Rep. Robert B. Bell

Department of Behavioral Health and Developmental Services; background checks; persons providing contractual services. Requires background checks for contract staff providing direct care services for Department of Behavioral Health and Developmental Services' licensed services. The bill also sets out the barrier crimes for any person who provides contractual services directly to an individual receiving services on behalf of a licensed provider.

Practice of certified nurse midwives. Eliminatesthe requirement that certified nurse midwives practice pursuant toa practice agreement and provides that certified nurse midwives shall practice in accordance with regulations of the Boards of Medicineand Nursing and consistent with the Standards for the Practice ofMidwifery set by the American College of Nurse-Midwives and shallconsult and collaborate with and refer patients to such other healthcare providers as may be appropriate for the care of the patient.

Vehicle registration; special communicationneeds indicator. Expands eligibility for a special communicationneeds indicator on a vehicle registration to vehicle owners whosevehicle is regularly occupied by an individual who has a disabilitythat can impair communication. Current law authorizes those vehicleowners who have a disability that can impair communication to applyfor such an indicator. The bill authorizes the removal of such indicatorby request in writing to the Department of Motor Vehicles.

Telemedicine. Clarifies that nothing shallpreclude coverage of telehealth services by an insurer proposing to issue individual or group accident and sickness insurance policiesproviding hospital, medical and surgical, or major medical coverageon an expense-incurred basis; a corporation providing individualor group accident and sickness subscription contracts; or a healthmaintenance organization providing a health care plan for healthcare services. The bill requires the Board of Medical AssistanceServices to amend the state plan for medical assistance to providefor payment of medical assistance for remote patient monitoring servicesprovided via telemedicine for certain high-risk patients, and providesfor the establishment of a practitioner-patient relationship viatelemedicine for the prescribing of Schedule II through VI controlledsubstances.

Special identification cards; application byguardian. Authorizes the parent of any person under the ageof 18 or the legal guardian of any person to apply for a specialidentification card on behalf of such person. Current law authorizes the parent or legal guardian of any person under the age of 15 toapply for a special identification card on behalf of such person.

Behavioral Health Commission created. Createsthe Behavioral Health Commission in the legislative branch of stategovernment for the purpose of (i) studying and making recommendationsfor the improvement of behavioral health services and the behavioralhealth service system in the Commonwealth to encourage the adoptionof policies to increase the quality and availability of and ensureaccess to the full continuum of high-quality, effective, and efficientbehavioral health services for all persons in the Commonwealth and(ii) providing ongoing oversight of behavioral health services andthe behavioral health service system in the Commonwealth, includingmonitoring and evaluation of established programs, services, anddelivery and payment structures and implementation of new servicesand initiatives in the Commonwealth and development of recommendations for improving such programs, services, structures, and implementation.

Behavioral health docket; transfer of supervision. Provides that if an offender determined to be eligible to participate in a behavioral health docket resides in a locality other than that in which the behavioral health docket is located, or such offender desires to move to a locality other than that in which the behavioral health docket is located, and the court determines it is practicable and appropriate, the supervision of such offender may be transferred to a supervising agency in the new locality. The bill states that if the receiving agency accepts the transfer, it shall confirm in writing that it can and will comply with all of the conditions of supervision of the behavioral health docket, including the frequency of in-person and other contact with the offender and updates from the offender's treatment providers and that if the receiving agency cannot comply with the conditions of supervision, the agency shall deny the transfer in writing and the sending agency shall notify the court. The bill also provides that where supervision is transferred, the sending agency shall be responsible for providing to the court reports on an offender's conduct, treatment, and compliance with the conditions of supervision. Additionally, the bill provides that the standards prescribed by the Department of Criminal Justice Services for the development, implementation, operation, and evaluation of local community-based probation services and facilities shall include standards for the transfer of supervision between local community-based probation agencies.

Court-appointed special advocates; information sharing. Permits court-appointed special advocates to participate in and verbally share information with family partnership meetings and in meetings of family assessment and planning teams, multidisciplinary child sexual abuse response teams, individualized education program teams, and multidisciplinary teams related to child abuse.

Clinical nurse specialist; licensure; practice. Changes from the requirement of registration as clinical nurse specialists to the licensure of nurse practitioners as clinical nurse specialists by the Boards of Medicine and Nursing and provides that a nurse practitioner licensed as a clinical nurse specialist shall practice pursuant to a practice agreement between the clinical nurse specialist and a licensed physician and in a manner consistent with the standards of care for the profession and applicable law and regulations. For the transition of registration to licensure, the bill requires the Boards of Medicine and Nursing to jointly issue a license to practice as a nurse practitioner in the category of a clinical nurse specialist to an applicant who is an advance practice registered nurse who has completed an advanced graduate-level education program in the specialty category of clinical nurse specialist and who is registered by the Board of Nursing as a clinical nurse specialist on July 1, 2021.

Licensed certified midwives; licensure; practice. Defines "practice of licensed certified midwifery," directs the Boards of Medicine and Nursing to establish criteria for the licensure and renewal of a license as a certified midwife, and requires licensed certified midwives to practice in consultation with a licensed physician in accordance with a practice agreement. The bill also directs the Department of Health Professions to convene a workgroup to study the licensure and regulation of certified nurse midwives, certified midwives, and certified professional midwives to determine the appropriate licensing entity for such professionals. The Department shall report its findings and conclusions to the Governor and the General Assembly by November 1, 2021.