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[0:07]
Good morning. Good morning. Good
morning, everyone.
[0:10]
I am Councilwoman Felicia Porter
representing the 10th district and
[0:13]
chairperson for the committee. Um, this
is a reminder to please turn off your
[0:18]
cell phones. Um, today we have joining
us council members Odette Ramos from the
[0:24]
14th district. And we also have some
wonderful interns um from John's Hopkins
[0:30]
University and also from Talson
University today in the chambers. And
[0:35]
then we also have several
representatives from the mayor's office
[0:38]
and city council president and committee
staff is Margaret Kern. The committee is
[0:44]
reconvening the hearing for legislative
oversight LO25-0024
[0:49]
oversight of recovery homes and
substance abuse clinics and mental
[0:52]
health substance abuse clinics in
Baltimore City. This is an opportunity
[0:57]
for um council members and public to
further ask questions about ensuring
[1:02]
that individuals in recovery have access
to highquality, safe and well-regulated
[1:07]
recovery homes and substance abuse
clinics. This is also an opportunity to
[1:11]
evaluate existing policies, access
provider accountability, and explore
[1:15]
opportunities to enhance support systems
for individuals in recovery. This
[1:20]
discussion will continue to prioritize
community concerns, patient safety, and
[1:24]
equitable distribution of recovery
resources in the city. I'm now going to
[1:29]
turn it over to our public testimony.
Um, for all that do not know, we have
[1:35]
public testimony at the beginning of our
hearings because agencies I want you all
[1:40]
to hear what some of the uh community
are going through so that you can alter
[1:44]
your presentations um once you all have
the opportunity. So, we're going to now
[1:49]
go into public testimony. We're going to
have Kim lead us into public testimony.
[1:54]
You're going to have five minutes. And
so,
[1:58]
we have a new technology in the chamber
today. Okay. And so you'll see on your
[2:04]
deis, it's going to blink yellow when it
is um 15 seconds left. And so we just
[2:10]
ask that you wrap up when you see the
blinking yellow light. All right.
[2:14]
All right. Very good.
[2:22]
And if and if you could tap your
microphone. Is it on?
[2:26]
» Perfect. This echo. All right. Kim
Wyman. I'm president of Power Recovery
[2:31]
Center. Delighted to be here. Thank you,
Chair Porter, for the opportunity to
[2:34]
testify.
Lure is the foundation for protecting
[2:38]
client safety and treatment quality,
which I'm sure you'll be discussing
[2:42]
today. After lure, most systems can
count admissions, service delivered,
[2:48]
discharges, and length of stay, and
other measures. Those measures matter,
[2:54]
but they don't move from activity to
impact. They don't answer the harder
[3:00]
question. After treatment, are people
safer, more stable, and experiencing a
[3:05]
better quality of life? We need a
practical way to see the whole picture
[3:09]
across all the varied fragmented
systems, not a monthly report, not a
[3:15]
report a month later about some static
measure.
[3:19]
We need to intervene earlier, improve
treatment, and make smarter public
[3:25]
investments.
PRC is building a platform that connects
[3:29]
those scattered and fragmented systems
into one usable longitudinal view of a
[3:35]
client's recovery. Instead of looking
only at a treatment episode,
[3:41]
PAL can now look at uh across systems
and across time. By this I mean we can
[3:47]
examine Crisp ED and EMS and public
court involvement, the 12 months prior
[3:53]
to treatment and the 12 months after
treatment as two key factors and two key
[3:59]
systems to connect with treatment to
help us see whether treatment is
[4:05]
changing health safety, stability, and
the quality of life of our clients over
[4:09]
time.
Next, we're going to pilot primary care
[4:13]
connection and housing stability because
we see those along the continuum as
[4:19]
critical factors in quality of life for
our clients. A longitudinal view of all
[4:25]
of the fragmented systems combined with
claims data and clinical data in an
[4:30]
electronic health record can examine
outcomes in our system for an
[4:35]
individual, for a group that's defined,
or for the larger system as a whole.
[4:40]
This platform isn't just a management
tool for PAL. Let me be clear. We want
[4:45]
to change public health. It's a working
model for treatment outcomes that
[4:50]
provides intelligence that could help
communities move from struggling to
[4:56]
count the basics to transparency across
multiple systems and services over a
[5:02]
defined period of time. It can tell us
who may need help now, what providers
[5:08]
can improve next, and whether people are
doing better over time. Again, we want
[5:14]
to change public health, and we want to
ask for your partnership. Thank you.
[5:19]
» Thank you so much, Kim. All right. Next,
we're going to have Jan Elyn.
[5:30]
» I'm a little shorter.
Thank you. I apologize if I have to take
[5:35]
sips of water. The air quality is not
helping my voice.
[5:39]
[clears throat] My name is Jan Eland. I
am a resident of Brooklyn in Baltimore
[5:45]
City. I am here on behalf of the
Brooklyn Curtis Bay community. Um we
[5:51]
have uh recently gotten a group of
neighbors together regarding this
[5:56]
problem and started a task force. Um and
we are looking of course at two things.
[6:02]
The distribution of the recovery centers
and community concerns. One of our
[6:08]
community members has written I think uh
an excellent set of comments that I
[6:14]
would like to read.
[clears throat]
[6:17]
This neighbor lives across the street
from Garrett Park, one of our parks, and
[6:22]
immediately next to our library.
No one should have to feel that. Oops.
[6:29]
Sorry, I'm starting with page two.
That's bad. In December 2023,
[6:35]
I purchased my very first home in
Brooklyn, Maryland, Baltimore City. I
[6:39]
was single, had no children, and was
incredibly proud and excited to become a
[6:42]
homeowner. It was a milestone I had
worked hard to achieve. When I moved in,
[6:47]
I felt hopeful about the future. My
block was quiet, my neighbors were
[6:51]
friendly and respectful. Across the
street was a beautiful park right next
[6:55]
door to a thriving Boys and Girls Club
and just steps away from the Baltimore
[6:59]
City Library. As an educator, seeing
children, families, and community
[7:03]
resources so close to my home made me
feel proud to become part of the
[7:06]
neighborhood. Unfortunately, as winter
turned into spring and spring into
[7:11]
summer, that sense of pride and security
began to disappear. I started witnessing
[7:16]
drug transactions directly behind my
home. Some captured on my security
[7:21]
cameras, others with my own eyes. I
watched individuals struggling with
[7:25]
addiction gather in the alleyways, on
the sidewalks, on the steps of the Boys
[7:29]
and Girls Club, and outside the library.
Sometimes they simply sat there. Other
[7:35]
times, the effects of the drugs they
were using were heartbreaking to
[7:38]
witness. I heard moaning, screaming,
crying, and watched people throw
[7:42]
themselves into the street, roll on the
payment, and cry out for help. These are
[7:47]
human beings in crisis, but they are
also cerating an environment where
[7:51]
families no longer feel safe.
[clears throat]
[7:56]
One evening, I came home to find someone
charging a phone using the electrical
[8:00]
outlet on the front of my house. The
phone was sitting on my steps, blocking
[8:05]
the entrance to my home. When I arrived,
the individual ran over and claimed it
[8:09]
was his. I firmly but respectfully asked
him never to use my property again and
[8:15]
to find somewhere else to charge his
phone. I recognized him as one of the
[8:18]
many individuals battling addiction in
the neighborhood. The encounter shook
[8:22]
me. It made me anxious every time I
leave my house wondering if someone
[8:26]
would be waiting on my porch when I
returned. No homeowner should have to
[8:30]
live with that level of uncertainty.
Then one morning I was leaving for work.
[8:34]
I discovered my car had been broken
into. Personal belongings had been
[8:38]
stolen. The electrical panel had been
removed as though someone was attempting
[8:43]
to hotwire the vehicle. Thankfully, I
use a steering wheel lock, so they were
[8:47]
unsuccessful in stealing it. After
reviewing my security footage, I watched
[8:52]
multiple individuals, people I
recognized from my own neighborhood,
[8:56]
take turns entering and searching my
car. The feeling of violation is
[9:01]
difficult to put into words. Knowing
strangers had been inside my vehicle,
[9:05]
not knowing what they touched or what
their intentions truly were, made me
[9:09]
physical sick. It also forced me to ask
myself questions I never imagined asking
[9:14]
after purchasing my first home. Do I
need a firearm to protect myself? If
[9:19]
someone is willing to break into my car,
what is stopping them from trying to
[9:23]
break into my home?
[9:27]
No one should have to feel this way in a
place they work so hard to own. Today,
[9:32]
there are 34 drug treatment and rehab
centers located within the Brooklyn,
[9:37]
Brooklyn Park, and Curtis Bay
communities. 34. Let that sink in. As
[9:43]
residents, we deserve answers.
How [clears throat] are these facilities
[9:47]
regulated? Are they all meeting state
and federal standards? Are they
[9:50]
providing effective treatment and
long-term recovery? or are they simply
[9:54]
contributing to a revolving door that
leaves both clients and surrounding
[9:58]
neighborhoods struggling? Residents
regularly witness drug dealers waiting
[10:02]
in the alley behind Third and Horton
Avenue for methanone doses to wear off
[10:06]
so they can sell drugs to vulnerable
individuals. How is this acceptable? How
[10:11]
has this become normal?
[clears throat] I also have to ask our
[10:15]
elected officials, why are there so many
treatment facilities concentrated in our
[10:20]
communities? Why aren't these same
facilities distributed more equitably
[10:23]
throughout surrounding areas, including
places like Annapolis, Canton, or other
[10:28]
communities with the resources to help
share the responsibility. The people who
[10:32]
live in Brooklyn, Brooklyn Park, and
Curtis Bay, matter. We are hardworking
[10:37]
people. We are homeowners. We are
parents, grandparents, educators,
[10:41]
veterans, and small business owners. We
work every day to provide for our
[10:45]
families and invest in our community. We
deserve to feel safe when we walk
[10:49]
outside, when our children play in the
park, and when we come home after a long
[10:52]
day of work. This is not about lacking
compassion for those battling addiction.
[10:57]
They deserve access to treatment,
dignity, and every opportunity to
[11:01]
recover, but compassion for those
struggling with addiction should never
[11:05]
come at the expense of the safety,
peace, and quality of life of the
[11:09]
residents who call these neighborhoods
home. I will continue standing alongside
[11:14]
my neighbors and speaking up for our
community because we deserve better. So
[11:18]
I ask our elected leaders and decision
makers, what are your solutions? Please
[11:23]
don't tell us nothing can be done
because of laws and regulations.
[11:28]
Communities across the country have
found ways to balance treatment
[11:31]
accountability and neighborhood safety.
We deserve that same commitment. The
[11:36]
people of Brooklyn, Brooklyn Park, and
Curtis Bay have waited long enough.
[11:42]
» [clears throat]
>> That is one of my neighbors. I have
[11:46]
comments from another neighbor, but I
see I have 56 seconds. Um, so I will
[11:51]
just stress uh the 34 drug treatment
centers. Apparently, the state of
[11:55]
Maryland is not aware there are 34.
Their census doesn't seem to include
[11:59]
them. And the last time they testified
before this committee, they came up with
[12:02]
six. And we having eyes can see 34.
Um [clears throat] the community
[12:10]
concerns of course are one particular
center 800 patients per day coming into
[12:16]
our community many coming from outside
and it's next to the park one block from
[12:22]
an elementary school and half a block
from a high drug traffic intersection.
[12:27]
We ask that the city council and our
elected officials take action with
[12:32]
respect to these problems. Thank you.
>> Thank you Jan. All right. Is there
[12:37]
anyone else that would like to testify
today? Vin McCormack.
[12:43]
» Good morning, Madam Chair, and
[clears throat] fellow attending members
[12:47]
uh of city council. My name is Vim
McCormack. Uh I'll Is it three minutes?
[12:51]
Three minutes. Okay.
>> It's a great honor to be down here to
[12:56]
talk about recovery houses in Baltimore
City. I'm going to make an admission uh
[13:00]
before the council. Uh I've been
operational
[13:04]
since 2019.
uh I took some advice, some suggestions
[13:10]
from some fellow providers who had a
housing element attached to them. Uh so
[13:15]
I opened up some recovery houses and we
were 2.1
[13:19]
and uh OP and IOP initially. Uh I
learned after a few years that I was out
[13:27]
of order. In fact, uh, Optum at the time
had set out put out a, uh, an alert that
[13:36]
if you were operating in 2.1 IOP, you
were not supposed to have housing
[13:42]
attached.
Now, I can tell you that
[13:47]
many providers who have IOP have housing
attached. Of course, I won't say their
[13:53]
names because they say snitches get
stitches. But I'll tell you what I did
[13:57]
was because I sought
to be in order and do what's expected of
[14:03]
me as a provider. I took the time, the
money, and the effort to go and get 3.1
[14:09]
and 3.3 residential treatment, which is
what's supposed to happen.
[14:13]
» So, we went ahead and did that. Um, and
we also took the time I was I was not
[14:19]
advised by some of the fellow providers
uh that I took uh suggestions from that
[14:23]
you're supposed to go down to the permit
office and get reasonable accommodations
[14:27]
through those wonderful folks and they
come out and do a proper inspection and
[14:31]
then at which you can operate uh as an
entity having more than four unrelated
[14:37]
people in your house. I didn't know
that. I was taking suggestions from some
[14:41]
people who was doing it before me. What
does that say?
[14:46]
That says you got to be careful where
you get your resources from and your
[14:49]
information. So I can tell you that
since that time I take great pains to
[14:53]
make sure that the houses we have
currently recovery houses in east and
[14:57]
west Baltimore are residential
properties meaning they're under the
[15:00]
residential license uh under Caroline
and BHA. They also have taken we've
[15:05]
taken the time to go through the proper
process to get reasonable accommodations
[15:08]
through the permit office. Now I'm I'm
really glad that we're having this
[15:12]
conversation. We're going to have I
think we're going to have to have more
[15:14]
than this meeting T Porter because it's
it's a broad it's something that's
[15:18]
happening. You and I talk about it quite
a bit. So I appreciate the effort uh and
[15:22]
just putting the spotlight on it because
it starts and ends with the provider. If
[15:26]
you're in the neighborhood, you have
recovery house.
[15:28]
» The neighborhood and I appreciate this
lady sharing. The neighborhood shouldn't
[15:31]
know. I think that you're you should
your footprint should be liked and it
[15:35]
should make the you should make that
neighborhood better because you're
[15:39]
there, not worse. Thank you for the
time. Thank you so much, Vinn.
[15:44]
All right. Does anybody else would like
to testify before we transition into
[15:48]
agency reports?
>> Yes, ma'am. Thank you.
[15:57]
» Hello. My name is Tanya Richardson.
>> Yes, ma'am. If you can pull the mic
[16:01]
down, please.
>> Yes. My name is Tanya Richardson and I
[16:06]
um am administrative director for a
behavioral health program. Um the change
[16:12]
came about the housing. When a change
came about the housing, I have been down
[16:19]
to housing on Fed Street plenty of
times. The application is so complicated
[16:25]
sometimes and it's no help. They say
that they help you. They give you a
[16:29]
packet. They highlight some stuff. if I
go through it and then the packet
[16:33]
doesn't even look like what's on the
screen and then you wait too late for
[16:37]
the special accommodation and then they
cancel it then you have to go back down
[16:40]
there. I feel like if we're going to
follow the law that maybe we should get
[16:47]
some support. It's no one down there
that's going to do the application. I'm
[16:51]
not familiar with the application. So, I
do the best that I can and the one
[16:56]
application that I keep trying to do
keep getting cancelled because I don't
[17:00]
know exactly how to fill all the
information out
[17:04]
» and I think they give you like two days
to finish the special accommodation that
[17:10]
they don't even tell you that you have
to do. You just keep checking the email
[17:13]
and then all of a sudden it pops up. Oh,
I have a special accommodation. I think
[17:18]
that it's like
helping some individuals to feel
[17:24]
defeated in the situation when they're
trying to do the right thing.
[17:28]
» So that's
>> No, I appreciate that. I appreciate that
[17:31]
an aspect and and just to you know, I've
been on the side of being a consultant
[17:36]
for for many uh clinics and so one one
of the thing that I encourage is one to
[17:42]
get a mentor. uh getting with
like-minded people um within the
[17:46]
industry that can help you kind of
navigate, but then also um making sure
[17:51]
that you are um you're crossing your
tees and dotting your eyes because
[17:55]
unfortunately
uh lack of knowledge or lack of support
[17:59]
is by no means any type of um excuse for
not following the law. And so, you know,
[18:06]
we we have that built in. We're going to
be, you know, sharing some of that
[18:09]
technical assistance because I hear that
quite often. um and you shouldn't have
[18:14]
to hire a very expensive consultant to
um provide that technical assistance for
[18:19]
you. So, totally agree with you. Um and
I look forward if you know I'll stay
[18:23]
after the hearing and I look forward to
helping where I can.
[18:26]
» Okay.
>> All right. Thank you so much, ma'am.
[18:28]
» All right. We're going to now turn it
over to BHSB for your presentation.
[18:35]
» Great. Thanks, Councilwoman. Good
morning, everyone. Uh, council, uh,
[18:40]
committee members, madam chair, for the
record, my name is Dan Rabbit. I'm the
[18:44]
policy director at Behavioral Health
System Baltimore. It's good to be with
[18:48]
you.
[18:53]
Um, so what I want to do today is go
over just sort of the the framework and
[18:58]
the regulations that govern substance
use disorder clinics and recovery homes
[19:04]
in the city uh, and in Maryland. share
just some updates from some that have
[19:09]
occurred since the last time I came and
um you answer any questions that folks
[19:14]
have. Um before I get into my
presentation, I I do just want to um
[19:19]
share you might have seen a article in
the Baltimore banner like last week um
[19:26]
news around budget cuts that were coming
to Baltimore. Um and so I just wanted to
[19:32]
share that um that is happening. Uh it's
across the state. It's not just
[19:37]
Baltimore. Um BHA, the behavioral health
administration shared that all local
[19:43]
behavioral health authorities need to
cut uh 13% from their grants and
[19:48]
operations. So that is happening. Um we
are working you know ultimately BHA
[19:53]
makes the decision. We are working to
develop recommendations on where we
[19:57]
think that uh those cuts can be made. Uh
but no decisions have been made at this
[20:02]
time. We're happy to come back uh in a
you know two months or something to
[20:06]
share where things landed if that would
be of interest.
[20:09]
Um but that's not exactly what we're
talking about today. Just wanted to put
[20:12]
that out there first. Um where should I
point it?
[20:30]
Sorry.
[20:37]
Could Are you able to advance it? Can I
just ask the Okay, just since got
[20:43]
technical difficulties.
[20:47]
Yep. Yes. The next slide, please.
Um, just as a reminder, behavioral
[20:51]
health system Baltimore has been around
since 1986. We merged uh with the
[20:56]
substance uh use system in 2013 and have
been the local behavioral health
[21:02]
authority since then. We're an
independent nonprofit uh that serves in
[21:06]
that role. Next slide, please. Um local
behavioral health authorities uh fulfill
[21:12]
a number of functions. We manage public
funds. We contract with providers to
[21:16]
provide mental health and substance
services, provide public education on
[21:20]
behavioral health, um and oversee the
system. and um providers to some extent.
[21:26]
Next slide, please.
And so want to go over substance use
[21:32]
disorder programs and recovery
residences. Those are two separate
[21:36]
things. Um and so it's important to keep
that in mind. It's a little technical.
[21:41]
Members of the community, you know, may
not be able to tell the difference
[21:44]
between one and the other, but regul
from a regulatory perspective, they're
[21:49]
two separate types of programs. Next
slide, please.
[21:53]
So, substance use disorder clinics must
be licensed by the Maryland Department
[21:59]
of Health. They must uh obtain an
agreement to cooperate with the local
[22:03]
behavioral health authority. And um they
are regulated by uh COMAR 1063.
[22:12]
Um and they're traditionally what you
think of when you think of like clinical
[22:15]
treatment for substance use disorder. We
have outpatient programs, we have
[22:18]
residential programs, we have opioid
treatment programs, which often called
[22:23]
methadone clinics. Um, and so all of
those clinics, we know where all of
[22:28]
those clinics are. They have a license
with the state if they are billing
[22:32]
Medicaid for any services and they have
an agreement to cooperate with us. Um
[22:37]
and so we have a better sense of where
these programs are and um you more
[22:44]
access to to what um to what sort of
services are being provided there. Uh
[22:50]
next slide.
um certain programs uh psych uh psych
[22:57]
rehabilitation programs, PRPs,
um substance use partial hospitalization
[23:02]
programs, PHPs, and substance use
intensive outpatient programs, IOPS have
[23:09]
had a pause on new enrollments with
Medicaid for those three provider types.
[23:15]
That pause has been in effect since July
1st, 2024 and was recently extended
[23:20]
through December 31st, 2026. So that's
two and a half years of a pause that the
[23:26]
state has uh put in effect and gotten
permission from the federal government
[23:30]
to put in effect to try to figure out
what's going on with these sorts of
[23:34]
programs and uh put in place new
regulations to address concerns about um
[23:41]
you know a proliferation of these types
of programs and a big increase in
[23:45]
spending and reimbursement for these
sorts of programs. Um and some things
[23:50]
have been put in place and uh you know
we hope that they will help kind of uh
[23:57]
prevent so many of these sorts of
programs from opening up. Next slide
[24:01]
please.
Recovery residences on the other hand
[24:05]
are not clinical treatment. They do not
need to receive a license from BHA. They
[24:09]
do not need an agreement to cooperate
with us. Um they can uh receive
[24:15]
certification from the state. Um but
that is a a less rigorous process than
[24:20]
lensure and they don't have to and also
like at the end of the day a recovery
[24:26]
residence is just a house. Um clinical
treatment is not being provided. They
[24:31]
may market themselves as a safe and
appropriate place for uh people early in
[24:38]
recovery. Um but it's essentially just a
house. And um if they want to receive
[24:44]
funding from the state, they need to be
certified. And certified recovery
[24:49]
residences do receive an inspection from
the state um every year or two depending
[24:55]
on the circumstances. Um but they are
sort of um a parallel thing to licensed
[25:04]
uh clinical substance use treatment.
Um next slide please.
[25:10]
One thing just I wanted to lift up is
that there is a new we have sort of
[25:15]
rebranded a existing program. It was
called the substance use crisis
[25:21]
stabilization center. It is now called
the substance use urgent care center to
[25:26]
better align sort of the nomenclature
and the regulations that exist in the
[25:31]
state. Um this uh urgent care center uh
accepts walk-ins. It's open 24/7 and
[25:37]
this is where someone can go who needs
immediate support with a substance use
[25:42]
need. They can go they can uh receive,
you know, meals somewhere place safe to
[25:48]
stay, referrals to ongoing treatment. Um
and so we just want to let you all know
[25:54]
that that exists. That is a a licensed
program um and a really important, you
[26:00]
know, kind of component to the continuum
of services we provide. Next slide.
[26:07]
Um, one of the main things the state is
doing to try to address some of the
[26:12]
concerns around PHPs, PRPs, and IOPS is
updating the Comar 1063 regulations.
[26:19]
Next slide, please.
These regulations uh govern lensure and
[26:25]
accountability and oversight for uh the
public behavioral health system. Um, and
[26:30]
the revisions are putting in place a
number of new expectations,
[26:35]
new tools for system accountability, and
they also require all recovery
[26:40]
residences to get certified. So, we're
excited about this. Um, and, um, you
[26:46]
know, it's been an ongoing process. It's
been going on since, uh, again, July
[26:49]
2024. Next slide, please.
Um, you know, just looking through the
[26:56]
timeline, um, an official draft was
issued in May of 2025.
[27:02]
Um, there were a lot of concerns about
that draft and then the state rescended
[27:07]
the those draft regulations and then
worked more intently with uh
[27:11]
stakeholders to develop sort of a new
draft. A new draft was um has been
[27:18]
shared and updated over the last you
know uh year. And um next slide please.
[27:25]
And at this stage we are happy to say
that the the most recent draft was
[27:29]
shared with the committee for
administrative executive and legislative
[27:33]
review uh at the state level at the in
the state legislature. AALR. This is
[27:38]
sort of the first like the step that
happens before draft rags are published
[27:43]
in the register. um they must be
submitted at least 15 days before
[27:49]
publication.
So they were submitted July 10th last
[27:54]
week. So maybe 2 3 weeks from then uh we
might see them published in the register
[28:01]
at which point there is a 30-day comment
period and then um the formal
[28:06]
promulgation. So we might see these new
regs in place done and and in effect
[28:12]
maybe two months from now which is nice.
We've been on quite a quite a journey.
[28:17]
So so that's some news to to share share
with the committee.
[28:22]
Next slide please.
Um, and I just want to go over once
[28:26]
again like the provider accountability
um, functions that BHSB provides. And
[28:33]
um, again just really emphasize our our
interest in partnering with the
[28:38]
community, with this committee, with the
city council to make sure that any
[28:43]
provider in Baltimore City that is
licensed and billing Medicaid and
[28:47]
serving our residents is providing
highquality services. you we want to be
[28:51]
a partner and we want to you know help
however we can to make sure that that's
[28:55]
occurring. Um next slide please.
Um
[29:01]
the main again we um conduct regular
audits and site visits to certain
[29:07]
provider types. Um we work with the
state on corrective action plans,
[29:12]
performance improvement plans. Um we
have to get a or providers have to get
[29:18]
an agreement to cooperate with us before
they can seek lensure and we track and
[29:24]
respond to critical incidents and formal
complaints.
[29:28]
Next slide please.
Um we also have a provider relations
[29:32]
manager and team that you know goes
beyond reactions to issues to providing
[29:39]
best practices and meeting with licensed
providers a quarterly basis. We um
[29:45]
attempt to meet directly with any
organizations seeking lensure. Uh we
[29:51]
provide trainings um and update the
provider network on any any changes that
[29:57]
are coming. Uh next slide please.
And you know the one thing we want to
[30:03]
emphasize with this group and with any
community members is that if there is a
[30:08]
concern about a licensed behavioral
health provider, please submit a
[30:11]
complaint. We have a team that responds
to those complaints and investigates
[30:15]
them. You can scan that QR code. You can
also go to our website. You can also
[30:20]
email any member of the BHSB team for
support and we will enter that
[30:25]
complaint. It will be investigated and
any findings will be kind of sent up the
[30:30]
chain to the state which is where uh any
uh corrective action would occur. Um and
[30:36]
so so that's like the main like one of
the main ways that we get information
[30:40]
about what's going on in the community.
So we encourage uh folks to use that
[30:44]
that complaint portal. Next slide,
please.
[30:49]
And so that's sort of just an overview
of our role um and what's what's been
[30:54]
going on and some news since the last
time we we came to present. Um, again,
[30:58]
just want to emphasize that we want to
be a partner in addressing concerns
[31:03]
about whether providers are being good
neighbors and providing high quality
[31:07]
services.
>> Thank you so much, Dan. Um, I really
[31:10]
appreciate it. And and colleagues, I
know that these hearings have been um
[31:14]
very long and and arduous process, but
it seems like we're almost to the finish
[31:20]
line. Um, Komar63 has been something
that I know I've worked on for the past
[31:26]
few years. Um and so it's really
exciting um that we are close to the
[31:30]
finish line and it'll finally give us um
some opportunities within our roles um
[31:36]
to really um have the the type of
quality of life issues that we're seeing
[31:40]
in community actually to be seen and
heard um and also being taken accounted
[31:45]
for. [snorts] Um so I'm going to start
colleagues we're going to have um DHCD I
[31:51]
know you all don't have a presentation
but would you like to provide any
[31:54]
comment before we go into our round of
questioning?
[32:01]
I'd like to ask a question if I could.
>> Sure.
[32:04]
» Um, with the recovery homes being
certified,
[32:08]
» what role will you guys provide with
that? Um, is it anything similar to what
[32:13]
you provide now for licensed?
>> No. So, um, recovery residences are
[32:20]
handled more centrally at the state
level. They do the certification. They
[32:24]
maintain the list of recovery homes.
They respond to complaints. They do the
[32:30]
inspections. I think we we hope that we
will we will have an opportunity to work
[32:36]
with the state on getting the word out
on um educating community recovery
[32:43]
residences providers about the changes
that are occurring in Comar 1063. So, we
[32:48]
want to be a partner and we hope that we
will be a partner with the state, but
[32:51]
recovery residences are just more
managed more centrally.
[32:55]
» Yeah. So, that's what I figured was
going to be the answer. And and so DHC's
[33:00]
comments would be that, you know, Miss
Evelyn testified about um one neighbor
[33:06]
and and the impact that the recovery
homes have on that neighbor and the
[33:10]
neighborhood. And uh DHCD he's hears
this constantly and we're expected to
[33:16]
step up and do enforcement on these
homes and pull their permits or stop
[33:22]
them from, you know, getting the zoning
>> um cite them, you know, take them to
[33:28]
court. And really,
>> most of what goes on is outside of
[33:34]
DHCD's control or oversight or ability
to regulate. Um, and I would have hoped
[33:41]
that the state in in doing the
regulations for um, 6310
[33:47]
would have actually pushed recovery
houses to that licensed status
[33:52]
» because I think that then gets you to
the point where
[33:56]
» there is someone
>> who can deal with these problems. And
[34:01]
when the complaints come into DAC and
we're going out and sending inspectors
[34:04]
and all we can do is sight for the trash
or the high grass or um you know
[34:11]
[clears throat] make sure they're
properly permitted.
[34:14]
» Can't shut them down, but we can get
them to to have the right permits in
[34:18]
place
>> usually, but that there would be someone
[34:21]
that those referrals could go to that
would then
[34:24]
» be able to revoke a license and shut a
place down
[34:27]
» if they're needing to be shut down. Um,
and that's the frustration we share with
[34:33]
the community in that we're here to try
and help and serve and make better
[34:38]
Baltimore, make Baltimore a better
place.
[34:41]
» Um, and a lot of times our hands are
tied and it is very difficult for us to
[34:47]
then,
>> you know, properly respond without
[34:51]
» being the the fall guy.
>> Yeah. No, Jason, I appreciate that. And
[34:55]
and I want to just take that a little
bit further. And um I I want to take
[35:00]
that a little bit further because I I I
think that
[35:07]
outside of citation and high grass and
weeds, I think that there are things
[35:11]
that DHCD could be doing. So we could
possibly revoke their rental license. we
[35:15]
could possibly um you know have some
sort of connectivity with BHSB to say
[35:21]
hey this is um a site that we haven't
seen that is registered you know have we
[35:27]
looked into do they have any Medicaid
complaints do they have any complaints
[35:31]
with the state like I want us to think a
little bit more strategically than
[35:36]
exactly what is on paper because again
and this kind of flows into my first
[35:41]
question how do you all and I suspect
from your answer that there's not much
[35:46]
that has been done, but like how do you
all handle any type of 311 complaints um
[35:51]
that come in related to said uh said
residences? Like walk me through that
[35:57]
process and walk me through how you all
are um again citation or fines or
[36:07]
anything. How how do you all walk
through that process?
[36:10]
» Sure. So I it does depend on what kind
of complaints are coming in. So, if it's
[36:15]
just the standard um sanitation related
complaints, that usually lands with uh
[36:22]
um the property maintenance inspections
division and they will respond like they
[36:26]
respond to any home.
>> Um if they see trash or high grass and
[36:30]
weeds or other sanitation issues, they
would issue a citation
[36:33]
» and that really is the the end of that
until there's another complaint. um if
[36:38]
it does rise to that level where it's
egregious, then it may get referred to
[36:43]
the legal section to do a pattern
practice case or something.
[36:46]
» And how how many do you know like what
is the threshold for the legal section?
[36:51]
Um because I mean for example in
Brooklyn and Curtis Bay, there are key
[36:56]
um key sites that I know on the over the
past 5 years that have been cited and
[37:02]
pushed through 311, but they haven't hit
that legal threshold yet.
[37:05]
» Yeah. I mean, there's not a set number,
but it's the where the complaints are
[37:10]
and the citations exist and then the
citations aren't getting a response. So,
[37:16]
when we take a case like that to court,
usually we're looking at multiple
[37:19]
citations within a three-month period.
>> Um, not something that has dragged out
[37:24]
over, you know, like three citations in
three years would not be a a place that
[37:30]
would rise to that level. But when
you're getting um regular calls and
[37:34]
going out and seeing the same issue that
isn't being addressed by the property
[37:39]
owner or the property manager, whoever
may be in responsible, that's that's
[37:44]
when those things can be elevated. Um
>> but if they're not enough inspectors or
[37:48]
only minimal inspectors that kind of
handle a quadrant, um how are they going
[37:54]
to get out the repeated, you know, how
how are they going to get out there to
[37:57]
the repeated calls if they're going to
other places? And so like that three
[38:01]
month
>> it
[38:02]
» yeah it is a constant challenge. Um they
311 calls are um prioritized you know so
[38:11]
where things fall off more is when it's
reinspections and violation notices and
[38:15]
those things but they do go out
>> um and if there is a violation we'll
[38:19]
issue the citation or a notice as
appropriate. Um,
[38:24]
» what would happen if we pull a
reasonable accommodation from a
[38:27]
residence?
[38:32]
» The reasonable accommodation itself,
[38:38]
» nothing really.
>> So, they wouldn't have to shut down. So,
[38:40]
in order for them to
>> we'd have to pull the use permit.
[38:44]
» The use permit. So, yeah. What would it
be if we pull even even if we pulled the
[38:47]
use permit, what would that would that
shut them down?
[38:51]
um they they would be operating without
a use at that point,
[38:55]
» which would be a violation.
>> Which would be a violation. And then
[38:58]
» um you our our revocation of a use
permit is not the same as health
[39:03]
department shutting down a restaurant
for code violation or even the fire
[39:08]
department like shutting down. It's it's
not immediate in that sense. So if they
[39:12]
continue to operate, they'd be operating
illegally and then we would take them to
[39:16]
court. We could also find them and other
things, but
[39:19]
» And what's the uh duration um from for
when we take them to court?
[39:24]
» Uh
>> are we looking at a three month, six
[39:26]
month? What are we looking at?
>> Yeah, the court process is usually we
[39:31]
would get into court within four to six
weeks
[39:33]
» and then they could ask for
postponements.
[39:36]
» So it could be three months, six months,
you know, just
[39:40]
» depends on the case and then to an
appeal.
[39:43]
» Yeah. And so Trey, I I had asked the
last hearing, I asked for a tiger team
[39:47]
related to to this. Have you all
developed this tiger team? And do you
[39:50]
all have any outputs for today's
hearing?
[39:54]
» Uh, thank you for the question,
Councilwoman Porter. Uh, I'm not 100%
[39:57]
sure. Um, however, I can take it back uh
um to Tylure and uh and also ask Isaiah
[40:03]
if he has any insight on that.
>> Yeah. And so I would just love to know
[40:07]
the status of that Tiger team and any
type of report out if we can get a um a
[40:12]
formal response within a week. Um that
would be great to the committee.
[40:17]
» Colleague Billy,
>> thank you colleagues. I'm going to um
[40:20]
turn it over to you all um for your line
of question. I'm going to start with
[40:23]
Councilman uh Conway.
[clears throat]
[40:26]
» Thank you, Madam Chair, and I appreciate
you continuing to focus on this issue.
[40:30]
Um, as everyone knows here, this is a
pretty nuanced issue in our communities
[40:35]
and we're trying to make sure that we
address it appropriately and so I
[40:39]
appreciate uh all the leadership from
BHSB um and the work you guys are doing.
[40:44]
Uh, I I had a question um
uh very recently there was a a treatment
[40:51]
center that opened up in my district and
I did not know about it [clears throat]
[40:55]
and it sort of sparked a question for
myself.
[40:58]
um about how that could happen. Are
there instances in which folks may not
[41:05]
necessarily have to go through certain
procedures in order to open a treatment
[41:08]
center? Um, for instance, if they're not
um is there are there instances in which
[41:16]
they don't necessarily need a license in
order to open or
[41:20]
» uh if they want to be a licensed
behavioral health provider in the public
[41:25]
behavioral health system and bill
Medicaid, they have to then no, they
[41:29]
they need a license. Okay. if they are
not providing clinical behavioral health
[41:33]
services. If they're you know providing
mentorship or
[41:38]
» um [clears throat] you know after school
care like there's a variety of different
[41:41]
you know kind of social services or
health and human services that an entity
[41:45]
might provide um in which case like that
that that's not going through the
[41:50]
Maryland Department of Health behavioral
health license process. Um, but if they
[41:55]
are billing Medicaid for behavioral
health services, then no, they need to
[41:58]
get a license from us and then we we
email y'all um every other month with
[42:04]
with new um licensed providers that open
up in your uh district.
[42:09]
» And if they weren't billing Medicaid,
>> then then no. But but at that point,
[42:17]
like what are they doing? You know, like
how are they serving people? I guess
[42:21]
they could they might if they're just
billing private insurance, maybe if if
[42:27]
they have a grant to do something
outside of the public behavioral health
[42:30]
system, then maybe. But um but if
they're providing mental health or
[42:35]
substance use services, then they
essentially need to be licensed. Would
[42:40]
you guys be notified in those instances
or
[42:44]
» No, we're, you know, there's there's a
wide range of different sorts of, you
[42:49]
know, social services that could be
provided and so we we're only involved
[42:53]
with uh licensed behavioral health
providers and um and other and and the
[42:59]
folks that we directly contract with.
>> Got it. Um, and then I guess there's a a
[43:05]
broader question um for the
um for the services that we end up
[43:11]
having these issues that the folks have
testified earlier today about um
[43:18]
are these folks that only are receiving
Medicaid or are the ones that are maybe
[43:22]
only relying on private insurance or out
of pocket um do they don't they have the
[43:28]
same issues? Um, and in light of those
issues, should we also be making sure
[43:34]
that we know when they open up in order
that we can make sure we better support
[43:40]
our communities in those instances as
well? I don't have the answers to those
[43:43]
questions, but that's one of the things
that came to mind for myself. Um, so I
[43:48]
don't know if you want to add anything
to that.
[43:51]
Um,
yeah. I think
[43:57]
it's just hard for me to like it's hard
for me to
[44:01]
envision like what these entities are
doing if they didn't get a license like
[44:06]
um
you know like a someone can call
[44:11]
themselves whatever they they want. Um
but
[44:14]
» and I I think we we did respond like we
worked with your office on on this one
[44:18]
particular uh program that you had
concerns about that the the um community
[44:24]
had concerns about and they just weren't
providing mental health and substance
[44:28]
use treatment. They were doing other
things. Um, and so, um, I think we're
[44:34]
we're happy to to to
to get involved and to to help help
[44:39]
figure out what's going on in any
instance, but but it's just hard to know
[44:42]
like how we would how we would get
informed in the first place if they're
[44:45]
not like applying for lensure or
something.
[44:48]
» I appreciate I I'll follow up with you
guys about the one that I have in mind.
[44:52]
Um I I don't know how they're being paid
if they apply for a license or otherwise
[44:59]
and but I I'll follow up with you guys
on that and figure out if this is one of
[45:02]
those instances. But I was curious like
how it kind of slipped through the
[45:06]
cracks and we didn't get that
notification.
[45:09]
» But thank you Madam Chair.
>> Sure.
[45:11]
» Thank you so much. Any other questions,
colleagues?
[45:14]
» Councilman Bullock.
>> Madam Chair. Um, not so much a question,
[45:17]
but just um, thank you um, Chair Porter
for holding this hearing again and just
[45:21]
thank you for everyone here today. Um,
one of the things that's not lost on me
[45:24]
and it's also driven by your line of
questioning as as well as that of uh,
[45:28]
Councilman Conway. Uh, the reality is
that's a difficult situation for us to
[45:32]
navigate and on one side we're trying to
make sure that folks are getting the
[45:35]
help and the care they need at the same
time trying to balance that with some of
[45:39]
the quality of life concerns that you
mentioned within our neighborhoods. So
[45:42]
again, appreciate housing, but also
appreciate uh BHSB and uh Council Member
[45:46]
Porter again, just as we emphasize
trying to balance these issues and what
[45:50]
we could do in terms of the state
regulations as well. So it is much more
[45:53]
complicated than folks realize and all
of our districts are impacted by it. Um
[45:57]
it's evidenced by some of the questions
and comments, too. So thank you for
[46:00]
doing this.
>> Thank you so much, Councilman. All
[46:02]
right, Councilwoman Ramos.
>> Uh thank you, Madam Chair. Uh and thank
[46:08]
you again for your attention to this
issue in the committee. Um I had a
[46:13]
couple of questions. One is uh the last
hearing we asked for specific lists from
[46:18]
DHCD about um the uh I guess they're
called recovery homes um that uh have
[46:27]
reasonable accommodation. Uh the answer
was we don't have that list. Uh the
[46:32]
other uh request was how many um of
these uh homes are uh classified under
[46:41]
the bill that we uh passed several years
ago around the supportive housing. Um
[46:48]
and uh the answer was we don't have that
list. And so uh I think there's two
[46:54]
things happening here. One is there may
be a confidentiality HIPPA issue I
[46:59]
guess. Um and if that is the case, that
should have been the answer. Uh but the
[47:05]
other answer may be that um for some
reason we're not collecting the data
[47:10]
after we're approving these reasonable
accommodations, which does not make any
[47:15]
sense to me. Um I I think it should be
done in a way that is uh similar to what
[47:21]
we do with rental licensing uh but maybe
not as public because there could be
[47:25]
some HIPPA issues. Um but more around
like you know we we need to know where
[47:32]
where some of these are so that we can h
have conversations with BHSB
[47:37]
uh and the state uh as to the challenges
that we're seeing and um so I just want
[47:44]
to hear a little bit more from DHCD
about this issue. Uh again I I'm trying
[47:50]
to approach this as a client- centered
approach. I mean, yes, we care about our
[47:54]
neighborhoods, but I don't think we'll
be able to legislate anything unless
[47:57]
we're really concentrating on making
sure that the clients are getting the
[48:01]
care that they need. Um, so we don't
have these lists, even though we're
[48:06]
asking people to certify themselves or
apply for these um these these issues.
[48:16]
» So, the the reasonable accommodation
process, I don't remember the exact time
[48:22]
frame, but when it was created, it was
created post litigation when the city
[48:28]
had been um denying permits for more
than four individuals in a property, use
[48:35]
permits for more than four individuals
in a property. And that was deemed
[48:41]
discriminatory. And um one of the
resolutions was to create the reasonable
[48:47]
accommodation process so that we could
grant an exception to the no more than
[48:54]
four unrelated people in a property
based off of a legitimate need um to to
[49:01]
have that reasonable accommodation. Um
so they
[49:06]
at the time it was never um thought of
as a tracking method. it was just a
[49:12]
check and balance to issuing a use
permit. Um, so we're we did pull and
[49:19]
we're able to pull um from the use
permit data any use permits where it
[49:26]
mentions reasonable accommodation or um
residential treatment or substance abuse
[49:32]
treatment. So that all by word search
for you know lack of a better term
[49:37]
» that can be done but
>> to the best of my knowledge no list was
[49:43]
ever generated because also um the
reasonable accommodations come in um but
[49:50]
they may not actually go through with it
and get the actual use permit to do
[49:55]
that. So sometimes they fall off or they
they go through they open up and then
[49:59]
they close down. And so there's
they just never created a list,
[50:05]
» right?
>> Simple.
[50:06]
» And so I think we we I think we're going
to need that in the new format relative
[50:11]
to, you know, especially if we're going
to have these certified. Um and again,
[50:16]
we can talk about whether or not they're
private or public in terms of who has
[50:20]
access. Uh but because also there's ADA
and fair housing concerns. Um, but I
[50:27]
also know that um, you know, we want to
figure out um, how to how to do that.
[50:33]
And I did see the the outline on the
spreadsheet where you did have, you
[50:36]
know, based on whatever the permit was
uh, but it was, you know, it's not
[50:40]
necessarily a consolidated list as well
as uh, sometimes in the an early list
[50:46]
that I saw at the beginning of my uh,
being a council person, these were like
[50:50]
historic. I mean, they they may not be,
you know, reasonable accommodation
[50:55]
anymore. I just think we don't we don't
we haven't built that kind of
[50:58]
infrastructure yet. And so, um, I think
we're going to have to, and that might
[51:02]
be part of the tiger team that Madam
Chair is suggesting is sort of a soup to
[51:07]
nuts approach, um, to figuring out how
we're, um, having a better
[51:13]
accountability for making sure that the
care that people are getting is the high
[51:17]
quality care that they're supposed to
get. Um, so I will follow up um I guess
[51:22]
with you on that because I think that we
do need to have you know something like
[51:25]
that. And then the the um and that's
probably the same for the other piece
[51:31]
around a bill that we passed um in terms
of figuring out the um supportive
[51:36]
housing um bill uh and making sure that
we're actually figuring out what
[51:42]
properties are under that bill um and go
from there. So, um, be happy to to work
[51:49]
with you on that because that's going to
be critical information for resident for
[51:52]
us, um, as well. And we do I I
understand the the confidentiality
[51:57]
concerns. Uh, but I do think that we've
got to have some way of talking about
[52:01]
it. And then um I'd like to add and
maybe this is a committee request um for
[52:08]
uh the um person who came in to talk
about all the information that she did
[52:14]
not have uh to try to address this. I
mean that's information not just for
[52:18]
providers but for the public to know so
that we know what to expect um and what
[52:23]
certifications are needed for certain
things if people are seeing things in
[52:27]
the neighborhood. And so we may want to
develop uh that kind of public
[52:32]
information. Uh and madam chair, I don't
know if you want to add that to the
[52:35]
tiger team work or if that's something
to add as a committee request.
[52:40]
» Yeah. So I'm going to help her navigate
because BHSB actually does that and so
[52:44]
I'm going to help her navigate through
that process. Yep. Thank you.
[52:47]
» Sure. Sure. Um well I was also thinking
that there could be you know um some of
[52:51]
this as well. And then the last thing
I'll say is that you know my um you can
[52:57]
anticipate that um one of my
neighborhoods does have a concentration
[53:01]
of uh these places and we hear from them
a lot and uh I'd like to try to get some
[53:08]
folks together to really look at each
one because sometimes it may not be that
[53:13]
and sometimes it is and we want to make
sure that folks are are really taken
[53:17]
care of. So, I'll bring be pulling
people together to to take a look at I
[53:22]
mean, they may not let us in, but at
least we can knock um and and see see
[53:27]
what happens. Um so, thank you. And
Madam Chair, I'm sorry I have to excuse
[53:30]
myself. I have to represent us uh at
Mako um this morning.
[53:34]
» That's fine. Thank you so much. All
right, Councilman Blanchard.
[53:42]
» Thank you, Madam Chair. Uh thank you,
everyone. I before my question, I'll
[53:45]
just briefly say to uh the chair's point
about the mentor program. Um recently I
[53:52]
had a um uh inpatient recovery facility
in the district that had had some some
[53:59]
constituents were reaching out about it.
Um you know, I'm not sure if that was
[54:02]
accurate or if it was stereotyping or
whatever, but reached out, had a meeting
[54:06]
with the owners. They they were
definitely reluctant to talk, but once
[54:09]
we talked and we had a you know decent
conversation and then they had I think
[54:13]
it was a paid consultant but it is
someone else who does this work and so
[54:18]
like well let me put you in touch with
him and like talked to him and like 2
[54:22]
days later they had a here's our good
neighbor policy here's our like here's
[54:27]
the line of contact here's like a
program description like do you want us
[54:30]
to come talk at like a neighborhood
assessment and I was like why why can't
[54:35]
it always be this Um, and and so I think
I think there was like one slight change
[54:39]
that they made. And obviously some of
these entities are bad actors that are
[54:44]
being predatory and negligent of their
neighbors, but I think a lot of times
[54:48]
it's not the case. And so I was that was
just really interesting to me because
[54:51]
that is not often my experience in in a
situation like this. So that was really
[54:56]
interesting. Um, my question is for I
believe it's Mr. T, so it might be for
[55:01]
the deputy commissioner Hler. Um so
under Baltimore zoning code res recovery
[55:05]
residences fall under the residential
care facility use uh which covers not
[55:09]
just addiction rehab but also other
residential facilities where supervision
[55:12]
is required. In 2017 under transform
Baltimore and to my understanding under
[55:18]
the guidance of a lawsuit settlement
exits the city. Our zoning code was
[55:22]
changed to allow these facilities in
every residential area with effectively
[55:26]
no restrictions. This is in a very
significant contrast with other major
[55:31]
jurisdictions in the state like PG
County which has bed caps in Montgomery
[55:35]
County which has a lot size requirement
for bed. Um, I think this lack of
[55:39]
regulation becomes a particular problem
in neighborhoods where the property
[55:45]
values are lower because then it ends up
being the highest and best use where
[55:49]
you're seeing this and I think this has
to do with the the overconentration that
[55:53]
we're hearing about and this concern
that we're hearing about in so many of
[55:56]
our communities. Um, had these
regulations been reviewed and changes
[56:00]
proposed over the last I guess it's 9
years since um, you know, transform
[56:07]
Baltimore has come into place and as as
the effects have become clearer.
[56:14]
» Uh, good morning madam chair, members of
the committee, Eric Tiso for the
[56:16]
department of planning. Um there has not
been changes recently and uh if other
[56:21]
jurisdictions have found a way to uh add
additional requirements that we are not
[56:26]
doing. I would want to defer that to the
law department to see if we can apply
[56:30]
that here. Um so that would be the the
first thing that we would want to check
[56:34]
with. Um, yeah, we share similar
concerns where some of our middle market
[56:38]
uh neighborhoods have homes that are
just big enough uh to meet the needs for
[56:43]
residential care facilities uh but are
also just affordable enough uh to meet
[56:46]
their needs and that is a competition
factor that we are aware of. So, I'm
[56:51]
happy to to look into that as well. U
we're also aware of um what could
[56:56]
potentially be uses that try to fit into
other land use categories. Right. I was
[57:02]
a few minutes late to this hearing
because I was actually answering a
[57:05]
question for someone else about a use
that may fit that filed for a permit for
[57:09]
one thing but may fit under another but
that use is not available so they're
[57:14]
applying under the use that they may fit
through. Um, so this happens with some
[57:21]
degree of frequency and so we'd be happy
to to help with that. And I think the
[57:25]
concerns that we have more are not
licensed facilities because there's an
[57:30]
avenue of getting at those, right?
Zoning is more like a hammer than a
[57:33]
scalpel. Um, it's the supportive housing
that is not licensed, that is not
[57:38]
medical, that is, you know, something to
that effect that is difficult to address
[57:43]
in any meaningful way in zoning. um
without another more specific tool that
[57:50]
does not then get at protected classes.
>> Sure. And and thank you, Mr. Chie. So, a
[57:54]
specific followup uh regarding the um
the zoning as it compares to to other
[58:01]
counties. Um and I know there's an
important, you know, set of legal
[58:05]
questions based off the lawsuit and
concerns around that and whatnot. Um,
[58:11]
have you ever seen an example where like
Baltimore City couldn't do something in
[58:17]
the zoning code that other counties were
doing in the zoning code? Like in the
[58:21]
state of Maryland?
>> Uh, I've not looked at that specific
[58:25]
angle before. Um, Maryland is an
interesting state where it has three
[58:29]
different categories of county that have
different rights and privileges to them
[58:34]
and land use specifically is delegated
in different ways. Baltimore City is in
[58:38]
its own subcategory of the land use
article under the state. Um so in some
[58:43]
ways this is apples and orangutangs in
comparison. U but again I would need to
[58:48]
get some help from the law department to
see if there's a tool that someone else
[58:51]
has that we have not looked at.
>> Okay. Yeah. because I've had this
[58:56]
conversation with law before and I I
just
[58:59]
I personally struggle to sort of imagine
a situation where other large counties
[59:03]
are doing something with their zoning
code that we can't just also do in our
[59:08]
zoning code. Um, thank you, Madam Chair.
>> Thank you so much, Councilman Parker.
[59:13]
» No. All right. Any other questions? All
right. I'm going to go back um to DHCD.
[59:19]
Just want to um ask one final question
related to um inter agency coordination
[59:24]
with the health department um the
environmental control board and how you
[59:28]
all handle some of these issues. So like
if you see a recovery home um in the
[59:34]
district it has various citations. Are
you all sharing that data uh with other
[59:41]
agencies so that they can also add on
their particular realm or scope of
[59:46]
practice from a citation perspective?
>> Um
[59:54]
not particular to recovery homes but in
but in general. Yes. Um and actually
[1:00:03]
we DHD pushed um the mayor's office uh
to create the multi- agency task force.
[1:00:10]
Um that was something that um we felt
like a lot of times we were calling the
[1:00:15]
other agencies for support. And so we
felt it was better that it be led by the
[1:00:20]
mayor's office. And so um that's a group
that meets every Thursday and tackles
[1:00:26]
some problems that are really cross
agency. Mhm.
[1:00:30]
» Um so we'll work with department
transportation, uh fire department,
[1:00:35]
health department, uh liquor board.
>> So the reason Yeah. The reason why I
[1:00:40]
asked this because I have a um specific
list of SRS um that I would love to see
[1:00:45]
um I would love to see if they've been
discussed within the MAFE. Um because
[1:00:50]
there hasn't been really there hasn't
been much um movement on those SRs. They
[1:00:55]
were just closed. If you want to send I
don't need the SRS but the addresses.
[1:00:59]
» The addresses. Okay. Perfect.
>> Send those over to us and we can take a
[1:01:02]
look at them.
>> Okay. Perfect. And I mean even some that
[1:01:04]
were mentioned today within Brooklyn and
Curtis Bay. I would love to see I mean
[1:01:07]
those are just addresses right off the
top of my head without going to the
[1:01:10]
office.
>> Having the addresses would be
[1:01:12]
» okay. Perfect.
>> Any other questions colleagues?
[1:01:15]
» All right. Hearing and seeing none.
Thank you all so much for joining us
[1:01:18]
today. Um I really appreciate it. Um I
believe we have just one second. I
[1:01:22]
believe we have one more person. Um,
Janet Allen that wanted to provide
[1:01:27]
testimony.
I'll allow uh two minutes. Miss Janet.
[1:01:40]
Miss Janet.
[1:01:45]
Miss Janet.
[1:01:49]
All right. If you are on mute, you're
you need to unmute, Miss Janet.
[1:01:57]
Okay. All right. Um well, we're going to
close out um public testimony for the
[1:02:01]
second time. And thank you all so much
for joining us today. Have a great day.