Regulation/Legislation

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HFAM/MCAL effectiveness as an association depends greatly on the individual contribution and voices of our members. We need your experience and opinions on the many regulatory and legislative issues that will, and currently do, have a direct impact on the daily activity of our health care profession in Maryland.

2008 Legislation:

HFAM supports, opposes, and tracks bills throughout the session. Click here to see what bills we are supporting, opposing, or monitoring on behalf of HFAM members (grid updated 4/8/08).

The key legislation supported by HFAM, many of which we only supported after amended at the request of HFAM, are listed below. All of these passed the General Assembly. (click on link for copies of bills – updated 4/8/08):

2008 Sine Die Report
HB 545 - NURSING HOMES – SAFE PATIENT LIFTING
HB 697 - HEALTH OCCUPATIONS – STATE BOARD OF EXAMINERS OF NURSING HOME ADMINISTRATORS – MINIMUM AGE REQUIREMENT
HB 807 - TASK FORCE TO STUDY FINANCIAL MATTERS RELATING TO LONG–TERM CARE FACILITIES
SB 677 / HB 809 - NURSING FACILITIES – ACCOUNTABILITY MEASURES – PAY–FOR–PERFORMANCE
HB 1187 - PERSONS WHO OPERATE NURSING HOMES – LICENSURE
SB 682 / HB 1452 - MEDICAL ASSISTANCE PROGRAM – LONG–TERM CARE ELIGIBILITY – CONSOLIDATION PLAN

DHMH / OHCQ Transmittals:

Medical Eligibility for Nursing Facility Level of Care (7-1-08)
Medical Day Care Services in Medicaid Home and Community-Based Waivers (6-30-08)
Implementation of the Medical Day Care Services Waiver (6-30-08)
Fiscal Year 2009 Interim Rates (6-23-08)
OHCQ Medical Day Care Unit Reorganization Transmittal (6-16-08)
Establishment of Negative Pressure Wound Therapy (NPWT) as an Additional Nursing Service (5-29-08)
Utilization Control Criteria for Ventilator Patients (4-11-08)
Preadmission Screening and Resident Review (PASRR) for Non-Medicaid Patients (3-13-08)
Required Features on Tamper-resistant Prescriptions (2-29-08)
Revised Fiscal Year 2008 Interim Rates Adjusted to Incorporate Quality Assessments (2-8-08)

Regulations:

For more information about HFAM's regulatory agenda, please contact:
Ethan Moore, Director of Health Policy
410-290-5132, ext. 103

Maryland Regulations - COMAR On-Line

DHMH HB837 Regulatory Report to Legislature

Recent Regulatory Final Action:

10.07.24 - CCF Emergency and Disaster Plan (5/5/08)
10.34.22 - Licensing of Wholesale Prescription Drug or Device Distributors (4/7/08)
10.39.01.08 – Certification of Nursing Assistants (4/7/08)
10.39.07 – CNA/CMT Code of Ethics (4/7/08)
10.01.16 - Retention and Disposal of Medical Records (3/24/08)
10.25.07 - Certification of Electronic Health Networks (3/24/08)
10.34.34 - Pharmacy Technicians (1/28/08)
10.09.07 – Adult Day Medical Assistance Eligibility (1/14/08)
10.07.03 - Nurse Staff Agency (12/17/07)
10.42.08 - Social Worker Supervision (12/17/07)
10.23.01 - Advance Directives Registry
10.09.63 - Recent Final Regulations for Managed Care Programs (11/21/07)
10.39.01 - CNA Fees (8/27/07)
10.27.01 - Nurse Fees (8/27/07)
10.07.02.03 - CCF License Fees (8/27/07)
10.09.10 - Medical Care Programs Working Capital Fund (8/27/07)
10.09.05 - Medical Care Programs Dental Services (8/27/07)
10.09.14 - Medical Care Programs Vision Services (8/27/07)
10.56.01 - Board of Dietetic Practice (8/13/07)
1044.15.05 - Board of Dental Examiners Licensure (8/13/07)
10.08.06 - NH Conversion Grant (8/13/07)
10.30.01 / 10.27.01 - Certification of Nursing Assistant/Nurse Examination and Licensure, Criminal History Records Checks
10.07.02.07-1 - Dementia Training (November 2006)
10.39.04.09 C - Nursing Functions - Medication Technicians (March 2007)

Recently published regulations for comment:

10.39.05 – Skilled C/GNA (2/1/08)
10.07.14 – Assisted Living Regulations (2/1/08)
10.07.02 – Emergency Planning and Preparedness (2/1/08)

HFAM comments to proposed regulations: (listed in chronological order)

10.39.05 – Skilled C/GNA (3/3/08)
10.07.14 – Assisted Living Regulations (3/3/07)
- 10.07.14 - DHMH Response (3/25/08)
10.07.02 – Emergency Planning and Preparedness (3/3/08)
- 10.07.02 – DHMH Response (3/14/08)
10.07.07 - Comprehensive Care Facilities Licensure (4/30/07)
10.24.01 - Certificate of Need for Health Care Facilities (2/20/07)
10.09.24 - Medical Assistance Eligibility (2/20/07)
- 10.09.24 - DHMH Response (3/30/07)
10.27.01 - Examination and Licensure of Nurses - Fee Structure (2/5/07)
- 10.27.01 - MBON Response (3/15/07)
10.39.01 - Certification of Nursing Assistants - Fee Structure (2/5/07)
10.27.01 - Board of Nursing, Examination and Licensure - Criminal History Records Check (2/5/07)
10.39.01 - Board of Nursing, Certified Nursing Assistants - Criminal History Records Check (2/5/07)
- 10.39.01 - MBON Response (3/15/07)
10.27.10 - Standards of Practice for the Licensed Practical Nurse informal comments to draft regulations (1/9/07)
10.24.08 - State Health Plan (10/12/06)
10.24.08 - State Health Plan - follow-up response (1/22/07)
- Analysis of comments and MHCC staff recommendations (11/6/06)
- Staff presentation to the MHCC (11/16/06)

Other Policy Documents:

OHCQ/CMS Regulatory Guidelines:

- CMS Culture Change Compliance Q & A (12/21/06)

2007 Legislation:

2007 Sine Die Report

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