| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | ||
| 2 | 2 | ||
| 3 | 3 | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. | |
| 4 | 4 | [Brackets] indicate matter deleted from existing law. | |
| 5 | - | Underlining indicates amendments to bill. | |
| 6 | - | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
| 7 | - | amendment. | |
| 8 | 5 | *hb0334* | |
| 9 | 6 | ||
| 10 | 7 | HOUSE BILL 334 | |
| 11 | 8 | J1, J5 5lr0950 | |
| 12 | 9 | CF SB 156 | |
| 13 | 10 | By: Delegates Kerr, Crutchfield, Davis, Fair, Feldmark, Foley, Guzzone, Hill, | |
| 14 | 11 | S. Johnson, Lehman, J. Lewis, J. Long, Martinez, Roberts, Ruth, Shetty, | |
| 15 | 12 | Simpson, Smith, Terrasa, Watson, White Holland, Woods, Woorman, and | |
| 16 | - | Ziegler Ziegler, Pena–Melnyk, Cullison, Bagnall, Bhandari, Kaiser, Lopez, | |
| 17 | - | Rosenberg, and Taveras | |
| 13 | + | Ziegler | |
| 18 | 14 | Introduced and read first time: January 13, 2025 | |
| 19 | 15 | Assigned to: Health and Government Operations | |
| 20 | - | Committee Report: Favorable with amendments | |
| 21 | - | House action: Adopted | |
| 22 | - | Read second time: February 25, 2025 | |
| 23 | 16 | ||
| 24 | - | ||
| 17 | + | A BILL ENTITLED | |
| 25 | 18 | ||
| 26 | 19 | AN ACT concerning 1 | |
| 27 | 20 | ||
| 28 | - | Universal | |
| 29 | - | ||
| 21 | + | Universal Newborn Nurse Home Visit ing Services – Program Establishment and 2 | |
| 22 | + | Insurance Coverage 3 | |
| 30 | 23 | ||
| 31 | 24 | FOR the purpose of requiring the Maryland Department of Health to establish a program 4 | |
| 32 | 25 | to provide universal newborn nurse home visiting services to all families with 5 | |
| 33 | 26 | newborns residing in the State; requiring community leads and the Department to 6 | |
| 34 | 27 | collect and report on certain data related to the program; requiring insurers, 7 | |
| 35 | 28 | nonprofit health service plans, and health maintenance organizations that provide 8 | |
| 36 | 29 | certain health benefits under certain insurance policies or contracts to provide 9 | |
| 37 | 30 | certain coverage and reimbursement for universal newborn nurse home visiting 10 | |
| 38 | - | services; and generally relating to universal newborn nurse home visiting services 11 | |
| 39 | - | establishing the Workgroup on Newborn Home Visiting Services; and generally 12 | |
| 40 | - | relating to the Workgroup on Newborn Home Visiting Services. 13 | |
| 31 | + | services; and generally relating to universal newborn nurse home visiting services. 11 | |
| 41 | 32 | ||
| 42 | - | BY adding to 14 | |
| 43 | - | Article – Health – General 15 | |
| 44 | - | Section 13–5501 and 13–5502 to be under the new subtitle “Subtitle 55. Universal 16 | |
| 45 | - | Newborn Nurse Home Visiting Program” 17 | |
| 46 | - | Annotated Code of Maryland 18 | |
| 47 | - | (2023 Replacement Volume and 2024 Supplement) 19 | |
| 33 | + | BY adding to 12 | |
| 34 | + | Article – Health – General 13 | |
| 35 | + | Section 13–5501 and 13–5502 to be under the new subtitle “Subtitle 55. Universal 14 | |
| 36 | + | Newborn Nurse Home Visiting Program” 15 | |
| 37 | + | Annotated Code of Maryland 16 | |
| 38 | + | (2023 Replacement Volume and 2024 Supplement) 17 | |
| 39 | + | ||
| 40 | + | BY adding to 18 | |
| 41 | + | Article – Insurance 19 | |
| 42 | + | Section 15–861 20 | |
| 43 | + | Annotated Code of Maryland 21 | |
| 44 | + | (2017 Replacement Volume and 2024 Supplement) 22 | |
| 45 | + | ||
| 46 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 23 | |
| 47 | + | That the Laws of Maryland read as follows: 24 | |
| 48 | 48 | 2 HOUSE BILL 334 | |
| 49 | 49 | ||
| 50 | 50 | ||
| 51 | - | BY adding to 1 | |
| 52 | - | Article – Insurance 2 | |
| 53 | - | Section 15–861 3 | |
| 54 | - | Annotated Code of Maryland 4 | |
| 55 | - | (2017 Replacement Volume and 2024 Supplement) 5 | |
| 51 | + | Article – Health – General 1 | |
| 56 | 52 | ||
| 57 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 6 | |
| 58 | - | That the Laws of Maryland read as follows: 7 | |
| 53 | + | SUBTITLE 55. UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM. 2 | |
| 59 | 54 | ||
| 60 | - | ||
| 55 | + | 13–5501. 3 | |
| 61 | 56 | ||
| 62 | - | (b) The Workgroup consists of the following members: 9 | |
| 57 | + | IN THIS SUBTITLE, “PROGRAM” MEANS THE STATEWIDE PROGRAM TO 4 | |
| 58 | + | PROVIDE UNIVERSAL NE WBORN NURSE HOME VIS ITING SERVICES IMPLE MENTED 5 | |
| 59 | + | UNDER § 13–5502(A) OF THIS SUBTITLE. 6 | |
| 63 | 60 | ||
| 64 | - | (1) one member of the Senate of Maryland, appointed by the President of 10 | |
| 65 | - | the Senate; 11 | |
| 61 | + | 13–5502. 7 | |
| 66 | 62 | ||
| 67 | - | (2) one member of the House of Delegates, appointed by the Speaker of the 12 | |
| 68 | - | House; 13 | |
| 63 | + | (A) (1) THE DEPARTMENT SHALL DESI GN, IMPLEMENT, AND MAINTAIN A 8 | |
| 64 | + | VOLUNTARY STATEWIDE PROGRAM TO PROVIDE U NIVERSAL NEWBORN NUR SE 9 | |
| 65 | + | HOME VISITING SERVIC ES TO ALL FAMILIES W ITH NEWBORNS RESIDIN G IN THE 10 | |
| 66 | + | STATE. 11 | |
| 69 | 67 | ||
| 70 | - | ( | |
| 68 | + | (2) THE PURPOSE S OF THE PROGRAM ARE TO: 12 | |
| 71 | 69 | ||
| 72 | - | (4) the following members, appointed by the Governor: 15 | |
| 70 | + | (I) SUPPORT HEALTHY CHILD DEVELOPMENT AND 13 | |
| 71 | + | POSTPARTUM HEALTH ; AND 14 | |
| 73 | 72 | ||
| 74 | - | ( | |
| 73 | + | (II) STRENGTHEN FAMILIES . 15 | |
| 75 | 74 | ||
| 76 | - | ( | |
| 77 | - | ||
| 78 | - | ||
| 75 | + | (3) THE DEPARTMENT SHALL DESI GN THE UNIVERSAL NEW BORN 16 | |
| 76 | + | NURSE HOME VISITING PROGRAM TO BE FLEXIB LE SO AS TO MEET THE NEEDS OF 17 | |
| 77 | + | THE COMMUNITIES IN WHICH THE PROGRAM OPERATES . 18 | |
| 79 | 78 | ||
| 80 | - | (iii) one representative from an organization in the State 20 | |
| 81 | - | implementing at least two approved Maternal, Infant, and Early Childhood Home Visiting 21 | |
| 82 | - | models; 22 | |
| 79 | + | (B) IN DESIGNING THE PROGRAM, THE DEPARTMENT SHALL CONS ULT, 19 | |
| 80 | + | COORDINATE , AND COLLABORATE , AS NECESSARY, WITH: 20 | |
| 83 | 81 | ||
| 84 | - | ( | |
| 82 | + | (1) INSURERS THAT OFFER H EALTH BENEFITS PLANS IN THE STATE; 21 | |
| 85 | 83 | ||
| 86 | - | ( | |
| 84 | + | (2) HOSPITALS; 22 | |
| 87 | 85 | ||
| 88 | - | ( | |
| 86 | + | (3) LOCAL PUBLIC HEALTH A UTHORITIES; 23 | |
| 89 | 87 | ||
| 90 | - | (vii) one representative from a local health department; 26 | |
| 88 | + | (4) THE DIVISION OF EARLY CHILDHOOD IN THE DEPARTMENT OF 24 | |
| 89 | + | EDUCATION; 25 | |
| 91 | 90 | ||
| 92 | - | (viii) one pediatrician licensed in the State; 27 | |
| 93 | - | ||
| 94 | - | (ix) one nurse midwife licensed in the State; 28 | |
| 95 | - | ||
| 96 | - | (x) one obstetrician licensed in the State; and 29 | |
| 91 | + | (5) EXISTING EARLY CHILDH OOD AND UNIVERSAL NEWBOR N HOME 26 | |
| 92 | + | VISITING PROGRAMS ; 27 | |
| 97 | 93 | HOUSE BILL 334 3 | |
| 98 | 94 | ||
| 99 | 95 | ||
| 100 | - | ( | |
| 96 | + | (6) COMMUNITY–BASED ORGANIZATIONS ; 1 | |
| 101 | 97 | ||
| 102 | - | ( | |
| 103 | - | ||
| 98 | + | (7) A NATIONAL TRAINING IN STITUTE FOR UNIVERSA L NEWBORN 2 | |
| 99 | + | HOME VISITING; 3 | |
| 104 | 100 | ||
| 105 | - | (d) The Maryland Family Network, in collaboration with the Maryland 4 | |
| 106 | - | Department of Health, may provide staff for the Workgroup. 5 | |
| 101 | + | (8) SOCIAL SERVICE S PROVIDERS; AND 4 | |
| 107 | 102 | ||
| 108 | - | (e) A member of the Workgroup: 6 | |
| 103 | + | (9) ANY OTHER EXPERTS , GROUPS, OR ORGANIZATIONS AS THE 5 | |
| 104 | + | SECRETARY DETERMINES APPROPRIATE . 6 | |
| 109 | 105 | ||
| 110 | - | (1) may not receive compensation as a member of the Workgroup; but 7 | |
| 106 | + | (C) THE PROGRAM SHALL PRO VIDE NURSE HOME VISI TING SERVICES THAT 7 | |
| 107 | + | ARE: 8 | |
| 111 | 108 | ||
| 112 | - | (2) is entitled to reimbursement for expenses under the Standard State 8 | |
| 113 | - | Travel Regulations, as provided in the State budget. 9 | |
| 109 | + | (1) IDENTIFIED AS AN EVID ENCE–BASED EARLY CHILDHOO D HOME 9 | |
| 110 | + | VISITING SERVICE DEL IVERY MODEL UNDER THE CRITERIA ESTABLI SHED BY THE 10 | |
| 111 | + | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 11 | |
| 114 | 112 | ||
| 115 | - | (f) The Workgroup shall: 10 | |
| 113 | + | (2) SUPPORTED BY A NATION AL CENTER THAT PROVI DES TRAINING, 12 | |
| 114 | + | MONITORING , AND TECHNICAL SUPPOR T; 13 | |
| 116 | 115 | ||
| 117 | - | (1) compile updated participant data and expenditures per participant 11 | |
| 118 | - | from the home visiting for families with newborns programs currently operating in the 12 | |
| 119 | - | State; 13 | |
| 116 | + | (3) PROVIDED BY A COMMUNI TY LEAD AGENCY DESIG NATED TO 14 | |
| 117 | + | SERVE A DEFINED COMMUNITY ; 15 | |
| 120 | 118 | ||
| 121 | - | (2) compare the data for home visiting for families with newborns 14 | |
| 122 | - | programs in the State to the data for evidence–based models for universal nurse home 15 | |
| 123 | - | visiting for families with newborns; 16 | |
| 119 | + | (4) PROVIDED BY REGISTERE D NURSES LICENSED IN THE STATE; 16 | |
| 124 | 120 | ||
| 125 | - | (3) (i) identify service gaps between the evidence–based models for 17 | |
| 126 | - | universal nurse home visiting for families with newborns and operational home visiting for 18 | |
| 127 | - | families with newborns programs; 19 | |
| 121 | + | (5) OFFERED TO: 17 | |
| 128 | 122 | ||
| 129 | - | (ii) identify opportunities to align the evidence–based models for 20 | |
| 130 | - | universal nurse home visiting for families with newborns with operational home visiting 21 | |
| 131 | - | for families with newborns programs operating in the State; and 22 | |
| 123 | + | (I) FAMILIES CARING FOR N EWBORNS UP TO THE AG E OF 12 18 | |
| 124 | + | WEEKS, INCLUDING FOSTER AND ADOPTIVE NEWBORNS ; AND 19 | |
| 132 | 125 | ||
| 133 | - | ( | |
| 134 | - | ||
| 126 | + | (II) BIRTHING INDIVIDUALS WITHIN 12 WEEKS AFTER 20 | |
| 127 | + | DELIVERY OF A LIVE BIRTH OR STILLBIRTH; 21 | |
| 135 | 128 | ||
| 136 | - | (4) identify workforce needs, including issues related to cultural 25 | |
| 137 | - | competency, for the evidence–based models for universal newborn nurse home visiting for 26 | |
| 138 | - | families with newborns and recommendations to address the workforce needs. 27 | |
| 129 | + | (6) PROVIDED: 22 | |
| 139 | 130 | ||
| 140 | - | (g) On or before December 31, 2025, the Workgroup shall report its findings and 28 | |
| 141 | - | recommendations to the Governor and, in accordance with § 2 –1257 of the State 29 | |
| 142 | - | Government Article, the General Assembly. 30 | |
| 131 | + | (I) IN THE FAMILY’S HOME; OR 23 | |
| 143 | 132 | ||
| 144 | - | ||
| 133 | + | (II) VIRTUALLY; AND 24 | |
| 145 | 134 | ||
| 146 | - | SUBTITLE 55. UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM. 32 4 HOUSE BILL 334 | |
| 135 | + | (7) AIMED AT IMPROVING OU TCOMES IN ONE OR MORE OF THE 25 | |
| 136 | + | FOLLOWING DOMAINS ; 26 | |
| 137 | + | ||
| 138 | + | (I) INFANT AND C HILD HEALTH; 27 4 HOUSE BILL 334 | |
| 147 | 139 | ||
| 148 | 140 | ||
| 149 | 141 | ||
| 150 | - | ||
| 142 | + | (II) CHILD DEVELOPMENT AND SCHOOL READINESS; 1 | |
| 151 | 143 | ||
| 152 | - | IN THIS SUBTITLE , “PROGRAM” MEANS THE STATEWIDE PROGRAM TO 2 | |
| 153 | - | PROVIDE UNIVERSAL NE WBORN NURSE HOME VIS ITING SERVICES IMPLE MENTED 3 | |
| 154 | - | UNDER § 13–5502(A) OF THIS SUBTITLE. 4 | |
| 144 | + | (III) MATERNAL AND POSTPART UM HEALTH; 2 | |
| 155 | 145 | ||
| 156 | - | ||
| 146 | + | (IV) FAMILY ECONOMIC SELF –SUFFICIENCY; 3 | |
| 157 | 147 | ||
| 158 | - | (A) (1) THE DEPARTMENT SHALL DESI GN, IMPLEMENT, AND MAINTAIN A 6 | |
| 159 | - | VOLUNTARY STATEWIDE PROGRA M TO PROVIDE UNIVERS AL NEWBORN NURSE 7 | |
| 160 | - | HOME VISITING SERVIC ES TO ALL FAMILIES W ITH NEWBORNS RESIDIN G IN THE 8 | |
| 161 | - | STATE. 9 | |
| 148 | + | (V) POSITIVE PARENTING ; 4 | |
| 162 | 149 | ||
| 163 | - | ( | |
| 150 | + | (VI) REDUCING CHILD M ALTREATMENT ; AND 5 | |
| 164 | 151 | ||
| 165 | - | (I) SUPPORT HEALTHY CHILD DEVELOPMENT AND 11 | |
| 166 | - | POSTPARTUM HEALTH ; AND 12 | |
| 152 | + | (VII) REDUCING FAMILY VIOLE NCE. 6 | |
| 167 | 153 | ||
| 168 | - | ( | |
| 154 | + | (D) THE SERVICES PROVIDED UNDER THE PROGRAM SHALL : 7 | |
| 169 | 155 | ||
| 170 | - | (3) THE DEPARTMENT SHALL DESI GN THE UNIVERSAL NEW BORN 14 | |
| 171 | - | NURSE HOME VISITING PROGRAM TO BE FLEXIB LE SO AS TO MEET THE NEEDS OF 15 | |
| 172 | - | THE COMMUNITIES IN W HICH THE PROGRAM OPE RATES. 16 | |
| 156 | + | (1) BE VOLUNTARY AND CARR Y NO NEGATIVE CONSEQ UENCES FOR A 8 | |
| 157 | + | FAMILY THAT DECLINES TO PARTICIPATE ; 9 | |
| 173 | 158 | ||
| 174 | - | (B) IN DESIGNING THE PROG RAM, THE DEPARTMENT SHALL CONSULT, 17 | |
| 175 | - | COORDINATE , AND COLLABORATE , AS NECESSARY, WITH: 18 | |
| 159 | + | (2) BE OFFERED IN EVERY C OMMUNITY IN THE STATE; 10 | |
| 176 | 160 | ||
| 177 | - | (1) INSURERS THAT OFFER H EALTH BENEFITS PLANS IN THE STATE; 19 | |
| 161 | + | (3) INCLUDE AN EVIDENCE –BASED ASSESSMENT OF THE PHYSICAL , 11 | |
| 162 | + | SOCIAL, AND EMOTIONAL FACTOR S AFFECTING THE FAM ILY; 12 | |
| 178 | 163 | ||
| 179 | - | (2) HOSPITALS; 20 | |
| 164 | + | (4) BE OFFERED TO ALL FAM ILIES WITH NEWBORNS RESIDING IN THE 13 | |
| 165 | + | COMMUNITY WHERE THE PROGRAM OPERATES ; 14 | |
| 180 | 166 | ||
| 181 | - | (3) LOCAL PUBLIC HEALTH A UTHORITIES; 21 | |
| 167 | + | (5) INCLUDE AT LEAST ONE VISIT DURING A NEWBO RN’S FIRST 12 15 | |
| 168 | + | WEEKS OF LIFE WITH THE OPP ORTUNITY FOR THE FAM ILY TO RECEIVE UP TO THREE 16 | |
| 169 | + | ADDITIONAL VI SITS DURING A NEWBORN ’S FIRST 12 WEEKS OF LIFE; 17 | |
| 182 | 170 | ||
| 183 | - | ( | |
| 184 | - | ||
| 171 | + | (6) INCLUDE A FOLLOW –UP CALL OR SURVEY NOT LATER THAN 3 18 | |
| 172 | + | MONTHS AFTER THE LAS T VISIT; AND 19 | |
| 185 | 173 | ||
| 186 | - | ( | |
| 187 | - | ||
| 174 | + | (7) PROVIDE INFORMATION A ND REFERRALS TO ADDR ESS EACH 20 | |
| 175 | + | FAMILY’S IDENTIFIED AND SPECIFIC NEEDS. 21 | |
| 188 | 176 | ||
| 189 | - | ( | |
| 177 | + | (E) (1) THE DEPARTMENT SHALL ESTA BLISH BY REGULATION : 22 | |
| 190 | 178 | ||
| 191 | - | ( | |
| 192 | - | ||
| 179 | + | (I) THE DEFINITION OF A “COMMUNITY ” FOR PURPOSES OF 23 | |
| 180 | + | THIS SUBTITLE; AND 24 | |
| 193 | 181 | HOUSE BILL 334 5 | |
| 194 | 182 | ||
| 195 | 183 | ||
| 196 | - | (8) SOCIAL SERVICES PROVI DERS; AND 1 | |
| 184 | + | (II) IN ACCORDANCE WITH PA RAGRAPH (3) OF THIS 1 | |
| 185 | + | SUBSECTION, THE SELECTION PROCES S FOR A COMMUNITY LE AD TO MEET THE 2 | |
| 186 | + | NEEDS OF THE DESIGNATED GEOGRAPHI C AREA. 3 | |
| 197 | 187 | ||
| 198 | - | ( | |
| 199 | - | ||
| 188 | + | (2) ENTITIES ELIGIBLE TO BE SELECTED TO SERVE AS A COMMUNITY 4 | |
| 189 | + | LEAD INCLUDE : 5 | |
| 200 | 190 | ||
| 201 | - | (C) THE PROGRAM SHALL PRO VIDE NURSE HOME VISI TING SERVICES THAT 4 | |
| 202 | - | ARE: 5 | |
| 191 | + | (I) LOCAL PUBLIC HEALTH A GENCIES; 6 | |
| 203 | 192 | ||
| 204 | - | (1) IDENTIFIED AS AN EVID ENCE–BASED EARLY CHILDHOO D HOME 6 | |
| 205 | - | VISITING SERVICE DEL IVERY MODEL UNDER TH E CRITERIA ESTABLI SHED BY THE 7 | |
| 206 | - | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 8 | |
| 193 | + | (II) LOCAL GOVERNMENTS ; 7 | |
| 207 | 194 | ||
| 208 | - | (2) SUPPORTED BY A NATION AL CENTER THAT PROVI DES TRAINING, 9 | |
| 209 | - | MONITORING , AND TECHNICAL SUPPOR T; 10 | |
| 195 | + | (III) BIRTHING FACILITIES; 8 | |
| 210 | 196 | ||
| 211 | - | ( | |
| 212 | - | ||
| 197 | + | (IV) NONPROFIT ORGANIZATIONS SPECIALIZING IN EAR LY 9 | |
| 198 | + | CHILDHOOD DEVELOPMEN T OR MATERNAL AND PO STPARTUM HEALTH ; OR 10 | |
| 213 | 199 | ||
| 214 | - | (4) PROVIDED BY REGISTERED NURSES LICENSED IN THE STATE; 13 | |
| 200 | + | (V) OTHER ORGANIZATIONS A S DETERMINED BY THE 11 | |
| 201 | + | DEPARTMENT . 12 | |
| 215 | 202 | ||
| 216 | - | ( | |
| 203 | + | (3) A COMMUNITY LEAD SHALL: 13 | |
| 217 | 204 | ||
| 218 | - | (I) FAMILIES CARING FOR N EWBORNS UP TO THE AG E OF 12 15 | |
| 219 | - | WEEKS, INCLUDING FOSTER AND ADOPTIVE NEWBORNS ; AND 16 | |
| 205 | + | (I) IMPLEMENT A UNIVERSAL LY OFFERED NEWBORN N URSE 14 | |
| 206 | + | HOME VISITING SERVIC ES MODEL THAT HAS BE EN REVIEWED BY THE FEDERAL 15 | |
| 207 | + | ADMINISTRATION FOR CHILDREN AND FAMILIES TO MEET THE U.S. DEPARTMENT 16 | |
| 208 | + | OF HEALTH AND HUMAN SERVICES CRITERIA FOR AN EVIDENCE –BASED EARLY 17 | |
| 209 | + | CHILDHOOD HOME VISIT ING SERVICE DELIVERY MODEL; 18 | |
| 220 | 210 | ||
| 221 | - | (II) BIRTHING INDIVIDUALS WITHIN 12 WEEKS AFTER 17 | |
| 222 | - | DELIVERY OF A LIVE B IRTH OR STILLBIRTH; 18 | |
| 211 | + | (II) COORDINATE WITH ALL C ERTIFIED PROVIDERS I N ITS 19 | |
| 212 | + | IDENTIFIED COMMUNITY SO THAT ALL FAMILIES WITH NEWBORNS ARE CO NTACTED 20 | |
| 213 | + | NOT LATER THAN 2 WEEKS AFTER THE BIRTH OF THE NEWBORN AND OFFERED 21 | |
| 214 | + | SERVICES; 22 | |
| 223 | 215 | ||
| 224 | - | (6) PROVIDED: 19 | |
| 216 | + | (III) DEVELOP AND IMPLEMENT STRATEGIES IN 23 | |
| 217 | + | COLLABORATION WITH T HE DEPARTMENT TO OBTAIN FUNDING TO FACIL ITATE THE 24 | |
| 218 | + | PROVISION OF NEWBORN NURSE HOME VISITING SERVICES; 25 | |
| 225 | 219 | ||
| 226 | - | (I) IN THE FAMILY’S HOME; OR 20 | |
| 227 | - | ||
| 228 | - | (II) VIRTUALLY; AND 21 | |
| 229 | - | ||
| 230 | - | (7) AIMED AT IMPROVING OU TCOMES IN ONE OR MOR E OF THE 22 | |
| 231 | - | FOLLOWING DOMAINS ; 23 | |
| 232 | - | ||
| 233 | - | (I) INFANT AND CHILD HEAL TH; 24 | |
| 234 | - | ||
| 235 | - | (II) CHILD DEVELOPMENT AND SCHOOL READINESS ; 25 | |
| 236 | - | ||
| 237 | - | (III) MATERNAL AND POSTPARTU M HEALTH; 26 | |
| 238 | - | ||
| 239 | - | (IV) FAMILY ECONOMIC SELF –SUFFICIENCY; 27 | |
| 220 | + | (IV) COLLABORATE WITH OTHE R HOME VISITING PROV IDERS TO 26 | |
| 221 | + | INTEGRATE NEWBORN NU RSE HOME VISITING SE RVICES INTO THE EXIS TING 27 | |
| 222 | + | SERVICES FOR FAMILIE S IN THE IDENTIFIED COMMUNITY SO THAT A COORDINATED 28 | |
| 223 | + | SYSTEM OF SUPPORT IS IN PLACE; 29 | |
| 240 | 224 | 6 HOUSE BILL 334 | |
| 241 | 225 | ||
| 242 | 226 | ||
| 243 | - | (V) POSITIVE PARENTING ; 1 | |
| 227 | + | (V) MAINTAIN A WRITTEN PL AN DESCRIBING HOW TH E 1 | |
| 228 | + | COMMUNITY LEAD WILL COMPLY WITH ITEMS (I) THROUGH (IV) OF THIS 2 | |
| 229 | + | PARAGRAPH ; 3 | |
| 244 | 230 | ||
| 245 | - | (VI) REDUCING CHILD MALTRE ATMENT; AND 2 | |
| 231 | + | (VI) CONSIDER INPUT FROM AN ADVISO RY BOARD ESTABLISHED 4 | |
| 232 | + | BY THE COMMUNITY LEA D THAT: 5 | |
| 246 | 233 | ||
| 247 | - | (VII) REDUCING FAMILY VIOLE NCE. 3 | |
| 234 | + | 1. INCLUDES STAKEHOLDERS FROM THE IDENTIFIED 6 | |
| 235 | + | COMMUNITY WITH REPRE SENTATION FROM THE F OLLOWING WHERE APPLI CABLE: 7 | |
| 248 | 236 | ||
| 249 | - | | |
| 237 | + | A. PARENTS; 8 | |
| 250 | 238 | ||
| 251 | - | (1) BE VOLUNTARY AND CARRY NO NEGATIVE CO NSEQUENCES FOR A 5 | |
| 252 | - | FAMILY THAT DECLINES TO PARTICIPATE ; 6 | |
| 239 | + | B. MEDICAL PROVIDERS ; 9 | |
| 253 | 240 | ||
| 254 | - | ||
| 241 | + | C. HOSPITALS; 10 | |
| 255 | 242 | ||
| 256 | - | (3) INCLUDE AN EVIDENCE –BASED ASSESSMENT OF THE PHYSICAL , 8 | |
| 257 | - | SOCIAL, AND EMOTIONAL FACTOR S AFFECTING THE FAMI LY; 9 | |
| 243 | + | D. SOCIAL SERVICE PROVID ERS SERVICING FAMILI ES; 11 | |
| 258 | 244 | ||
| 259 | - | | |
| 260 | - | ||
| 245 | + | E. THE FEDERAL SPECIAL SUPPLEMENTAL FOOD 12 | |
| 246 | + | PROGRAM FOR WOMEN, INFANTS, AND CHILDREN; 13 | |
| 261 | 247 | ||
| 262 | - | (5) INCLUDE AT LEAST ONE VISIT DURING A NEWBO RN’S FIRST 12 12 | |
| 263 | - | WEEKS OF LIFE WITH T HE OPPORTUNITY FOR T HE FAMILY TO RECEIVE UP TO THREE 13 | |
| 264 | - | ADDITIONAL VISITS DU RING A NEWBORN ’S FIRST 12 WEEKS OF LIFE; 14 | |
| 248 | + | F. CHILD PROTECTIVE SERVICES ; 14 | |
| 265 | 249 | ||
| 266 | - | (6) INCLUDE A FOLLOW –UP CALL OR SURVEY NO T LATER THAN 3 15 | |
| 267 | - | MONTHS AFTER THE LAS T VISIT; AND 16 | |
| 250 | + | G. EARLY LEARNING HUBS ; 15 | |
| 268 | 251 | ||
| 269 | - | (7) PROVIDE INFORMATION A ND REFERRALS TO ADDR ESS EACH 17 | |
| 270 | - | FAMILY’S IDENTIFIED AND SPE CIFIC NEEDS. 18 | |
| 252 | + | H. TRIBAL LEADERSHIP ; 16 | |
| 271 | 253 | ||
| 272 | - | | |
| 254 | + | I. LOCAL HEALTH DEPARTME NTS; 17 | |
| 273 | 255 | ||
| 274 | - | (I) THE DEFINITION OF A “COMMUNITY ” FOR PURPOSES OF 20 | |
| 275 | - | THIS SUBTITLE; AND 21 | |
| 256 | + | J. MANAGED CARE ORGANIZATIONS ; 18 | |
| 276 | 257 | ||
| 277 | - | (II) IN ACCORDANCE WITH PA RAGRAPH (3) OF THIS 22 | |
| 278 | - | SUBSECTION, THE SELECTION PROCES S FOR A COMMUNITY LE AD TO MEET THE 23 | |
| 279 | - | NEEDS OF THE DESIGNA TED GEOGRAPHIC AREA . 24 | |
| 258 | + | K. INSURERS; AND 19 | |
| 280 | 259 | ||
| 281 | - | | |
| 282 | - | ||
| 260 | + | L. NEWBORN NURSE HOME VI SITING SERVICE 20 | |
| 261 | + | PROVIDERS AND OTHER HOME VISITING PROVIDERS; AND 21 | |
| 283 | 262 | ||
| 284 | - | (I) LOCAL PUBLIC HEALTH A GENCIES; 27 | |
| 263 | + | 2. MEETS AT LEAST QUARTE RLY AND DISTRIBUTES 22 | |
| 264 | + | MEETING MINUTES TO B OARD MEMBERS AND CER TIFIED PROVIDERS IN THE 23 | |
| 265 | + | IDENTIFIED COMMUNITY ; 24 | |
| 285 | 266 | ||
| 286 | - | ( | |
| 267 | + | (VII) ENSURE LOCAL COMMUNITY RESOURCES ARE : 25 | |
| 287 | 268 | HOUSE BILL 334 7 | |
| 288 | 269 | ||
| 289 | 270 | ||
| 290 | - | (III) BIRTHING FACILITIES ; 1 | |
| 271 | + | 1. COMPILED IN A WEB –BASED FORMAT OR PRIN TED 1 | |
| 272 | + | DIRECTORY; AND 2 | |
| 291 | 273 | ||
| 292 | - | ||
| 293 | - | ||
| 274 | + | 2. UPDATED AT LEAST QUAR TERLY FOR USE BY SER VICE 3 | |
| 275 | + | PROVIDERS; 4 | |
| 294 | 276 | ||
| 295 | - | ( | |
| 296 | - | ||
| 277 | + | (VIII) ENGAGE IN QUALITY ASS URANCE ACTIVITIES TH AT 5 | |
| 278 | + | INCLUDE: 6 | |
| 297 | 279 | ||
| 298 | - | (3) A COMMUNITY LEAD SHALL : 6 | |
| 280 | + | 1. A MONTHLY REVIEW OF DA TA INCLUDING KEY 7 | |
| 281 | + | PERFORMANCE INDICATO RS SUCH AS SCHEDULIN G RATE, COMPREHENSIVE 8 | |
| 282 | + | NEWBORN NURSE HOME V ISIT COMPLETION RATE , FOLLOW–UP RATE , 9 | |
| 283 | + | DEMOGRAPHIC PROFILE OF FAMILIES RECEIVIN G SERVICES, AND COMMUNITY 10 | |
| 284 | + | CONNECTIONS AND REFE RRALS IN THE IDENTIFIED COMMUNI TY; 11 | |
| 299 | 285 | ||
| 300 | - | (I) IMPLEMENT A UNIVERSAL LY OFFERED NEWBORN N URSE 7 | |
| 301 | - | HOME VISITING SERVIC ES MODEL THAT HAS BE EN REVIEWED BY THE F EDERAL 8 | |
| 302 | - | ADMINISTRATION FOR CHILDREN AND FAMILIES TO MEET THE U.S. DEPARTMENT 9 | |
| 303 | - | OF HEALTH AND HUMAN SERVICES CRITERIA FOR AN EVIDENCE –BASED EARLY 10 | |
| 304 | - | CHILDHOOD HOME VISIT ING SERVICE DELIVERY MODEL; 11 | |
| 286 | + | 2. A MONTHLY REVIEW OF FE EDBACK FROM THE 12 | |
| 287 | + | FAMILIES SERV ED BY THE UNIVERSAL NEW BORN NURSE HOME VISI TING PROGRAM 13 | |
| 288 | + | IN THE IDENTIFIED CO MMUNITY USING STANDA RDIZED METHODOLOGY ; AND 14 | |
| 305 | 289 | ||
| 306 | - | (II) COORDINATE WITH ALL C ERTIFIED PROVIDERS I N ITS 12 | |
| 307 | - | IDENTIFIED COMMUNITY SO THAT ALL FAMILIES WI TH NEWBORNS ARE CONT ACTED 13 | |
| 308 | - | NOT LATER THAN 2 WEEKS AFTER THE BIRT H OF THE NEWBORN AND OFFERED 14 | |
| 309 | - | SERVICES; 15 | |
| 290 | + | 3. MONITORING PROGRAM RE ACH IN THE IDENTIFIE D 15 | |
| 291 | + | COMMUNITY MEASURED BY THE RATIO OF THE NUM BER OF COMPLETED 16 | |
| 292 | + | COMPREHENSIVE NEWBOR N NURSE HOME VISIT S TO TOTAL BIRTHS IN T HE 17 | |
| 293 | + | IDENTIFIED COMMUNITY , TAKING INTO CONSIDER ATION THE NUMBER OF BIRTHS 18 | |
| 294 | + | SERVED BY OTHER HOME VISITING PROVIDERS ; 19 | |
| 310 | 295 | ||
| 311 | - | ( | |
| 312 | - | ||
| 313 | - | ||
| 296 | + | (IX) PROVIDE THE DEPARTMENT ACCESS TO DA TA FOR 20 | |
| 297 | + | PROGRAM MONITORING A ND EVALUATION IN A M ANNER AND FORMAT DETERMINED 21 | |
| 298 | + | BY THE DEPARTMENT ; 22 | |
| 314 | 299 | ||
| 315 | - | (IV) COLLABORATE WITH OTHE R HOME VISITING PROV IDERS TO 19 | |
| 316 | - | INTEGRATE NEWBORN NU RSE HOME VISITING SE RVICES INTO THE EXIS TING 20 | |
| 317 | - | SERVICES FOR FAMILIE S IN THE IDENTIFIED COMMUNITY SO THAT A COORDINATED 21 | |
| 318 | - | SYSTEM OF SUPPORT IS IN PLACE; 22 | |
| 300 | + | (X) COORDINATE WITH THE DEPARTMENT TO ADDRESS 23 | |
| 301 | + | QUALITY IMPROVEMENT NEEDS; 24 | |
| 319 | 302 | ||
| 320 | - | ( | |
| 321 | - | ||
| 322 | - | ||
| 303 | + | (XI) ON A QUARTERLY BASIS , SUBMIT THE FOLLOWING 25 | |
| 304 | + | DE–IDENTIFIED DATA ELEC TRONICALLY TO THE DEPARTMENT IN A MANNE R AND 26 | |
| 305 | + | FORMAT DETERMINED BY THE DEPARTMENT : 27 | |
| 323 | 306 | ||
| 324 | - | (VI) CONSIDER INPUT FROM A N ADVISORY BOARD EST ABLISHED 26 | |
| 325 | - | BY THE COMMUNITY LEA D THAT: 27 | |
| 307 | + | 1. THE NUMBER OF INFANTS BORN DURING THE 28 | |
| 308 | + | IMMEDIATELY PRECEDIN G QUARTER WHO RESIDE I N THE IDENTIFIED COM MUNITY; 29 | |
| 309 | + | AND 30 | |
| 326 | 310 | ||
| 327 | - | 1. INCLUDES STAKEHOLDERS FROM THE IDENTIFIED 28 | |
| 328 | - | COMMUNITY WITH REPRE SENTATION FROM THE F OLLOWING WHERE APPLI CABLE: 29 | |
| 329 | - | ||
| 330 | - | A. PARENTS; 30 | |
| 331 | - | ||
| 332 | - | B. MEDICAL PROVIDERS ; 31 | |
| 311 | + | 2. FOR EACH CERTIFIED PROVIDER IN THE IDEN TIFIED 31 | |
| 312 | + | COMMUNITY : 32 | |
| 333 | 313 | 8 HOUSE BILL 334 | |
| 334 | 314 | ||
| 335 | 315 | ||
| 336 | - | | |
| 316 | + | A. SCHEDULING RATE ; 1 | |
| 337 | 317 | ||
| 338 | - | D. SOCIAL SERVICE PROVID ERS SERVICING FAMILI ES; 2 | |
| 318 | + | B. COMPREHENSIVE NEWBORN NURSE HOME VISIT 2 | |
| 319 | + | COMPLETION RATE ; 3 | |
| 339 | 320 | ||
| 340 | - | E. THE FEDERAL SPECIAL SUPPLEMENTAL FOOD 3 | |
| 341 | - | PROGRAM FOR WOMEN, INFANTS, AND CHILDREN; 4 | |
| 321 | + | C. FOLLOW–UP RATE; 4 | |
| 342 | 322 | ||
| 343 | - | F. CHILD PROTECTIVE SERV ICES; 5 | |
| 323 | + | D. DEMOGRAPHIC PROFILE O F FAMILIES RECEIVING 5 | |
| 324 | + | NEWBORN NURSE HOME V ISITING; 6 | |
| 344 | 325 | ||
| 345 | - | | |
| 326 | + | E. COMMUNITY CONNECTIONS AND REFE RRALS; 7 | |
| 346 | 327 | ||
| 347 | - | H. TRIBAL LEADERSHIP ; 7 | |
| 328 | + | F. FEEDBACK FROM FAMILIE S AND REFERRAL PARTN ER 8 | |
| 329 | + | FEEDBACK; AND 9 | |
| 348 | 330 | ||
| 349 | - | I. LOCAL HEALTH DEPARTME NTS; 8 | |
| 331 | + | G. ANY OTHER DATA IDENTI FIED BY THE DEPARTMENT ; 10 | |
| 332 | + | AND 11 | |
| 350 | 333 | ||
| 351 | - | J. MANAGED CARE ORGANIZA TIONS; 9 | |
| 334 | + | (XII) COLLABORATE AND COORD INATE WITH TRIBES 12 | |
| 335 | + | DESIGNATED AS COMMUN ITY LEADS OPERATING IN THE SAME GEOGR APHIC AREA. 13 | |
| 352 | 336 | ||
| 353 | - | K. INSURERS; AND 10 | |
| 337 | + | (F) IN COLLABORATION WITH THE MARYLAND INSURANCE 14 | |
| 338 | + | ADMINISTRATION , THE DEPARTMENT SHALL ADOP T REGULATIONS CONSISTENT 15 | |
| 339 | + | WITH THE PROVISIONS OF THIS SUBTITLE ESTABLISHING : 16 | |
| 354 | 340 | ||
| 355 | - | L. NEWBORN NURSE HOME VI SITING SER VICE 11 | |
| 356 | - | PROVIDERS AND OTHER HOME VISITING PROVID ERS; AND 12 | |
| 341 | + | (1) CRITERIA FOR UNIVERSA L NEWBORN NURSE HOME VISITING 17 | |
| 342 | + | SERVICES THAT ARE RE QUIRED TO BE COVERED BY ENTITIES IN ACCORDANCE WITH 18 | |
| 343 | + | § 15–861 OF THE INSURANCE ARTICLE; AND 19 | |
| 357 | 344 | ||
| 358 | - | 2. MEETS AT LEAST QUARTE RLY AND DISTRIBUTES 13 | |
| 359 | - | MEETING MINUTES TO B OARD MEMBERS AND CER TIFIED PROVIDERS IN THE 14 | |
| 360 | - | IDENTIFIED COMMUNITY ; 15 | |
| 345 | + | (2) THE AMOUNT OF REIMBUR SEMENT TO BE PAID TO A PROVIDER OF 20 | |
| 346 | + | UNIVERSAL NEWBORN NU RSE HOME VIS ITING SERVICES OR A METHODOLOGY TO 21 | |
| 347 | + | REIMBURSE THE COST O F PROVIDING UNIVERSA L NEWBORN NURSE HOME VISITING 22 | |
| 348 | + | SERVICES IN ACCORDAN CE WITH § 15–861 OF THE INSURANCE ARTICLE. 23 | |
| 361 | 349 | ||
| 362 | - | (VII) ENSURE LOCAL COMMUNIT Y RESOURCES ARE : 16 | |
| 350 | + | (G) THE DEPARTMENT MAY ADOPT BY REGULATION ANY REASONABLE 24 | |
| 351 | + | REIMBURSEMENT METHOD OLOGY, INCLUDING: 25 | |
| 363 | 352 | ||
| 364 | - | 1. COMPILED IN A WEB–BASED FORMAT OR PRIN TED 17 | |
| 365 | - | DIRECTORY; AND 18 | |
| 353 | + | (1) VALUE–BASED PAYMENTS ; 26 | |
| 366 | 354 | ||
| 367 | - | 2. UPDATED AT LEAST QUAR TERLY FOR USE BY SER VICE 19 | |
| 368 | - | PROVIDERS; 20 | |
| 355 | + | (2) A CLAIM INVOICING PROC ESS; 27 | |
| 369 | 356 | ||
| 370 | - | (VIII) ENGAGE IN QUALITY ASS URANCE ACTIVITIES TH AT 21 | |
| 371 | - | INCLUDE: 22 | |
| 372 | - | ||
| 373 | - | 1. A MONTHLY REVIEW OF DA TA INCLUDING KEY 23 | |
| 374 | - | PERFORMANCE INDICATO RS SUCH AS S CHEDULING RATE , COMPREHENSIVE 24 | |
| 375 | - | NEWBORN NURSE HOME V ISIT COMPLETION RATE , FOLLOW–UP RATE , 25 | |
| 376 | - | DEMOGRAPHIC PROFILE OF FAMILIES RECEIVIN G SERVICES, AND COMMUNITY 26 | |
| 377 | - | CONNECTIONS AND REFE RRALS IN THE IDENTIF IED COMMUNITY ; 27 | |
| 357 | + | (3) CAPITATED PAYMENT ; 28 | |
| 378 | 358 | HOUSE BILL 334 9 | |
| 379 | 359 | ||
| 380 | 360 | ||
| 381 | - | 2. A MONTHLY REVIEW OF FE EDBACK FROM THE 1 | |
| 382 | - | FAMILIES SERVED BY T HE UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM 2 | |
| 383 | - | IN THE IDENTIFIED CO MMUNITY USING STANDA RDIZED METHODOLOGY ; AND 3 | |
| 361 | + | (4) A REIMBURSEMENT METHOD OLOGY THAT TAKES INT O ACCOUNT 1 | |
| 362 | + | THE NEED FOR A COMMU NITY–BASED ENTITY PROVIDI NG UNIVERSAL NEWBORN 2 | |
| 363 | + | NURSE HOME VISITING SERVICES TO EXPAND THE ENTITY ’S CAPACITY TO PROVID E 3 | |
| 364 | + | THE SERVICES AND ADD RESS HEALTH DISPARIT IES; OR 4 | |
| 384 | 365 | ||
| 385 | - | 3. MONITORING PROGRAM RE ACH IN THE IDENTIFIE D 4 | |
| 386 | - | COMMUNITY MEASURED B Y THE RATIO OF THE N UMBER OF COMPLETED 5 | |
| 387 | - | COMPREHENSIVE NEWBORN NURSE HOME V ISITS TO TOTAL BIRTH S IN THE 6 | |
| 388 | - | IDENTIFIED COMMUNITY , TAKING INTO CONSIDER ATION THE NUMBER OF BIRTHS 7 | |
| 389 | - | SERVED BY OTHER HOME VISITING PROVIDERS ; 8 | |
| 366 | + | (5) ANY OTHER METHODOLOGY AGREED TO BY A CARRI ER AND THE 5 | |
| 367 | + | PROVIDER OF THE UNIV ERSAL NURSE HOME VIS ITING SERVICES. 6 | |
| 390 | 368 | ||
| 391 | - | (IX) PROVIDE THE DEPARTMENT ACCESS TO DATA FOR 9 | |
| 392 | - | PROGRAM MONITORING A ND EVALUATION IN A MANNER AND FORMAT DE TERMINED 10 | |
| 393 | - | BY THE DEPARTMENT ; 11 | |
| 369 | + | (H) THE DEPARTMENT SHALL : 7 | |
| 394 | 370 | ||
| 395 | - | (X) COORDINATE WITH THE DEPARTMENT TO ADDRESS 12 | |
| 396 | - | QUALITY IMPROVEMENT NEEDS; 13 | |
| 371 | + | (1) COLLECT AND ANAL YZE DATA GENERATED B Y THE PROGRAM TO 8 | |
| 372 | + | ASSESS THE EFFECTIVE NESS OF THE PROGRAM IN MEETING THE AIMS DESCRIBED 9 | |
| 373 | + | IN SUBSECTION (C)(7) OF THIS SECTION; AND 10 | |
| 397 | 374 | ||
| 398 | - | (XI) ON A QUARTERLY BASIS , SUBMIT THE FOLLOWING 14 | |
| 399 | - | DE–IDENTIFIED DATA ELEC TRONICALLY TO THE DEPARTMENT IN A MANNE R AND 15 | |
| 400 | - | FORMAT DET ERMINED BY THE DEPARTMENT : 16 | |
| 375 | + | (2) COORDINATE WITH OTHER STATE AGENCIES TO DEV ELOP 11 | |
| 376 | + | PROTOCOLS FOR SHARIN G DATA, INCLUDING THE TIMELY SHARING OF DATA WITH 12 | |
| 377 | + | PRIMARY CARE PROVIDE RS OF THE FAMILIES W ITH NEWBORNS RECEIVI NG THE 13 | |
| 378 | + | SERVICES. 14 | |
| 401 | 379 | ||
| 402 | - | 1 | |
| 403 | - | ||
| 404 | - | ||
| 380 | + | (I) (1) THE DEPARTMENT SHALL ESTA BLISH THE FORM AND MANNER IN 15 | |
| 381 | + | WHICH DATA REQUIRED UNDER § 15–861 OF THE INSURANCE ARTICLE SHALL BE 16 | |
| 382 | + | SUBMITTED. 17 | |
| 405 | 383 | ||
| 406 | - | 2. FOR EACH CERTIFIED PR OVIDER IN THE IDENTI FIED 20 | |
| 407 | - | COMMUNITY : 21 | |
| 384 | + | (2) THE DEPARTMENT SHALL USE THE DATA REQUIRED UNDER § 18 | |
| 385 | + | 15–861 OF THE INSURANCE ARTICLE TO MONITOR THE PROVI SION OF UNIVERSAL 19 | |
| 386 | + | NEWBORN NURSE HOME V ISITING SERVICES. 20 | |
| 408 | 387 | ||
| 409 | - | A. SCHEDULING RATE ; 22 | |
| 388 | + | (J) THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 21 | |
| 389 | + | SECTION. 22 | |
| 410 | 390 | ||
| 411 | - | B. COMPREHENSIVE NEWBORN NURSE HOME VISIT 23 | |
| 412 | - | COMPLETION RATE ; 24 | |
| 391 | + | (K) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2026, THE 23 | |
| 392 | + | DEPARTMENT SHALL REPORT TO THE SENATE FINANCE COMMITTEE AND THE 24 | |
| 393 | + | HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDAN CE 25 | |
| 394 | + | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE STATUS OF THE 26 | |
| 395 | + | PROVISION OF UNIVERS AL NEWBORN NURSE HOM E VISITING SERVICES IN THE 27 | |
| 396 | + | STATE. 28 | |
| 413 | 397 | ||
| 414 | - | ||
| 398 | + | Article – Insurance 29 | |
| 415 | 399 | ||
| 416 | - | D. DEMOGRAPHIC PROFILE O F FAMILIES RECEIVING 26 | |
| 417 | - | NEWBORN NURSE HOME V ISITING; 27 | |
| 400 | + | 15–861. 30 | |
| 418 | 401 | ||
| 419 | - | E. COMMUNITY CONNECTIONS AND REFERRALS ; 28 | |
| 420 | - | ||
| 421 | - | F. FEEDBACK FROM FAMILIE S AND REFERRAL PARTN ER 29 | |
| 422 | - | FEEDBACK; AND 30 | |
| 402 | + | (A) THIS SECTION APPLIES TO: 31 | |
| 423 | 403 | 10 HOUSE BILL 334 | |
| 424 | 404 | ||
| 425 | 405 | ||
| 426 | - | G. ANY OTHER DATA IDENTI FIED BY THE DEPARTMENT ; 1 | |
| 427 | - | AND 2 | |
| 406 | + | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 1 | |
| 407 | + | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 2 | |
| 408 | + | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 3 | |
| 409 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 4 | |
| 428 | 410 | ||
| 429 | - | (XII) COLLABORATE AND COORD INATE WITH TRIBES 3 | |
| 430 | - | DESIGNATED AS COMMUN ITY LEADS OPERATING IN THE SAME GEOGRAPH IC AREA. 4 | |
| 411 | + | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 5 | |
| 412 | + | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 6 | |
| 413 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 7 | |
| 431 | 414 | ||
| 432 | - | (F) IN COLLABORATION WITH THE MARYLAND INSURANCE 5 | |
| 433 | - | ADMINISTRATION , THE DEPARTMENT SHALL ADOP T REGULATIONS CONSIS TENT 6 | |
| 434 | - | WITH THE PROVISIONS OF THIS SUBTITLE EST ABLISHING: 7 | |
| 415 | + | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE COVERAGE AND 8 | |
| 416 | + | REIMBURSEMENT IN FUL L FOR THE COST TO A PROVID ER FOR DELIVERING 9 | |
| 417 | + | UNIVERSAL NEWBORN NURSE HOME VISITING SERVIC ES AS REQUIRED BY THE 10 | |
| 418 | + | MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502(F) OF THE 11 | |
| 419 | + | HEALTH – GENERAL ARTICLE. 12 | |
| 435 | 420 | ||
| 436 | - | (1) CRITERIA FOR UNIVERSA L NEWBORN NURSE HOME VISITING 8 | |
| 437 | - | SERVICES THAT ARE RE QUIRED TO BE COVERED BY ENTITIES IN ACCOR DANCE WITH 9 | |
| 438 | - | § 15–861 OF THE INSURANCE ARTICLE; AND 10 | |
| 421 | + | (C) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION , 13 | |
| 422 | + | AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A COPAYMENT , 14 | |
| 423 | + | COINSURANCE , OR DEDUCTIBLE REQUIR EMENT ON COVERAGE FO R UNIVERSAL 15 | |
| 424 | + | NEWBORN NURSE HOME V ISITING SERVICES. 16 | |
| 439 | 425 | ||
| 440 | - | (2) THE AMOUNT OF REIMBUR SEMENT TO BE PAID TO A PROVIDER OF 11 | |
| 441 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES OR A METHODOL OGY TO 12 | |
| 442 | - | REIMBURSE THE COST O F PROVIDING UNIVERSA L NEWBORN NURSE HOME VISITING 13 | |
| 443 | - | SERVICES IN ACCORDAN CE WITH § 15–861 OF THE INSURANCE ARTICLE. 14 | |
| 426 | + | (2) IF AN INSURED OR ENRO LLEE IS COVERED UNDE R A 17 | |
| 427 | + | HIGH–DEDUCTIBLE HEALTH PL AN, AS DEFINED IN 26 U.S.C. § 223, AN ENTITY 18 | |
| 428 | + | SUBJECT TO THIS SECT ION MAY SUBJECT COVE RAGE FOR UNIVERSAL N EWBORN 19 | |
| 429 | + | NURSE HOME VISITING SERVICES TO THE DEDU CTIBLE REQUIREMENT O F THE 20 | |
| 430 | + | HIGH–DEDUCTIBLE PLAN . 21 | |
| 444 | 431 | ||
| 445 | - | (G) THE DEPARTMENT MAY ADOPT BY REGULATION ANY RE ASONABLE 15 | |
| 446 | - | REIMBURSEMENT METHOD OLOGY, INCLUDING: 16 | |
| 432 | + | (D) AN INSURED OR ENROLLE E MAY NOT BE REQUIRED TO R ECEIVE 22 | |
| 433 | + | UNIVERSAL NEWBORN NU RSE HOME VISITING SERVICES AS A CONDITION OF 23 | |
| 434 | + | COVERAGE AND MAY NOT BE PENALIZED OR IN A NY WAY DISCOURAGED F ROM 24 | |
| 435 | + | DECLINING THE SERVIC ES. 25 | |
| 447 | 436 | ||
| 448 | - | (1) VALUE–BASED PAYMENTS ; 17 | |
| 437 | + | (E) AN ENTITY SUBJECT TO THIS SECTION SHALL N OTIFY AN INSURED OR 26 | |
| 438 | + | ENROLLEE ABOUT THE U NIVERSAL NEWBORN NUR SE HOME VISITING SER VICES 27 | |
| 439 | + | WHENEVER AN INSURED OR ENROLLEE ADDS A N EWBORN TO COVERAGE . 28 | |
| 449 | 440 | ||
| 450 | - | (2) A CLAIM INVOICING PROC ESS; 18 | |
| 441 | + | (F) AN ENTITY SUBJECT TO THIS SECTION MAY USE IN–NETWORK 29 | |
| 442 | + | PROVIDERS OR CONTRACT WITH LOC AL PUBLIC HEALTH AUT HORITIES TO PROVIDE 30 | |
| 443 | + | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES. 31 | |
| 451 | 444 | ||
| 452 | - | (3) CAPITATED PAYMENT ; 19 | |
| 453 | - | ||
| 454 | - | (4) A REIMBURSEMENT METHOD OLOGY THAT TAKES INTO ACCOUNT 20 | |
| 455 | - | THE NEED FOR A COMMU NITY–BASED ENTITY PROVIDI NG UNIVERSAL NEWBORN 21 | |
| 456 | - | NURSE HOME VISITING SERVICES TO EXPAND T HE ENTITY’S CAPACITY TO PROVID E 22 | |
| 457 | - | THE SERVICES AND ADD RESS HEALTH DISPARIT IES; OR 23 | |
| 458 | - | ||
| 459 | - | (5) ANY OTHER METHODOLOGY AGREED TO BY A CARRI ER AND THE 24 | |
| 460 | - | PROVIDER OF THE UNIV ERSAL NURSE HOME VIS ITING SERVICES. 25 | |
| 461 | - | ||
| 462 | - | (H) THE DEPARTMENT SHALL : 26 | |
| 463 | - | ||
| 464 | - | (1) COLLECT AND ANALYZE D ATA GENERATED BY THE PROGRAM TO 27 | |
| 465 | - | ASSESS THE EFFECTIVE NESS OF THE PROGRAM IN MEETING THE AIMS DESCRIBED 28 | |
| 466 | - | IN SUBSECTION (C)(7) OF THIS SECTION; AND 29 | |
| 467 | - | ||
| 468 | - | (2) COORDINATE WITH OTHER STATE AGENCIES TO DEV ELOP 30 | |
| 469 | - | PROTOCOLS FOR SHARIN G DATA, INCLUDING THE TIMELY SHARING OF DATA WITH 31 HOUSE BILL 334 11 | |
| 445 | + | (G) ENTITIES SUBJECT TO THIS SECTION SHALL REPORT TO THE 32 | |
| 446 | + | MARYLAND DEPARTMENT OF HEALTH, IN THE FORM AND MANN ER REQUIRED BY 33 | |
| 447 | + | THE MARYLAND DEPARTME NT OF HEALTH UNDER § 13–5502 OF THE 34 | |
| 448 | + | HEALTH – GENERAL ARTICLE, DATA REGARDING CLAIM S SUBMITTED FOR 35 HOUSE BILL 334 11 | |
| 470 | 449 | ||
| 471 | 450 | ||
| 472 | - | ||
| 451 | + | SERVICES COVERED UND ER THIS SECTION TO M ONITOR THE PROVISION OF THE 1 | |
| 473 | 452 | SERVICES. 2 | |
| 474 | 453 | ||
| 475 | - | | |
| 476 | - | ||
| 477 | - | ||
| 454 | + | SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of 3 | |
| 455 | + | Health may apply for a waiver under 42 U.S.C. 18052 to obtain federal financial 4 | |
| 456 | + | participation in the cost of services provided under Section 1 of this Act. 5 | |
| 478 | 457 | ||
| 479 | - | | |
| 480 | - | ||
| 481 | - | ||
| 458 | + | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall apply to all 6 | |
| 459 | + | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 7 | |
| 460 | + | after January 1, 2026. 8 | |
| 482 | 461 | ||
| 483 | - | (J) THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 9 | |
| 484 | - | SECTION. 10 | |
| 485 | - | ||
| 486 | - | (K) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2026, THE 11 | |
| 487 | - | DEPARTMENT SHALL REPO RT TO THE SENATE FINANCE COMMITTEE AND THE 12 | |
| 488 | - | HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDANCE 13 | |
| 489 | - | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE STATUS OF THE 14 | |
| 490 | - | PROVISION OF UNIVERS AL NEWBORN NURSE HOM E VISITING SERVICES IN THE 15 | |
| 491 | - | STATE. 16 | |
| 492 | - | ||
| 493 | - | Article – Insurance 17 | |
| 494 | - | ||
| 495 | - | 15–861. 18 | |
| 496 | - | ||
| 497 | - | (A) THIS SECTION APPLIES TO: 19 | |
| 498 | - | ||
| 499 | - | (1) INSURERS AND NONPROF IT HEALTH SERVICE PLANS THAT 20 | |
| 500 | - | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 21 | |
| 501 | - | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 22 | |
| 502 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 23 | |
| 503 | - | ||
| 504 | - | (2) HEALTH MAINTENANCE O RGANIZATIONS THA T PROVIDE 24 | |
| 505 | - | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 25 | |
| 506 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 26 | |
| 507 | - | ||
| 508 | - | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE AND 27 | |
| 509 | - | REIMBURSEMENT IN FUL L FOR THE COST TO A PROVIDER FOR D ELIVERING 28 | |
| 510 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS REQUIRED B Y THE 29 | |
| 511 | - | MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502(F) OF THE 30 | |
| 512 | - | HEALTH – GENERAL ARTICLE. 31 | |
| 513 | - | ||
| 514 | - | (C) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION , 32 | |
| 515 | - | AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPO SE A COPAYMENT , 33 12 HOUSE BILL 334 | |
| 516 | - | ||
| 517 | - | ||
| 518 | - | COINSURANCE , OR DEDUCTIBLE REQUIR EMENT ON COVERAGE FO R UNIVERSAL 1 | |
| 519 | - | NEWBORN NURSE HOME V ISITING SERVICES. 2 | |
| 520 | - | ||
| 521 | - | (2) IF AN INSURED OR ENRO LLEE IS COVERED UNDE R A 3 | |
| 522 | - | HIGH–DEDUCTIBLE HEALTH PL AN, AS DEFINED IN 26 U.S.C. § 223, AN ENTITY 4 | |
| 523 | - | SUBJECT TO THIS SECT ION MAY SUBJECT COVE RAGE FOR UNIVERSAL N EWBORN 5 | |
| 524 | - | NURSE HOME VISITING SERVICES TO THE DEDU CTIBLE REQUIREMENT O F THE 6 | |
| 525 | - | HIGH–DEDUCTIBLE PLAN . 7 | |
| 526 | - | ||
| 527 | - | (D) AN INSURED OR ENROLLE E MAY NOT BE REQUIRE D TO RECEIVE 8 | |
| 528 | - | UNIVERSAL NEWBORN NU RSE HOME VISIT ING SERVICES AS A CO NDITION OF 9 | |
| 529 | - | COVERAGE AND MAY NOT BE PENALIZED OR IN A NY WAY DISCOURAGED F ROM 10 | |
| 530 | - | DECLINING THE SERVIC ES. 11 | |
| 531 | - | ||
| 532 | - | (E) AN ENTITY SUBJECT TO THIS SECTION SHALL N OTIFY AN INSURED OR 12 | |
| 533 | - | ENROLLEE ABOUT THE U NIVERSAL NEWBORN NUR SE HOME VISITING SER VICES 13 | |
| 534 | - | WHENEVER AN INSURED OR ENROLLEE ADDS A NEWB ORN TO COVERAGE . 14 | |
| 535 | - | ||
| 536 | - | (F) AN ENTITY SUBJECT TO THIS SECTION MAY USE IN–NETWORK 15 | |
| 537 | - | PROVIDERS OR CONTRAC T WITH LOCAL PUBLIC HEALTH AUTHORITIES T O PROVIDE 16 | |
| 538 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES. 17 | |
| 539 | - | ||
| 540 | - | (G) ENTITIES SUBJ ECT TO THIS SECTION SHALL REPORT TO THE 18 | |
| 541 | - | MARYLAND DEPARTMENT OF HEALTH, IN THE FORM AND MANN ER REQUIRED BY 19 | |
| 542 | - | THE MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502 OF THE 20 | |
| 543 | - | HEALTH – GENERAL ARTICLE, DATA REGARDING CLAIM S SUBMITTED FOR 21 | |
| 544 | - | SERVICES COVERED UND ER THIS SECTION TO MONITOR T HE PROVISION OF THE 22 | |
| 545 | - | SERVICES. 23 | |
| 546 | - | ||
| 547 | - | SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of 24 | |
| 548 | - | Health may apply for a waiver under 42 U.S.C. 18052 to obtain federal financial 25 | |
| 549 | - | participation in the cost of services provided under Section 1 of this Act. 26 | |
| 550 | - | ||
| 551 | - | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall apply to all 27 | |
| 552 | - | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 28 | |
| 553 | - | after January 1, 2026. 29 | |
| 554 | - | ||
| 555 | - | SECTION 4. AND BE IT FURTHER ENACTED, T hat this Act shall take effect 30 | |
| 556 | - | January 1, 2026. 31 | |
| 557 | - | ||
| 558 | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 32 | |
| 559 | - | 1, 2025. It shall remain effective for a period of 1 year and, at the end of June 30, 2026, this 33 | |
| 560 | - | Act, with no further action required by the General Assembly, shall be abrogated and of no 34 | |
| 561 | - | further force and effect. 35 | |
| 562 | - | ||
| 462 | + | SECTION 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 9 | |
| 463 | + | January 1, 2026. 10 |