State Senator Steve Hershey (R-36) is sponsoring four bills in the current Maryland General Assembly session designed to improve healthcare in rural areas such as the Eastern Shore.
Hershey’s Bill SB1018, “Health Facilities - Chestertown Rural Health Care Delivery Innovations Pilot Program,” is closest to being enacted. The bill is part of a community effort to save the Chestertown hospital, which many think is in danger of being closed or downgraded by University of Maryland Shore Regional Health, its parent facility.
The bill’s summary states that the pilot program would “promote innovative solutions for a sustainable future for inpatient care in rural areas, satisfy requirements for hospital-based care, and ensure improvements to community health.” The bill would also require the state Department of Health to report to the Governor and General Assembly on the first five years of the program and make recommendations based on its findings. As part of the pilot program, the bill would “clearly define certain transportation requirements, establish a certain payment model, identify and address certain regulatory barriers, and seek certain innovative approaches” to providing healthcare in the community.
Margie Elsberg of the Save the Chestertown Hospital group said in an email that the bill “will transform our hospital into a Rural Health Care Pilot Program.” She said the program will be able “to use state resources and innovative initiatives to attract physicians to Chestertown, restore staff members and services, and turn the hospital into a strong and sustainable rural community asset. Under this program, which is scheduled to continue for at least ten years, the hospital will always provide inpatient care.”
The bill was approved by the Senate by a 46-0 vote on March 21. It is now in the House of Delegates, where it was scheduled for a hearing by the Health and Government Operations Committee on April 3. Elsberg noted that Shore Regional Health supports the bill, which means that the bill will likely be approved by the House and sent to Gov. Larry Hogan for signature. The text of the bill is online at http://mgaleg.maryland.gov/2019RS/bills/sb/sb1018t.pdf.
Hershey is sponsoring three other bills that address rural healthcare in the state. All have had Senate committee hearings but have not advanced farther as of this writing. SB1010 would require the Maryland Health Commission to determine whether the Chestertown hospital has reduced its services or transferred some of them to other Shore Regional Health locations. Using fiscal year 2015 as a baseline, the assessment aims to determine whether Shore Regional Health has consistently directed patients who would normally go to the Chestertown hospital to go to Easton for treatment. It would also assess whether specialists working at Chestertown have been transferred to Easton, and whether vacancies at Chestertown—from retirement or other reasons—have been left unfilled.
SB1028 would provide grants and scholarships for students in healthcare programs if they practice in a rural area for a designated period of time, while SB1029 would require institutions of higher learning in rural areas of the state to develop programs to recruit and train nurse practitioners and physician assistants.
All together, if passed, these four state bills could help to retain and improve medical services in Maryland’s rural areas.
Title image: Pond at Pickering Creek Audubon Center, Talbot Co. Photo: Jan Plotczyk