Meeting of the Maryland Health Care Guardianship Working Group
August 30, 2024
Krongard Boardroom (Room 106), First Floor
University of Maryland Carey School of Law
500 West Baltimore St., Baltimore, MD
AGENDA
9:00 – 9:30am Continental Breakfast
9:30 – 9:40am Welcome and Introduction
Diane E. Hoffmann, Professor of Law and Director,
Law & Health Care Program and Maryland Healthcare Ethics Committee Network,
University of Maryland Francis King Carey School of Law
9:40 – 10:10am Participant Introductions
The Problem
10:00 – 10:15am Yoram Unguru, MD, MS, MA, HEC-C
Division of Pediatric Hematology/Oncology
The Herman and Walter Samuelson Children's Hospital at Sinai
Chairman, Sinai Hospital Ethics Committee
Berman Institute of Bioethics, Johns Hopkins University
10:15 – 10:25am Brandon Floyd, Senior Policy Analyst, Maryland Hospital Association
Recent Initiatives
10:25 – 10:35am 2024 Legislative Proposal (Diane Hoffmann)
10:35 – 10:50am BREAK
10:50 – 11:50 The Healthcare-to-Guardianship Pipeline
Nisa Subasinghe, Domestic & Guardianship Program Manager, Administrative Office of the Courts, and
Erica Costello, Associate Director, ABA Commission on Law & Aging
11:50am– 12:10pm 2011 DHR Report of the Workgroup on Hospitalized Adult Disabled Persons - Appointment of Temporary Limited Guardian (Diane Hoffmann)
12:10 – 12:50pm LUNCH
Proposed Solutions
12:50 – 1:30pm Small Group Breakout Session 1 – Treatment Recommendations
1:30 – 2:00pm Small Group Session 1 Feedback
2:00 – 3:00pm Small Group Breakout Session 2 – Discharge Recommendations
3:00 – 3:10pm Closing Remarks and Next Steps (Diane Hoffmann)
Background & Suggested Readings
Maryland Health Care Guardianship Working Group
Working Group Members
Hospital Representatives
Brandon Floyd, MHA - bfloyd@mhaonline.org
Peter Tallerico, Holy Cross - tallep@holycrosshealth.org
Dena Terra, UMMS - dena.terra@umm.edu
Eric Crowder, Luminis - ecrowder@luminishealth.org
Darlene Skinner, LifeBridge - Daskinne@lifebridgehealth.org
Kai Shea, JHMI - kshea1@jhmi.edu
Juhi Morrison, Nexus Montgomery - Juhi_Morrison@primarycarecoalition.org
Barbara Hirsch, Johns Hopkins - Bhirsch7@jh.edu
Long Term Care
Holly O’Shea, FutureCare - osheah@futurecarehealth.com
Ethics Committee Representatives
Dr. Jeffrey Brauer, LifeBridge - JBrauer@lifebridgehealth.org
Yoram Unguru, LifeBridge - yunguru@lifebridgehealth.org
Gail Mansell, Atlantic General - gmansell@atlanticgeneral.org
Aging Advocates/Experts
Dorinda Adams, AARP Maryland Volunteer, Legislative Advocate - dorindaa00@gmail.com
Amanda Celentano, Maryland Department of Aging - amanda.celentano@maryland.gov
Leslie Smith-Ray, Maryland Department of Aging - leslie.smith-ray@maryland.gov
Erica Costello, ABA Commission on Law & Aging - Erica.Costello@americanbar.org
Tan Heang, Baltimore City Health Department – heang.tan@baltimorecity.gov
Disability Rights Advocates and Experts
Randi Ames, DRM - randia@disabilityrightsmd.org
Deputy Secretary Anne Blackfield, Maryland Dept. of Disability - anne.blackfield1@maryland.gov
Ann Geddes, Mental Health Assn. of Maryland - ageddes@mhamd.org
Lauren Howell, MD Association of Community Services; lhowell@macsonline.org
Bonnie Sweenor, Johns Hopkins School of Nursing- bswenor@jhmi.edu
Judiciary & Legislative Representatives
Magistrate Sara D. Walsh* - Sara.Walsh@mdcourts.gov
Nisa Subasinghe, MD Judiciary, Admin Office of the Courts* - nisa.subasinghe@mdcourts.gov
Judge Karen Jensen* - karen.jensen@mdcourts.gov
Joanne Tetlow, Dept. of Legislative Services, MD General Assembly* - Joanne.Tetlow@mlis.state.md.us
Government Agencies
Greg Sesek, MD Dept. of Human Services, Office of Adult Services - greg.sesek@maryland.gov
Patient Representatives in Guardianship Cases
Barrett King, King Hall - barrett@kh.legal
Angela B. Grau, Davis, Agnor, Rapaport & Skalny - agrau@darslaw.com
Jim Silver, Legal Aid - jsilver@mdlab.org
May-Lis Manley, Landsman Law - mlm@landsmanlawgroup.com
*Non-voting Member
Organizers
Diane Hoffmann, JD, MS (PI)
Director, Law and Health Care Program
Jacob A. France Professor of Health Care Law
University of Maryland Francis King Carey School of Law
dhoffmann@law.umaryland.edu
https://www.law.umaryland.edu/directory/profile.asp?id=064
Rebecca Hall, JD
Working Group Coordinator
Managing Director, Law & Health Care Program
University of Maryland Francis King Carey School of Law
Requester:
Del. Sandy Bartlett
Vice Chair, Judiciary Committee
Maryland House of Representatives
- 2a - Maryland Estates and Trusts Article 13-201 Grounds for appointment of guard
- 2b - Maryland Estates and Trusts Article 13-204 Transactions authorized by court without appointing guardian
- 2c - Maryland Estates and Trusts Article13-709 Orders authorizing emergency protective services
- 2d - Maryland RULE 10-201 PETITION FOR APPOINTMENT OF A GUARDIAN OF THE PERSON
- 2e - Maryland Rule 10-301, PETITION FOR APPOINTMENT OF A GUARDIAN OF PROPERTY
- 2f - MD Health Gen 5-605 Authorization of surrogate
- 2g - In Re Lee - 754_A.2d_426
- 5b - sample form to designate an authorized representative
- 5c - Form - Applicant Without Representative Who Lacks Capacity to Appoint a Representative
- Yoram Unguru - Unrepresented Patients
- AoC & ABA - Healthcare-to-Guardianship Pipeline
- Diane Hoffmann - Guardianship (& Alternatives)
- Maryland Hospital Association - Guardianship Presentation
- Admitting Patients Who Lack Decision Making Capacity
- Hospital Pathway for an Unrepresented Patient - Kail Shea
- Guardianship from AAA Perspective - Leslie Smith-Ray
- Guardianship and People with Disabilities - Randi Ames
- Special Needs Trust & Guardianship for Medicaid Recipients - Lorie Mayorga & Tara Bersani