| 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 | *sb0486* | |
| 9 | 6 | ||
| 10 | 7 | SENATE BILL 486 | |
| 11 | 8 | F5, J1 5lr1920 | |
| 12 | - | | |
| 9 | + | ||
| 13 | 10 | By: Senator Lam | |
| 14 | 11 | Introduced and read first time: January 22, 2025 | |
| 15 | 12 | Assigned to: Finance | |
| 16 | - | Committee Report: Favorable with amendments | |
| 17 | - | Senate action: Adopted | |
| 18 | - | Read second time: March 11, 2025 | |
| 19 | 13 | ||
| 20 | - | ||
| 14 | + | A BILL ENTITLED | |
| 21 | 15 | ||
| 22 | 16 | AN ACT concerning 1 | |
| 23 | 17 | ||
| 24 | 18 | School Health and Wellness Personnel Assessment and Maryland Council on 2 | |
| 25 | 19 | Advancement of School–Based Health Centers 3 | |
| 26 | 20 | ||
| 27 | 21 | FOR the purpose of requiring the State Department of Education and the Maryland 4 | |
| 28 | 22 | Department of Health jointly to conduct an assessment of school health and wellness 5 | |
| 29 | 23 | personnel each year; altering the membership of the Maryland Council on 6 | |
| 30 | 24 | Advancement of School–Based Health Centers; and generally relating to school 7 | |
| 31 | 25 | health and wellness personnel and the Maryland Council on Advancement of 8 | |
| 32 | 26 | School–Based Health Centers. 9 | |
| 33 | 27 | ||
| 34 | 28 | BY repealing and reenacting, without amendments, 10 | |
| 35 | 29 | Article – Health – General 11 | |
| 36 | 30 | Section 19–22A–05(a) 12 | |
| 37 | 31 | Annotated Code of Maryland 13 | |
| 38 | 32 | (2023 Replacement Volume and 2024 Supplement) 14 | |
| 39 | 33 | ||
| 40 | 34 | BY repealing and reenacting, with amendments, 15 | |
| 41 | 35 | Article – Health – General 16 | |
| 42 | 36 | Section 19–22A–06(a) 17 | |
| 43 | 37 | Annotated Code of Maryland 18 | |
| 44 | 38 | (2023 Replacement Volume and 2024 Supplement) 19 | |
| 45 | 39 | ||
| 46 | 40 | BY adding to 20 | |
| 47 | - | Article – Health – General 21 2 SENATE BILL 486 | |
| 41 | + | Article – Health – General 21 | |
| 42 | + | Section 24–2501 and 24–2502 to be under the new subtitle “Subtitle 25. School 22 | |
| 43 | + | Health and Wellness Personnel Assessment” 23 | |
| 44 | + | Annotated Code of Maryland 24 | |
| 45 | + | (2023 Replacement Volume and 2024 Supplement) 25 | |
| 46 | + | ||
| 47 | + | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 26 | |
| 48 | + | That the Laws of Maryland read as follows: 27 2 SENATE BILL 486 | |
| 48 | 49 | ||
| 49 | 50 | ||
| 50 | - | Section 24–2501 and 24–2502 to be under the new subtitle “Subtitle 25. School 1 | |
| 51 | - | Health and Wellness Personnel Assessment” 2 | |
| 52 | - | Annotated Code of Maryland 3 | |
| 53 | - | (2023 Replacement Volume and 2024 Supplement) 4 | |
| 54 | 51 | ||
| 55 | - | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5 | |
| 56 | - | That the Laws of Maryland read as follows: 6 | |
| 52 | + | Article – Health – General 1 | |
| 57 | 53 | ||
| 58 | - | ||
| 54 | + | 19–22A–05. 2 | |
| 59 | 55 | ||
| 60 | - | 19–22A–05. 8 | |
| 56 | + | (a) There is a Maryland Council on Advancement of School–Based Health Centers 3 | |
| 57 | + | in the Department. 4 | |
| 61 | 58 | ||
| 62 | - | (a) There is a Maryland Council on Advancement of School–Based Health Centers 9 | |
| 63 | - | in the Department. 10 | |
| 59 | + | 19–22A–06. 5 | |
| 64 | 60 | ||
| 65 | - | 19–22A–06. 11 | |
| 61 | + | (a) The Council consists of the following [15] 16 voting members and 6 ex officio 6 | |
| 62 | + | members: 7 | |
| 66 | 63 | ||
| 67 | - | ( | |
| 68 | - | ||
| 64 | + | (1) One member of the Senate of Maryland, appointed by the President of 8 | |
| 65 | + | the Senate, as an ex officio member; 9 | |
| 69 | 66 | ||
| 70 | - | ( | |
| 71 | - | ||
| 67 | + | (2) One member of the House of Delegates, appointed by the Speaker of the 10 | |
| 68 | + | House, as an ex officio member; 11 | |
| 72 | 69 | ||
| 73 | - | ( | |
| 74 | - | ||
| 70 | + | (3) The Secretary of Health, or a designee of the Secretary, as an ex officio 12 | |
| 71 | + | member; 13 | |
| 75 | 72 | ||
| 76 | - | (3) The Secretary of Health, or a designee of the Secretary, as an ex officio 18 | |
| 77 | - | member; 19 | |
| 73 | + | (4) The State Superintendent of Schools as an ex officio member; 14 | |
| 78 | 74 | ||
| 79 | - | (4) The State Superintendent of Schools as an ex officio member; 20 | |
| 75 | + | (5) The Executive Director of the Maryland Health Benefit Exchange as an 15 | |
| 76 | + | ex officio member; 16 | |
| 80 | 77 | ||
| 81 | - | ( | |
| 82 | - | ex officio member; | |
| 78 | + | (6) The Chairman of the Commission, or a designee of the Chairman, as an 17 | |
| 79 | + | ex officio member; and 18 | |
| 83 | 80 | ||
| 84 | - | (6) The Chairman of the Commission, or a designee of the Chairman, as an 23 | |
| 85 | - | ex officio member; and 24 | |
| 81 | + | (7) The following [15] 16 members, appointed by the Governor: 19 | |
| 86 | 82 | ||
| 87 | - | (7) The following [15] 16 members, appointed by the Governor: 25 | |
| 83 | + | (i) The President of the Maryland Assembly on School –Based 20 | |
| 84 | + | Health Care, or a designee of the President; 21 | |
| 88 | 85 | ||
| 89 | - | ( | |
| 90 | - | Health Care | |
| 86 | + | (ii) Three representatives of school–based health centers, nominated 22 | |
| 87 | + | by the Maryland Assembly on School–Based Health Care: 23 | |
| 91 | 88 | ||
| 92 | - | (ii) Three representatives of school–based health centers, nominated 28 | |
| 93 | - | by the Maryland Assembly on School–Based Health Care: 29 | |
| 89 | + | 1. From a diverse array of sponsoring organizations; and 24 | |
| 94 | 90 | ||
| 95 | - | 1. From a diverse array of sponsoring organizations; and 30 | |
| 91 | + | 2. For at least one of the representatives, from a nursing 25 | |
| 92 | + | background; 26 | |
| 93 | + | ||
| 94 | + | (iii) One representative of the Public Schools Superintendents 27 | |
| 95 | + | Association of Maryland; 28 | |
| 96 | 96 | SENATE BILL 486 3 | |
| 97 | 97 | ||
| 98 | 98 | ||
| 99 | - | | |
| 100 | - | ||
| 99 | + | (iv) One representative of the Maryland Association of Boards of 1 | |
| 100 | + | Education; 2 | |
| 101 | 101 | ||
| 102 | - | ( | |
| 103 | - | ||
| 102 | + | (v) One elementary school principal of a school that has a 3 | |
| 103 | + | school–based health center; 4 | |
| 104 | 104 | ||
| 105 | - | ( | |
| 106 | - | ||
| 105 | + | (vi) One secondary school principal of a school that has a 5 | |
| 106 | + | school–based health center; 6 | |
| 107 | 107 | ||
| 108 | - | (v) One elementary school principal of a school that has a 7 | |
| 109 | - | school–based health center; 8 | |
| 108 | + | (vii) One representative of the Maryland Hospital Association; 7 | |
| 110 | 109 | ||
| 111 | - | ( | |
| 112 | - | ||
| 110 | + | (viii) One representative of the Maryland Association of County 8 | |
| 111 | + | Health Officers; 9 | |
| 113 | 112 | ||
| 114 | - | (vii) One representative of the Maryland Hospital Association; 11 | |
| 113 | + | (ix) One representative of a federally qualified health center, 10 | |
| 114 | + | nominated by the Mid–Atlantic Association of Community Health Centers; 11 | |
| 115 | 115 | ||
| 116 | - | (viii) One representative of the Maryland Association of County 12 | |
| 117 | - | Health Officers; 13 | |
| 116 | + | (x) One representative of a managed care organization; 12 | |
| 118 | 117 | ||
| 119 | - | (ix) One representative of a federally qualified health center, 14 | |
| 120 | - | nominated by the Mid–Atlantic Association of Community Health Centers; 15 | |
| 118 | + | (xi) One representative of a commercial health insurance carrier; 13 | |
| 121 | 119 | ||
| 122 | - | (x) One representative of a managed care organization; 16 | |
| 120 | + | (xii) One pediatrician, nominated by the Maryland Chapter of the 14 | |
| 121 | + | American Academy of Pediatrics; [and] 15 | |
| 123 | 122 | ||
| 124 | - | (xi) One representative of a commercial health insurance carrier; 17 | |
| 123 | + | (xiii) One parent or guardian of a student who utilizes services at a 16 | |
| 124 | + | school–based health center; AND 17 | |
| 125 | 125 | ||
| 126 | - | ( | |
| 127 | - | ||
| 126 | + | (XIV) ONE SCHOOL NURSE , NOMINATED BY THE MARYLAND 18 | |
| 127 | + | ASSOCIATION OF SCHOOL HEALTH NURSES. 19 | |
| 128 | 128 | ||
| 129 | - | (xiii) One parent or guardian of a student who utilizes services at a 20 | |
| 130 | - | school–based health center; AND 21 | |
| 129 | + | SUBTITLE 25. SCHOOL HEALTH AND WELLNESS PERSONNEL ASSESSMENT. 20 | |
| 131 | 130 | ||
| 132 | - | (XIV) ONE SCHOOL NURSE , NOMINATED BY THE MARYLAND 22 | |
| 133 | - | ASSOCIATION OF SCHOOL HEALTH NURSES. 23 | |
| 131 | + | 24–2501. 21 | |
| 134 | 132 | ||
| 135 | - | SUBTITLE | |
| 133 | + | IN THIS SUBTITLE, “SCHOOL HEALTH AND WE LLNESS PERSONNEL ” INCLUDES: 22 | |
| 136 | 134 | ||
| 137 | - | ||
| 135 | + | (1) COUNSELORS; 23 | |
| 138 | 136 | ||
| 139 | - | | |
| 137 | + | (2) DENTAL HYGIENISTS ; 24 | |
| 140 | 138 | ||
| 141 | - | ( | |
| 139 | + | (3) OCCUPATIONAL THERAPIS TS; 25 | |
| 142 | 140 | ||
| 143 | - | (2) DENTAL HYGIENISTS ; 28 | |
| 144 | - | 4 SENATE BILL 486 | |
| 141 | + | (4) OCCUPATIONAL THERAPY ASSISTANTS; 26 | |
| 145 | 142 | ||
| 146 | - | ||
| 147 | - | (3) OCCUPATIONAL THERAPIS TS; 1 | |
| 148 | - | ||
| 149 | - | (4) OCCUPATIONAL THERAPY ASSISTANTS; 2 | |
| 150 | - | ||
| 151 | - | (5) PHYSICAL THERAPISTS ; 3 | |
| 152 | - | ||
| 153 | - | (6) SCHOOL COUNSELORS ; 4 | |
| 154 | - | ||
| 155 | - | (7) SCHOOL NURSES ; 5 | |
| 156 | - | ||
| 157 | - | (8) SCHOOL PSYCHOLOGISTS ; 6 | |
| 158 | - | ||
| 159 | - | (9) SCHOOL SOCIAL WORKERS ; AND 7 | |
| 160 | - | ||
| 161 | - | (10) SPEECH–LANGUAGE PATHOLOGIST S. 8 | |
| 162 | - | ||
| 163 | - | 24–2502. 9 | |
| 164 | - | ||
| 165 | - | (A) THE DEPARTMENT AND THE STATE DEPARTMENT OF EDUCATION 10 | |
| 166 | - | JOINTLY SHALL CONDUC T AN ASSESSMENT OF T HE SCHOOL HEALTH AND WELLNESS 11 | |
| 167 | - | PERSONNEL WORKFORCE IN THE STATE EACH YEAR TO : 12 | |
| 168 | - | ||
| 169 | - | (1) IDENTIFY THE RATIO OF SCHOOL HEALTH AND WE LLNESS 13 | |
| 170 | - | PERSONNEL TO STUDENT S AND SCHOOLS BY JUR ISDICTION; 14 | |
| 171 | - | ||
| 172 | - | (2) OBTAIN INFORMATION FR OM EACH LOCAL SCHOOL SYSTEM AND 15 | |
| 173 | - | LOCAL HEALTH DEPARTM ENT REGARDING VACANC Y RATES FOR EACH TYP E OF 16 | |
| 174 | - | PROVIDER OF SCHOOL H EALTH AND WELLNESS SERVICES ; AND 17 | |
| 175 | - | ||
| 176 | - | (3) OBTAIN FEEDBACK FROM EACH LOCAL SCHOOL SY STEM, EACH 18 | |
| 177 | - | LOCAL HEALTH DEPARTM ENT, ASSOCIATIONS OF SCHO OL HEALTH AND WELLNE SS 19 | |
| 178 | - | PROFESSIONALS , AND OTHER STAKEHOLDE RS ON STRATEGIES TO IMPROVE THE 20 | |
| 179 | - | RECRUITMENT AND RETE NTION OF SCHOOL HEALTH AND WELLNESS PERSONNEL. 21 | |
| 180 | - | ||
| 181 | - | (B) ON OR BEFORE DECEMBER 1, 2027, AND EACH DECEMBER 1 22 | |
| 182 | - | THEREAFTER , THE DEPARTMENT AND THE STATE DEPARTMENT OF EDUCATION 23 | |
| 183 | - | JOINTLY SHALL SUBMIT: 24 | |
| 184 | - | ||
| 185 | - | (1) SUBMIT A REPORT TO THE GENERAL ASSEMBLY, IN ACCORDANCE 25 | |
| 186 | - | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE FINDINGS OF T HE 26 | |
| 187 | - | ASSESSMENT CONDUCTED UNDER THIS SECTION ; AND 27 | |
| 188 | - | ||
| 189 | - | (2) PUBLISH THE REPORT ON THE WEBSITE OF EACH AGENCY. 28 | |
| 190 | - | SENATE BILL 486 5 | |
| 191 | - | ||
| 192 | - | ||
| 193 | - | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 1 | |
| 194 | - | October 1, 2025. 2 | |
| 143 | + | (5) PHYSICAL THERAPISTS ; 27 4 SENATE BILL 486 | |
| 195 | 144 | ||
| 196 | 145 | ||
| 197 | 146 | ||
| 147 | + | (6) SCHOOL COUNSELORS ; 1 | |
| 198 | 148 | ||
| 199 | - | Approved: | |
| 200 | - | ________________________________________________________________________________ | |
| 201 | - | Governor. | |
| 202 | - | ________________________________________________________________________________ | |
| 203 | - | President of the Senate. | |
| 204 | - | ________________________________________________________________________________ | |
| 205 | - | Speaker of the House of Delegates. | |
| 149 | + | (7) SCHOOL NURSES ; 2 | |
| 150 | + | ||
| 151 | + | (8) SCHOOL PSYCHOLOGISTS ; 3 | |
| 152 | + | ||
| 153 | + | (9) SCHOOL SOCIAL WORKERS ; AND 4 | |
| 154 | + | ||
| 155 | + | (10) SPEECH–LANGUAGE PATHOLOGIST S. 5 | |
| 156 | + | ||
| 157 | + | 24–2502. 6 | |
| 158 | + | ||
| 159 | + | (A) THE DEPARTMENT AND THE STATE DEPARTMENT OF EDUCATION 7 | |
| 160 | + | JOINTLY SHALL CONDUC T AN ASSESSMENT OF T HE SCHOOL HEALTH AND WELLNESS 8 | |
| 161 | + | PERSONNEL WORKFORCE IN THE STATE EACH YEAR TO : 9 | |
| 162 | + | ||
| 163 | + | (1) IDENTIFY THE RATIO OF SCHOOL HEALTH AND WE LLNESS 10 | |
| 164 | + | PERSONNEL TO STUDENT S AND SCHOOLS BY JURISDICT ION; 11 | |
| 165 | + | ||
| 166 | + | (2) OBTAIN INFORMATION FR OM EACH LOCAL SCHOOL SYSTEM AND 12 | |
| 167 | + | LOCAL HEALTH DEPARTM ENT REGARDING VACANC Y RATES FOR EACH TYP E OF 13 | |
| 168 | + | PROVIDER OF SCHOOL H EALTH AND WELLNESS S ERVICES; AND 14 | |
| 169 | + | ||
| 170 | + | (3) OBTAIN FEEDBACK FROM EACH LOCAL SCHOOL SY STEM, EACH 15 | |
| 171 | + | LOCAL HEALTH DEPARTM ENT, AND OTHER STAKEHOLDE RS ON STRATEGIES TO 16 | |
| 172 | + | IMPROVE THE RECRUITM ENT AND RETENTION OF SCHOOL HEALTH AND WE LLNESS 17 | |
| 173 | + | PERSONNEL . 18 | |
| 174 | + | ||
| 175 | + | (B) ON OR BEFORE DECEMBER 1, 2027, AND EACH DECEMBER 1 19 | |
| 176 | + | THEREAFTER , THE DEPARTMENT AND THE STATE DEPARTMENT OF EDUCATION 20 | |
| 177 | + | JOINTLY SHALL SUBMIT A REPORT TO THE GENERAL ASSEMBLY, IN ACCORDANCE 21 | |
| 178 | + | WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, ON THE FINDINGS OF T HE 22 | |
| 179 | + | ASSESSMENT CONDUCTED UNDER THIS SECTION . 23 | |
| 180 | + | ||
| 181 | + | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shal l take effect 24 | |
| 182 | + | October 1, 2025. 25 | |
| 183 | + |