| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | ||
| 2 | 2 | ||
| 3 | 3 | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. | |
| 4 | 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 | 5 | *hb1143* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 1143 | |
| 11 | 8 | J2, J1 5lr2078 | |
| 12 | 9 | CF SB 988 | |
| 13 | - | By: Delegates Bagnall, Cullison, and Kipke Pena–Melnyk, Alston, Bhandari, | |
| 14 | - | Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez, Martinez, Rosenberg, | |
| 15 | - | Taveras, Woods, Woorman, and Ross | |
| 10 | + | By: Delegates Bagnall, Cullison, and Kipke | |
| 16 | 11 | Introduced and read first time: February 5, 2025 | |
| 17 | 12 | Assigned to: Health and Government Operations | |
| 18 | - | Committee Report: Favorable with amendments | |
| 19 | - | House action: Adopted | |
| 20 | - | Read second time: March 3, 2025 | |
| 21 | 13 | ||
| 22 | - | ||
| 14 | + | A BILL ENTITLED | |
| 23 | 15 | ||
| 24 | 16 | AN ACT concerning 1 | |
| 25 | 17 | ||
| 26 | 18 | Dental Services – Dental Hygienists in Schools and School–Based Health 2 | |
| 27 | 19 | Centers and the Maryland Collaborative to Improve Children’s Oral Health 3 | |
| 28 | - | Through School–Based Programs | |
| 20 | + | Through School–Based Programs 4 | |
| 29 | 21 | ||
| 30 | 22 | FOR the purpose of providing that a general license to practice dental hygiene authorizes 5 | |
| 31 | 23 | the licensee to practice dental hygiene under the general supervision of a dentist in 6 | |
| 32 | 24 | a school or school–based health center; establishing the Maryland Collaborative to 7 | |
| 33 | 25 | Improve Children’s Oral Health Through School–Based Programs to study and make 8 | |
| 34 | 26 | recommendations on ways to improve school–based dental programs; and generally 9 | |
| 35 | - | relating to | |
| 27 | + | relating to dental services. 10 | |
| 36 | 28 | ||
| 37 | 29 | BY repealing and reenacting, with amendments, 11 | |
| 38 | 30 | Article – Health Occupations 12 | |
| 39 | 31 | Section 4–308(f)(1) 13 | |
| 40 | 32 | Annotated Code of Maryland 14 | |
| 41 | 33 | (2021 Replacement Volume and 2024 Supplement) 15 | |
| 42 | 34 | ||
| 43 | 35 | BY adding to 16 | |
| 44 | 36 | Article – Health Occupations 17 | |
| 45 | 37 | Section 4–308(n) 18 | |
| 46 | 38 | Annotated Code of Maryland 19 | |
| 47 | 39 | (2021 Replacement Volume and 2024 Supplement) 20 | |
| 48 | - | 2 HOUSE BILL 1143 | |
| 40 | + | ||
| 41 | + | Preamble 21 | |
| 42 | + | ||
| 43 | + | WHEREAS, The death of Deamonte Driver, a 12–year–old insured under the 22 | |
| 44 | + | Maryland Medical Assistance Program, from a tooth abscess on February 25, 2007, 23 | |
| 45 | + | triggered a call to action in public health; and 24 | |
| 46 | + | ||
| 47 | + | WHEREAS, In response to Deamonte Driver’s death, the Maryland Department of 25 | |
| 48 | + | Health, oral health advocates, the dental provider community, and the health care 26 2 HOUSE BILL 1143 | |
| 49 | 49 | ||
| 50 | 50 | ||
| 51 | - | Preamble 1 | |
| 51 | + | community collaborated to advance significant systemic improvements for access to dental 1 | |
| 52 | + | services for all children, including children in underserved communities in the State; and 2 | |
| 52 | 53 | ||
| 53 | - | WHEREAS, | |
| 54 | - | ||
| 55 | - | ||
| 54 | + | WHEREAS, Access to dental services for children covered by the Maryland Medical 3 | |
| 55 | + | Assistance Program improved steadily between 2008 and 2015 with the percentage of 4 | |
| 56 | + | children receiving preventive services rising from 50.1% to 64%; and 5 | |
| 56 | 57 | ||
| 57 | - | WHEREAS, In response to Deamonte Driver’s death, the Maryland Department of 5 | |
| 58 | - | Health, oral health advocates, the dental provider community, and the health care 6 | |
| 59 | - | community collaborated to advance significant systemic improvements for access to dental 7 | |
| 60 | - | services for all children, including children in underserved communities in the State; and 8 | |
| 58 | + | WHEREAS, Access to dental services for children covered by the Maryland Medical 6 | |
| 59 | + | Assistance Program remained steady between 2016 and 2019, with 63% to 64% of children 7 | |
| 60 | + | receiving preventive services; and 8 | |
| 61 | 61 | ||
| 62 | 62 | WHEREAS, Access to dental services for children covered by the Maryland Medical 9 | |
| 63 | - | Assistance Program | |
| 64 | - | children receiving preventive services | |
| 63 | + | Assistance Program plummeted with the onset of the COVID–19 pandemic and has yet to 10 | |
| 64 | + | recover, with only 56.5% of children receiving preventive dental services in 2023; and 11 | |
| 65 | 65 | ||
| 66 | - | WHEREAS, Access to dental services for children covered by the Maryland Medical 12 | |
| 67 | - | Assistance Program remained steady between 2016 and 2019, with 63% to 64% of children 13 | |
| 68 | - | receiving preventive services; and 14 | |
| 66 | + | WHEREAS, The 2022–2023 Children’s Oral Health Survey conducted by the 12 | |
| 67 | + | Maryland Department of Health demonstrated that 21% of children had untreated dental 13 | |
| 68 | + | decay, with Hispanic children having the highest prevalence of untreated decay at 30% and 14 | |
| 69 | + | the Western region of the State with the highest prevalence at 27%; and 15 | |
| 69 | 70 | ||
| 70 | - | WHEREAS, Access to dental services for children covered by the Maryland Medical 15 | |
| 71 | - | Assistance Program plummeted with the onset of the COVID–19 pandemic and has yet to 16 | |
| 72 | - | recover, with only 56.5% of children receiving preventive dental services in 2023; and 17 | |
| 71 | + | WHEREAS, The 2022–2023 Children’s Oral Health Survey conducted by the 16 | |
| 72 | + | Maryland Department of Health demonstrated that 51% of Maryland’s school children 17 | |
| 73 | + | needed sealants, with Black children at the highest prevalence of need at 60% and the 18 | |
| 74 | + | Western region of the State with the highest sealant need at 72%; and 19 | |
| 73 | 75 | ||
| 74 | - | WHEREAS, The 2022 –2023 Children’s Oral Health Survey conducted by the 18 | |
| 75 | - | Maryland Department of Health demonstrated that 21% of children had untreated dental 19 | |
| 76 | - | decay, with Hispanic children having the highest prevalence of untreated decay at 30% and 20 | |
| 77 | - | the Western region of the State with the highest prevalence at 27%; and 21 | |
| 76 | + | WHEREAS, Children in the State need public health action to improve access to 20 | |
| 77 | + | dental services to avoid serious long–term health consequences; and 21 | |
| 78 | 78 | ||
| 79 | - | WHEREAS, The 202 2–2023 Children’s Oral Health Survey conducted by the 22 | |
| 80 | - | Maryland Department of Health demonstrated that 51% of Maryland’s school children 23 | |
| 81 | - | needed sealants, with Black children at the highest prevalence of need at 60% and the 24 | |
| 82 | - | Western region of the State with the highest sealant need at 72%; and 25 | |
| 79 | + | WHEREAS, School–based dental programs offer the potential to provide preventive 22 | |
| 80 | + | and screening services and linkages to permanent dental homes for children in every 23 | |
| 81 | + | Maryland community; now, therefore, 24 | |
| 83 | 82 | ||
| 84 | - | | |
| 85 | - | ||
| 83 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 25 | |
| 84 | + | That the Laws of Maryland read as follows: 26 | |
| 86 | 85 | ||
| 87 | - | WHEREAS, School–based dental programs offer the potential to provide preventive 28 | |
| 88 | - | and screening services and linkages to permanent dental homes for children in every 29 | |
| 89 | - | Maryland community; now, therefore, 30 | |
| 86 | + | Article – Health Occupations 27 | |
| 90 | 87 | ||
| 91 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 31 | |
| 92 | - | That the Laws of Maryland read as follows: 32 | |
| 88 | + | 4–308. 28 | |
| 93 | 89 | ||
| 94 | - | Article – Health Occupations 33 | |
| 90 | + | (f) (1) Except as provided in subsection (k) of this section, while it is effective, 29 | |
| 91 | + | a general license to practice dental hygiene issued under this title authorizes the licensee 30 | |
| 92 | + | to practice dental hygiene: 31 | |
| 95 | 93 | ||
| 96 | - | 4–308. 34 | |
| 97 | - | HOUSE BILL 1143 3 | |
| 94 | + | (i) Under the supervision of a licensed dentist who is: 32 | |
| 98 | 95 | ||
| 99 | - | ||
| 100 | - | (f) (1) Except as provided in subsection (k) of this section, while it is effective, 1 | |
| 101 | - | a general license to practice dental hygiene issued under this title authorizes the licensee 2 | |
| 102 | - | to practice dental hygiene: 3 | |
| 103 | - | ||
| 104 | - | (i) Under the supervision of a licensed dentist who is: 4 | |
| 105 | - | ||
| 106 | - | 1. On the premises and available for personal consultation 5 | |
| 107 | - | while the services are being performed; or 6 | |
| 108 | - | ||
| 109 | - | 2. Not on the premises while authorized dental hygiene 7 | |
| 110 | - | services are provided when the requirements of subsection (l) OR (N) of this section have 8 | |
| 111 | - | been fully satisfied; and 9 | |
| 112 | - | ||
| 113 | - | (ii) Only in a: 10 | |
| 114 | - | ||
| 115 | - | 1. Dental office; 11 | |
| 116 | - | ||
| 117 | - | 2. Dental clinic; 12 | |
| 118 | - | ||
| 119 | - | 3. Hospital; 13 | |
| 120 | - | ||
| 121 | - | 4. School; 14 | |
| 122 | - | ||
| 123 | - | 5. Charitable institution; or 15 | |
| 124 | - | ||
| 125 | - | 6. Health maintenance organization certified by the State 16 | |
| 126 | - | Insurance Commissioner. 17 | |
| 127 | - | ||
| 128 | - | (N) WHILE IT IS EFFECTIVE , A GENERAL LICENSE TO PRACTICE DENTAL 18 | |
| 129 | - | HYGIENE ISSUED UNDER THIS TITLE AUTHORIZE S THE LICENSEE TO PR ACTICE 19 | |
| 130 | - | DENTAL HYGIENE UNDER THE GENERAL SUPERVIS ION OF A LICENSED DE NTIST IN A 20 | |
| 131 | - | SCHOOL OR SCHOOL –BASED HEALTH CENTER IF THE LI CENSEE SUBMITS ON A FORM 21 | |
| 132 | - | PROVIDED BY THE BOARD A STATEMENT THA T THE LICENSEE INTEN DS TO 22 | |
| 133 | - | PRACTICE IN A SCHOOL OR SCHOOL–BASED HEALTH CENTER . 23 | |
| 134 | - | ||
| 135 | - | SECTION 2. AND BE IT FURTHER ENACTED, That: 24 | |
| 136 | - | ||
| 137 | - | (a) There is a Maryland Collaborative to Improve Children’s Oral Health Through 25 | |
| 138 | - | School–Based Programs. 26 | |
| 139 | - | ||
| 140 | - | (b) The Collaborative consists of the following members: 27 | |
| 141 | - | ||
| 142 | - | (1) two members of the Senate of Maryland, appointed by the President of 28 | |
| 143 | - | the Senate; 29 | |
| 144 | - | 4 HOUSE BILL 1143 | |
| 145 | - | ||
| 146 | - | ||
| 147 | - | (2) two members of the House of Delegates, appointed by the Speaker of 1 | |
| 148 | - | the House; 2 | |
| 149 | - | ||
| 150 | - | (3) the Secretary of Health, or the Secretary’s designee; 3 | |
| 151 | - | ||
| 152 | - | (4) the Secretary of Education, or the Secretary’s designee; 4 | |
| 153 | - | ||
| 154 | - | (5) the Deputy Secretary of Public Health Services, or the Deputy 5 | |
| 155 | - | Secretary’s designee; 6 | |
| 156 | - | ||
| 157 | - | (6) the Chair of the Maryland Community Health Resources Commission, 7 | |
| 158 | - | or the Chair’s designee; and 8 | |
| 159 | - | ||
| 160 | - | (7) the following members, appointed by the Secretary of Health: 9 | |
| 161 | - | ||
| 162 | - | (i) one representative of the Maryland Medical Assistance Program; 10 | |
| 163 | - | ||
| 164 | - | (ii) one representative of the Maryland Association of School Health 11 | |
| 165 | - | Nurses; 12 | |
| 166 | - | ||
| 167 | - | (iii) one representative of the Maryland Assembly of School–Based 13 | |
| 168 | - | Health Care; 14 | |
| 169 | - | ||
| 170 | - | (iv) one representative of the Maryland Dental Action Coalition; 15 | |
| 171 | - | ||
| 172 | - | (v) one representative of the Maryland Dental Hygienists’ 16 | |
| 173 | - | Association; 17 | |
| 174 | - | ||
| 175 | - | (vi) one representative of the Maryland State Dental Association; 18 | |
| 176 | - | ||
| 177 | - | (vii) one representative of the Maryland Dental Society; 19 | |
| 178 | - | ||
| 179 | - | (viii) one representative of the State Board of Dental Examiners; 20 | |
| 180 | - | ||
| 181 | - | (vii) (ix) one representative of a federally qualified health center 21 | |
| 182 | - | that manages a school–based dental program; 22 | |
| 183 | - | ||
| 184 | - | (viii) (x) one representative of the Maryland Association of Boards 23 | |
| 185 | - | of Education; 24 | |
| 186 | - | ||
| 187 | - | (ix) (xi) one representative of the Public School Superintendents’ 25 | |
| 188 | - | Association of Maryland; and 26 | |
| 189 | - | ||
| 190 | - | (x) (xii) one representative of the National Maternal and Child 27 | |
| 191 | - | Health Resource Center. 28 | |
| 192 | - | ||
| 193 | - | (c) The Secretary of Health shall designate the chair of the Collaborative. 29 HOUSE BILL 1143 5 | |
| 96 | + | 1. On the premises and available for personal consultation 33 | |
| 97 | + | while the services are being performed; or 34 HOUSE BILL 1143 3 | |
| 194 | 98 | ||
| 195 | 99 | ||
| 196 | 100 | ||
| 197 | - | (d) The Maryland Department of Health shall provide staff for the Collaborative. 1 | |
| 101 | + | 2. Not on the premises while authorized dental hygiene 1 | |
| 102 | + | services are provided when the requirements of subsection (l) OR (N) of this section have 2 | |
| 103 | + | been fully satisfied; and 3 | |
| 198 | 104 | ||
| 199 | - | ( | |
| 105 | + | (ii) Only in a: 4 | |
| 200 | 106 | ||
| 201 | - | | |
| 107 | + | 1. Dental office; 5 | |
| 202 | 108 | ||
| 203 | - | (2) is entitled to reimbursement for expenses under the Standard State 4 | |
| 204 | - | Travel Regulations, as provided in the State budget. 5 | |
| 109 | + | 2. Dental clinic; 6 | |
| 205 | 110 | ||
| 206 | - | (f) The Collaborative shall study and make recommendations to improve the oral 6 | |
| 207 | - | health of children in the State through school–based dental programs by analyzing the 7 | |
| 208 | - | impact of: 8 | |
| 111 | + | 3. Hospital; 7 | |
| 209 | 112 | ||
| 210 | - | (1) supporting schools and community dental partners in linking families 9 | |
| 211 | - | and children to permanent dental facilities; 10 | |
| 113 | + | 4. School; 8 | |
| 212 | 114 | ||
| 213 | - | (2) increasing the number of dental hygienists providing school–based 11 | |
| 214 | - | services through policy initiatives, including grant support for services for uninsured 12 | |
| 215 | - | children and Medicaid reimbursement of dental hygienists who render dental services; 13 | |
| 115 | + | 5. Charitable institution; or 9 | |
| 216 | 116 | ||
| 217 | - | (3) authorizing school nurses to provide fluoride varnishes among other 14 | |
| 218 | - | clinically appropriate services by modifying school health guidelines and providing 15 | |
| 219 | - | reimbursement through the Maryland Medical Assistance Program; 16 | |
| 117 | + | 6. Health maintenance organization certified by the State 10 | |
| 118 | + | Insurance Commissioner. 11 | |
| 220 | 119 | ||
| 221 | - | (4) expanding the capacity of school–based health centers to provide dental 17 | |
| 222 | - | services; and 18 | |
| 120 | + | (N) WHILE IT IS EFFECTIVE , A GENERAL LICENSE TO PRACTICE DENTAL 12 | |
| 121 | + | HYGIENE ISSUED UNDER THIS TITLE AUTHORIZE S THE LICENSEE TO PR ACTICE 13 | |
| 122 | + | DENTAL HYGIENE UNDER THE GENERAL SUPERVIS ION OF A LICENSED DE NTIST IN A 14 | |
| 123 | + | SCHOOL OR SCHOOL –BASED HEALTH CENTER IF THE LICENSEE SUBMITS ON A FORM 15 | |
| 124 | + | PROVIDED BY THE BOARD A STATEMENT THA T THE LICENSEE INTEN DS TO 16 | |
| 125 | + | PRACTICE IN A SCHOOL OR SCHOOL–BASED HEALTH CENTER . 17 | |
| 223 | 126 | ||
| 224 | - | (5) clarifying the law governing the practice of dental hygienists in school 19 | |
| 225 | - | settings to reduce confusion among practitioners and school–based programs; and 20 | |
| 127 | + | SECTION 2. AND BE IT FURTHER ENACTED, That: 18 | |
| 226 | 128 | ||
| 227 | - | ( | |
| 228 | - | ||
| 129 | + | (a) There is a Maryland Collaborative to Improve Children’s Oral Health Through 19 | |
| 130 | + | School–Based Programs. 20 | |
| 229 | 131 | ||
| 230 | - | (g) The Collaborative may consult with any other individual or organization with 23 | |
| 231 | - | expertise in school–based dental programs. 24 | |
| 132 | + | (b) The Collaborative consists of the following members: 21 | |
| 232 | 133 | ||
| 233 | - | (h) (1) On or before December 1, 2025, the Collaborative shall submit an 25 | |
| 234 | - | interim report of its findings and recommendations to the Governor and, in accordance with 26 | |
| 235 | - | § 2–1257 of the State Government Article, the General Assembly. 27 | |
| 134 | + | (1) two members of the Senate of Maryland, appointed by the President of 22 | |
| 135 | + | the Senate; 23 | |
| 236 | 136 | ||
| 237 | - | (2) On or before October 1, 2026, the Collaborative shall submit a final 28 | |
| 238 | - | report of its findings and recommendations to the Governor and, in accordance with § 29 | |
| 239 | - | 2–1257 of the State Government Article, the General Assembly. 30 | |
| 137 | + | (2) two members of the House of Delegates, appointed by the Speaker of 24 | |
| 138 | + | the House; 25 | |
| 240 | 139 | ||
| 241 | - | SECTION 3. 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 31 | |
| 242 | - | July 1, 2025. Section 2 of this Act It shall remain effective for a period of 2 years and, at 32 6 HOUSE BILL 1143 | |
| 140 | + | (3) the Secretary of Health, or the Secretary’s designee; 26 | |
| 243 | 141 | ||
| 142 | + | (4) the Secretary of Education, or the Secretary’s designee; 27 | |
| 244 | 143 | ||
| 245 | - | the | |
| 246 | - | ||
| 144 | + | (5) the Deputy Secretary of Public Health Services, or the Deputy 28 | |
| 145 | + | Secretary’s designee; 29 4 HOUSE BILL 1143 | |
| 247 | 146 | ||
| 248 | 147 | ||
| 249 | 148 | ||
| 149 | + | (6) the Chair of the Maryland Community Health Resources Commission, 1 | |
| 150 | + | or the Chair’s designee; and 2 | |
| 250 | 151 | ||
| 251 | - | Approved: | |
| 252 | - | ________________________________________________________________________________ | |
| 253 | - | Governor. | |
| 254 | - | ________________________________________________________________________________ | |
| 255 | - | Speaker of the House of Delegates. | |
| 256 | - | ________________________________________________________________________________ | |
| 257 | - | President of the Senate. | |
| 152 | + | (7) the following members, appointed by the Secretary of Health: 3 | |
| 153 | + | ||
| 154 | + | (i) one representative of the Maryland Medical Assistance Program; 4 | |
| 155 | + | ||
| 156 | + | (ii) one representative of the Maryland Association of School Health 5 | |
| 157 | + | Nurses; 6 | |
| 158 | + | ||
| 159 | + | (iii) one representative of the Maryland Assembly of School–Based 7 | |
| 160 | + | Health Care; 8 | |
| 161 | + | ||
| 162 | + | (iv) one representative of the Maryland Dental Action Coalition; 9 | |
| 163 | + | ||
| 164 | + | (v) one representative of the Maryland Dental Hygienists’ 10 | |
| 165 | + | Association; 11 | |
| 166 | + | ||
| 167 | + | (vi) one representative of the Maryland State Dental Association; 12 | |
| 168 | + | ||
| 169 | + | (vii) one representative of a federally qualified health center that 13 | |
| 170 | + | manages a school–based dental program; 14 | |
| 171 | + | ||
| 172 | + | (viii) one representative of the Maryland Association of Boards of 15 | |
| 173 | + | Education; 16 | |
| 174 | + | ||
| 175 | + | (ix) one representative of the Public School Superintendents’ 17 | |
| 176 | + | Association of Maryland; and 18 | |
| 177 | + | ||
| 178 | + | (x) one representative of the National Maternal and Child Health 19 | |
| 179 | + | Resource Center. 20 | |
| 180 | + | ||
| 181 | + | (c) The Secretary of Health shall designate the chair of the Collaborative. 21 | |
| 182 | + | ||
| 183 | + | (d) The Maryland Department of Health shall provide staff for the Collaborative. 22 | |
| 184 | + | ||
| 185 | + | (e) A member of the Collaborative: 23 | |
| 186 | + | ||
| 187 | + | (1) may not receive compensation as a member of the Collaborative; but 24 | |
| 188 | + | ||
| 189 | + | (2) is entitled to reimbursement for expenses under the Standard State 25 | |
| 190 | + | Travel Regulations, as provided in the State budget. 26 | |
| 191 | + | ||
| 192 | + | (f) The Collaborative shall study and make recommendations to improve the oral 27 | |
| 193 | + | health of children in the State through school–based dental programs by analyzing the 28 | |
| 194 | + | impact of: 29 HOUSE BILL 1143 5 | |
| 195 | + | ||
| 196 | + | ||
| 197 | + | ||
| 198 | + | (1) supporting schools and community dental partners in linking families 1 | |
| 199 | + | and children to permanent dental facilities; 2 | |
| 200 | + | ||
| 201 | + | (2) increasing the number of dental hygienists providing school–based 3 | |
| 202 | + | services through policy initiatives, including grant support for services for uninsured 4 | |
| 203 | + | children and Medicaid reimbursement of dental hygienists who render dental services; 5 | |
| 204 | + | ||
| 205 | + | (3) authorizing school nurses to provide fluoride varnishes among other 6 | |
| 206 | + | clinically appropriate services by modifying school health guidelines and providing 7 | |
| 207 | + | reimbursement through the Maryland Medical Assistance Program; 8 | |
| 208 | + | ||
| 209 | + | (4) expanding the capacity of school–based health centers to provide dental 9 | |
| 210 | + | services; and 10 | |
| 211 | + | ||
| 212 | + | (5) other innovative models for providing dental services to children in 11 | |
| 213 | + | schools. 12 | |
| 214 | + | ||
| 215 | + | (g) The Collaborative may consult with any other individual or organization with 13 | |
| 216 | + | expertise in school–based dental programs. 14 | |
| 217 | + | ||
| 218 | + | (h) (1) On or before December 1, 2025, the Collaborative shall submit an 15 | |
| 219 | + | interim report of its findings and recommendations to the Governor and, in accordance with 16 | |
| 220 | + | § 2–1257 of the State Government Article, the General Assembly. 17 | |
| 221 | + | ||
| 222 | + | (2) On or before October 1, 2026, the Collaborative shall submit a final 18 | |
| 223 | + | report of its findings and recommendations to the Governor and, in accordance with § 19 | |
| 224 | + | 2–1257 of the State Government Article, the General Assembly. 20 | |
| 225 | + | ||
| 226 | + | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect July 21 | |
| 227 | + | 1, 2025. Section 2 of this Act shall remain effective for a period of 2 years and, at the end of 22 | |
| 228 | + | June 30, 2027, Section 2 of this Act, with no further action required by the General 23 | |
| 229 | + | Assembly, shall be abrogated and of no further force and effect. 24 |