Sunday, May 31, 2015

Maryland General Assembly: 2015


SUD Related Legislation –What Passed, What Didn’t, and What Got Vetoed!


WHAT PASSED?

COMMITTEES & COMMISSIONS:
SB 0174
SponsorsEckardt
Committee: Finance 
·         Establishes a Behavioral Health Advisory Council in the Office of the Governor to: 
o   Promote a quality system of care; 
o   Integrate specified practices and strategies to enhance behavioral health services across the State; 
o   Advocate for specified services that promote wellness and recovery for individuals with behavioral health disorders; and
o   Require the submission of an annual report to the Governor and General Assembly on or before December 31 of each year.

HB 0896
Sponsors: Bromwell, Hammen, Hayes, McMillan, Oaks, Pena-Melnyk, Miele, Saab, Kelly, McDonough, Morgan, Morhaim, Angel, Kipke, Cullison, Sample-Hughes, Barron, Reznik, West, Rose, Hill, and K. Young
Committee:  Health & Government Operations
SB 0607 
Sponsors:  Klausmeier, Astle, Bates, Benson, Cassilly, Conway, Currie, DeGrange, Edwards, Feldman, Ferguson, Guzzone, Hershey, Hough, Jennings, Kagan, Kasemeyer, King, Lee, Madaleno, Manno, Mathias, McFadden, Middleton, Miller, Montgomery, Muse, Nathan-Pulliam, Norman, Peters, Pinsky, Pugh, Ramirez, Raskin, Rosapepe, Salling, Waugh, Young, Zirkin, Serafini, and Ready
Committee:  Finance
  • Establishes a Maryland Opioid Use Disorder Consortium;
  • Reviews the final report of the Governor's Heroin and Opioid Emergency Task Force;
  • Reviews and monitors the activities of the Governor's Inter-Agency Heroin and Opioid Coordinating Council;
  • Monitors the effectiveness of specified programs, policies, and practices;
  • Reviews compliance with specified federal and State laws by health insurance carriers;
  • Identifies areas of concern and corrective measures.

JUSTICE REINVESTMENT –REDUCING JAIL POPULATIONS:
SB 0602
Sponsors:  Miller, Astle, Bates, Benson, Conway, Currie, DeGrange, Eckardt, Edwards, Feldman, Ferguson, Gladden, Guzzone, Hershey, Hough, Jennings, Kagan, Kasemeyer, Kelley, King, Lee, Manno, Mathias, McFadden, Middleton, Montgomery, Nathan-Pulliam, Peters, Pugh, Ramirez, Raskin, Ready, Rosapepe, Salling, Serafini, Simonaire, Waugh, Young, Zirkin, Brochin, Cassilly, Muse, and Norman
Committee:  Judicial Proceedings
HB 0388
Sponsors:  Dumais and Vallario
Committee:  Judiciary
·         Establishes a Justice Reinvestment Coordinating Council in the Governor's Office of Crime Control and Prevention;
·         Requires the Council to develop a statewide framework of sentencing and corrections policies to:
o   further reduce the State's incarcerated population;
o   reduce spending on corrections; and
o   reinvest in strategies for specified purposes;
·         Concerned with the cost of jailing people with a mental health disorder, substance use disorder, and poor people who are financially incapable of paying fines (driving while suspended, non-payment of child support);
·         Requires the Council to reports its findings and recommendations to the Governor and General Assembly on or before December 31, 2015.

REPEAL MANDATORY MINIMUMS & ALLOW DIVERSION TO TREATMENT:
HB 0121
Sponsors:  Anderson, Vallario, Carter, Conaway, Jalisi, Kittleman, Lierman, Luedtke, Moon, Morales, Oaks, B. Robinson, Rosenberg, Smith, Sydnor, and M. Washington
Committee:  Judiciary
·         Repeals mandatory minimum sentences for drug-related offenses;
·         Allows those currently incarcerated with mandatory minimum sentences to have a hearing;
·         Allows those convicted of specified drug-related offenses to access SUD treatment;
·         Requires the savings realized as a result of the Act to revert to the General Fund to be used for funding drug treatment programs.

SHIELDING EX-OFFENDER’S RECORDS:
SB 0526
Sponsors:  Raskin, Hough, Conway, Benson, Feldman, Ferguson, Gladden, Guzzone, Kasemeyer, King, Lee, Madaleno, Manno, McFadden, Middleton, Montgomery, Muse, Nathan-Pulliam, Peters, Pinsky, Pugh, Ramirez, Ready, Salling, and Young
Committee:  Judicial Proceedings
HB 0244
Sponsors:  Anderson, Vallario, Smith, Lierman, B. Robinson, Carter, Conaway, Dumais, Glenn, Hixson, McCray, McIntosh, Moon, Morales, Proctor, Rosenberg, Turner, Valentino-Smith, and C. Wilson
Committee:  Judiciary
·         Allows an ex-offender’s prison record to be “shielded” from potential employers three years after completing their sentences if there are no subsequent violations;

ASSISTING EX-OFFENDERS IN STARTING SMALL BUSINESSES:
SB 0582
Sponsors:  Pugh, Currie, McFadden, Muse, Rosapepe, and Benson
Committee:  Finance
HB 0909
Sponsors:  Pena-Melnyk, Angel, Frick, Frush, Glenn, Jackson, McConkey, Tarlau, Vaughn, Walker, A. Washington, and C. Wilson
Committee:  Economic Matters
·         Encourages the establishment of small businesses by individuals exiting the correctional system;
·         Establishes a pilot program for small business development by ex-offenders;
·         Requires the Department of Labor, Licensing, and Regulation, in consultation with the Department of Public Safety and Correctional Services and the Maryland Small Business Development Financing Authority, to establish by January 1, 2016, a pilot program for the training of individuals exiting the correctional system.

STRONGER IMMUNITY FOR GOOD SAMARITAN LAW:
SB 0654
Sponsor:  Muse
Committee:  Judicial Proceedings
HB 1009
Sponsor:  Smith, Luedtke, Moon, Morales, Platt, and Tarlau
Committee:  Judiciary
·         Strengthens immunity clause in Good Samaritan Law.

INCREASES NALOXONE TRAINERS AND PROVIDES IMMUNITY:
SB 0516
Sponsors:  Klausmeier, Currie, Eckardt, Ferguson, Madaleno, Middleton, Astle, Benson, Feldman, Hershey, Jennings, Kelley, Mathias, Pugh, and Reilly
Committee:  Finance
HB 0745
Sponsors:  Bromwell, Barron, Morales, Morhaim, Reznik, Valentino-Smith, Hammen, Hayes, McMillan, Oaks, Pena-Melnyk, Miele, Saab, Kelly, McDonough, Morgan, Kipke, Cullison, Sample-Hughes, West, Rose, Hill, Krebs, and K. Young
Committee:  Health & Government Operations
·         Expands who can conduct Naloxone trainings;
·         Provides immunity from liability for specified persons.

ABUSE-DETERRENT MEDICATIONS:
SB 0606 
Sponsor:  Pugh, Astle, Benson, Conway, Currie, DeGrange, Eckardt, Feldman, Ferguson, Gladden, Guzzone, Jennings, Kagan, King, Klausmeier, Lee, Manno, Mathias, McFadden, Miller, Muse, Nathan-Pulliam, Peters, Ramirez, Young, Zirkin, Hershey, Kelley, Middleton, and Reilly
Committee:  Finance
HB 0887
Sponsors:  K. Young, Hill, Jalisi, Kelly, Morhaim, Oaks, Pena-Melnyk, Reznik, Hammen, Angel, Barron, Bromwell, Cullison, Hayes, Kipke, McDonough, McMillan, Miele, Morgan, Pendergrass, Rose, Saab, Sample-Hughes, and West
Committee:  Health & Government Operations
·         Prevents insurers from denying payment for abuse-deterrent medications;
·         Requires insurers to provide coverage for at least two brand name abuse-deterrent prescription opiates and at least two generic abuse-deterrent prescription opiates;
·         Prohibits insurers from requiring a patient to first use a specified drug before providing coverage for a specified abuse-deterrent opioid.


WHAT DIDN’T PASS?

OPIOID USE DISORDER STAKEHOLDER COMMITTEE:
SB 0281
Sponsors: Middleton, Astle, & Klausmeier
Committee:  Finance
HB 0650
SponsorsPena-Melnyk, Angel, Barron, Beidle, Bromwell, Campos, Carr, Cullison, Hayes, Hill, Kelly, Kipke, McMillan, Miele, Morhaim, Oaks, Reznik, B. Robinson, Saab, Sample-Hughes, Sophocleus, Tarlau, C. Wilson, and K. Young
Committee:  Health & Government Ops
·         Establishes a Joint Committee on Behavioral Health and Opioid Use Disorders;
·         Requires that the membership of the Commission reflect the geographic, racial, ethnic, cultural, and gender diversity of the State;

30-YEAR JAIL SENTENCE FOR PROVIDING FATAL DOSE OF HEROIN OR FENTANYL:
HB 0222
Sponsor:  Dumais, Carr, Clippinger, Cullison, Fraser-Hidalgo, Frick, Frush, Gilchrist, Gutierrez, Hammen, Kelly, Korman, Kramer, Lisanti, Luedtke, McIntosh, A. Miller, Morales, Platt, Reznik, Shoemaker, Valentino-Smith, B. Wilson, and Zucker
Committee:  Judiciary
SB 0303 
Sponsors:  Lee, Feldman, King, Montgomery, Norman, Salling, and Ready
Committee:  Judicial Proceedings
·         Criminal offense equal to murder for providing heroin or fentanyl which leads to a fatal overdose;
·         Person charged does not necessarily have to distribute directly to the deceased;
·         Felony conviction for up to 30 years in prison;
·         Incorporates a Good Samaritan Clause.

STRONGER PDMP & DOCTOR / PHARMACIST SANCTIONS:
HB 0003
Sponsors:  Secretary Schulz
Committee:  Health & Government Operations
·         Expands and strengthens the Prescription Drug Monitoring Program (PDMP);
·         Requires a doctor or a pharmacist to check the PDMP database before prescribing or dispensing a prescription narcotic to a patient;
·         Making a doctor or pharmacist who violates the Act subject to disciplinary action. 

NO PROBATION OR PAROLE VIOLATION FOR A NON-JAILABLE OFFENSE:
HB 0615
Sponsor:  Moon, Morales, Anderson, Carter, Jalisi, Korman, Platt, and Smith
Committee:  Judiciary
·         A person’s parole or probation may not be violated for receiving a citation for the commission of a non-jailable civil offense;
·         Prohibits a Violation of Probation for a client charged with use or possession of less than 10 gr of marijuana or who comes up positive for marijuana in a urinalysis.

STANDARDIZED MEDICAL ASSESSMENT CRITERIA (ASAM):
HB 1029
Sponsors:  Haynes, Bromwell, Cullison, Glenn, Lam, Oaks, Turner, and K. Young
CommitteeHealth & Government Operations
SB 0327
Sponsors:  Klausmeier, Eckardt, Kagan, King, and Montgomery
Committee:  Finance
·         Set standards that use the American Society of Addiction Medicine (ASAM) criteria for treatment, care, and rehabilitation of individuals with a substance use disorder;
·         Standards are based on medical criteria as assessed by a medical practitioner –not insurance criteria as assessed by an insurance provider.

ASAM CRITERIA, PERFORMANCE MEASURES FOR PROVIDERS, & DHMH OVERSIGHT:
SB 0385
Sponsors:  Nathan-Pulliam
Committee:  Finance
·         Codifies ASAM criteria for determining levels of treatment;
·         Requires the Behavioral Health Administration (BHA) to conduct a yearly evaluation of the performance / outcome measures of publicly-funded SUD providers;
·         Reports findings directly to the Governor;
·         Information gathered is tied to funding and accreditation / guides policy.

PARITY COMPLIANCE:
SB 0586
Sponsors:  Middleton
Committee:  Finance
HB 1010
Sponsors:  Kelly, Cullison, Morhaim, Pena-Melnyk, Reznik, and Rosenberg
Committee:  Health & Government Operations
·         Requires HMOs / insurance providers to submit plans for parity compliance to the Maryland Insurance Commission.

MEDICAID PARITY:
SB 0430
Sponsor:  Klausmeier
Committee:  Finance
HB 0975
Sponsor:  Haynes, Bromwell, Cullison, Glenn, Hill, Lam, Morhaim, Oaks, Reznik, Turner, and K. Young
Committee:  Health & Government Operations
·         Applies Parity Law to Maryland Medical Assistance Program;
·         Requires the Department of Health and Mental Hygiene (DHMH) to use the standards used to determine compliance with the federal Mental Health Parity and Addiction Equity Act.

LIMIT NUMBER OF METHADONE CLINICS IN NEIGHBORHOODS (BASED ON ASSESSED NEED):
SB 0199
Sponsors:  Conway
Committee:  Finance
·         Operators applying for licenses to establish new Opioid Maintenance Programs (Suboxone, Methadone) are required to conduct a needs assessment within the zip code where the facility is to be located, to include:  number of existing treatment slots · number of people in need of services · severity of drug-related crime · number of people at risk of addiction · the need for the program.  


WHAT WAS PASSED AND VETOED?

ALLOW EX-OFFENDERS TO VOTE:
SB 0340
Sponsor:  Conway
Committee:  Education, Health & Environment.
HB 0980
Sponsors:  McCray, Moon, Anderson, Angel, B. Barnes, D. Barnes, Campos, Carr, Carter, Conaway, Cullison, Ebersole, Fennell, Frick, Gilchrist, Glenn, Gutierrez, Hayes, Haynes, Healey, Hettleman, Hixson, Holmes, C. Howard, Jalisi, Jones, Kelly, Korman, Lam, Lierman, Luedtke, McIntosh, A. Miller, Morales, Oaks, Patterson, Pena-Melnyk, Platt, Reznik, B. Robinson, S. Robinson, Rosenberg, Sample-Hughes, Smith, Sydnor, Tarlau, Valderrama, Valentino-Smith, Vaughn, A. Washington, and M. Washington
Committee:  Ways & Means
·         Eliminates barriers to allow people with criminal records to vote.

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