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.
Italics indicate opposite chamber/conference committee amendments.
*hb0019*
HOUSE BILL 19
J2 (5lr0258)
ENROLLED BILL
— Health and Government Operations/Finance —
Introduced by Chair, Health and Government Operations Committee (By Request
– Departmental – Health)
Read and Examined by Proofreaders:
_______________________________________________
Proofreader.
_______________________________________________
Proofreader.
Sealed with the Great Seal and presented to the Governor, for his appro val this
_______ day of _______________ at ________________________ o’clock, ________M.
______________________________________________
Speaker.
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 2 HOUSE BILL 19
Board; extending the termination dates of certain preceptorship program tax credits 1
and altering certain criteria necessary to claim the tax credits; extending the 2
termination date of certain provisions of law governing the authority of the Secretary 3
of Health over certain staffing and infrastructure operations of the Board; altering 4
the effective date of certain provisions of law relating to certified nursing assistants; 5
and generally relating to nursing. 6
BY repealing and reenacting, with amendments, 7
Article – Health – General 8
Section 24–1901 through 24–1904 and 24–1906 to be under the amended subtitle 9
“Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses” 10
Section 24–1904 11
Annotated Code of Maryland 12
(2023 Replacement Volume and 2024 Supplement) 13
BY adding to 14
Article – Health – General 15
Section 24–1904.1 16
Annotated Code of Maryland 17
(2023 Replacement Volume and 2024 Supplement) 18
BY repealing and reenacting, without amendments, 19
Article – Health – General 20
Section 24–1905 21
Annotated Code of Maryland 22
(2023 Replacement Volume and 2024 Supplement) 23
BY repealing and reenacting, without amendments, 24
Article – Health Occupations 25
Section 8–101(a) and 8–206(a) 26
Annotated Code of Maryland 27
(2021 Replacement Volume and 2024 Supplement) 28
BY adding to 29
Article – Health Occupations 30
Section 8–101(d–1) 31
Annotated Code of Maryland 32
(2021 Replacement Volume and 2024 Supplement) 33
BY repealing and reenacting, with amendments, 34
Article – Health Occupations 35
Section 8–206(e)(1), 8–302, 8–307, 8–6A–14, 8–6B–30, 8–6C–26, and 8–802 36
Annotated Code of Maryland 37
(2021 Replacement Volume and 2024 Supplement) 38
BY repealing and reenacting, without with amendments, 39
Article – Tax – General 40 HOUSE BILL 19 3
Section 10–739(b)(1) and 10–739.1(b)(1) 1
Annotated Code of Maryland 2
(2022 Replacement Volume and 2024 Supplement) 3
BY repealing and reenacting, with amendments, 4
Chapter 385 of the Acts of the General Assembly of 2016, as amended by Chapters 5
153 and 154 of the Acts of the General Assembly of 2021 6
Section 2 7
BY repealing and reenacting, with amendments, 8
Chapter 386 of the Acts of the General Assembly of 2016, as amended by Chapters 9
153 and 154 of the Acts of the General Assembly of 2021 10
Section 2 11
BY repealing and reenacting, with amendments, 12
Chapter 675 of the Acts of the General Assembly of 2022 13
Section 5 14
BY repealing and reenacting, with amendments, 15
Chapter 222 of the Acts of the General Assembly of 2023 16
Section 5 17
BY repealing and reenacting, with amendments, 18
Chapter 223 of the Acts of the General Assembly of 2023 19
Section 5 20
BY repealing and reenacting, with amendments, 21
Chapter 818 of the Acts of the General Assembly of 2024 22
Section 2 and 3 23
BY repealing and reenacting, with amendments, 24
Chapter 819 of the Acts of the General Assembly of 2024 25
Section 2 and 3 26
BY repealing and reenacting, with amendments, 27
Article – Health Occupations 28
Section 8–6A–01(n)(2) and (o), 8–6A–05(c)(5), and 8–6A–07(c) 29
Annotated Code of Maryland 30
(2021 Replacement Volume and 2024 Supplement) 31
(As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 32
BY repealing 33
Article – Health Occupations 34
Section 8–6A–14(g) 35
Annotated Code of Maryland 36
(2021 Replacement Volume and 2024 Supplement) 37
(As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 38 4 HOUSE BILL 19
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 1
That the Laws of Maryland read as follows: 2
Article – Health – General 3
Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses [and Nursing 4
Support Staff]. 5
24–1901. 6
(a) In this subtitle the following words have the meanings indicated. 7
(b) “Education loan” means any loan that is obtained for tuition, educational 8
expenses, or living expenses for State certification, undergraduate, or graduate study 9
leading to practice as a nurse [or nursing support staff]. 10
(c) “Fund” means the Maryland Loan Assistance Repayment Program Fund for 11
Nurses [and Nursing Support Staff]. 12
(d) “Nurse” includes: 13
(1) An advanced practice registered nurse, as defined in § 8–101(b) of the 14
Health Occupations Article certified to practice as a nurse midwife or clinical nurse 15
specialist; 16
(2) A licensed practical nurse, as defined in § 8–101(h) of the Health 17
Occupations Article; 18
(3) A nurse anesthetist, as defined in § 8–101(k) of the Health Occupations 19
Article; 20
(4) A registered nurse, as defined in § 8–101(p) of the Health Occupations 21
Article; and 22
(5) A registered nurse practitioner, as defined in § 8–101(q) of the Health 23
Occupations Article. 24
(e) [“Nursing support staff” includes: 25
(1) A certified medication technician, as defined in § 8–6A–01(j) of the 26
Health Occupations Article; 27
(2) A certified medicine aide, as defined in § 8–6A–01(k) of the Health 28
Occupations Article; 29
HOUSE BILL 19 5
(3) A certified nursing assistant, as defined in § 8–6A–01(l) of the Health 1
Occupations Article; and 2
(4) A geriatric nursing assistant, as defined in § 8–6A–01(o) of the Health 3
Occupations Article. 4
(f)] “Program” means the Maryland Loan Assistance Repayment Program for 5
Nurses [and Nursing Support Staff]. 6
24–1902. 7
(a) (1) There is a Maryland Loan Assistance Repayment Program Fund for 8
Nurses [and Nursing Support Staff]. 9
(2) The Fund is a continuing, nonlapsing fund that is not subject to § 10
7–302 of the State Finance and Procurement Article. 11
(3) The State Treasurer shall hold the Fund separately, and the 12
Comptroller shall account for the Fund. 13
(4) The Fund shall be invested and reinvested in the same manner as other 14
State funds. 15
(5) Any investment earnings of the Fund shall be paid into the Fund. 16
(b) The Fund consists of: 17
(1) Revenue generated through a permanent funding structure 18
recommended to the General Assembly by a stakeholder workgroup convened by the 19
Department; 20
(2) Any available federal funds; 21
(3) Interest earnings; and 22
(4) Any other money from any other source accepted for the benefit of the 23
Fund. 24
(c) Expenditures from the Fund shall be made by an appropriation in the annual 25
State budget or by an approved budget amendment as provided under § 7–209 of the State 26
Finance and Procurement Article. 27
(d) The money in the Fund shall be used by the Office of the Comptroller to 28
administer the Program. 29
24–1903. 30 6 HOUSE BILL 19
There is a Maryland Loan Assistance Repayment Program for Nurses [and Nursing 1
Support Staff]. 2
24–1904. 3
(a) (1) In this section, “eligible field of employment” means [employment]: 4
(I) EMPLOYMENT by an organization, an institution, an 5
association, a society, or a corporation that is exempt from taxation under § 501(c)(3) or (4) 6
of the Internal Revenue Code of 1986; OR 7
(II) FOR–PROFIT EMPLOYMENT IN AN AREA OF THE STATE 8
IDENTIFIED BY THE DEPARTMENT AS HAVING A HEALTH CARE WORKFO RCE 9
SHORTAGE OR PUBLIC H EALTH NEED. 10
(2) “Eligible field of employment” includes employment by the State or a 11
local government in the State. 12
(b) The Department shall use the Fund to assist in the repayment of the amount 13
of education loans owed by a nurse [or nursing support staff] who: 14
(1) Practices in an eligible field of employment; or 15
(2) Meets any other requirements established by the Department. 16
(c) Any unspent portions of the money that is transferred to the Department for 17
use under this subtitle may not be transferred to or revert to the General Fund of the State, 18
but shall remain in the Fund maintained by the Department to administer the Program. 19
24–1904.1. 20
(A) IN ADDITION TO THE AS SISTANCE PROVIDED UN DER § 24–1904 OF THIS 21
SUBTITLE, THE DEPARTMENT MAY , SUBJECT TO THE AVAIL ABILITY OF MONEY IN 22
THE FUND, ASSIST IN THE REPAYM ENT OF AN EDUCATION LOAN OWED BY A NURSE 23
OR NURSING S UPPORT STAFF WHO: 24
(1) PRACTICES A MEDICAL S PECIALTY THAT HAS BE EN IDENTIFIED 25
BY THE DEPARTMENT AS BEING I N SHORTAGE IN THE GE OGRAPHIC AREA OF THE 26
STATE WHERE THE NURSE PRACTICES THAT SPECI ALTY; AND 27
(2) COMMITS TO PRACTICING IN THE AREA FOR A PE RIOD OF TIME 28
DETERMINED BY THE DEPARTMENT . 29
HOUSE BILL 19 7
(B) THE DEPARTMENT SHALL PRIO RITIZE FUNDING FOR T HE REPAYMENT 1
OF EDUCATION LOANS T HROUGH THE PROGRAM IN THE FOLLOW ING ORDER: 2
(1) NURSES OR NURSING SUPPORT S TAFF WHO MEET THE 3
REQUIREMENTS UNDER § 24–1904(B)(1) OF THIS SUBTITLE; 4
(2) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN PRIMAR Y 5
CARE IN A GEOGRAPHIC AREA WHERE THE DEPARTMENT HAS IDENTI FIED A 6
SHORTAGE OF NURSES OR NURSING SUPPORT S TAFF; AND 7
(3) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN A MEDI CAL 8
SPECIALTY OTHER THAN PRIMARY CARE IN A GE OGRAPHIC AREA WHERE THE 9
DEPARTMENT HAS IDENTI FIED A SHORTAGE OF T HAT SPECIALTY. 10
24–1905. 11
The Department shall adopt regulations to carry out the provisions of this subtitle, 12
including regulations that: 13
(1) With advice from a stakeholder workgroup convened by the 14
Department, establish priorities for funding the repayment of education loans through the 15
Program; 16
(2) Establish the maximum number of participants in the Program each 17
year in each priority area established under item (1) of this section; and 18
(3) Establish the minimum and maximum amount of loan repayment 19
assistance awarded under this subtitle in each priority area established under item (1) of 20
this section. 21
24–1906. 22
On or before October 1, 2023, and each October 1 thereafter, the Department shall 23
report to the General Assembly, in accordance with § 2–1257 of the State Government 24
Article, on: 25
(1) The eligible nurses [and nursing support staff] who applied for the 26
Program, including information on: 27
(i) The practice of the nurse [or nursing support staff]; 28
(ii) The type and location of the site in which the nurse [or nursing 29
support staff] provided services; and 30
8 HOUSE BILL 19
(iii) The geographic area served by the nurse [or nursing support 1
staff]; and 2
(2) The nurses [and nursing support staff] who participated in the 3
Program, including information on: 4
(i) The amount of assistance provided to each participant; 5
(ii) The practice of the participant; 6
(iii) The type and location of the site in which the participant 7
provided services; and 8
(iv) The geographic area served by the participant. 9
Article – Health Occupations 10
8–101. 11
(a) In this title the following words have the meanings indicated. 12
(D–1) (1) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 13
MEANS A REGISTERED N URSING EDUCATION PRO GRAM THAT IS THE INI TIAL ENTRY 14
POINT FOR FORMAL REG ISTERED NURSING EDUC ATION THAT, ON SUCCESSFUL 15
COMPLETION , QUALIFIES AN INDIVID UAL WITH NO P RIOR REGISTERED NURS ING 16
EDUCATION TO OBTAIN LICENSURE AS A REGIS TERED NURSE . 17
(2) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 18
DOES NOT INCLUDE DEG REE COMPLETION PROGR AMS, INCLUDING: 19
(I) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 20
BACCALAUREATE OF SCIENCE DEGREE IN NURSING (AAS–BSN); 21
(II) ASSOCIATE DEGREE IN NURSING TO BACCALAUREATE OF 22
SCIENCE DEGREE IN NURSING (ADN–BSN); 23
(III) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 24
MASTER OF SCIENCE DEGREE IN NURSING (AAS–MSN); 25
(IV) ASSOCIATE DEGREE IN NURSING TO MASTER OF SCIENCE 26
DEGREE IN NURSING (ADN–MSN); 27
(V) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 28
MASTER OF SCIENCE DEGREE IN NURSING (BSN–MSN); 29
HOUSE BILL 19 9
(VI) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 1
DOCTOR OF PHILOSOPHY (BSN–PHD); 2
(VII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 3
DOCTOR OF EDUCATION (BSN–EDD); 4
(VIII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 5
DOCTOR OF NURSING PRACTICE (BSN–DNP); 6
(IX) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 7
PHILOSOPHY (MSN–PHD); 8
(X) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 9
EDUCATION (MSN–EDD); 10
(XI) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 11
NURSING PRACTICE (MSN–DNP); AND 12
(XII) MASTER OF SCIENCE DEGREE IN NURSING TO POST 13
MASTERS CERTIFICATE/POST GRADUATE CERTIFICATE. 14
8–206. 15
(a) There is a Board of Nursing Fund. 16
(e) (1) [(i)] The Board of Nursing Fund shall be used exclusively to cover the 17
actual documented direct and indirect costs of fulfilling the statutory and regulatory duties 18
of the Board as provided by the provisions of this title. 19
[(ii) The Board of Nursing Fund may not be used to pay for 20
infrastructure operations, as defined in § 1–203(b) of this article.] 21
8–302. 22
(a) Except as otherwise provided in this title, to qualify for a license, an applicant 23
shall be an individual who submits to a criminal history records check in accordance with 24
§ 8–303 of this subtitle and meets the requirements of this section. 25
(b) An applicant for a license to practice registered nursing shall complete 26
satisfactorily and meet all requirements for a diploma or degree from: 27
(1) [A] AN ENTRY–LEVEL registered nursing education program approved 28
by the Board; or 29
10 HOUSE BILL 19
(2) An ENTRY–LEVEL REGISTERED NUR SING education program [in 1
registered nursing] in any other state or country that the Board finds substantially 2
equivalent to the education program in this State at the time of the applicant’s graduation. 3
(c) An applicant for a license to practice licensed practical nursing shall: 4
(1) Meet all requirements for a high school diploma or its equivalent; and 5
(2) Complete satisfactorily and meet all requirements for a diploma from: 6
(i) A licensed practical nursing education program or its equivalent 7
approved by the Board; or 8
(ii) An education program in licensed practical nursing in any other 9
state or country that the Board finds substantially equivalent to the education program in 10
this State at the time of the applicant’s graduation. 11
(d) Except as otherwise provided in this title, the applicant shall pass an 12
examination developed by the National Council of State Boards of Nursing and 13
administered at a testing site approved by the National Council. 14
(e) (1) Except as otherwise provided in this subsection, the Board shall require 15
as part of its examination or licensing procedures that an applicant for a license to practice 16
registered nursing or licensed practical nursing demonstrate a written and oral competency 17
in the English language. 18
(2) Acceptable proof of proficiency in the communication of the English 19
language under this section includes: 20
(i) After at least 3 years of enrollment, graduation from a recognized 21
English–speaking undergraduate school; 22
(ii) Graduation from a recognized English–speaking professional 23
school; or 24
(iii) Completion of at least 5 years of practicing nursing in another 25
state or English–speaking territory of the United States. 26
(3) If any disciplinary charge or action that involves a problem with 27
communicating in the English language is brought against a licensee under this title, the 28
Board shall require the licensee to take and pass a Board approved standardized test of 29
English language competency. 30
(4) The Board may not require that an applicant for a license to practice 31
registered nursing or licensed practical nursing who was previously licensed in any other 32
state to practice registered nursing or licensed practical nursing to demonstrate 33
competency in the English language as part of its examination or licensing procedures if 34 HOUSE BILL 19 11
the other state has a similar English language competency component as part of its 1
examination or licensing procedures. 2
(5) (i) The Board may issue a temporary license to any applicant for a 3
license to practice registered nursing or licensed practical nursing who was previously 4
licensed in any other state to practice registered nursing or licensed practical nursing and 5
who, except for the competency in the English language component, is otherwise qualified 6
for a license. 7
(ii) A temporary license issued under this subsection is valid only 8
until the date when the next test to demonstrate competency in the English language is 9
given. 10
(f) An applicant for a license under this section shall be good moral character. 11
8–307. 12
(a) Subject to the provisions of this section, the Board may issue a license by 13
endorsement and waive any appropriate examination requirement of this title for an 14
applicant who has an active unencumbered license to practice registered nursing or 15
licensed practical nursing in any other state or country. 16
(b) The Board may issue a license by endorsement under this section only if the 17
applicant: 18
(1) Submits to the Board an application on the form that the Board 19
requires; 20
(2) Submits to a criminal history records check in accordance with § 8–303 21
of this subtitle; 22
(3) Pays the application fee set by the Board under § 8–304 of this subtitle; 23
and 24
(4) [Provides] EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS 25
SECTION, PROVIDES adequate evidence that: 26
(i) At the time the applicant graduated from a nursing education 27
program approved in the other state or country, the [applicant met the educational 28
qualifications then required by the laws of] PROGRAM WAS SUBSTANT IALLY 29
EQUIVALENT TO THE ED UCATION PROGRAM APPR OVED IN this State; 30
(ii) At the time the applicant became licensed or registered in the 31
other state or country, the applicant passed in that or any other state or country an 32
examination that was similar to the examination that then was given in this State; and 33
12 HOUSE BILL 19
(iii) The applicant meets the qualifications otherwise required by this 1
title. 2
(C) (1) AN APPLICANT FOR LICE NSURE AS A REGISTERE D NURSE BY 3
ENDORSEMENT WHO CANN OT PROVIDE THE EVIDE NCE REQUIRED UNDER 4
SUBSECTION (B)(4)(I) OF THIS SECTION MAY QUALIFY FOR LICENSURE A S A 5
REGISTERED NURSE BY ENDORSEMENT IF THE A PPLICANT MEETS THE 6
REQUIREMENTS OF PARA GRAPH (2) OF THIS SUBSECTION . 7
(2) AN APPLICANT MAY QUAL IFY FOR LICENSURE AS A REGISTERED 8
NURSE BY ENDORSEMENT IF THE APPLICANT HAS : 9
(I) COMPLETED SATISFACTORILY AND M ET ALL 10
REQUIREMENTS FOR AN ASSOCIATE OR A BACCALAUREATE DEGR EE IN REGISTERED 11
NURSING FROM A COLLE GE OR UNIVERSITY THA T, AT THE TIME OF THE A PPLICANT’S 12
GRADUATION , IS: 13
1. ACCREDITED BY A NATIO NAL OR REGIONAL NURS ING 14
ACCREDITATION AGENCY THAT IS RECOGNIZED B Y THE SECRETARY OF THE U.S. 15
DEPARTMENT OF EDUCATION OR THE COUNCIL FOR HIGHER EDUCATION 16
ACCREDITATION ; AND 17
2. APPROVED BY THE BOARD OF NURSING OR OTHER 18
APPLICABLE S TATE REGULATOR IN TH E STATE IN WHICH THE PROGRAM IS 19
LOCATED; AND 20
(II) COMPLETED A MINIMUM N UMBER OF DIRECT PATI ENT 21
CARE PRACTICE HOURS AS REQUIRED BY REGUL ATIONS ADOPTED BY TH E BOARD. 22
8–6A–14. 23
(a) The Board, in conjunction with the Maryland Higher Education Commission, 24
shall approve each nursing assistant training program prior to its implementation and 25
provide periodic survey of all programs in the State. 26
(b) The Board in conjunction with the Department, Maryland Higher Education 27
Commission, and the affected industry shall develop regulations for nursing assistant 28
training programs. 29
(c) The curriculum content for an approved nursing assistant training program 30
shall include: 31
(1) Content consistent with State licensing requirements in the Health – 32
General Article and all federal requirements; 33
HOUSE BILL 19 13
(2) All basic skills required of a nursing assistant regardless of the setting 1
of the practice; and 2
(3) Any skills required for certification in a specific category. 3
(d) Any additional clinical practice skills specific to a setting of practice shall be 4
taught in that setting as a part of the employment training process in that setting. 5
(e) The Board may make survey visits from time to time, without prior notice, to 6
all certified nursing assistant training programs. 7
(f) The provisions of this section may not be interpreted to impose additional 8
requirements for geriatric nursing assistants beyond those required under federal law. 9
[(g) The Board shall approve the use of a nursing assistant training site by a 10
nursing assistant training program within 45 days after the nursing assistant training 11
program applies for approval if the nursing assistant training program had previously been 12
approved to use the training site by the Board.] 13
8–6B–30. 14
Subject to the evaluation and reestablishment provisions of the Maryland Program 15
Evaluation Act, and subject to the termination of this title under § 8–802 of this title, this 16
subtitle and all rules and regulations adopted under this subtitle shall terminate and be of 17
no effect after July 1, [2025] 2030. 18
8–6C–26. 19
Subject to the evaluation and reestablishment provisions of the Maryland Program 20
Evaluation Act, and subject to the termination of this subtitle under § 8–802 of this title, 21
this subtitle and all regulations adopted under this subtitle shall terminate and be of no 22
effect after July 1, [2025] 2030. 23
8–802. 24
Subject to the evaluation and reestablishment provisions of the Program Evaluation 25
Act, the provisions of this title and of any rule or regulation adopted under this title shall 26
terminate and be of no effect after July 1, [2025] 2030. 27
Article – Tax – General 28
10–739. 29
(b) (1) Subject to the limitations of this section, a nurse practitioner or licensed 30
physician may claim a credit against the State income tax in the amount stated on the tax 31
credit certificate issued under subsection (c) of this section for the taxable year in which 32 14 HOUSE BILL 19
the nurse practitioner or licensed physician served without compensation as a preceptor in 1
a preceptorship program approved by the State Board of Nursing and worked: 2
(i) a minimum of three rotations, each consisting of at least 100 90 3
hours of community–based clinical training; and 4
(ii) in an area of the State identified as having a health care 5
workforce shortage by the Department, in consultation with the Governor’s Workforce 6
Development Board. 7
10–739.1. 8
(b) (1) Subject to the limitations of this section, a licensed practical nurse, 9
advanced practice registered nurse, or registered nurse may claim a credit against the State 10
income tax in the amount stated on the tax credit certificate issued under subsection (c) of 11
this section for the taxable year in which the licensed practical nurse, advanced practice 12
registered nurse, or registered nurse served without compensation as a preceptor in a 13
preceptorship program approved by the State Board of Nursing and worked: 14
(i) a minimum of three rotations, each consisting of at least 100 90 15
hours of community–based clinical training; and 16
(ii) in an area of the State identified as having a health care 17
workforce shortage by the Department, in consultation with the Governor’s Workforce 18
Development Board. 19
Chapter 385 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 20
of 2021 21
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 22
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 23
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 24
with no further action required by the General Assembly, this Act shall be abrogated and 25
of no further force and effect. 26
Chapter 386 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 27
of 2021 28
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 29
1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 30
shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 31
with no further action required by the General Assembly, this Act shall be abrogated and 32
of no further force and effect. 33
Chapter 675 of the Acts of 2022 34
HOUSE BILL 19 15
SECTION 5. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 1
effect July 1, 2022, and shall be applicable to all taxable years beginning after December 2
31, 2021, but before January 1, [2025] 2030. Section 2 of this Act shall remain effective for 3
a period of 3 years and, at the end of June 30, [2025] 2030, Section 2 of this Act, with no 4
further action required by the General Assembly, shall be abrogated and of no further force 5
and effect. 6
Chapter 222 of the Acts of 2023 7
SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 8
measure, is necessary for the immediate preservation of the public health or safety, has 9
been passed by a yea and nay vote supported by three–fifths of all the members elected to 10
each of the two Houses of the General Assembly, and shall take effect from the date it is 11
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 12
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 13
the General Assembly, shall be abrogated and of no further force and effect. 14
Chapter 223 of the Acts of 2023 15
SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 16
measure, is necessary for the immediate preservation of the public health or safety, has 17
been passed by a yea and nay vote supported by three–fifths of all the members elected to 18
each of the two Houses of the General Assembly, and shall take effect from the date it is 19
enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 20
the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 21
the General Assembly, shall be abrogated and of no further force and effect. 22
Chapter 818 of the Acts of 2024 23
SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June JANUARY 24
1, [2025] 2026, the State Board of Nursing shall: 25
(1) notify individuals who possess a nursing assistant certification of the 26
licensing requirements established under Section 1 of this Act; and 27
(2) in consultation with the Office of Health Care Quality, update 28
regulations to conform with Section 1 of this Act. 29
SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 30
effect October APRIL 1, [2025] 2026. 31
Chapter 819 of the Acts of 2024 32
SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June JANUARY 33
1, [2025] 2026, the State Board of Nursing shall: 34
16 HOUSE BILL 19
(1) notify individuals who possess a nursing assistant certification of the 1
licensing requirements established under Section 1 of this Act; and 2
(2) in consultation with the Office of Health Care Quality, update 3
regulations to conform with Section 1 of this Act. 4
SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 5
effect October APRIL 1, [2025] 2026. 6
SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 7
as follows: 8
Article – Health Occupations 9
8–6A–01. 10
(n) (2) “Certified nursing assistant–I” includes: 11
(i) A certified nursing assistant who was certified as a geriatric 12
nursing assistant on [September 30, 2025] MARCH 31, 2026; 13
(ii) A certified medicine aide; and 14
(iii) A certified nursing assistant who is approved under § 15
8–6A–05(c)(5) of this subtitle. 16
(o) “Certified nursing assistant–II” means a certified nursing assistant: 17
(1) Who, on [September 30, 2025] MARCH 31, 2026, was certified as a 18
nursing assistant and was not authorized to practice in a nursing facility or skilled nursing 19
facility; and 20
(2) Whose authority to practice in a nursing facility or skilled nursing 21
facility continues to be restricted because the certified nursing assistant has not been 22
approved as a certified nursing assistant–I under § 8–6A–05(c)(5) of this subtitle. 23
8–6A–05. 24
(c) (5) Beginning [October 1, 2025] APRIL 1, 2026, a certified nursing 25
assistant–II may be certified as a certified nursing assistant–I by: 26
(i) Submitting an application to the Board on the form that the 27
Board requires; and 28
(ii) Providing satisfactory evidence of: 29
HOUSE BILL 19 17
1. Successful completion of an approved nursing assistant 1
training program; and 2
2. Passing a nursing assistant competency evaluation. 3
8–6A–07. 4
(c) An individual who has met the requirements for a certified nursing assistant 5
on or after [October 1, 2025] APRIL 1, 2026, shall be certified with the title of “certified 6
nursing assistant–I”. 7
8–6A–14. 8
[(g) (1) The Board shall approve the use of a nursing assistant training site by 9
a nursing assistant training program within 45 days after the nursing assistant training 10
program applies for approval if the nursing assistant training program had previously been 11
approved to use the training site by the Board. 12
(2) A nursing assistant training program under paragraph (1) of this 13
subsection may continue to operate during the approval process.] 14
SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 15
effect October 1, 2025, the effective date of Chapters 818 and 819 of the Acts of the General 16
Assembly of 2024. If the effective date of Chapters 818 and 819 is amended, Section 2 of 17
this Act shall take effect on the taking effect of Chapters 818 and 819. 18
SECTION 4. AND BE IT FURTHER ENACTED, That, subject to the provisions of 19
Section 3 of this Act, this Act shall take effect June 1, 2025. 20
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
Speaker of the House of Delegates.
________________________________________________________________________________
President of the Senate.