Maryland 2025 Regular Session

Maryland House Bill HB19 Compare Versions

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33 EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
44 [Brackets] indicate matter deleted from existing law.
55 Underlining indicates amendments to bill.
66 Strike out indicates matter stricken from the bill by amendment or deleted from the law by
77 amendment.
8- Italics indicate opposite chamber/conference committee amendments.
98 *hb0019*
109
1110 HOUSE BILL 19
12-J2 (5lr0258)
13-ENROLLED BILL
14-— Health and Government Operations/Finance —
15-Introduced by Chair, Health and Government Operations Committee (By Request
16-– Departmental – Health)
17-
18-Read and Examined by Proofreaders:
19-
20-_______________________________________________
21-Proofreader.
22-_______________________________________________
23-Proofreader.
24-
25-Sealed with the Great Seal and presented to the Governor, for his appro val this
26-
27-_______ day of _______________ at ________________________ o’clock, ________M.
28-
29-______________________________________________
30-Speaker.
11+J2 5lr0258
12+ (PRE–FILED) CF SB 216
13+By: Chair, Health and Government Operations Committee (By Request –
14+Departmental – Health)
15+Requested: October 9, 2024
16+Introduced and read first time: January 8, 2025
17+Assigned to: Health and Government Operations
18+Committee Report: Favorable with amendments
19+House action: Adopted
20+Read second time: March 6, 2025
3121
3222 CHAPTER ______
3323
3424 AN ACT concerning 1
3525
3626 Health Occupations – Nursing – Loan Repayment, Education, and Sunset 2
3727 Extension 3
3828 (Building Opportunities for Nurses Act of 2025) 4
3929
4030 FOR the purpose of altering the name of the Maryland Loan Assistance Repayment 5
4131 Program for Nurses and Nursing Support Staff to be the Maryland Loan Assistance 6
4232 Repayment Program for Nurses and altering expanding the purpose of the Maryland 7
4333 Loan Assistance Repayment Program for Nurses and Nursing Support Staff; altering 8
4434 certain education requirements for licensure in registered nursing and licensure by 9
4535 endorsement in registered nursing; repealing a certain requirement that the State 10
4636 Board of Nursing approve certain nursing assistant training program sites within a 11
4737 certain period of time; continuing the Board in accordance with the provisions of the 12
4838 Maryland Program Evaluation Act (Sunset Law) by extending to a certain date the 13
49-termination provisions relating to the statutory and regulatory authority of the 14 2 HOUSE BILL 19
39+termination provisions relating to the statutory and regulatory authority of the 14
40+Board; extending the termination dates of certain preceptorship program tax credits 15
41+and altering certain criteria necessary to claim the tax credits; extending the 16
42+termination date of certain provisions of law governing the authority of the Secretary 17
43+of Health over certain staffing and infrastructure operations of the Board; altering 18
44+the effective date of certain provisions of law relating to certified nursing assistants; 19
45+and generally relating to nursing. 20
46+
47+BY repealing and reenacting, with amendments, 21
48+ Article – Health – General 22 2 HOUSE BILL 19
5049
5150
52-Board; extending the termination dates of certain preceptorship program tax credits 1
53-and altering certain criteria necessary to claim the tax credits; extending the 2
54-termination date of certain provisions of law governing the authority of the Secretary 3
55-of Health over certain staffing and infrastructure operations of the Board; altering 4
56-the effective date of certain provisions of law relating to certified nursing assistants; 5
57-and generally relating to nursing. 6
51+Section 24–1901 through 24–1904 and 24–1906 to be under the amended subtitle 1
52+“Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses” 2
53+ Section 24–1904 3
54+ Annotated Code of Maryland 4
55+ (2023 Replacement Volume and 2024 Supplement) 5
5856
59-BY repealing and reenacting, with amendments, 7
60- Article – Health – General 8
61-Section 24–1901 through 24–1904 and 24–1906 to be under the amended subtitle 9
62-“Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses” 10
63- Section 24–1904 11
64- Annotated Code of Maryland 12
65- (2023 Replacement Volume and 2024 Supplement) 13
57+BY adding to 6
58+ Article – Health – General 7
59+ Section 24–1904.1 8
60+ Annotated Code of Maryland 9
61+ (2023 Replacement Volume and 2024 Supplement) 10
6662
67-BY adding to 14
68- Article – Health – General 15
69- Section 24–1904.1 16
70- Annotated Code of Maryland 17
71- (2023 Replacement Volume and 2024 Supplement) 18
63+BY repealing and reenacting, without amendments, 11
64+ Article – Health – General 12
65+Section 24–1905 13
66+ Annotated Code of Maryland 14
67+ (2023 Replacement Volume and 2024 Supplement) 15
7268
73-BY repealing and reenacting, without amendments, 19
74- Article – Health – General 20
75-Section 241905 21
76- Annotated Code of Maryland 22
77- (2023 Replacement Volume and 2024 Supplement) 23
69+BY repealing and reenacting, without amendments, 16
70+ Article – Health Occupations 17
71+Section 8101(a) and 8–206(a) 18
72+ Annotated Code of Maryland 19
73+ (2021 Replacement Volume and 2024 Supplement) 20
7874
79-BY repealing and reenacting, without amendments, 24
80- Article – Health Occupations 25
81-Section 8–101(a) and 8–206(a) 26
82- Annotated Code of Maryland 27
83- (2021 Replacement Volume and 2024 Supplement) 28
75+BY adding to 21
76+ Article – Health Occupations 22
77+ Section 8–101(d–1) 23
78+ Annotated Code of Maryland 24
79+ (2021 Replacement Volume and 2024 Supplement) 25
8480
85-BY adding to 29
86- Article – Health Occupations 30
87- Section 8–101(d–1) 31
88- Annotated Code of Maryland 32
89- (2021 Replacement Volume and 2024 Supplement) 33
81+BY repealing and reenacting, with amendments, 26
82+ Article – Health Occupations 27
83+ Section 8–206(e)(1), 8–302, 8–307, 8–6A–14, 8–6B–30, 8–6C–26, and 8–802 28
84+ Annotated Code of Maryland 29
85+ (2021 Replacement Volume and 2024 Supplement) 30
9086
91-BY repealing and reenacting, with amendments, 34
92- Article – Health Occupations 35
93- Section 8206(e)(1), 8–302, 8–307, 8–6A–14, 8–6B–30, 8–6C–26, and 8802 36
94- Annotated Code of Maryland 37
95- (2021 Replacement Volume and 2024 Supplement) 38
87+BY repealing and reenacting, without with amendments, 31
88+ Article – Tax – General 32
89+Section 10739(b)(1) and 10739.1(b)(1) 33
90+ Annotated Code of Maryland 34
91+ (2022 Replacement Volume and 2024 Supplement) 35
9692
97-BY repealing and reenacting, without with amendments, 39
98- Article – Tax – General 40 HOUSE BILL 19 3
93+BY repealing and reenacting, with amendments, 36
94+Chapter 385 of the Acts of the General Assembly of 2016, as amended by Chapters 37
95+153 and 154 of the Acts of the General Assembly of 2021 38
96+ Section 2 39
97+ HOUSE BILL 19 3
9998
10099
101-Section 10–739(b)(1) and 10–739.1(b)(1) 1
102- Annotated Code of Maryland 2
103- (2022 Replacement Volume and 2024 Supplement) 3
100+BY repealing and reenacting, with amendments, 1
101+Chapter 386 of the Acts of the General Assembly of 2016, as amended by Chapters 2
102+153 and 154 of the Acts of the General Assembly of 2021 3
103+ Section 2 4
104104
105-BY repealing and reenacting, with amendments, 4
106-Chapter 385 of the Acts of the General Assembly of 2016, as amended by Chapters 5
107-153 and 154 of the Acts of the General Assembly of 2021 6
108- Section 2 7
105+BY repealing and reenacting, with amendments, 5
106+ Chapter 675 of the Acts of the General Assembly of 2022 6
107+ Section 5 7
109108
110109 BY repealing and reenacting, with amendments, 8
111-Chapter 386 of the Acts of the General Assembly of 2016, as amended by Chapters 9
112-153 and 154 of the Acts of the General Assembly of 2021 10
113- Section 2 11
110+ Chapter 222 of the Acts of the General Assembly of 2023 9
111+ Section 5 10
114112
115-BY repealing and reenacting, with amendments, 12
116- Chapter 675 of the Acts of the General Assembly of 2022 13
117- Section 5 14
113+BY repealing and reenacting, with amendments, 11
114+ Chapter 223 of the Acts of the General Assembly of 2023 12
115+ Section 5 13
118116
119-BY repealing and reenacting, with amendments, 15
120- Chapter 222 of the Acts of the General Assembly of 2023 16
121- Section 5 17
117+BY repealing and reenacting, with amendments, 14
118+ Chapter 818 of the Acts of the General Assembly of 2024 15
119+ Section 2 and 3 16
122120
123-BY repealing and reenacting, with amendments, 18
124- Chapter 223 of the Acts of the General Assembly of 2023 19
125- Section 5 20
121+BY repealing and reenacting, with amendments, 17
122+ Chapter 819 of the Acts of the General Assembly of 2024 18
123+ Section 2 and 3 19
126124
127-BY repealing and reenacting, with amendments, 21
128- Chapter 818 of the Acts of the General Assembly of 2024 22
129- Section 2 and 3 23
125+BY repealing 20
126+ Article – Health Occupations 21
127+Section 8–6A–14(g) 22
128+ Annotated Code of Maryland 23
129+ (2021 Replacement Volume and 2024 Supplement) 24
130+ (As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 25
130131
131-BY repealing and reenacting, with amendments, 24
132- Chapter 819 of the Acts of the General Assembly of 2024 25
133- Section 2 and 3 26
132+ SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 26
133+That the Laws of Maryland read as follows: 27
134134
135-BY repealing and reenacting, with amendments, 27
136- Article – Health Occupations 28
137- Section 8–6A–01(n)(2) and (o), 8–6A–05(c)(5), and 8–6A–07(c) 29
138- Annotated Code of Maryland 30
139- (2021 Replacement Volume and 2024 Supplement) 31
140- (As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 32
135+Article – Health – General 28
141136
142-BY repealing 33
143- Article – Health Occupations 34
144-Section 8–6A–14(g) 35
145- Annotated Code of Maryland 36
146- (2021 Replacement Volume and 2024 Supplement) 37
147- (As enacted by Chapters 818 and 819 of the Acts of the General Assembly of 2024) 38 4 HOUSE BILL 19
137+Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses [and Nursing 29
138+Support Staff]. 30
139+
140+24–1901. 31
141+
142+ (a) In this subtitle the following words have the meanings indicated. 32
143+
144+ (b) “Education loan” means any loan that is obtained for tuition, educational 33
145+expenses, or living expenses for State certification, undergraduate, or graduate study 34
146+leading to practice as a nurse [or nursing support staff]. 35 4 HOUSE BILL 19
148147
149148
150149
151- SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 1
152-That the Laws of Maryland read as follows: 2
150+ (c) “Fund” means the Maryland Loan Assistance Repayment Program Fund for 1
151+Nurses [and Nursing Support Staff]. 2
153152
154-Article – Health – General 3
153+ (d) “Nurse” includes: 3
155154
156-Subtitle 19. Maryland Loan Assistance Repayment Program for Nurses [and Nursing 4
157-Support Staff]. 5
155+ (1) An advanced practice registered nurse, as defined in § 8–101(b) of the 4
156+Health Occupations Article certified to practice as a nurse midwife or clinical nurse 5
157+specialist; 6
158158
159-24–1901. 6
159+ (2) A licensed practical nurse, as defined in § 8–101(h) of the Health 7
160+Occupations Article; 8
160161
161- (a) In this subtitle the following words have the meanings indicated. 7
162+ (3) A nurse anesthetist, as defined in § 8–101(k) of the Health Occupations 9
163+Article; 10
162164
163- (b) “Education loan” means any loan that is obtained for tuition, educational 8
164-expenses, or living expenses for State certification, undergraduate, or graduate study 9
165-leading to practice as a nurse [or nursing support staff]. 10
165+ (4) A registered nurse, as defined in § 8–101(p) of the Health Occupations 11
166+Article; and 12
166167
167- (c) “Fund” means the Maryland Loan Assistance Repayment Program Fund for 11
168-Nurses [and Nursing Support Staff]. 12
168+ (5) A registered nurse practitioner, as defined in § 8–101(q) of the Health 13
169+Occupations Article. 14
169170
170- (d) “Nurse” includes: 13
171+ (e) [Nursing support staff” includes: 15
171172
172- (1) An advanced practice registered nurse, as defined in § 8–101(b) of the 14
173-Health Occupations Article certified to practice as a nurse midwife or clinical nurse 15
174-specialist; 16
173+ (1) A certified medication technician, as defined in § 8–6A–01(j) of the 16
174+Health Occupations Article; 17
175175
176- (2) A licensed practical nurse, as defined in § 8–101(h) of the Health 17
177-Occupations Article; 18
176+ (2) A certified medicine aide, as defined in § 8–6A–01(k) of the Health 18
177+Occupations Article; 19
178178
179- (3) A nurse anesthetist, as defined in § 8–101(k) of the Health Occupations 19
180-Article; 20
179+ (3) A certified nursing assistant, as defined in § 8–6A–01(l) of the Health 20
180+Occupations Article; and 21
181181
182- (4) A registered nurse, as defined in § 8–101(p) of the Health Occupations 21
183-Article; and 22
182+ (4) A geriatric nursing assistant, as defined in § 8–6A–01(o) of the Health 22
183+Occupations Article. 23
184184
185- (5) A registered nurse practitioner, as defined in § 8–101(q) of the Health 23
186-Occupations Article. 24
185+ (f)] “Program” means the Maryland Loan Assistance Repayment Program for 24
186+Nurses [and Nursing Support Staff]. 25
187187
188- (e) [“Nursing support staff” includes: 25
188+24–1902. 26
189189
190- (1) A certified medication technician, as defined in § 8–6A–01(j) of the 26
191-Health Occupations Article; 27
190+ (a) (1) There is a Maryland Loan Assistance Repayment Program Fund for 27
191+Nurses [and Nursing Support Staff]. 28
192192
193- (2) A certified medicine aide, as defined in § 8–6A–01(k) of the Health 28
194-Occupations Article; 29
193+ (2) The Fund is a continuing, nonlapsing fund that is not subject to § 29
194+7–302 of the State Finance and Procurement Article. 30
195195 HOUSE BILL 19 5
196196
197197
198- (3) A certified nursing assistant, as defined in § 8–6A–01(l) of the Health 1
199-Occupations Article; and 2
198+ (3) The State Treasurer shall hold the Fund separately, and the 1
199+Comptroller shall account for the Fund. 2
200200
201- (4) A geriatric nursing assistant, as defined in § 8–6A–01(o) of the Health 3
202-Occupations Article. 4
201+ (4) The Fund shall be invested and reinvested in the same manner as other 3
202+State funds. 4
203203
204- (f)] “Program” means the Maryland Loan Assistance Repayment Program for 5
205-Nurses [and Nursing Support Staff]. 6
204+ (5) Any investment earnings of the Fund shall be paid into the Fund. 5
206205
207-24–1902. 7
206+ (b) The Fund consists of: 6
208207
209- (a) (1) There is a Maryland Loan Assistance Repayment Program Fund for 8
210-Nurses [and Nursing Support Staff]. 9
208+ (1) Revenue generated through a permanent funding structure 7
209+recommended to the General Assembly by a stakeholder workgroup convened by the 8
210+Department; 9
211211
212- (2) The Fund is a continuing, nonlapsing fund that is not subject to § 10
213-7–302 of the State Finance and Procurement Article. 11
212+ (2) Any available federal funds; 10
214213
215- (3) The State Treasurer shall hold the Fund separately, and the 12
216-Comptroller shall account for the Fund. 13
214+ (3) Interest earnings; and 11
217215
218- (4) The Fund shall be invested and reinvested in the same manner as other 14
219-State funds. 15
216+ (4) Any other money from any other source accepted for the benefit of the 12
217+Fund. 13
220218
221- (5) Any investment earnings of the Fund shall be paid into the Fund. 16
219+ (c) Expenditures from the Fund shall be made by an appropriation in the annual 14
220+State budget or by an approved budget amendment as provided under § 7–209 of the State 15
221+Finance and Procurement Article. 16
222222
223- (b) The Fund consists of: 17
223+ (d) The money in the Fund shall be used by the Office of the Comptroller to 17
224+administer the Program. 18
224225
225- (1) Revenue generated through a permanent funding structure 18
226-recommended to the General Assembly by a stakeholder workgroup convened by the 19
227-Department; 20
226+24–1903. 19
228227
229- (2) Any available federal funds; 21
228+ There is a Maryland Loan Assistance Repayment Program for Nurses [and Nursing 20
229+Support Staff]. 21
230230
231- (3) Interest earnings; and 22
231+24–1904. 22
232232
233- (4) Any other money from any other source accepted for the benefit of the 23
234-Fund. 24
233+ (a) (1) In this section, “eligible field of employment” means [employment]: 23
235234
236- (c) Expenditures from the Fund shall be made by an appropriation in the annual 25
237-State budget or by an approved budget amendment as provided under § 7–209 of the State 26
238-Finance and Procurement Article. 27
235+ (I) EMPLOYMENT by an organization, an institution, an 24
236+association, a society, or a corporation that is exempt from taxation under § 501(c)(3) or (4) 25
237+of the Internal Revenue Code of 1986; OR 26
239238
240- (d) The money in the Fund shall be used by the Office of the Comptroller to 28
241-administer the Program. 29
239+ (II) FOR–PROFIT EMPLOYMENT IN AN AREA OF THE STATE 27
240+IDENTIFIED BY THE DEPARTMENT AS HAVING A HEALTH CARE WORKFO RCE 28
241+SHORTAGE OR PUBLIC H EALTH NEED. 29
242+ 6 HOUSE BILL 19
242243
243-24–1903. 30 6 HOUSE BILL 19
244+
245+ (2) “Eligible field of employment” includes employment by the State or a 1
246+local government in the State. 2
247+
248+ (b) The Department shall use the Fund to assist in the repayment of the amount 3
249+of education loans owed by a nurse [or nursing support staff] who: 4
250+
251+ (1) Practices in an eligible field of employment; or 5
252+
253+ (2) Meets any other requirements established by the Department. 6
254+
255+ (c) Any unspent portions of the money that is transferred to the Department for 7
256+use under this subtitle may not be transferred to or revert to the General Fund of the State, 8
257+but shall remain in the Fund maintained by the Department to administer the Program. 9
258+
259+24–1904.1. 10
260+
261+ (A) IN ADDITION TO THE AS SISTANCE PROVIDED UN DER § 24–1904 OF THIS 11
262+SUBTITLE, THE DEPARTMENT MAY , SUBJECT TO THE AVAIL ABILITY OF MONEY IN 12
263+THE FUND, ASSIST IN THE REPAYM ENT OF AN EDUCATION LOAN OWED BY A NURSE 13
264+OR NURSING SUPPORT STAFF WHO: 14
265+
266+ (1) PRACTICES A MEDICAL S PECIALTY THAT HAS BE EN IDENTIFIED 15
267+BY THE DEPARTMENT AS BEING I N SHORTAGE IN THE GE OGRAPHIC AREA OF THE 16
268+STATE WHERE THE NURSE PRACTICES THAT SPECI ALTY; AND 17
269+
270+ (2) COMMITS TO PRACTICING IN THE AREA FOR A PERIOD OF TIME 18
271+DETERMINED BY THE DEPARTMENT . 19
272+
273+ (B) THE DEPARTMENT SHALL PRIO RITIZE FUNDING FOR T HE REPAYMENT 20
274+OF EDUCATION LOANS T HROUGH THE PROGRAM IN THE FOLLOW ING ORDER: 21
275+
276+ (1) NURSES OR NURSING SUPPORT S TAFF WHO MEET THE 22
277+REQUIREMENTS UNDER § 24–1904(B)(1) OF THIS SUBTITLE; 23
278+
279+ (2) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN PRIMAR Y 24
280+CARE IN A GEOGRAPHIC AREA WHERE THE DEPARTMENT HAS IDENTI FIED A 25
281+SHORTAGE OF NURSES OR NURSING SUPPORT S TAFF; AND 26
282+
283+ (3) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN A MEDI CAL 27
284+SPECIALTY OTHER THAN PRIMARY CARE IN A GE OGRAPHIC AREA WHERE THE 28
285+DEPARTMENT HAS IDENTI FIED A SHORTAGE OF T HAT SPECIALTY. 29
286+
287+24–1905. 30
288+ HOUSE BILL 19 7
289+
290+
291+ The Department shall adopt regulations to carry out the provisions of this subtitle, 1
292+including regulations that: 2
293+
294+ (1) With advice from a stakeholder workgroup convened by the 3
295+Department, establish priorities for funding the repayment of education loans through the 4
296+Program; 5
297+
298+ (2) Establish the maximum number of participants in the Program each 6
299+year in each priority area established under item (1) of this section; and 7
300+
301+ (3) Establish the minimum and maximum amount of loan repayment 8
302+assistance awarded under this subtitle in each priority area established under item (1) of 9
303+this section. 10
304+
305+24–1906. 11
306+
307+ On or before October 1, 2023, and each October 1 thereafter, the Department shall 12
308+report to the General Assembly, in accordance with § 2–1257 of the State Government 13
309+Article, on: 14
310+
311+ (1) The eligible nurses [and nursing support staff] who applied for the 15
312+Program, including information on: 16
313+
314+ (i) The practice of the nurse [or nursing support staff]; 17
315+
316+ (ii) The type and location of the site in which the nurse [or nursing 18
317+support staff] provided services; and 19
318+
319+ (iii) The geographic area served by the nurse [or nursing support 20
320+staff]; and 21
321+
322+ (2) The nurses [and nursing support staff] who participated in the 22
323+Program, including information on: 23
324+
325+ (i) The amount of assistance provided to each participant; 24
326+
327+ (ii) The practice of the participant; 25
328+
329+ (iii) The type and location of the site in which the participant 26
330+provided services; and 27
331+
332+ (iv) The geographic area served by the participant. 28
333+
334+Article – Health Occupations 29
335+
336+8–101. 30 8 HOUSE BILL 19
244337
245338
246339
247- There is a Maryland Loan Assistance Repayment Program for Nurses [and Nursing 1
248-Support Staff]. 2
340+ (a) In this title the following words have the meanings indicated. 1
249341
250-24–1904. 3
342+ (D–1) (1) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 2
343+MEANS A REGISTERED N URSING EDUCATION PRO GRAM THAT IS THE INI TIAL ENTRY 3
344+POINT FOR FORMAL REG ISTERED NURSING EDUC ATION THAT, ON SUCCESSFUL 4
345+COMPLETION , QUALIFIES AN INDIVID UAL WITH NO PRIOR REGISTERED NUR SING 5
346+EDUCATION TO OBTAIN LICENSURE AS A REGIS TERED NURSE . 6
251347
252- (a) (1) In this section, “eligible field of employment” means [employment]: 4
348+ (2) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 7
349+DOES NOT INCLUDE DEG REE COMPLETION PROGR AMS, INCLUDING: 8
253350
254- (I) EMPLOYMENT by an organization, an institution, an 5
255-association, a society, or a corporation that is exempt from taxation under § 501(c)(3) or (4) 6
256-of the Internal Revenue Code of 1986; OR 7
351+ (I) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 9
352+BACCALAUREATE OF SCIENCE DEGREE IN NURSING (AAS–BSN); 10
257353
258- (II) FOR–PROFIT EMPLOYMENT IN AN AREA OF THE STATE 8
259-IDENTIFIED BY THE DEPARTMENT AS HAVING A HEALTH CARE WORKFO RCE 9
260-SHORTAGE OR PUBLIC H EALTH NEED. 10
354+ (II) ASSOCIATE DEGREE IN NURSING TO BACCALAUREATE OF 11
355+SCIENCE DEGREE IN NURSING (ADN–BSN); 12
261356
262- (2) “Eligible field of employment” includes employment by the State or a 11
263-local government in the State. 12
357+ (III) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 13
358+MASTER OF SCIENCE DEGREE IN NURSING (AAS–MSN); 14
264359
265- (b) The Department shall use the Fund to assist in the repayment of the amount 13
266-of education loans owed by a nurse [or nursing support staff] who: 14
360+ (IV) ASSOCIATE DEGREE IN NURSING TO MASTER OF SCIENCE 15
361+DEGREE IN NURSING (ADN–MSN); 16
267362
268- (1) Practices in an eligible field of employment; or 15
363+ (V) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 17
364+MASTER OF SCIENCE DEGREE IN NURSING (BSN–MSN); 18
269365
270- (2) Meets any other requirements established by the Department. 16
366+ (VI) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 19
367+DOCTOR OF PHILOSOPHY (BSN–PHD); 20
271368
272- (c) Any unspent portions of the money that is transferred to the Department for 17
273-use under this subtitle may not be transferred to or revert to the General Fund of the State, 18
274-but shall remain in the Fund maintained by the Department to administer the Program. 19
369+ (VII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 21
370+DOCTOR OF EDUCATION (BSN–EDD); 22
275371
276-24–1904.1. 20
372+ (VIII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 23
373+DOCTOR OF NURSING PRACTICE (BSN–DNP); 24
277374
278- (A) IN ADDITION TO THE AS SISTANCE PROVIDED UN DER § 24–1904 OF THIS 21
279-SUBTITLE, THE DEPARTMENT MAY , SUBJECT TO THE AVAIL ABILITY OF MONEY IN 22
280-THE FUND, ASSIST IN THE REPAYM ENT OF AN EDUCATION LOAN OWED BY A NURSE 23
281-OR NURSING S UPPORT STAFF WHO: 24
375+ (IX) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 25
376+PHILOSOPHY (MSN–PHD); 26
282377
283- (1) PRACTICES A MEDICAL S PECIALTY THAT HAS BE EN IDENTIFIED 25
284-BY THE DEPARTMENT AS BEING I N SHORTAGE IN THE GE OGRAPHIC AREA OF THE 26
285-STATE WHERE THE NURSE PRACTICES THAT SPECI ALTY; AND 27
378+ (X) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 27
379+EDUCATION (MSN–EDD); 28
286380
287- (2) COMMITS TO PRACTICING IN THE AREA FOR A PE RIOD OF TIME 28
288-DETERMINED BY THE DEPARTMENT . 29
289- HOUSE BILL 19 7
290-
291-
292- (B) THE DEPARTMENT SHALL PRIO RITIZE FUNDING FOR T HE REPAYMENT 1
293-OF EDUCATION LOANS T HROUGH THE PROGRAM IN THE FOLLOW ING ORDER: 2
294-
295- (1) NURSES OR NURSING SUPPORT S TAFF WHO MEET THE 3
296-REQUIREMENTS UNDER § 24–1904(B)(1) OF THIS SUBTITLE; 4
297-
298- (2) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN PRIMAR Y 5
299-CARE IN A GEOGRAPHIC AREA WHERE THE DEPARTMENT HAS IDENTI FIED A 6
300-SHORTAGE OF NURSES OR NURSING SUPPORT S TAFF; AND 7
301-
302- (3) NURSES OR NURSING SUPPORT S TAFF PRACTICING IN A MEDI CAL 8
303-SPECIALTY OTHER THAN PRIMARY CARE IN A GE OGRAPHIC AREA WHERE THE 9
304-DEPARTMENT HAS IDENTI FIED A SHORTAGE OF T HAT SPECIALTY. 10
305-
306-24–1905. 11
307-
308- The Department shall adopt regulations to carry out the provisions of this subtitle, 12
309-including regulations that: 13
310-
311- (1) With advice from a stakeholder workgroup convened by the 14
312-Department, establish priorities for funding the repayment of education loans through the 15
313-Program; 16
314-
315- (2) Establish the maximum number of participants in the Program each 17
316-year in each priority area established under item (1) of this section; and 18
317-
318- (3) Establish the minimum and maximum amount of loan repayment 19
319-assistance awarded under this subtitle in each priority area established under item (1) of 20
320-this section. 21
321-
322-24–1906. 22
323-
324- On or before October 1, 2023, and each October 1 thereafter, the Department shall 23
325-report to the General Assembly, in accordance with § 2–1257 of the State Government 24
326-Article, on: 25
327-
328- (1) The eligible nurses [and nursing support staff] who applied for the 26
329-Program, including information on: 27
330-
331- (i) The practice of the nurse [or nursing support staff]; 28
332-
333- (ii) The type and location of the site in which the nurse [or nursing 29
334-support staff] provided services; and 30
335- 8 HOUSE BILL 19
336-
337-
338- (iii) The geographic area served by the nurse [or nursing support 1
339-staff]; and 2
340-
341- (2) The nurses [and nursing support staff] who participated in the 3
342-Program, including information on: 4
343-
344- (i) The amount of assistance provided to each participant; 5
345-
346- (ii) The practice of the participant; 6
347-
348- (iii) The type and location of the site in which the participant 7
349-provided services; and 8
350-
351- (iv) The geographic area served by the participant. 9
352-
353-Article – Health Occupations 10
354-
355-8–101. 11
356-
357- (a) In this title the following words have the meanings indicated. 12
358-
359- (D–1) (1) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 13
360-MEANS A REGISTERED N URSING EDUCATION PRO GRAM THAT IS THE INI TIAL ENTRY 14
361-POINT FOR FORMAL REG ISTERED NURSING EDUC ATION THAT, ON SUCCESSFUL 15
362-COMPLETION , QUALIFIES AN INDIVID UAL WITH NO P RIOR REGISTERED NURS ING 16
363-EDUCATION TO OBTAIN LICENSURE AS A REGIS TERED NURSE . 17
364-
365- (2) “ENTRY–LEVEL REGISTERED NUR SING EDUCATION PROGR AM” 18
366-DOES NOT INCLUDE DEG REE COMPLETION PROGR AMS, INCLUDING: 19
367-
368- (I) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 20
369-BACCALAUREATE OF SCIENCE DEGREE IN NURSING (AAS–BSN); 21
370-
371- (II) ASSOCIATE DEGREE IN NURSING TO BACCALAUREATE OF 22
372-SCIENCE DEGREE IN NURSING (ADN–BSN); 23
373-
374- (III) ASSOCIATE OF APPLIED SCIENCE DEGREE IN NURSING TO 24
375-MASTER OF SCIENCE DEGREE IN NURSING (AAS–MSN); 25
376-
377- (IV) ASSOCIATE DEGREE IN NURSING TO MASTER OF SCIENCE 26
378-DEGREE IN NURSING (ADN–MSN); 27
379-
380- (V) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 28
381-MASTER OF SCIENCE DEGREE IN NURSING (BSN–MSN); 29
381+ (XI) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 29
382+NURSING PRACTICE (MSN–DNP); AND 30
382383 HOUSE BILL 19 9
383384
384385
385- (VI) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 1
386-DOCTOR OF PHILOSOPHY (BSN–PHD); 2
386+ (XII) MASTER OF SCIENCE DEGREE IN NURSING TO POST 1
387+MASTERS CERTIFICATE/POST GRADUATE CERTIFICATE. 2
387388
388- (VII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 3
389-DOCTOR OF EDUCATION (BSN–EDD); 4
389+8–206. 3
390390
391- (VIII) BACCALAUREATE OF SCIENCE DEGREE IN NURSING TO 5
392-DOCTOR OF NURSING PRACTICE (BSN–DNP); 6
391+ (a) There is a Board of Nursing Fund. 4
393392
394- (IX) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 7
395-PHILOSOPHY (MSN–PHD); 8
393+ (e) (1) [(i)] The Board of Nursing Fund shall be used exclusively to cover the 5
394+actual documented direct and indirect costs of fulfilling the statutory and regulatory duties 6
395+of the Board as provided by the provisions of this title. 7
396396
397- (X) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 9
398-EDUCATION (MSN–EDD); 10
397+ [(ii) The Board of Nursing Fund may not be used to pay for 8
398+infrastructure operations, as defined in § 1–203(b) of this article.] 9
399399
400- (XI) MASTER OF SCIENCE DEGREE IN NURSING TO DOCTOR OF 11
401-NURSING PRACTICE (MSN–DNP); AND 12
400+8–302. 10
402401
403- (XII) MASTER OF SCIENCE DEGREE IN NURSING TO POST 13
404-MASTERS CERTIFICATE/POST GRADUATE CERTIFICATE. 14
402+ (a) Except as otherwise provided in this title, to qualify for a license, an applicant 11
403+shall be an individual who submits to a criminal history records check in accordance with 12
404+§ 8–303 of this subtitle and meets the requirements of this section. 13
405405
406-8–206. 15
406+ (b) An applicant for a license to practice registered nursing shall complete 14
407+satisfactorily and meet all requirements for a diploma or degree from: 15
407408
408- (a) There is a Board of Nursing Fund. 16
409+ (1) [A] AN ENTRY–LEVEL registered nursing education program approved 16
410+by the Board; or 17
409411
410- (e) (1) [(i)] The Board of Nursing Fund shall be used exclusively to cover the 17
411-actual documented direct and indirect costs of fulfilling the statutory and regulatory duties 18
412-of the Board as provided by the provisions of this title. 19
412+ (2) An ENTRY–LEVEL REGISTERED NUR SING education program [in 18
413+registered nursing] in any other state or country that the Board finds substantially 19
414+equivalent to the education program in this State at the time of the applicant’s graduation. 20
413415
414- [(ii) The Board of Nursing Fund may not be used to pay for 20
415-infrastructure operations, as defined in § 1–203(b) of this article.] 21
416+ (c) An applicant for a license to practice licensed practical nursing shall: 21
416417
417-8–302. 22
418+ (1) Meet all requirements for a high school diploma or its equivalent; and 22
418419
419- (a) Except as otherwise provided in this title, to qualify for a license, an applicant 23
420-shall be an individual who submits to a criminal history records check in accordance with 24
421-§ 8–303 of this subtitle and meets the requirements of this section. 25
420+ (2) Complete satisfactorily and meet all requirements for a diploma from: 23
422421
423- (b) An applicant for a license to practice registered nursing shall complete 26
424-satisfactorily and meet all requirements for a diploma or degree from: 27
422+ (i) A licensed practical nursing education program or its equivalent 24
423+approved by the Board; or 25
425424
426- (1) [A] AN ENTRY–LEVEL registered nursing education program approved 28
427-by the Board; or 29
428- 10 HOUSE BILL 19
425+ (ii) An education program in licensed practical nursing in any other 26
426+state or country that the Board finds substantially equivalent to the education program in 27
427+this State at the time of the applicant’s graduation. 28
428+
429+ (d) Except as otherwise provided in this title, the applicant shall pass an 29
430+examination developed by the National Council of State Boards of Nursing and 30
431+administered at a testing site approved by the National Council. 31 10 HOUSE BILL 19
429432
430433
431- (2) An ENTRY–LEVEL REGISTERED NUR SING education program [in 1
432-registered nursing] in any other state or country that the Board finds substantially 2
433-equivalent to the education program in this State at the time of the applicant’s graduation. 3
434434
435- (c) An applicant for a license to practice licensed practical nursing shall: 4
435+ (e) (1) Except as otherwise provided in this subsection, the Board shall require 1
436+as part of its examination or licensing procedures that an applicant for a license to practice 2
437+registered nursing or licensed practical nursing demonstrate a written and oral competency 3
438+in the English language. 4
436439
437- (1) Meet all requirements for a high school diploma or its equivalent; and 5
440+ (2) Acceptable proof of proficiency in the communication of the English 5
441+language under this section includes: 6
438442
439- (2) Complete satisfactorily and meet all requirements for a diploma from: 6
443+ (i) After at least 3 years of enrollment, graduation from a recognized 7
444+English–speaking undergraduate school; 8
440445
441- (i) A licensed practical nursing education program or its equivalent 7
442-approved by the Board; or 8
446+ (ii) Graduation from a recognized English–speaking professional 9
447+school; or 10
443448
444- (ii) An education program in licensed practical nursing in any other 9
445-state or country that the Board finds substantially equivalent to the education program in 10
446-this State at the time of the applicant’s graduation. 11
449+ (iii) Completion of at least 5 years of practicing nursing in another 11
450+state or English–speaking territory of the United States. 12
447451
448- (d) Except as otherwise provided in this title, the applicant shall pass an 12
449-examination developed by the National Council of State Boards of Nursing and 13
450-administered at a testing site approved by the National Council. 14
452+ (3) If any disciplinary charge or action that involves a problem with 13
453+communicating in the English language is brought against a licensee under this title, the 14
454+Board shall require the licensee to take and pass a Board approved standardized test of 15
455+English language competency. 16
451456
452- (e) (1) Except as otherwise provided in this subsection, the Board shall require 15
453-as part of its examination or licensing procedures that an applicant for a license to practice 16
454-registered nursing or licensed practical nursing demonstrate a written and oral competency 17
455-in the English language. 18
457+ (4) The Board may not require that an applicant for a license to practice 17
458+registered nursing or licensed practical nursing who was previously licensed in any other 18
459+state to practice registered nursing or licensed practical nursing to demonstrate 19
460+competency in the English language as part of its examination or licensing procedures if 20
461+the other state has a similar English language competency component as part of its 21
462+examination or licensing procedures. 22
456463
457- (2) Acceptable proof of proficiency in the communication of the English 19
458-language under this section includes: 20
464+ (5) (i) The Board may issue a temporary license to any applicant for a 23
465+license to practice registered nursing or licensed practical nursing who was previously 24
466+licensed in any other state to practice registered nursing or licensed practical nursing and 25
467+who, except for the competency in the English language component, is otherwise qualified 26
468+for a license. 27
459469
460- (i) After at least 3 years of enrollment, graduation from a recognized 21
461-English–speaking undergraduate school; 22
470+ (ii) A temporary license issued under this subsection is valid only 28
471+until the date when the next test to demonstrate competency in the English language is 29
472+given. 30
462473
463- (ii) Graduation from a recognized English–speaking professional 23
464-school; or 24
474+ (f) An applicant for a license under this section shall be good moral character. 31
465475
466- (iii) Completion of at least 5 years of practicing nursing in another 25
467-state or English–speaking territory of the United States. 26
476+8–307. 32
468477
469- (3) If any disciplinary charge or action that involves a problem with 27
470-communicating in the English language is brought against a licensee under this title, the 28
471-Board shall require the licensee to take and pass a Board approved standardized test of 29
472-English language competency. 30
473-
474- (4) The Board may not require that an applicant for a license to practice 31
475-registered nursing or licensed practical nursing who was previously licensed in any other 32
476-state to practice registered nursing or licensed practical nursing to demonstrate 33
477-competency in the English language as part of its examination or licensing procedures if 34 HOUSE BILL 19 11
478+ (a) Subject to the provisions of this section, the Board may issue a license by 33
479+endorsement and waive any appropriate examination requirement of this title for an 34 HOUSE BILL 19 11
478480
479481
480-the other state has a similar English language competency component as part of its 1
481-examination or licensing procedures. 2
482+applicant who has an active unencumbered license to practice registered nursing or 1
483+licensed practical nursing in any other state or country. 2
482484
483- (5) (i) The Board may issue a temporary license to any applicant for a 3
484-license to practice registered nursing or licensed practical nursing who was previously 4
485-licensed in any other state to practice registered nursing or licensed practical nursing and 5
486-who, except for the competency in the English language component, is otherwise qualified 6
487-for a license. 7
485+ (b) The Board may issue a license by endorsement under this section only if the 3
486+applicant: 4
488487
489- (ii) A temporary license issued under this subsection is valid only 8
490-until the date when the next test to demonstrate competency in the English language is 9
491-given. 10
488+ (1) Submits to the Board an application on the form that the Board 5
489+requires; 6
492490
493- (f) An applicant for a license under this section shall be good moral character. 11
491+ (2) Submits to a criminal history records check in accordance with § 8–303 7
492+of this subtitle; 8
494493
495-8–307. 12
494+ (3) Pays the application fee set by the Board under § 8–304 of this subtitle; 9
495+and 10
496496
497- (a) Subject to the provisions of this section, the Board may issue a license by 13
498-endorsement and waive any appropriate examination requirement of this title for an 14
499-applicant who has an active unencumbered license to practice registered nursing or 15
500-licensed practical nursing in any other state or country. 16
497+ (4) [Provides] EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS 11
498+SECTION, PROVIDES adequate evidence that: 12
501499
502- (b) The Board may issue a license by endorsement under this section only if the 17
503-applicant: 18
500+ (i) At the time the applicant graduated from a nursing education 13
501+program approved in the other state or country, the [applicant met the educational 14
502+qualifications then required by the laws of] PROGRAM WAS SUBSTANT IALLY 15
503+EQUIVALENT TO THE ED UCATION PROGRAM APPR OVED IN this State; 16
504504
505- (1) Submits to the Board an application on the form that the Board 19
506-requires; 20
505+ (ii) At the time the applicant became licensed or registered in the 17
506+other state or country, the applicant passed in that or any other state or country an 18
507+examination that was similar to the examination that then was given in this State; and 19
507508
508- (2) Submits to a criminal history records check in accordance with § 8–303 21
509-of this subtitle; 22
509+ (iii) The applicant meets the qualifications otherwise required by this 20
510+title. 21
510511
511- (3) Pays the application fee set by the Board under § 8–304 of this subtitle; 23
512-and 24
512+ (C) (1) AN APPLICANT FOR LICE NSURE AS A REGISTERE D NURSE BY 22
513+ENDORSEMENT WHO CANN OT PROVIDE THE EVIDE NCE REQUIRED UNDER 23
514+SUBSECTION (B)(4)(I) OF THIS SECTION MAY QUALIFY FOR LICENSUR E AS A 24
515+REGISTERED NURSE BY ENDORSEMENT IF THE APPLICANT MEE TS THE 25
516+REQUIREMENTS OF PARA GRAPH (2) OF THIS SUBSECTION . 26
513517
514- (4) [Provides] EXCEPT AS PROVIDED IN SUBSECTION (C) OF THIS 25
515-SECTION, PROVIDES adequate evidence that: 26
518+ (2) AN APPLICANT MAY QUAL IFY FOR LICENSURE AS A REGISTERED 27
519+NURSE BY ENDORSEMENT IF THE APPLICANT HAS : 28
516520
517- (i) At the time the applicant graduated from a nursing education 27
518-program approved in the other state or country, the [applicant met the educational 28
519-qualifications then required by the laws of] PROGRAM WAS SUBSTANT IALLY 29
520-EQUIVALENT TO THE ED UCATION PROGRAM APPR OVED IN this State; 30
521-
522- (ii) At the time the applicant became licensed or registered in the 31
523-other state or country, the applicant passed in that or any other state or country an 32
524-examination that was similar to the examination that then was given in this State; and 33
521+ (I) COMPLETED SATISFACTOR ILY AND MET ALL 29
522+REQUIREMENTS FOR AN ASSOCIATE OR A BACCALAUREATE DEGR EE IN REGISTERED 30
523+NURSING FROM A COLLE GE OR UNIVERSITY THA T, AT THE TIME OF THE A PPLICANT’S 31
524+GRADUATION , IS: 32
525525 12 HOUSE BILL 19
526526
527527
528- (iii) The applicant meets the qualifications otherwise required by this 1
529-title. 2
528+ 1. ACCREDITED BY A NATIO NAL OR REGIONAL NURS ING 1
529+ACCREDITATION AGENCY THAT IS RECOGNIZED B Y THE SECRETARY OF THE U.S. 2
530+DEPARTMENT OF EDUCATION OR THE COUNCIL FOR HIGHER EDUCATION 3
531+ACCREDITATION ; AND 4
530532
531- (C) (1) AN APPLICANT FOR LICE NSURE AS A REGISTERE D NURSE BY 3
532-ENDORSEMENT WHO CANN OT PROVIDE THE EVIDE NCE REQUIRED UNDER 4
533-SUBSECTION (B)(4)(I) OF THIS SECTION MAY QUALIFY FOR LICENSURE A S A 5
534-REGISTERED NURSE BY ENDORSEMENT IF THE A PPLICANT MEETS THE 6
535-REQUIREMENTS OF PARA GRAPH (2) OF THIS SUBSECTION . 7
533+ 2. APPROVED BY THE BOARD OF NURSING OR OTHER 5
534+APPLICABLE STATE REG ULATOR IN THE STATE IN WHICH THE PROGRAM IS 6
535+LOCATED; AND 7
536536
537- (2) AN APPLICANT MAY QUAL IFY FOR LICENSURE AS A REGISTERED 8
538-NURSE BY ENDORSEMENT IF THE APPLICANT HAS : 9
537+ (II) COMPLETED A MINIMUM NUMBER OF DIRECT PAT IENT 8
538+CARE PRACTICE HOURS AS REQUIRED BY REGUL ATIONS ADOPTED BY TH E BOARD. 9
539539
540- (I) COMPLETED SATISFACTORILY AND M ET ALL 10
541-REQUIREMENTS FOR AN ASSOCIATE OR A BACCALAUREATE DEGR EE IN REGISTERED 11
542-NURSING FROM A COLLE GE OR UNIVERSITY THA T, AT THE TIME OF THE A PPLICANT’S 12
543-GRADUATION , IS: 13
540+8–6A–14. 10
544541
545- 1. ACCREDITED BY A NATIO NAL OR REGIONAL NURS ING 14
546-ACCREDITATION AGENCY THAT IS RECOGNIZED B Y THE SECRETARY OF THE U.S. 15
547-DEPARTMENT OF EDUCATION OR THE COUNCIL FOR HIGHER EDUCATION 16
548-ACCREDITATION ; AND 17
542+ (a) The Board, in conjunction with the Maryland Higher Education Commission, 11
543+shall approve each nursing assistant training program prior to its implementation and 12
544+provide periodic survey of all programs in the State. 13
549545
550- 2. APPROVED BY THE BOARD OF NURSING OR OTHER 18
551-APPLICABLE S TATE REGULATOR IN TH E STATE IN WHICH THE PROGRAM IS 19
552-LOCATED; AND 20
546+ (b) The Board in conjunction with the Department, Maryland Higher Education 14
547+Commission, and the affected industry shall develop regulations for nursing assistant 15
548+training programs. 16
553549
554- (II) COMPLETED A MINIMUM N UMBER OF DIRECT PATI ENT 21
555-CARE PRACTICE HOURS AS REQUIRED BY REGUL ATIONS ADOPTED BY TH E BOARD. 22
550+ (c) The curriculum content for an approved nursing assistant training program 17
551+shall include: 18
556552
557-8–6A–14. 23
553+ (1) Content consistent with State licensing requirements in the Health – 19
554+General Article and all federal requirements; 20
558555
559- (a) The Board, in conjunction with the Maryland Higher Education Commission, 24
560-shall approve each nursing assistant training program prior to its implementation and 25
561-provide periodic survey of all programs in the State. 26
556+ (2) All basic skills required of a nursing assistant regardless of the setting 21
557+of the practice; and 22
562558
563- (b) The Board in conjunction with the Department, Maryland Higher Education 27
564-Commission, and the affected industry shall develop regulations for nursing assistant 28
565-training programs. 29
559+ (3) Any skills required for certification in a specific category. 23
566560
567- (c) The curriculum content for an approved nursing assistant training program 30
568-shall include: 31
561+ (d) Any additional clinical practice skills specific to a setting of practice shall be 24
562+taught in that setting as a part of the employment training process in that setting. 25
569563
570- (1) Content consistent with State licensing requirements in the Health – 32
571-General Article and all federal requirements; 33
572- HOUSE BILL 19 13
564+ (e) The Board may make survey visits from time to time, without prior notice, to 26
565+all certified nursing assistant training programs. 27
566+
567+ (f) The provisions of this section may not be interpreted to impose additional 28
568+requirements for geriatric nursing assistants beyond those required under federal law. 29
569+
570+ [(g) The Board shall approve the use of a nursing assistant training site by a 30
571+nursing assistant training program within 45 days after the nursing assistant training 31
572+program applies for approval if the nursing assistant training program had previously been 32
573+approved to use the training site by the Board.] 33 HOUSE BILL 19 13
573574
574575
575- (2) All basic skills required of a nursing assistant regardless of the setting 1
576-of the practice; and 2
577576
578- (3) Any skills required for certification in a specific category. 3
577+8–6B–30. 1
579578
580- (d) Any additional clinical practice skills specific to a setting of practice shall be 4
581-taught in that setting as a part of the employment training process in that setting. 5
579+ Subject to the evaluation and reestablishment provisions of the Maryland Program 2
580+Evaluation Act, and subject to the termination of this title under § 8–802 of this title, this 3
581+subtitle and all rules and regulations adopted under this subtitle shall terminate and be of 4
582+no effect after July 1, [2025] 2030. 5
582583
583- (e) The Board may make survey visits from time to time, without prior notice, to 6
584-all certified nursing assistant training programs. 7
584+8–6C–26. 6
585585
586- (f) The provisions of this section may not be interpreted to impose additional 8
587-requirements for geriatric nursing assistants beyond those required under federal law. 9
586+ Subject to the evaluation and reestablishment provisions of the Maryland Program 7
587+Evaluation Act, and subject to the termination of this subtitle under § 8–802 of this title, 8
588+this subtitle and all regulations adopted under this subtitle shall terminate and be of no 9
589+effect after July 1, [2025] 2030. 10
588590
589- [(g) The Board shall approve the use of a nursing assistant training site by a 10
590-nursing assistant training program within 45 days after the nursing assistant training 11
591-program applies for approval if the nursing assistant training program had previously been 12
592-approved to use the training site by the Board.] 13
591+8–802. 11
593592
594-8–6B–30. 14
593+ Subject to the evaluation and reestablishment provisions of the Program Evaluation 12
594+Act, the provisions of this title and of any rule or regulation adopted under this title shall 13
595+terminate and be of no effect after July 1, [2025] 2030. 14
595596
596- Subject to the evaluation and reestablishment provisions of the Maryland Program 15
597-Evaluation Act, and subject to the termination of this title under § 8–802 of this title, this 16
598-subtitle and all rules and regulations adopted under this subtitle shall terminate and be of 17
599-no effect after July 1, [2025] 2030. 18
597+Article – Tax – General 15
600598
601-86C–26. 19
599+10739. 16
602600
603- Subject to the evaluation and reestablishment provisions of the Maryland Program 20
604-Evaluation Act, and subject to the termination of this subtitle under § 8–802 of this title, 21
605-this subtitle and all regulations adopted under this subtitle shall terminate and be of no 22
606-effect after July 1, [2025] 2030. 23
601+ (b) (1) Subject to the limitations of this section, a nurse practitioner or licensed 17
602+physician may claim a credit against the State income tax in the amount stated on the tax 18
603+credit certificate issued under subsection (c) of this section for the taxable year in which 19
604+the nurse practitioner or licensed physician served without compensation as a preceptor in 20
605+a preceptorship program approved by the State Board of Nursing and worked: 21
607606
608-8–802. 24
607+ (i) a minimum of three rotations, each consisting of at least 100 90 22
608+hours of community–based clinical training; and 23
609609
610- Subject to the evaluation and reestablishment provisions of the Program Evaluation 25
611-Act, the provisions of this title and of any rule or regulation adopted under this title shall 26
612-terminate and be of no effect after July 1, [2025] 2030. 27
610+ (ii) in an area of the State identified as having a health care 24
611+workforce shortage by the Department, in consultation with the Governor’s Workforce 25
612+Development Board. 26
613613
614-Article – Tax – General 28
614+10–739.1. 27
615615
616-10–739. 29
617-
618- (b) (1) Subject to the limitations of this section, a nurse practitioner or licensed 30
619-physician may claim a credit against the State income tax in the amount stated on the tax 31
620-credit certificate issued under subsection (c) of this section for the taxable year in which 32 14 HOUSE BILL 19
616+ (b) (1) Subject to the limitations of this section, a licensed practical nurse, 28
617+advanced practice registered nurse, or registered nurse may claim a credit against the State 29
618+income tax in the amount stated on the tax credit certificate issued under subsection (c) of 30
619+this section for the taxable year in which the licensed practical nurse, advanced practice 31
620+registered nurse, or registered nurse served without compensation as a preceptor in a 32
621+preceptorship program approved by the State Board of Nursing and worked: 33
622+ 14 HOUSE BILL 19
621623
622624
623-the nurse practitioner or licensed physician served without compensation as a preceptor in 1
624-a preceptorship program approved by the State Board of Nursing and worked: 2
625+ (i) a minimum of three rotations, each consisting of at least 100 90 1
626+hours of community–based clinical training; and 2
625627
626- (i) a minimum of three rotations, each consisting of at least 100 90 3
627-hours of community–based clinical training; and 4
628+ (ii) in an area of the State identified as having a health care 3
629+workforce shortage by the Department, in consultation with the Governor’s Workforce 4
630+Development Board. 5
628631
629- (ii) in an area of the State identified as having a health care 5
630-workforce shortage by the Department, in consultation with the Governor’s Workforce 6
631-Development Board. 7
632+Chapter 385 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 6
633+of 2021 7
632634
633-10–739.1. 8
635+ SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 8
636+1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 9
637+shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 10
638+with no further action required by the General Assembly, this Act shall be abrogated and 11
639+of no further force and effect. 12
634640
635- (b) (1) Subject to the limitations of this section, a licensed practical nurse, 9
636-advanced practice registered nurse, or registered nurse may claim a credit against the State 10
637-income tax in the amount stated on the tax credit certificate issued under subsection (c) of 11
638-this section for the taxable year in which the licensed practical nurse, advanced practice 12
639-registered nurse, or registered nurse served without compensation as a preceptor in a 13
640-preceptorship program approved by the State Board of Nursing and worked: 14
641+Chapter 386 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 13
642+of 2021 14
641643
642- (i) a minimum of three rotations, each consisting of at least 100 90 15
643-hours of community–based clinical training; and 16
644+ SECTION 2. AND BE IT FURTHER ENACTED, T hat this Act shall take effect July 15
645+1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 16
646+shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 17
647+with no further action required by the General Assembly, this Act shall be abrogated and 18
648+of no further force and effect. 19
644649
645- (ii) in an area of the State identified as having a health care 17
646-workforce shortage by the Department, in consultation with the Governor’s Workforce 18
647-Development Board. 19
650+Chapter 675 of the Acts of 2022 20
648651
649-Chapter 385 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 20
650-of 2021 21
652+ SECTION 5. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 21
653+effect July 1, 2022, and shall be applicable to all taxable years beginning after December 22
654+31, 2021, but before January 1, [2025] 2030. Section 2 of this Act shall remain effective for 23
655+a period of 3 years and, at the end of June 30, [2025] 2030, Section 2 of this Act, with no 24
656+further action required by the General Assembly, shall be abrogated and of no further force 25
657+and effect. 26
651658
652- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 22
653-1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 23
654-shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 24
655-with no further action required by the General Assembly, this Act shall be abrogated and 25
656-of no further force and effect. 26
659+Chapter 222 of the Acts of 2023 27
657660
658-Chapter 386 of the Acts of 2016, as amended by Chapters 153 and 154 of the Acts 27
659-of 2021 28
661+ SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 28
662+measure, is necessary for the immediate preservation of the public health or safety, has 29
663+been passed by a yea and nay vote supported by three–fifths of all the members elected to 30
664+each of the two Houses of the General Assembly, and shall take effect from the date it is 31
665+enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 32
666+the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 33
667+the General Assembly, shall be abrogated and of no further force and effect. 34
660668
661- SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 29
662-1, 2016, and shall be applicable to all taxable years beginning after December 31, 2015. It 30
663-shall remain effective for a period of [10] 14 years and, at the end of June 30, [2026] 2030, 31
664-with no further action required by the General Assembly, this Act shall be abrogated and 32
665-of no further force and effect. 33
666-
667-Chapter 675 of the Acts of 2022 34
669+Chapter 223 of the Acts of 2023 35
668670 HOUSE BILL 19 15
669671
670672
671- SECTION 5. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 1
672-effect July 1, 2022, and shall be applicable to all taxable years beginning after December 2
673-31, 2021, but before January 1, [2025] 2030. Section 2 of this Act shall remain effective for 3
674-a period of 3 years and, at the end of June 30, [2025] 2030, Section 2 of this Act, with no 4
675-further action required by the General Assembly, shall be abrogated and of no further force 5
676-and effect. 6
673+ SECTION 5. AND BE IT FURTHER ENAC TED, That this Act is an emergency 1
674+measure, is necessary for the immediate preservation of the public health or safety, has 2
675+been passed by a yea and nay vote supported by three–fifths of all the members elected to 3
676+each of the two Houses of the General Assembly, and shall take effect from the date it is 4
677+enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 5
678+the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 6
679+the General Assembly, shall be abrogated and of no further force and effect. 7
677680
678-Chapter 222 of the Acts of 2023 7
681+Chapter 818 of the Acts of 2024 8
679682
680- SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 8
681-measure, is necessary for the immediate preservation of the public health or safety, has 9
682-been passed by a yea and nay vote supported by three–fifths of all the members elected to 10
683-each of the two Houses of the General Assembly, and shall take effect from the date it is 11
684-enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 12
685-the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 13
686-the General Assembly, shall be abrogated and of no further force and effect. 14
683+ SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June 1, [2025] 9
684+2026, the State Board of Nursing shall: 10
687685
688-Chapter 223 of the Acts of 2023 15
686+ (1) notify individuals who possess a nursing assistant certification of the 11
687+licensing requirements established under Section 1 of this Act; and 12
689688
690- SECTION 5. AND BE IT FURTHER ENACTED, That this Act is an emergency 16
691-measure, is necessary for the immediate preservation of the public health or safety, has 17
692-been passed by a yea and nay vote supported by three–fifths of all the members elected to 18
693-each of the two Houses of the General Assembly, and shall take effect from the date it is 19
694-enacted. Section 2 of this Act shall remain effective through June 30, [2025] 2030, and, at 20
695-the end of June 30, [2025] 2030, Section 2 of this Act, with no further action required by 21
696-the General Assembly, shall be abrogated and of no further force and effect. 22
689+ (2) in consultation with the Office of Health Care Quality, update 13
690+regulations to conform with Section 1 of this Act. 14
697691
698-Chapter 818 of the Acts of 2024 23
692+ SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 15
693+effect October 1, [2025] 2026. 16
699694
700- SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June JANUARY 24
701-1, [2025] 2026, the State Board of Nursing shall: 25
695+Chapter 819 of the Acts of 2024 17
702696
703- (1) notify individuals who possess a nursing assistant certification of the 26
704-licensing requirements established under Section 1 of this Act; and 27
697+ SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June 1, [2025] 18
698+2026, the State Board of Nursing shall: 19
705699
706- (2) in consultation with the Office of Health Care Quality, update 28
707-regulations to conform with Section 1 of this Act. 29
700+ (1) notify individuals who possess a nursing assistant certification of the 20
701+licensing requirements established under Section 1 of this Act; and 21
708702
709- SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 30
710-effect October APRIL 1, [2025] 2026. 31
703+ (2) in consultation with the Office of Health Care Quality, update 22
704+regulations to conform with Section 1 of this Act. 23
711705
712-Chapter 819 of the Acts of 2024 32
706+ SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 24
707+effect October 1, [2025] 2026. 25
713708
714- SECTION 2. AND BE IT FURTHER ENACTED, That, on or before June JANUARY 33
715-1, [2025] 2026, the State Board of Nursing shall: 34
716- 16 HOUSE BILL 19
709+ SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 26
710+as follows: 27
711+
712+Article – Health Occupations 28
713+
714+8–6A–14. 29
715+
716+ [(g) (1) The Board shall approve the use of a nursing assistant training site by 30
717+a nursing assistant training program within 45 days after the nursing assistant training 31 16 HOUSE BILL 19
717718
718719
719- (1) notify individuals who possess a nursing assistant certification of the 1
720-licensing requirements established under Section 1 of this Act; and 2
720+program applies for approval if the nursing assistant training program had previously been 1
721+approved to use the training site by the Board. 2
721722
722- (2) in consultation with the Office of Health Care Quality, update 3
723-regulations to conform with Section 1 of this Act. 4
723+ (2) A nursing assistant training program under paragraph (1) of this 3
724+subsection may continue to operate during the approval process.] 4
724725
725- SECTION 3. AND BE IT FURTHER ENACTED, That Section 1 of this Act shall take 5
726-effect October APRIL 1, [2025] 2026. 6
726+ SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 5
727+effect October 1, 2025, the effective date of Chapters 818 and 819 of the Acts of the General 6
728+Assembly of 2024. If the effective date of Chapters 818 and 819 is amended, Section 2 of 7
729+this Act shall take effect on the taking effect of Chapters 818 and 819. 8
727730
728- SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland read 7
729-as follows: 8
730-
731-Article – Health Occupations 9
732-
733-8–6A–01. 10
734-
735- (n) (2) “Certified nursing assistant–I” includes: 11
736-
737- (i) A certified nursing assistant who was certified as a geriatric 12
738-nursing assistant on [September 30, 2025] MARCH 31, 2026; 13
739-
740- (ii) A certified medicine aide; and 14
741-
742- (iii) A certified nursing assistant who is approved under § 15
743-8–6A–05(c)(5) of this subtitle. 16
744-
745- (o) “Certified nursing assistant–II” means a certified nursing assistant: 17
746-
747- (1) Who, on [September 30, 2025] MARCH 31, 2026, was certified as a 18
748-nursing assistant and was not authorized to practice in a nursing facility or skilled nursing 19
749-facility; and 20
750-
751- (2) Whose authority to practice in a nursing facility or skilled nursing 21
752-facility continues to be restricted because the certified nursing assistant has not been 22
753-approved as a certified nursing assistant–I under § 8–6A–05(c)(5) of this subtitle. 23
754-
755-8–6A–05. 24
756-
757- (c) (5) Beginning [October 1, 2025] APRIL 1, 2026, a certified nursing 25
758-assistant–II may be certified as a certified nursing assistant–I by: 26
759-
760- (i) Submitting an application to the Board on the form that the 27
761-Board requires; and 28
762-
763- (ii) Providing satisfactory evidence of: 29
764- HOUSE BILL 19 17
765-
766-
767- 1. Successful completion of an approved nursing assistant 1
768-training program; and 2
769-
770- 2. Passing a nursing assistant competency evaluation. 3
771-
772-8–6A–07. 4
773-
774- (c) An individual who has met the requirements for a certified nursing assistant 5
775-on or after [October 1, 2025] APRIL 1, 2026, shall be certified with the title of “certified 6
776-nursing assistant–I”. 7
777-
778-8–6A–14. 8
779-
780- [(g) (1) The Board shall approve the use of a nursing assistant training site by 9
781-a nursing assistant training program within 45 days after the nursing assistant training 10
782-program applies for approval if the nursing assistant training program had previously been 11
783-approved to use the training site by the Board. 12
784-
785- (2) A nursing assistant training program under paragraph (1) of this 13
786-subsection may continue to operate during the approval process.] 14
787-
788- SECTION 3. AND BE IT FURTHER ENACTED, That Section 2 of this Act shall take 15
789-effect October 1, 2025, the effective date of Chapters 818 and 819 of the Acts of the General 16
790-Assembly of 2024. If the effective date of Chapters 818 and 819 is amended, Section 2 of 17
791-this Act shall take effect on the taking effect of Chapters 818 and 819. 18
792-
793- SECTION 4. AND BE IT FURTHER ENACTED, That, subject to the provisions of 19
794-Section 3 of this Act, this Act shall take effect June 1, 2025. 20
795-
731+ SECTION 4. AND BE IT FURTHER ENACTED, That, subject to the provisions of 9
732+Section 3 of this Act, this Act shall take effect June 1, 2025. 10
796733
797734
798735
799736 Approved:
800737 ________________________________________________________________________________
801738 Governor.
802739 ________________________________________________________________________________
803740 Speaker of the House of Delegates.
804741 ________________________________________________________________________________
805742 President of the Senate.