Maryland is one of the states with the highest sickle cell burden in the country, with over 5,000 people living with the disease, and its health care system has not kept pace with our needs. The Sickle Cell Coalition of Maryland has advocated for policies that will help patients with sicklecell disease, particularly on the Eastern Shore, who often seek care in emergency rooms from providers with limited training in the disease and no coordinated care plan. The current model of "hub-and-spoke" has proven successful in Maryland, with the Prince George’s County PATHS Project achieving remarkable results almost immediately, with outpatient visits increasing by 377%, emergency department visits dropping by 63% and hospital admissions falling by 41%. The bill would allow the Maryland Department of Health to establish grants to build a specialized sickle-cell clinic on the eastern Shore using the same hub and spoke model to connect patients with expert care through in-person visits and telehealth. The bill also aims to address socio-economic, racial and geographic health disparities persist in rural communities on these areas.