EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*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
Committee Report: Favorable with amendments
House action: Adopted
Read second time: March 6, 2025
CHAPTER ______
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 expanding the purpose of the Maryland 7
Loan Assistance Repayment Program for Nurses and Nursing Support Staff; altering 8
certain education requirements for licensure in registered nursing and licensure by 9
endorsement in registered nursing; repealing a certain requirement that the State 10
Board of Nursing approve certain nursing assistant training program sites within a 11
certain period of time; continuing the Board in accordance with the provisions of the 12
Maryland Program Evaluation Act (Sunset Law) by extending to a certain date the 13
termination provisions relating to the statutory and regulatory authority of the 14
Board; extending the termination dates of certain preceptorship program tax credits 15
and altering certain criteria necessary to claim the tax credits; extending the 16
termination date of certain provisions of law governing the authority of the Secretary 17
of Health over certain staffing and infrastructure operations of the Board; altering 18
the effective date of certain provisions of law relating to certified nursing assistants; 19
and generally relating to nursing. 20
BY repealing and reenacting, with amendments, 21
Article – Health – General 22 2 HOUSE BILL 19
Section 24–1901 through 24–1904 and 24–1906 to be under the amended subtitle 1
“Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses” 2
Section 24–1904 3
Annotated Code of Maryland 4
(2023 Replacement Volume and 2024 Supplement) 5
BY adding to 6
Article – Health – General 7
Section 24–1904.1 8
Annotated Code of Maryland 9
(2023 Replacement Volume and 2024 Supplement) 10
BY repealing and reenacting, without amendments, 11
Article – Health – General 12
Section 24–1905 13
Annotated Code of Maryland 14
(2023 Replacement Volume and 2024 Supplement) 15
BY repealing and reenacting, without amendments, 16
Article – Health Occupations 17
Section 8–101(a) and 8–206(a) 18
Annotated Code of Maryland 19
(2021 Replacement Volume and 2024 Supplement) 20
BY adding to 21
Article – Health Occupations 22
Section 8–101(d–1) 23
Annotated Code of Maryland 24
(2021 Replacement Volume and 2024 Supplement) 25
BY repealing and reenacting, with amendments, 26
Article – Health Occupations 27
Section 8–206(e)(1), 8–302, 8–307, 8–6A–14, 8–6B–30, 8–6C–26, and 8–802 28
Annotated Code of Maryland 29
(2021 Replacement Volume and 2024 Supplement) 30
BY repealing and reenacting, without with amendments, 31
Article – Tax – General 32
Section 10–739(b)(1) and 10–739.1(b)(1) 33
Annotated Code of Maryland 34
(2022 Replacement Volume and 2024 Supplement) 35
BY repealing and reenacting, with amendments, 36
Chapter 385 of the Acts of the General Assembly of 2016, as amended by Chapters 37
153 and 154 of the Acts of the General Assembly of 2021 38
Section 2 39
HOUSE BILL 19 3
BY repealing and reenacting, with amendments, 1
Chapter 386 of the Acts of the General Assembly of 2016, as amended by Chapters 2
153 and 154 of the Acts of the General Assembly of 2021 3
Section 2 4
BY repealing and reenacting, with amendments, 5
Chapter 675 of the Acts of the General Assembly of 2022 6
Section 5 7
BY repealing and reenacting, with amendments, 8
Chapter 222 of the Acts of the General Assembly of 2023 9
Section 5 10
BY repealing and reenacting, with amendments, 11
Chapter 223 of the Acts of the General Assembly of 2023 12
Section 5 13
BY repealing and reenacting, with amendments, 14
Chapter 818 of the Acts of the General Assembly of 2024 15
Section 2 and 3 16
BY repealing and reenacting, with amendments, 17
Chapter 819 of the Acts of the General Assembly of 2024 18
Section 2 and 3 19
BY repealing 20
Article – Health Occupations 21
Section 8–6A–14(g) 22
Annotated Code of Maryland 23
(2021 Replacement Volume and 2024 Supplement) 24
(As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 25
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 26
That the Laws of Maryland read as follows: 27
Article – Health – General 28
Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses [and Nursing 29
Support Staff]. 30
24–1901. 31
(a) In this subtitle the following words have the meanings indicated. 32
(b) “Education loan” means any loan that is obtained for tuition, educational 33
expenses, or living expenses for State certification, undergraduate, or graduate study 34
leading to practice as a nurse [or nursing support staff]. 35 4 HOUSE BILL 19
(c) “Fund” means the Maryland Loan Assistance Repayment Program Fund for 1
Nurses [and Nursing Support Staff]. 2
(d) “Nurse” includes: 3
(1) An advanced practice registered nurse, as defined in § 8–101(b) of the 4
Health Occupations Article certified to practice as a nurse midwife or clinical nurse 5
specialist; 6
(2) A licensed practical nurse, as defined in § 8–101(h) of the Health 7
Occupations Article; 8
(3) A nurse anesthetist, as defined in § 8–101(k) of the Health Occupations 9
Article; 10
(4) A registered nurse, as defined in § 8–101(p) of the Health Occupations 11
Article; and 12
(5) A registered nurse practitioner, as defined in § 8–101(q) of the Health 13
Occupations Article. 14
(e) [“Nursing support staff” includes: 15
(1) A certified medication technician, as defined in § 8–6A–01(j) of the 16
Health Occupations Article; 17
(2) A certified medicine aide, as defined in § 8–6A–01(k) of the Health 18
Occupations Article; 19
(3) A certified nursing assistant, as defined in § 8–6A–01(l) of the Health 20
Occupations Article; and 21
(4) A geriatric nursing assistant, as defined in § 8–6A–01(o) of the Health 22
Occupations Article. 23
(f)] “Program” means the Maryland Loan Assistance Repayment Program for 24
Nurses [and Nursing Support Staff]. 25
24–1902. 26
(a) (1) There is a Maryland Loan Assistance Repayment Program Fund for 27
Nurses [and Nursing Support Staff]. 28
(2) The Fund is a continuing, nonlapsing fund that is not subject to § 29
7–302 of the State Finance and Procurement Article. 30
HOUSE BILL 19 5
(3) The State Treasurer shall hold the Fund separately, and the 1
Comptroller shall account for the Fund. 2
(4) The Fund shall be invested and reinvested in the same manner as other 3
State funds. 4
(5) Any investment earnings of the Fund shall be paid into the Fund. 5
(b) The Fund consists of: 6
(1) Revenue generated through a permanent funding structure 7
recommended to the General Assembly by a stakeholder workgroup convened by the 8
Department; 9
(2) Any available federal funds; 10
(3) Interest earnings; and 11
(4) Any other money from any other source accepted for the benefit of the 12
Fund. 13
(c) Expenditures from the Fund shall be made by an appropriation in the annual 14
State budget or by an approved budget amendment as provided under § 7–209 of the State 15
Finance and Procurement Article. 16
(d) The money in the Fund shall be used by the Office of the Comptroller to 17
administer the Program. 18
24–1903. 19
There is a Maryland Loan Assistance Repayment Program for Nurses [and Nursing 20
Support Staff]. 21
24–1904. 22
(a) (1) In this section, “eligible field of employment” means [employment]: 23
(I) EMPLOYMENT by an organization, an institution, an 24
association, a society, or a corporation that is exempt from taxation under § 501(c)(3) or (4) 25
of the Internal Revenue Code of 1986; OR 26
(II) FOR–PROFIT EMPLOYMENT IN AN AREA OF THE STATE 27
IDENTIFIED BY THE DEPARTMENT AS HAVING A HEALTH CARE WORKFO RCE 28
SHORTAGE OR PUBLIC H EALTH NEED. 29
6 HOUSE BILL 19
(2) “Eligible field of employment” includes employment by the State or a 1
local government in the State. 2
(b) The Department shall use the Fund to assist in the repayment of the amount 3
of education loans owed by a nurse [or nursing support staff] who: 4
(1) Practices in an eligible field of employment; or 5
(2) Meets any other requirements established by the Department. 6
(c) Any unspent portions of the money that is transferred to the Department for 7
use under this subtitle may not be transferred to or revert to the General Fund of the State, 8
but shall remain in the Fund maintained by the Department to administer the Program. 9
24–1904.1. 10
(A) IN ADDITION TO THE AS SISTANCE PROVIDED UN DER § 24–1904 OF THIS 11
SUBTITLE, THE DEPARTMENT MAY , SUBJECT TO THE AVAIL ABILITY OF MONEY IN 12
THE FUND, ASSIST IN THE REPAYM ENT OF AN EDUCATION LOAN OWED BY A NURSE 13
OR NURSING SUPPORT STAFF WHO: 14
(1) PRACTICES A MEDICAL S PECIALTY THAT HAS BE EN IDENTIFIED 15
BY THE DEPARTMENT AS BEING I N SHORTAGE IN THE GE OGRAPHIC AREA OF THE 16
STATE WHERE THE NURSE PRACTICES THAT SPECI ALTY; AND 17
(2) COMMITS TO PRACTICING IN THE AREA FOR A PERIOD OF TIME 18
DETERMINED BY THE DEPARTMENT . 19
(B) THE DEPARTMENT SHALL PRIO RITIZE FUNDING FOR T HE REPAYMENT 20
OF EDUCATION LOANS T HROUGH THE PROGRAM IN THE FOLLOW ING ORDER: 21
(1) NURSES OR NURSING SUPPORT S TAFF WHO MEET THE 22
REQUIREMENTS UNDER § 24–1904(B)(1) OF THIS SUBTITLE; 23
(2) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN PRIMAR Y 24
CARE IN A GEOGRAPHIC AREA WHERE THE DEPARTMENT HAS IDENTI FIED A 25
SHORTAGE OF NURSES OR NURSING SUPPORT S TAFF; AND 26
(3) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN A MEDI CAL 27
SPECIALTY OTHER THAN PRIMARY CARE IN A GE OGRAPHIC AREA WHERE THE 28
DEPARTMENT HAS IDENTI FIED A SHORTAGE OF T HAT SPECIALTY. 29
24–1905. 30
HOUSE BILL 19 7
The Department shall adopt regulations to carry out the provisions of this subtitle, 1
including regulations that: 2
(1) With advice from a stakeholder workgroup convened by the 3
Department, establish priorities for funding the repayment of education loans through the 4
Program; 5
(2) Establish the maximum number of participants in the Program each 6
year in each priority area established under item (1) of this section; and 7
(3) Establish the minimum and maximum amount of loan repayment 8
assistance awarded under this subtitle in each priority area established under item (1) of 9
this section. 10
24–1906. 11
On or before October 1, 2023, and each October 1 thereafter, the Department shall 12
report to the General Assembly, in accordance with § 2–1257 of the State Government 13
Article, on: 14
(1) The eligible nurses [and nursing support staff] who applied for the 15
Program, including information on: 16
(i) The practice of the nurse [or nursing support staff]; 17
(ii) The type and location of the site in which the nurse [or nursing 18
support staff] provided services; and 19
(iii) The geographic area served by the nurse [or nursing support 20
staff]; and 21
(2) The nurses [and nursing support staff] who participated in the 22
Program, including information on: 23
(i) The amount of assistance provided to each participant; 24
(ii) The practice of the participant; 25
(iii) The type and location of the site in which the participant 26
provided services; and 27
(iv) The geographic area served by the participant. 28
Article – Health Occupations 29
8–101. 30 8 HOUSE BILL 19
(a) In this title the following words have the meanings indicated. 1
(D–1) (1) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 2
MEANS A REGISTERED N URSING EDUCATION PRO GRAM THAT IS THE INI TIAL ENTRY 3
POINT FOR FORMAL REG ISTERED NURSING EDUC ATION THAT, ON SUCCESSFUL 4
COMPLETION , QUALIFIES AN INDIVID UAL WITH NO PRIOR REGISTERED NUR SING 5
EDUCATION TO OBTAIN LICENSURE AS A REGIS TERED NURSE . 6
(2) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 7
DOES NOT INCLUDE DEG REE COMPLETION PROGR AMS, INCLUDING: 8
(I) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 9
BACCALAUREATE OF SCIENCE DEGREE IN NURSING (AAS–BSN); 10
(II) ASSOCIATE DEGREE IN NURSING TO BACCALAUREATE OF 11
SCIENCE DEGREE IN NURSING (ADN–BSN); 12
(III) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 13
MASTER OF SCIENCE DEGREE IN NURSING (AAS–MSN); 14
(IV) ASSOCIATE DEGREE IN NURSING TO MASTER OF SCIENCE 15
DEGREE IN NURSING (ADN–MSN); 16
(V) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 17
MASTER OF SCIENCE DEGREE IN NURSING (BSN–MSN); 18
(VI) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 19
DOCTOR OF PHILOSOPHY (BSN–PHD); 20
(VII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 21
DOCTOR OF EDUCATION (BSN–EDD); 22
(VIII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 23
DOCTOR OF NURSING PRACTICE (BSN–DNP); 24
(IX) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 25
PHILOSOPHY (MSN–PHD); 26
(X) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 27
EDUCATION (MSN–EDD); 28
(XI) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 29
NURSING PRACTICE (MSN–DNP); AND 30
HOUSE BILL 19 9
(XII) MASTER OF SCIENCE DEGREE IN NURSING TO POST 1
MASTERS CERTIFICATE/POST GRADUATE CERTIFICATE. 2
8–206. 3
(a) There is a Board of Nursing Fund. 4
(e) (1) [(i)] The Board of Nursing Fund shall be used exclusively to cover the 5
actual documented direct and indirect costs of fulfilling the statutory and regulatory duties 6
of the Board as provided by the provisions of this title. 7
[(ii) The Board of Nursing Fund may not be used to pay for 8
infrastructure operations, as defined in § 1–203(b) of this article.] 9
8–302. 10
(a) Except as otherwise provided in this title, to qualify for a license, an applicant 11
shall be an individual who submits to a criminal history records check in accordance with 12
§ 8–303 of this subtitle and meets the requirements of this section. 13
(b) An applicant for a license to practice registered nursing shall complete 14
satisfactorily and meet all requirements for a diploma or degree from: 15
(1) [A] AN ENTRY–LEVEL registered nursing education program approved 16
by the Board; or 17
(2) An ENTRY–LEVEL REGISTERED NUR SING education program [in 18
registered nursing] in any other state or country that the Board finds substantially 19
equivalent to the education program in this State at the time of the applicant’s graduation. 20
(c) An applicant for a license to practice licensed practical nursing shall: 21
(1) Meet all requirements for a high school diploma or its equivalent; and 22
(2) Complete satisfactorily and meet all requirements for a diploma from: 23
(i) A licensed practical nursing education program or its equivalent 24
approved by the Board; or 25
(ii) An education program in licensed practical nursing in any other 26
state or country that the Board finds substantially equivalent to the education program in 27
this State at the time of the applicant’s graduation. 28
(d) Except as otherwise provided in this title, the applicant shall pass an 29
examination developed by the National Council of State Boards of Nursing and 30
administered at a testing site approved by the National Council. 31 10 HOUSE BILL 19
(e) (1) Except as otherwise provided in this subsection, the Board shall require 1
as part of its examination or licensing procedures that an applicant for a license to practice 2
registered nursing or licensed practical nursing demonstrate a written and oral competency 3
in the English language. 4
(2) Acceptable proof of proficiency in the communication of the English 5
language under this section includes: 6
(i) After at least 3 years of enrollment, graduation from a recognized 7
English–speaking undergraduate school; 8
(ii) Graduation from a recognized English–speaking professional 9
school; or 10
(iii) Completion of at least 5 years of practicing nursing in another 11
state or English–speaking territory of the United States. 12
(3) If any disciplinary charge or action that involves a problem with 13
communicating in the English language is brought against a licensee under this title, the 14
Board shall require the licensee to take and pass a Board approved standardized test of 15
English language competency. 16
(4) The Board may not require that an applicant for a license to practice 17
registered nursing or licensed practical nursing who was previously licensed in any other 18
state to practice registered nursing or licensed practical nursing to demonstrate 19
competency in the English language as part of its examination or licensing procedures if 20
the other state has a similar English language competency component as part of its 21
examination or licensing procedures. 22
(5) (i) The Board may issue a temporary license to any applicant for a 23
license to practice registered nursing or licensed practical nursing who was previously 24
licensed in any other state to practice registered nursing or licensed practical nursing and 25
who, except for the competency in the English language component, is otherwise qualified 26
for a license. 27
(ii) A temporary license issued under this subsection is valid only 28
until the date when the next test to demonstrate competency in the English language is 29
given. 30
(f) An applicant for a license under this section shall be good moral character. 31
8–307. 32
(a) Subject to the provisions of this section, the Board may issue a license by 33
endorsement and waive any appropriate examination requirement of this title for an 34 HOUSE BILL 19 11
applicant who has an active unencumbered license to practice registered nursing or 1
licensed practical nursing in any other state or country. 2
(b) The Board may issue a license by endorsement under this section only if the 3
applicant: 4
(1) Submits to the Board an application on the form that the Board 5
requires; 6
(2) Submits to a criminal history records check in accordance with § 8–303 7
of this subtitle; 8
(3) Pays the application fee set by the Board under § 8–304 of this subtitle; 9
and 10
(4) [Provides] EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS 11
SECTION, PROVIDES adequate evidence that: 12
(i) At the time the applicant graduated from a nursing education 13
program approved in the other state or country, the [applicant met the educational 14
qualifications then required by the laws of] PROGRAM WAS SUBSTANT IALLY 15
EQUIVALENT TO THE ED UCATION PROGRAM APPR OVED IN this State; 16
(ii) At the time the applicant became licensed or registered in the 17
other state or country, the applicant passed in that or any other state or country an 18
examination that was similar to the examination that then was given in this State; and 19
(iii) The applicant meets the qualifications otherwise required by this 20
title. 21
(C) (1) AN APPLICANT FOR LICE NSURE AS A REGISTERE D NURSE BY 22
ENDORSEMENT WHO CANN OT PROVIDE THE EVIDE NCE REQUIRED UNDER 23
SUBSECTION (B)(4)(I) OF THIS SECTION MAY QUALIFY FOR LICENSUR E AS A 24
REGISTERED NURSE BY ENDORSEMENT IF THE APPLICANT MEE TS THE 25
REQUIREMENTS OF PARA GRAPH (2) OF THIS SUBSECTION . 26
(2) AN APPLICANT MAY QUAL IFY FOR LICENSURE AS A REGISTERED 27
NURSE BY ENDORSEMENT IF THE APPLICANT HAS : 28
(I) COMPLETED SATISFACTOR ILY AND MET ALL 29
REQUIREMENTS FOR AN ASSOCIATE OR A BACCALAUREATE DEGR EE IN REGISTERED 30
NURSING FROM A COLLE GE OR UNIVERSITY THA T, AT THE TIME OF THE A PPLICANT’S 31
GRADUATION , IS: 32
12 HOUSE BILL 19
1. ACCREDITED BY A NATIO NAL OR REGIONAL NURS ING 1
ACCREDITATION AGENCY THAT IS RECOGNIZED B Y THE SECRETARY OF THE U.S. 2
DEPARTMENT OF EDUCATION OR THE COUNCIL FOR HIGHER EDUCATION 3
ACCREDITATION ; AND 4
2. APPROVED BY THE BOARD OF NURSING OR OTHER 5
APPLICABLE STATE REG ULATOR IN THE STATE IN WHICH THE PROGRAM IS 6
LOCATED; AND 7
(II) COMPLETED A MINIMUM NUMBER OF DIRECT PAT IENT 8
CARE PRACTICE HOURS AS REQUIRED BY REGUL ATIONS ADOPTED BY TH E BOARD. 9
8–6A–14. 10
(a) The Board, in conjunction with the Maryland Higher Education Commission, 11
shall approve each nursing assistant training program prior to its implementation and 12
provide periodic survey of all programs in the State. 13
(b) The Board in conjunction with the Department, Maryland Higher Education 14
Commission, and the affected industry shall develop regulations for nursing assistant 15
training programs. 16
(c) The curriculum content for an approved nursing assistant training program 17
shall include: 18
(1) Content consistent with State licensing requirements in the Health – 19
General Article and all federal requirements; 20
(2) All basic skills required of a nursing assistant regardless of the setting 21
of the practice; and 22
(3) Any skills required for certification in a specific category. 23
(d) Any additional clinical practice skills specific to a setting of practice shall be 24
taught in that setting as a part of the employment training process in that setting. 25
(e) The Board may make survey visits from time to time, without prior notice, to 26
all certified nursing assistant training programs. 27
(f) The provisions of this section may not be interpreted to impose additional 28
requirements for geriatric nursing assistants beyond those required under federal law. 29
[(g) The Board shall approve the use of a nursing assistant training site by a 30
nursing assistant training program within 45 days after the nursing assistant training 31
program applies for approval if the nursing assistant training program had previously been 32
approved to use the training site by the Board.] 33 HOUSE BILL 19 13
8–6B–30. 1
Subject to the evaluation and reestablishment provisions of the Maryland Program 2
Evaluation Act, and subject to the termination of this title under § 8–802 of this title, this 3
subtitle and all rules and regulations adopted under this subtitle shall terminate and be of 4
no effect after July 1, [2025] 2030. 5
8–6C–26. 6
Subject to the evaluation and reestablishment provisions of the Maryland Program 7
Evaluation Act, and subject to the termination of this subtitle under § 8–802 of this title, 8
this subtitle and all regulations adopted under this subtitle shall terminate and be of no 9
effect after July 1, [2025] 2030. 10
8–802. 11
Subject to the evaluation and reestablishment provisions of the Program Evaluation 12
Act, the provisions of this title and of any rule or regulation adopted under this title shall 13
terminate and be of no effect after July 1, [2025] 2030. 14
Article – Tax – General 15
10–739. 16
(b) (1) Subject to the limitations of this section, a nurse practitioner or licensed 17
physician may claim a credit against the State income tax in the amount stated on the tax 18
credit certificate issued under subsection (c) of this section for the taxable year in which 19
the nurse practitioner or licensed physician served without compensation as a preceptor in 20
a preceptorship program approved by the State Board of Nursing and worked: 21
(i) a minimum of three rotations, each consisting of at least 100 90 22
hours of community–based clinical training; and 23
(ii) in an area of the State identified as having a health care 24
workforce shortage by the Department, in consultation with the Governor’s Workforce 25
Development Board. 26
10–739.1. 27
(b) (1) Subject to the limitations of this section, a licensed practical nurse, 28
advanced practice registered nurse, or registered nurse may claim a credit against the State 29
income tax in the amount stated on the tax credit certificate issued under subsection (c) of 30
this section for the taxable year in which the licensed practical nurse, advanced practice 31
registered nurse, or registered nurse served without compensation as a preceptor in a 32
preceptorship program approved by the State Board of Nursing and worked: 33
14 HOUSE BILL 19
(i) a minimum of three rotations, each consisting of at least 100 90 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
Chapter 385 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 6
of 2021 7
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 8
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 9
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 10
with no further action required by the General Assembly, this Act shall be abrogated and 11
of no further force and effect. 12
Chapter 386 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 13
of 2021 14
SECTION 2. AND BE IT FURTHER ENACTED, T hat this Act shall take effect July 15
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 16
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 17
with no further action required by the General Assembly, this Act shall be abrogated and 18
of no further force and effect. 19
Chapter 675 of the Acts of 2022 20
SECTION 5. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 21
effect July 1, 2022, and shall be applicable to all taxable years beginning after December 22
31, 2021, but before January 1, [2025] 2030. Section 2 of this Act shall remain effective for 23
a period of 3 years and, at the end of June 30, [2025] 2030, Section 2 of this Act, with no 24
further action required by the General Assembly, shall be abrogated and of no further force 25
and effect. 26
Chapter 222 of the Acts of 2023 27
SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 28
measure, is necessary for the immediate preservation of the public health or safety, has 29
been passed by a yea and nay vote supported by three–fifths of all the members elected to 30
each of the two Houses of the General Assembly, and shall take effect from the date it is 31
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 32
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 33
the General Assembly, shall be abrogated and of no further force and effect. 34
Chapter 223 of the Acts of 2023 35
HOUSE BILL 19 15
SECTION 5. AND BE IT FURTHER ENAC TED, That this Act is an emergency 1
measure, is necessary for the immediate preservation of the public health or safety, has 2
been passed by a yea and nay vote supported by three–fifths of all the members elected to 3
each of the two Houses of the General Assembly, and shall take effect from the date it is 4
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 5
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 6
the General Assembly, shall be abrogated and of no further force and effect. 7
Chapter 818 of the Acts of 2024 8
SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June 1, [2025] 9
2026, the State Board of Nursing shall: 10
(1) notify individuals who possess a nursing assistant certification of the 11
licensing requirements established under Section 1 of this Act; and 12
(2) in consultation with the Office of Health Care Quality, update 13
regulations to conform with Section 1 of this Act. 14
SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 15
effect October 1, [2025] 2026. 16
Chapter 819 of the Acts of 2024 17
SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June 1, [2025] 18
2026, the State Board of Nursing shall: 19
(1) notify individuals who possess a nursing assistant certification of the 20
licensing requirements established under Section 1 of this Act; and 21
(2) in consultation with the Office of Health Care Quality, update 22
regulations to conform with Section 1 of this Act. 23
SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 24
effect October 1, [2025] 2026. 25
SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 26
as follows: 27
Article – Health Occupations 28
8–6A–14. 29
[(g) (1) The Board shall approve the use of a nursing assistant training site by 30
a nursing assistant training program within 45 days after the nursing assistant training 31 16 HOUSE BILL 19
program applies for approval if the nursing assistant training program had previously been 1
approved to use the training site by the Board. 2
(2) A nursing assistant training program under paragraph (1) of this 3
subsection may continue to operate during the approval process.] 4
SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 5
effect October 1, 2025, the effective date of Chapters 818 and 819 of the Acts of the General 6
Assembly of 2024. If the effective date of Chapters 818 and 819 is amended, Section 2 of 7
this Act shall take effect on the taking effect of Chapters 818 and 819. 8
SECTION 4. AND BE IT FURTHER ENACTED, That, subject to the provisions of 9
Section 3 of this Act, this Act shall take effect June 1, 2025. 10
Approved:
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Governor.
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Speaker of the House of Delegates.
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President of the Senate.