<section article="ghg" article_name="Health - General" number="8-101" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="1"> <level label="a"> <text>In this title the following words have the meanings indicated.</text> </level> <level label="b"> <level label="1"> <text>“Addictive disorder” means a chronic disorder of the brain’s reward–activation system in which the individual pathologically pursues reward or relief by substance abuse or other behaviors, with diminished control, and the individual persists in the behavior despite adverse consequences.</text> </level> <level label="2"> <text>“Addictive disorder” includes gambling, which is the only nonsubstance–related addictive disorder recognized by Maryland law.</text> </level> </level> <level label="c"> <text>“Administration” means the Behavioral Health Administration.</text> </level> <level label="d"> <text>“Administrator” means the program director or the clinical director of an alcohol or drug abuse treatment facility or a health care facility.</text> </level> <level label="e"> <text>“Alcohol abuse” means a disease that is characterized by a pattern of pathological use of alcohol with repeated attempts to control its use, and with significant negative consequences in at least one of the following areas of life: medical, legal, financial, or psycho–social.</text> </level> <level label="f"> <text>“Alcohol dependence” means a disease characterized by:</text> <level label="1"> <text>Alcohol abuse; and</text> </level> <level label="2"> <text>Physical symptoms of withdrawal or tolerance.</text> </level> </level> <level label="g"> <text>“Alcohol misuse” means:</text> <level label="1"> <text>Unlawful use of alcohol;</text> </level> <level label="2"> <text>Alcohol abuse; or</text> </level> <level label="3"> <text>Alcohol dependence.</text> </level> </level> <level label="h"> <text>“Director” means the Director of the Administration.</text> </level> <level label="i"> <text>“Drug” means:</text> <level label="1"> <text>A controlled dangerous substance that is regulated under the Maryland Controlled Dangerous Substances Act;</text> </level> <level label="2"> <text>A prescription medication; or</text> </level> <level label="3"> <text>A chemical substance when used for unintended and harmful purposes.</text> </level> </level> <level label="j"> <text>“Drug abuse” means a disease which is characterized by a pattern of pathological use of a drug with repeated attempts to control the use, and with significant negative consequences in at least one of the following areas of life: medical, legal, financial, or psycho–social.</text> </level> <level label="k"> <text>“Drug dependence” means a disease characterized by:</text> <level label="1"> <text>Drug abuse; and</text> </level> <level label="2"> <text>Physical symptoms of withdrawal or tolerance.</text> </level> </level> <level label="l"> <text>“Drug misuse” means:</text> <level label="1"> <text>Unlawful use of a drug;</text> </level> <level label="2"> <text>Drug abuse; or</text> </level> <level label="3"> <text>Drug dependence.</text> </level> </level> <level label="m"> <text>“Halfway house” means a clinically managed, low intensity residential treatment service for individuals with substance–related disorders who are capable of self–care but are not ready to return to independent living.</text> </level> <level label="n"> <text>“Large halfway house” means a halfway house that admits at least 9 but not more than 16 individuals.</text> </level> <level label="o"> <level label="1"> <text>“Mental disorder” means a behavioral or emotional illness that results from a psychiatric disorder.</text> </level> <level label="2"> <text>“Mental disorder” includes a mental illness that so substantially impairs the mental or emotional functioning of an individual as to make care or treatment necessary or advisable for the welfare of the individual or for the safety of the person or property of another.</text> </level> <level label="3"> <text>“Mental disorder” does not include an intellectual disability.</text> </level> </level> <level label="p"> <text>“Recovery residence” means a service that:</text> <level label="1"> <text>Provides alcohol–free and illicit–drug–free housing to individuals with substance–related disorders or addictive disorders or co–occurring mental disorders and substance–related disorders or addictive disorders; and</text> </level> <level label="2"> <text>Does not include clinical treatment services.</text> </level> </level> <level label="q"> <text>“Small halfway house” means a halfway house that admits at least 4 but not more than 8 individuals.</text> </level> <level label="r"> <level label="1"> <text>“Substance–related disorder” means:</text> <level label="i"> <text>Alcohol use disorder, alcohol abuse, alcohol dependence, alcohol misuse, alcohol intoxication, or alcohol withdrawal;</text> </level> <level label="ii"> <text>Nonalcohol substance use disorder, drug dependence, drug misuse, nonalcohol substance induced intoxication, or nonalcohol substance withdrawal; or</text> </level> <level label="iii"> <text>Any combination of the disorders listed in items (i) and (ii) of this paragraph.</text> </level> </level> <level label="2"> <text>“Substance–related disorder” includes substance use disorders and substance induced disorders.</text> </level> </level> <level label="s"> <text>“Withdrawal management” means direct or indirect services for an acutely intoxicated individual to fulfill the physical, social, and emotional needs of an individual by:</text> <level label="1"> <text>Monitoring the amount of alcohol and other toxic agents in the body of the individual;</text> </level> <level label="2"> <text>Managing withdrawal symptoms; and</text> </level> <level label="3"> <text>Motivating an individual to participate in the appropriate substance–related disorder programs.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-205" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="2"> <level label="a"> <text>Each person who is authorized to administer, use professionally, or dispense a drug and each public official who has duties with respect to drugs or to users of them shall report to the Administration any relevant information that the Administration requires to carry out the purposes of this title, subject to the provisions of State and federal laws and regulations governing confidentiality.</text> </level> <level label="b"> <text>An employee or unit of the State or of any of its political subdivisions shall release to the Administration, on its request, information that deals with drug abuse or alcohol abuse or drug dependence or alcohol dependence, including the name of an individual with a drug or alcohol problem if needed to carry out the purposes of this title, subject to the provisions of State and federal laws and regulations governing confidentiality.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-206" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="2"> <level label="a"> <text>With the approval of the Secretary of Budget and Management, the Administration shall accept, on behalf of the State, a conditional or unconditional gift or grant.</text> </level> <level label="b"> <text>The Administration shall pay all funds collected under this section into a special fund of the State Treasury and use the special fund to carry out the provisions of this title.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-401" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="4"> <level label="a"> <level label="1"> <text>The Administration shall:</text> <level label="i"> <text>Promote, develop, establish, conduct, certify, and monitor programs for the prevention, treatment, and rehabilitation related to the misuse of alcohol and drugs; and</text> </level> <level label="ii"> <text>Promote and conduct training and research related to the misuse of alcohol and drugs.</text> </level> </level> <level label="2"> <level label="i"> <text>In cooperation with the Motor Vehicle Administration, courts, police, and other agencies, the Administration shall approve appropriate programs of alcohol and drug abuse education or treatment for individuals who are convicted under § 21–902 of the Transportation Article.</text> </level> <level label="ii"> <text>The programs under this paragraph shall be coordinated with and integrated into broad planning for comprehensive community health and welfare services.</text> </level> </level> <level label="3"> <text>The Administration shall:</text> <level label="i"> <text>Review and, in accordance with regulations that the Administration shall adopt, approve or disapprove each program that a public or private agency wants to offer under § 6–219(c) or § 6–220(e) of the Criminal Procedure Article;</text> </level> <level label="ii"> <text>Promptly give the Administrative Office of the Courts notice of each program approved under this paragraph;</text> </level> <level label="iii"> <text>Monitor and biennially review each program approved under this paragraph;</text> </level> <level label="iv"> <text>Investigate each complaint made in connection with a program; and</text> </level> <level label="v"> <text>Promptly give the Administrative Office of the Courts notice if the Department withdraws its approval of any program.</text> </level> </level> </level> <level label="b"> <text>The Administration may:</text> <level label="1"> <text>Develop pilot programs;</text> </level> <level label="2"> <text>For these purposes and notwithstanding any other law, establish, direct, and conduct any experimental pilot clinical program for the treatment of alcohol or drug abusers, including any program to administer, under medical supervision and control, maintenance dosages of prescribed drugs;</text> </level> <level label="3"> <text>Either alone or with other public or private agencies, direct and conduct basic research in alcohol or drug abuse, including clinical epidemiological, social science, and statistical research;</text> </level> <level label="4"> <text>In cooperation with the Department of Public Safety and Correctional Services or any other appropriate correctional agency, establish and maintain, in any correctional institution in this State, programs for the prevention and treatment of alcohol and drug abuse and for the rehabilitation of alcohol and drug abusers; and</text> </level> <level label="5"> <text>Require a facility that provides treatment for substance use disorder to:</text> <level label="i"> <text>Provide beds and services for patients’ children; and</text> </level> <level label="ii"> <text>Allow a patient’s child to be in the presence of the child’s parent for the duration of the child’s parent’s treatment.</text> </level> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-405" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="4"> <level label="a"> <text>A halfway house shall be licensed in accordance with Title 7.5 of this article.</text> </level> <level label="b"> <text>The Secretary shall adopt regulations for establishing, licensing, and operating halfway houses.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-406" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="4"> <level label="a"> <text>A small halfway house:</text> <level label="1"> <text>Is deemed conclusively a single–family dwelling for purposes of zoning; and</text> </level> <level label="2"> <text>Is permitted to locate in all residential zones.</text> </level> </level> <level label="b"> <text>A large halfway house is deemed conclusively a multifamily dwelling and is permitted to locate in zones of similar density.</text> </level> <level label="c"> <text>A halfway house is not subject to any special exception, conditional use permit, or procedure that differs from that required for a single–family dwelling or a multifamily dwelling of similar density in the same zone.</text> </level> <level label="d"> <text>A general zoning ordinance that conflicts with the provisions of this section is superseded by this section, to the extent of the conflict.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-407" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="4"> <level label="a"> <text>The Department shall identify up–to–date, evidence–based, written information about opioid use disorder that:</text> <level label="1"> <text>Has been reviewed by medical experts and national and local organizations specializing in the treatment of opioid use disorder;</text> </level> <level label="2"> <text>Is designed for use by health care providers and individuals with opioid use disorder and their families;</text> </level> <level label="3"> <text>Is culturally and linguistically appropriate for potential recipients of the information; and</text> </level> <level label="4"> <text>Includes information addressing:</text> <level label="i"> <text>The signs and symptoms of opioid use disorder;</text> </level> <level label="ii"> <text>The risks associated with untreated opioid use disorder;</text> </level> <level label="iii"> <text>Appropriate clinical treatment for opioid use disorder, including:</text> <level label="1"> <text>Counseling services; and</text> </level> <level label="2"> <text>All medications approved by the U.S. Food and Drug Administration for the treatment of opioid use disorder;</text> </level> </level> <level label="iv"> <text>Appropriate use of overdose reversal agents;</text> </level> <level label="v"> <text>Appropriate support services, including:</text> <level label="1"> <text>Peer fellowship and support groups, such as Narcotics Anonymous and Alcoholics Anonymous;</text> </level> <level label="2"> <text>Community–based services; and</text> </level> <level label="3"> <text>Residential or recovery housing services; and</text> </level> </level> <level label="vi"> <text>Appropriate treatments for pain that may be used to reduce or replace opioid medication treatments for chronic pain.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>The Department shall provide the information identified by the Department under subsection (a) of this section to health care facilities and health care providers that provide treatment for opioid use disorder.</text> </level> <level label="2"> <text>A health care facility or health care provider shall make the information available to each patient treated by the facility or provider for opioid use disorder.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-408" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="4"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Community services program” includes a homeless services program.</text> </level> <level label="3"> <text>“Homeless services program” means a program operated by the Department of Housing and Community Development through a local administering agency or service provider for the purpose of providing shelter, food, and services to homeless family units in the State.</text> </level> <level label="4"> <text>“Intensive outpatient program” means a treatment program that addresses substance use disorders or other disorders that do not require detoxification or inpatient supervision and are designated by the American Society of Addiction Medicine as a level 2.1 setting.</text> </level> <level label="5"> <text>“Opioid treatment program” means a program approved by the Department to provide opioid maintenance therapy under regulations adopted by the Department.</text> </level> </level> <level label="b"> <text>On or before June 30, 2024, a community services program that provides services to individuals who have a substance use disorder or an opioid use disorder or are at risk of experiencing a drug overdose shall have a protocol to offer opioid overdose reversal drugs approved by the federal Food and Drug Administration, free of charge, to those individuals who have an opioid use disorder or are at risk of experiencing a drug overdose when the individual receives services from the community services program.</text> </level> <level label="c"> <text>On or before June 30, 2023, each opioid treatment program and each intensive outpatient treatment program shall have a protocol to offer an opioid overdose reversal drug approved by the federal Food and Drug Administration, free of charge, when an individual receives services from the opioid treatment program or intensive outpatient treatment program.</text> </level> <level label="d"> <text>On or before June 30, 2024:</text> <level label="1"> <text>State and local correctional facilities shall have a protocol to offer an opioid overdose reversal drug approved by the federal Food and Drug Administration, free of charge, to sentenced individuals who have an opioid use disorder or who are at risk of experiencing a drug overdose before the individual’s release; and</text> </level> <level label="2"> <text>The Division of Parole and Probation shall have a protocol to offer an opioid overdose reversal drug approved by the federal Food and Drug Administration, free of charge, to individuals under supervision who have an opioid use disorder or are at risk of experiencing a drug overdose.</text> </level> </level> <level label="e"> <text>The Secretary may adopt regulations to carry out this section.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-501" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <level label="1"> <text>In cooperation with State and local police, the Administration may adopt regulations under which personnel other than the police are authorized to exercise the powers under this section whenever feasible so that the exercise of those powers by the police are reduced to a minimum.</text> </level> <level label="2"> <text>The police and other authorized personnel who act under this section are acting within the scope of their official duty.</text> </level> </level> <level label="b"> <text>If a publicly intoxicated individual consents or an individual’s health is in immediate danger, the police or other authorized personnel may take or send a publicly intoxicated individual to:</text> <level label="1"> <text>The individual’s home;</text> </level> <level label="2"> <text>A detoxification center; or</text> </level> <level label="3"> <text>Any other appropriate health care facility as defined in § 19-114(d) of this article.</text> </level> </level> <level label="c"> <text>Unless a criminal charge is filed, an entry of an action under this section may not be made on the arrest or other criminal record of the intoxicated individual.</text> </level> <level label="d"> <text>An individual taken or sent to a detoxification center or a health care facility under subsection (b) of this section may be admitted to the facility with the consent of the director of the facility or the designee of the director.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-502" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <text>After a preliminary evaluation of an individual by the administrator or the designee of the administrator, the individual may be admitted to the facility if it is certified in writing that the individual:</text> <level label="1"> <text>Has acute symptoms of alcohol or drug intoxication or withdrawal; and</text> </level> <level label="2"> <level label="i"> <text>Appears to be in imminent danger of harming one’s self, or another individual, or the property of another individual; or</text> </level> <level label="ii"> <text>Is willing to be voluntarily admitted.</text> </level> </level> </level> <level label="b"> <text>An individual admitted under this section may be detained up to 72 hours after admission.</text> </level> <level label="c"> <text>An individual detained under this section shall be informed in writing at the time of admission of the right of the individual to leave the facility after 72 hours.</text> </level> <level label="d"> <text>This section does not require a facility to admit an individual when:</text> <level label="1"> <text>Space is not available;</text> </level> <level label="2"> <text>A patient demonstrates medical and psychiatric conditions beyond the certified capabilities of the program staff; or</text> </level> <level label="3"> <text>As a result of an evaluation of an individual, the individual is determined to be an inappropriate admission to the facility.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-502.1" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <text>A parent or guardian of the person of a minor may apply, on behalf of the minor, for admission of the minor to a certified inpatient alcohol and drug abuse program or facility or a certified intensive outpatient alcohol and drug abuse program under this section.</text> </level> <level label="b"> <text>A program or facility may not admit an individual under this section unless the program or facility has determined that:</text> <level label="1"> <text>The individual has an alcohol or other drug dependency that necessitates the level of care provided by the program or facility;</text> </level> <level label="2"> <text>The individual would benefit from treatment;</text> </level> <level label="3"> <text>The parent or guardian making application for admission of the individual understands the nature of the request for admission and the nature of the treatment provided by the program or facility; and</text> </level> <level label="4"> <text>Assent to the admission has been given by the Director or the Director’s designee of the program or facility.</text> </level> </level> <level label="c"> <text>In order for an individual to be retained for treatment under this section:</text> <level label="1"> <text>The parent or guardian who applied for admission of the individual shall have the right to be actively involved in treatment; and</text> </level> <level label="2"> <text>The program or facility shall note on the application for admission whether or not the minor was admitted in accordance with the provisions of § 20–102(c–1) of this article.</text> </level> </level> <level label="d"> <text>A program or facility has the right to discharge an individual admitted for treatment under this section if the individual is not complying with the treatment program or the facility’s policies and procedures.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-503" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <text>If, after the police arrest an intoxicated individual for a criminal offense, the individual seems to require emergency medical treatment, the police immediately shall take the individual to a detoxification center or other appropriate health care facility as defined in § 19–114(d) of this article.</text> </level> <level label="b"> <level label="1"> <text>If necessary, after medical treatment, the police shall transport the individual to a program that provides detoxification services.</text> </level> <level label="2"> <text>The individual may be admitted to a program that provides detoxification services in accordance with the provisions of § 8–501(d) of this subtitle.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-504" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <text>In carrying out §§ 8-501, 8-502, and 8-503 of this subtitle, the police or other authorized personnel shall make every reasonable effort to protect the health and safety of the intoxicated individual.</text> </section> <section article="ghg" article_name="Health - General" number="8-505" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <level label="1"> <level label="i"> <text>Except as provided in paragraph (2) of this subsection, before or during a criminal trial, before or after sentencing, or before or during a term of probation, the court may order the Department to evaluate a defendant to determine whether, by reason of drug or alcohol abuse, the defendant is in need of and may benefit from treatment if:</text> <level label="1"> <text>It appears to the court that the defendant has an alcohol or drug abuse problem; or</text> </level> <level label="2"> <text>The defendant alleges an alcohol or drug dependency.</text> </level> </level> <level label="ii"> <text>A court shall set and may change the conditions under which an examination is to be conducted under this section.</text> </level> <level label="iii"> <text>The Department shall ensure that each evaluation under this section is conducted in accordance with regulations adopted by the Department.</text> </level> </level> <level label="2"> <level label="i"> <text>If a defendant is serving a sentence for a crime of violence, as defined in § 14–101 of the Criminal Law Article, a court may not order the Department to evaluate a defendant under this section until the defendant is eligible for parole.</text> </level> <level label="ii"> <text>Nothing in this paragraph may be construed to prohibit a defendant who is serving a sentence for a crime of violence, as defined in § 14–101 of the Criminal Law Article from participating in any other treatment program or receiving treatment under the supervision of the Department under any other provision of law.</text> </level> </level> </level> <level label="b"> <text>On consideration of the nature of the charge, the court:</text> <level label="1"> <text>May require or permit an examination to be conducted on an outpatient basis; and</text> </level> <level label="2"> <text>If an outpatient examination is authorized, shall set bail for the defendant or authorize the release of the defendant on personal recognizance.</text> </level> </level> <level label="c"> <level label="1"> <text>If a defendant is to be held in custody for examination under this section:</text> <level label="i"> <text>The defendant may be confined in a detention facility until the Department is able to conduct the examination; or</text> </level> <level label="ii"> <text>The court may order confinement of the defendant in a medical wing or other isolated and secure unit of a detention facility, if the court finds it appropriate for the health or safety of the defendant.</text> </level> </level> <level label="2"> <level label="i"> <text>If the court finds that, because of the apparent severity of the alcohol or drug dependency or other medical or psychiatric complications, a defendant in custody would be endangered by confinement in a jail, the court may order the Department to either:</text> <level label="1"> <text>Place the defendant, pending examination, in an appropriate health care facility; or</text> </level> <level label="2"> <text>Immediately conduct an evaluation of the defendant.</text> </level> </level> <level label="ii"> <text>Unless the Department retains a defendant, the defendant shall be promptly returned to the court after an examination.</text> </level> <level label="iii"> <text>A defendant who is detained for an examination under this section may question at any time the legality of the detention by a petition for a writ of habeas corpus.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>If a court orders an evaluation under this section, the evaluator shall:</text> <level label="i"> <text>Conduct an evaluation of the defendant; and</text> </level> <level label="ii"> <text>Submit a complete report of the evaluation within 7 days to the:</text> <level label="1"> <text>Court;</text> </level> <level label="2"> <text>Department; and</text> </level> <level label="3"> <text>Defendant or the defendant’s attorney.</text> </level> </level> </level> <level label="2"> <text>On good cause shown, a court may extend the time for an evaluation under this section.</text> </level> <level label="3"> <text>Whenever an evaluator recommends treatment, the evaluator’s report shall:</text> <level label="i"> <text>Name a specific program able to immediately provide the recommended treatment; and</text> </level> <level label="ii"> <text>Give an actual or estimated date when the program can begin treatment of the defendant.</text> </level> </level> </level> <level label="e"> <level label="1"> <text>The Department shall immediately provide the services required by this section.</text> </level> <level label="2"> <text>A designee of the Department may carry out any of its duties under this section.</text> </level> </level> <level label="f"> <text>Evaluations performed in facilities operated by the Department of Public Safety and Correctional Services shall be conducted by the Administration.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-506" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <text>Subject to the eligibility restrictions under § 8–505(a) of this subtitle, a court may commit a defendant to the Department for inpatient evaluation as to drug or alcohol abuse if:</text> <level label="1"> <text>The court finds it is not clinically appropriate for the defendant to be evaluated in a detention facility or an appropriate outpatient facility; and</text> </level> <level label="2"> <text>After an initial evaluation, the Department:</text> <level label="i"> <text>Recommends a comprehensive inpatient evaluation of the defendant;</text> </level> <level label="ii"> <text>Certifies that an appropriate facility is either currently, or within a reasonable time will be able to, conduct the evaluation;</text> </level> <level label="iii"> <text>Provides to the court a date by which the evaluation can be conducted; and</text> </level> <level label="iv"> <text>Gives the court prompt notice when an evaluation can be conducted.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>The Department shall provide the services required by this section.</text> </level> <level label="2"> <text>A designee of the Department may carry out any of the Department’s duties under this section if appropriate funding is provided.</text> </level> </level> <level label="c"> <text>The Department shall facilitate the prompt evaluation of a defendant under this section and ensure that each evaluation is conducted in accordance with regulations adopted by the Department.</text> </level> <level label="d"> <text>A court may order law enforcement officials, detention center staff, Department of Public Safety and Correctional Services staff, or sheriff’s department staff within the appropriate local jurisdiction to transport the defendant to and from an evaluation facility.</text> </level> <level label="e"> <level label="1"> <text>A commitment under this section may not require evaluation for more than 7 days unless the medical condition of a defendant warrants an extension of a maximum of 14 days.</text> </level> <level label="2"> <text>Except during the first 72 hours after admission of a defendant to an evaluation facility, the Department may terminate the evaluation if the Department determines that continued evaluation:</text> <level label="i"> <text>Is not in the best interest of the defendant; or</text> </level> <level label="ii"> <text>Does not serve any useful purpose.</text> </level> </level> <level label="3"> <text>Whenever an evaluation recommends treatment, the evaluator’s report shall:</text> <level label="i"> <text>Name a specific program able to provide the recommended treatment; and</text> </level> <level label="ii"> <text>Give an actual or estimated date when the program can begin treatment of the defendant.</text> </level> </level> </level> <level label="f"> <level label="1"> <text>On completion of an evaluation under this section, the Department shall notify the court.</text> </level> <level label="2"> <text>Before a defendant is released from an evaluation facility under this section, the Department shall give the court that ordered the evaluation and the correctional facility, if any, to whose custody the defendant is to be released notice of the proposed date and time of release and have the defendant returned to the court as provided in the evaluation order.</text> </level> </level> <level label="g"> <level label="1"> <text>If a defendant leaves an evaluation facility without authorization, the responsibility of the Department is limited to notification of the court that ordered the defendant’s evaluation, as soon as it is reasonably possible.</text> </level> <level label="2"> <text>Notice under this subsection shall constitute probable cause for a court to issue a warrant for the arrest of a defendant.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-507" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection and subject to the limitations in this section, a court that finds in a criminal case or during a term of probation that a defendant has an alcohol or drug dependency may commit the defendant as a condition of release, after conviction, or at any other time the defendant voluntarily agrees to participate in treatment, to the Department for treatment that the Department recommends, even if:</text> </level> <level label="i"> <text>The defendant did not timely file a motion for reconsideration under Maryland Rule 4–345; or</text> </level> <level label="ii"> <text>The defendant timely filed a motion for reconsideration under Maryland Rule 4–345 which was denied by the court.</text> </level> <level label="2"> <level label="i"> <text>If a defendant is serving a sentence for a crime of violence, as defined in § 14–101 of the Criminal Law Article, a court may not order the Department to treat a defendant under this section until the defendant is eligible for parole.</text> </level> <level label="ii"> <text>Nothing in this paragraph may be construed to prohibit a defendant who is serving a sentence for a crime of violence, as defined in § 14–101 of the Criminal Law Article, from participating in any other treatment program or receiving treatment under the supervision of the Department under any other provision of law.</text> </level> </level> </level> <level label="b"> <text>Before a court commits a defendant to the Department under this section, the court shall:</text> <level label="1"> <text>Offer the defendant the opportunity to receive treatment;</text> </level> <level label="2"> <text>Obtain the written consent of the defendant:</text> <level label="i"> <text>To receive treatment; and</text> </level> <level label="ii"> <text>To have information reported back to the court;</text> </level> </level> <level label="3"> <text>Order an evaluation of the defendant under § 8–505 or § 8–506 of this subtitle;</text> </level> <level label="4"> <text>Consider the report on the defendant’s evaluation; and</text> </level> <level label="5"> <text>Find that the treatment that the Department recommends to be appropriate and necessary.</text> </level> </level> <level label="c"> <text>Immediately on receiving an order for treatment under this section, the Department shall order a report of all pending cases, warrants, and detainers for the defendant and forward a copy of the report to the court, the defendant, and the defendant’s last attorney of record.</text> </level> <level label="d"> <level label="1"> <text>The Department shall provide the services required by this section.</text> </level> <level label="2"> <text>A designee of the Department may carry out any of the Department’s duties under this section.</text> </level> </level> <level label="e"> <level label="1"> <text>A court may not order that the defendant be delivered for treatment until:</text> <level label="i"> <text>Any detainer based on an untried indictment, information, warrant, or complaint for the defendant has been removed; and</text> </level> <level label="ii"> <text>Any sentence of incarceration for the defendant is no longer in effect.</text> </level> </level> <level label="2"> <text>The Department shall facilitate the immediate treatment of a defendant unless the court finds exigent circumstances to delay commitment for treatment for longer than 30 days.</text> </level> <level label="3"> <text>If a defendant who has been committed for treatment under this section is not placed in treatment within 21 days of the order, the court may order the Department to appear to explain the reason for the lack of placement.</text> </level> </level> <level label="f"> <text>For a defendant committed for treatment under this section, a court shall order supervision of the defendant:</text> <level label="1"> <text>By an appropriate pretrial release agency, if the defendant is released pending trial;</text> </level> <level label="2"> <text>By the Division of Parole and Probation under appropriate conditions in accordance with §§ 6–219 through 6–225 of the Criminal Procedure Article and Maryland Rule 4–345, if the defendant is released on probation; or</text> </level> <level label="3"> <text>By the Department, if the defendant remains in the custody of a local correctional facility.</text> </level> </level> <level label="g"> <text>A court may order law enforcement officials, detention center staff, Department of Public Safety and Correctional Services staff, or sheriff’s department staff within the appropriate local jurisdiction to transport a defendant to and from treatment under this section.</text> </level> <level label="h"> <text>The Department shall promptly report to a court a defendant’s withdrawal of consent to treatment and have the defendant returned to the court within 7 days for further proceedings.</text> </level> <level label="i"> <text>A defendant who is committed for treatment under this section may question at any time the legality of the commitment by a petition for a writ of habeas corpus.</text> </level> <level label="j"> <level label="1"> <text>A commitment under this section shall be for at least 72 hours and not more than 1 year.</text> </level> <level label="2"> <text>On good cause shown by the Department, the court, or the State, the court may extend the time period for providing the necessary treatment services in increments of 6 months.</text> </level> <level label="3"> <text>Except during the first 72 hours after admission of a defendant to a treatment program, the Department may terminate the treatment if the Department determines that:</text> <level label="i"> <text>Continued treatment is not in the best interest of the defendant; or</text> </level> <level label="ii"> <text>The defendant is no longer amenable to treatment.</text> </level> </level> </level> <level label="k"> <text>When a defendant is to be released from treatment under this section, the Department shall notify the court that ordered the treatment.</text> </level> <level label="l"> <level label="1"> <text>If a defendant leaves treatment without authorization, the responsibility of the Department is limited to the notification of the court that ordered the defendant’s treatment as soon as it is reasonably possible.</text> </level> <level label="2"> <text>Notice under this subsection shall constitute probable cause for a court to issue a warrant for the arrest of a defendant.</text> </level> </level> <level label="m"> <text>Nothing in this section imposes any obligation on the Department:</text> <level label="1"> <text>To treat any defendant who knowingly and willfully declines to consent to further treatment; or</text> </level> <level label="2"> <text>In reporting to the court under this section, to include an assessment of a defendant’s dangerousness to one’s self, to another individual, or to the property of another individual by virtue of a drug or alcohol problem.</text> </level> </level> <level label="n"> <text>Time during which a defendant is held under this section for inpatient evaluation or inpatient or residential treatment shall be credited against any sentence imposed by the court that ordered the evaluation or treatment.</text> </level> <level label="o"> <text>This section may not be construed to limit a court’s authority to order drug treatment in lieu of incarceration under Title 5 of the Criminal Law Article.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-508" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <level label="a"> <text>An individual may ask voluntarily for admission to an outpatient treatment program, whether or not the individual has been admitted to the program before.</text> </level> <level label="b"> <text>After an individual asks for admission to an outpatient treatment program, the administrative head of the program shall determine whether the individual is to be admitted. However, the administrative head may not deny readmission of an individual solely because the individual previously left the program against the advice of the administrative head.</text> </level> <level label="c"> <text>An outpatient treatment program shall use public and private community efforts, including welfare services, vocational rehabilitation, and job replacement, to integrate a chronic alcoholic into society as a productive citizen.</text> </level> <level label="d"> <level label="1"> <text>A chronic alcoholic may not be dropped from an outpatient treatment program solely because of a relapse into intoxication.</text> </level> <level label="2"> <text>Every reasonable method of treatment shall be used to prevent a relapse.</text> </level> <level label="3"> <text>If recovery of the chronic alcoholic is unlikely, the outpatient treatment program shall provide supportive services and residential facilities so that the individual may survive in a decent manner.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-509" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="5"> <text>The Administration shall promote the admission and treatment of intoxicated individuals and alcoholics in private and public hospitals without discrimination.</text> </section> <section article="ghg" article_name="Health - General" number="8-601" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6"> <level label="a"> <text>If any individual seeks counseling, treatment, or therapy, for any form of drug or alcohol abuse, from a health professional licensed under the Health Occupations Article treating patients within the scope of the professional’s practice, or hospital, or a person who is certified by the Administration for counseling or treating drug or alcohol abuse, the oral or written statements that the individual makes and the observations and conclusions that the health professional, hospital, or other person derives or the results of an examination to determine the existence of an illegal or prohibited drug in the body of an individual are not admissible in any proceeding against the individual, other than and subject to the federal regulations concerning the confidentiality of alcohol and drug abuse patient records:</text> <level label="1"> <text>A proceeding that relates to parole or probation or conditional release from a not criminally responsible finding, if the examination had been ordered as a condition of parole or probation or the conditional release from a not criminally responsible finding; or</text> </level> <level label="2"> <text>A proceeding under Subtitle 5 of this title, if the examination had been ordered for that proceeding.</text> </level> </level> <level label="b"> <text>The results of a proceeding under Subtitle 5 of this title and evidence in the proceeding may not be used against that individual in any other proceeding.</text> </level> <level label="c"> <text>The disclosure and use of the records of individuals served by alcohol abuse and drug abuse treatment programs shall be governed by the federal regulations on the confidentiality of alcohol and drug abuse patient records, 42 C.F.R. Part 2.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-6A-01" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6A"> <level label="a"> <text>In this section, “Fund” means the Maryland Substance Abuse Fund.</text> </level> <level label="b"> <level label="1"> <text>There is a Maryland Substance Abuse Fund.</text> </level> <level label="2"> <text>The Fund is a special nonlapsing fund that is not subject to § 7–302 of the State Finance and Procurement Article.</text> </level> <level label="3"> <text>The Fund consists of the fee required under § 6–229 of the Criminal Procedure Article, money appropriated in the State budget to the Fund, all earnings from investment of money in the Fund, and other money accepted for the benefit of the Fund from a governmental or private source.</text> </level> <level label="4"> <text>The State Treasurer shall hold the Fund separately.</text> </level> <level label="5"> <text>The State Comptroller shall account for the Fund.</text> </level> <level label="6"> <text>The Fund shall be invested and reinvested in the same manner as other State funds.</text> </level> <level label="7"> <text>The Comptroller shall pay out money from the Fund as directed by the Administration or as approved in the State budget.</text> </level> <level label="8"> <text>The Fund is subject to audit by the Office of Legislative Audits under § 2–1220 of the State Government Article.</text> </level> <level label="9"> <text>No part of the Fund may revert or be credited to:</text> <level label="i"> <text>The General Fund of the State; or</text> </level> <level label="ii"> <text>Any other special fund of the State.</text> </level> </level> </level> <level label="c"> <text>The Fund shall be used by the Administration for the following purposes in order of priority:</text> <level label="1"> <text>Planning expenses and related costs incurred by local drug and alcohol councils established under Subtitle 10 of this title;</text> </level> <level label="2"> <text>Planning expenses and related costs incurred by any State unit designated to coordinate planning by local drug and alcohol councils and review grant requests from local governments; and</text> </level> <level label="3"> <text>Substance abuse evaluation and treatment services, including services provided through a drug treatment court.</text> </level> </level> <level label="d"> <level label="1"> <text>Administrative expenditures under this section may be made only in accordance with the State budget.</text> </level> <level label="2"> <text>The Administration shall administer the Fund in accordance with this section and all other applicable law.</text> </level> <level label="3"> <text>Disbursements from the Fund shall supplement and may not substitute for any other funds appropriated in the State budget for substance abuse evaluation and treatment services.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-6C-01" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6C" subtitle_name="Licensed Direct–entry Midwives"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Eligible functions” includes:</text> <level label="1"> <text>Transportation to and from treatment services;</text> </level> <level label="2"> <text>Treatment, prevention, or coordination staff;</text> </level> <level label="3"> <text>Data sharing services among counties and other appropriate treatment providers;</text> </level> <level label="4"> <text>Education or outreach programs and materials;</text> </level> <level label="5"> <text>In–community emergency behavioral health services or crisis stabilization units; and</text> </level> <level label="6"> <text>Behavioral health programs in schools.</text> </level> </level> <level label="c"> <text>“Eligible population” includes:</text> <level label="1"> <text>Mothers of drug–addicted infants;</text> </level> <level label="2"> <text>Parents of children in need of assistance;</text> </level> <level label="3"> <text>Hospital emergency room admittees;</text> </level> <level label="4"> <text>Needy families receiving temporary cash assistance;</text> </level> <level label="5"> <text>Foster care children and parents;</text> </level> <level label="6"> <text>Children in after–school programs and their parents, including children and parents in programs supported by the Maryland After–School Opportunity Fund;</text> </level> <level label="7"> <text>Adolescents;</text> </level> <level label="8"> <text>Parents subject to arrearages in child support payments;</text> </level> <level label="9"> <text>Drug offenders under the supervision of the Division of Parole and Probation;</text> </level> <level label="10"> <text>Pretrial correctional incarcerated individuals;</text> </level> <level label="11"> <text>Prerelease correctional incarcerated individuals;</text> </level> <level label="12"> <text>The general incarcerated individual population within county–managed correctional facilities;</text> </level> <level label="13"> <text>Parents of children entering out–of–home placements or at risk of entering out–of–home placements; and</text> </level> <level label="14"> <text>Drug offenders under the supervision of the problem solving courts.</text> </level> </level> <level label="d"> <text>“Partnership funding” means money granted from the Substance Abuse Treatment Outcomes Partnership Fund to match local funding.</text> </level> <level label="e"> <text>“Proposal” means a plan under this subtitle to provide new or expanded substance abuse treatment services.</text> </level> <level label="f"> <text>“Request for Partnership funding” means a proposal, submitted by the governing bodies of one or more jurisdictions, to provide substance abuse treatment services to one or more eligible populations or to provide eligible functions within the requesting jurisdiction or jurisdictions.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-6C-02" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6C" subtitle_name="Licensed Direct–entry Midwives"> <level label="a"> <text>There shall be a Substance Abuse Treatment Outcomes Partnership Fund, established within the Maryland Department of Health.</text> </level> <level label="b"> <text>The Fund shall be administered according to this subtitle.</text> </level> <level label="c"> <level label="1"> <text>The Fund shall receive money as provided by the Governor in the State budget.</text> </level> <level label="2"> <text>The Fund also may accept funds from local, nonprofit, or private organizations.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-6C-03" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6C" subtitle_name="Licensed Direct–entry Midwives"> <text>The Department shall adopt regulations to:</text> <level label="1"> <text>Establish timelines and procedures for requests for Partnership funding, consistent with this subtitle;</text> </level> <level label="2"> <text>Establish guidelines that require programs to bill third–party insurers; and</text> </level> <level label="3"> <text>Manage the Fund and authorize distribution of money from the Fund in accordance with this subtitle.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-6C-04" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6C" subtitle_name="Licensed Direct–entry Midwives"> <level label="a"> <text>In this section, “county” includes Baltimore City.</text> </level> <level label="b"> <text>A request for Partnership funding may be submitted to the Department by:</text> <level label="1"> <text>The governing body of a county; or</text> </level> <level label="2"> <text>The governing body of more than one county.</text> </level> </level> <level label="c"> <text>A request for Partnership funding shall be made in accordance with a schedule and format determined by the Department, in consultation with the Task Force to Study Increasing the Availability of Substance Abuse Programs.</text> </level> <level label="d"> <text>In a request for Partnership funding, the applicant or applicants shall include:</text> <level label="1"> <text>A description of the proposal;</text> </level> <level label="2"> <level label="i"> <text>An indication of the eligible targeted population or populations that the proposal will serve; or</text> </level> <level label="ii"> <text>The eligible functions that will be funded under the proposal;</text> </level> </level> <level label="3"> <text>A description of the services to be provided under the proposed new or expanded program and an identification of the local providers able to provide those services;</text> </level> <level label="4"> <text>A plan to reach the targeted populations using relevant means of contact;</text> </level> <level label="5"> <text>Performance and outcome indicators to evaluate the program effectiveness, including a description of the expected schedule and methods for measuring performance and outcome; and</text> </level> <level label="6"> <text>A statement of the funds or in–kind contributions that the applicant intends to commit.</text> </level> </level> <level label="e"> <text>In evaluating a request for Partnership funding, the Department shall consider:</text> <level label="1"> <text>The performance and outcome indicators specified;</text> </level> <level label="2"> <text>The degree to which the proposal may reduce the need for other State or local public services or programs intended for the populations targeted by the proposal;</text> </level> <level label="3"> <text>The extent to which the proposal incorporates the use of excess or otherwise available medical–related facilities, including vacant hospital beds;</text> </level> <level label="4"> <text>How the proposal fits into a balanced approach to the State’s variety of substance abuse needs and populations that serves different geographic areas of the State with Partnership funding; and</text> </level> <level label="5"> <text>The extent to which the proposal is part of or consistent with a regional strategy for substance abuse treatment programs affecting adjoining jurisdictions.</text> </level> </level> <level label="f"> <level label="1"> <text>The Department shall award Partnership funding following the considerations in this section.</text> </level> <level label="2"> <level label="i"> <text>Except as provided in subparagraph (ii) of this paragraph, a county granted funding shall be responsible for one–half of the cost of the approved partnership.</text> </level> <level label="ii"> <text>The Department may award Partnership funding that results in a county being responsible for less than one–half of the cost of the approved partnership after considering:</text> <level label="1"> <text>The financial hardship of the participating county;</text> </level> <level label="2"> <text>Prior contributions of funds for substance abuse treatment programs made by the participating county; or</text> </level> <level label="3"> <text>Other relevant considerations deemed appropriate by the Department.</text> </level> </level> </level> <level label="3"> <text>Except as provided in paragraph (4) of this subsection, a participating county:</text> <level label="i"> <text>May use Partnership funds only to supplement levels of spending by the participating county on drug treatment programs; and</text> </level> <level label="ii"> <text>May not use Partnership funds to supplant spending by the participating county on drug treatment programs.</text> </level> </level> <level label="4"> <text>If a participating county began spending county or other non–State funds on eligible functions after October 1, 2010, the participating county may use Partnership funding to continue or expand funding for eligible functions.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-6D-01" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="6D" subtitle_name="Addiction Treatment Divestiture Fund"> <level label="a"> <text>There is an Addiction Treatment Divestiture Fund in the Department.</text> </level> <level label="b"> <text>The purpose of the Fund is to support addiction treatment services to persons with substance–related disorders.</text> </level> <level label="c"> <text>The Secretary shall administer the Fund.</text> </level> <level label="d"> <level label="1"> <text>The Fund is a special, nonlapsing fund that is not subject to § 7–302 of the State Finance and Procurement Article.</text> </level> <level label="2"> <text>The State Treasurer shall hold the Fund separately, and the Comptroller shall account for the Fund.</text> </level> </level> <level label="e"> <text>The Fund consists of:</text> <level label="1"> <text>Revenue distributed to the Fund under § 9–804 of the Criminal Law Article;</text> </level> <level label="2"> <text>Money appropriated in the State budget to the Fund; and</text> </level> <level label="3"> <text>Any other money from any other source accepted for the benefit of the Fund.</text> </level> </level> <level label="f"> <text>The Fund may be used only to support the actions of the Secretary to provide treatment for substance–related disorders.</text> </level> <level label="g"> <text>The State Treasurer shall invest the money of the Fund in the same manner as other State money may be invested.</text> </level> <level label="h"> <text>Expenditures from the Fund may be made only in accordance with the State budget.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-701" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="7" subtitle_name="Residential Child Care Programs – General Provisions"> <level label="a"> <text>A person may not knowingly have or attempt to have an individual unlawfully or improperly adjudicated to be a drug or alcohol abuser or to have an alcohol or drug dependence under Subtitle 5 of this title.</text> </level> <level label="b"> <text>A person who violates any provision of this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 3 years or both.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-801" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="8"> <text>This title may be cited as the Maryland Alcohol and Drug Abuse Act.</text> </section> <section article="ghg" article_name="Health - General" number="8-901" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="9"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Designee” means a nonprofit or quasi-governmental entity designated by the Baltimore City Health Department to receive funds from the Administration to plan, manage, monitor, and disburse funds to substance abuse prevention and treatment programs.</text> </level> <level label="c"> <text>“Nonprofit entity” means:</text> <level label="1"> <text>A land-based organization that qualifies under § 501(c) of the Internal Revenue Code of 1986, as amended; or</text> </level> <level label="2"> <text>Any similar land-based entity that does not operate for profit.</text> </level> </level> <level label="d"> <level label="1"> <text>“Quasi-governmental entity” means a land-based organization created by a unit of government to plan for the use of, monitor, disburse, and manage public funds.</text> </level> <level label="2"> <text>“Quasi-governmental entity” includes Baltimore Substance Abuse Systems, Inc.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-902" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="9"> <level label="a"> <text>The Baltimore City Health Department may designate a nonprofit or quasi-governmental entity in Baltimore City to receive funds from the Administration to plan, manage, monitor, and disburse funds to substance abuse prevention and treatment programs.</text> </level> <level label="b"> <text>The Baltimore City Health Department may revoke its designation of a nonprofit or quasi-governmental entity at any time except to the extent that the Administration, the designee, or both have acted in reliance on the designation.</text> </level> <level label="c"> <text>If the Baltimore City Health Department designates a nonprofit or quasi-governmental entity to receive funds, the Administration shall disburse funds budgeted for the Baltimore City Health Department directly to the Department’s designee.</text> </level> <level label="d"> <text>The Administration shall have a direct relationship with the designee.</text> </level> <level label="e"> <text>The Administration shall have the same rights and remedies with the designee as it would otherwise have with the Baltimore City Health Department.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-1001" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="10"> <level label="a"> <text>Each county shall have a local drug and alcohol abuse council.</text> </level> <level label="b"> <text>On application from a county, the Governor or the Governor’s designee may designate a county criminal justice coordinating council, substance abuse advisory council, or other agency or organization as the local drug and alcohol abuse council for that county.</text> </level> <level label="c"> <text>Except as provided in subsection (b) of this section, a local drug and alcohol abuse council shall consist of the following individuals:</text> <level label="1"> <text>The health officer of the local health department, or the health officer’s designee;</text> </level> <level label="2"> <text>The director of the local department of social services, or the director’s designee;</text> </level> <level label="3"> <text>The Regional Director of the Department of Juvenile Services, or the Director’s designee;</text> </level> <level label="4"> <text>The Regional Director of the Division of Parole and Probation, or the Director’s designee;</text> </level> <level label="5"> <text>The State’s Attorney for the county, or the State’s Attorney’s designee;</text> </level> <level label="6"> <text>The district public defender for the district in which the county is located, or the district public defender’s designee;</text> </level> <level label="7"> <text>The chief of the county police department, if the county has a police force, or the sheriff, if the county does not have a police force, or that individual’s designee;</text> </level> <level label="8"> <text>The president of the local board of education, or the president’s designee;</text> </level> <level label="9"> <text>A representative of the county executive, the Mayor of Baltimore City, or the county commissioners or county council in counties with no county executive, as appropriate;</text> </level> <level label="10"> <text>For charter counties and in Baltimore City, a representative of the county council or the city council in Baltimore City, appointed by the chairperson or president of the county council or city council;</text> </level> <level label="11"> <text>The county administrative judge of the circuit court for the county, or the judge’s designee;</text> </level> <level label="12"> <text>The administrative judge of the district court for that district, or the judge’s designee; and</text> </level> <level label="13"> <text>The following individuals appointed by the county executive, the Mayor of Baltimore City, or the county commissioners or county council in counties with no county executive, as appropriate:</text> <level label="i"> <text>At least one recipient of addictions treatment services;</text> </level> <level label="ii"> <text>Two substance abuse providers, at least one of whom has experience with services to individuals with co-occurring substance abuse and mental health disorders;</text> </level> <level label="iii"> <text>At least one substance abuse prevention provider;</text> </level> <level label="iv"> <text>At least one individual who is knowledgeable and active on substance abuse issues that affect the county;</text> </level> <level label="v"> <text>The superintendent, warden, or director of the local correctional facility located in the county or in Baltimore City the warden of the Baltimore City Detention Center; and</text> </level> <level label="vi"> <text>At least one other individual who is knowledgeable about treatment of substance abuse in the county, including members of civic organizations, the chamber of commerce, health care professional organizations, or the clergy.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>The term of a member appointed under subsection (c) of this section is 4 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by the terms provided for members of the council on July 1, 2004.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> </level> <level label="e"> <text>The local drug and alcohol abuse council shall:</text> <level label="1"> <text>Determine its own governing structure, including issues relating to appointment of a member to serve as chairman;</text> </level> <level label="2"> <text>Develop and submit a plan to the Administration as required in this section;</text> </level> <level label="3"> <text>Submit a summary report to the Governor or the Governor’s designee on or before December 1, 2004, on its membership, organization, rules, progress in developing a plan, and compliance with this section; and</text> </level> <level label="4"> <level label="i"> <text>On July 1, 2005, and every 2 years thereafter, submit a local plan as described in subsection (f) of this section to the Governor, or the Governor’s designee; and</text> </level> <level label="ii"> <text>Report every 6 months to the Administration on its progress in implementing the plan.</text> </level> </level> </level> <level label="f"> <text>A local plan shall:</text> <level label="1"> <text>Include the plans, strategies, and priorities of the county for meeting the identified needs of the general public and the criminal justice system for alcohol and drug abuse evaluation, prevention, and treatment services;</text> </level> <level label="2"> <text>Include a survey of all federal, State, local, and private funds used in the county for alcohol and drug abuse evaluation, prevention, and treatment; and</text> </level> <level label="3"> <text>Be in a format as prescribed by the Administration.</text> </level> </level> <level label="g"> <text>A county or unit of a county applying for funds from a State unit for any alcohol or drug abuse evaluation, prevention, or treatment services within that county shall submit that application to the local drug and alcohol abuse council for its consideration.</text> </level> <level label="h"> <level label="1"> <text>The local drug and alcohol abuse council may recommend to any federal or State unit or private foundation that an application for any funds for drug or alcohol abuse evaluation, prevention, or treatment services in the county be approved.</text> </level> <level label="2"> <level label="i"> <text>A local drug and alcohol abuse council shall consider whether the grant application is consistent with the local plan and the strategies and priorities set out in the local plan.</text> </level> <level label="ii"> <text>A recommendation by a local drug and alcohol abuse council may include any additional information the council considers useful to the governmental unit or private foundation in its consideration of the application.</text> </level> </level> </level> <level label="i"> <level label="1"> <text>The Administration may provide each local drug and alcohol abuse council with any necessary technical assistance.</text> </level> <level label="2"> <text>The Administration shall provide any funds available from the Maryland Substance Abuse Fund or other sources for operation of a local council on submission of a request for funds and approval of a budget in accordance with Administration regulations.</text> </level> </level> <level label="j"> <text>The planning, reporting, and reviewing requirements for a local drug and alcohol abuse council under this section do not apply unless appropriate State funding for fulfilling the requirements has been provided.</text> </level> </section> <section article="ghg" article_name="Health - General" number="8-1101" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="11" subtitle_name="Opioid Addiction Treatment Prescribers"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Health care facility” means:</text> <level label="i"> <text>A hospital;</text> </level> <level label="ii"> <text>A federally qualified health center;</text> </level> <level label="iii"> <text>An outpatient mental health clinic;</text> </level> <level label="iv"> <text>An outpatient or residential addiction treatment provider; and</text> </level> <level label="v"> <text>A local health department.</text> </level> </level> <level label="3"> <text>“Opioid addiction treatment medication” means a medication approved by the federal Food and Drug Administration for the treatment of opioid use disorders.</text> </level> </level> <level label="b"> <text>Each health care facility that is not part of a health care system and each health care system shall make available to patients the services of health care providers who are trained and authorized under federal law to prescribe opioid addiction treatment medications, including buprenorphine–containing formulations.</text> </level> <level label="c"> <text>To comply with subsection (b) of this section, a health care facility or a health care system may:</text> <level label="1"> <text>Directly employ, contract with, or refer a patient to a health care provider who is trained and authorized under federal law to prescribe opioid addiction treatment medications, including buprenorphine–containing formulations; or</text> </level> <level label="2"> <text>Deliver the services in person or, if appropriate, through telehealth.</text> </level> </level> </section> <section article="ghg" article_name="Health - General" number="8-1102" title_number="8" title_name="Substance Use Disorders Law" subtitle_number="11" subtitle_name="Opioid Addiction Treatment Prescribers"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Nonpreferred medication” means a medication prescribed to treat an opioid use disorder that contains methadone, buprenorphine, or naltrexone and is not on the State’s preferred drug list.</text> </level> <level label="3"> <text>“Preferred medication” means a medication prescribed to treat an opioid use disorder that contains methadone, buprenorphine, or naltrexone and is on the State’s preferred drug list.</text> </level> </level> <level label="b"> <text>The Department shall:</text> <level label="1"> <text>Adopt a reporting system to monitor the prescribing of medications to treat opioid use disorders in the State, including which medications are being prescribed;</text> </level> <level label="2"> <text>Analyze patterns of prescribing medications in the State to identify prescribers who regularly prescribe nonpreferred medications, including a comparison of the patterns to the findings of the report submitted under subsection (d) of this section;</text> </level> <level label="3"> <text>Conduct outreach to individuals authorized to prescribe drugs and devices in the State using educational materials regarding the benefits of prescribing preferred medications; and</text> </level> <level label="4"> <text>Identify barriers to individuals who need medication to treat an opioid use disorder to obtaining the medication in a timely manner.</text> </level> </level> <level label="c"> <text>On or before October 1 each year, beginning in 2023, the Department shall report on its findings and actions taken under subsection (b) of this section to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly.</text> </level> <level label="d"> <text>On or before October 1, 2022, the Department shall submit a report with an initial analysis of the items listed under subsection (b) of this section to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly.</text> </level> </section>