Maryland 2025 Regular Session

Maryland Senate Bill SB1027 Compare Versions

Version 1 (Old)

Version 2 (New)

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		sb1027
9	6
10	7		SENATE BILL 1027
11	8		J1 5lr3626
12	9		CF HB 1244
13	10		By: Senator Lewis Young
14	11		Introduced and read first time: February 6, 2025
15	12		Assigned to: Rules
16		-	Re–referred to: Finance, March 11, 2025
17		-	Committee Report: Favorable with amendments
18		-	Senate action: Adopted
19		-	Read second time: March 16, 2025
20	13
21		-	~~CHAPTER ______~~
	14	+	A BILL ENTITLED
22	15
23	16		AN ACT concerning 1
24	17
25	18		Maryland Developmental Disabilities Administration Waiver Advisory Council – 2
26	19		Establishment 3
27	20
28	21		FOR the purpose of establishing the Maryland Developmental Disabilities Administration 4
29	22		Waiver Advisory Council to advise and provide recommendati ons to the 5
30	23		Developmental Disabilities Administration on system design, service delivery, and 6
31	24		quality enhancement strategies for the Medicaid waiver programs operated by the 7
32	25		Administration; and generally relating to the Maryland Developmental Disabilities 8
33	26		Administration Waiver Advisory Council. 9
34	27
35	28		BY adding to 10
36	29		Article – Health – General 11
37	30		Section 7–12B–01 through 7–12B–05 to be under the new subtitle “Subtitle 12B. 12
38	31		Maryland Developmental Disabilities Administration Waiver Advisory 13
39	32		Council” 14
40	33		Annotated Code of Maryland 15
41	34		(2023 Replacement Volume and 2024 Supplement) 16
42	35
43	36		SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 17
44	37		That the Laws of Maryland read as follows: 18
45	38
46	39		Article – Health – General 19
47		-	2 SENATE BILL 1027
	40	+
	41	+	SUBTITLE 12B. MARYLAND DEVELOPMENTAL DISABILITIES ADMINISTRATION 20
	42	+	WAIVER ADVISORY COUNCIL. 21
	43	+
	44	+	7–12B–01. 22
	45	+
	46	+	IN THIS SUBTITLE , “COUNCIL” MEANS THE MARYLAND DEVELOPMENTAL 23
	47	+	DISABILITIES ADMINISTRATION WAIVER ADVISORY COUNCIL. 24 2 SENATE BILL 1027
48	48
49	49
50		-	SUBTITLE 12B. MARYLAND DEVELOPMENTAL DISABILITIES ADMINISTRATION 1
51		-	WAIVER ADVISORY COUNCIL. 2
52	50
53		-	7–12B–01. 3
	51	+	7–12B–02. 1
54	52
55		-	~~IN THIS SUBTITLE , “COUNCIL” MEANS THE~~ MARYLAND DEVELOPMENTAL 4
56		-	~~DISABILITIES~~ ADMINISTRATION WAIVER ADVISORY COUNCIL. 5
	53	+	(A) THERE IS A MARYLAND DEVELOPMENTAL DISABILITIES 2
	54	+	ADMINISTRATION WAIVER ADVISORY COUNCIL IN THE ADMINISTRATION . 3
57	55
58		-	~~7–12B–02. 6~~
	56	+	(B) THE PURPOSE OF THE COUNCIL IS TO: 4
59	57
60		-	(A) THERE IS A MARYLAND DEVELOPMENTAL DISABILITIES 7
61		-	ADMINISTRATION WAIVER ADVISORY COUNCIL IN THE ADMINISTRATION . 8
	58	+	(1) ADVISE AND PROVIDE RE COMMENDATIONS TO THE 5
	59	+	ADMINISTRATION ON SYS TEM DESIGN , SERVICE DELIVERY , AND QUALITY 6
	60	+	ENHANCEMENT STRATEGI ES FOR THE MEDICAID WAIVER PROGR AMS OPERATED BY 7
	61	+	THE ADMINISTRATION; AND 8
62	62
63		-	(B) THE PURPOSE OF THE COUNCIL IS TO: 9
	63	+	(2) FOSTER MEANINGFUL ENG AGEMENT AND ESTABLIS H A 9
	64	+	FEEDBACK LOOP WITH A LL STAKEHOLDERS WHIL E PRIORITIZING INPUT FROM 10
	65	+	INDIVIDUALS WITH LIV ED EXPERIENCE WITH A MEDICAID WAIVER PROGR AM. 11
64	66
65		-	(1) ADVISE AND PROVI DE RECOMMENDATIONS T O THE 10
66		-	ADMINISTRATION ON SYS TEM DESIGN , SERVICE DELIVERY , AND QUALITY 11
67		-	ENHANCEMENT STRATEGI ES FOR THE MEDICAID WAIVER PROGR AMS OPERATED BY 12
68		-	THE ADMINISTRATION ; AND 13
	67	+	(C) THE COUNCIL SHALL ADHERE TO PERSON –CENTERED THINKING , 12
	68	+	DIVERSITY, EQUITY, AND INCLUSION PRINCI PLES, AND EVIDENCE –BASED AND 13
	69	+	DATA–DRIVEN DISCUSSION AN D PROBLEM SOLVING . 14
69	70
70		-	(2) FOSTER MEANINGFUL ENG AGEMENT AND ESTABLIS H A 14
71		-	FEEDBACK LOOP WITH A LL STAKEHOLDERS WHILE P RIORITIZING INPUT FR OM 15
72		-	INDIVIDUALS WITH LIV ED EXPERIENCE WITH A MEDICAID WAIVER PROGR AM. 16
	71	+	7–12B–03. 15
73	72
74		-	(C) THE COUNCIL SHALL ADHERE TO PERSON –CENTERED THINKING , 17
75		-	DIVERSITY, EQUITY, AND INCLUSION PRINCI PLES, AND EVIDENCE –BASED AND 18
76		-	DATA–DRIVEN DISCUSS ION AND PROBLEM SOLV ING. 19
	73	+	(A) (1) THE COUNCIL CONSISTS OF T HE FOLLOWING VOTING MEMBERS, 16
	74	+	APPOINTED BY THE SECRETARY OF HEALTH: 17
77	75
78		-	7–12B–03. 20
	76	+	(I) 18 INDIVIDUALS WITH LIVED EXPERIENCE PAR TICIPATING 18
	77	+	IN AN ADMINISTRATION PROGRA M THAT SHALL INCLUDE : 19
79	78
80		-	~~(A) (1) THE COUNCIL CONSISTS OF T HE FOLLOWING VOTING MEMBERS, 21~~
81		-	~~APPOINTED BY THE SECRETARY OF HEALTH:~~ 22
	79	+	1. REPRESENTATIVES FROM ADVOCACY GROUPS FOR 20
	80	+	INDIVIDUALS WITH INT ELLECTUAL AND DEVELO PMENTAL DISABILITIES ; AND 21
82	81
83		-	(I) 18 21 INDIVIDUALS WITH LIV ED EXPERIENCE 23
84		-	PARTICIPATING IN AN ADMINISTRATION PROGRA M THAT SHALL INCLUDE : 24
	82	+	2. EQUAL REPRESENTATION FROM INDIVIDUALS WHO 22
	83	+	HAVE EXPER IENCED SELF–DIRECTED DELIVERY MO DELS AND INDIVIDUALS WHO 23
	84	+	HAVE EXPERIENCED TRA DITIONAL DELIVERY MO DELS; 24
85	85
86		-	~~1. REPRESENTATIVES FROM ADVOCACY GROUPS FOR~~ 25
87		-	~~INDIVIDUALS WITH INT ELLECTUAL AND DEVELO PMENTAL DISABILITIES~~ ; ~~AND~~ 26
	86	+	(II) TWO LICENSED PROVIDER S OF RESIDENTIAL AND DAY 25
	87	+	SERVICES; 26
88	88
89		-	~~2. EQUAL REPRESENTATION FROM INDIVIDUALS WHO~~ 27
90		-	~~HAVE EXPERIENCED SEL F–DIRECTED DELIVERY MO DELS~~ AND ~~INDIVIDUALS WHO~~ 28
91		-	~~HAVE EXPERIENCED TRA DITIONAL DELIVERY MODELS ; 29~~
92		-	SENATE BILL 1027 3
	89	+	(III) TWO CERTIFIED PROVIDE RS OF SERVICES INCLU DING 27
	90	+	EMPLOYMENT , PERSONAL SUPPORT , TECHNOLOGY, AND TRANSPORTATION ; 28
	91	+
	92	+	(IV) ONE COORDINATION OF C OMMUNITY SERVICES PR OVIDER; 29 SENATE BILL 1027 3
93	93
94	94
95		-	(II) TWO LICENSED PROVIDER S OF RESIDENTIAL AND DAY 1
96		-	SERVICES; 2
97	95
98		-	(~~III~~) ~~TWO CERTIFIED PROVIDE RS OF SERVICES INCLU DING 3~~
99		-	~~EMPLOYMENT , PERSONAL SUPPORT , TECHNOLOGY , AND TRANSPORTATION~~ ; 4
	96	+	(V) ONE FINANCIAL MANAGEM ENT AND COUNSELING S ERVICES 1
	97	+	PROVIDER; 2
100	98
101		-	(IV) ONE ~~TWO COORDINATION~~ OF ~~COMM UNITY SERVICES 5~~
102		-	~~PROVIDER PROVIDERS~~; 6
	99	+	(VI) ONE REPRESENTATIVE OF AN ETHNIC ADVOCACY G ROUP IN 3
	100	+	THE STATE; 4
103	101
104		-	(V) ONE ~~FINANCIAL MANAGEM ENT AND COUNSELING S ERVICES 7~~
105		-	~~PROVIDER~~; 8
	102	+	(VII) ONE REPRESENTATIVE OF THE MARYLAND CENTER FOR 5
	103	+	DEVELOPMENTAL DISABILITIES; 6
106	104
107		-	(VI) ONE REPRESENTATIVE OF ~~AN ETHNIC ADVOCACY G ROUP IN 9~~
108		-	~~THE STATE~~; 10
	105	+	(VIII) ONE REPRESENTATIVE OF THE MARYLAND 7
	106	+	DEVELOPMENTAL DISABILITIES COUNCIL; 8
109	107
110		-	(~~VII~~) ONE REPRESENTATIVE OF THE ~~MARYLAND CENTER FOR 11~~
111		-	~~DEVELOPMENTAL DISABILITIES~~; 12
	108	+	(IX) ONE REPRESENTATIVE OF THE SELF–DIRECTED 9
	109	+	ADVOCACY NETWORK OF MARYLAND; 10
112	110
113		-	(~~VIII~~) ONE REPRESENTATIVE OF TH ~~E MARYLAND 13~~
114		-	~~DEVELOPMENTAL DISABILITIES COUNCIL~~; 14
	111	+	(X) ONE REPRESENTATIVE OF THE PARENTS’ PLACE OF 11
	112	+	MARYLAND; 12
115	113
116		-	(IX) ~~ONE REPRESENTATIVE OF THE SELF–DIRECTED 15~~
117		-	~~ADVOCACY NETWORK OF MARYLAND~~; 16
	114	+	(XI) THREE FAMILY MEMBERS WITH EXPERIENCE WITH 13
	115	+	SELF–DIRECTED SERVICES ; AND 14
118	116
119		-	(X) ~~ONE REPRESENTATIVE OF THE PARENTS’~~ ~~PLACE OF 17~~
120		-	~~MARYLAND; 18~~
	117	+	(XII) THREE FAMILY MEMBERS WITH EXPERIENCE WITH 15
	118	+	TRADITIONAL SERVICES . 16
121	119
122		-	(XI) ~~ONE REPRESENTATIVE~~ OF ~~THE MARYLAND ASSOCIATION 19~~
123		-	~~OF COMMUNITY SERVICES; 20~~
	120	+	(2) THE COUNCIL CONSISTS OF T HE FOLLOWING NONVOTI NG 17
	121	+	MEMBERS: 18
124	122
125		-	(XII) ONE REPRESENTATIVE OF THE ARC MARYLAND; 21
	123	+	(I) ONE MEMBER OF THE SENATE OF MARYLAND, APPOINTED 19
	124	+	BY THE PRESIDENT OF THE SENATE; 20
126	125
127		-	(~~XIII~~) ONE ~~REPRESENTATIVE~~ OF THE ~~MARYLAND COUNCIL~~ OF 22
128		-	~~SUPPORT BROKERS~~; 23
	126	+	(II) ONE MEMBER OF THE HOUSE OF DELEGATES, APPOINTED 21
	127	+	BY THE SPEAKER OF THE HOUSE; 22
129	128
130		-	(XIV) ONE REPRESENTATIVE OF SERVICE COORDINATION , INC.; 24
	129	+	(III) THE DIRECTOR OF FEDERAL PROGRAMS AND INTEGRITY 23
	130	+	IN THE ADMINISTRATION ; 24
131	131
132		-	(XI) ~~(XV) THREE FAMILY MEMBERS WITH EXPERIENCE WITH~~ 25
133		-	~~SELF–DIRECTED SERVICES~~ ; ~~AND~~ 26
	132	+	(IV) ONE REPRES ENTATIVE OF THE DEPARTMENT OF 25
	133	+	DISABILITIES, DESIGNATED BY THE SECRETARY OF DISABILITIES; 26
134	134
135		-	(~~XII~~) ~~(XVI) THREE FAMILY MEMBERS WITH EXPERIENCE WITH~~ 27
136		-	~~TRADITIONAL SERVICES .~~ 28
137		-	4 SENATE BILL 1027
	135	+	(V) ONE REPRESENTATIVE OF THE DEPARTMENT OF HOUSING 27
	136	+	AND COMMUNITY DEVELOPMENT , DESIGNATED BY THE SECRETARY OF HOUSING 28
	137	+	AND COMMUNITY DEVELOPMENT ; 29 4 SENATE BILL 1027
138	138
139	139
140		-	(2) THE COUNCIL CONSISTS OF T HE FOLLOWING NONVOTI NG 1
141		-	MEMBERS: 2
142	140
143		-	(I) ONE ~~MEMBER~~ OF THE ~~SENATE~~ OF ~~MARYLAND, APPOINTED 3~~
144		-	BY THE ~~PRESIDENT~~ OF ~~THE SENATE~~; 4
	141	+	(VI) ONE REPRESENTATIVE OF THE DEPARTMENT OF HUMAN 1
	142	+	SERVICES, DESIGNATED BY THE SECRETARY OF HUMAN SERVICES; 2
145	143
146		-	(II) ONE MEMBER OF THE HOUSE OF DELEGATES, APPOINTED 5
147		-	BY THE SPEAKER OF THE HOUSE; 6
	144	+	(VII) ONE REPRESENTATIVE OF THE DIVISION OF 3
	145	+	REHABILITATION SERVICES IN THE STATE DEPARTMENT OF EDUCATION, 4
	146	+	DESIGNATED BY THE STATE SUPERINTENDENT OF SCHOOLS; 5
148	147
149		-	(~~III~~) THE ~~DIRECTOR OF FEDERAL PROGRAMS AND INTEGRITY 7~~
150		-	~~IN THE ADMINISTRATION ; 8~~
	148	+	(VIII) THE FOLLOWING MEMBERS , DESIGNATED BY THE 6
	149	+	SECRETARY OF HEALTH: 7
151	150
152		-	~~(IV)~~ ONE REPRESENTATIVE OF THE ~~DEPARTMENT~~ OF 9
153		-	~~DISABILITIES, DESIGNATED BY THE SECRETARY OF DISABILITIES~~; 10
	151	+	1. ONE REPRESENTATIVE OF THE OFFICE OF LONG 8
	152	+	TERM SERVICES AND SUPPORTS; 9
154	153
155		-	(V) ONE REPRESENTATIVE OF THE DEPARTMENT OF HOUSING 11
156		-	AND COMMUNITY DEVELOPMENT , DESIGNATED BY THE SECRETARY OF HOUSING 12
157		-	AND COMMUNITY DEVELOPMENT ; 13
	154	+	2. ONE REPRESENTATIVE OF THE BEHAVIORAL 10
	155	+	HEALTH ADMINISTRATION ; 11
158	156
159		-	~~(VI)~~ ONE REPRESENTATIVE OF THE ~~DEPARTMENT~~ OF ~~HUMAN 14~~
160		-	~~SERVICES, DESIGNATED BY THE SECRETARY OF HUMAN SERVICES~~; 15
	157	+	3. ONE REPRESENTATIVE OF THE OFFICE OF HEALTH 12
	158	+	CARE QUALITY; 13
161	159
162		-	(VII) ONE REPRESENTATIVE OF THE DIVISION OF 16
163		-	REHABILITATION SERVICES IN THE STATE DEPARTMENT OF EDUCATION, 17
164		-	DESIGNATED BY THE STATE SUPERINTENDENT OF SCHOOLS; 18
	160	+	4. ONE REPRESENTATIVE OF THE ELIGIBILITY 14
	161	+	DETERMINATION DIVISION OF THE OFFICE OF ELIGIBILITY SERVICES; AND 15
165	162
166		-	~~(VIII)~~ THE ~~FOLLOWING MEMBERS , DESIGNATED BY THE 19~~
167		-	~~SECRETARY OF HEALTH:~~ 20
	163	+	5. ONE REPRESENTATIVE OF THE MARYLAND LONG 16
	164	+	TERM SERVICES AND SUPPORT SYSTEM PROGRA M MANAGEMENT OFFICE ; AND 17
168	165
169		-	~~1. ONE REPRESENTATIVE OF~~ THE ~~OFFICE OF LONG 21~~
170		-	~~TERM SERVICES AND SUPPORTS;~~ 22
	166	+	(IX) THE FOLLOWING MEMBERS , APPOINTED BY THE 18
	167	+	SECRETARY OF HEALTH: 19
171	168
172		-	2. ONE REPRESENTATIVE OF THE BEHAVIORAL 23
173		-	HEALTH ADMINISTRATION ; 24
	169	+	1. ONE REPRESENTATIVE OF THE NATIONAL 20
	170	+	ASSOCIATION OF STATE DIRECTORS OF DEVELOPMENTAL DISABILITIES SERVICES; 21
	171	+	AND 22
174	172
175		-	3. ONE REPRESENTATIVE OF ~~THE OFFICE OF HEALTH 25~~
176		-	~~CARE QUALITY;~~ 26
	173	+	2. ONE REPRESENTATIVE OF APPLIED 23
	174	+	SELF–DIRECTION. 24
177	175
178		-	4. ONE REPRE SENTATIVE OF THE ELIGIBILITY 27
179		-	DETERMINATION DIVISION OF THE OFFICE OF ELIGIBILITY SERVICES; AND 28
	176	+	(3) THE LICENSED OR CERTIFIED PROVIDERS ON THE COUNCIL 25
	177	+	SHALL INCLUDE REPRES ENTATIVES FROM EACH REGION AND FROM THE 26
	178	+	MARYLAND ASSOCIATION OF COMMUNITY SERVICES AND THE ARC OF MARYLAND. 27
180	179
181		-	~~5. ONE REPRESENTATIVE OF~~ THE ~~MARYLAND LONG 29~~
182		-	~~TERM SERVICES AND SUPPORT SYSTEM PROGRA M MANAGEMENT OFFICE ; AND 30~~
	180	+	(4) FAMILY MEMBERS APPOIN TED TO THE COUNCIL SHALL INCLUDE 28
	181	+	AT LEAST ONE FAMILY MEMBER FROM EACH REGIO N. 29
183	182		SENATE BILL 1027 5
184	183
185	184
186		-	(IX) THE FOLLOWING MEMBERS , APPOINTED BY THE 1
187		-	SECRETARY OF HEALTH: 2
	185	+	(5) THE ADMINISTRATION SHALL ESTABLISH AN APPLICA TION 1
	186	+	PROCESS AND REVIEW P ROCESS FOR MEMBERS W HO WISH TO SERVE ON THE 2
	187	+	COUNCIL. 3
188	188
189		-	~~1. ONE REPRESENTATIVE~~ OF ~~THE NATIONAL 3~~
190		-	~~ASSOCIATION OF STATE DIRECTORS OF DEVELOPMENTAL DISABILITIES SERVICES;~~ 4
191		-	~~AND 5~~
	189	+	(6) TO THE EXTENT PRACTIC ABLE, THE MEMBERSHIP OF TH E 4
	190	+	COUNCIL SHALL REFLECT THE GENDER , RACIAL, ETHNIC, AND GEOGRAPHICAL 5
	191	+	DIVERSITY OF THE STATE. 6
192	192
193		-	2. ONE REPRESENTATIVE OF APPLIED 6
194		-	SELF–DIRECTION. 7
	193	+	(B) (1) THE TERM OF A MEMBER IS 3 YEARS. 7
195	194
196		-	(3) THE LICENSED OR CERTI FIED PROVIDERS ON TH E COUNCIL 8
197		-	SHALL INCLUDE REPRES ENTATIVES FROM EACH REGION AND FROM THE 9
198		-	MARYLAND ASSOCIATION OF COMMUNITY SERVICES AND THE ARC OF MARYLAND. 10
	195	+	(2) THE TERMS OF MEMBERS ARE STAGGERED AS REQ UIRED BY THE 8
	196	+	TERMS PROVIDED FOR T HE MEMBERS OF THE COUNCIL ON OCTOBER 1, 2025. 9
199	197
200		-	~~(4)~~ (3) ~~FAMILY MEMBERS APPOIN TED~~ TO ~~THE COUNCIL SHALL 11~~
201		-	~~INCLUDE AT LEAST ONE FAMILY MEMBER FROM E ACH REGION~~. 12
	198	+	(3) AT THE END OF A TERM , A MEMBER CONT INUES TO SERVE UNTIL 10
	199	+	A SUCCESSOR IS APPOI NTED AND QUALIFIES . 11
202	200
203		-	~~(5)~~ (4) ~~THE ADMINISTRATION SHALL ES TABLISH AN APPLICATI ON 13~~
204		-	~~PROCESS~~ AND ~~REVIEW P ROCESS FOR MEMBERS W HO WISH TO SERVE ON THE 14~~
205		-	~~COUNCIL~~. 15
	201	+	(4) A MEMBER WHO IS APPOIN TED AFTER A TERM HAS BEGUN SERVES 12
	202	+	ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS APPOINT ED AND 13
	203	+	QUALIFIES. 14
206	204
207		-	(6) (5) TO THE EXTENT PRACTIC ABLE, THE MEMBERSHIP OF TH E 16
208		-	COUNCIL SHALL REFLECT THE GENDER , RACIAL, ETHNIC, AND GEOGRAPHICAL 17
209		-	DIVERSITY OF THE STATE. 18
	205	+	(5) A MEMBER MAY NOT SERVE CONSECUTIVE TERMS BU T MAY SERVE 15
	206	+	FOR MULTIPLE NONCONS ECUTIVE TERMS . 16
210	207
211		-	(B) (1) THE TERM OF A MEMBER IS 3 YEARS. 19
	208	+	(C) (1) THE DIRECTOR OF FEDERAL PROGRAMS SHALL SERVE AS A 17
	209	+	NONVOTING COCHAIR . 18
212	210
213		-	(2) THE TERMS OF MEMBERS ARE STAGGERED AS REQ UIRED BY THE 20
214		-	TERMS PROVIDED FOR T HE MEMBERS OF THE COUNCIL ON OCTOBER 1, 2025. 21
	211	+	(2) THE COUNCIL SHALL VOTE FO R THE ADDITIONAL COC HAIR. 19
215	212
216		-	(3) AT THE END OF A TERM , A MEMBER CONTINUES T O SERVE UNTIL 22
217		-	A SUCCESSOR IS APPOINTED AND QUA LIFIES. 23
	213	+	(D) (1) THE ADMINISTRATION SHALL PROVIDE STAFF FOR TH E COUNCIL. 20
218	214
219		-	(4) A MEMBER WHO IS APPOIN TED AFTER A TERM HAS BEGUN SERVES 24
220		-	ONLY FOR THE REST OF THE TERM AND UNTIL A SUCCESSOR IS APPOINT ED AND 25
221		-	QUALIFIES. 26
	215	+	(2) THE DEPARTMENT SHALL INCL UDE A DEDICATED COUNCIL 21
	216	+	WEBPAGE ON THE DEPARTMENT ’S WEBSITE THAT INCLU DES MEETING DATES AN D 22
	217	+	TIMES, AGENDAS AND OTHER ME ETING DOCUMENTS , AND RECORDED PAST 23
	218	+	MEETINGS OF THE COUNCIL. 24
222	219
223		-	(5) A MEMBER MAY NOT SERVE CONSECUTIVE TERMS BU T MAY SERVE 27
224		-	FOR MULTIPLE NONCONS ECUTIVE TERMS. 28
	220	+	(E) A MEMBER OF THE COUNCIL: 25
225	221
226		-	~~(C)~~ (1) ~~THE DIRECTOR OF FEDERAL PROGRAMS SHALL SERVE~~ AS A 29
227		-	~~NONVOTING COCHAIR . 30~~
	222	+	(1) MAY NOT RECEIVE COMPENSATION AS A ME MBER OF THE 26
	223	+	COUNCIL; BUT 27
228	224
229		-	(2) THE COUNCIL SHALL VOTE FO R THE ADDITIONAL COC HAIR. 31 6 SENATE BILL 1027
	225	+	(2) IS ENTITLED TO REIMB URSEMENT FOR EXPENSE S UNDER THE 28
	226	+	STANDARD STATE TRAVEL REGULATIONS, AS PROVIDED IN THE STATE BUDGET . 29
	227	+	6 SENATE BILL 1027
	228	+
	229	+
	230	+	(F) THE COUNCIL MAY PROVIDE T RAVEL ARRANGEMENTS , AS NECESSARY , 1
	231	+	FOR MEMBERS OF THE COUNCIL WITH DISABILI TIES. 2
	232	+
	233	+	7–12B–04. 3
	234	+
	235	+	(A) (1) THE COUNCIL SHALL MEET ON CE EVERY 2 MONTHS IN A 4
	236	+	LOCATION THAT IS MAD E PUBLICLY AVAILABLE AT LEAST 2 WEEKS BEFORE THE 5
	237	+	MEETING. 6
	238	+
	239	+	(2) THE COUNCIL MAY HOLD ADDI TIONAL MEETINGS IF D ETERMINED 7
	240	+	NECESSARY BY THE CO CHAIRS. 8
	241	+
	242	+	(3) MEETINGS OF THE COUNCIL SHALL: 9
	243	+
	244	+	(I) BE OPEN TO THE PUBLIC AND RECORDED BY VIDE O; 10
	245	+
	246	+	(II) FOLLOW AGENDAS THAT A RE DISTRIBUTED AT LE AST 1 11
	247	+	WEEK BEFORE THE MEET ING TO COUNCIL MEMBERS BY E –MAIL; 12
	248	+
	249	+	(III) CONCLUDE WITH A CLEAR UNDERSTANDING OF 13
	250	+	EXPECTATIONS AND ASS IGNMENTS FOR FUTURE STEPS; 14
	251	+
	252	+	(IV) PROVIDE ACCOMMODATION S FOR INDIVIDUALS WI TH 15
	253	+	DISABILITIES; AND 16
	254	+
	255	+	(V) INCLUDE TIME FOR PUBL IC COMMENT AFTER MEE TING 17
	256	+	AGENDA ITEMS HAVE BE EN ADDRESSED . 18
	257	+
	258	+	(4) A MEETING OF THE COUNCIL MAY BE HELD V IRTUALLY IF 19
	259	+	DETERMINED NECESSARY BY THE COCHAIRS . 20
	260	+
	261	+	(5) THE COUNCIL SHALL PROVIDE NOTICE OF ITS MEETIN GS BY 21
	262	+	E–MAIL TO MEMBERS AT L EAST 1 WEEK BEFORE THE MEET ING AND SHALL INCLUD E 22
	263	+	AN AGENDA AND ANY DO CUMENTS TO BE REVIEW ED FOR THE MEETING . 23
	264	+
	265	+	(6) THE COUNCIL SHALL DISTRIBUTE M EETING MINUTES TO 24
	266	+	MEMBERS WITHIN 2 WEEKS AFTER EACH COUNCIL MEETING . 25
	267	+
	268	+	(B) THE COUNCIL MAY FORM WORK GROUPS THAT MAY MEET AS DIRECTED 26
	269	+	BY THE COCHAIRS . 27
	270	+
	271	+	(C) THE COUNCIL SHALL ESTABLI SH A CODE OF CONDUCT FOR COUNCIL 28
	272	+	MEETINGS. 29 SENATE BILL 1027 7
230	273
231	274
232	275
233		-	~~(D) (1) THE ADMINISTRATION SHALL PROVIDE STAFF FOR TH E COUNCIL~~. 1
	276	+	7–12B–05. 1
234	277
235		-	(2) THE DEPARTMENT SHALL INCL UDE A DEDICATED COUNCIL 2
236		-	WEBPAGE ON THE DEPARTMENT ’S WEBSITE THAT INCLU DES MEETING DATES AN D 3
237		-	TIMES, AGENDAS AND OTHER ME ETING DOCUMENTS , AND RECORDED PAST 4
238		-	MEETINGS OF THE COUNCIL. 5
	278	+	(A) THE COUNCIL SHALL PROVIDE ADVICE AND MAKE RECO MMENDATIONS 2
	279	+	TO THE ADMINISTRATION ON : 3
239	280
240		-	(E) A MEMBER OF THE COUNCIL: 6
	281	+	(1) ADMINISTRATION –OPERATED MEDICAID WAIVER PROGR AM 4
	282	+	SYSTEM DESIGN , INCLUDING WAIVER APP LICATION REGULATIONS AND POLICIES; 5
241	283
242		-	(1) MAY NOT RECEIVE COMP ENSATION AS A MEMBER OF THE 7
243		-	COUNCIL; BUT 8
	284	+	(2) SERVICE DELIVERY AND ACCESS TO SERVICES; 6
244	285
245		-	(2) IS ENTITLED TO REIMB URSEMENT FOR EXPENSE S UNDER THE 9
246		-	STANDARD STATE TRAVEL REGULATIONS, AS PROVIDED IN THE STATE BUDGET . 10
	286	+	(3) FEDERAL WAIVER ASSURA NCES; 7
247	287
248		-	(F) THE COUNCIL MAY PROVIDE T RAVEL ARRANGEMENTS , AS NECESSARY , 11
249		-	FOR MEMBERS OF THE COUNCIL WITH DISABILI TIES. 12
	288	+	(4) ENSURING ACCESS TO MEDICAID SERVICES ; 8
250	289
251		-	7–12B–04. 13
	290	+	(5) QUALITY ENHANCEMENT E FFORTS AND IMPROVEME NT 9
	291	+	STRATEGIES; 10
252	292
253		-	(A) (1) THE COUNCIL SHALL MEET ON CE EVERY 2 MONTHS IN A 14
254		-	LOCATION THAT IS MAD E PUBLICLY AVAILABLE AT LEAST 2 WEEKS BEFORE THE 15
255		-	MEETING. 16
	293	+	(6) COMMUNICATION WITH ST AKEHOLDERS , INCLUDING A 11
	294	+	TRANSPARENT FEEDBACK PROCESS; AND 12
256	295
257		-	(2) THE COUNCIL MAY HOLD ADDI TIONAL MEETINGS IF D ETERMINED 17
258		-	NECESSARY BY THE COC HAIRS. 18
	296	+	(7) COLLABORATI VE PROCESSES WITH ST AKEHOLDERS . 13
259	297
260		-	(3) MEETINGS OF THE COUNCIL SHALL: 19
	298	+	(B) (1) THE COUNCIL SHALL VOTE ON THE ADVICE AND 14
	299	+	RECOMMENDATIONS TO P ROVIDE TO THE ADMINISTRATION UNDER SUBSECTION (A) 15
	300	+	OF THIS SECTION. 16
261	301
262		-	(I) BE OPEN TO THE PUBLIC AND RECORDED BY VIDE O; 20
	302	+	(2) THE COUNCIL SHALL ATTEMPT TO REACH CONSENSUS A ND ALL 17
	303	+	MEMBERS SHALL BE AFF ORDED AN OPPORTUNITY TO BE HEARD. 18
263	304
264		-	(II) ~~FOLLOW AGENDAS THAT~~ A ~~RE DISTRIBUTED AT LE AST 1 21~~
265		-	~~WEEK BEFORE~~ THE ~~MEET ING TO~~ COUNCIL ~~MEMBERS BY E –MAIL; 22~~
	305	+	(3) IF CONSENSUS CANNOT B E REACHED ON A PARTI CULAR ISSUE, 19
	306	+	THE COUNCIL MAY VOTE WITH A 75% AGREEMENT THRESHOLD . 20
266	307
267		-	(~~III~~) ~~CONCLUDE WITH~~ A ~~CLEAR UNDERSTANDING OF 23~~
268		-	~~EXPECTATIONS AND ASS IGNMENTS FOR FUTURE STEPS ; 24~~
	308	+	(4) (I) A COUNCIL MEMBER MAY NO T VOTE ON ANOTHER 21
	309	+	MEMBER’S BEHALF. 22
269	310
270		-	(IV) ~~PROVIDE ACCOMMODATION S~~ FOR ~~INDIVIDUALS WI TH 25~~
271		-	~~DISABILITIES; AND 26~~
	311	+	(II) A COUNCIL MEMBER MAY DE SIGNATE A PRO XY FOR THE 23
	312	+	MEMBER. 24
272	313
273		-	(V) INCLUDE TIME FOR PUBL IC COMMENT AFTER MEE TING 27
274		-	AGENDA ITEMS HAVE BE EN ADDRESSED . 28
275		-	SENATE BILL 1027 7
276		-
277		-
278		-	(4) A MEETING OF THE COUNCIL MAY BE HELD V IRTUALLY IF 1
279		-	DETERMINED NECESSARY BY THE COCHAIRS . 2
280		-
281		-	(5) THE COUNCIL SHALL PROVIDE NOTICE OF ITS MEETIN GS BY 3
282		-	E–MAIL TO MEMBERS AT L EAST 1 WEEK BEFORE THE MEET ING AND SHALL INCLUD E 4
283		-	AN AGENDA AND ANY DO CUMENTS TO BE REV IEWED FOR THE MEETIN G. 5
284		-
285		-	(6) THE COUNCIL SHALL DISTRIB UTE MEETING MINUTES TO 6
286		-	MEMBERS WITHIN 2 WEEKS AFTER EACH COUNCIL MEETING . 7
287		-
288		-	(B) THE COUNCIL MAY FORM WORK GROUPS THAT MAY MEET AS DIRECTED 8
289		-	BY THE COCHAIRS . 9
290		-
291		-	(C) THE COUNCIL SHALL ESTABLI SH A CODE OF CO NDUCT FOR COUNCIL 10
292		-	MEETINGS. 11
293		-
294		-	7–12B–05. 12
295		-
296		-	(A) THE COUNCIL SHALL PROVIDE ADVICE AND MAKE RECO MMENDATIONS 13
297		-	TO THE ADMINISTRATION ON : 14
298		-
299		-	(1) ADMINISTRATION –OPERATED MEDICAID WAIVER PROGR AM 15
300		-	SYSTEM DESIGN , INCLUDING WAIVER APP LICATION REGULATIONS AND POLICIES; 16
301		-
302		-	(2) SERVICE DELIVERY AND ACCESS TO SERVICES ; 17
303		-
304		-	(3) FEDERAL WAIVER ASSURA NCES; 18
305		-
306		-	(4) ENSURING ACCESS TO MEDICAID SERVICES ; 19
307		-
308		-	(5) QUALITY ENHANCEMENT E FFORTS AND IMPROVEME NT 20
309		-	STRATEGIES; 21
310		-
311		-	(6) COMMUNICATION WITH ST AKEHOLDERS , INCLUDING A 22
312		-	TRANSPARENT FEEDBACK PROCESS ; AND 23
313		-
314		-	(7) COLLABORATIVE PROCESS ES WITH STAKEHOLDERS . 24
315		-
316		-	(B) (1) THE COUNCIL SHALL VOTE ON THE ADVICE AND 25
317		-	RECOMMENDATIONS TO P ROVIDE TO THE ADMINISTRATION UNDER SUBSECTION (A) 26
318		-	OF THIS SECTION. 27
319		-
320		-	(2) THE COUNCIL SHALL ATTEMPT TO REACH CONS ENSUS AND ALL 28
321		-	MEMBERS SHALL BE AFF ORDED AN OPPORTUNITY TO BE HEARD. 29
	314	+	(III) A COUNCIL MEMBER ’S PROXY MAY VOTE ON BEHALF OF A 25
	315	+	MEMBER ONLY IF THE P ROXY IS ATTENDING TH E MEETING FOR THE ME MBER. 26
322	316		8 SENATE BILL 1027
323	317
324	318
325		-	(3) ~~IF CONSENSUS CANNOT B E REACHED~~ ON ~~A PARTI CULAR ISSUE,~~ 1
326		-	THE ~~COUNCIL MAY VOTE WITH A 75% AGREEMENT THRESHOLD~~ . 2
	319	+	(IV) A COUNCIL MEMBER ’S PROXY MAY NOT VOTE ON BEHALF OF 1
	320	+	THE PROXY. 2
327	321
328		-	(4) (I) A COUNCIL MEMBER MAY NO T VOTE ON ANOTHER 3
329		-	MEMBER’S BEHALF. 4
	322	+	SECTION 2. AND BE IT FURTHER ENACTED, That the terms of the initial voting 3
	323	+	members of the Maryland Development Disabilities Administration Waiver Advisory 4
	324	+	Council shall expire as follows: 5
330	325
331		-	(II) A COUNCIL MEMBER MAY DE SIGNATE A PROXY FOR THE 5
332		-	MEMBER. 6
	326	+	(1) 18 members in 2027; and 6
333	327
334		-	(III) A COUNCIL MEMBER ’S PROXY MAY VOTE ON BEHALF OF A 7
335		-	MEMBER ONLY IF THE P ROXY IS ATTENDING TH E MEETING FOR THE ME MBER. 8
	328	+	(2) 17 members in 2028. 7
336	329
337		-	(IV) A COUNCIL MEMBER ’S PROXY MAY NOT VOTE ON BEHALF OF 9
338		-	THE PROXY. 10
339		-
340		-	SECTION 2. AND BE IT FURTHER ENACTED, That the terms of the initial voting 11
341		-	members of the Maryland Development Disabilities Administration Waiver Advisory 12
342		-	Council shall expire as follows: 13
343		-
344		-	(1) 18 22 members in 2027; and 14
345		-
346		-	(2) 17 21 members in 2028. 15
347		-
348		-	SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall take effect 16
349		-	October 1, 2025. 17
350		-
351		-
352		-
353		-	Approved:
354		-	________________________________________________________________________________
355		-	Governor.
356		-	________________________________________________________________________________
357		-	President of the Senate.
358		-	________________________________________________________________________________
359		-	Speaker of the House of Delegates.
	330	+	SECTION 3. AND BE IT FURTHER ENACTED, That th is Act shall take effect 8
	331	+	October 1, 2025. 9