| 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 | 5 | Underlining indicates amendments to bill. | |
| 6 | 6 | Strike out indicates matter stricken from the bill by amendment or deleted from the law by | |
| 7 | 7 | amendment. | |
| 8 | - | Italics indicate opposite chamber/conference committee amendments. | |
| 9 | 8 | *sb0156* | |
| 10 | 9 | ||
| 11 | 10 | SENATE BILL 156 | |
| 12 | - | J1, J5 (5lr1587) | |
| 13 | - | ENROLLED BILL | |
| 14 | - | — Finance/Health and Government Operations — | |
| 15 | - | Introduced by Senator Lewis Young | |
| 16 | - | ||
| 17 | - | Read and Examined by Proofreaders: | |
| 18 | - | ||
| 19 | - | _______________________________________________ | |
| 20 | - | Proofreader. | |
| 21 | - | _______________________________________________ | |
| 22 | - | Proofreader. | |
| 23 | - | ||
| 24 | - | Sealed with the Great Seal and presented to the Governor, for his approval this | |
| 25 | - | ||
| 26 | - | _______ day of _______________ at ________________ ________ o’clock, ________M. | |
| 27 | - | ||
| 28 | - | ______________________________________________ | |
| 29 | - | President. | |
| 11 | + | J1, J5 5lr1587 | |
| 12 | + | (PRE–FILED) CF HB 334 | |
| 13 | + | By: Senator Lewis Young | |
| 14 | + | Requested: October 31, 2024 | |
| 15 | + | Introduced and read first time: January 8, 2025 | |
| 16 | + | Assigned to: Finance | |
| 17 | + | Committee Report: Favorable with amendments | |
| 18 | + | Senate action: Adopted | |
| 19 | + | Read second time: February 2, 2025 | |
| 30 | 20 | ||
| 31 | 21 | CHAPTER ______ | |
| 32 | 22 | ||
| 33 | 23 | AN ACT concerning 1 | |
| 34 | 24 | ||
| 35 | 25 | Workgroup on Universal Newborn Nurse Home Visiting Services – Program 2 | |
| 36 | 26 | Establishment and Insurance Coverage 3 | |
| 37 | 27 | ||
| 38 | 28 | FOR the purpose of requiring the Maryland Department of Health to establish a program 4 | |
| 39 | 29 | to provide universal newborn nurse home visiting services to all families with 5 | |
| 40 | 30 | newborns residing in the State; requiring community leads and the Department to 6 | |
| 41 | 31 | collect and report on certain data related to the program; requiring insurers, 7 | |
| 42 | 32 | nonprofit health service plans, and health maintenance organizations that provide 8 | |
| 43 | 33 | certain health benefits under certain insurance policies or contracts to provide 9 | |
| 44 | 34 | certain coverage and reimbursement for universal newborn nurse home visiting 10 | |
| 45 | 35 | services; and generally relating to universal newborn nurse home visiting services 11 | |
| 46 | 36 | establishing the Workgroup on Universal Newborn Nurse Home Visiting Services; 12 | |
| 47 | 37 | and generally relating to the Workgroup on Universal Newborn Nurse Home Visiting 13 | |
| 48 | 38 | Services. 14 | |
| 49 | - | 2 SENATE BILL 156 | |
| 39 | + | ||
| 40 | + | BY adding to 15 | |
| 41 | + | Article – Health – General 16 | |
| 42 | + | Section 13–5501 and 13–5502 to be under the new subtitle “Subtitle 55. Universal 17 | |
| 43 | + | Newborn Nurse Home Visiting Program” 18 | |
| 44 | + | Annotated Code of Maryland 19 | |
| 45 | + | (2023 Replacement Volume and 2024 Supplement) 20 | |
| 46 | + | ||
| 47 | + | BY adding to 21 | |
| 48 | + | Article – Insurance 22 2 SENATE BILL 156 | |
| 50 | 49 | ||
| 51 | 50 | ||
| 52 | - | BY adding to 1 | |
| 53 | - | Article – Health – General 2 | |
| 54 | - | Section 13–5501 and 13–5502 to be under the new subtitle “Subtitle 55. Universal 3 | |
| 55 | - | Newborn Nurse Home Visiting Program” 4 | |
| 56 | - | Annotated Code of Maryland 5 | |
| 57 | - | (2023 Replacement Volume and 2024 Supplement) 6 | |
| 51 | + | Section 15–861 1 | |
| 52 | + | Annotated Code of Maryland 2 | |
| 53 | + | (2017 Replacement Volume and 2024 Supplement) 3 | |
| 58 | 54 | ||
| 59 | - | BY adding to 7 | |
| 60 | - | Article – Insurance 8 | |
| 61 | - | Section 15–861 9 | |
| 62 | - | Annotated Code of Maryland 10 | |
| 63 | - | (2017 Replacement Volume and 2024 Supplement) 11 | |
| 55 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 4 | |
| 56 | + | That the Laws of Maryland read as follows: 5 | |
| 64 | 57 | ||
| 65 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 | |
| 66 | - | That the Laws of Maryland read as follows: 13 | |
| 58 | + | (a) There is a Workgroup on Universal Newborn Nurse Home Visiting Services. 6 | |
| 67 | 59 | ||
| 68 | - | (a) There is a Workgroup on Universal Newborn Nurse Home Visiting Services 14 | |
| 69 | - | in the State. 15 | |
| 60 | + | (b) The Workgroup consists of the following members: 7 | |
| 70 | 61 | ||
| 71 | - | (b) The Workgroup consists of the following members: 16 | |
| 62 | + | (1) one member of the Senate of Maryland, appointed by the President of 8 | |
| 63 | + | the Senate; 9 | |
| 72 | 64 | ||
| 73 | - | ( | |
| 74 | - | ||
| 65 | + | (2) one member of the House of Delegates, appointed by the Speaker of the 10 | |
| 66 | + | House; 11 | |
| 75 | 67 | ||
| 76 | - | (2) one member of the House of Delegates, appointed by the Speaker of the 19 | |
| 77 | - | House; 20 | |
| 68 | + | (3) the Secretary of Health, or the Secretary’s designee; and 12 | |
| 78 | 69 | ||
| 79 | - | ( | |
| 70 | + | (4) the following members, appointed by the Governor: 13 | |
| 80 | 71 | ||
| 81 | - | ( | |
| 72 | + | (i) one representative of the Maryland Hospital Association; 14 | |
| 82 | 73 | ||
| 83 | - | ( | |
| 74 | + | (ii) one representative each from: 15 | |
| 84 | 75 | ||
| 85 | - | | |
| 76 | + | 1. The Family Tree for Baltimore City; 16 | |
| 86 | 77 | ||
| 87 | - | | |
| 78 | + | 2. Family Connects Frederick; and 17 | |
| 88 | 79 | ||
| 89 | - | | |
| 80 | + | 3. Family Connects Prince George’s; and 18 | |
| 90 | 81 | ||
| 91 | - | | |
| 82 | + | (iii) two members representing private insurance carriers. 19 | |
| 92 | 83 | ||
| 93 | - | (iii) two members representing private insurance carriers. 28 | |
| 84 | + | (c) The members of the Workgroup shall designate the chair and vice chair of the 20 | |
| 85 | + | Workgroup. 21 | |
| 94 | 86 | ||
| 95 | - | (ii) one representative from each certified site in the State 29 | |
| 96 | - | implementing an evidence–based universal nurse home visiting model for families with 30 | |
| 97 | - | newborns; 31 | |
| 87 | + | (d) The Maryland Department of Health shall provide staff for the Workgroup. 22 | |
| 88 | + | ||
| 89 | + | (e) A member of the Workgroup: 23 | |
| 90 | + | ||
| 91 | + | (1) may not receive compensation as a member of the Workgroup; but 24 | |
| 92 | + | ||
| 93 | + | (2) is entitled to reimbursement for expenses under the Standard State 25 | |
| 94 | + | Travel Regulations, as provided in the State budget. 26 | |
| 95 | + | ||
| 96 | + | (f) The Workgroup shall: 27 | |
| 98 | 97 | SENATE BILL 156 3 | |
| 99 | 98 | ||
| 100 | 99 | ||
| 101 | - | (iii) one representative from an organization in the State 1 | |
| 102 | - | implementing at least two approved Maternal, Infant, and Early Childhood Home Visiting 2 | |
| 103 | - | models; 3 | |
| 100 | + | (1) compile updated patient data and expenditures per patient from the 1 | |
| 101 | + | Family Connect Programs currently operating in the State; 2 | |
| 104 | 102 | ||
| 105 | - | (iv) one representative of a private insurance carrier; 4 | |
| 103 | + | (2) compare other maternal and newborn health programs in the State and 3 | |
| 104 | + | in other states to the Family Connect Programs; and 4 | |
| 106 | 105 | ||
| 107 | - | (v) one representative of the Maryland Nurses Association; 5 | |
| 106 | + | (3) identify service gaps between the Family Connect Programs and 5 | |
| 107 | + | similar programs and potential funding sources to close the gaps. 6 | |
| 108 | 108 | ||
| 109 | - | (vi) one representative of B’More for Health Babies Initiative; 6 | |
| 109 | + | (g) On or before December 31, 2025, the Workgroup shall report its findings and 7 | |
| 110 | + | recommendations to the Governor and, in accordance with § 2 –1257 of the State 8 | |
| 111 | + | Government Article, the General Assembly. 9 | |
| 110 | 112 | ||
| 111 | - | ||
| 113 | + | Article – Health – General 10 | |
| 112 | 114 | ||
| 113 | - | ||
| 115 | + | SUBTITLE 55. UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM. 11 | |
| 114 | 116 | ||
| 115 | - | ||
| 117 | + | 13–5501. 12 | |
| 116 | 118 | ||
| 117 | - | (x) one obstetrician licensed in the State; and 10 | |
| 119 | + | IN THIS SUBTITLE , “PROGRAM” MEANS THE STATEWIDE PROGRAM TO 13 | |
| 120 | + | PROVIDE UNIVERSAL NE WBORN NURSE HOME VIS ITING SERVICES IMPLEMENTED 14 | |
| 121 | + | UNDER § 13–5502(A) OF THIS SUBTITLE. 15 | |
| 118 | 122 | ||
| 119 | - | ||
| 123 | + | 13–5502. 16 | |
| 120 | 124 | ||
| 121 | - | (c) The members of the Workgroup shall designate the chair and vice chair of the 12 | |
| 122 | - | Workgroup. 13 | |
| 125 | + | (A) (1) THE DEPARTMENT SHALL DESI GN, IMPLEMENT, AND MAINTAIN A 17 | |
| 126 | + | VOLUNTARY STATEWIDE PROGRAM TO PROVIDE U NIVERSAL NEWBORN NUR SE 18 | |
| 127 | + | HOME VISITING SERVIC ES TO ALL FAMILIES W ITH NEWBORNS RESIDIN G IN THE 19 | |
| 128 | + | STATE. 20 | |
| 123 | 129 | ||
| 124 | - | (d) The Maryland Family Network, in collaboration with the Maryland 14 | |
| 125 | - | Department of Health shall, may provide staff for the Workgroup. 15 | |
| 130 | + | (2) THE PURPOSES OF THE P ROGRAM ARE TO : 21 | |
| 126 | 131 | ||
| 127 | - | (e) A member of the Workgroup: 16 | |
| 132 | + | (I) SUPPORT HEALTHY CHILD DEVELOPMENT AND 22 | |
| 133 | + | POSTPARTUM HEALTH ; AND 23 | |
| 128 | 134 | ||
| 129 | - | ( | |
| 135 | + | (II) STRENGTHEN FAMILIES . 24 | |
| 130 | 136 | ||
| 131 | - | (2) is entitled to reimbursement for expenses under the Standard State 18 | |
| 132 | - | Travel Regulations, as provided in the State budget. 19 | |
| 137 | + | (3) THE DEPARTMENT SHALL DESI GN THE UNIVERSAL NEW BORN 25 | |
| 138 | + | NURSE HOME VISITING PROGRAM TO BE FLEXIBLE SO AS TO ME ET THE NEEDS OF 26 | |
| 139 | + | THE COMMUNITIES IN W HICH THE PROGRAM OPE RATES. 27 | |
| 133 | 140 | ||
| 134 | - | (f) The Workgroup shall: 20 | |
| 141 | + | (B) IN DESIGNING THE PROG RAM, THE DEPARTMENT SHALL CONS ULT, 28 | |
| 142 | + | COORDINATE , AND COLLABORATE , AS NECESSARY, WITH: 29 | |
| 135 | 143 | ||
| 136 | - | (1) compile updated patient data and expenditures per patient from the 21 | |
| 137 | - | Family Connect Programs currently operating in the State; 22 | |
| 138 | - | ||
| 139 | - | (2) compare other maternal and newborn health programs in the State and 23 | |
| 140 | - | in other states to the Family Connect Programs; and 24 | |
| 141 | - | ||
| 142 | - | (3) identify service gaps between the Family Connect Programs and 25 | |
| 143 | - | similar programs and potential funding sources to close the gaps. 26 | |
| 144 | - | ||
| 145 | - | (1) compile updated participant data and expenditures per participant from 27 | |
| 146 | - | the home visiting for families with newborns programs currently operating in the State; 28 | |
| 147 | - | 4 SENATE BILL 156 | |
| 148 | - | ||
| 149 | - | ||
| 150 | - | (2) compare the data for home visiting for families with newborns programs 1 | |
| 151 | - | in the State to the data for evidence–based models for universal nurse home visiting for 2 | |
| 152 | - | families with newborns; 3 | |
| 153 | - | ||
| 154 | - | (3) (i) identify service gaps between the evidence–based models for 4 | |
| 155 | - | universal nurse home visiting for families with newborns and operational home visiting for 5 | |
| 156 | - | families with newborns programs; 6 | |
| 157 | - | ||
| 158 | - | (ii) identify opportunities to align the evidence–based models for 7 | |
| 159 | - | universal nurse home visiting for families with newborns with operational home visiting for 8 | |
| 160 | - | families with newborns programs operating in the State; and 9 | |
| 161 | - | ||
| 162 | - | (iii) identify potential funding sources to close the identified service 10 | |
| 163 | - | gaps; and 11 | |
| 164 | - | ||
| 165 | - | (4) identify workforce needs, including issues related to cultural 12 | |
| 166 | - | competency, for the evidence–based models for universal newborn nurse home visiting for 13 | |
| 167 | - | families with newborns and recommendations to address the workforce needs. 14 | |
| 168 | - | ||
| 169 | - | (g) On or before December 31, 2025, the Workgroup shall report its findings and 15 | |
| 170 | - | recommendations to the Governor and, in accordance with § 2 –1257 of the State 16 | |
| 171 | - | Government Article, the General Assembly. 17 | |
| 172 | - | ||
| 173 | - | Article – Health – General 18 | |
| 174 | - | ||
| 175 | - | SUBTITLE 55. UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM. 19 | |
| 176 | - | ||
| 177 | - | 13–5501. 20 | |
| 178 | - | ||
| 179 | - | IN THIS SUBTITLE , “PROGRAM” MEANS THE STATEWIDE PROGRAM TO 21 | |
| 180 | - | PROVIDE UNIVERSAL NE WBORN NURSE HOME VIS ITING SERVICES IMPLE MENTED 22 | |
| 181 | - | UNDER § 13–5502(A) OF THIS SUBTITLE. 23 | |
| 182 | - | ||
| 183 | - | 13–5502. 24 | |
| 184 | - | ||
| 185 | - | (A) (1) THE DEPARTMENT SHALL DESI GN, IMPLEMENT, AND MAINTAIN A 25 | |
| 186 | - | VOLUNTARY STATEWIDE PROGRAM TO PROVIDE UNIVERSAL NEWBORN NURSE 26 | |
| 187 | - | HOME VISITING SERVIC ES TO ALL FAMILIES W ITH NEWBORNS RESIDIN G IN THE 27 | |
| 188 | - | STATE. 28 | |
| 189 | - | ||
| 190 | - | (2) THE PURPOSES OF THE P ROGRAM ARE TO : 29 | |
| 191 | - | ||
| 192 | - | (I) SUPPORT HEALTHY CHILD DEVELOPMENT AND 30 | |
| 193 | - | POSTPARTUM HEALTH ; AND 31 | |
| 194 | - | ||
| 195 | - | (II) STRENGTHEN FAMILIES . 32 SENATE BILL 156 5 | |
| 144 | + | (1) INSURERS THAT OFFER H EALTH BENEFITS PLANS IN THE STATE; 30 4 SENATE BILL 156 | |
| 196 | 145 | ||
| 197 | 146 | ||
| 198 | 147 | ||
| 199 | - | (3) THE DEPARTMENT SHALL DESI GN THE UNIVERSAL NEW BORN 1 | |
| 200 | - | NURSE HOME VISITING PROGRAM TO BE FLEXIB LE SO AS TO MEET THE NEEDS OF 2 | |
| 201 | - | THE COMMUNITIES IN W HICH THE PROGRAM OPE RATES. 3 | |
| 148 | + | (2) HOSPITALS; 1 | |
| 202 | 149 | ||
| 203 | - | (B) IN DESIGNING THE PROG RAM, THE DEPARTMENT SHALL CONS ULT, 4 | |
| 204 | - | COORDINATE , AND COLLABORATE , AS NECESSARY, WITH: 5 | |
| 150 | + | (3) LOCAL PUBLIC HEALTH A UTHORITIES; 2 | |
| 205 | 151 | ||
| 206 | - | (1) INSURERS THAT OFFER H EALTH BENEFITS PLANS IN THE STATE; 6 | |
| 152 | + | (4) THE DIVISION OF EARLY CHILDHOOD IN THE DEPARTMENT OF 3 | |
| 153 | + | EDUCATION; 4 | |
| 207 | 154 | ||
| 208 | - | (2) HOSPITALS; 7 | |
| 155 | + | (5) EXISTING EARLY CHILDH OOD AND UNIVERSAL NE WBORN HOME 5 | |
| 156 | + | VISITING PROGRAMS ; 6 | |
| 209 | 157 | ||
| 210 | - | ( | |
| 158 | + | (6) COMMUNITY–BASED ORGANIZATIONS ; 7 | |
| 211 | 159 | ||
| 212 | - | ( | |
| 213 | - | ||
| 160 | + | (7) A NATIONAL TRAINING IN STITUTE FOR UNIVERSA L NEWBORN 8 | |
| 161 | + | HOME VISITING; 9 | |
| 214 | 162 | ||
| 215 | - | (5) EXISTING EARLY CHILDH OOD AND UNIVERSAL NE WBORN HOME 11 | |
| 216 | - | VISITING PROGRAMS ; 12 | |
| 163 | + | (8) SOCIAL SERVICES PROVI DERS; AND 10 | |
| 217 | 164 | ||
| 218 | - | (6) COMMUNITY–BASED ORGANIZATIONS ; 13 | |
| 165 | + | (9) ANY OTHER EXPERTS , GROUPS, OR ORGANIZATIONS AS THE 11 | |
| 166 | + | SECRETARY DETERMINES APPROPRIATE . 12 | |
| 219 | 167 | ||
| 220 | - | ( | |
| 221 | - | ||
| 168 | + | (C) THE PROGRAM SHALL PRO VIDE NURSE HOME VISI TING SERVICES THAT 13 | |
| 169 | + | ARE: 14 | |
| 222 | 170 | ||
| 223 | - | (8) SOCIAL SERVICES PROVI DERS; AND 16 | |
| 171 | + | (1) IDENTIFIED AS AN EVID ENCE–BASED EARLY CHILDHOO D HOME 15 | |
| 172 | + | VISITING SERVICE DEL IVERY MODEL UNDER TH E CRITERIA ESTABLISH ED BY THE 16 | |
| 173 | + | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 17 | |
| 224 | 174 | ||
| 225 | - | ( | |
| 226 | - | ||
| 175 | + | (2) SUPPORTED BY A NATION AL CENTER THAT PROVI DES TRAINING, 18 | |
| 176 | + | MONITORING, AND TECHNICAL SUPPOR T; 19 | |
| 227 | 177 | ||
| 228 | - | ( | |
| 229 | - | ||
| 178 | + | (3) PROVIDED BY A COMMUNI TY LEAD AGENCY DESIG NATED TO 20 | |
| 179 | + | SERVE A DEFINED COMM UNITY; 21 | |
| 230 | 180 | ||
| 231 | - | (1) IDENTIFIED AS AN EVID ENCE–BASED EARLY CHILDHOO D HOME 21 | |
| 232 | - | VISITING SERVICE DEL IVERY MODEL UNDER TH E CRITERIA ESTABLISH ED BY THE 22 | |
| 233 | - | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES; 23 | |
| 181 | + | (4) PROVIDED BY REGISTERE D NURSES LICENSED IN THE STATE; 22 | |
| 234 | 182 | ||
| 235 | - | (2) SUPPORTED BY A NATION AL CENTER THAT PROVI DES TRAINING, 24 | |
| 236 | - | MONITORING , AND TECHNICAL SUPPOR T; 25 | |
| 183 | + | (5) OFFERED TO: 23 | |
| 237 | 184 | ||
| 238 | - | ( | |
| 239 | - | ||
| 185 | + | (I) FAMILIES CARING FOR N EWBORNS UP TO THE AG E OF 12 24 | |
| 186 | + | WEEKS, INCLUDING FOSTER AND ADOPTIVE NEWBORNS ; AND 25 | |
| 240 | 187 | ||
| 241 | - | (4) PROVIDED BY REGISTERED NURSES LI CENSED IN THE STATE; 28 6 SENATE BILL 156 | |
| 188 | + | (II) BIRTHING INDIVIDUALS WITHIN 12 WEEKS AFTER 26 | |
| 189 | + | DELIVERY OF A LIVE B IRTH OR STILLBIRTH ; 27 | |
| 190 | + | ||
| 191 | + | (6) PROVIDED: 28 SENATE BILL 156 5 | |
| 242 | 192 | ||
| 243 | 193 | ||
| 244 | 194 | ||
| 245 | - | ( | |
| 195 | + | (I) IN THE FAMILY’S HOME; OR 1 | |
| 246 | 196 | ||
| 247 | - | (I) FAMILIES CARING FOR N EWBORNS UP TO THE AG E OF 12 2 | |
| 248 | - | WEEKS, INCLUDING FOSTER AND ADOPTIVE NEWBORNS ; AND 3 | |
| 197 | + | (II) VIRTUALLY; AND 2 | |
| 249 | 198 | ||
| 250 | - | ( | |
| 251 | - | ||
| 199 | + | (7) AIMED AT IMPROVING OU TCOMES IN ONE OR MORE OF THE 3 | |
| 200 | + | FOLLOWING DOMAINS ; 4 | |
| 252 | 201 | ||
| 253 | - | ( | |
| 202 | + | (I) INFANT AND CHILD HEAL TH; 5 | |
| 254 | 203 | ||
| 255 | - | ( | |
| 204 | + | (II) CHILD DEVELOPMENT AND SCHOOL READINESS ; 6 | |
| 256 | 205 | ||
| 257 | - | ( | |
| 206 | + | (III) MATERNAL AND POSTPART UM HEALTH; 7 | |
| 258 | 207 | ||
| 259 | - | (7) AIMED AT IMPROVING OU TCOMES IN ONE OR MOR E OF THE 9 | |
| 260 | - | FOLLOWING DOMAINS ; 10 | |
| 208 | + | (IV) FAMILY ECONOMIC SELF –SUFFICIENCY; 8 | |
| 261 | 209 | ||
| 262 | - | ( | |
| 210 | + | (V) POSITIVE PARENTING ; 9 | |
| 263 | 211 | ||
| 264 | - | ( | |
| 212 | + | (VI) REDUCING CHILD MALTREATMENT ; AND 10 | |
| 265 | 213 | ||
| 266 | - | ( | |
| 214 | + | (VII) REDUCING FAMILY VIOLE NCE. 11 | |
| 267 | 215 | ||
| 268 | - | ( | |
| 216 | + | (D) THE SERVICES PROVIDED UNDER THE PROGRAM SH ALL: 12 | |
| 269 | 217 | ||
| 270 | - | (V) POSITIVE PARENTING ; 15 | |
| 218 | + | (1) BE VOLUNTARY AND CARR Y NO NEGATIVE CONSEQ UENCES FOR A 13 | |
| 219 | + | FAMILY THAT DECLINES TO PARTICIPATE ; 14 | |
| 271 | 220 | ||
| 272 | - | ( | |
| 221 | + | (2) BE OFFERED IN EVERY C OMMUNITY IN THE STATE; 15 | |
| 273 | 222 | ||
| 274 | - | (VII) REDUCING FAMILY VIOLE NCE. 17 | |
| 223 | + | (3) INCLUDE AN EVIDENCE –BASED ASSESSMENT OF THE PHYSICAL , 16 | |
| 224 | + | SOCIAL, AND EMOTIONAL FACTOR S AFFECTING THE FAMI LY; 17 | |
| 275 | 225 | ||
| 276 | - | (D) THE SERVICES PROVIDED UNDER THE PROGRAM SH ALL: 18 | |
| 226 | + | (4) BE OFFERED TO ALL FAM ILIES WITH NEWBORNS RESIDING IN THE 18 | |
| 227 | + | COMMUNITY WHERE THE PROGRAM OPERATES ; 19 | |
| 277 | 228 | ||
| 278 | - | (1) BE VOLUNTARY AND CARR Y NO NEGATIVE CONSEQUE NCES FOR A 19 | |
| 279 | - | FAMILY THAT DECLINES TO PARTICIPATE ; 20 | |
| 229 | + | (5) INCLUDE AT LEAST ONE VISIT DURING A NEWBORN ’S FIRST 12 20 | |
| 230 | + | WEEKS OF LIFE WITH T HE OPPORTUNITY FOR T HE FAMILY TO RECEIVE UP TO THREE 21 | |
| 231 | + | ADDITIONAL VISITS DU RING A NEWBORN ’S FIRST 12 WEEKS OF LIFE; 22 | |
| 280 | 232 | ||
| 281 | - | (2) BE OFFERED IN EVERY C OMMUNITY IN THE STATE; 21 | |
| 233 | + | (6) INCLUDE A FOLLOW –UP CALL OR SURVEY NO T LATER THAN 3 23 | |
| 234 | + | MONTHS AFTER THE LAS T VISIT; AND 24 | |
| 282 | 235 | ||
| 283 | - | (3) INCLUDE AN EVIDENCE –BASED ASSESSMENT OF THE PHYSICAL , 22 | |
| 284 | - | SOCIAL, AND EMOTIONAL FACTOR S AFFECTING THE FAMI LY; 23 | |
| 285 | - | ||
| 286 | - | (4) BE OFFERED TO ALL FAMILIES WITH NE WBORNS RESIDING IN T HE 24 | |
| 287 | - | COMMUNITY WHERE THE PROGRAM OPERATES ; 25 | |
| 288 | - | SENATE BILL 156 7 | |
| 236 | + | (7) PROVIDE INFORMATION A ND REFERRALS TO ADDR ESS EACH 25 | |
| 237 | + | FAMILY’S IDENTIFIED AND SPE CIFIC NEEDS. 26 | |
| 238 | + | 6 SENATE BILL 156 | |
| 289 | 239 | ||
| 290 | 240 | ||
| 291 | - | (5) INCLUDE AT LEAST ONE VISIT DURING A NEWBO RN’S FIRST 12 1 | |
| 292 | - | WEEKS OF LIFE WITH T HE OPPORTUNITY FOR T HE FAMILY TO RECEIVE UP TO THREE 2 | |
| 293 | - | ADDITIONAL VISITS DU RING A NEWBORN ’S FIRST 12 WEEKS OF LIFE; 3 | |
| 241 | + | (E) (1) THE DEPARTMENT SHALL ESTA BLISH BY REGULATION : 1 | |
| 294 | 242 | ||
| 295 | - | ( | |
| 296 | - | ||
| 243 | + | (I) THE DEFINITION OF A “COMMUNITY ” FOR PURPOSES OF 2 | |
| 244 | + | THIS SUBTITLE; AND 3 | |
| 297 | 245 | ||
| 298 | - | (7) PROVIDE INFORMATION A ND REFERRALS TO ADDR ESS EACH 6 | |
| 299 | - | FAMILY’S IDENTIFIED AND SPE CIFIC NEEDS. 7 | |
| 246 | + | (II) IN ACCORDANCE WITH PA RAGRAPH (3) OF THIS 4 | |
| 247 | + | SUBSECTION, THE SELECTION PROCES S FOR A COMMUNITY LE AD TO MEET THE 5 | |
| 248 | + | NEEDS OF THE DESIGNA TED GEOGRAPHIC AREA . 6 | |
| 300 | 249 | ||
| 301 | - | (E) (1) THE DEPARTMENT SHALL ESTA BLISH BY REGULATION : 8 | |
| 250 | + | (2) ENTITIES ELIGIBLE TO BE SELECTED TO SERVE AS A COMMUNITY 7 | |
| 251 | + | LEAD INCLUDE : 8 | |
| 302 | 252 | ||
| 303 | - | (I) THE DEFINITION OF A “COMMUNITY ” FOR PURPOSES OF 9 | |
| 304 | - | THIS SUBTITLE; AND 10 | |
| 253 | + | (I) LOCAL PUBLIC HEALTH A GENCIES; 9 | |
| 305 | 254 | ||
| 306 | - | (II) IN ACCORDANCE WITH PA RAGRAPH (3) OF THIS 11 | |
| 307 | - | SUBSECTION, THE SELECTION PROCES S FOR A COMMUNITY LE AD TO MEET THE 12 | |
| 308 | - | NEEDS OF THE DESIGNA TED GEOGRAPHIC AREA . 13 | |
| 255 | + | (II) LOCAL GOVERNMENTS ; 10 | |
| 309 | 256 | ||
| 310 | - | (2) ENTITIES ELIGIBLE TO BE SELECTED TO SERVE AS A COMMUNITY 14 | |
| 311 | - | LEAD INCLUDE : 15 | |
| 257 | + | (III) BIRTHING FACILITIES ; 11 | |
| 312 | 258 | ||
| 313 | - | (I) LOCAL PUBLIC HEALTH A GENCIES; 16 | |
| 259 | + | (IV) NONPROFIT ORGANIZATIO NS SPECIALIZING IN E ARLY 12 | |
| 260 | + | CHILDHOOD DEVELOPMEN T OR MATERNAL AND PO STPARTUM HEALTH ; OR 13 | |
| 314 | 261 | ||
| 315 | - | (II) LOCAL GOVERNMENTS ; 17 | |
| 262 | + | (V) OTHER ORGANIZATIONS A S DETERMINED BY THE 14 | |
| 263 | + | DEPARTMENT . 15 | |
| 316 | 264 | ||
| 317 | - | ( | |
| 265 | + | (3) A COMMUNITY LEAD SHAL L: 16 | |
| 318 | 266 | ||
| 319 | - | (IV) NONPROFIT ORGANIZATIO NS SPECIALIZING IN E ARLY 19 | |
| 320 | - | CHILDHOOD DEVELOPMEN T OR MATERNAL AND POSTPARTUM HEALT H; OR 20 | |
| 267 | + | (I) IMPLEMENT A UNIVERSAL LY OFFERED NEWBORN N URSE 17 | |
| 268 | + | HOME VISITING SERVIC ES MODEL THAT HAS BE EN REVIEWED BY THE F EDERAL 18 | |
| 269 | + | ADMINISTRATION FOR CHILDREN AND FAMILIES TO MEET THE U.S. DEPARTMENT 19 | |
| 270 | + | OF HEALTH AND HUMAN SERVICES CRITERIA FOR AN EVIDENCE –BASED EARLY 20 | |
| 271 | + | CHILDHOOD HOME VISIT ING SERVICE DELIVERY MODEL; 21 | |
| 321 | 272 | ||
| 322 | - | (V) OTHER ORGANIZATIONS A S DETERMINED BY THE 21 | |
| 323 | - | DEPARTMENT . 22 | |
| 273 | + | (II) COORDINATE WITH ALL C ERTIFIED PROVIDERS I N ITS 22 | |
| 274 | + | IDENTIFIED COMMUNITY SO THAT ALL FAMILIES WITH NEWBORNS ARE CO NTACTED 23 | |
| 275 | + | NOT LATER THAN 2 WEEKS AFTER THE BIRT H OF THE NEWBORN AND OFFERED 24 | |
| 276 | + | SERVICES; 25 | |
| 324 | 277 | ||
| 325 | - | (3) A COMMUNITY LEAD SHALL : 23 | |
| 278 | + | (III) DEVELOP AND IMPLEMENT STRATEGIES IN 26 | |
| 279 | + | COLLABORATION WITH T HE DEPARTMENT TO OBTAIN FUNDING TO FACILITAT E THE 27 | |
| 280 | + | PROVISION OF NEWBORN NURSE HOME VISITING SERVICES; 28 | |
| 326 | 281 | ||
| 327 | - | (I) IMPLEMENT A UNIVERSAL LY OFFERED NEWBORN N URSE 24 | |
| 328 | - | HOME VISITING SERVIC ES MODEL THAT HAS BE EN REVIEWED BY THE F EDERAL 25 | |
| 329 | - | ADMINISTRATION FOR CHILDREN AND FAMILIES TO MEET THE U.S. DEPARTMENT 26 | |
| 330 | - | OF HEALTH AND HUMAN SERVICES CRITERIA FOR AN EVIDENCE –BASED EARLY 27 | |
| 331 | - | CHILDHOOD HOME VISIT ING SERVICE DELIVERY MODEL; 28 | |
| 332 | - | ||
| 333 | - | (II) COORDINATE WITH ALL C ERTIFIED PROVIDERS I N ITS 29 | |
| 334 | - | IDENTIFIED COMMUNITY SO THAT ALL FAMILIES WITH NEWBOR NS ARE CONTACTED 30 8 SENATE BILL 156 | |
| 282 | + | (IV) COLLABORATE WITH OTHE R HOME VISITING PROV IDERS TO 29 | |
| 283 | + | INTEGRATE NEWBORN NU RSE HOME VISITING SERVICES IN TO THE EXISTING 30 SENATE BILL 156 7 | |
| 335 | 284 | ||
| 336 | 285 | ||
| 337 | - | ||
| 338 | - | ||
| 286 | + | SERVICES FOR FAMILIE S IN THE IDENTIFIED COMMUNITY SO THAT A COORDINATED 1 | |
| 287 | + | SYSTEM OF SUPPORT IS IN PLACE; 2 | |
| 339 | 288 | ||
| 340 | - | ( | |
| 341 | - | ||
| 342 | - | ||
| 289 | + | (V) MAINTAIN A WRITTEN PL AN DESCRIBING HOW TH E 3 | |
| 290 | + | COMMUNITY LEAD WILL COMPLY WITH ITEMS (I) THROUGH (IV) OF THIS 4 | |
| 291 | + | PARAGRAPH; 5 | |
| 343 | 292 | ||
| 344 | - | (IV) COLLABORATE WITH OTHE R HOME VISITING PROV IDERS TO 6 | |
| 345 | - | INTEGRATE NEWBORN NU RSE HOME VISITING SE RVICES INTO THE EXIS TING 7 | |
| 346 | - | SERVICES FOR FAMILIE S IN THE IDENTIFIED COMMUNITY SO THAT A COORDINATED 8 | |
| 347 | - | SYSTEM OF SUPPORT IS IN PLACE; 9 | |
| 293 | + | (VI) CONSIDER INPUT FROM A N ADVISORY BOARD EST ABLISHED 6 | |
| 294 | + | BY THE COMMUNITY LEA D THAT: 7 | |
| 348 | 295 | ||
| 349 | - | (V) MAINTAIN A WRITTEN PL AN DESCRIBING HOW TH E 10 | |
| 350 | - | COMMUNITY LEAD WILL COMPLY WITH ITEMS (I) THROUGH (IV) OF THIS 11 | |
| 351 | - | PARAGRAPH ; 12 | |
| 296 | + | 1. INCLUDES STAKEHOLDERS FROM THE IDENTIFIED 8 | |
| 297 | + | COMMUNITY WITH REPRE SENTATION FROM THE F OLLOWING WHERE APPLI CABLE: 9 | |
| 352 | 298 | ||
| 353 | - | (VI) CONSIDER INPUT FROM A N ADVISORY BOARD EST ABLISHED 13 | |
| 354 | - | BY THE COMMUNITY LEA D THAT: 14 | |
| 299 | + | A. PARENTS; 10 | |
| 355 | 300 | ||
| 356 | - | 1. INCLUDES STAKEHOLDERS FROM THE IDENTIF IED 15 | |
| 357 | - | COMMUNITY WITH REPRE SENTATION FROM THE F OLLOWING WHERE APPLI CABLE: 16 | |
| 301 | + | B. MEDICAL PROVIDERS ; 11 | |
| 358 | 302 | ||
| 359 | - | | |
| 303 | + | C. HOSPITALS; 12 | |
| 360 | 304 | ||
| 361 | - | | |
| 305 | + | D. SOCIAL SERVICE PROVID ERS SERVICING FAMILI ES; 13 | |
| 362 | 306 | ||
| 363 | - | C. HOSPITALS; 19 | |
| 307 | + | E. THE FEDERAL SPECIAL SUPPLEMENTAL FOOD 14 | |
| 308 | + | PROGRAM FOR WOMEN, INFANTS, AND CHILDREN; 15 | |
| 364 | 309 | ||
| 365 | - | | |
| 310 | + | F. CHILD PROTECTIVE SERV ICES; 16 | |
| 366 | 311 | ||
| 367 | - | E. THE FEDERAL SPECIAL SUPPLEMENTAL FOOD 21 | |
| 368 | - | PROGRAM FOR WOMEN, INFANTS, AND CHILDREN; 22 | |
| 312 | + | G. EARLY LEARNING HUBS ; 17 | |
| 369 | 313 | ||
| 370 | - | | |
| 314 | + | H. TRIBAL LEADERSHIP ; 18 | |
| 371 | 315 | ||
| 372 | - | | |
| 316 | + | I. LOCAL HEALTH DEPARTME NTS; 19 | |
| 373 | 317 | ||
| 374 | - | | |
| 318 | + | J. MANAGED CARE ORGANIZA TIONS; 20 | |
| 375 | 319 | ||
| 376 | - | | |
| 320 | + | K. INSURERS; AND 21 | |
| 377 | 321 | ||
| 378 | - | J. MANAGED CARE ORGANIZA TIONS; 27 | |
| 322 | + | L. NEWBORN NURSE HOME VI SITING SERVICE 22 | |
| 323 | + | PROVIDERS AND OTHER HOME VISITING PROVID ERS; AND 23 | |
| 379 | 324 | ||
| 380 | - | K. INSURERS; AND 28 SENATE BILL 156 9 | |
| 325 | + | 2. MEETS AT LEAST QUARTE RLY AND DISTRIBUTES 24 | |
| 326 | + | MEETING MINUTES TO B OARD MEMBERS AND CER TIFIED PROVIDERS IN THE 25 | |
| 327 | + | IDENTIFIED COMMUNITY ; 26 | |
| 328 | + | ||
| 329 | + | (VII) ENSURE LOCAL COMMUNIT Y RESOURCES ARE : 27 | |
| 330 | + | 8 SENATE BILL 156 | |
| 331 | + | ||
| 332 | + | ||
| 333 | + | 1. COMPILED IN A WEB –BASED FORMAT OR PRIN TED 1 | |
| 334 | + | DIRECTORY; AND 2 | |
| 335 | + | ||
| 336 | + | 2. UPDATED AT LEAST QUAR TERLY FOR USE BY SER VICE 3 | |
| 337 | + | PROVIDERS; 4 | |
| 338 | + | ||
| 339 | + | (VIII) ENGAGE IN QUALITY ASS URANCE ACTIVITIES TH AT 5 | |
| 340 | + | INCLUDE: 6 | |
| 341 | + | ||
| 342 | + | 1. A MONTHLY REVIEW OF DA TA INCLUDING KEY 7 | |
| 343 | + | PERFORMANCE INDICATO RS SUCH AS SCHEDULIN G RATE, COMPREHENSIVE 8 | |
| 344 | + | NEWBORN NURSE HOME V ISIT COMPLETION RATE , FOLLOW–UP RATE , 9 | |
| 345 | + | DEMOGRAPHIC PROF ILE OF FAMILIES RECE IVING SERVICES , AND COMMUNITY 10 | |
| 346 | + | CONNECTIONS AND REFE RRALS IN THE IDENTIF IED COMMUNITY ; 11 | |
| 347 | + | ||
| 348 | + | 2. A MONTHLY REVIEW OF FE EDBACK FROM THE 12 | |
| 349 | + | FAMILIES SERVED BY T HE UNIVERSAL NEWBORN NURSE HOME VISITING PROGRAM 13 | |
| 350 | + | IN THE IDENTIFIED CO MMUNITY USING STANDARDIZED METHODO LOGY; AND 14 | |
| 351 | + | ||
| 352 | + | 3. MONITORING PROGRAM RE ACH IN THE IDENTIFIE D 15 | |
| 353 | + | COMMUNITY MEASURED B Y THE RATIO OF THE N UMBER OF COMPLETED 16 | |
| 354 | + | COMPREHENSIVE NEWBOR N NURSE HOME VISITS TO TOTAL BIRTHS IN T HE 17 | |
| 355 | + | IDENTIFIED COMMUNITY , TAKING INTO CONSIDER ATION THE N UMBER OF BIRTHS 18 | |
| 356 | + | SERVED BY OTHER HOME VISITING PROVIDERS ; 19 | |
| 357 | + | ||
| 358 | + | (IX) PROVIDE THE DEPARTMENT ACCESS TO DATA FOR 20 | |
| 359 | + | PROGRAM MONITORING A ND EVALUATION IN A M ANNER AND FORMAT DET ERMINED 21 | |
| 360 | + | BY THE DEPARTMENT ; 22 | |
| 361 | + | ||
| 362 | + | (X) COORDINATE WITH THE DEPARTMENT TO ADDRESS 23 | |
| 363 | + | QUALITY IMPROVEMENT NEEDS ; 24 | |
| 364 | + | ||
| 365 | + | (XI) ON A QUARTERLY BASIS , SUBMIT THE FOLLOWING 25 | |
| 366 | + | DE–IDENTIFIED DATA ELEC TRONICALLY TO THE DEPARTMENT IN A MANNE R AND 26 | |
| 367 | + | FORMAT DETERMINED BY THE DEPARTMENT : 27 | |
| 368 | + | ||
| 369 | + | 1. THE NUMBER OF INFANTS BORN DURING THE 28 | |
| 370 | + | IMMEDIATELY PRECEDIN G QUARTER WHO RESIDE IN THE IDENTI FIED COMMUNITY ; 29 | |
| 371 | + | AND 30 | |
| 372 | + | ||
| 373 | + | 2. FOR EACH CERTIFIED PR OVIDER IN THE IDENTI FIED 31 | |
| 374 | + | COMMUNITY : 32 | |
| 375 | + | ||
| 376 | + | A. SCHEDULING RATE ; 33 SENATE BILL 156 9 | |
| 381 | 377 | ||
| 382 | 378 | ||
| 383 | 379 | ||
| 384 | - | | |
| 385 | - | ||
| 380 | + | B. COMPREHENSIVE NEWBORN NURSE HOME VISIT 1 | |
| 381 | + | COMPLETION RATE ; 2 | |
| 386 | 382 | ||
| 387 | - | 2. MEETS AT LEAST QUARTE RLY AND DISTRIBUTES 3 | |
| 388 | - | MEETING MINUTES TO B OARD MEMBERS AND CER TIFIED PROVIDERS IN THE 4 | |
| 389 | - | IDENTIFIED COMMUNITY ; 5 | |
| 383 | + | C. FOLLOW–UP RATE; 3 | |
| 390 | 384 | ||
| 391 | - | (VII) ENSURE LOCAL COMMUNIT Y RESOURCES ARE : 6 | |
| 385 | + | D. DEMOGRAPHIC PROFILE O F FAMILIES RECEIVING 4 | |
| 386 | + | NEWBORN NURSE HOME V ISITING; 5 | |
| 392 | 387 | ||
| 393 | - | 1. COMPILED IN A W EB–BASED FORMAT OR PRIN TED 7 | |
| 394 | - | DIRECTORY; AND 8 | |
| 388 | + | E. COMMUNITY CONNECTIONS AND REFERRALS ; 6 | |
| 395 | 389 | ||
| 396 | - | | |
| 397 | - | ||
| 390 | + | F. FEEDBACK FROM FAMILIE S AND REFERRAL PARTN ER 7 | |
| 391 | + | FEEDBACK; AND 8 | |
| 398 | 392 | ||
| 399 | - | | |
| 400 | - | ||
| 393 | + | G. ANY OTHER DATA IDENTI FIED BY THE DEPARTMENT ; 9 | |
| 394 | + | AND 10 | |
| 401 | 395 | ||
| 402 | - | 1. A MONTHLY REVIEW OF DA TA INCLUDING KEY 13 | |
| 403 | - | PERFORMANCE INDICATO RS SUCH AS SCHEDULING RATE , COMPREHENSIVE 14 | |
| 404 | - | NEWBORN NURSE HOME V ISIT COMPLETION RATE , FOLLOW–UP RATE , 15 | |
| 405 | - | DEMOGRAPHIC PROFILE OF FAMILIES RECEIVIN G SERVICES, AND COMMUNITY 16 | |
| 406 | - | CONNECTIONS AND REFE RRALS IN THE IDENTIF IED COMMUNITY ; 17 | |
| 396 | + | (XII) COLLABORATE AND COORD INATE WIT H TRIBES 11 | |
| 397 | + | DESIGNATED AS COMMUN ITY LEADS OPERATING IN THE SAME GEOGRAPH IC AREA. 12 | |
| 407 | 398 | ||
| 408 | - | | |
| 409 | - | ||
| 410 | - | ||
| 399 | + | (F) IN COLLABORATION WITH THE MARYLAND INSURANCE 13 | |
| 400 | + | ADMINISTRATION , THE DEPARTMENT SHALL ADOP T REGULATIONS CONSIS TENT 14 | |
| 401 | + | WITH THE PROVISIONS OF THIS SUBTITLE EST ABLISHING: 15 | |
| 411 | 402 | ||
| 412 | - | 3. MONITORING PROGRAM RE ACH IN THE IDENTIFIE D 21 | |
| 413 | - | COMMUNITY MEASURED B Y THE RATIO OF THE N UMBER OF COMPLETED 22 | |
| 414 | - | COMPREHENSIV E NEWBORN NURSE HOME VISITS TO TOTAL BIRT HS IN THE 23 | |
| 415 | - | IDENTIFIED COMMUNITY , TAKING INTO CONSIDER ATION THE NUMBER OF BIRTHS 24 | |
| 416 | - | SERVED BY OTHER HOME VISITING PROVIDERS ; 25 | |
| 403 | + | (1) CRITERIA FOR UNIVERSA L NEWBORN NURSE HOME VISITING 16 | |
| 404 | + | SERVICES THAT ARE RE QUIRED TO BE COVERED BY ENTITIES IN ACCOR DANCE WITH 17 | |
| 405 | + | § 15–861 OF THE INSURANCE ARTICLE; AND 18 | |
| 417 | 406 | ||
| 418 | - | (IX) PROVIDE THE DEPARTMENT ACCESS TO DATA FOR 26 | |
| 419 | - | PROGRAM MONITORING A ND EVALUATION IN A M ANNER AND FORMAT DETERM INED 27 | |
| 420 | - | BY THE DEPARTMENT ; 28 | |
| 407 | + | (2) THE AMOUNT OF REIMBUR SEMENT TO BE PAID TO A PROVIDER OF 19 | |
| 408 | + | UNIVERSAL NEWBORN NU RSE HOME VI SITING SERVICES OR A METHODOLOGY TO 20 | |
| 409 | + | REIMBURSE THE COST O F PROVIDING UNIVERSA L NEWBORN NURSE HOME VISITING 21 | |
| 410 | + | SERVICES IN ACCORDAN CE WITH § 15–861 OF THE INSURANCE ARTICLE. 22 | |
| 421 | 411 | ||
| 422 | - | (X) COORDINATE WITH THE DEPARTMENT TO ADDRESS 29 | |
| 423 | - | QUALITY IMPROVEMENT NEEDS; 30 | |
| 424 | - | 10 SENATE BILL 156 | |
| 412 | + | (G) THE DEPARTMENT MAY ADOPT BY REGULATION ANY RE ASONABLE 23 | |
| 413 | + | REIMBURSEMENT METHOD OLOGY, INCLUDING: 24 | |
| 414 | + | ||
| 415 | + | (1) VALUE–BASED PAYMENTS ; 25 | |
| 416 | + | ||
| 417 | + | (2) A CLAIM INVOICING PROC ESS; 26 | |
| 418 | + | ||
| 419 | + | (3) CAPITATED PAYMENT ; 27 | |
| 420 | + | ||
| 421 | + | (4) A REIMBURSEMENT METHOD OLOGY THAT TAKES INT O ACCOUNT 28 | |
| 422 | + | THE NEED FOR A COMMU NITY–BASED ENTITY PROVIDI NG UNIVERSAL NEWBORN 29 10 SENATE BILL 156 | |
| 425 | 423 | ||
| 426 | 424 | ||
| 427 | - | (XI) ON A QUARTERLY BASIS , SUBMIT THE FOLLOWING 1 | |
| 428 | - | DE–IDENTIFIED DATA ELEC TRONICALLY TO THE DEPARTMENT IN A MANNE R AND 2 | |
| 429 | - | FORMAT DETERMINED BY THE DEPARTMENT : 3 | |
| 425 | + | NURSE HOME VISITING SERVICES TO EXPAND THE ENTITY ’S CAPACITY TO PROVID E 1 | |
| 426 | + | THE SERVICES AND ADD RESS HEALTH DISPARIT IES; OR 2 | |
| 430 | 427 | ||
| 431 | - | 1. THE NUMBER OF INFANTS BORN DURING THE 4 | |
| 432 | - | IMMEDIATELY PRECEDIN G QUARTER WHO RESIDE IN THE IDENTIFIED CO MMUNITY; 5 | |
| 433 | - | AND 6 | |
| 428 | + | (5) ANY OTHER METHODOLOGY AGREED TO BY A CARRI ER AND THE 3 | |
| 429 | + | PROVIDER OF THE UNIV ERSAL NURSE HOME VIS ITING SERVICES. 4 | |
| 434 | 430 | ||
| 435 | - | 2. FOR EACH CERTIFIED PR OVIDER IN THE IDENTI FIED 7 | |
| 436 | - | COMMUNITY : 8 | |
| 431 | + | (H) THE DEPARTMENT SHALL : 5 | |
| 437 | 432 | ||
| 438 | - | A. SCHEDULING RATE ; 9 | |
| 433 | + | (1) COLLECT AND ANAL YZE DATA GENERATED B Y THE PROGRAM TO 6 | |
| 434 | + | ASSESS THE EFFECTIVE NESS OF THE PROGRAM IN MEETING THE AIMS DESCRIBED 7 | |
| 435 | + | IN SUBSECTION (C)(7) OF THIS SECTION; AND 8 | |
| 439 | 436 | ||
| 440 | - | B. COMPREHE NSIVE NEWBORN NURSE HOME VISIT 10 | |
| 441 | - | COMPLETION RATE ; 11 | |
| 437 | + | (2) COORDINATE WITH OTHER STATE AGENCIES TO DEV ELOP 9 | |
| 438 | + | PROTOCOLS FOR SHARIN G DATA, INCLUDING THE TIMELY SHARING OF DATA WITH 10 | |
| 439 | + | PRIMARY CARE PROVIDE RS OF THE FAMILIES W ITH NEWBORNS RECEIVI NG THE 11 | |
| 440 | + | SERVICES. 12 | |
| 442 | 441 | ||
| 443 | - | C. FOLLOW–UP RATE; 12 | |
| 442 | + | (I) (1) THE DEPARTMENT SHALL ESTA BLISH THE FORM AND M ANNER IN 13 | |
| 443 | + | WHICH DATA REQUIRED UNDER § 15–861 OF THE INSURANCE ARTICLE SHALL BE 14 | |
| 444 | + | SUBMITTED. 15 | |
| 444 | 445 | ||
| 445 | - | D. DEMOGRAPHIC PROFILE O F FAMILIES RECEIVING 13 | |
| 446 | - | NEWBORN NURSE HOME V ISITING; 14 | |
| 446 | + | (2) THE DEPARTMENT SHALL USE THE DATA REQUIRED UN DER § 16 | |
| 447 | + | 15–861 OF THE INSURANCE ARTICLE TO MONITOR TH E PROVISION OF UNIVE RSAL 17 | |
| 448 | + | NEWBORN NURSE HOME V ISITING SERVICES. 18 | |
| 447 | 449 | ||
| 448 | - | E. COMMUNITY CONNECTIONS AND REFERRALS ; 15 | |
| 450 | + | (J) THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 19 | |
| 451 | + | SECTION. 20 | |
| 449 | 452 | ||
| 450 | - | F. FEEDBACK FROM FAMILIE S AND REFERRAL PARTN ER 16 | |
| 451 | - | FEEDBACK; AND 17 | |
| 453 | + | (K) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2026, THE 21 | |
| 454 | + | DEPARTMENT SHALL REPO RT TO THE SENATE FINANCE COMMITTEE AND THE 22 | |
| 455 | + | HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDANCE 23 | |
| 456 | + | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE STATUS OF THE 24 | |
| 457 | + | PROVISION OF UN IVERSAL NEWBORN NURS E HOME VISITING SERV ICES IN THE 25 | |
| 458 | + | STATE. 26 | |
| 452 | 459 | ||
| 453 | - | G. ANY OTHER DATA IDENTI FIED BY THE DEPARTMENT ; 18 | |
| 454 | - | AND 19 | |
| 460 | + | Article – Insurance 27 | |
| 455 | 461 | ||
| 456 | - | (XII) COLLABORATE AND COORD INATE WITH TRIBES 20 | |
| 457 | - | DESIGNATED AS COMMUN ITY LEADS OPERATING IN THE SAME GEOGRAPH IC AREA. 21 | |
| 462 | + | 15–861. 28 | |
| 458 | 463 | ||
| 459 | - | (F) IN COLLABORATION WITH THE MARYLAND INSURANCE 22 | |
| 460 | - | ADMINISTRATION , THE DEPARTMENT SHALL ADOP T REGULATIONS CONSIS TENT 23 | |
| 461 | - | WITH THE PROVISIONS OF THIS SUBTITLE EST ABLISHING: 24 | |
| 464 | + | (A) THIS SECTION APPLIES TO: 29 | |
| 462 | 465 | ||
| 463 | - | (1) CRITERIA FOR UNIVERSA L NEWBORN NURSE HOME VISITING 25 | |
| 464 | - | SERVICES THAT ARE RE QUIRED TO BE COVERED BY ENTITIES IN ACCOR DANCE WITH 26 | |
| 465 | - | § 15–861 OF THE INSURANCE ARTICLE; AND 27 | |
| 466 | - | ||
| 467 | - | (2) THE AMOUNT OF REIMBUR SEMENT TO BE PAID TO A PROVIDER OF 28 | |
| 468 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES OR A METHODOL OGY TO 29 | |
| 469 | - | REIMBURSE THE COST O F PROVIDING UNIVERSA L NEWBORN NURSE HOME VISITING 30 | |
| 470 | - | SERVICES IN ACCORDAN CE WITH § 15–861 OF THE INSURANCE ARTICLE. 31 SENATE BILL 156 11 | |
| 466 | + | (1) INSURERS AND NONPROF IT HEALTH SERVICE PL ANS THAT 30 | |
| 467 | + | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 31 SENATE BILL 156 11 | |
| 471 | 468 | ||
| 472 | 469 | ||
| 470 | + | ON AN E XPENSE–INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 1 | |
| 471 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 2 | |
| 473 | 472 | ||
| 474 | - | (G) THE DEPARTMENT MAY ADOPT BY REGULATION ANY RE ASONABLE 1 | |
| 475 | - | REIMBURSEMENT METHOD OLOGY, INCLUDING: 2 | |
| 473 | + | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PR OVIDE 3 | |
| 474 | + | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 4 | |
| 475 | + | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 5 | |
| 476 | 476 | ||
| 477 | - | (1) VALUE–BASED PAYMENTS ; 3 | |
| 477 | + | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE AND 6 | |
| 478 | + | REIMBURSEMENT IN FUL L FOR THE COST TO A PROVIDER FOR DELIVER ING 7 | |
| 479 | + | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS REQUIRED B Y THE 8 | |
| 480 | + | MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502(F) OF THE 9 | |
| 481 | + | HEALTH – GENERAL ARTICLE. 10 | |
| 478 | 482 | ||
| 479 | - | (2) A CLAIM INVOICING PROC ESS; 4 | |
| 483 | + | (C) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION , 11 | |
| 484 | + | AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A COPAYMENT , 12 | |
| 485 | + | COINSURANCE , OR DEDUCTIBLE REQUIR EMENT ON COVERAGE FOR UNIVERSAL 13 | |
| 486 | + | NEWBORN NURSE HOME V ISITING SERVICES. 14 | |
| 480 | 487 | ||
| 481 | - | (3) CAPITATED PAYMENT ; 5 | |
| 488 | + | (2) IF AN INSURED OR ENRO LLEE IS COVERED UNDE R A 15 | |
| 489 | + | HIGH–DEDUCTIBLE HEALTH PL AN, AS DEFINED IN 26 U.S.C. § 223, AN ENTITY 16 | |
| 490 | + | SUBJECT TO THIS SECT ION MAY SUBJECT COVE RAGE FOR UNIVERSAL N EWBORN 17 | |
| 491 | + | NURSE HOME V ISITING SERVICES TO THE DEDUCTIBLE REQUI REMENT OF THE 18 | |
| 492 | + | HIGH–DEDUCTIBLE PLAN . 19 | |
| 482 | 493 | ||
| 483 | - | ( | |
| 484 | - | ||
| 485 | - | ||
| 486 | - | THE | |
| 494 | + | (D) AN INSURED OR ENROLLE E MAY NOT BE REQUIRE D TO RECEIVE 20 | |
| 495 | + | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS A CONDITIO N OF 21 | |
| 496 | + | COVERAGE AND MAY NOT BE PENALIZED OR IN A NY WAY DISCOUR AGED FROM 22 | |
| 497 | + | DECLINING THE SERVIC ES. 23 | |
| 487 | 498 | ||
| 488 | - | (5) ANY OTHER METHODOLOGY AGREED TO BY A CARRI ER AND THE 10 | |
| 489 | - | PROVIDER OF THE UNIVER SAL NURSE HOME VISIT ING SERVICES. 11 | |
| 499 | + | (E) AN ENTITY SUBJECT TO THIS SECTION SHALL N OTIFY AN INSURED OR 24 | |
| 500 | + | ENROLLEE ABOUT THE U NIVERSAL NEWBORN NUR SE HOME VISITING SER VICES 25 | |
| 501 | + | WHENEVER AN INSURED OR ENROLLEE ADDS A N EWBORN TO COVERAGE . 26 | |
| 490 | 502 | ||
| 491 | - | (H) THE DEPARTMENT SHALL : 12 | |
| 503 | + | (F) AN ENTITY SUBJECT TO THIS SECTION MAY USE IN–NETWORK 27 | |
| 504 | + | PROVIDERS OR CONTRAC T WITH LOCAL PUBLIC HEALTH AUTHORITIES T O PROVIDE 28 | |
| 505 | + | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES. 29 | |
| 492 | 506 | ||
| 493 | - | (1) COLLECT AND ANALYZE D ATA GENERATED BY THE PROGRAM TO 13 | |
| 494 | - | ASSESS THE EFFECTIVE NESS OF THE PROGRAM IN MEETING THE AIMS DESCRIBED 14 | |
| 495 | - | IN SUBSECTION (C)(7) OF THIS SECTION; AND 15 | |
| 496 | - | ||
| 497 | - | (2) COORDINATE WITH OTHER STATE AGENCIES TO DEV ELOP 16 | |
| 498 | - | PROTOCOLS FOR SHARIN G DATA, INCLUDING THE TIMELY SHARING OF DATA WITH 17 | |
| 499 | - | PRIMARY CARE PROVIDE RS OF THE FAMILIES W ITH NEWBORNS RECEIVI NG THE 18 | |
| 500 | - | SERVICES. 19 | |
| 501 | - | ||
| 502 | - | (I) (1) THE DEPARTMENT SHALL ESTA BLISH THE FORM AND MANNER IN 20 | |
| 503 | - | WHICH DATA REQUIRED UNDER § 15–861 OF THE INSURANCE ARTICLE SHALL BE 21 | |
| 504 | - | SUBMITTED. 22 | |
| 505 | - | ||
| 506 | - | (2) THE DEPARTMENT SHALL USE THE DATA REQUIRED UN DER § 23 | |
| 507 | - | 15–861 OF THE INSURANCE ARTICLE TO MONITOR TH E PROVISION OF UNIVE RSAL 24 | |
| 508 | - | NEWBORN NURSE HOME V ISITING SERVICES. 25 | |
| 509 | - | ||
| 510 | - | (J) THE DEPARTMENT SHALL ADOP T REGULATIONS TO CAR RY OUT THIS 26 | |
| 511 | - | SECTION. 27 | |
| 512 | - | ||
| 513 | - | (K) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2026, THE 28 | |
| 514 | - | DEPARTMENT SHALL REPO RT TO THE SENATE FINANCE COMMITTEE AND THE 29 | |
| 515 | - | HOUSE HEALTH AND GOVERNMENT OPERATIONS COMMITTEE, IN ACCORDANCE 30 | |
| 516 | - | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE STATUS OF THE 31 12 SENATE BILL 156 | |
| 507 | + | (G) ENTITIES SUBJECT TO T HIS SECTION SHALL RE PORT TO THE 30 | |
| 508 | + | MARYLAND DEPARTMENT OF HEALTH, IN THE FORM AND MANNER REQUIRED BY 31 | |
| 509 | + | THE MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502 OF THE 32 | |
| 510 | + | HEALTH – GENERAL ARTICLE, DATA REGARDING CLAIM S SUBMITTED FOR 33 | |
| 511 | + | SERVICES COVERED UND ER THIS SECTION TO M ONITOR THE PROVISION OF THE 34 | |
| 512 | + | SERVICES. 35 | |
| 513 | + | 12 SENATE BILL 156 | |
| 517 | 514 | ||
| 518 | 515 | ||
| 519 | - | PROVISION OF UNIVERS AL NEWBORN NURSE HOM E VISITING SERVICES IN THE 1 | |
| 520 | - | STATE. 2 | |
| 516 | + | SECTION 2. AND BE IT FURTHER ENACTE D, That the Maryland Department of 1 | |
| 517 | + | Health may apply for a waiver under 42 U.S.C. 18052 to obtain federal financial 2 | |
| 518 | + | participation in the cost of services provided under Section 1 of this Act. 3 | |
| 521 | 519 | ||
| 522 | - | Article – Insurance 3 | |
| 520 | + | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall appl y to all 4 | |
| 521 | + | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 5 | |
| 522 | + | after January 1, 2026. 6 | |
| 523 | 523 | ||
| 524 | - | 15–861. 4 | |
| 524 | + | SECTION 4. AND BE IT FURTHER ENACTED, That this Act shall take effect 7 | |
| 525 | + | January 1, 2026. 8 | |
| 525 | 526 | ||
| 526 | - | (A) THIS SECTION APPLIES TO: 5 | |
| 527 | - | ||
| 528 | - | (1) INSURERS AND NONPROF IT HEALTH SERVIC E PLANS THAT 6 | |
| 529 | - | PROVIDE HOSPITAL , MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS 7 | |
| 530 | - | ON AN EXPENSE –INCURRED BASIS UNDER HEALTH INSURANCE POL ICIES OR 8 | |
| 531 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE; AND 9 | |
| 532 | - | ||
| 533 | - | (2) HEALTH MAINTENANCE O RGANIZATIONS THAT PROVIDE 10 | |
| 534 | - | HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GR OUPS UNDER 11 | |
| 535 | - | CONTRACTS THAT ARE I SSUED OR DELIVERED I N THE STATE. 12 | |
| 536 | - | ||
| 537 | - | (B) AN ENTITY SUBJECT TO THIS SECTION SHALL P ROVIDE COVERAGE AND 13 | |
| 538 | - | REIMBURSEMENT IN FUL L FOR THE COST TO A PROVIDER FOR DEL IVERING 14 | |
| 539 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS REQUIRED B Y THE 15 | |
| 540 | - | MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502(F) OF THE 16 | |
| 541 | - | HEALTH – GENERAL ARTICLE. 17 | |
| 542 | - | ||
| 543 | - | (C) (1) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION , 18 | |
| 544 | - | AN ENTITY SUBJECT TO THIS SECTION MAY NOT IMPOSE A COP AYMENT, 19 | |
| 545 | - | COINSURANCE , OR DEDUCTIBLE REQUIR EMENT ON COVERAGE FO R UNIVERSAL 20 | |
| 546 | - | NEWBORN NURSE HOME V ISITING SERVICES. 21 | |
| 547 | - | ||
| 548 | - | (2) IF AN INSURED OR ENRO LLEE IS COVERED UNDE R A 22 | |
| 549 | - | HIGH–DEDUCTIBLE HEALTH PL AN, AS DEFINED IN 26 U.S.C. § 223, AN ENTITY 23 | |
| 550 | - | SUBJECT TO THIS SECT ION MAY SUBJECT COVE RAGE FOR UNIVERSAL N EWBORN 24 | |
| 551 | - | NURSE HOME VISITING SERVICES TO THE DEDU CTIBLE REQUIREMENT O F THE 25 | |
| 552 | - | HIGH–DEDUCTIBLE PLAN . 26 | |
| 553 | - | ||
| 554 | - | (D) AN INSURED OR ENROLLE E MAY NOT BE REQUIRE D TO RECEIVE 27 | |
| 555 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES AS A CONDITION OF 28 | |
| 556 | - | COVERAGE AND MAY NOT BE PENALIZED OR IN A NY WAY DISCOURAGED F ROM 29 | |
| 557 | - | DECLINING THE SERVIC ES. 30 | |
| 558 | - | ||
| 559 | - | (E) AN ENTITY SUBJECT TO THIS SECTION SHALL N OTIFY AN INSURED OR 31 | |
| 560 | - | ENROLLEE ABOUT THE U NIVERSAL NEWBORN NUR SE HOME VISITING SER VICES 32 | |
| 561 | - | WHENEVER AN INSURED OR ENROLLEE ADDS A N EWBORN TO COVERAGE . 33 | |
| 562 | - | SENATE BILL 156 13 | |
| 563 | - | ||
| 564 | - | ||
| 565 | - | (F) AN ENTITY SUBJECT TO THIS SECTION MAY USE IN–NETWORK 1 | |
| 566 | - | PROVIDERS OR CONTRAC T WITH LOCAL PUBLIC HEALTH AUTHORITIES T O PROVIDE 2 | |
| 567 | - | UNIVERSAL NEWBORN NU RSE HOME VISITING SE RVICES. 3 | |
| 568 | - | ||
| 569 | - | (G) ENTITIES SU BJECT TO THIS SECTIO N SHALL REPORT TO TH E 4 | |
| 570 | - | MARYLAND DEPARTMENT OF HEALTH, IN THE FORM AND MANN ER REQUIRED BY 5 | |
| 571 | - | THE MARYLAND DEPARTMENT OF HEALTH UNDER § 13–5502 OF THE 6 | |
| 572 | - | HEALTH – GENERAL ARTICLE, DATA REGARDING CLAIM S SUBMITTED FOR 7 | |
| 573 | - | SERVICES COVERED UND ER THIS SECTION TO MONITOR T HE PROVISION OF THE 8 | |
| 574 | - | SERVICES. 9 | |
| 575 | - | ||
| 576 | - | SECTION 2. AND BE IT FURTHER ENACTED, That the Maryland Department of 10 | |
| 577 | - | Health may apply for a waiver under 42 U.S.C. 18052 to obtain federal financial 11 | |
| 578 | - | participation in the cost of services provided under Section 1 of this Act. 12 | |
| 579 | - | ||
| 580 | - | SECTION 3. AND BE IT FURTHER ENACTED, That this Act shall apply to all 13 | |
| 581 | - | policies, contracts, and health benefit plans issued, delivered, or renewed in the State on or 14 | |
| 582 | - | after January 1, 2026. 15 | |
| 583 | - | ||
| 584 | - | SECTION 4. AND BE IT FURTHER ENACTED, T hat this Act shall take effect 16 | |
| 585 | - | January 1, 2026. 17 | |
| 586 | - | ||
| 587 | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 18 | |
| 588 | - | 1, 2025. It shall remain effective for a period of 1 year and, at the end of June 30, 2026, this 19 | |
| 589 | - | Act, with no further action required by the General Assembly, shall be abrogated and of no 20 | |
| 590 | - | further force and effect. 21 | |
| 591 | - | ||
| 527 | + | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 9 | |
| 528 | + | 1, 2025. It shall remain effective for a period of 1 year and, at the end of June 30, 2026, this 10 | |
| 529 | + | Act, with no further action required by the General Assembly, shall be abrogated and of no 11 | |
| 530 | + | further force and effect. 12 | |
| 592 | 531 | ||
| 593 | 532 | ||
| 594 | 533 | ||
| 595 | 534 | ||
| 596 | 535 | Approved: | |
| 597 | 536 | ________________________________________________________________________________ | |
| 598 | 537 | Governor. | |
| 599 | 538 | ________________________________________________________________________________ | |
| 600 | 539 | President of the Senate. | |
| 601 | 540 | ________________________________________________________________________________ | |
| 602 | 541 | Speaker of the House of Delegates. |