiscal years 2025 through 2029, the Maryland 10 Community Health Resources Commission Fund, in accordance with subsection (g) of this 11 section; [and] 12 (V) THE MARYLAND PEDIATRIC CANCER FUND ESTABLISHED 13 UNDER § 20–120 OF THE HEALTH – GENERAL ARTICLE, IN ACCORDANCE WIT H 14 SUBSECTION (G) OF THIS SECTION; AND 15 [(v)] (VI) other programs that serve the following purposes: 16 1. reduction of the use of tobacco products by individuals 17 under the age of 21 years; 18 2. implementation of the Southern Maryland Regional 19 Strategy–Action Plan for Agriculture adopted by the Tri–County Council for Southern 20 Maryland with an emphasis on alternative crop uses for agricultural land now used for 21 growing tobacco; 22 3. public and school education campaigns to decrease tobacco 23 use with initial emphasis on areas targeted by tobacco manufacturers in marketing and 24 promoting cigarette and tobacco products; 25 4. smoking cessation programs; 26 5. enforcement of the laws regarding tobacco sales; 27 6. the purposes of the Maryland Health Care Foundation 28 under Title 20, Subtitle 5 of the Health – General Article; 29 7. primary health care in rural areas of the State and areas 30 targeted by tobacco manufacturers in marketing and promoting cigarette and tobacco 31 products; 32 HOUSE BILL 1115 5 8. prevention, treatment, and research concerning cancer, 1 heart disease, lung disease, tobacco product use, and tobacco control, including operating 2 costs and related capital projects; 3 9. substance abuse treatment and prevention programs; and 4 10. any other public purpose. 5 (g) (1) Amounts may only be expended from the Fund through appropriations 6 in the State budget bill as provided in this subsection. 7 (2) The Governor shall include in the annual budget bill appropriations 8 from the Fund equivalent to the lesser of $100,000,000 or 90% of the funds estimated to be 9 available to the Fund in the fiscal year for which the appropriations are made. 10 (3) For each fiscal year for which appropriations are made, at least 50% of 11 the appropriations shall be made for those purposes enumerated in subsection (f)(1)(i), (ii), 12 and [(v)1] (VI)1 through 9 of this section subject to the requirement of subsection (e)(2) of 13 this section. 14 (4) For each fiscal year for which appropriations are made, at least 30% of 15 the appropriations shall be made for the purposes of the Maryland Medical Assistance 16 Program. 17 (5) For each fiscal year for which appropriations are made, 0.15% of the 18 Fund shall be appropriated for the purposes of enforcement of Title 16, Subtitle 5 of the 19 Business Regulation Article. 20 (6) For each of fiscal years 2025 through 2029, the Governor shall include 21 in the annual budget bill an appropriation of $8,000,000 to the Maryland Community 22 Health Resources Commission Fund. 23 (7) FOR FISCAL YEAR 2027 AND EACH FISCAL Y EAR THEREAFTER , 24 THE GOVERNOR MAY INCLUDE IN THE ANNUAL BUDGET BILL AN APPROPRIATIO N 25 OF UP TO $5,000,000 TO THE MARYLAND PEDIATRIC CANCER FUND ESTABLISHED 26 UNDER § 20–120 OF THE HEALTH – GENERAL ARTICLE. 27 (8) Any additional appropriations, not subject to [paragraph (3), paragraph 28 (4), or] paragraph (3), (4), OR (5) of this subsection, may be made for any lawful purpose. 29 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 30 1, 2025. 31