1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *sb0965* |
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6 | 6 | | |
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7 | 7 | | SENATE BILL 965 |
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8 | 8 | | J1 5lr2873 |
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9 | 9 | | CF 5lr2968 |
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10 | 10 | | By: Senators Carozza, Ready, and West |
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11 | 11 | | Introduced and read first time: January 28, 2025 |
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12 | 12 | | Assigned to: Finance |
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13 | 13 | | |
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14 | 14 | | A BILL ENTITLED |
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15 | 15 | | |
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16 | 16 | | AN ACT concerning 1 |
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17 | 17 | | |
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18 | 18 | | Public Health – Women’s Health Care Data – Report 2 |
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19 | 19 | | |
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20 | 20 | | FOR the purpose of requiring the Maryland Department of Health to collect and compile 3 |
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21 | 21 | | annual data on the costs of birth, postpartum care, pregnancy care, and abortion in 4 |
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22 | 22 | | the State; and generally relating to reproductive health care data. 5 |
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23 | 23 | | |
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24 | 24 | | BY adding to 6 |
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25 | 25 | | Article – Health – General 7 |
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26 | 26 | | Section 20–217 through 20–220 to be under the new part “Part V. Women’s Health 8 |
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27 | 27 | | Data Collection and Reporting” 9 |
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28 | 28 | | Annotated Code of Maryland 10 |
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29 | 29 | | (2023 Replacement Volume and 2024 Supplement) 11 |
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30 | 30 | | |
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31 | 31 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12 |
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32 | 32 | | That the Laws of Maryland read as follows: 13 |
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33 | 33 | | |
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34 | 34 | | Article – Health – General 14 |
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35 | 35 | | |
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36 | 36 | | 20–215. RESERVED. 15 |
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37 | 37 | | |
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38 | 38 | | 20–216. RESERVED. 16 |
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39 | 39 | | |
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40 | 40 | | PART V. WOMEN’S HEALTH DATA COLLECTION AND REPORTING. 17 |
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41 | 41 | | |
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42 | 42 | | 20–217. 18 |
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43 | 43 | | |
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44 | 44 | | THE PURPOSE OF THIS P ART IS TO COLLECT AN D REPORT DATA REGARD ING 19 |
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45 | 45 | | THE COST OF BIRTH , POSTPARTUM CARE , PREGNANCY CARE , AND ABORTION TO : 20 |
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46 | 46 | | 2 SENATE BILL 965 |
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47 | 47 | | |
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48 | 48 | | |
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49 | 49 | | (1) BETTER UNDERSTAND THE FINANCIAL IMPACT OF THESE 1 |
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50 | 50 | | SERVICES ON INDIVIDU ALS, PROVIDERS, AND THE STATE; 2 |
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51 | 51 | | |
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52 | 52 | | (2) INFORM PUBLIC POLICY DECISIONS RELATED TO MATERNAL AND 3 |
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53 | 53 | | REPRODUCTIVE HEALTH CARE; AND 4 |
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54 | 54 | | |
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55 | 55 | | (3) PROMOTE TRANSPARENCY AND ACCOUNTABILITY I N HEALTH 5 |
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56 | 56 | | CARE SPENDING WHILE SAFEGUARDING THE PRI VACY AND DIGNITY OF ALL 6 |
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57 | 57 | | INDIVIDUALS. 7 |
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58 | 58 | | |
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59 | 59 | | 20–218. 8 |
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60 | 60 | | |
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61 | 61 | | (A) THE DEPARTMENT SHALL COLL ECT AND COMPILE DATA ANNUALLY 9 |
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62 | 62 | | REGARDING THE COST O F: 10 |
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63 | 63 | | |
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64 | 64 | | (1) DELIVERY, INCLUDING: 11 |
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65 | 65 | | |
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66 | 66 | | (I) STANDARD DELIVERY COS TS; 12 |
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67 | 67 | | |
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68 | 68 | | (II) COSTS OF COMPLICATIONS , INCLUDING EMERGENCY 13 |
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69 | 69 | | INTERVENTIONS AND EX TENDED HOSPITAL STAY S; AND 14 |
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70 | 70 | | |
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71 | 71 | | (III) NEONATAL CARE , IF APPLICABLE; 15 |
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72 | 72 | | |
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73 | 73 | | (2) POSTPARTUM CARE , INCLUDING: 16 |
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74 | 74 | | |
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75 | 75 | | (I) FOLLOW–UP MEDICAL VISITS ; AND 17 |
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76 | 76 | | |
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77 | 77 | | (II) COSTS ASSOCIATED WITH ADDRESSING POSTPARTU M 18 |
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78 | 78 | | MENTAL HEALTH CONDIT IONS, INCLUDING POSTPARTUM DEPRESSION; 19 |
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79 | 79 | | |
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80 | 80 | | (3) PREGNANCY CARE , INCLUDING: 20 |
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81 | 81 | | |
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82 | 82 | | (I) ROUTINE OBSTETRIC AND GYNECOLOGICAL VI SITS; 21 |
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83 | 83 | | |
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84 | 84 | | (II) PRENATAL VITAMINS AND SUPPLEMENTS ; AND 22 |
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85 | 85 | | |
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86 | 86 | | (III) DIAGNOSTIC AND MONITO RING SERVICES , INCLUDING 23 |
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87 | 87 | | ULTRASOUNDS AND GENE TIC TESTING; AND 24 |
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88 | 88 | | |
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89 | 89 | | (4) ABORTION, INCLUDING: 25 |
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90 | 90 | | |
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91 | 91 | | (I) PROCEDURAL COSTS ; 26 SENATE BILL 965 3 |
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92 | 92 | | |
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93 | 93 | | |
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94 | 94 | | |
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95 | 95 | | (II) COSTS ASSOCIATED WITH COMPLICATIONS OR FOL LOW–UP 1 |
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96 | 96 | | CARE; 2 |
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97 | 97 | | |
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98 | 98 | | (III) PRESCRIPTION COSTS FO R ABORTION PILLS , INCLUDING 3 |
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99 | 99 | | COSTS ASSOCIATED WIT H ABORTION PILL REVE RSALS; AND 4 |
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100 | 100 | | |
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101 | 101 | | (IV) COSTS OF ABORTION CAR E TRAINING PROGRAMS UNDER § 5 |
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102 | 102 | | 13–4704 OF THIS ARTICLE. 6 |
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103 | 103 | | |
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104 | 104 | | (B) MARYLAND MEDICAL ASSISTANCE PROGRAM FUNDS USED FO R 7 |
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105 | 105 | | CHEMICAL OR SURGICAL ABORTION PROCEDURES SHALL BE TRACKED TO INCLUDE: 8 |
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106 | 106 | | |
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107 | 107 | | (1) THE TOTAL EXPENDITURE ALLOCATE D FOR CHEMICAL 9 |
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108 | 108 | | ABORTIONS, INCLUDING ASSOCIATED PRESCRIPTION COSTS ; AND 10 |
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109 | 109 | | |
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110 | 110 | | (2) THE TOTAL EXPENDITUR E FOR SURGICAL ABORT IONS, 11 |
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111 | 111 | | INCLUDING PRE – AND POST–OPERATIVE CARE . 12 |
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112 | 112 | | |
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113 | 113 | | (C) THE DEPARTMENT SHALL DEVE LOP A STANDARDIZED S YSTEM, 13 |
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114 | 114 | | INCLUDING FORMS OR W ORKSHEETS, TO COLLECT CONSISTEN T DATA FROM , AS 14 |
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115 | 115 | | APPLICABLE: 15 |
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116 | 116 | | |
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117 | 117 | | (1) EACH HOSPITAL LICENSED UNDER TITLE 19, SUBTITLE 3 OF THIS 16 |
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118 | 118 | | ARTICLE; 17 |
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119 | 119 | | |
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120 | 120 | | (2) EACH HEALTH CARE PROVIDER LICENSED UNDER THE HEALTH 18 |
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121 | 121 | | OCCUPATIONS ARTICLE; AND 19 |
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122 | 122 | | |
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123 | 123 | | (3) ANY OTHER ENTITY THAT PROVIDES A SERVICE DESCRIBED 20 |
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124 | 124 | | UNDER SUBSECTION (A) OF THIS SECTION. 21 |
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125 | 125 | | |
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126 | 126 | | 20–219. 22 |
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127 | 127 | | |
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128 | 128 | | (A) THE DEPARTMENT IS NOT REQ UIRED TO COLLECT OR REPORT DATA 23 |
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129 | 129 | | THAT WOULD VIOLATE F EDERAL OR STATE PRIVACY LAWS . 24 |
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130 | 130 | | |
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131 | 131 | | (B) AN ENTITY LISTED UNDE R § 20–218(C) OF THIS SUBTITLE SHALL: 25 |
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132 | 132 | | |
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133 | 133 | | (1) COMPLY WITH THE DEPARTMENT ’S DATA SUBMISSION 26 |
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134 | 134 | | REQUIREMENTS ; AND 27 |
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135 | 135 | | 4 SENATE BILL 965 |
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136 | 136 | | |
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137 | 137 | | |
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138 | 138 | | (2) ANONYMIZE AND DE –IDENTIFY PATIENT DATA AS NECESSARY TO 1 |
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139 | 139 | | COMPLY WITH APPLICAB LE LAWS. 2 |
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140 | 140 | | |
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141 | 141 | | 20–220. 3 |
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142 | 142 | | |
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143 | 143 | | (A) ON OR BEFORE DECEMBER 1 EACH YEAR, BEGINNING IN 2025, THE 4 |
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144 | 144 | | DEPARTMENT SHALL SUBM IT A COMPREHENSIVE R EPORT TO THE GENERAL 5 |
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145 | 145 | | ASSEMBLY, IN ACCORDANCE WITH § 2–1257 OF THE STATE GOVERNMENT ARTICLE, 6 |
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146 | 146 | | AND MAKE THE REPORT PUBLICLY AVAILABLE O N ITS WEBSITE. 7 |
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147 | 147 | | |
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148 | 148 | | (B) THE REPORT SHALL INCL UDE THE FOLLOWING IN FORMATION FOR THE 8 |
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149 | 149 | | IMMEDIATELY PRECEDIN G FISCAL YEAR: 9 |
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150 | 150 | | |
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151 | 151 | | (1) AGGREGATED COST DATA FOR EACH CA TEGORY OF CARE 10 |
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152 | 152 | | DESCRIBED UNDER § 20–218(A) OF THIS SUBTITLE; 11 |
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153 | 153 | | |
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154 | 154 | | (2) COMPARATIVE DATA BY R EGION WITHIN THE STATE; 12 |
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155 | 155 | | |
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156 | 156 | | (3) ANALYSIS OF TRENDS IN THE COSTS OF EACH CA TEGORY OF CARE 13 |
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157 | 157 | | OVER TIME; AND 14 |
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158 | 158 | | |
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159 | 159 | | (4) RECOMMENDATIONS , IF ANY, FOR IMPROVING COST E FFICIENCY. 15 |
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160 | 160 | | |
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161 | 161 | | (C) THE REPORT: 16 |
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162 | 162 | | |
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163 | 163 | | (1) MAY NOT INCLUDE ANY P ERSONALLY IDENTIFIAB LE 17 |
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164 | 164 | | INFORMATION ; AND 18 |
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165 | 165 | | |
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166 | 166 | | (2) SHALL COMPLY WITH ALL APPLICABLE FEDERAL A ND STATE 19 |
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167 | 167 | | PRIVACY LAWS , INCLUDING THE FEDERA L HEALTH INSURANCE PORTABILITY AND 20 |
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168 | 168 | | ACCOUNTABILITY ACT. 21 |
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169 | 169 | | |
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170 | 170 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect June 22 |
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171 | 171 | | 1, 2025. 23 |
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