| 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 | *hb1380* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 1380 | |
| 11 | 8 | J1, J3 5lr2113 | |
| 12 | 9 | CF SB 676 | |
| 13 | 10 | By: Delegates Pena–Melnyk, Acevero, Addison, Bagnall, Boyce, Cullison, Davis, | |
| 14 | - | Harrison, Lehman, Patterson, Taveras, Terrasa, and Wilson Wilson, | |
| 15 | - | Bhandari, Guzzone, Hill, S. Johnson, Kaiser, Kerr, Lopez, Martinez, | |
| 16 | - | Rosenberg, White Holland, Woods, and Woorman | |
| 11 | + | Harrison, Lehman, Patterson, Taveras, Terrasa, and Wilson | |
| 17 | 12 | Introduced and read first time: February 7, 2025 | |
| 18 | 13 | Assigned to: Health and Government Operations | |
| 19 | - | Committee Report: Favorable with amendments | |
| 20 | - | House action: Adopted | |
| 21 | - | Read second time: February 26, 2025 | |
| 22 | 14 | ||
| 23 | - | ||
| 15 | + | A BILL ENTITLED | |
| 24 | 16 | ||
| 25 | 17 | AN ACT concerning 1 | |
| 26 | 18 | ||
| 27 | 19 | Health Care Facilities – Hospitals and Freestanding Birthing Centers – 2 | |
| 28 | 20 | Perinatal Care Standards 3 | |
| 29 | 21 | ||
| 30 | - | FOR the purpose of requiring the Maryland Department of Health, in coordination with 4 | |
| 31 | - | the Maryland Institute for Emergency Medical Services Systems, to adopt 5 | |
| 32 | - | regulations establishing minimum perinatal care standards for certain hospitals 6 | |
| 33 | - | that meet or exceed the Maryland Perinatal System Standards; requiring certain 7 | |
| 34 | - | hospitals and freestanding birthing centers, as a condition of licensure, to comply 8 | |
| 35 | - | with certain minimum perinatal care standards; and generally relating to standards 9 | |
| 36 | - | of care for hospitals and freestanding birthing centers. 10 | |
| 22 | + | FOR the purpose of requiring the Maryland Department of Health to adopt regulations 4 | |
| 23 | + | establishing minimum perinatal care standards for certain hospitals that meet or 5 | |
| 24 | + | exceed the Maryland Perinatal System Standards; requiring certain hospitals and 6 | |
| 25 | + | freestanding birthing centers, as a condition of licensure, to comply with certain 7 | |
| 26 | + | minimum perinatal care standards; and generally relating to standards of care for 8 | |
| 27 | + | hospitals and freestanding birthing centers. 9 | |
| 37 | 28 | ||
| 38 | - | BY repealing and reenacting, without amendments, | |
| 39 | - | Article – Health – General | |
| 40 | - | Section 19–319(a) and 19–3B–02(a) and (b) | |
| 41 | - | Annotated Code of Maryland | |
| 42 | - | (2023 Replacement Volume and 2024 Supplement) | |
| 29 | + | BY repealing and reenacting, without amendments, 10 | |
| 30 | + | Article – Health – General 11 | |
| 31 | + | Section 19–319(a) and 19–3B–02(a) and (b) 12 | |
| 32 | + | Annotated Code of Maryland 13 | |
| 33 | + | (2023 Replacement Volume and 2024 Supplement) 14 | |
| 43 | 34 | ||
| 44 | - | BY adding to 16 | |
| 45 | - | Article – Health – General 17 | |
| 46 | - | Section 19–319(j) and 19–3B–03(a)(1)(ii)9. 18 | |
| 47 | - | Annotated Code of Maryland 19 | |
| 48 | - | (2023 Replacement Volume and 2024 Supplement) 20 2 HOUSE BILL 1380 | |
| 35 | + | BY adding to 15 | |
| 36 | + | Article – Health – General 16 | |
| 37 | + | Section 19–319(j) and 19–3B–03(a)(1)(ii)9. 17 | |
| 38 | + | Annotated Code of Maryland 18 | |
| 39 | + | (2023 Replacement Volume and 2024 Supplement) 19 | |
| 40 | + | ||
| 41 | + | BY repealing and reenacting, with amendments, 20 | |
| 42 | + | Article – Health – General 21 | |
| 43 | + | Section 19–3B–03(a)(1)(ii)8. and 9. 22 | |
| 44 | + | Annotated Code of Maryland 23 | |
| 45 | + | (2023 Replacement Volume and 2024 Supplement) 24 | |
| 46 | + | ||
| 47 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 25 | |
| 48 | + | That the Laws of Maryland read as follows: 26 2 HOUSE BILL 1380 | |
| 49 | 49 | ||
| 50 | 50 | ||
| 51 | 51 | ||
| 52 | - | BY repealing and reenacting, with amendments, 1 | |
| 53 | - | Article – Health – General 2 | |
| 54 | - | Section 19–3B–03(a)(1)(ii)8. and 9. 3 | |
| 55 | - | Annotated Code of Maryland 4 | |
| 56 | - | (2023 Replacement Volume and 2024 Supplement) 5 | |
| 52 | + | Article – Health – General 1 | |
| 57 | 53 | ||
| 58 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 6 | |
| 59 | - | That the Laws of Maryland read as follows: 7 | |
| 54 | + | 19–319. 2 | |
| 60 | 55 | ||
| 61 | - | Article – Health – General 8 | |
| 56 | + | (a) To qualify for a license, an applicant and the hospital or related institution to 3 | |
| 57 | + | be operated shall meet the requirements of this section. 4 | |
| 62 | 58 | ||
| 63 | - | 19–319. 9 | |
| 59 | + | (J) (1) THE DEPARTMENT SHALL ADOPT REGULATIONS ESTABLISHING 5 | |
| 60 | + | MINIMUM PERINATAL CA RE STANDARDS THAT ME ET OR EXCEED THE MARYLAND 6 | |
| 61 | + | PERINATAL SYSTEM STANDARDS FOR EACH HOSPITAL TH AT PROVIDES 7 | |
| 62 | + | OBSTETRICAL SERVICE S. 8 | |
| 64 | 63 | ||
| 65 | - | (a) To qualify for a license, an applicant and the hospital or related institution to 10 | |
| 66 | - | be operated shall meet the requirements of this section. 11 | |
| 64 | + | (2) EACH HOSPITAL THAT PROVIDES OBSTET RICAL SERVICE S SHALL 9 | |
| 65 | + | COMPLY WITH THE PERINATAL CARE S TANDARDS ESTABLISHED BY THE 10 | |
| 66 | + | REGULATIONS ADOPTED UNDER PARAGR APH (1) OF THIS SUBSECTION A S A 11 | |
| 67 | + | CONDITION OF LICENSU RE. 12 | |
| 67 | 68 | ||
| 68 | - | (J) (1) THE DEPARTMENT , IN COORDINATION WITH THE MARYLAND 12 | |
| 69 | - | INSTITUTE FO R EMERGENCY MEDICAL SERVICES SYSTEMS, SHALL ADOPT 13 | |
| 70 | - | REGULATIONS ESTABLIS HING MINIMUM PERINAT AL CARE STANDARDS TH AT MEET 14 | |
| 71 | - | OR EXCEED THE MARYLAND PERINATAL SYSTEM STANDARDS FOR EACH HO SPITAL 15 | |
| 72 | - | THAT PROVIDES OBSTET RICAL SERVICES. 16 | |
| 69 | + | 19–3B–02. 13 | |
| 73 | 70 | ||
| 74 | - | (2) EACH HOSPITAL THAT PR OVIDES OBSTETRICAL SERVICES SHALL 17 | |
| 75 | - | COMPLY WITH THE PERI NATAL CARE STANDARDS ESTABLISHED BY THE 18 | |
| 76 | - | REGULATIONS ADOPTED UNDER PARAGRAPH (1) OF THIS SUBSECTION A S A 19 | |
| 77 | - | CONDITION OF LICENSU RE. 20 | |
| 71 | + | (a) A freestanding ambulatory care facility may not operate in the State unless 14 | |
| 72 | + | the Secretary has granted the facility a license. 15 | |
| 78 | 73 | ||
| 79 | - | 19–3B–02. 21 | |
| 74 | + | (b) The Secretary shall issue a license to an applicant that meets the 16 | |
| 75 | + | requirements of this subtitle and all applicable regulations adopted by the Secretary. 17 | |
| 80 | 76 | ||
| 81 | - | (a) A freestanding ambulatory care facility may not operate in the State unless 22 | |
| 82 | - | the Secretary has granted the facility a license. 23 | |
| 77 | + | 19–3B–03. 18 | |
| 83 | 78 | ||
| 84 | - | (b) The Secretary shall issue a license to an applicant that meets the 24 | |
| 85 | - | requirements of this subtitle and all applicable regulations adopted by the Secretary. 25 | |
| 79 | + | (a) (1) After consultation with representatives of payors, health care 19 | |
| 80 | + | practitioners, and freestanding ambulatory care facilities, the Secretary shall by regulation 20 | |
| 81 | + | establish: 21 | |
| 86 | 82 | ||
| 87 | - | 19–3B–03. 26 | |
| 83 | + | (ii) Standards to ensure quality of care and patient safety that shall 22 | |
| 84 | + | include: 23 | |
| 88 | 85 | ||
| 89 | - | (a) (1) After consultation with representatives of payors, health care 27 | |
| 90 | - | practitioners, and freestanding ambulatory care facilities, the Secretary shall by regulation 28 | |
| 91 | - | establish: 29 | |
| 86 | + | 8. The use of ultrasound imaging in a freestanding birthing 24 | |
| 87 | + | center; [and] 25 | |
| 92 | 88 | ||
| 93 | - | (ii) Standards to ensure quality of care and patient safety that shall 30 | |
| 94 | - | include: 31 | |
| 89 | + | 9. MINIMUM P ERINATAL CARE STANDA RDS FOR A 26 | |
| 90 | + | FREESTANDING BIRTHIN G CENTER THAT MEET O R EXCEED THE MARYLAND 27 | |
| 91 | + | PERINATAL SYSTEM STANDARDS THAT A FREESTANDING BIRTHING CENTER SHALL 28 | |
| 92 | + | MEET AS A CONDITION OF LICENSURE; AND 29 | |
| 93 | + | ||
| 94 | + | [9.] 10. Any other procedures that the Secretary considers 30 | |
| 95 | + | necessary for quality of care and patient safety. 31 | |
| 95 | 96 | HOUSE BILL 1380 3 | |
| 96 | 97 | ||
| 97 | 98 | ||
| 98 | - | 8. The use of ultrasound imaging in a freestanding birthing 1 | |
| 99 | - | center; [and] 2 | |
| 100 | - | ||
| 101 | - | 9. MINIMUM PERINATAL CAR E STANDARDS FOR A 3 | |
| 102 | - | FREESTANDING BIRTHIN G CENTER THAT MEET O R EXCEED THE MARYLAND 4 | |
| 103 | - | PERINATAL SYSTEM STANDARDS THAT A FREE STANDING BIRTHING CE NTER SHALL 5 | |
| 104 | - | MEET AS A CONDITION OF LICENSU RE; AND 6 | |
| 105 | - | ||
| 106 | - | [9.] 10. Any other procedures that the Secretary considers 7 | |
| 107 | - | necessary for quality of care and patient safety. 8 | |
| 108 | - | ||
| 109 | - | SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of 9 | |
| 110 | - | Health shall adopt the regulations required under §§ 19–319(j)(1) and 19–3B–03(a)(1)(ii)9 10 | |
| 111 | - | of the Heath – General Article, as enacted by Section 1 of this Act, on or before October 1, 11 | |
| 112 | - | 2026. 12 | |
| 113 | - | ||
| 114 | - | SECTION 2. 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 13 | |
| 115 | - | October 1, 2025. 14 | |
| 116 | - | ||
| 117 | - | ||
| 118 | - | ||
| 119 | - | ||
| 120 | - | Approved: | |
| 121 | - | ________________________________________________________________________________ | |
| 122 | - | Governor. | |
| 123 | - | ________________________________________________________________________________ | |
| 124 | - | Speaker of the House of Delegates. | |
| 125 | - | ________________________________________________________________________________ | |
| 126 | - | President of the Senate. | |
| 99 | + | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 1 | |
| 100 | + | October 1, 2025. 2 |