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 | | *hb1306* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 1306 |
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8 | 8 | | J1 5lr2881 |
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9 | 9 | | |
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10 | 10 | | By: Delegates Patterson, Addison, Alston, Bartlett, Boafo, Boyce, Cardin, Hill, |
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11 | 11 | | Holmes, Ivey, Kaiser, J. Long, McCaskill, McComas, Mireku–North, Pasteur, |
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12 | 12 | | Phillips, Roberson, Ruff, Taylor, Toles, Turner, Wells, White Holland, Wims, |
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13 | 13 | | and Woods |
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14 | 14 | | Introduced and read first time: February 7, 2025 |
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15 | 15 | | Assigned to: Health and Government Operations |
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16 | 16 | | |
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17 | 17 | | A BILL ENTITLED |
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18 | 18 | | |
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19 | 19 | | AN ACT concerning 1 |
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20 | 20 | | |
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21 | 21 | | Public Health – Sickle Cell Disease – Specialized Clinics and Scholarship 2 |
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22 | 22 | | Program for Medical Residents 3 |
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23 | 23 | | |
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24 | 24 | | FOR the purpose of requiring the Maryland Department of Health to establish certain 4 |
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25 | 25 | | specialized clinics for the management and treatment of sickle cell disease and 5 |
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26 | 26 | | establish a scholarship program for medical residents with a certain specialization 6 |
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27 | 27 | | and focus on sickle cell disease; and generally relating to sickle cell disease. 7 |
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28 | 28 | | |
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29 | 29 | | BY adding to 8 |
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30 | 30 | | Article – Health – General 9 |
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31 | 31 | | Section 18–510 and 18–511 10 |
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32 | 32 | | Annotated Code of Maryland 11 |
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33 | 33 | | (2023 Replacement Volume and 2024 Supplement) 12 |
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34 | 34 | | |
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35 | 35 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 13 |
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36 | 36 | | That the Laws of Maryland read as follows: 14 |
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37 | 37 | | |
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38 | 38 | | Article – Health – General 15 |
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39 | 39 | | |
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40 | 40 | | 18–510. 16 |
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41 | 41 | | |
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42 | 42 | | (A) (1) THE DEPARTMENT SHALL ESTABLISH THREE SPEC IALIZED 17 |
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43 | 43 | | CLINICS DEDICATED TO THE MAN AGEMENT AND TREATMEN T OF SICKLE CELL 18 |
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44 | 44 | | DISEASE. 19 |
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45 | 45 | | |
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46 | 46 | | (2) THE CLINICS ESTABLISH ED UNDER PARAGRAPH (1) OF THIS 20 |
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47 | 47 | | SUBSECTION SHALL BE LOCATED IN: 21 2 HOUSE BILL 1306 |
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48 | 48 | | |
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49 | 49 | | |
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50 | 50 | | |
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51 | 51 | | (I) MONTGOMERY COUNTY; 1 |
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52 | 52 | | |
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53 | 53 | | (II) HARFORD COUNTY; AND 2 |
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54 | 54 | | |
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55 | 55 | | (III) A COUNTY LOCATED ON TH E EASTERN SHORE. 3 |
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56 | 56 | | |
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57 | 57 | | (B) EACH CLINIC ESTABLISH ED UNDER SUBSECTION (A) OF THIS SECTION 4 |
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58 | 58 | | SHALL: 5 |
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59 | 59 | | |
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60 | 60 | | (1) OPERATE UNDER A HUB –AND–SPOKE MODEL WITH A 6 |
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61 | 61 | | SPECIALIZED SICKLE C ELL DISEASE CARE HUB; 7 |
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62 | 62 | | |
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63 | 63 | | (2) PROVIDE ROUTINE CARE , PAIN MANAGEMENT , GENETIC 8 |
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64 | 64 | | COUNSELING , MENTAL HEALTH SERVIC ES, SURVEILLANCE , AND PATIENT 9 |
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65 | 65 | | EDUCATION; AND 10 |
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66 | 66 | | |
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67 | 67 | | (3) IN COLLABORATION WITH THE SPECIALIZED SICK LE CELL CARE 11 |
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68 | 68 | | HUB: 12 |
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69 | 69 | | |
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70 | 70 | | (I) ENSURE CONSISTENT ACC ESS TO HUB–BASED SICKLE CELL 13 |
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71 | 71 | | DISEASE SPECIALISTS THROUGH TELEHEALTH O R ON–SITE VISITS TO MANAG E 14 |
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72 | 72 | | COMPLEX PATIENT NEED S; 15 |
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73 | 73 | | |
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74 | 74 | | (II) OFFER COMPREHENSIVE B EHAVIORAL HEALTH AND 16 |
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75 | 75 | | SOCIAL SUPPORT SERVI CES TO ADDRESS THE M ULTIFACETED CHALLENG ES FACED 17 |
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76 | 76 | | BY INDIVIDUALS WITH SICKLE CELL DIS EASE; 18 |
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77 | 77 | | |
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78 | 78 | | (III) OPERATE OR COORDINATE INFUSION THERAPY AND 19 |
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79 | 79 | | STRUCTURED PAIN MANA GEMENT PROGRAMS TAIL ORED TO THE CLINICAL 20 |
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80 | 80 | | DEMANDS OF SICKLE CE LL DISEASE PATIENTS ; 21 |
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81 | 81 | | |
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82 | 82 | | (IV) COLLABORATE WITH LOCAL PRIMARY C ARE PROVIDERS 22 |
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83 | 83 | | AND SOCIAL SERVICES AGENCIES TO STREAMLI NE REFERRALS , REDUCE CARE GAPS , 23 |
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84 | 84 | | AND ADDRESS SOCIAL D ETERMINANTS OF HEALTH WITHIN THE COMMUNITY ; AND 24 |
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85 | 85 | | |
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86 | 86 | | (V) PARTNER WITH A SICKLE CELL DISEASE –FOCUSED 25 |
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87 | 87 | | COMMUNITY –BASED ORGANIZATION T O IDENTIFY AND RESOL VE SOCIAL BARRIERS , 26 |
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88 | 88 | | INCLUDING ASSISTANCE WITH TRANSPORTATION , HOUSING, NUTRITION, AND 27 |
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89 | 89 | | OTHER CRITICAL SUPPO RTS. 28 |
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90 | 90 | | HOUSE BILL 1306 3 |
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91 | 91 | | |
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92 | 92 | | |
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93 | 93 | | (C) (1) FOR FISCAL YEAR 2027, THE GOVERNOR SHALL INCLUD E IN THE 1 |
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94 | 94 | | ANNUAL BUDGET BILL A N APPROPRIATION OF $6,000,000 TO SUPPORT CLINIC 2 |
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95 | 95 | | OPERATIONS, STAFFING, TRAINING, AND SOCIAL SUPPORT S ERVICES. 3 |
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96 | 96 | | |
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97 | 97 | | (2) A PORTION OF THE FUNDI NG PROVIDED UNDER PA RAGRAPH (1) 4 |
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98 | 98 | | OF THIS SUBSECTION S HALL BE ALLOCATED TO COMMUNITY –BASED 5 |
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99 | 99 | | ORGANIZATIONS AND SI CKLE CELL DISEASE NONPROFIT ORGANIZATIONS TO 6 |
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100 | 100 | | ENHANCE PATIENT OUTR EACH, PROVIDE EDUCATION , EXPAND SUPPORT SERVI CES, 7 |
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101 | 101 | | AND STRENG THEN COMMUNITY PARTN ERSHIPS TO IMPROVE S ICKLE CELL DISEASE 8 |
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102 | 102 | | CARE. 9 |
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103 | 103 | | |
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104 | 104 | | (3) THE FUNDING PROVIDED UNDER PARAGRAPH (1) OF THIS 10 |
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105 | 105 | | SUBSECTION SHALL BE PRIORITIZED FOR : 11 |
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106 | 106 | | |
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107 | 107 | | (I) THE HIRING OF QUALIFI ED HEALTH CARE PROFESSIONALS , 12 |
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108 | 108 | | INCLUDING HEMATOLOGI STS, NURSE PRACTITIONERS , AND COMMUNITY HEALTH 13 |
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109 | 109 | | CARE WORKERS ; 14 |
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110 | 110 | | |
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111 | 111 | | (II) ADDRESSING SOCIAL DET ERMINANTS OF HEALTH 15 |
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112 | 112 | | AFFECTING INDIVIDUAL S WITH SICKLE CELL D ISEASE; AND 16 |
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113 | 113 | | |
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114 | 114 | | (III) COLLABORATING WITH CO MMUNITY–BASED 17 |
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115 | 115 | | ORGANIZATIONS AND SI CKLE CELL DISEASE NONPROFIT ORGANIZATI ONS. 18 |
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116 | 116 | | |
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117 | 117 | | (D) (1) ON OR BEFORE DECEMBER 1 EACH YEAR, THE DEPARTMENT 19 |
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118 | 118 | | SHALL REPORT TO THE GENERAL ASSEMBLY, IN ACCORDANCE WITH § 2–1257 OF 20 |
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119 | 119 | | THE STATE GOVERNMENT ARTICLE, ON THE CLINICS ESTAB LISHED UNDER THIS 21 |
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120 | 120 | | SECTION. 22 |
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121 | 121 | | |
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122 | 122 | | (2) THE REPORT REQUIRED U NDER PARAGRAPH (1) OF THIS 23 |
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123 | 123 | | SUBSECTION SHALL ADD RESS, FOR EACH CLINIC : 24 |
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124 | 124 | | |
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125 | 125 | | (I) CLINIC OPERATIONS ; 25 |
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126 | 126 | | |
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127 | 127 | | (II) OUTCOMES FOR PATIENTS TREATED AT THE CLINIC; 26 |
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128 | 128 | | |
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129 | 129 | | (III) THE OVERALL IMPACT OF EACH CLINIC IN REDUCING 27 |
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130 | 130 | | HEALTH DISPARITIES I N INDIVIDUALS WITH S ICKLE CELL DISEASE ; 28 |
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131 | 131 | | |
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132 | 132 | | (IV) UTILIZATION RATES , PATIENT VOLUME , AND 29 |
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133 | 133 | | ACCESSIBILITY, INCLUDING IMPACTS OF HOURS OF OPERATIONS AND GEOGRAPHIC 30 |
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134 | 134 | | REACH; AND 31 |
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135 | 135 | | 4 HOUSE BILL 1306 |
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136 | 136 | | |
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137 | 137 | | |
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138 | 138 | | (V) IMPLEMENTATION OF TEL EMEDICINE AND DIGITA L 1 |
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139 | 139 | | HEALTH TOOLS TO EXTEND CARE TO UN DERSERVED AREAS . 2 |
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140 | 140 | | |
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141 | 141 | | 18–511. 3 |
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142 | 142 | | |
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143 | 143 | | (A) THE DEPARTMENT SHALL ESTABLISH A SCHOLARSHIP PROGRA M FOR 4 |
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144 | 144 | | MEDICAL RESIDENTS WHO CHOOSE TO SPECIALIZE IN BENIGN OR CLASSICAL 5 |
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145 | 145 | | HEMATOLOG Y WITH A FOCUS ON SICK LE CELL CARE. 6 |
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146 | 146 | | |
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147 | 147 | | (B) THE SCHOLARSHIP PROGR AM ESTABLISHED UNDER SUBSECTION (A) OF 7 |
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148 | 148 | | THIS SECTION SHALL P ROVIDE FINANCIAL ASSISTANCE TO THE MEDICAL RESID ENT 8 |
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149 | 149 | | IN EXCHANGE FOR THE RECIPIENT’S COMMITMENT TO PRAC TICE IN THE STATE FOR 9 |
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150 | 150 | | A MINIMUM PERIOD OF TIME, AS DETERMINED BY THE DEPARTMENT , FOLLOWING 10 |
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151 | 151 | | THE RECIPIENT’S RESIDENCY OR FELLO WSHIP. 11 |
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152 | 152 | | |
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153 | 153 | | (C) TO THE EXTENT PRACTIC ABLE, THE DEPARTMENT SHALL USE FEDERAL 12 |
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154 | 154 | | FUNDING TO SUPPORT T HE SCHOLARSHIP PROGR AM ESTABLISHED UNDER 13 |
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155 | 155 | | SUBSECTION (A) OF THIS SECTION. 14 |
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156 | 156 | | |
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157 | 157 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 15 |
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158 | 158 | | October 1, 2025. 16 |
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