1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb1242* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 1242 |
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8 | 8 | | F1, J1 5lr3433 |
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9 | 9 | | HB 893/24 – W&M |
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10 | 10 | | By: Delegates Hill, Kaufman, Patterson, Taveras, and Woods |
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11 | 11 | | Introduced and read first time: February 7, 2025 |
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12 | 12 | | Assigned to: Ways and Means |
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13 | 13 | | |
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14 | 14 | | A BILL ENTITLED |
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15 | 15 | | |
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16 | 16 | | AN ACT concerning 1 |
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17 | 17 | | |
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18 | 18 | | Primary and Secondary Students – Vision and Hearing Studies and Evaluations 2 |
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19 | 19 | | |
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20 | 20 | | FOR the purpose of requiring the State Department of Education, in collaboration with the 3 |
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21 | 21 | | Maryland Department of Health, to convene a workgroup to study and make 4 |
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22 | 22 | | recommendations on vision support treatments and services for students; requiring 5 |
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23 | 23 | | the Maryland State School Health Council to evaluate certain issues regarding 6 |
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24 | 24 | | vision and hearing difficulties in primary and secondary students; and generally 7 |
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25 | 25 | | relating to primary and secondary student vision and hearing studies and 8 |
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26 | 26 | | evaluations. 9 |
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27 | 27 | | |
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28 | 28 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 10 |
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29 | 29 | | That: 11 |
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30 | 30 | | |
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31 | 31 | | (a) The State Department of Education, in collaboration with the Maryland 12 |
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32 | 32 | | Department of Health, shall convene a workgroup that includes representatives of: 13 |
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33 | 33 | | |
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34 | 34 | | (1) county boards of education; 14 |
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35 | 35 | | |
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36 | 36 | | (2) local health departments; 15 |
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37 | 37 | | |
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38 | 38 | | (3) the Maryland Optometric Association; 16 |
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39 | 39 | | |
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40 | 40 | | (4) the Maryland Society of Eye Physicians & Surgeons; 17 |
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41 | 41 | | |
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42 | 42 | | (5) Vision for Baltimore; and 18 |
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43 | 43 | | |
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44 | 44 | | (6) any other relevant State and local vision service providers, such as 19 |
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45 | 45 | | public libraries that host eye exams and eyeglasses distribution events. 20 |
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46 | 46 | | |
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47 | 47 | | (b) The workgroup shall: 21 |
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48 | 48 | | 2 HOUSE BILL 1242 |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | (1) study: 1 |
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52 | 52 | | |
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53 | 53 | | (i) the jurisdictional incidence and prevalence of: 2 |
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54 | 54 | | |
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55 | 55 | | 1. primary and secondary students who fail vision screening 3 |
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56 | 56 | | tests and the percentage of students who: 4 |
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57 | 57 | | |
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58 | 58 | | A. received the recommended follow–up comprehensive 5 |
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59 | 59 | | vision testing, eyeglasses, or other vision support treatments or services to correct the 6 |
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60 | 60 | | vision deficiency; 7 |
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61 | 61 | | |
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62 | 62 | | B. received the recommended follow–up comprehensive 8 |
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63 | 63 | | vision testing but have not received recommended eyeglasses or other vision support 9 |
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64 | 64 | | treatments or other services to correct the vision deficiency; and 10 |
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65 | 65 | | |
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66 | 66 | | C. did not obtain the recommended follow–up comprehensive 11 |
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67 | 67 | | vision testing; 12 |
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68 | 68 | | |
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69 | 69 | | 2. the correlation between having insurance coverage and 13 |
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70 | 70 | | whether primary and secondary students receive recommended comprehensive vision 14 |
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71 | 71 | | testing, eyeglasses, and other vision support treatments or services; and 15 |
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72 | 72 | | |
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73 | 73 | | 3. other factors that contribute to primary and secondary 16 |
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74 | 74 | | students not receiving the vision support treatments and services necessary for the 17 |
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75 | 75 | | students to be visually equipped to learn; 18 |
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76 | 76 | | |
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77 | 77 | | (ii) the policies and programs each jurisdiction uses to identify 19 |
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78 | 78 | | children who have or have not received recommended vision support treatments or services; 20 |
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79 | 79 | | |
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80 | 80 | | (iii) for each jurisdiction, the resources available for ensuring that 21 |
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81 | 81 | | vision deficits are adequately addressed and primary and secondary students are visually 22 |
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82 | 82 | | equipped to learn, including: 23 |
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83 | 83 | | |
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84 | 84 | | 1. civic, nonprofit, and public organizations that provide 24 |
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85 | 85 | | vision screening tests; 25 |
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86 | 86 | | |
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87 | 87 | | 2. vouchers for purchasing eyeglasses; 26 |
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88 | 88 | | |
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89 | 89 | | 3. prescription eyeglasses donations; and 27 |
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90 | 90 | | |
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91 | 91 | | 4. local eye care professionals who provide pro bono or 28 |
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92 | 92 | | discounted services or supplies to members of the community; 29 |
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93 | 93 | | |
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94 | 94 | | (iv) the role and responsibilities of the local public health department 30 |
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95 | 95 | | and school system in tracking and ensuring primary and secondary students are visually 31 |
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96 | 96 | | equipped to learn, including the mechanisms and programs used to achieve that goal; 32 |
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97 | 97 | | HOUSE BILL 1242 3 |
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98 | 98 | | |
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99 | 99 | | |
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100 | 100 | | (v) programs and policies in other states and local jurisdictions that 1 |
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101 | 101 | | give priority to ensuring that school children are visually equipped to learn, including 2 |
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102 | 102 | | funding options such as: 3 |
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103 | 103 | | |
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104 | 104 | | 1. insurance; 4 |
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105 | 105 | | |
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106 | 106 | | 2. third–party cost coverage; 5 |
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107 | 107 | | |
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108 | 108 | | 3. grants; 6 |
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109 | 109 | | |
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110 | 110 | | 4. philanthropy; and 7 |
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111 | 111 | | |
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112 | 112 | | 5. public funding; and 8 |
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113 | 113 | | |
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114 | 114 | | (vi) other factors the workgroup considers necessary to ensure all 9 |
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115 | 115 | | primary and secondary students are visually equipped to learn; and 10 |
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116 | 116 | | |
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117 | 117 | | (2) evaluate and make recommendations regarding: 11 |
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118 | 118 | | |
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119 | 119 | | (i) whether additional mandatory school vision screening tests are 12 |
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120 | 120 | | necessary and, if so, how the additional tests might be funded; 13 |
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121 | 121 | | |
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122 | 122 | | (ii) to better identify and track whether students are receiving 14 |
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123 | 123 | | recommended eye exams and other vision support treatments and services, the feasibility 15 |
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124 | 124 | | and benefits of developing a mechanism to facilitate reporting eye exam findings to the local 16 |
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125 | 125 | | school system or public health department in a manner that is similar to how eye exam 17 |
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126 | 126 | | results are reported to the Motor Vehicle Administration; 18 |
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127 | 127 | | |
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128 | 128 | | (iii) how to better educate families about the importance of 19 |
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129 | 129 | | diagnosing and treating vision deficits; 20 |
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130 | 130 | | |
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131 | 131 | | (iv) how to better partner with community eye professionals to 21 |
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132 | 132 | | address the needs of the community; 22 |
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133 | 133 | | |
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134 | 134 | | (v) the feasibility and necessity of a vision support program that: 23 |
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135 | 135 | | |
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136 | 136 | | 1. would identify and assist only primary and secondary 24 |
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137 | 137 | | students who have vision needs and are: 25 |
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138 | 138 | | |
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139 | 139 | | A. being missed under the current system; or 26 |
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140 | 140 | | |
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141 | 141 | | B. identified under the current system but are not receiving 27 |
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142 | 142 | | the necessary vision support treatments and services; 28 |
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143 | 143 | | |
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144 | 144 | | 2. would not provide vision screening tests, eye exams, or 29 |
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145 | 145 | | other vision support treatments and services to all primary and secondary students; 30 |
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146 | 146 | | 4 HOUSE BILL 1242 |
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147 | 147 | | |
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148 | 148 | | |
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149 | 149 | | 3. would connect students identified by the program to: 1 |
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150 | 150 | | |
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151 | 151 | | A. local vision service providers for ongoing and long–term 2 |
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152 | 152 | | care; 3 |
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153 | 153 | | |
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154 | 154 | | B. insurance benefits; and 4 |
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155 | 155 | | |
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156 | 156 | | C. philanthropic resources; and 5 |
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157 | 157 | | |
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158 | 158 | | 4. would emphasize education and increased awareness 6 |
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159 | 159 | | around vision needs and services; 7 |
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160 | 160 | | |
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161 | 161 | | (vi) how the State can assist local jurisdictions to ensure all students 8 |
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162 | 162 | | are visually equipped to learn; 9 |
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163 | 163 | | |
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164 | 164 | | (vii) annual funding levels for vision support programs and options 10 |
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165 | 165 | | for sustaining the funding; and 11 |
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166 | 166 | | |
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167 | 167 | | (viii) how a vision support program would give priority to: 12 |
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168 | 168 | | |
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169 | 169 | | 1. referring primary and secondary students initially 13 |
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170 | 170 | | identified and treated through the program to community providers for their ongoing and 14 |
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171 | 171 | | long–term vision support needs; 15 |
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172 | 172 | | |
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173 | 173 | | 2. partnering with community providers to provide primary 16 |
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174 | 174 | | and secondary students with initial vision assessments and treatments and long–term care; 17 |
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175 | 175 | | and 18 |
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176 | 176 | | |
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177 | 177 | | 3. ensuring vision support treatment and services are 19 |
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178 | 178 | | provided to primary and secondary students regardless of insurance status, with 20 |
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179 | 179 | | consideration given to whether insurance companies can provide annual contributions, 21 |
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180 | 180 | | capitation, or other methods to underwrite the cost of the programs either in part or in 22 |
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181 | 181 | | whole. 23 |
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182 | 182 | | |
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183 | 183 | | (c) A member of the workgroup: 24 |
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184 | 184 | | |
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185 | 185 | | (1) may not receive compensation as a member of the workgroup; but 25 |
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186 | 186 | | |
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187 | 187 | | (2) is entitled to reimbursement for expenses under the Standard State 26 |
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188 | 188 | | Travel Regulations, as provided in the State budget. 27 |
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189 | 189 | | |
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190 | 190 | | (d) On or before December 31, 2026, the workgroup shall submit a report of its 28 |
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191 | 191 | | findings and recommendations, in accordance with § 2–1257 of the State Government 29 |
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192 | 192 | | Article, to: 30 |
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193 | 193 | | |
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194 | 194 | | (1) the Senate Committee on Education, Energy, and the Environment; 31 |
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195 | 195 | | HOUSE BILL 1242 5 |
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196 | 196 | | |
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197 | 197 | | |
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198 | 198 | | (2) the Education, Business and Administration Subcommittee of the 1 |
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199 | 199 | | Senate Budget and Taxation Committee; 2 |
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200 | 200 | | |
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201 | 201 | | (3) the House Health and Government Operations Committee; 3 |
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202 | 202 | | |
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203 | 203 | | (4) the House Ways and Means Committee; and 4 |
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204 | 204 | | |
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205 | 205 | | (5) the Education and Economic Development Subcommittee of the House 5 |
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206 | 206 | | Appropriations Committee. 6 |
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207 | 207 | | |
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208 | 208 | | SECTION 2. AND BE IT FURTHER ENACTED, That: 7 |
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209 | 209 | | |
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210 | 210 | | (a) The Maryland State School Health Council shall evaluate: 8 |
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211 | 211 | | |
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212 | 212 | | (1) how the Council can partner with interested parties to address issues 9 |
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213 | 213 | | that may arise when primary and secondary students are inadequately equipped to learn 10 |
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214 | 214 | | due to vision or hearing difficulties; 11 |
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215 | 215 | | |
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216 | 216 | | (2) the number of school primary and secondary students with hearing 12 |
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217 | 217 | | difficulties who have not received the auditory aids necessary for them to learn; and 13 |
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218 | 218 | | |
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219 | 219 | | (3) whether statutory support programs similar to programs studied under 14 |
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220 | 220 | | Section 1 of this Act would assist public school primary and secondary students who have 15 |
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221 | 221 | | hearing difficulties. 16 |
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222 | 222 | | |
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223 | 223 | | (b) On or before December 31, 2026, the Maryland State School Health Council 17 |
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224 | 224 | | shall submit a report of its findings, in accordance with § 2–1257 of the State Government 18 |
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225 | 225 | | Article, to: 19 |
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226 | 226 | | |
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227 | 227 | | (1) the Senate Committee on Education, Energy, and the Environment; 20 |
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228 | 228 | | |
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229 | 229 | | (2) the Education, Business and Administration Subcommittee of the 21 |
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230 | 230 | | Senate Budget and Taxation Committee; 22 |
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231 | 231 | | |
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232 | 232 | | (3) the House Health and Government Operations Committee; 23 |
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233 | 233 | | |
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234 | 234 | | (4) the House Ways and Means Committee; and 24 |
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235 | 235 | | |
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236 | 236 | | (5) the Education and Economic Development Subcommittee of the House 25 |
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237 | 237 | | Appropriations Committee. 26 |
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238 | 238 | | |
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239 | 239 | | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect July 27 |
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240 | 240 | | 1, 2025. It shall remain effective for a period of 2 years and, at the end of June 30, 2027, 28 |
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241 | 241 | | this Act, with no further action required by the General Assembly, shall be abrogated and 29 |
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242 | 242 | | of no further force and effect. 30 |
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243 | 243 | | |
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