Maryland 2025 2025 Regular Session

Maryland House Bill HB19 Introduced / Bill

Filed 01/02/2025

                     
 
EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. 
        [Brackets] indicate matter deleted from existing law. 
          *hb0019*  
  
HOUSE BILL 19 
J2   	5lr0258 
  	(PRE–FILED) 	CF SB 216 
By: Chair, Health and Government Operations Committee (By Request 	– 
Departmental – Health) 
Requested: October 9, 2024 
Introduced and read first time: January 8, 2025 
Assigned to: Health and Government Operations 
 
A BILL ENTITLED 
 
AN ACT concerning 1 
 
Health Occupations – Nursing – Loan Repayment, Education, and Sunset 2 
Extension  3 
(Building Opportunities for Nurses Act of 2025) 4 
 
FOR the purpose of altering the name of the Maryland Loan Assistance Repayment 5 
Program for Nurses and Nursing Support Staff to be the Maryland Loan Assistance 6 
Repayment Program for Nurses and altering the purpose of the Program; altering 7 
certain education requirements for licensure in registered nursing and licensure by 8 
endorsement in registered nursing; repealing a certain requirement that the State 9 
Board of Nursing approve certain nursing assistant training program sites within a 10 
certain period of time; continuing the Board in accordance with the provisions of the 11 
Maryland Program Evaluation Act (Sunset Law) by extending to a certain date the 12 
termination provisions relating to the statutory and regulatory authority of the 13 
Board; extending the termination dates of certain preceptorship program tax credits; 14 
extending the termination date of certain provisions of law governing the authority 15 
of the Secretary of Health over certain staffing and infrastructure operations of the 16 
Board; and generally relating to nursing. 17 
 
BY repealing and reenacting, with amendments, 18 
 Article – Health – General 19 
Section 24–1901 through 24–1904 and 24–1906 to be under the amended subtitle 20 
“Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses” 21 
 Annotated Code of Maryland 22 
 (2023 Replacement Volume and 2024 Supplement) 23 
 
BY adding to 24 
 Article – Health – General 25 
 Section 24–1904.1 26 
 Annotated Code of Maryland 27  2 	HOUSE BILL 19  
 
 
 (2023 Replacement Volume and 2024 Supplement) 1 
 
BY repealing and reenacting, without amendments, 2 
 Article – Health – General 3 
Section 24–1905 4 
 Annotated Code of Maryland 5 
 (2023 Replacement Volume and 2024 Supplement) 6 
 
BY repealing and reenacting, without amendments, 7 
 Article – Health Occupations 8 
Section 8–101(a) 9 
 Annotated Code of Maryland 10 
 (2021 Replacement Volume and 2024 Supplement) 11 
 
BY adding to 12 
 Article – Health Occupations 13 
 Section 8–101(d–1) 14 
 Annotated Code of Maryland 15 
 (2021 Replacement Volume and 2024 Supplement) 16 
 
BY repealing and reenacting, with amendments, 17 
 Article – Health Occupations 18 
 Section 8–302, 8–307, 8–6A–14, 8–6B–30, 8–6C–26, and 8–802 19 
 Annotated Code of Maryland 20 
 (2021 Replacement Volume and 2024 Supplement) 21 
 
BY repealing and reenacting, without amendments, 22 
 Article – Tax – General 23 
Section 10–739(b)(1) and 10–739.1(b)(1) 24 
 Annotated Code of Maryland 25 
 (2022 Replacement Volume and 2024 Supplement) 26 
 
BY repealing and reenacting, with amendments,  27 
Chapter 385 of the Acts of the General Assembly of 2016, as amended by Chapters 28 
153 and 154 of the Acts of the General Assembly of 2021  29 
 Section 2  30 
 
BY repealing and reenacting, with amendments,  31 
Chapter 386 of the Acts of the General Assembly of 2016, as amended by Chapters 32 
153 and 154 of the Acts of the General Assembly of 2021  33 
 Section 2 34 
 
BY repealing and reenacting, with amendments,  35 
 Chapter 675 of the Acts of the General Assembly of 2022 36 
 Section 5 37 
 
BY repealing and reenacting, with amendments,  38   	HOUSE BILL 19 	3 
 
 
 Chapter 222 of the Acts of the General Assembly of 2023 1 
 Section 5 2 
 
BY repealing and reenacting, with amendments,  3 
 Chapter 223 of the Acts of the General Assembly of 2023 4 
 Section 5 5 
 
BY repealing 6 
 Article – Health Occupations 7 
Section 8–6A–14(g) 8 
 Annotated Code of Maryland 9 
 (2021 Replacement Volume and 2024 Supplement) 10 
 (As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 11 
 
 SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 
That the Laws of Maryland read as follows: 13 
 
Article – Health – General 14 
 
Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses [and Nursing 15 
Support Staff]. 16 
 
24–1901. 17 
 
 (a) In this subtitle the following words have the meanings indicated. 18 
 
 (b) “Education loan” means any loan that is obtained for tuition, educational 19 
expenses, or living expenses for State certification, undergraduate, or graduate study 20 
leading to practice as a nurse [or nursing support staff]. 21 
 
 (c) “Fund” means the Maryland Loan Assistance Repayment Program Fund for 22 
Nurses [and Nursing Support Staff]. 23 
 
 (d) “Nurse” includes: 24 
 
 (1) An advanced practice registered nurse, as defined in § 8–101(b) of the 25 
Health Occupations Article certified to practice as a nurse midwife or clinical nurse 26 
specialist; 27 
 
 (2) A licensed practical nurse, as defined in § 8–101(h) of the Health 28 
Occupations Article; 29 
 
 (3) A nurse anesthetist, as defined in § 8–101(k) of the Health Occupations 30 
Article; 31 
 
 (4) A registered nurse, as defined in § 8–101(p) of the Health Occupations 32  4 	HOUSE BILL 19  
 
 
Article; and 1 
 
 (5) A registered nurse practitioner, as defined in § 8–101(q) of the Health 2 
Occupations Article. 3 
 
 (e) [“Nursing support staff” includes: 4 
 
 (1) A certified medication technician, as defined in § 8–6A–01(j) of the 5 
Health Occupations Article; 6 
 
 (2) A certified medicine aide, as defined in § 8–6A–01(k) of the Health 7 
Occupations Article; 8 
 
 (3) A certified nursing assistant, as defined in § 8–6A–01(l) of the Health 9 
Occupations Article; and 10 
 
 (4) A geriatric nursing assistant, as defined in § 8–6A–01(o) of the Health 11 
Occupations Article. 12 
 
 (f)] “Program” means the Maryland Loan Assistance Repayment Program for 13 
Nurses [and Nursing Support Staff]. 14 
 
24–1902. 15 
 
 (a) (1) There is a Maryland Loan Assistance Repayment Program Fund for 16 
Nurses [and Nursing Support Staff]. 17 
 
 (2) The Fund is a continuing, nonlapsing fund that is not subject to §  18 
7–302 of the State Finance and Procurement Article. 19 
 
 (3) The State Treasurer shall hold the Fund separately, and the 20 
Comptroller shall account for the Fund. 21 
 
 (4) The Fund shall be invested and reinvested in the same manner as other 22 
State funds. 23 
 
 (5) Any investment earnings of the Fund shall be paid into the Fund. 24 
 
 (b) The Fund consists of: 25 
 
 (1) Revenue generated through a permanent funding structure 26 
recommended to the General Assembly by a stakeholder workgroup convened by the 27 
Department; 28 
 
 (2) Any available federal funds; 29 
   	HOUSE BILL 19 	5 
 
 
 (3) Interest earnings; and 1 
 
 (4) Any other money from any other source accepted for the benefit of the 2 
Fund. 3 
 
 (c) Expenditures from the Fund shall be made by an appropriation in the annual 4 
State budget or by an approved budget amendment as provided under § 7–209 of the State 5 
Finance and Procurement Article. 6 
 
 (d) The money in the Fund shall be used by the Office of the Comptroller to 7 
administer the Program. 8 
 
24–1903. 9 
 
 There is a Maryland Loan Assistance Repayment Program for Nurses [and Nursing 10 
Support Staff]. 11 
 
24–1904. 12 
 
 (a) (1) In this section, “eligible field of employment” means [employment]: 13 
 
 (I) EMPLOYMENT by an organization, an institution, an 14 
association, a society, or a corporation that is exempt from taxation under § 501(c)(3) or (4) 15 
of the Internal Revenue Code of 1986; OR  16 
 
 (II) FOR–PROFIT EMPLOYMENT IN AN AREA OF THE STATE 17 
IDENTIFIED BY THE DEPARTMENT AS HAVING A HEA LTH CARE WORKFORCE 18 
SHORTAGE OR PUBLIC H EALTH NEED. 19 
 
 (2) “Eligible field of employment” includes employment by the State or a 20 
local government in the State. 21 
 
 (b) The Department shall use the Fund to assist in the repayment of the amount 22 
of education loans owed by a nurse [or nursing support staff] who: 23 
 
 (1) Practices in an eligible field of employment; or 24 
 
 (2) Meets any other requirements established by the Department. 25 
 
 (c) Any unspent portions of the money that is transferred to the Department for 26 
use under this subtitle may not be transferred to or revert to the General Fund of the State, 27 
but shall remain in the Fund maintained by the Department to administer the Program. 28 
 
24–1904.1. 29 
 
 (A) IN ADDITION TO THE AS SISTANCE PROVIDED U NDER § 24–1904 OF THIS 30  6 	HOUSE BILL 19  
 
 
SUBTITLE, THE DEPARTMENT MAY , SUBJECT TO THE AVAIL ABILITY OF MONEY IN 1 
THE FUND, ASSIST IN THE REPAYM ENT OF AN EDUCATION LOAN OWED BY A NURSE 2 
WHO: 3 
 
 (1) PRACTICES A MEDICAL S PECIALTY THAT HAS BE EN IDENTIFIED 4 
BY THE DEPARTMENT AS BEIN G IN SHORTAGE IN THE GEOGRAPHIC AREA OF T HE 5 
STATE WHERE THE NURSE PRACTICES THAT SPECI ALTY; AND 6 
 
 (2) COMMITS TO PRACTICING IN THE AREA FOR A PE RIOD OF TIME 7 
DETERMINED BY THE DEPARTMENT . 8 
 
 (B) THE DEPARTMENT SHALL PRIO RITIZE FUNDING FOR T HE REPAYMENT 9 
OF EDUCATION LOANS THRO UGH THE PROGRAM IN THE FOLLOW ING ORDER: 10 
 
 (1) NURSES WHO MEET THE R EQUIREMENTS UNDER § 24–1904(B)(1) 11 
OF THIS SUBTITLE; 12 
 
 (2) NURSES PRACTICING IN PRIMARY CARE IN A GE OGRAPHIC AREA 13 
WHERE THE DEPARTMENT HAS IDENTI FIED A SHORTAGE OF N URSES; AND 14 
 
 (3) NURSES PRACTICING IN A MEDICAL SPECIALTY OTHER THAN 15 
PRIMARY CARE IN A GE OGRAPHIC AREA WHERE THE DEPARTMENT HAS IDENTI FIED 16 
A SHORTAGE OF THAT S PECIALTY. 17 
 
24–1905. 18 
 
 The Department shall adopt regulations to carry out the provisions of this subtitle, 19 
including regulations that: 20 
 
 (1) With advice from a stakeholder workgroup convened by the 21 
Department, establish priorities for funding the repayment of education loans through the 22 
Program; 23 
 
 (2) Establish the maximum number of participants in the Program each 24 
year in each priority area established under item (1) of this section; and 25 
 
 (3) Establish the minimum and maximum amount of loan repayment 26 
assistance awarded under this subtitle in each priority area established under item (1) of 27 
this section. 28 
 
24–1906. 29 
 
 On or before October 1, 2023, and each October 1 thereafter, the Department shall 30 
report to the General Assembly, in accordance with § 2–1257 of the State Government 31 
Article, on: 32   	HOUSE BILL 19 	7 
 
 
 
 (1) The eligible nurses [and nursing support staff] who applied for the 1 
Program, including information on: 2 
 
 (i) The practice of the nurse [or nursing support staff]; 3 
 
 (ii) The type and location of the site in which the nurse [or nursing 4 
support staff] provided services; and 5 
 
 (iii) The geographic area served by the nurse [or nursing support 6 
staff]; and 7 
 
 (2) The nurses [and nursing support staff] who participated in the 8 
Program, including information on: 9 
 
 (i) The amount of assistance provided to each participant; 10 
 
 (ii) The practice of the participant; 11 
 
 (iii) The type and location of the site in which the participant 12 
provided services; and 13 
 
 (iv) The geographic area served by the participant. 14 
 
Article – Health Occupations 15 
 
8–101. 16 
 
 (a) In this title the following words have the meanings indicated. 17 
 
 (D–1) (1) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 18 
MEANS A REGISTERED N URSING EDUCATION PRO GRAM THAT IS THE INI TIAL ENTRY 19 
POINT FOR FORMAL REG ISTERED NURSING EDUC ATION THAT, ON SUCCESSFUL 20 
COMPLETION , QUALIFIES AN INDIVID UAL WITH NO P RIOR REGISTERED NURS ING 21 
EDUCATION TO OBTAIN LICENSURE AS A REGIS TERED NURSE . 22 
 
 (2) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 23 
DOES NOT INCLUDE DEG REE COMPLETION PROGR AMS, INCLUDING: 24 
 
 (I) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 25 
BACCALAUREATE OF SCIENCE DEGREE IN NURSING (AAS–BSN); 26 
 
 (II) ASSOCIATE DEGREE IN NURSING TO BACCALAUREATE OF 27 
SCIENCE DEGREE IN NURSING (ADN–BSN); 28 
  8 	HOUSE BILL 19  
 
 
 (III) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 1 
MASTER OF SCIENCE DEGREE IN NURSING (AAS–MSN); 2 
 
 (IV) ASSOCIATE DEGREE IN NURSING TO MASTER OF SCIENCE 3 
DEGREE IN NURSING (ADN–MSN); 4 
 
 (V) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 5 
MASTER OF SCIENCE DEGREE IN NURSING (BSN–MSN); 6 
 
 (VI) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 7 
DOCTOR OF PHILOSOPHY (BSN–PHD); 8 
 
 (VII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 9 
DOCTOR OF EDUCATION (BSN–EDD); 10 
 
 (VIII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 11 
DOCTOR OF NURSING PRACTICE (BSN–DNP); 12 
 
 (IX) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 13 
PHILOSOPHY (MSN–PHD); 14 
 
 (X) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 15 
EDUCATION (MSN–EDD); 16 
 
 (XI) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 17 
NURSING PRACTICE (MSN–DNP); AND 18 
 
 (XII) MASTER OF SCIENCE DEGREE IN NURSING TO POST 19 
MASTERS CERTIFICATE/POST GRADUATE CERTIFICATE. 20 
 
8–302. 21 
 
 (a) Except as otherwise provided in this title, to qualify for a license, an applicant 22 
shall be an individual who submits to a criminal history records check in accordance with 23 
§ 8–303 of this subtitle and meets the requirements of this section. 24 
 
 (b) An applicant for a license to practice registered nursing shall complete 25 
satisfactorily and meet all requirements for a diploma or degree from:  26 
 
 (1) [A] AN ENTRY–LEVEL registered nursing education program 27 
approved by the Board; or 28 
 
 (2) An ENTRY–LEVEL REGISTERED NUR SING education program [in 29 
registered nursing] in any other state or country that the Board finds substantially 30   	HOUSE BILL 19 	9 
 
 
equivalent to the education program in this State at the time of the applicant’s graduation. 1 
 
 (c) An applicant for a license to practice licensed practical nursing shall: 2 
 
 (1) Meet all requirements for a high school diploma or its equivalent; and 3 
 
 (2) Complete satisfactorily and meet all requirements for a diploma from: 4 
 
 (i) A licensed practical nursing education program or its equivalent 5 
approved by the Board; or 6 
 
 (ii) An education program in licensed practical nursing in any other 7 
state or country that the Board finds substantially equivalent to the education program in 8 
this State at the time of the applicant’s graduation. 9 
 
 (d) Except as otherwise provided in this title, the applicant shall pass an 10 
examination developed by the National Council of State Boards of Nursing and 11 
administered at a testing site approved by the National Council. 12 
 
 (e) (1) Except as otherwise provided in this subsection, the Board shall require 13 
as part of its examination or licensing procedures that an applicant for a license to practice 14 
registered nursing or licensed practical nursing demonstrate a written and oral competency 15 
in the English language. 16 
 
 (2) Acceptable proof of proficiency in the communication of the English 17 
language under this section includes: 18 
 
 (i) After at least 3 years of enrollment, graduation from a recognized 19 
English–speaking undergraduate school; 20 
 
 (ii) Graduation from a recognized English–speaking professional 21 
school; or 22 
 
 (iii) Completion of at least 5 years of practicing nursing in another 23 
state or English–speaking territory of the United States. 24 
 
 (3) If any disciplinary charge or action that involves a problem with 25 
communicating in the English language is brought against a licensee under this title, the 26 
Board shall require the licensee to take and pass a Board approved standardized test of 27 
English language competency. 28 
 
 (4) The Board may not require that an applicant for a license to practice 29 
registered nursing or licensed practical nursing who was previously licensed in any other 30 
state to practice registered nursing or licensed practical nursing to demonstrate 31 
competency in the English language as part of its examination or licensing procedures if 32 
the other state has a similar English language competency component as part of its 33 
examination or licensing procedures. 34  10 	HOUSE BILL 19  
 
 
 
 (5) (i) The Board may issue a temporary license to any applicant for a 1 
license to practice registered nursing or licensed practical nursing who was previously 2 
licensed in any other state to practice registered nursing or licensed practical nursing and 3 
who, except for the competency in the English language component, is otherwise qualified 4 
for a license. 5 
 
 (ii) A temporary license issued under this subsection is valid only 6 
until the date when the next test to demonstrate competency in the English language is 7 
given. 8 
 
 (f) An applicant for a license under this section shall be good moral character. 9 
 
8–307. 10 
 
 (a) Subject to the provisions of this section, the Board may issue a license by 11 
endorsement and waive any appropriate examination requirement of this title for an 12 
applicant who has an active unencumbered license to practice registered nursing or 13 
licensed practical nursing in any other state or country. 14 
 
 (b) The Board may issue a license by endorsement under this section only if the 15 
applicant:  16 
 
 (1) Submits to the Board an application on the form that the Board 17 
requires; 18 
 
 (2) Submits to a criminal history records check in accordance with § 8–303 19 
of this subtitle; 20 
 
 (3) Pays the application fee set by the Board under § 8–304 of this subtitle; 21 
and 22 
 
 (4) [Provides] EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS 23 
SECTION, PROVIDES adequate evidence that: 24 
 
 (i) At the time the applicant graduated from a nursing education 25 
program approved in the other state or country, the [applicant met the educational 26 
qualifications then required by the laws of] PROGRAM W AS SUBSTANTIALLY 27 
EQUIVALENT TO THE ED UCATION PROGRAM APPR OVED IN this State; 28 
 
 (ii) At the time the applicant became licensed or registered in the 29 
other state or country, the applicant passed in that or any other state or country an 30 
examination that was similar to the examination that then was given in this State; and 31 
 
 (iii) The applicant meets the qualifications otherwise required by this 32 
title. 33   	HOUSE BILL 19 	11 
 
 
 
 (C) (1) AN APPLICANT FOR LICE NSURE AS A REGISTERE D NURSE BY 1 
ENDORSEMENT WHO CANN OT PROVIDE THE EVIDE NCE REQUIRED UNDER 2 
SUBSECTION (B)(4)(I) OF THIS SECTION MAY QUALIFY FOR LICENSUR E AS A 3 
REGISTERED NURSE BY ENDORSEMENT IF THE A PPLICANT MEETS THE 4 
REQUIREMENTS OF PARA GRAPH (2) OF THIS SUBSECTION . 5 
 
 (2) AN APPLICANT MAY QUAL IFY FOR LICENSURE AS A REGISTERED 6 
NURSE BY ENDORSEMENT IF THE APPLICANT HAS : 7 
 
 (I) COMPLETED SATISFACTOR ILY AND MET ALL 8 
REQUIREMENTS FOR A B ACCALAUREATE DEGREE IN REGISTERED NURSIN G FROM A 9 
COLLEGE OR UNIVERSIT Y THAT, AT THE TIME OF THE A PPLICANT’S GRADUATION , IS: 10 
 
 1. ACCREDITED BY A NAT IONAL OR REGIONAL NU RSING 11 
ACCREDITATION AGENCY THAT IS RECOGNIZED B Y THE SECRETARY OF THE U.S. 12 
DEPARTMENT OF EDUCATION OR THE COUNCIL FOR HIGHER EDUCATION 13 
ACCREDITATION ; AND  14 
 
 2. APPROVED BY THE BOARD OF NURSING OR OTHER 15 
APPLICABLE STATE REG ULATOR IN T HE STATE IN WHICH TH E PROGRAM IS 16 
LOCATED; AND  17 
 
 (II) COMPLETED A MINIMUM N UMBER OF DIRECT PATI ENT 18 
CARE PRACTICE HOURS AS REQUIRED BY REGUL ATIONS ADOPTED BY TH E BOARD. 19 
 
8–6A–14. 20 
 
 (a) The Board, in conjunction with the Maryland Higher Education Commission, 21 
shall approve each nursing assistant training program prior to its implementation and 22 
provide periodic survey of all programs in the State. 23 
 
 (b) The Board in conjunction with the Department, Maryland Higher Education 24 
Commission, and the affected industry shall develop regulations for nursing assistant 25 
training programs. 26 
 
 (c) The curriculum content for an approved nursing assistant training program 27 
shall include: 28 
 
 (1) Content consistent with State licensing requirements in the Health – 29 
General Article and all federal requirements; 30 
 
 (2) All basic skills required of a nursing assistant regardless of the setting 31 
of the practice; and 32 
  12 	HOUSE BILL 19  
 
 
 (3) Any skills required for certification in a specific category. 1 
 
 (d) Any additional clinical practice skills specific to a setting of practice shall be 2 
taught in that setting as a part of the employment training process in that setting. 3 
 
 (e) The Board may make survey visits from time to time, without prior notice, to 4 
all certified nursing assistant training programs. 5 
 
 (f) The provisions of this section may not be interpreted to impose additional 6 
requirements for geriatric nursing assistants beyond those required under federal law. 7 
 
 [(g) The Board shall approve the use of a nursing assistant training site by a 8 
nursing assistant training program within 45 days after the nursing assistant training 9 
program applies for approval if the nursing assistant training program had previously been 10 
approved to use the training site by the Board.] 11 
 
8–6B–30. 12 
 
 Subject to the evaluation and reestablishment provisions of the Maryland Program 13 
Evaluation Act, and subject to the termination of this title under § 8–802 of this title, this 14 
subtitle and all rules and regulations adopted under this subtitle shall terminate and be of 15 
no effect after July 1, [2025] 2030. 16 
 
8–6C–26. 17 
 
 Subject to the evaluation and reestablishment provisions of the Maryland Program 18 
Evaluation Act, and subject to the termination of this subtitle under § 8–802 of this title, 19 
this subtitle and all regulations adopted under this subtitle shall terminate and be of no 20 
effect after July 1, [2025] 2030. 21 
 
8–802. 22 
 
 Subject to the evaluation and reestablishment provisions of the Program Evaluation 23 
Act, the provisions of this title and of any rule or regulation adopted under this title shall 24 
terminate and be of no effect after July 1, [2025] 2030. 25 
 
Article – Tax – General 26 
 
10–739. 27 
 
 (b) (1) Subject to the limitations of this section, a nurse practitioner or licensed 28 
physician may claim a credit against the State income tax in the amount stated on the tax 29 
credit certificate issued under subsection (c) of this section for the taxable year in which 30 
the nurse practitioner or licensed physician served without compensation as a preceptor in 31 
a preceptorship program approved by the State Board of Nursing and worked: 32 
   	HOUSE BILL 19 	13 
 
 
 (i) a minimum of three rotations, each consisting of at least 100 1 
hours of community–based clinical training; and 2 
 
 (ii) in an area of the State identified as having a health care 3 
workforce shortage by the Department, in consultation with the Governor’s Workforce 4 
Development Board. 5 
 
10–739.1. 6 
 
 (b) (1) Subject to the limitations of this section, a licensed practical nurse, 7 
advanced practice registered nurse, or registered nurse may claim a credit against the State 8 
income tax in the amount stated on the tax credit certificate issued under subsection (c) of 9 
this section for the taxable year in which the licensed practical nurse, advanced practice 10 
registered nurse, or registered nurse served without compensation as a preceptor in a 11 
preceptorship program approved by the State Board of Nursing and worked: 12 
 
 (i) a minimum of three rotations, each consisting of at least 100 13 
hours of community–based clinical training; and 14 
 
 (ii) in an area of the State identified as having a health care 15 
workforce shortage by the Department, in consultation with the Governor’s Workforce 16 
Development Board. 17 
 
Chapter 385 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 18 
of 2021 19 
 
 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 20 
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 21 
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 22 
with no further action required by the General Assembly, this Act shall be abrogated and 23 
of no further force and effect. 24 
 
Chapter 386 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 25 
of 2021 26 
 
 SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 27 
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 28 
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 29 
with no further action required by the General Assembly, this Act shall be abrogated and 30 
of no further force and effect. 31 
 
Chapter 675 of the Acts of 2022 32 
 
 SECTION 5. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 33 
effect July 1, 2022, and shall be applicable to all taxable years beginning after December 34 
31, 2021, but before January 1, [2025] 2030. Section 2 of this Act shall remain effective for 35 
a period of 3 years and, at the end of June 30, [2025] 2030, Section 2 of this Act, with no 36  14 	HOUSE BILL 19  
 
 
further action required by the General Assembly, shall be abrogated and of no further force 1 
and effect. 2 
 
Chapter 222 of the Acts of 2023 3 
 
 SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 4 
measure, is necessary for the immediate preservation of the public health or safety, has 5 
been passed by a yea and nay vote supported by three–fifths of all the members elected to 6 
each of the two Houses of the General Assembly, and shall take effect from the date it is 7 
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 8 
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 9 
the General Assembly, shall be abrogated and of no further force and effect. 10 
 
Chapter 223 of the Acts of 2023 11 
 
 SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 12 
measure, is necessary for the immediate preservation of the public health or safety, has 13 
been passed by a yea and nay vote supported by three–fifths of all the members elected to 14 
each of the two Houses of the General Assembly, and shall take effect from the date it is 15 
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 16 
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 17 
the General Assembly, shall be abrogated and of no further force and effect. 18 
 
 SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 19 
as follows: 20 
 
Article – Health Occupations 21 
 
8–6A–14. 22 
 
 [(g) (1) The Board shall approve the use of a nursing assistant training site by 23 
a nursing assistant training program within 45 days after the nursing assistant training 24 
program applies for approval if the nursing assistant training program had previously been 25 
approved to use the training site by the Board. 26 
 
 (2) A nursing assistant training program under paragraph (1) of this 27 
subsection may continue to operate during the approval process.] 28 
 
 SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 29 
effect October 1, 2025, the effective date of Chapters 818 and 819 of the Acts of the General 30 
Assembly of 2024. If the effective date of Chapters 818 and 819 is amended, Section 2 of 31 
this Act shall take effect on the taking effect of Chapters 818 and 819. 32 
 
 SECTION 4. AND BE IT FURTH ER ENACTED, That, subject to the provisions of 33 
Section 3 of this Act, this Act shall take effect June 1, 2025.  34