NO POSITION (INFORMATION ONLY) Writing sample instructions (2).doc (24 KB) Maryland-2018-SB259-Introduced.pdf (93.554 KB)A policy note is developed by agencies to provide information on the impact of a proposed policy. It implies the agencies stance as well. There will be three policy notes assigned, one in support, one in opposition and one with no position. The policy note will review House or Senate bills previously or currently being considered by the Maryland General assembly. The policy note should be no more than 5 pages and will have the following format.Summary of the Bill: What does the bill propose to do?Fiscal Analysis: Discuss the potential impact this may have on the budgets of the state, and local governments. You may discuss the fiscal impact on other stakeholders as well. This does not have to be an exhaustive analysis, you may propose and impact and provide evidence, from other states.Analysis: Briefly discuss the potential impact of the proposed law. Who will be affected? How will they be affected? How is this different from current law?The information provided in the policy note is to be objective, do not include personal opinions. For sample policy notes please visit: http://dls.maryland.gov/about-us/offices/fiscal-and-policy-notes.
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SENATE BILL 259
SB 756/17 – FIN
By: Senator Middleton
Introduced and read first time: January 22, 2018
Assigned to: Finance
A BILL ENTITLED
AN ACT concerning
Maryland Medical Assistance Program – Medication Adherence Technology
FOR the purpose of establishing a certain pilot program to expand the use of medication
adherence technology to increase prescription drug adherence of certain Maryland
Medical Assistance Program recipients; requiring the Maryland Department of
Health to administer the pilot program; requiring the Department to select and
provide a medication adherence technology system to certain Program recipients;
requiring the Department to target certain individuals in selecting participants for
the pilot program; requiring the Department to collect certain data for a certain
purpose; requiring the pilot program to aim to achieve a certain reduction in certain
health care expenditures; requiring the Department to submit a certain report to the
Governor and to certain legislative committees on or before a certain date; defining
certain terms; providing for the termination of this Act; and generally relating to a
pilot program to expand the use of medication adherence technology to increase
prescription drug adherence of Maryland Medical Assistance Program recipients.
BY adding to
Article – Health – General
Annotated Code of Maryland
(2015 Replacement Volume and 2017 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
That the Laws of Maryland read as follows:
Article – Health – General
EXPLANATION: CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
[Brackets] indicate matter deleted from existing law.
SENATE BILL 259
“DUAL ELIGIBILITY” MEANS SIMULTANEOUS ELIGIBILITY FOR
HEALTH COVERAGE UNDER BOTH THE PROGRAM AND MEDICARE AND FOR WHICH
THE DEPARTMENT MAY OBTAIN FEDERAL MATCHING FUNDS.
“MEDICATION ADHERENCE TECHNOLOGY SYSTEM” MEANS A
DIGITAL REMOTE TAMPER–PROOF MEDICATION MANAGEMENT SYSTEM THAT:
IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
ALERTS A PATIENT WHEN IT IS TIME TO TAKE MEDICATION;
(II) DISPENSES MEDICATION THAT IS LOCATED
PRESORTED, DOSE–SPECIFIC, AND MULTIDOSE ADHERENCE PACKAGING;
(III) MONITORS WHEN A PATIENT TAKES THE MEDICATION;
ALERTS CAREGIVERS IN REAL TIME WHEN THE PATIENT
DOES NOT TAKE THE MEDICATION ON SCHEDULE;
INCLUDES A MOBILE PLATFORM THROUGH WHICH HEALTH
CARE PROVIDERS CAN REVIEW DATA ON THE PATIENT’S MEDICATION REGIMEN AND
FOR THE DELIVERY AND LOADING
MEDICATION REFILLS FOR THE PATIENT BY A TRAINED TECHNICIAN.
THERE IS A PILOT PROGRAM TO EXPAND THE USE OF MEDICATION
ADHERENCE TECHNOLOGY TO INCREASE PRESCRIPTION DRUG ADHERENCE OF
PROGRAM RECIPIENTS WHO ARE DIAGNOSED AS HAVING A SEVERE AND
PERSISTENT MENTAL ILLNESS.
THE DEPARTMENT SHALL ADMINISTER THE PILOT PROGRAM.
THE DEPARTMENT SHALL SELECT AND PROVIDE A MEDICATION
ADHERENCE TECHNOLOGY SYSTEM TO 300 PROGRAM RECIPIENTS WHO:
HAVE DUAL ELIGIBILITY;
ARE DIAGNOSED AS HAVING A SEVERE AND PERSISTENT
MENTAL ILLNESS AND MULTIPLE COMORBIDITIES;
(III) ARE TAKING SIX OR MORE ORAL MEDICATIONS; AND
SENATE BILL 259
IN SELECTING PARTICIPANTS FOR THE PILOT PROGRAM, THE
THE DEPARTMENT SHALL COLLECT DATA ON PARTICIPANTS IN THE
PILOT PROGRAM TO EVALUATE THE IMPACT OF THE USE OF THE MEDICATION
ADHERENCE TECHNOLOGY ON:
MEDICATION ADHERENCE OF PARTICIPANTS;
HAVE ANNUAL HEALTH CARE COSTS THAT EXCEED $55,000.
DEPARTMENT SHALL TARGET INDIVIDUALS WHO HAVE CHRONIC OBSTRUCTIVE
PULMONARY DISEASE (COPD), DIABETES, HEART FAILURE, OR HYPERTENSION.
HEALTH OUTCOMES FOR PARTICIPANTS.
THE PILOT PROGRAM SHALL AIM TO ACHIEVE A 10% REDUCTION IN
TOTAL HEALTH CARE EXPENDITURES FOR THE PARTICIPANTS IN THE PILOT
PROGRAM FROM REDUCED COSTS ATTRIBUTABLE TO MEDICATION MONITORING BY
HEALTH CARE PROVIDERS AND REDUCED MEDICAL TREATMENT, INCLUDING
EMERGENCY ROOM VISITS, HOSPITALIZATIONS, LONG–TERM CARE PLACEMENTS,
AND HOME HEALTH CARE VISITS.
ON OR BEFORE SEPTEMBER 1, 2021, THE DEPARTMENT SHALL REPORT
TO THE GOVERNOR AND, IN ACCORDANCE WITH § 2–1246 OF THE STATE
GOVERNMENT ARTICLE, THE SENATE FINANCE COMMITTEE AND THE HOUSE
HEALTH AND GOVERNMENT OPERATIONS COMMITTEE ON THE PILOT PROGRAM
ESTABLISHED UNDER THIS SECTION.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect June
1, 2018. It shall remain effective for a period of 4 years and 4 months and, at the end of
September 30, 2022, this Act, with no further action required by the General Assembly,
shall be abrogated and of no further force and effect.
Writing Sample Instructions
Please read and analyze the attached bill, “Public Health – Dental Services for Adults – Coverage
and Access.” Provide the following in a brief analysis of the bill:
Briefly describe what the bill does and the population affected
Briefly discuss any policy, fiscal and/or operational considerations that should be
explored as a part of a more in depth bill analysis
List any key stakeholders
State the effective date of the change
When reading the bill, please note the following items:
• CAPITALS INDICATE MATTER ADDED TO EXISTING LAW.
• [Brackets] indicate matter deleted from existing law.
• Underlining indicates amendments to bill.
• Strike out indicates matter stricken from the bill by amendment or deleted from the law
• Italics indicate opposite chamber/conference committee amendments.
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