2016 Garrett County Health Department Legislative Report

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The document summarizes legislative initiatives presented to the Garrett County Board of Health by the county health officer. It discusses the large number of bills introduced in the 2016 legislative session that the Maryland Department of Health and Mental Hygiene tracked and submitted for review. Two key bills that passed include one modifying the prescription drug monitoring program and one allowing local needle exchange programs. Another bill prohibiting tobacco sales to minors was withdrawn.

Health & Medicine

Presented to the Garrett County Board of Health
By: Rodney B. Glotfelty, R.S., M.P.H. Garrett County Health Officer

DHMH Departmental Initiatives
• High Bill Volume – 2817 bills introduced in the 2016
legislative session -25% increase from 2015
• DHMH tracked 787 bills
• 724 Bills for submitted by the Department to
Public Health Entities including MACHO for review
• DHMH submitted seven legislative proposals to
Governor’s Office for consideration
• All seven proposals approved but only six were
introduced
• Two bills were later latter withdrawn. (SB 89 –
Carve Out of substance use from Health Choice
and SB 114 related to tobacco enforcement)
Visit us online at GarrettHealth.org!

DHMH Bill Distribution for Review - 2016
Visit us online at GarrettHealth.org!

DHMH Bills of Interest
HB 437/SB 537 - Prescription Drug Monitoring Program – Modifications
• Requires certain prescribers and all pharmacists to register as users by July 1,
2017
• Prescribers and pharmacists must request and access PDMP data in specified
manner
• Subject to disciplinary action by licensing boards for failure to comply with
mandatory registration and use requirements
• PDMP may review prescription monitoring data for possible violations of law or
professional standards by prescriber or dispenser
• PDMP authorized to notify and provide education to prescriber or dispenser
after receiving clinical guidance from a technical advisory committee
PASSED
Visit us online at GarrettHealth.org!

DHMH Bills of Interest (continued)
SB 97 – Opioid Associated Disease Prevention and Outreach Program (Needle
Exchange Bill)
• Allows local Health Departments or Community-Based Organizations to
establish opioid –associated disease prevention programs. Must have approval
of the Health Officer and The Department
• Program must provide for substance use outreach, education, and linkage to
treatment services, including distribution and collection of hypodermic needles
and syringes.
• Standing advisory committee established to provide technical assistance on
program protocols.
PASSED
Visit us online at GarrettHealth.org!

DHMH Bills of Interest (continued)
SB 411 – Prohibition on Distribution of Tobacco Products and Electronic
Smoking Devices to Minors
• Established statewide civil penalties for distribution of tobacco product, an
electronic smoking device, rolling papers, or a coupon redeemable for a tobacco
product to a minor. County Health Officer authorized to issue citations.
BILL WAS WITHDRAWN
Visit us online at GarrettHealth.org!

Other Bills of Interest
HB79 - Allowed for sale of raw milk via consumer owned livestock:
• Failed
HB 399/SB 926 -Required reporting of positive laboratory test for Lyme Disease:
• Passed
HB 459 – Fee reduction for birth and death certificates - Effects state fee:
• Passed
HB470 and HB 680 – Dental Hygienists authorized to administer local anesthetic and
nitrous oxide:
• Both Passed
HB497/SB200 - Reauthorization of State Board of Environmental Health Specialists:
• Passed
SB 587 – Prohibits sale of powdered alcohol:
• Passed
HB 0565 – Possession of more than 10 grams of marijuana – provides criminal
penalties:
• Passed
Visit us online at GarrettHealth.org!

QUESTIONS?
rodney.glotfelty@maryland.gov
Visit us online at GarrettHealth.org!
*Photos from CDC, Unsplash, Pexels, Pixabay

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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).

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2016 Garrett County Health Department Legislative Report

1. Presented to the Garrett County Board of Health By: Rodney B. Glotfelty, R.S., M.P.H. Garrett County Health Officer

2. DHMH Departmental Initiatives • High Bill Volume – 2817 bills introduced in the 2016 legislative session -25% increase from 2015 • DHMH tracked 787 bills • 724 Bills for submitted by the Department to Public Health Entities including MACHO for review • DHMH submitted seven legislative proposals to Governor’s Office for consideration • All seven proposals approved but only six were introduced • Two bills were later latter withdrawn. (SB 89 – Carve Out of substance use from Health Choice and SB 114 related to tobacco enforcement) Visit us online at GarrettHealth.org!

3. DHMH Bill Distribution for Review - 2016 Visit us online at GarrettHealth.org!

4. DHMH Bills of Interest HB 437/SB 537 - Prescription Drug Monitoring Program – Modifications • Requires certain prescribers and all pharmacists to register as users by July 1, 2017 • Prescribers and pharmacists must request and access PDMP data in specified manner • Subject to disciplinary action by licensing boards for failure to comply with mandatory registration and use requirements • PDMP may review prescription monitoring data for possible violations of law or professional standards by prescriber or dispenser • PDMP authorized to notify and provide education to prescriber or dispenser after receiving clinical guidance from a technical advisory committee PASSED Visit us online at GarrettHealth.org!

5. DHMH Bills of Interest (continued) SB 97 – Opioid Associated Disease Prevention and Outreach Program (Needle Exchange Bill) • Allows local Health Departments or Community-Based Organizations to establish opioid –associated disease prevention programs. Must have approval of the Health Officer and The Department • Program must provide for substance use outreach, education, and linkage to treatment services, including distribution and collection of hypodermic needles and syringes. • Standing advisory committee established to provide technical assistance on program protocols. PASSED Visit us online at GarrettHealth.org!

6. DHMH Bills of Interest (continued) SB 411 – Prohibition on Distribution of Tobacco Products and Electronic Smoking Devices to Minors • Established statewide civil penalties for distribution of tobacco product, an electronic smoking device, rolling papers, or a coupon redeemable for a tobacco product to a minor. County Health Officer authorized to issue citations. BILL WAS WITHDRAWN Visit us online at GarrettHealth.org!

7. Other Bills of Interest HB79 - Allowed for sale of raw milk via consumer owned livestock: • Failed HB 399/SB 926 -Required reporting of positive laboratory test for Lyme Disease: • Passed HB 459 – Fee reduction for birth and death certificates - Effects state fee: • Passed HB470 and HB 680 – Dental Hygienists authorized to administer local anesthetic and nitrous oxide: • Both Passed HB497/SB200 - Reauthorization of State Board of Environmental Health Specialists: • Passed SB 587 – Prohibits sale of powdered alcohol: • Passed HB 0565 – Possession of more than 10 grams of marijuana – provides criminal penalties: • Passed Visit us online at GarrettHealth.org!

8. QUESTIONS? rodney.glotfelty@maryland.gov Visit us online at GarrettHealth.org! *Photos from CDC, Unsplash, Pexels, Pixabay

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