Md. Code, Business Occupations and Professions § 19-506 — MD Code / Article gbo / Title 19 / Subtitle 5 / Section 19-506
§19–506.
Status: in_force

(a) A security guard agency may not divulge information obtained while providing services unless:

(1) directed by the client for whom the services are provided;

(2) authorized by subsection (b) of this section; or

(3) required by law.

(b) If, while providing services, a security guard agency obtains any information about a criminal offense, the agency may divulge the information to:

(1) a law enforcement officer;

(2) the Attorney General or a representative of the Attorney General; or

(3) a State’s Attorney or a representative of a State’s Attorney.

(c) Except as provided in subsection (d) of this section, an individual who is employed by a security guard agency may not divulge to anyone other than to authorized staff of the agency any information that:

(1) was acquired by the employee or other agency staff while providing services for the agency; and

(2) relates to the assignment in which services are provided.

(d) An employee of a security guard agency may divulge information that is restricted under subsection (c) of this section:

(1) as directed by the security guard agency; or

(2) on a request made by the Secretary in the course of an investigation by the Secretary.
Md. Code, Alcoholic Beverages and Cannabis § 19-1501 — MD Code / Article gab / Title 19 / Subtitle 15 / Section 19-1501
§19–1501.
Status: in_force

(a) The following sections of Title 4, Subtitle 2 (“Issuance or Denial of Local Licenses”) of Division I of this article apply in the county without exception or variation:

(1) § 4–202 (“Authority of local licensing boards”);

(2) § 4–205 (“Chain store, supermarket, or discount house”);

(3) § 4–206 (“Limitations on retail sales floor space”);

(4) § 4–207 (“Licenses issued to minors”);

(5) § 4–209 (“Hearing”);

(6) § 4–210 (“Approval or denial of license application”);

(7) § 4–211 (“License forms; effective date; expiration”);

(8) § 4–212 (“License not property”);

(9) § 4–213 (“Replacement licenses”); and

(10) § 4–214 (“Waiting periods after denial of license applications”).

(b) The following sections of Title 4, Subtitle 2 (“Issuance or Denial of Local Licenses”) of Division I of this article apply in the county:

(1) § 4–203 (“Prohibition against issuing multiple licenses to individual or for use of entity”), subject to § 19–1502 of this subtitle and Subtitle 13, Part III and Subtitle 16, Part II of this title;

(2) § 4–204 (“Prohibition against issuing multiple licenses for same premises”), subject to § 19–1502 of this subtitle and Subtitle 13, Part III of this title; and

(3) § 4–208 (“Notice of license application required”), subject to § 19–1503 of this subtitle.
Md. Code, Alcoholic Beverages and Cannabis § 19-301 — MD Code / Article gab / Title 19 / Subtitle 3 / Section 19-301
§19–301.
Status: in_force

There is no liquor control board or department of liquor control in the county.
Md. Code, Health - General § 19-312 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-312
§19–312.
Status: in_force

To qualify for approval under Part II of this subtitle, the applicant shall satisfy the Secretary that the hospital or related institution will meet the requirements that the Secretary adopts under this subtitle.
Md. Code, Local Government § 19-503 — MD Code / Article glg / Title 19 / Subtitle 5 / Section 19-503
§19–503.
Status: in_force

(a) A county may:

(1) borrow money for any public purpose; and

(2) issue and sell general obligation bonds to evidence the borrowing.

(b) By local law, a county may provide for the issuance of revenue bonds payable as to principal and interest solely from the revenues of one or more revenue–producing projects of the county.

(c) Notwithstanding any other provision of this subtitle, a county may issue bonds:

(1) for sanitary facilities as provided in the Environment Article; and

(2) as authorized by local law in effect on the date the county adopts code home rule.
Md. Code, Commercial Law § 19-302 — MD Code / Article gcl / Title 19 / Subtitle 3 / Section 19-302
§19–302.
Status: in_force

If a supplier fails or refuses to repurchase, in accordance with § 19-202 of this title, any inventory covered under the provisions of this title within the time periods established, the supplier is civilly liable for:

(1) 100 percent of the current net price of the inventory;

(2) The amount the dealer paid for freight costs from the supplier’s location to the dealer’s location;

(3) The dealer’s reasonable attorney’s fees and court costs; and

(4) Interest on the current net price of the inventory computed from the 91st day after termination of the contract at the legal rate of interest.
Md. Code, Health - General § 19-1409 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1409
§19–1409.
Status: in_force

(a) There is an Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities.

(b) The Oversight Committee shall consist of the following members:

(1) One member of the Senate Finance Committee, appointed by the President of the Senate;

(2) One member of the Senate Education, Health, and Environmental Affairs Committee, appointed by the President of the Senate;

(3) Two members of the House Health and Government Operations Committee, appointed by the Speaker of the House;

(4) The Secretary of Aging, or the Secretary’s designee;

(5) The Secretary of Health, or the Secretary’s designee;

(6) The Director of the Office of Health Care Quality, or the Director’s designee;

(7) The Deputy Secretary for Behavioral Health, or the Deputy Secretary’s designee;

(8) The Secretary of Human Services, or the Secretary’s designee;

(9) The Secretary of Disabilities, or the Secretary’s designee;

(10) The State Long–Term Care Ombudsman;

(11) Two representatives of area agencies on aging, one of which shall be a member of a local long–term care ombudsman program established under Title 10, Subtitle 9 of the Human Services Article, selected by the President of the Maryland Association of Area Agencies on Aging;

(12) One representative of a local long–term care ombudsman entity, selected by the State Long–Term Care Ombudsman;

(13) Three consumer members, selected by the State Long–Term Care Ombudsman, all of whom shall be consumers living in an assisted living facility or a nursing home or have a family member living in an assisted living facility or a nursing home;

(14) The following representatives, selected by the organizations the individual represents:

(i) One representative from the Health Facilities Association of Maryland;

(ii) One representative from the Mid–Atlantic LifeSpan;

(iii) One representative of the Hospice Network of Maryland;

(iv) One representative of the Maryland Hospital Association;

(v) One representative of 1199SEIU United Health Workers East;

(vi) One representative of the Maryland Chapter of AARP;

(vii) One representative of United Seniors of Maryland;

(viii) One representative of Voices for Quality Care;

(ix) One representative of the Mental Health Association of Maryland knowledgeable in issues of aging;

(x) One representative of the Greater Maryland Chapter of the Alzheimer’s Association; and

(xi) One representative of the Maryland Association of Adult Day Services; and

(15) Three representatives from the assisted living industry, of which one shall represent a program that cares for one to four residents, one shall represent a program that cares for five to nine residents, and one shall represent a program that cares for more than 10 residents.

(c) The Secretary of Aging, or the Secretary’s designee, shall chair the Oversight Committee.

(d) The Oversight Committee shall evaluate the progress in improving nursing home care quality and assisted living facility quality statewide, which may include consideration of:

(1) Quality of care standards for nursing homes and assisted living facilities;

(2) Standards for the identification of the onset of dementia and Alzheimer’s disease;

(3) Standards for the identification of conditions appropriate for hospice services;

(4) Staffing patterns and staffing standards;

(5) Policies and procedures for inspecting nursing homes and assisted living facilities, and responding to quality of care complaints;

(6) A comparison of Maryland standards, policies, and procedures to those in other states;

(7) The labor pool available to fill nursing and nursing aide jobs;

(8) State funding mechanisms for nursing homes and assisted living facilities, including the Medicaid Nursing Home Reimbursement System, potential barriers to eligibility in the Maryland Medical Assistance Program, potential barriers to the timely payment of claims submitted to the Maryland Medical Assistance Program, and regulation of nursing homes;

(9) The provision and quality of dementia care and behavioral health supports and services to meet the needs of nursing home and assisted living facility residents;

(10) Staff training and development;

(11) The rights of residents;

(12) Data on resident satisfaction;

(13) Resident assessments;

(14) Resident care planning;

(15) The monitoring of residents; and

(16) The change of resident status.

(e) The Office of Health Care Quality in the Maryland Department of Health shall submit a report to the Oversight Committee annually on the status of quality of care in nursing homes and assisted living facilities.

(f) The Deputy Secretary of Health Care Financing, or the Deputy Secretary’s designee, shall report annually to the Oversight Committee on the status of the Medicaid Nursing Home Reimbursement System, which shall include but not be limited to:

(1) Elements of the existing methodology that are no longer relevant;

(2) Elements of the existing methodology that can be revised;

(3) The appropriateness of redesigning the system given changing demographics of the target population; and

(4) General Fund and federal fund savings from a system redesign that may be redirected to nursing home staff development in the nursing cost center.

(g) The Oversight Committee shall review the reports of the Office of Health Care Quality and the Deputy Secretary of Health Care Financing and develop recommendations to continue improvement in nursing home and assisted living facility care.

(h) The Oversight Committee may:

(1) Review legislation introduced in the General Assembly that may affect nursing home and assisted living facility care; and

(2) Make recommendations about the legislation to the General Assembly.

(i) The Oversight Committee may:

(1) Review proposed regulations that may affect nursing home and assisted living facility care; and

(2) Make recommendations about the regulations to the departments proposing the regulations and to the Joint Committee on Administrative, Executive, and Legislative Review.

(j) The Oversight Committee shall report its findings and recommendations to the Governor and, subject to § 2–1257 of the State Government Article, to the General Assembly on or before December 1 of each year.

(k) The Department of Aging, with assistance from the Maryland Department of Health, the Department of Human Services, and the Department of Legislative Services, shall provide staff support for the Oversight Committee.
Md. Code, Local Government § 19-703 — MD Code / Article glg / Title 19 / Subtitle 7 / Section 19-703
§19–703.
Status: in_force

The governing body of a county may:

(1) issue bonds, notes, or other evidence of indebtedness to repay money borrowed under this subtitle; and

(2) impose a tax to pay the principal of and interest on the evidences of indebtedness.
Md. Code, Health Occupations § 19-206 — MD Code / Article gho / Title 19 / Subtitle 2 / Section 19-206
§19–206.
Status: reserved

(a) There is a State Board of Social Work Examiners Fund.

(b) (1) The Board may set reasonable fees for the issuance and renewal of licenses and its other services.

(2) The fees charged shall be set to produce funds so as to approximate the cost of maintaining the Board.

(3) The Board may set fees for the issuance and renewal of each type of license.

(4) Funds to cover the expenses of the Board members shall be generated by fees set under this section.

(c) An application fee may be charged by the Board.

(d) The Board shall provide a list of the fees set under this section to each applicant for a license.

(e) (1) The Board shall pay all funds collected under this title to the Comptroller of the State.

(2) The Comptroller shall distribute the fees to the State Board of Social Work Examiners Fund.

(f) (1) The Fund shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this article.

(2) The Fund is a continuing, nonlapsing fund, not subject to § 7-302 of the State Finance and Procurement Article.

(3) Any unspent portions of the Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Fund to be used for the purposes specified in this article.

(4) No other State money may be used to support the Fund.

(g) (1) A designee of the Board shall administer the Fund.

(2) Moneys in the Fund may be expended only for any lawful purpose authorized under the provisions of this article.

(h) The Legislative Auditor shall audit the accounts and transactions of the Fund as provided in § 2-1220 of the State Government Article.
Md. Code, Insurance § 19-304 — MD Code / Article gin / Title 19 / Subtitle 3 / Section 19-304
§19–304.
Status: in_force

(a) If, after a public hearing, the Commissioner finds that there is an abnormally high incidence of arson in properties that are insured through commercial monoline fire policies, have a certain type of occupancy, or are located in a certain geographic area of the State, the Commissioner shall require that an antiarson application be used to obtain property insurance covering the peril of fire for property that is insured through that type of policy, has that type of occupancy, or is located in that geographic area of the State.

(b) The Commissioner shall require that an antiarson application be completed when a property insurance policy or contract covering the peril of fire is assigned because of the transfer of a major financial interest in the insured real property, if an antiarson application otherwise would be required under this subtitle.

(c) If, after a public hearing, the Commissioner finds that properties that are insured through a type of policy other than a commercial monoline fire policy have an abnormally high incidence of arson, the Commissioner may extend the application of this subtitle to properties insured through that other type of policy.

(d) (1) The Commissioner may not require the use of any application for property insurance covering the peril of fire other than an antiarson application.

(2) Paragraph (1) of this subsection does not prohibit the Commissioner from requiring the use of alternative antiarson applications in accordance with § 19-306 of this subtitle.
Md. Code, Insurance § 19-511 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-511
§19–511.
Status: in_force

§19–511. IN EFFECT

(a) This section does not apply when the first named insured under a policy or binder of private passenger motor vehicle liability insurance has enhanced underinsured motorist coverage under § 19–509.1 of this subtitle instead of the uninsured motorist coverage required under § 19–509 of this subtitle.

(b) If an injured person receives a written offer from a motor vehicle insurance liability insurer or that insurer’s authorized agent to settle a claim for bodily injury or death, and the amount of the settlement offer, in combination with any other settlements arising out of the same occurrence, would exhaust the bodily injury or death limits of the applicable liability insurance policies, bonds, and securities, the injured person shall send by certified mail, to any insurer that provides uninsured motorist coverage for the bodily injury or death, a copy of the liability insurer’s written settlement offer.

(c) Within 60 days after receipt of the notice required under subsection (b) of this section, the uninsured motorist insurer shall send to the injured person:

(1) written consent to acceptance of the settlement offer and to the execution of releases; or

(2) written refusal to consent to acceptance of the settlement offer.

(d) Within 30 days after a refusal to consent to acceptance of a settlement offer under subsection (c)(2) of this section, the uninsured motorist insurer shall pay to the injured person the amount of the settlement offer.

(e) (1) Payment as described in subsection (d) of this section shall preserve the uninsured motorist insurer’s subrogation rights against the liability insurer and its insured.

(2) Receipt by the injured person of the payment described in subsection (d) of this section shall constitute the assignment, up to the amount of the payment, of any recovery on behalf of the injured person that is subsequently paid from the applicable liability insurance policies, bonds, and securities.

(f) The injured person may accept the liability insurer’s settlement offer and execute releases in favor of the liability insurer and its insured without prejudice to any claim the injured person may have against the uninsured motorist insurer:

(1) on receipt of written consent to acceptance of the settlement offer and to the execution of releases; or

(2) if the uninsured motorist insurer has not met the requirements of subsection (c) or subsection (d) of this section.

(g) Written consent by an uninsured motorist insurer to acceptance of a settlement offer under subsection (c)(1) of this section:

(1) may not be construed to limit the right of the uninsured motorist insurer to raise any issue relating to liability or damages in an action against the uninsured motorist insurer; and

(2) does not constitute an admission by the uninsured motorist insurer as to any issue raised in an action against the uninsured motorist insurer.

§19–511. // EFFECTIVE JUNE 30, 2029 PER CHAPTER 514 OF 2023 //

(a) This section does not apply when the first named insured under a policy or binder of private passenger motor vehicle liability insurance has elected to obtain enhanced underinsured motorist coverage under § 19–509.1 of this subtitle instead of the uninsured motorist coverage required under § 19–509 of this subtitle.

(b) If an injured person receives a written offer from a motor vehicle insurance liability insurer or that insurer’s authorized agent to settle a claim for bodily injury or death, and the amount of the settlement offer, in combination with any other settlements arising out of the same occurrence, would exhaust the bodily injury or death limits of the applicable liability insurance policies, bonds, and securities, the injured person shall send by certified mail, to any insurer that provides uninsured motorist coverage for the bodily injury or death, a copy of the liability insurer’s written settlement offer.

(c) Within 60 days after receipt of the notice required under subsection (b) of this section, the uninsured motorist insurer shall send to the injured person:

(1) written consent to acceptance of the settlement offer and to the execution of releases; or

(2) written refusal to consent to acceptance of the settlement offer.

(d) Within 30 days after a refusal to consent to acceptance of a settlement offer under subsection (c)(2) of this section, the uninsured motorist insurer shall pay to the injured person the amount of the settlement offer.

(e) (1) Payment as described in subsection (d) of this section shall preserve the uninsured motorist insurer’s subrogation rights against the liability insurer and its insured.

(2) Receipt by the injured person of the payment described in subsection (d) of this section shall constitute the assignment, up to the amount of the payment, of any recovery on behalf of the injured person that is subsequently paid from the applicable liability insurance policies, bonds, and securities.

(f) The injured person may accept the liability insurer’s settlement offer and execute releases in favor of the liability insurer and its insured without prejudice to any claim the injured person may have against the uninsured motorist insurer:

(1) on receipt of written consent to acceptance of the settlement offer and to the execution of releases; or

(2) if the uninsured motorist insurer has not met the requirements of subsection (c) or subsection (d) of this section.

(g) Written consent by an uninsured motorist insurer to acceptance of a settlement offer under subsection (c)(1) of this section:

(1) may not be construed to limit the right of the uninsured motorist insurer to raise any issue relating to liability or damages in an action against the uninsured motorist insurer; and

(2) does not constitute an admission by the uninsured motorist insurer as to any issue raised in an action against the uninsured motorist insurer.
Md. Code, Local Government § 19-809 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-809
§19–809.
Status: in_force

(a) A bond issued under this subtitle and the interest on the bond are limited obligations of Cecil County.

(b) Cecil County may pay the principal of and interest on a bond issued under this subtitle only from:

(1) revenues derived from interest, mortgage insurance proceeds, casualty or special hazard insurance proceeds, other insurance proceeds, or condemnation proceeds; or

(2) other revenues derived from or related to loans made under a program.

(c) Bonds and interest coupons issued under this subtitle:

(1) are not debts or charges against the general credit or taxing powers of Cecil County within the meaning of any constitutional or county code provision or statutory limitation; and

(2) do not give rise to any pecuniary liability of the county.

(d) On the advice of counsel, Cecil County may state on the face of a bond that the bond:

(1) is issued under this subtitle; and

(2) is not an indebtedness to which the faith and credit of the county is pledged.
Md. Code, Insurance § 19-501 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-501
§19–501.
Status: in_force

(a) In this subtitle the following words have the meanings indicated.

(b) (1) “Motor vehicle” means a vehicle, including a trailer, that is operated or designed for operation on a public road by any power other than animal or muscular power.

(2) “Motor vehicle” does not include:

(i) a bus as defined in § 11-105 of the Transportation Article; or

(ii) a taxicab as defined in § 11-165 of the Transportation Article.

(c) (1) “Motor vehicle accident” means an occurrence involving a motor vehicle that results in damage to property or injury to a person.

(2) “Motor vehicle accident” does not include an occurrence that is caused intentionally by or at the direction of the insured.

(d) “Named insured” means the person denominated in the declarations in a motor vehicle liability insurance policy.
Md. Code, Health - General § 19-1804.1 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1804.1
§19–1804.
Status: in_force

§19–1804.1.

(a) A person shall be licensed by the Department to conduct, operate, or maintain an assisted living program in the State.

(b) (1) A person shall submit an application for licensure to conduct, operate, or maintain an assisted living program to the Secretary on a form developed by the Secretary.

(2) (i) The Secretary shall develop the application for licensure required under paragraph (1) of this subsection.

(ii) The application shall include the name and address of each officer, manager, alternate manager, and delegating nurse or case manager of the assisted living program.

(3) In addition to the application, an applicant for initial licensure shall submit to the Secretary:

(i) Information concerning any license or certification held by the applicant under the Health Occupations Article or under this article, including the prior or current operation by the applicant of a health care facility, residential facility, or similar health care program;

(ii) Information demonstrating the financial and administrative ability of the applicant to operate an assisted living program in compliance with this subtitle;

(iii) The policies and procedures to be implemented by the assisted living program;

(iv) Identification of the personnel and relief personnel to be employed by the assisted living program; and

(v) Any other information that is relevant to the ability of the applicant to care for the residents of the assisted living program.

(c) (1) The Secretary shall:

(i) Review the application and information received under subsection (b) of this section; and

(ii) Conduct an independent investigation of the assisted living program applying for initial licensure.

(2) Based on the review and investigation conducted under paragraph (1) of this subsection, the Secretary shall:

(i) Authorize the unconditional approval of the application;

(ii) Authorize the conditional approval of the application; or

(iii) Deny the application.

(d) The Secretary may issue a probationary license that is valid for a period of time determined by the Secretary in accordance with regulations adopted by the Secretary.
Md. Code, Alcoholic Beverages and Cannabis § 19-901 — MD Code / Article gab / Title 19 / Subtitle 9 / Section 19-901
§19–901.
Status: in_force

(a) There is a Class A beer, wine, and liquor license.

(b) (1) The license authorizes the license holder to sell beer, wine, and liquor at retail at the place described in the license.

(2) The license holder shall deliver the beer, wine, or liquor in a sealed package or container that may not be opened or its contents consumed on the licensed premises.

(c) A license may not be issued for a drugstore unless the applicant:

(1) has been doing business at the location applied for in the license for at least 1 year before the date of the application for the license;

(2) is the assignee of a business established for at least 1 year before the date of the application for the license at the location applied for; or

(3) has been engaged in the retail drug business for at least 3 years.

(d) The annual license fee is $2,500.
Md. Code, Health - General § 19-402 — MD Code / Article ghg / Title 19 / Subtitle 4 / Section 19-402
§19–402.
Status: in_force

The purpose of home health care is:

(1) To avoid institutionalization;

(2) To shorten hospital stays;

(3) To speed recovery; and

(4) To bridge the gap in community health services for patients who otherwise could not get adequate health care.
Md. Code, Health - General § 19-389 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-389
§19–389.
Status: reserved

(a) (1) Except as provided in paragraph (2) of this subsection, the Department shall ensure that a pediatric hospital overstay patient is transferred to and treated in the least restrictive setting when clinically indicated and when possible.

(2) The Department of Human Services, in coordination with the Department, shall ensure that a pediatric hospital overstay patient who is a child committed to the care and custody of the Department of Human Services is transferred to and treated in the least restrictive setting when clinically indicated and when possible.

(b) If a pediatric hospital overstay patient remains in the hospital for more than 48 hours and the registry established under § 7.5–802 of this article indicates that an appropriate inpatient bed is available, the hospital shall seek the transfer to maintain the clinical stability of the patient.

(c) Notwithstanding any other provision of law, to ensure that a pediatric hospital overstay patient is treated in the least restrictive setting, a hospital may concurrently explore in–State and out–of–state placement options.
Md. Code, Insurance § 19-404 — MD Code / Article gin / Title 19 / Subtitle 4 / Section 19-404
§19–404.
Status: in_force

(a) A workers’ compensation insurance policy issued or delivered in the State may provide for deductibles.

(b) When a claim is payable under a workers’ compensation insurance policy with deductibles:

(1) the insurer shall pay the claim including any applicable deductible; and

(2) the employer shall reimburse the insurer for any amount paid up to the limit of any applicable deductible.
Md. Code, Health - General § 19-1203 — MD Code / Article ghg / Title 19 / Subtitle 12 / Section 19-1203
§19–1203.
Status: in_force

(a) This section does not apply to a special rehabilitation hospital that is licensed under Subtitle 3 of this title.

(b) Any person that provides or holds himself out as providing comprehensive physical rehabilitation services on an out–patient basis shall obtain a comprehensive rehabilitation license before the person may provide comprehensive physical rehabilitation services in the State.

(c) The Department shall issue a comprehensive rehabilitation license to any person for whom a comprehensive rehabilitation license is required if the person submits an application on the form established and provided for the Secretary.

(d) While it is effective, a comprehensive rehabilitation license authorizes the licensed person to provide comprehensive physical rehabilitation services.

(e) A person may not provide or hold himself out as providing comprehensive physical rehabilitation services on an out–patient basis unless the person has been issued a comprehensive rehabilitation license under this section.
Md. Code, Local Government § 19-608 — MD Code / Article glg / Title 19 / Subtitle 6 / Section 19-608
§19–608.
Status: in_force

A note is a valid and binding obligation of the issuing county in accordance with the terms of the note even if an official whose signature appears on the note:

(1) ceases to be an official before the delivery of the note; or

(2) becomes an official after the date of issue of the note.
Md. Code, Insurance § 19-211 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-211
§19–211.
Status: in_force

(a) (1) If an insurer uses a catastrophic risk planning model or other model in setting homeowner’s insurance rates or refusing to issue or renew homeowner’s insurance because of the geographic location of the risk, the insurer shall:

(i) file with the Commissioner a description of the specific model used in setting the rate or refusing to issue or renew homeowner’s insurance because of the geographic location of the risk; and

(ii) make arrangements for the vendor of the model to explain to the Commissioner and the People’s Insurance Counsel the data used in the model and the manner in which the output is obtained.

(2) If at any time an insurer changes the catastrophic risk planning model or other model upon which it is relying, the insurer shall notify the Commissioner of the change and comply with paragraph (1) of this subsection.

(b) (1) The information filed under subsection (a) of this section is proprietary and confidential commercial information under § 4–335 of the General Provisions Article.

(2) The People’s Insurance Counsel shall maintain the confidentiality of any proprietary and confidential commercial information to which the People’s Insurance Counsel obtains access under subsection (a) of this section.

(c) The Commissioner may adopt regulations to implement the provisions of this section.
Md. Code, Health - General § 19-308.8 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.8
§19–308.
Status: in_force

§19–308.8.

(a) A hospital may discharge a patient:

(1) Entirely;

(2) To another level of care, treatment, or services;

(3) To different health professionals; or

(4) To settings for continued services.

(b) A hospital’s process for transfer or discharge shall be based on a patient’s assessed needs.

(c) To facilitate discharge or transfer, the hospital shall:

(1) Assess a patient’s needs;

(2) Plan for discharge or transfer;

(3) Facilitate the discharge or transfer process;

(4) Give the patient or person responsible for providing continuing care to the patient written discharge instructions in a form the patient can understand; and

(5) Help to ensure that continuity of care, treatment, and services is maintained.

(d) If a hospital fails to comply with the requirements of this section, the Secretary may impose a civil money penalty not to exceed $10,000 for each failure to comply.

(e) A hospital may appeal a civil money penalty imposed under subsection (c) of this section in accordance with Title 10, Subtitle 2 of the State Government Article.
Md. Code, Insurance § 19-507 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-507
§19–507.
Status: in_force

(a) The benefits described in § 19–505 of this subtitle shall be payable without regard to:

(1) the fault or nonfault of the named insured or the recipient of benefits in causing or contributing to the motor vehicle accident; and

(2) any collateral source of medical, hospital, or wage continuation benefits.

(b) (1) Subject to paragraph (2) of this subsection, if the insured has both coverage for the benefits described in § 19–505 of this subtitle and a collateral source of medical, hospital, or wage continuation benefits, the insurer or insurers may coordinate the policies to provide for nonduplication of benefits, subject to appropriate reductions in premiums for one or both of the policies approved by the Commissioner.

(2) The named insured may:

(i) elect to coordinate the policies by indicating in writing which policy is to be the primary policy; or

(ii) reject the coordination of policies and nonduplication of benefits.

(c) (1) In this subsection, “increase the premium” includes an increase in total premium for a policy due to:

(i) a surcharge;

(ii) retiering or other reclassification of the policy; or

(iii) removal or reduction of a discount.

(2) An insurer that issues a policy that contains the coverage described in § 19–505 of this subtitle:

(i) may not increase the premium on the policy due to a claim or payment made under that coverage; and

(ii) at the time the policy is issued, shall notify the policyholder in writing that the insurer may not increase the premium on the policy due to a claim or payment made under that coverage.

(d) An insurer that provides the benefits described in § 19–505 of this subtitle does not have a right of subrogation and does not have a claim against any other person or insurer to recover any benefits paid because of the alleged fault of the other person in causing or contributing to a motor vehicle accident.
Md. Code, Insurance § 19-1103 — MD Code / Article gin / Title 19 / Subtitle 11 / Section 19-1103
§19–1103.
Status: in_force

(a) This subtitle applies only to pet insurance policies or certificates that are:

(1) issued to a resident of the State; or

(2) sold, solicited, negotiated, or offered in the State.

(b) All other applicable provisions of this article apply to pet insurance, except that specific provisions of this subtitle supersede any general provisions of this article.
Md. Code, Health - General § 19-1402 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1402
§19–1402.
Status: in_force

(a) If a deficiency exists, the Secretary may impose sanctions that include:

(1) A directed plan of correction with corrective measures necessary to protect residents;

(2) Imposing adequate staffing levels in a nursing home;

(3) Appointing a State monitor subject to § 19-1405 of this subtitle; and

(4) Imposing a civil money penalty.

(b) A civil money penalty may be imposed when a deficiency exists or an ongoing pattern of deficiencies exists in a nursing home.

(c) In determining whether a civil money penalty is to be imposed, the Secretary shall consider, pursuant to guidelines set forth in regulations promulgated by the Secretary, the following factors:

(1) The number, nature, and seriousness of the deficiencies;

(2) The extent to which the deficiency or deficiencies are part of an ongoing pattern during the preceding 24 months;

(3) The degree of risk to the health, life, or safety of the residents of the nursing home caused by the deficiency or deficiencies;

(4) The efforts made by, and the ability of, the nursing home to correct the deficiency or deficiencies; and

(5) A nursing home’s prior history of compliance.

(d) Upon determination by the Department that a deficiency or deficiencies exist, the Department shall notify the nursing home that:

(1) Unless corrective action taken pursuant to this section is substantially completed, a civil money penalty will be imposed; or

(2) An order imposing a civil money penalty will be issued, pursuant to § 19-1403 of this subtitle which shall include a list of all deficiencies and notice that a civil money penalty may be imposed until the time that the cited deficiencies have been rectified.
Md. Code, Business Regulation § 19-101 — MD Code / Article gbr / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

(a) A person other than as an agent or employee of the United States or a state or a political subdivision of the United States or a state may not use the word “official”, or its equivalent, in connection with a tourist or travelers’ guide or information service or with related advertising or publicity.

(b) (1) In this subsection, “advertisement” includes a display or sign that is visible from a public highway.

(2) A person may not conduct or operate a tourist or travelers’ information service unless each affixed advertisement that announces the service by the prominent display of the word “information” or a synonym includes, in letters that are at least half the size of the largest letters in the advertisement and that are lighted and displayed with substantially equal prominence, a complete list of names, headed “Sales Agents For” or the equivalent, of each business from which a person, directly or indirectly connected with the service, receives a commission, fee, or other payment or remuneration for referrals to the business.

(3) This subsection does not apply to:

(i) a bona fide chamber or association of commerce of cities, towns, or counties of the State; or

(ii) an information service furnished by a retail business if remuneration is not received from any other business other than for goods sold on the premises.

(c) Any person who violates any provision of this section is guilty of a misdemeanor and on conviction is subject to a penalty not exceeding $500 for each offense.
Md. Code, Local Government § 19-217 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-217
§19–217.
Status: in_force

(a) (1) The principal of and interest on bond anticipation notes under this part shall be payable from:

(i) the first proceeds of sale of the bonds; or

(ii) the tax or other revenue that the governmental entity has pledged to the payment of the bonds.

(2) One year’s interest on the notes, or on any renewal of the notes, accounting from the date of the initial issue of the notes, may be paid from the proceeds of sale of the notes.

(b) (1) Subject to paragraphs (2) and (3) of this subsection, the principal of and interest on grant anticipation notes under this part shall be payable from the proceeds of the grant.

(2) The governmental entity may make the grant anticipation notes payable only from the proceeds of the grant and need not pledge the faith and credit or taxing power of the governmental entity.

(3) If the governmental entity does not pledge its faith and credit or taxing power, the grant anticipation notes are not a debt or charge against the general credit or taxing power of the governmental entity under any constitutional provision, charter provision, or statutory limitation.
Md. Code, Health - General § 19-212 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-212
§19–212.
Status: in_force

The Commission shall:

(1) Require each facility to disclose publicly:

(i) Its financial position; and

(ii) As computed by methods that the Commission determines, the verified total costs incurred and revenue generated by the facility in providing health services;

(2) Review for reasonableness and certify the rates and revenue of each facility;

(3) Keep informed as to whether a facility has enough resources to meet its financial requirements;

(4) Concern itself with solutions if a facility does not have enough resources;

(5) Assure each purchaser of health care facility services that:

(i) The total costs of all hospital services offered by or through a facility are reasonable;

(ii) The aggregate rates of the facility are related reasonably to the aggregate costs of the facility; and

(iii) Rates are set equitably among all purchasers of services without undue discrimination;

(6) Develop guidelines for the establishment of global budgets for each facility under Maryland’s all–payer model contract, including guidelines to prevent facilities from taking actions to meet a budget that the Commission determines would have adverse consequences for recipients or purchasers of services;

(7) Receive confirmation from Commission staff that facility global budget agreements, as they are developed, are consistent with the guidelines; and

(8) After review by the Commission for compliance with the guidelines, post each executed global budget agreement on the Commission’s website.
Md. Code, Health - General § 19-203 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-203
§19–203.
Status: in_force

(a) (1) The Commission consists of 7 members appointed by the Governor with the advice and consent of the Senate.

(2) Of the 7 members, 4 shall be individuals who do not have any connection with the management or policy of any facility.

(b) Each member shall be interested in problems of health care.

(c) (1) The term of a member is 4 years.

(2) The terms of members are staggered as required by the terms provided for members of the Commission on July 1, 1982. The terms of those members end as follows:

(i) 2 in 1983;

(ii) 1 in 1984;

(iii) 2 in 1985; and

(iv) 2 in 1986.

(3) At the end of a term, a member continues to serve until a successor is appointed and qualifies.

(4) A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.

(5) A member who serves 2 consecutive full 4-year terms may not be reappointed for 4 years after completion of those terms.

(6) When appointing a member to fill a vacancy due to the expiration of a member’s term, the Governor shall give consideration to, and make appointments when appropriate, that would promote the racial, gender, and geographic diversity of the Commission.
Md. Code, Health - General § 19-2105 — MD Code / Article ghg / Title 19 / Subtitle 21 / Section 19-2105
§19–2105.
Status: in_force

§19–2105. IN EFFECT

// EFFECTIVE UNTIL JUNE 30, 2035 PER CHAPTER 386 OF 2024 //

(a) With the approval of the Governor, the Commission shall appoint an Executive Director, who is the chief administrative officer of the Commission.

(b) The Executive Director serves at the pleasure of the Commission.

(c) Under the direction of the Commission, the Executive Director shall perform any duty or function that the Commission requires.
Md. Code, Alcoholic Beverages and Cannabis § 19-2006 — MD Code / Article gab / Title 19 / Subtitle 20 / Section 19-2006
§19–2006.
Status: in_force

If December 24 or December 31 is on a Sunday, the hours of sale are:

(1) for beer licenses:

(i) Class A, from 6 a.m. to 2 a.m. the following day; and

(ii) Classes B, C, and D, from noon to 2 a.m. the following day;

(2) for Class A wine licenses, from noon to 2 a.m. the following day;

(3) for beer and wine licenses:

(i) Class A, from 6 a.m. to 2 a.m. the following day;

(ii) Class B, from 10 a.m. to 2 a.m. the following day; and

(iii) Classes C and D, from noon to 2 a.m. the following day; and

(4) for beer, wine, and liquor licenses:

(i) Class A, from 6 a.m. to 2 a.m. the following day; and

(ii) Classes B, C, and D, from noon to 2 a.m. the following day.
Md. Code, Health - General § 19-914 — MD Code / Article ghg / Title 19 / Subtitle 9 / Section 19-914
§19–914.
Status: in_force

(a) (1) This section applies to a general hospice care program only when providing hospice services in an in–home setting.

(2) This section does not apply to a general hospice care program when providing hospice services in a nursing home, assisted living facility, or a general hospice care program facility.

(b) A general hospice care program shall establish a written policy that outlines the procedures for the collection and disposal of a patient’s unused prescription medication, including a procedure that requires a general hospice care employee, at the time that a patient is enrolled in the general hospice care program, to:

(1) Discuss with the patient and the patient’s family member or personal representative the requirements under subsection (c) of this section; and

(2) Provide a written copy of the unused prescription medication collection and disposal policy to the patient and the patient’s family member or personal representative.

(c) (1) In accordance with a general hospice care program’s policy and subject to paragraphs (2) and (3) of this subsection, a general hospice care program employee shall, as soon as practicable, collect and dispose of a patient’s unused prescription medication on:

(i) The death of the patient; or

(ii) The termination of a prescription medication by the patient’s prescriber.

(2) Before a general hospice care program employee collects or disposes of a patient’s unused prescription medication under paragraph (1) of this subsection, the employee shall provide to the patient or the patient’s family member or personal representative a written request for authorization to collect and dispose of the patient’s unused prescription medication in accordance with the patient’s care plan.

(3) A general hospice care program employee may not collect or dispose of a patient’s unused prescription medication unless the patient or the patient’s family member or representative provides written authorization to the general hospice care program.

(4) If a patient or the patient’s family member or personal representative refuses to authorize the collection or disposal of the patient’s unused prescription medication, the general hospice care program employee shall urge that the patient or the patient’s family member or personal representative dispose of any unused prescription medication in a safe and legal manner in accordance with federal Environmental Protection Agency and federal Drug Enforcement Administration guidelines for the safe disposal of prescription drugs.

(d) If authorized, a general hospice care program employee shall, as soon as practicable, dispose of a patient’s unused prescription medication at the site where hospice care was provided:

(1) In accordance with federal Environmental Protection Agency and federal Drug Enforcement Administration guidelines for the safe disposal of prescription drugs; and

(2) Under the witness of:

(i) The patient or the patient’s family member or personal representative;

(ii) Another general hospice care program employee; or

(iii) If none of the individuals under items (i) or (ii) of this item are available, a local law enforcement officer.

(e) (1) The collection and disposal of a patient’s unused prescription medication by the general hospice care program shall be documented in the patient’s medical record by the general hospice care program employee who conducted the collection and disposal.

(2) The medical record shall include the following information:

(i) The name and quantity of each unused prescription medication;

(ii) The name of the individual who authorized the collection and disposal of the unused prescription medication and the individual’s relationship to the patient;

(iii) The date of disposal for each unused prescription medication;

(iv) The name of the individual who conducted the collection and disposal; and

(v) The name of the individual who witnessed the disposal of unused prescription medication by the employee as required under subsection (d)(2) of this section.

(3) If a patient or the patient’s family member or personal representative refuses to authorize the collection and disposal of the patient’s unused prescription medication by the general hospice care program, the general hospice care program employee shall document in the patient’s medical record:

(i) The refusal to authorize the collection and disposal of the patient’s unused prescription medication; and

(ii) The name and quantity of each unused prescription medication not surrendered.

(f) A general hospice care program may not be held liable in a civil or criminal action for any good faith act or omission taken in accordance with the requirements of this section.
Md. Code, Alcoholic Beverages and Cannabis § 19-2502 — MD Code / Article gab / Title 19 / Subtitle 25 / Section 19-2502
§19–2502.
Status: in_force

(a) From 2 a.m. to 6 a.m. on any day, an individual may not consume alcoholic beverages in:

(1) an establishment open to the public;

(2) a place of public entertainment; or

(3) a place at which setups or other component parts of mixed alcoholic beverages are sold under a license issued under the Business Regulation Article.

(b) An owner or a manager of an establishment or a place specified in subsection (a) of this section may not knowingly allow consumption of alcoholic beverages between the hours specified in subsection (a) of this section.

(c) A person who violates this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $50.
Md. Code, Alcoholic Beverages and Cannabis § 19-205 — MD Code / Article gab / Title 19 / Subtitle 2 / Section 19-205
§19–205.
Status: in_force

The Board may adopt regulations to carry out this title.
Md. Code, Health - General § 19-2301 — MD Code / Article ghg / Title 19 / Subtitle 23 / Section 19-2301
§19–2301.
Status: in_force

(a) In this subtitle the following words have the meanings indicated.

(b) “Accreditation organization” means a private entity that conducts inspections and surveys of health care facilities or health care staff agencies based on nationally recognized and developed standards.

(c) “Deemed status” means a status under which a health care facility or a health care staff agency may be exempt from routine surveys conducted by the Department.

(d) “Health care facility” means:

(1) A hospital as defined in § 19–301 of this title;

(2) A health maintenance organization as defined in § 19–701(g) of this title;

(3) A freestanding ambulatory care facility as defined in § 19–3B–01 of this title;

(4) An assisted living facility as defined in § 19–1801 of this title;

(5) A laboratory as defined in § 17–201 of this article;

(6) A home health agency as defined in § 19–401 of this title;

(7) A residential treatment center as defined in § 19–301 of this title;

(8) A comprehensive rehabilitation facility as defined in § 19–1201 of this title;

(9) A forensic laboratory as defined in § 17–2A–01 of this article;

(10) A substance–related disorder program as defined in § 7.5–101 of this article; and

(11) A mental health program as defined in § 7.5–101 of this article.

(e) “Health care staff agency” has the meaning stated in § 19–2001 of this title.
Md. Code, Health - General § 19-2504 — MD Code / Article ghg / Title 19 / Subtitle 25 / Section 19-2504
§19–2504.
Status: in_force

(a) A person may not advertise, represent, or imply to the public that a recovery residence is a certified recovery residence unless the recovery residence has obtained a certificate of compliance under this subtitle.

(b) (1) A person who violates subsection (a) of this section is subject to a civil penalty imposed by the Department not exceeding $1,000 for each offense.

(2) In setting the amount of a civil penalty under paragraph (1) of this subsection, the Department shall consider the nature, number, and seriousness of the violations, the ability of the certified recovery residence to pay the penalty, and any other factors the Department determines are relevant.
Md. Code, Local Government § 19-805 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-805
§19–805.
Status: in_force

(a) (1) Notwithstanding any other law, Cecil County may issue revenue bonds, notes, or other evidence of indebtedness to accomplish the purposes of this subtitle.

(2) The county may use money borrowed under this subtitle to make funds available, directly or through mortgage lending institutions, for residential mortgage loans by:

(i) forward commitment mortgage purchases;

(ii) existing mortgage purchases;

(iii) loans to lenders;

(iv) a revolving mortgage fund; or

(v) any other manner the county considers appropriate.

(3) (i) The county may issue new bonds to provide funds for the payment of any outstanding bonds in accordance with this subtitle and § 19–207 of this title.

(ii) The new bonds shall be secured to the same extent and have the same source of payment as the refunded bonds.

(b) The amount borrowed under this subtitle may not exceed $35,000,000 in the total aggregate amount.

(c) Cecil County may collect participation charges to cover loan processing, loan administration, mortgage insurance, and other costs and expenses of a program from a borrower participating in the program.

(d) A program may provide for:

(1) loan agreements;

(2) security agreements;

(3) loan servicing agreements;

(4) forms of mortgages, notes, and deeds of trust; and

(5) other appropriate securities, documents, agreements, and provisions.
Md. Code, Insurance § 19-704 — MD Code / Article gin / Title 19 / Subtitle 7 / Section 19-704
§19–704.
Status: in_force

(a) This section applies only to lead hazard coverage for affected properties.

(b) This section does not affect coverage for property damage or any other form of coverage provided in a policy or insurance contract for an affected property.

(c) Notwithstanding subsection (g) of this section, whenever an authorized insurer issues or renews a policy for an affected property, the authorized insurer may include in the policy a lead hazard coverage exclusion.

(d) If a policy issued or renewed by an authorized insurer on or after February 24, 1996, for an affected property contains a lead hazard coverage exclusion, the authorized insurer shall waive the exclusion to the extent of a qualified offer made or to be made under Title 6, Subtitle 8, Part V of the Environment Article:

(1) if the owner of the affected property complies with Title 6, Subtitle 8, Part III of the Environment Article;

(2) if at the election of the insured, and whether or not a change in occupancy has occurred, the affected property:

(i) passes the test for lead-contaminated dust under § 6-816 of the Environment Article; or

(ii) has undergone the lead hazard reduction treatments and complies with the risk reduction standard under § 6-815(a)(2) of the Environment Article; and

(3) if the insured submits to the authorized insurer a current verified report completed by an accredited inspector under § 6-818 of the Environment Article certifying that the affected property complies with the standards set forth in item (2) of this subsection.

(e) Instead of waiving a lead hazard coverage exclusion as required by subsection (d) of this section, after receiving approval from the Commissioner, an authorized insurer may offer an alternative form of coverage for a qualified offer made or to be made under Title 6, Subtitle 8, Part V of the Environment Article.

(f) An authorized insurer may exclude lead hazard coverage for an affected property in excess of the amount of a qualified offer made or to be made under Title 6, Subtitle 8, Part V of the Environment Article.

(g) (1) An authorized insurer may cancel or nonrenew lead hazard coverage or reimpose a lead hazard coverage exclusion in a policy for an affected property only if:

(i) the insured fails to:

1. pay the applicable premium;

2. provide the authorized insurer or the authorized insurer’s designee reasonable access to the affected property to inspect for the presence or condition of lead;

3. comply with the terms or conditions of the policy; or

4. perform lead hazard reduction treatments; or

(ii) the affected property fails to comply or maintain compliance with the risk reduction standard under § 6-815(a)(2) of the Environment Article.

(2) (i) An authorized insurer may cancel or nonrenew lead hazard coverage or reimpose a lead hazard coverage exclusion under paragraph (1)(i)4 or (ii) of this subsection only if the authorized insurer:

1. mails written notice to the insured that the authorized insurer intends to cancel or nonrenew the coverage or to reimpose the exclusion; and

2. provides an opportunity to the insured to correct the violation within 30 days after the notice is mailed.

(ii) Coverage is automatically reinstated if the violation is corrected within 30 days after the notice is mailed.

(iii) Within 45 days after mailing a notice of cancellation or nonrenewal of coverage or reimposition of an exclusion under this paragraph, the authorized insurer shall send a copy of the notice to the Secretary of the Environment or a designee of the Secretary, and include the results of any inspection of the affected property.
Md. Code, State Finance and Procurement § 19-117 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-117
§19–117.
Status: in_force

The remedies provided by this title are in addition to any other statutory, legal, or equitable remedies that may be available and are not intended to be prerequisite to or exclusive of any other remedies.
Md. Code, Health - General § 19-1815 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1815
§19–1815.
Status: in_force

§19–1815. IN EFFECT

// EFFECTIVE UNTIL DECEMBER 31, 2022 PER CHAPTERS 29 AND 31 OF 2021 SPECIAL SESSION //

(a) (1) In this section the following words have the meanings indicated.

(2) “COVID–19” means, interchangeably and collectively, the coronavirus known as COVID–19 or 2019–nCoV and the SARS–CoV–2 virus.

(3) “COVID–19 test” means an in vitro diagnostic test for the detection of SARS–CoV–2 or the diagnosis of the virus that causes COVID–19, as described in § 3201 of the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act.

(b) For calendar years 2021 and 2022, an assisted living program shall adopt and implement a COVID–19 testing plan for residents of the assisted living program and staff who provide services to residents of the assisted living program.

(c) The COVID–19 testing plan shall ensure that residents and staff are tested for COVID–19 on a regular basis and at a frequency that is sufficient to prevent the spread of COVID–19 among residents and staff of the assisted living program.

(d) (1) The Department shall adopt regulations that set standards for a COVID–19 testing plan required under this section.

(2) The standards set by the Department under this subsection shall:

(i) Be guided by applicable federal orders and policies; and

(ii) Include requirements for testing frequency that are reasonably related to the COVID–19 testing positivity rate in the local jurisdiction in which an assisted living program is located.
Md. Code, Health - General § 19-2505 — MD Code / Article ghg / Title 19 / Subtitle 25 / Section 19-2505
§19–2505.
Status: in_force

(a) In this section, “Program” means the Recovery Residence Grant Program.

(b) (1) There is a Recovery Residence Grant Program in the Department.

(2) The purpose of the Program is to provide grants to recovery residences in the State in accordance with this section.

(c) The Department shall administer the Program.

(d) The Program shall award competitive grants to recovery residences to support operations, services, and programs.

(e) To qualify for a grant under the Program, a recovery residence must:

(1) Be a nonprofit organization in good standing with the Internal Revenue Service;

(2) Submit a current copy of the Form 990 that the organization files with the Internal Revenue Service;

(3) Be certified by the credentialing entity as a Level I, Level II, or Level III recovery residence in accordance with the National Alliance for Recovery Residences standards;

(4) Not accept or receive reimbursement from private insurance or the Maryland Medical Assistance Program; and

(5) Meet any other requirement established by the Department in regulation.

(f) (1) The Department shall establish:

(i) Application procedures;

(ii) Criteria for prioritizing applications under the Program;

(iii) Procedures for awarding grants under the Program; and

(iv) Any other procedures or criteria necessary to carry out this section.

(2) In establishing procedures and criteria under this subsection, the Department shall consult the credentialing entity.

(g) For each of fiscal years 2024 through 2027, the annual budget bill shall include an appropriation of $500,000 for the Program.

(h) On or before December 1 each year, beginning in 2024, the Department shall submit to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly a report that includes, for the most recent closed fiscal year:

(1) The number of grants distributed; and

(2) Information about grant recipients and programs and services provided.
Md. Code, Business Occupations and Professions § 19-309 — MD Code / Article gbo / Title 19 / Subtitle 3 / Section 19-309
§19–309.
Status: in_force

(a) As a condition for license renewal, a licensee shall submit to the Secretary with the renewal application:

(1) a certification or, as authorized by the Secretary, other documentation that the licensed security guard agency has paid, for the past 3 years, all withholding and Social Security taxes;

(2) a certification or, as authorized by the Secretary, other documentation that the licensed security guard agency has paid, for the past 3 years, all other obligations payable for the employees of the licensed security guard agency to the State or the federal government;

(3) a certificate from an insurance carrier or, as authorized by the Secretary, other documentation showing that the licensed security guard agency has in effect commercial general and workers’ compensation insurance for its covered employees, as defined in § 9-101 of the Labor and Employment Article; and

(4) a certificate from the Comptroller’s Office or, as authorized by the Secretary, other documentation showing that the State income tax of the licensed security guard agency has been paid for the past 3 years.

(b) If the Secretary does not receive the documents required under subsection (a) of this section at least 15 days before the license expiration date, the Secretary shall charge the licensee a late fee of $10 per day until the documents are received.

(c) The Secretary may inspect any of the business records of a licensee that relate to any matter that is subject to certification or documentation under this section.
Md. Code, Business Occupations and Professions § 19-505 — MD Code / Article gbo / Title 19 / Subtitle 5 / Section 19-505
§19–505.
Status: in_force

(a) A nonresident applicant for a license shall submit to the Secretary of State a consent, as provided under this section.

(b) The consent required under this section shall:

(1) specify that service of process on the Secretary of State shall bind the applicant in any action, suit, or proceeding brought against the applicant;

(2) specify that an action, suit, or proceeding may be brought against the applicant in any county where:

(i) the cause of action arose; or

(ii) the plaintiff resides; and

(3) be signed by the representative member of the applicant.

(c) In addition to submitting a consent, a nonresident applicant shall submit to the Secretary of State a certified copy of a resolution adopted by the firm that confirms that the firm members, board of directors, or other managing board of the firm authorized the representative member to execute and submit the consent on behalf of the firm.

(d) An applicant who is required under this section to submit a consent or a consent and authorization to the Secretary of State shall submit copies of the signed documents to the Secretary.

(e) The Secretary may not issue a license to a nonresident applicant, unless the nonresident applicant complies with the requirements of subsections (a) through (d) of this section.

(f) (1) Subject to paragraph (2) of this subsection, service of process on the Secretary of State binds a person who has submitted a consent to the Secretary of State, as required under this section.

(2) If service of process is made on the Secretary of State as authorized under this section, the person initiating the action, suit, or proceeding immediately shall send a copy, by certified mail, return receipt requested, to the principal office in the State of the person against whom the action, suit, or proceeding is directed.

(3) As to any person who submits a consent as required under this section, any action, suit, or proceeding may be brought in any county where:

(i) the cause of action arose; or

(ii) the plaintiff resides.
Md. Code, Alcoholic Beverages and Cannabis § 19-2001 — MD Code / Article gab / Title 19 / Subtitle 20 / Section 19-2001
§19–2001.
Status: in_force

(a) (1) Unless otherwise provided in this title, from 2 a.m. to 6 a.m. on any day, an individual may not consume alcoholic beverages in a premises that is licensed under this title.

(2) An owner, an operator, or a manager of a premises licensed under this title may not knowingly allow consumption prohibited under paragraph (1) of this subsection.

(b) A person who violates this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $50.
Md. Code, Health - General § 19-308.2 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.2
§19–308.
Status: in_force

§19–308.2.

(a) (1) Subsection (b)(1) of this section is not intended to preempt the requirements of § 10-625 of this article.

(2) The Department shall adopt guidelines, after consultation with the Maryland Hospital Association, Inc., governing the transfer of patients between hospitals to ensure that transfers of patients between hospitals are accomplished in a medically appropriate manner and in accordance with the health care policies of the State that, at a minimum, require:

(i) Notification to the receiving hospital before the transfer and confirmation by that hospital that the patient meets that hospital’s admissions criteria relating to appropriate bed, physician, and other services necessary to treat the patient;

(ii) The use of medically appropriate life-support measures that a reasonable and prudent physician exercising ordinary care would use to stabilize the patient before transfer and to sustain the patient during the transfer;

(iii) The provision of appropriate personnel and equipment that a reasonable and prudent physician exercising ordinary care would use for the transfer; and

(iv) The transfer of all necessary records for continuing the care for the patient.

(b) (1) The Department shall adopt regulations providing for penalties for hospitals that violate provisions of subsection (a) of this section.

(2) A penalty not exceeding $1,000 may be imposed per violation.
Md. Code, Health - General § 19-373 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-373
§19–373.
Status: in_force

(a) In addition to any other duties or responsibilities, and on the request of a petitioner, the advisory committee shall offer advice in cases involving individuals with life-threatening conditions.

(b) In addition to any other duties or responsibilities, the advisory committee may:

(1) Educate represented hospital and related institution personnel, patients, and patients’ families concerning medical decision-making; and

(2) Review and recommend institutional policies and guidelines concerning the withholding of medical treatment.
Md. Code, Business Occupations and Professions § 19-313 — MD Code / Article gbo / Title 19 / Subtitle 3 / Section 19-313
§19–313.
Status: in_force

(a) Subject to the hearing provisions of § 19-315 of this subtitle, the Secretary may deny a license to any applicant, reprimand any licensee, fine any licensee or agency, or suspend or revoke a license if the applicant or licensee:

(1) fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;

(2) fraudulently or deceptively uses a license;

(3) aids an individual to obtain or to attempt to obtain fraudulently or deceptively certification under this title as a security guard;

(4) while not licensed, solicits to engage in or willfully engages in a business providing security guard services in the State;

(5) while not licensed, willfully advertises:

(i) as a security guard agency; or

(ii) the provision of security guard services;

(6) willfully makes a false statement or misrepresentation that an individual is or was in the employ of the applicant or licensee;

(7) willfully makes a false statement or misrepresentation in any renewal application, in any annual statement, or in any other report or document that the Secretary requires to be submitted;

(8) fails to notify the Secretary about any change among the firm members or in the address of the principal office or any branch office of a licensee;

(9) fails to maintain the liability insurance required under § 19-504 of this title; or

(10) violates any other provision of this title.

(b) For purposes of this section, an act or omission of any principal, agent, or employee of an applicant or licensee may be construed to be the act or omission of the applicant or licensee, as well as of the principal, agent, or employee.
Md. Code, Local Government § 19-801 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-801
§19–801.
Status: in_force

In this subtitle, “program” means a residential mortgage program authorized under this subtitle.
Md. Code, Health - General § 19-124 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-124
§19–124.
Status: in_force

(a) Notwithstanding the provisions of § 19-114(d)(2)(ii) of this part, a continuing care community that qualifies for an exemption from a certificate of need under § 19-114(d)(2)(ii) of this part may admit a subscriber directly into a comprehensive care nursing bed only if, at the time of admission, the subscriber has the potential for an eventual transfer to an independent living unit or an assisted living unit, as determined by the subscriber’s personal physician who is not an owner or employee of the continuing care retirement community.

(b) Notwithstanding the provisions of subsection (a) of this section and § 19-114(d)(2)(ii) of this part, the total number of comprehensive care nursing beds occupied by subscribers who have been directly admitted to a comprehensive care nursing bed may not exceed 20 percent of the total number of comprehensive care nursing beds that are available in the continuing care nursing facility.

(c) Notwithstanding the provisions of subsections (a) and (b) of this section and § 19-114(d)(2)(ii) of this part, a continuing care retirement community that qualifies for an exemption from a certificate of need under § 19-114(d)(2)(ii) of this part may not admit a subscriber directly into a comprehensive care nursing bed if the direct admission would cause the occupancy of the comprehensive care nursing beds in the continuing care community to exceed 95 percent of full capacity.
Md. Code, Health - General § 19-307.2 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-307.2
§19–307.
Status: in_force

§19–307.2.

(a) For a hospital classified as a general hospital, the Secretary shall annually calculate the hospital’s licensed bed capacity.

(b) The annual licensed bed calculation for each hospital shall equal 140 percent of the average daily census for the 12-month period immediately preceding the calculation.

(c) If necessary to adequately meet demand for services, a hospital may exceed its licensed bed capacity if:

(1) On average for the 12-month period, the hospital does not exceed its licensed bed capacity based on the annual calculation; and

(2) The hospital includes in its monthly report to the Health Services Cost Review Commission the following information:

(i) The number of days in the month the hospital exceeded its licensed bed capacity; and

(ii) The number of beds that were in excess on each of those days.

(d) Before July 1, 2000 and each July 1 thereafter, the Secretary shall delicense any licensed hospital beds determined to be excess bed capacity under subsection (b) of this section.
Md. Code, State Finance and Procurement § 19-107 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-107
§19–107.
Status: in_force

(a) Commission staff shall be responsible for directing and conducting investigations of discrimination and retaliation complaints filed under this title in a manner consistent with §§ 20–208, 20–1005, 20–1006, 20–1008, 20–1009, and 20–1010 of the State Government Article.

(b) The Commission may request assignment of additional State personnel or outside consultants as may be reasonably necessary or appropriate to conduct an investigation.

(c) (1) Commission staff shall exercise reasonable judgment in seeking relevant evidence from the complainant, the respondent business entity and, as necessary, external sources.

(2) This title may not be construed to require the State to fund the cost of:

(i) having State staff or other individuals travel outside the State to investigate any claim under this title; or

(ii) having witnesses travel to the State for the purpose of investigating a claim or testifying at a hearing or proceeding under this title.

(d) (1) Consistent with § 20–1101 of the State Government Article, the Public Information Act, and the Open Meetings Act, the Commission shall protect the confidential character of information relating to an investigation and may issue protective orders for good cause to limit, or otherwise impose conditions on, access by any person to any document in the possession of a party.

(2) A protective order issued under paragraph (1) of this subsection may include:

(i) a document in the possession of the State or otherwise in the record that is not a public record; and

(ii) information disclosed in accordance with § 19–116 of this title.

(e) The Commission shall exercise reasonable discretion in determining the extent of the investigation required to support Commission staff’s initial findings and recommendations.

(f) (1) The Commission may investigate and adjudicate a claim of discrimination under this title only if the claim alleges that:

(i) the discrimination was committed by a business entity within the limitations period set forth in § 19–101(c) of this title; and

(ii) the discrimination occurred in the State.

(2) Discrimination is deemed to have occurred in the State only if:

(i) each party operated a place of business in, or resided in, the State at the time of the discrimination; or

(ii) the discriminatory act was committed in the State.
Md. Code, Health - General § 19-204 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-204
§19–204.
Status: in_force

Annually, from among the members of the Commission:

(1) The Governor shall appoint a chairman; and

(2) The chairman shall appoint a vice chairman.
Md. Code, Local Government § 19-803 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-803
§19–803.
Status: in_force

(a) The General Assembly finds that:

(1) persons and families in many areas in Cecil County, including areas that contain presently stable neighborhoods and middle class residential housing, are unable to purchase, rehabilitate, and maintain decent, safe, and sanitary housing that provides an opportunity for home ownership either directly or through a condominium or cooperative form of ownership due to continuing increases in the cost of construction and rehabilitation, county taxes, heating and electricity expenses, maintenance and repair expenses, inflation, the cost of land, the cost of energy conservation measures, and the levels of borrowing costs;

(2) the inability of families to purchase and maintain housing in the county results in:

(i) the decline of new housing;

(ii) the decay of existing housing and neighborhoods; and

(iii) increases in costs for welfare, police, and fire protection;

(3) the decline in new housing construction, and the decay of existing housing, has produced a critical shortage of adequate housing in the county that harms the economy of the county and the well–being of county residents;

(4) without a program, private enterprise cannot construct or rehabilitate adequate housing for persons and families in the county;

(5) forcing families to live in substandard housing is undesirable because it tends to decrease the interest of families in their communities, the maintenance of their property, and the preservation of their neighborhoods;

(6) the county has a basic public interest in:

(i) providing a supplemental source of single–family residential mortgage funds at a cost lower to the borrower than prevailing rates for residential mortgages; and

(ii) stimulating a steady flow of money for residential housing to help in maintaining a well–balanced society, existing housing, a sound tax base, and established neighborhoods;

(7) unless new facilities are constructed and existing housing, where appropriate, is rehabilitated, a large number of county residents have been and will be subject to hardship in finding decent, safe, and sanitary housing;

(8) unless the supply of housing and the ability of persons and families to obtain mortgage financing is increased significantly and expeditiously, many county residents may be compelled to live in unsanitary, overcrowded, or unsafe conditions to the detriment of the health and welfare of the residents and of their community;

(9) increasing the housing supply of the county and the ability of persons and families to obtain mortgage financing will:

(i) aid the clearance, replanning, development, and redevelopment of blighted areas;

(ii) alleviate the critical shortage of adequate housing; and

(iii) greatly enhance the ability of the county to preserve and utilize existing housing and neighborhoods;

(10) a major cause of the housing crisis is the lack of affordable loans so that persons and families can own and maintain decent, safe, and sanitary housing;

(11) an additional major cause of the housing crisis is the lack of money available to finance housing by the private mortgage lending institutions of the State, frustrating the maintenance, sale, and purchase of existing housing in the county;

(12) the powers authorized under this subtitle and the expenditure of public money necessary and appropriate to carry out a program are a valid public purpose; and

(13) the enactment of this subtitle is in the public interest.

(b) The legislative purpose of this subtitle is to expand money available at borrowing costs that are lower than prevailing costs for residential mortgages for persons and families to alleviate the shortage of adequate housing in Cecil County and to preserve existing housing and neighborhoods.
Md. Code, Health - General § 19-206 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-206
§19–206.
Status: in_force

(a) A majority of the full authorized membership of the Commission is a quorum. However, the Commission may not act on any matter unless at least 4 members in attendance concur.

(b) The Commission shall meet at least 6 times a year, at the times and places that it determines.

(c) Each member of the Commission is entitled to:

(1) Compensation in accordance with the State budget; and

(2) Reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.

(d) (1) The Commission may employ a staff in accordance with the State budget.

(2) The Commission, in consultation with the Secretary, may set the compensation of a Commission employee in a position that:

(i) Is unique to the Commission;

(ii) Requires specific skills or experience to perform the duties of the position; and

(iii) Does not require the employee to perform functions that are comparable to functions performed in other units of the Executive Branch of State government.

(3) The Secretary of Budget and Management, in consultation with the Commission, shall determine the positions for which the Commission may set compensation under paragraph (2) of this subsection.

(4) The Deputy Director and each principal section chief of the Commission serve at the pleasure of the Commission.

(5) The Commission, in consultation with the Secretary, may determine the appropriate job classifications for the Executive Director, Deputy Director, and each principal section chief of the Commission.
Md. Code, Business Occupations and Professions § 19-412 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-412
§19–412.
Status: in_force

(a) The Maryland Police Training and Standards Commission shall identify initial and continuing training programs for security guard certification and renewal of certification, as required in §§ 19–402 and 19–404.1 of this subtitle.

(b) The training programs under subsection (a) of this section shall include training on the following:

(1) relevant criminal law;

(2) the appropriate use of force;

(3) the use of alternatives to force;

(4) the use of de–escalation techniques; and

(5) promoting appropriate interactions with individuals who:

(i) are under 18 years of age;

(ii) have behavioral health or other disabilities; or

(iii) are in crisis.

(c) Subject to subsection (d) of this section, the training programs identified by the Maryland Police Training and Standards Commission under subsection (a) of this section shall satisfy the following training requirements:

(1) the 12–hour initial training requirement under § 19–402 of this subtitle; and

(2) the 8–hour continuing security training under § 19–404.1 of this subtitle.

(d) If the Maryland Police Training and Standards Commission is unable to identify an initial or continuing training program under subsection (a) of this section, the Commission shall establish an initial or continuing training program that meets the requirements under subsection (b) of this section.

(e) The Maryland Police Training and Standards Commission shall prominently publish the list of the programs identified under subsection (a) of this section or established by the Commission under subsection (d) of this section on the Commission’s website.
Md. Code, Health - General § 19-720 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-720
§19–720.
Status: in_force

(a) The State Health Services Cost Review Commission promptly shall give the Commissioner and the Secretary any financial information that the Commission acquires about each facility that is:

(1) Under the jurisdiction of the Commission; and

(2) Subject to this subtitle.

(b) If requested by the Commissioner or the Secretary, the State Health Services Cost Review Commission shall provide any other information that the Commission is authorized to acquire about health maintenance organizations regulated under this subtitle.
Md. Code, Health - General § 19-1207 — MD Code / Article ghg / Title 19 / Subtitle 12 / Section 19-1207
§19–1207.
Status: in_force

(a) A person may not hold himself out as providing a complete array of rehabilitation services unless the person provides comprehensive physical rehabilitation services.

(b) A health care facility may not provide or hold itself out as providing any specialized rehabilitation program unless the facility is licensed by the Department.

(c) A person may not provide comprehensive physical rehabilitation services unless the person meets the requirements of this subtitle.
Md. Code, Health - General § 19-721 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-721
§19–721.
Status: in_force

(a) Unless previously suspended or revoked, each original and renewal certificate of authority issued under this subtitle to a health maintenance organization expires at midnight on the November 30 after its effective date.

(b) On payment of an annual renewal fee of $25 by the health maintenance organization before the expiration date of its certificate of authority, its certificate remains in effect until a new certificate of authority is issued or specifically refused.
Md. Code, Health - General § 19-339 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-339
§19–339.
Status: in_force

(a) (1) The owner or operating entity or receiver of a nursing home or community program may petition the court to terminate the receivership.

(2) The court shall terminate the receivership, if the court finds:

(i) The grounds for appointment of the receiver under Part V of this subtitle no longer exist; or

(ii) The nursing home or community program is ready to be closed because all residents have been moved.

(b) A receivership ends automatically 1 year after the court appoints the receiver, unless the court:

(1) Terminates the receivership sooner; or

(2) On petition of the Secretary, extends the receivership for an additional 1-year period because the court finds that the grounds for appointment of a receiver under Part V of this subtitle still exist.

(c) The sale of a nursing home or site for a community program or any of its assets does not terminate a receivership of the nursing home or community program.
Md. Code, Health - General § 19-146 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-146
§19–146.
Status: in_force

(a) In this Part V of this subtitle the following words have the meanings indicated.

(b) “Carrier” has the meaning stated in § 15–1301 of the Insurance Article.

(c) “Enrollee” means an individual entitled to health benefits from a carrier.

(d) “Physician rating system” has the meaning stated in § 15–1701 of the Insurance Article.

(e) “Ratings examiner” means an independent entity that is approved by the Commission to review physician rating systems.
Md. Code, Health - General § 19-4A-10 — MD Code / Article ghg / Title 19 / Subtitle 4A / Section 19-4A-10
§19–4A–10.
Status: in_force

(a) Except as provided by federal law, licensure under this subtitle does not entitle a residential service agency to reimbursement by a third party payor.

(b) The Department may reimburse a residential service agency for personal assistance services only if the personal assistance services are provided by an individual classified as an employee.
Md. Code, Insurance § 19-601 — MD Code / Article gin / Title 19 / Subtitle 6 / Section 19-601
§19–601.
Status: in_force

The following may pool together to purchase property insurance or casualty insurance:

(1) associations, corporations, institutions, organizations, or societies that are exempt from taxation under § 501(c)(3) of the Internal Revenue Code;

(2) clubs that are organized and operated exclusively for recreational purposes and are exempt from taxation under § 501(c)(7) of the Internal Revenue Code;

(3) nonprofit associations, corporations, or other organizations that are comprised of residents of a community and are operated exclusively for the promotion of social welfare and general neighborhood improvement; and

(4) nonprofit organizations that are comprised of property owners in a subdivision or group of subdivisions and whose purpose is to represent the mutual interests of the property owners regarding the construction, protection, and maintenance of commonly owned or used property and improvements.
Md. Code, Health - General § 19-3A-06 — MD Code / Article ghg / Title 19 / Subtitle 3A / Section 19-3A-06
§19–3A–06.
Status: in_force

The circuit court for a county in which a person is operating a freestanding medical facility in violation of a provision of this subtitle may enjoin further operation of the freestanding medical facility that violates this subtitle.
Md. Code, Local Government § 19-505 — MD Code / Article glg / Title 19 / Subtitle 5 / Section 19-505
§19–505.
Status: in_force

(a) A county may not issue bonds that mature later than 40 years after the date of issue.

(b) A county may issue bonds only for cash.

(c) A county may not sell bonds at less than par value.

(d) If a legally sufficient referendum petition on a public local law authorizing the issuance of bonds is properly filed with the county board of elections, the bonds may be issued only if the public local law is approved by a majority of the voters voting on the question.

(e) Any bonds sold by a county are subject to §§ 19–205 and 19–206 of this title, unless the public local law authorizing the bonds provides a specific exemption.
Md. Code, Public Utilities § 19-103 — MD Code / Article gpu / Title 19 / Subtitle 1 / Section 19-103
§19–103.
Status: in_force

(a) A commissioner shall disclose any conflicts of interest under the Maryland Public Ethics Law at a Commission meeting.

(b) The commissioner may not participate in any decision or act affected by the conflict of interest.
Md. Code, Health - General § 19-4B-02 — MD Code / Article ghg / Title 19 / Subtitle 4B / Section 19-4B-02
§19–4B–02.
Status: in_force

This subtitle does not limit the right of any person who holds a license under this article to act as authorized by that license.
Md. Code, Health - General § 19-307 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-307
§19–307.
Status: in_force

(a) (1) A hospital shall be classified:

(i) As a general hospital if the hospital at least has the facilities and provides the services that are necessary for the general medical and surgical care of patients;

(ii) As a special hospital if the hospital:

1. Defines a program of specialized services, such as obstetrics, mental health, tuberculosis, orthopedy, chronic disease, or communicable disease;

2. Admits only patients with medical or surgical needs within the program; and

3. Has the facilities for and provides those specialized services;

(iii) As a special rehabilitation hospital if the hospital meets the requirements of this subtitle and Subtitle 12 of this title; or

(iv) As a limited service hospital if the health care facility:

1. Is licensed as a hospital on or after January 1, 1999;

2. Changes the type or scope of services offered by eliminating the capability to admit or retain individuals for overnight hospitalization;

3. Retains an emergency or urgent care center; and

4. Complies with the regulations adopted by the Secretary under § 19-307.1 of this subtitle.

(2) The Secretary may set, by rule or regulation, other reasonable classifications for hospitals.

(b) A related institution shall be classified:

(1) As a care home if the related institution provides care to individuals who, because of advanced age or physical or mental disability, require domiciliary care or personal care in a protective environment; or

(2) As a nursing home if the related institution:

(i) Provides nursing care for chronically ill or convalescent patients; or

(ii) Offers to provide 24-hour a day nursing care of patients in a home-type facility such as:

1. A convalescent home;

2. A nursing unit of a home for the aged;

3. A psychiatric nursing home;

4. A nursing facility for individuals with disabilities;

5. A home for alcoholics; or

6. A halfway house.
Md. Code, Local Government § 19-102 — MD Code / Article glg / Title 19 / Subtitle 1 / Section 19-102
§19–102.
Status: in_force

(a) This section applies to a financial officer who is entrusted with the duty of investing the sinking funds or other funds accumulated or to be accumulated for the retirement of debts or other obligations of a county, municipality, public corporation, special district, or political subdivision of the State.

(b) If a State or local law requires a financial officer to invest any portion of a sinking fund or other funds accumulated or to be accumulated for the retirement of debts or other obligations, the financial officer shall invest the funds in the following classes of securities:

(1) the bonds or other obligations for the retirement of which the sinking fund is or will be created;

(2) the bonds, stock, or other valid obligations of the State or of any county, municipality, public corporation, special district, or other political subdivision of the State;

(3) the bonds or other obligations of the United States;

(4) United States Treasury Certificates; or

(5) bonds of any public corporation or other body, guaranteed as to payment of principal and interest by the United States.

(c) If a financial officer purchases a security under subsection (b) of this section at a premium, the financial officer shall make adjustments out of the interest received from the security to reimburse any sinking fund in the custody of the financial officer for the premium paid before the maturity of the security.

(d) A security purchased under subsection (b) of this section that may be registered shall be registered in the name of the financial officer for the purpose for which the security is purchased.

(e) (1) Pending investment or reinvestment, a financial officer shall deposit any uninvested money or other funds belonging to a sinking fund described in subsection (a) of this section in a banking institution or trust company located in the State.

(2) The financial officer shall demand adequate security from the banking institution or trust company for the amount of the deposit in excess of the guarantee of the Federal Deposit Insurance Corporation.

(3) The security may consist of:

(i) any of the classes of securities listed in subsection (b) of this section; or

(ii) a surety bond of a corporate surety company qualified to do business in the State.

(4) A deposit may not be made unless security is provided in accordance with this subsection.
Md. Code, Insurance § 19-1106 — MD Code / Article gin / Title 19 / Subtitle 11 / Section 19-1106
§19–1106.
Status: in_force

(a) A pet insurer or pet insurance producer may not, except as provided in subsection (c) of this section and § 19–1107 of this subtitle, market a wellness program as a pet insurance policy.

(b) If a pet insurer or pet insurance producer sells a wellness program:

(1) the purchase of the wellness program may not be a requirement to purchase the pet insurance;

(2) the costs and the terms and conditions of the wellness program shall be separate and identifiable from any pet insurance policy sold by a pet insurer or pet insurance producer;

(3) the products or coverages available through the wellness program may not duplicate products or coverages available through the pet insurance policy;

(4) the advertising of the wellness program shall accurately and clearly describe the wellness program; and

(5) the pet insurer or pet insurance producer shall clearly and in 12 point boldface type disclose to consumers:

(i) that, except as provided in subsection (c) of this section and § 19–1107 of this subtitle, wellness programs are not insurance;

(ii) the Administration’s mailing address, toll–free telephone number, and website address; and

(iii) the address and customer service telephone number of the pet insurer or producer or insurance producer of record for the pet insurer.

(c) Coverage that is included in the pet insurance policy contract described as a “wellness” benefit is insurance.
Md. Code, Health - General § 19-1901 — MD Code / Article ghg / Title 19 / Subtitle 19 / Section 19-1901
§19–1901.
Status: in_force

(a) In this subtitle the following words have the meanings indicated.

(b) “Adult dependent care program” means:

(1) An adult day care facility regulated under Title 14, Subtitle 2 of this article;

(2) An assisted living program facility regulated under Subtitle 18 of this title;

(3) A group home regulated under Title 10, Subtitle 5 or Title 7, Subtitle 6 of this article;

(4) A home health agency regulated under Subtitle 4 of this title;

(5) A congregate housing services program regulated under Title 10, Subtitle 2 of the Human Services Article;

(6) A residential service agency as defined under § 19–4A–01 of this title;

(7) An alternative living unit as defined under § 7–101 of this article;

(8) A hospice facility regulated under Subtitle 9 of this title; or

(9) A related institution regulated under Subtitle 3 of this title.

(c) “Background check” means a check of court and other records by a private agency.

(d) “Conviction” means a:

(1) Plea or verdict of guilty;

(2) Plea of nolo contendere;

(3) Disposition of probation before judgment; or

(4) Disposition of not criminally responsible.

(e) “Criminal history records check” means a check of criminal history record information, as defined in § 10-201 of the Criminal Procedure Article, by the Department of Public Safety and Correctional Services.

(f) “Department” means the Department of Public Safety and Correctional Services.

(g) “Disclosure statement” means a sworn statement or affirmation of the existence of a criminal conviction or pending criminal charges without a final disposition.

(h) (1) “Eligible employee” means an individual:

(i) Who, for compensation, works for an adult dependent care program;

(ii) Who has routine, direct access to dependent adults in the program; and

(iii) Who is not licensed or certified under the Health Occupations Article.

(2) “Eligible employee” does not include an individual delivering or retrieving medical equipment.

(i) “Printed statement” means a document issued by the Criminal Justice Information System Central Repository in the Department of Public Safety and Correctional Services in response to an application for a criminal history records check.

(j) “Private agency” means a person that:

(1) Is licensed as a private detective agency under Title 13, Subtitle 3 of the Business Occupations and Professions Article;

(2) Maintains an errors and omissions insurance policy in an amount not less than $1,000,000;

(3) Offers customer assistance in the use of background checks for employment purposes; and

(4) Is capable of conducting a background check within the State within 2 working days of a request and outside the State within 5 working days of a request.

(k) “Secretary” means the Secretary of Public Safety and Correctional Services.
Md. Code, Insurance § 19-206 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-206
§19–206.
Status: in_force

(a) (1) An insurer that sells or negotiates homeowner’s insurance in the State shall provide an applicant, at the time a policy of homeowner’s insurance is initially purchased, with a written notice that states that a standard homeowner’s insurance policy does not cover losses from flood.

(2) If an application is made by telephone, the insurer is deemed to be in compliance with this section if, within 7 calendar days after the date of application, the insurer sends the notice to the applicant or insured by a first–class mail tracking method.

(3) If an application is made using the Internet, the insurer is deemed to be in compliance with this section if the insurer provides the notice to the applicant prior to the submission of the application.

(b) The notice shall:

(1) state that flood insurance may be available through the National Flood Insurance Program or other sources;

(2) provide the applicant with the contact information for the National Flood Insurance Program;

(3) advise the applicant to confirm the need for flood insurance with the National Flood Insurance Program or the applicant’s mortgage lender;

(4) advise the applicant to contact the National Flood Insurance Program, the applicant’s insurer, or the applicant’s insurance producer for information about flood insurance;

(5) advise the applicant that flood insurance may be available for covered structures and their contents;

(6) advise the applicant that a claim under a flood insurance policy may be adjusted and paid on a different basis than a claim under a homeowner’s insurance policy; and

(7) advise the applicant that a separate application must be completed to purchase flood insurance.

(c) A notice required to be sent by a first–class mail tracking method under this section may be sent with the statement required under § 19–207 of this subtitle.

(d) A notice provided under this section does not create a private right of action.

(e) A notice required by this section may be delivered by electronic means if the insurer complies with the requirements of § 27–601.2 of this article.
Md. Code, Health - General § 19-142 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-142
§19–142.
Status: in_force

(a) In this Part IV of this subtitle the following words have the meanings indicated.

(b) “Carrier” means:

(1) An insurer;

(2) A nonprofit health service plan;

(3) A health maintenance organization; or

(4) Any other person that provides health benefit plans subject to regulation by the State.

(c) “Electronic health record” means an electronic record of health–related information on an individual that:

(1) Includes patient demographic and clinical health information; and

(2) Has the capacity to:

(i) Provide clinical decision support;

(ii) Support physician order entry;

(iii) Capture and query information relevant to health care quality; and

(iv) Exchange electronic health information with and integrate the information from other sources.

(d) (1) “Health benefit plan” means a hospital or medical policy, contract, or certificate issued by a carrier.

(2) “Health benefit plan” does not include:

(i) Coverage for accident or disability income insurance;

(ii) Coverage issued as a supplement to liability insurance;

(iii) Liability insurance, including general liability insurance and automobile liability insurance;

(iv) Workers’ compensation or similar insurance;

(v) Automobile or property medical payment insurance;

(vi) Credit–only insurance;

(vii) Coverage for on–site medical clinics;

(viii) Dental or vision insurance;

(ix) Long–term care insurance or benefits for nursing home care, home health care, community–based care, or any combination of these;

(x) Coverage only for a specified disease or illness;

(xi) Hospital indemnity or other fixed indemnity insurance; or

(xii) The following benefits if offered as a separate insurance policy:

1. Medicare supplemental health insurance, as defined in § 1882(g)(1) of the Social Security Act;

2. Coverage supplemental to the coverage provided under Chapter 55 of Title 10, U.S.C.; or

3. Similar supplemental coverage provided to coverage under an employer–sponsored plan.

(e) (1) “Health care provider” means:

(i) A person who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care in the ordinary course of business or practice of a profession or in an approved education or training program; or

(ii) A facility where health care is provided to patients or recipients, including:

1. A facility, as defined in § 10–101(g) of this article;

2. A hospital, as defined in § 19–301 of this title;

3. A related institution, as defined in § 19–301 of this title;

4. An outpatient clinic;

5. A freestanding medical facility, as defined in § 19–3A–01 of this title;

6. An ambulatory surgical facility, as defined in § 19–3B–01 of this title; and

7. A nursing home, as defined in § 19–1401 of this title.

(2) “Health care provider” does not include a health maintenance organization as defined in § 19–701 of this title.

(f) “Health information exchange” has the meaning stated in § 4–301 of this article.

(g) “Management service organization” means an organization that offers one or more hosted electronic health record solutions and other management services to multiple health care providers.

(h) “State–designated health information exchange” means the health information exchange designated by the Maryland Health Care Commission and the Health Services Cost Review Commission under § 19–143 of this subtitle.

(i) (1) “State–regulated payor” means a carrier issuing or delivering health benefit plans in the State.

(2) “State–regulated payor” does not include a managed care organization as defined in Title 15, Subtitle 1 of this article.
Md. Code, Health - General § 19-725 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-725
§19–725.
Status: in_force

(a) A health maintenance organization may not cancel the enrollment of a member or refuse to transfer a member from a group to an individual basis because of age, sex, sexual orientation, gender identity, religious beliefs, disability, race, or health status.

(b) A health maintenance organization may cancel a contract with a member who violates any published policy of the health maintenance organization that has been approved by the Commissioner and the Department under their joint internal procedures.
Md. Code, Business Regulation § 19-606 — MD Code / Article gbr / Title 19 / Subtitle 6 / Section 19-606
§19–606.
Status: in_force

An international marriage broker shall be deemed to be doing business in the State if it contracts for services with a Maryland resident or is considered to be doing business under other laws of the State.
Md. Code, Health - General § 19-1C-01 — MD Code / Article ghg / Title 19 / Subtitle 1C / Section 19-1C-01
§19–1C–01.
Status: in_force

(a) Before the Department approves the operation of a facility under this title, including by granting a license to the facility, the Department shall require the facility to establish and implement:

(1) A safety plan for the safety of the individuals served by the facility; and

(2) A community relations plan, if the facility is:

(i) Accredited by an accreditation organization, as defined in § 19–2301 of this title; and

(ii) Required by the accreditation organization to establish and implement a community relations plan.

(b) The Department may authorize a facility to satisfy the requirement under:

(1) Subsection (a)(1) of this section by implementing a safety plan established for the facility for another purpose, including an emergency plan; and

(2) Subsection (a)(2) of this section by implementing the community relations plan required by the accreditation organization.

(c) A facility in operation on or before September 30, 2021, shall submit a safety plan on or before October 1, 2023, in accordance with this section.

(d) Each facility shall revise its safety plan not less than every 5 years.

(e) A facility may satisfy the requirement under subsection (c) of this section by implementing a safety or emergency plan established for the facility for another purpose.
Md. Code, Alcoholic Beverages and Cannabis § 19-503 — MD Code / Article gab / Title 19 / Subtitle 5 / Section 19-503
§19–503.
Status: in_force

(a) A holder of a wholesaler’s license may enter into an agreement with a holder of a per diem license issued under Subtitle 13 of this title to deliver beer on the effective date of the per diem license and accept returns on the same day.

(b) The agreement entered into under subsection (a) of this section shall include the type of equipment, services, personnel, and supplies required to dispense draft beer.
Md. Code, Insurance § 19-208 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-208
§19–208.
Status: in_force

(a) A policy of homeowner’s, fire, farmowner’s, or dwelling insurance that provides coverage for additional living expenses incurred by an insured as a result of a covered loss may not be issued, sold, or delivered in the State if the policy contains language that limits coverage for additional living expenses to a period of time that is less than 12 months.

(b) A clause in a policy of homeowner’s, fire, farmowner’s, or dwelling insurance that purports to limit coverage for additional living expenses incurred by an insured as a result of a covered loss to a period of time that is less than 12 months is void and unenforceable.

(c) Notwithstanding subsection (a) of this section, the Commissioner may require an insurer to provide coverage for additional living expenses under a policy of homeowner’s, fire, farmowner’s, or dwelling insurance for up to 24 months if the Commissioner finds that covered property remains uninhabitable due to delays in repair or replacement caused:

(1) by the insurer; or

(2) by factors beyond the control of the insured.

(d) Nothing in this section shall be construed to:

(1) prohibit or prevent the enforcement of a monetary limit of liability for additional living expenses under a policy of homeowner’s, fire, farmowner’s, or dwelling insurance;

(2) prohibit an insurer from denying coverage for additional living expenses if the carrier determines that at the time the additional living expenses were incurred the covered property was not unfit to live in; or

(3) prohibit an insurer from denying coverage for additional living expenses on the grounds that the covered property was unfit to live in at the time that the additional living expenses were incurred because of delays in repair or replacement caused by the insured.
Md. Code, Commercial Law § 19-203 — MD Code / Article gcl / Title 19 / Subtitle 2 / Section 19-203
§19–203.
Status: in_force

This title does not require the repurchasing from a dealer of:

(1) A repair part with a limited storage life or otherwise subject to deterioration, such as a gasket or battery, except for industrial “press on” industrial pneumatic tires;

(2) A single repair part that is priced as a set of two or more items;

(3) A repair part that, because of its condition, is not resalable as a new part without repackaging or reconditioning;

(4) A repair part that is not in new, unused, and undamaged condition;

(5) An item of inventory for which a dealer does not have title free of all claims, liens, and encumbrances other than those of the supplier;

(6) Any inventory that the dealer chooses to retain;

(7) Any inventory that was ordered by the dealer after either party’s receipt of notice of termination of a franchise agreement;

(8) Any farm implements or machinery, construction, utility, or industrial equipment, outdoor power equipment, outdoor power sports equipment, or attachments that are not current models or that are not in new, unused, undamaged, complete condition, provided that equipment that is used in demonstrations or leased under § 19–202 of this subtitle shall be considered new and unused;

(9) Any farm implements or machinery, construction, utility, or industrial equipment, outdoor power equipment, outdoor power sports equipment, or attachments that were purchased more than 36 months before notice of termination of the contract; or

(10) Any inventory that was acquired by the dealer from a source other than the supplier.
Md. Code, Health - General § 19-111 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-111
§19–111.
Status: reserved

(a) (1) In this section the following words have the meanings indicated.

(2) “Fund” means the Maryland Health Care Commission Fund.

(3) “Health benefit plan” has the meaning stated in § 15–1201 of the Insurance Article.

(4) “Health care practitioner” means any individual who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care services.

(5) “Nursing home” means a related institution that is classified as a nursing home.

(6) “Payor” means:

(i) A health insurer or nonprofit health service plan that holds a certificate of authority and provides health insurance policies or contracts in the State in accordance with this article or the Insurance Article; or

(ii) A health maintenance organization that holds a certificate of authority in the State.

(b) Subject to the provisions of subsection (d) of this section, the Commission shall assess a fee on:

(1) All hospitals;

(2) All nursing homes;

(3) All payors; and

(4) All health care practitioners.

(c) (1) The total fees assessed by the Commission may not exceed $20,000,000.

(2) (i) The fees assessed by the Commission shall be used exclusively to cover the actual documented direct costs of fulfilling the statutory and regulatory duties of the Commission in accordance with the provisions of this subtitle.

(ii) The costs of the Commission include the administrative costs incurred by the Department on behalf of the Commission.

(iii) The amount to be paid by the Commission to the Department for administrative costs, not to exceed 30.5% of the salaries of the Commission, shall be based on indirect costs or services benefiting the Commission, less overhead costs paid directly by the Commission.

(3) The Commission shall pay all funds collected from the fees assessed in accordance with this section into the Fund.

(4) The fees assessed may be expended only for purposes authorized by the provisions of this subtitle.

(5) The amount in paragraph (1) of this subsection limits only the total fees the Commission may assess in a fiscal year.

(d) In determining assessments of the total fees, the Commission shall:

(1) Use a methodology that accounts for the portion of the Commission’s workload attributable to each industry assessed; and

(2) Recalculate workload distribution every 4 years.

(e) (1) The fees assessed in accordance with this section on health care practitioners shall be:

(i) Included in the licensing fee paid to the health care practitioner’s licensing board; and

(ii) Transferred by the health care practitioner’s licensing board to the Commission on a quarterly basis.

(2) The Commission may adopt regulations that waive the fee assessed under this section for a specific class of health care practitioners.

(3) (i) Subject to subparagraph (ii) of this paragraph, the Commission shall adopt regulations to permit a waiver of the fee assessment requirements for certain health care practitioners.

(ii) In adopting regulations to permit a waiver of the fee assessment requirements for certain health care practitioners, the Commission shall:

1. Consider the hourly wages of the health care practitioners; and

2. Give preference to exempting health care practitioners with an average hourly wage substantially below that of other health care practitioners.

(f) (1) There is a Maryland Health Care Commission Fund.

(2) The Fund is a special continuing, nonlapsing fund that is not subject to § 7–302 of the State Finance and Procurement Article.

(3) The Treasurer shall separately hold, and the Comptroller shall account for, the Fund.

(4) The Fund shall be invested and reinvested in the same manner as other State funds.

(5) Any investment earnings shall be retained to the credit of the Fund.

(6) The Fund shall be subject to an audit by the Office of Legislative Audits as provided for in § 2–1220 of the State Government Article.

(7) This section may not be construed to prohibit the Fund from receiving funds from any other source.

(8) The Fund shall be used only to provide funding for the Commission and for the purposes authorized under this subtitle.

(g) The Commission shall:

(1) (i) Assess fees on payors in a manner that apportions the total amount of the fees to be assessed on payors under subsection (d)(1) of this section among each payor based on the ratio of each payor’s total premiums written in the State for health benefit plans to the total written premiums of all payors written in the State; and

(ii) On or before June 30 of each year, assess each payor a fee in accordance with item (i) of this item;

(2) (i) Assess fees for each hospital equal to the sum of:

1. The amount equal to one–half of the total fees to be assessed on hospitals under subsection (d)(1) of this section times the ratio of admissions of the hospital to total admissions of all hospitals; and

2. The amount equal to one–half of the total fees to be assessed on hospitals under subsection (d)(1) of this section times the ratio of gross operating revenue of each hospital to total gross operating revenues of all hospitals;

(ii) Establish minimum and maximum assessments; and

(iii) On or before June 30 of each year, assess each hospital a fee in accordance with item (i) of this item; and

(3) (i) Assess fees for each nursing home equal to the sum of:

1. The amount equal to one–half of the total fees to be assessed on nursing homes under subsection (d)(1) of this section times the ratio of admissions of the nursing home to total admissions of all nursing homes; and

2. The amount equal to one–half of the total fees to be assessed on nursing homes under subsection (d)(1) of this section times the ratio of gross operating revenue of each nursing home to total gross operating revenues of all nursing homes;

(ii) Establish minimum and maximum assessments; and

(iii) On or before June 30 of each year, assess each nursing home a fee in accordance with item (i) of this item.

(h) (1) On or before September 1 of each year, each payor, hospital, and nursing home assessed under this section shall make payment to the Commission.

(2) The Commission shall make provisions for partial payments.

(i) Any bill not paid within 30 days of the payment due date may be subject to an interest penalty to be determined and collected by the Commission.
Md. Code, Insurance § 19-104.1 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-104.1
§19–104.
Status: in_force

§19–104.1.

On request, an insurer that issues or delivers medical professional liability insurance policies in the State shall provide the Maryland Department of Health with information regarding the insurer’s policy related to coverage of obstetric services, including coverage for a vaginal birth after cesarean.
Md. Code, Health - General § 19-1206 — MD Code / Article ghg / Title 19 / Subtitle 12 / Section 19-1206
§19–1206.
Status: in_force

The Secretary may revoke a license issued under this subtitle or may revoke the authority to provide comprehensive physical rehabilitation services for any health care facility or person that does not meet each requirement of this subtitle or any regulation adopted by the Secretary under this subtitle.
Md. Code, Health - General § 19-308.1 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.1
§19–308.
Status: in_force

§19–308.1.

(a) (1) In this section, “patient care personnel” means an individual whom a related institution employs to provide health related or personal care services.

(2) “Patient care personnel” does not include an individual who provides general administrative, nonmedical supervisory, or record keeping services in a related institution.

(b) The Secretary may adopt reasonable rules and regulations that set minimum qualifications for patient care personnel who are not licensed under the Health Occupations Article.
Md. Code, Alcoholic Beverages and Cannabis § 19-1902 — MD Code / Article gab / Title 19 / Subtitle 19 / Section 19-1902
§19–1902.
Status: in_force

A holder of a Class A beer license may employ an individual at least 16 years old to stock beer at the license holder’s premises.
Md. Code, Health - General § 19-4A-05 — MD Code / Article ghg / Title 19 / Subtitle 4A / Section 19-4A-05
§19–4A–05.
Status: in_force

To qualify for a license, an applicant:

(1) Shall show that the residential service agency will provide appropriate home health care providers to sick or disabled individuals who may be provided care in the individual’s residence, instead of in a hospital;

(2) Shall meet any additional requirements that the Department adopts; and

(3) May not be required to meet the requirements of Subtitle 1 of this title for certificate of need.
Md. Code, Insurance § 19-503 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-503
§19–503.
Status: in_force

(a) The Commissioner may adopt regulations to carry out this subtitle.

(b) The Commissioner may review any motor vehicle liability insurance policy issued, sold, or delivered in the State to determine whether it complies with this subtitle and regulations adopted under this subtitle.
Md. Code, Health - General § 19-108.4 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-108.4
§19–108.
Status: in_force

§19–108.4.

(a) In this section, “primary care” means health care provided in the following fields’ outpatient settings:

(1) Family medicine;

(2) General pediatrics;

(3) Primary care internal medicine;

(4) Primary care obstetrics and gynecology;

(5) Primary care nurse practitioner services; and

(6) Primary care midwifery.

(b) On or before December 1 each year, beginning in 2024, the Commission shall provide a report to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly that includes:

(1) An analysis of primary care investment over the immediately preceding year, including data stratified by zip code and county, in relation to total health care spending over the previous year;

(2) Ways to improve the quality of and access to primary care services, with special attention to increasing health care equity, reducing health care disparities, and avoiding increased costs to patients and the health care system; and

(3) Any findings and recommendations of the Commission.

(c) (1) The Commission shall form a workgroup to develop the report required under subsection (b) of this section, including by interpreting the results of the required analysis and making the recommendations.

(2) The workgroup required under this subsection shall include representatives of:

(i) The Maryland Primary Care Program;

(ii) The Health Services Cost Review Commission;

(iii) The Maryland Insurance Administration;

(iv) The Health Care Financing Division of the Maryland Department of Health;

(v) The primary care community, including from the Maryland Academy of Family Physicians, the Maryland Chapter of the American Academy of Pediatrics, the Maryland Section of the American College of Obstetricians and Gynecologists, the Maryland Nurses Association, the Maryland Affiliate – American College of Nurse Midwives, the Maryland Community Health System, and the MidAtlantic Association of Community Health Centers;

(vi) Payors of primary care services, including carriers and managed care organizations;

(vii) Health services researchers with expertise in primary care; and

(viii) Other interested stakeholders.
Md. Code, Insurance § 19-602 — MD Code / Article gin / Title 19 / Subtitle 6 / Section 19-602
§19–602.
Status: in_force

(a) In this section, “public entity” means:

(1) a political subdivision of the State;

(2) a unit of the State or a local government;

(3) a nonprofit or nonstock corporation that:

(i) receives 50% or more of its annual operating budget from the State or a local government; and

(ii) is exempt from taxation under § 501(c)(3) or (4) of the Internal Revenue Code; or

(4) a Resilience Authority as defined in § 22–101 of the Local Government Article.

(b) Public entities may pool together to purchase casualty insurance, property insurance, or health insurance or to self–insure against casualty, property, or health risks.
Md. Code, Insurance § 19-214 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-214
§19–214.
Status: in_force

(a) An insurer that offers homeowner’s insurance in the State shall provide a written notice to the insured at the time of application or issuance and at each renewal of the policy that states, in substantially similar language, that, in addition to the other allowable reasons for cancellation or refusal to renew under Maryland law:

(1) the insurer may cancel or refuse to renew coverage on the basis of the number of claims made by the policyholder within the preceding 3–year period; and

(2) the insurer may cancel or refuse to renew coverage on the basis of:

(i) three or more weather–related claims made within the preceding 3–year period;

(ii) one or more weather–related claims made within the preceding 3–year period if the insurer has provided written notice to the insured for reasonable or customary repairs or replacement specific to the insured’s premises or dwelling that:

1. the insured failed to make; and

2. if made, would have prevented the loss for which a claim was made; and

(iii) a change in the physical condition or contents of the premises that:

1. increases the hazard insured against; and

2. if present and known to the insurer before the issuance of the policy, would have caused the insurer to refuse to issue the policy.

(b) In order to support cancellation or refusal to renew under subsection (a)(2)(ii) of this section, the written notice:

(1) must refer to specific conditions known to the insurer concerning the insured’s specific premises or dwelling; and

(2) may not be a general notification of repairs or replacements common to that type of premises or dwelling.

(c) A notice required by this section may be delivered by electronic means if the insurer complies with the requirements of § 27–601.2 of this article.

(d) An insurer may comply with the renewal notice requirements of this section by sending the notice authorized by § 19–216 of this subtitle.
Md. Code, Business Regulation § 19-102 — MD Code / Article gbr / Title 19 / Subtitle 1 / Section 19-102
§19–102.
Status: in_force

(a) This section applies to each corporation or company that acts as a common carrier or forwarder in the State, including a railroad, steamboat, transportation, or forwarding company.

(b) (1) Except as provided in subsection (c) of this section, a common carrier or forwarder may sell at public auction freight that is forwarded on the common carrier or forwarder to a point in the State if:

(i) for 3 months after arriving at its destination the freight remains unclaimed and the legal charges on the freight remain unpaid;

(ii) the owner or consignee cannot be found after diligent inquiry, or, for 3 months after being found and notified of the arrival of the freight, does not receive the freight and pay the legal charges on the freight; and

(iii) the common carrier or forwarder at least 10 days before the sale has posted notices of the time and place of the sale in three public places in the county or municipal corporation in which the sale is to be made.

(2) Out of the proceeds of the sale the common carrier or forwarder:

(i) may pay the legal charges, including the costs of storage of the freight; and

(ii) shall pay, on demand, any balance to the owner or consignee of the freight.

(c) (1) A judge of the circuit court for a county in which freight is located that has been forwarded by a common carrier or forwarder may pass an order for the sale of the freight if the judge deems the sale expedient, on the terms and notice that the order prescribes, if:

(i) the common carrier or forwarder files with the judge an application, verified by affidavit, that sets forth the reasons for which the application is made;

(ii) the freight is livestock, is perishable, or is so damaged or of such other character as to make it impracticable for it to remain in the possession of the company owning or operating the common carrier or forwarder for 3 months after its arrival at its destination; and

(iii) the owner or consignee cannot be found after diligent inquiry, or, for 24 hours after being found and notified of the arrival of the freight, does not receive the freight and pay the legal charges on the freight.

(2) Out of the proceeds of the sale, the common carrier or forwarder:

(i) may pay the expenses incident to the sale and legal charges, including the cost of the keep of the livestock or the cost of storage of the freight; and

(ii) shall pay, on demand, any balance to the owner or consignee of the freight.

(d) (1) In this subsection, “baggage” includes personal baggage, sample packages, bundles, or luggage.

(2) A common carrier or forwarder may sell at public auction baggage that is transported by the common carrier or forwarder to any point in the State if:

(i) the baggage remains at its destination for 3 months or, if it is lost or stray baggage, remains unclaimed by the owner or the consignee for 3 months at the place to which it has been transported;

(ii) the owner or consignee cannot be found after diligent inquiry, or, after being found and notified of the arrival of the baggage, does not receive the baggage and pay the reasonable charges on the baggage; and

(iii) the common carrier or forwarder at least 10 days before the sale has posted notices of the time and place of the sale in three public places in the county or municipal corporation in which the sale is to be made.

(3) Out of the proceeds of the sale the common carrier or forwarder:

(i) may pay the legal charges, including the costs of storage of the baggage; and

(ii) shall pay, on demand, any balance to the owner or consignee of the baggage.
Md. Code, Health - General § 19-2102 — MD Code / Article ghg / Title 19 / Subtitle 21 / Section 19-2102
§19–2102.
Status: in_force

§19–2102. IN EFFECT

// EFFECTIVE UNTIL JUNE 30, 2035 PER CHAPTER 386 OF 2024 //

(a) There is a Maryland Community Health Resources Commission.

(b) The Commission is an independent commission that operates within the Department.

(c) The purpose of the Commission is to increase access to health care through community health resources.
Md. Code, Health - General § 19-1415 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1415
§19–1415.
Status: in_force

(a) In this section, “change in condition” means a significant change in the resident’s physical, mental, or psychological status including:

(1) Life-threatening conditions such as heart attack or stroke;

(2) Clinical complications such as:

(i) Development of a pressure sore;

(ii) Onset of recurrent periods of delirium;

(iii) Onset of recurrent urinary tract infection;

(iv) Onset of depression; or

(v) Onset of aggressive or inappropriate behavior;

(3) The need to discontinue a medication or treatment because of:

(i) Adverse consequences; or

(ii) The need to begin a new form of treatment;

(4) Evaluation at or admission to a hospital; and

(5) Accidents that result in injury having the potential for requiring a physician’s intervention.

(b) Consistent with State and federal confidentiality laws and in a timely manner, a nursing home shall notify a resident and, if applicable, the resident’s representative or interested family member of any:

(1) Change in condition;

(2) Adverse event that may result in a change in condition;

(3) Outcome or care that results in an unanticipated consequence; or

(4) Corrective action, if appropriate.

(c) If the Department determines that a nursing home failed to notify a resident, resident’s representative, or interested family member under subsection (b) of this section, the Department shall require as part of a plan of correction that the nursing home notify the resident, the resident’s representative, or interested family member as soon as possible.
Md. Code, Alcoholic Beverages and Cannabis § 19-602 — MD Code / Article gab / Title 19 / Subtitle 6 / Section 19-602
§19–602.
Status: in_force

(a) There is a Class B beer license.

(b) The license authorizes the license holder to sell beer at retail at a hotel or restaurant at the place described in the license for on– and off–premises consumption.

(c) The annual license fee is $250.
Md. Code, Local Government § 19-506 — MD Code / Article glg / Title 19 / Subtitle 5 / Section 19-506
§19–506.
Status: in_force

Any bonds issued in accordance with this subtitle shall be considered investment securities as provided in § 19–224 of this title and Title 8 of the Maryland Uniform Commercial Code.
Md. Code, Alcoholic Beverages and Cannabis § 19-1801 — MD Code / Article gab / Title 19 / Subtitle 18 / Section 19-1801
§19–1801.
Status: in_force

Title 4, Subtitle 4 (“Renewal of Local Licenses”) of Division I of this article applies in the county without exception or variation.
Md. Code, State Finance and Procurement § 19-119 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-119
§19–119.
Status: in_force

(a) In accordance with Title 10 of the State Government Article, the Commission shall adopt regulations to implement this title.

(b) The Commission may establish documentation and reporting requirements to further the purposes and intent of this title.
Md. Code, Health - General § 19-108.2 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-108.2
§19–108.
Status: in_force

§19–108.2.

(a) (1) In this section the following words have the meanings indicated.

(2) ‘‘Health care service” has the meaning stated in § 15–10A–01 of the Insurance Article.

(3) “Payor” means:

(i) An insurer or nonprofit health service plan that provides hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies or contracts that are issued or delivered in the State;

(ii) A health maintenance organization that provides hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State; or

(iii) A pharmacy benefits manager that is registered with the Maryland Insurance Commissioner.

(4) “Provider” has the meaning stated in § 19–7A–01 of this title.

(5) “Step therapy or fail–first protocol” has the meaning stated in § 15–142 of the Insurance Article.

(b) In addition to the duties stated elsewhere in this subtitle, the Commission shall work with payors and providers to attain benchmarks for:

(1) Standardizing and automating the process required by payors for preauthorizing health care services; and

(2) Overriding a payor’s step therapy or fail–first protocol.

(c) The benchmarks described in subsection (b) of this section shall include:

(1) On or before October 1, 2012 (“Phase 1”), establishment of online access for providers to each payor’s:

(i) List of health care services that require preauthorization; and

(ii) Key criteria for making a determination on a preauthorization request;

(2) On or before March 1, 2013 (“Phase 2”), establishment by each payor of an online process for:

(i) Accepting electronically a preauthorization request from a provider; and

(ii) Assigning to a preauthorization request a unique electronic identification number that a provider may use to track the request during the preauthorization process, whether or not the request is tracked electronically, through a call center, or by fax;

(3) On or before July 1, 2013 (“Phase 3”), establishment by each payor of an online preauthorization system to approve:

(i) In real time, electronic preauthorization requests for pharmaceutical services:

1. For which no additional information is needed by the payor to process the preauthorization request; and

2. That meet the payor’s criteria for approval;

(ii) Within 1 business day after receiving all pertinent information on requests not approved in real time, electronic preauthorization requests for pharmaceutical services that:

1. Are not urgent; and

2. Do not meet the standards for real–time approval under item (i) of this item; and

(iii) Within 2 business days after receiving all pertinent information, electronic preauthorization requests for health care services, except pharmaceutical services, that are not urgent;

(4) On or before July 1, 2015, establishment, by each payor that requires a step therapy or fail–first protocol, of a process for a provider to override the step therapy or fail–first protocol of the payor; and

(5) On or before July 1, 2015, utilization by providers of:

(i) The online preauthorization system established by payors; or

(ii) If a national transaction standard has been established and adopted by the health care industry, as determined by the Commission, the provider’s practice management, electronic health record, or e–prescribing system.

(d) The benchmarks described in subsections (b) and (c) of this section do not apply to preauthorizations of health care services requested by providers employed by a group model health maintenance organization as defined in § 19–713.6 of this title.

(e) The online preauthorization system described in subsection (c)(3) of this section shall:

(1) Provide real–time notice to providers about preauthorization requests approved in real time; and

(2) Provide notice to providers, within the time frames specified in subsection (c)(3)(ii) and (iii) of this section and in a manner that is able to be tracked by providers, about preauthorization requests not approved in real time.

(f) (1) The Commission shall establish by regulation a process through which a payor or provider may be waived from attaining the benchmarks described in subsections (b) and (c) of this section for extenuating circumstances.

(2) For a provider, the extenuating circumstances may include:

(i) The lack of broadband Internet access;

(ii) Low patient volume; or

(iii) Not making medical referrals or prescribing pharmaceuticals.

(3) For a payor, the extenuating circumstances may include:

(i) Low premium volume; or

(ii) For a group model health maintenance organization, as defined in § 19–713.6 of this title, preauthorizations of health care services requested by providers not employed by the group model health maintenance organization.

(g) (1) On or before October 1, 2012, the Commission shall reconvene the multistakeholder workgroup whose collaboration resulted in the 2011 report “Recommendations for Implementing Electronic Prior Authorizations”.

(2) The workgroup shall:

(i) Review the progress to date in attaining the benchmarks described in subsections (b) and (c) of this section; and

(ii) Make recommendations to the Commission for adjustments to the benchmark dates.

(h) If necessary to attain the benchmarks, the Commission may adopt regulations to:

(1) Adjust the Phase 2 or Phase 3 benchmark dates;

(2) Require payors and providers to comply with the benchmarks; and

(3) Establish penalties for noncompliance.
Md. Code, Health - General § 19-731 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-731
§19–731.
Status: in_force

(a) If a person violates any provision of §§ 19-705 and 19-705.1 of this subtitle, the Secretary may:

(1) Issue an administrative order that requires the health maintenance organization to:

(i) Cease inappropriate conduct or practices by it or any of the personnel employed by or associated with it and comply with the standards established by the Department; or

(ii) Provide any service required by §§ 19-705 and 19-705.1 of this subtitle that has been denied improperly;

(2) Impose a penalty of not less than $100 and not more than $125,000 for each violation; or

(3) Apply to any court for legal or equitable relief considered appropriate by the Secretary.

(b) If the Secretary issues an order or imposes any penalty under this section, the Secretary immediately shall provide written notice of the order or penalty to the Commissioner.
Md. Code, Insurance § 19-1003 — MD Code / Article gin / Title 19 / Subtitle 10 / Section 19-1003
§19–1003.
Status: in_force

Notwithstanding § 27–214 of this article, travel protection plans may be offered for one price for the combined features that the travel protection plan offers in the State if:

(1) the travel protection plan:

(i) clearly discloses to the consumer at or before the time of purchase that the plan includes travel insurance and, as applicable, travel assistance services or a cancellation fee waiver; and

(ii) provides information and an opportunity at or before the time of purchase for the consumer to obtain additional information regarding the features and pricing of the travel insurance, travel assistance services, and a cancellation fee waiver, as applicable; and

(2) the fulfillment material for the travel protection plan:

(i) describes and delineates the travel insurance, travel assistance services, and cancellation fee waiver in the travel protection plan;

(ii) includes the travel insurance disclosures required under State law; and

(iii) includes the contact information for the person providing the travel assistance services or cancellation fee waiver, as applicable.
Md. Code, Alcoholic Beverages and Cannabis § 19-2704 — MD Code / Article gab / Title 19 / Subtitle 27 / Section 19-2704
§19–2704.
Status: in_force

(a) A person may not display or consume in a licensed establishment any alcoholic beverage other than those that the license holder of the licensed establishment may sell.

(b) A person who violates this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $25.
Md. Code, Business Regulation § 19-109 — MD Code / Article gbr / Title 19 / Subtitle 1 / Section 19-109
§19–109.
Status: in_force

(a) A person may not sell, offer for sale, transfer, or distribute non–arc–resistant jacketed corrugated stainless steel tubing.

(b) A person who violates this section is subject to a civil penalty not exceeding $1,000.
Md. Code, Business Regulation § 19-602 — MD Code / Article gbr / Title 19 / Subtitle 6 / Section 19-602
§19–602.
Status: in_force

(a) (1) An international marriage broker shall provide each recruit with criminal history record information and marital history information of its client and basic human rights information before personal contact information about a recruit is given to the client.

(2) The human rights information provided under paragraph (1) of this subsection may be prepared by an organization that is not affiliated with the international marriage broker.

(b) The information required in subsection (a) of this section must be:

(1) in the recruit’s native language; and

(2) displayed in a manner that:

(i) separates the criminal history record information, the marital history information, and the basic rights information from any other information; and

(ii) is highly noticeable.

(c) The international marriage broker shall pay the costs incurred to translate the information.
Md. Code, Local Government § 19-206 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-206
§19–206.
Status: in_force

(a) (1) Except as provided in paragraph (2) of this subsection, this section applies only to the following governmental entities:

(i) a county;

(ii) a public corporation or other political subdivision of the State; or

(iii) an agency or instrumentality of a county, public corporation, or other political subdivision of the State.

(2) This section does not apply to the following governmental entities:

(i) Baltimore City;

(ii) a municipality; or

(iii) a housing authority under Division II of the Housing and Community Development Article.

(b) (1) This section does not apply to a bond that:

(i) matures within 1 year after the date of issue and is issued:

1. in anticipation of taxes;

2. to meet current expenses; or

3. to meet an emergency;

(ii) is sold to the United States or a unit or instrumentality of the United States;

(iii) is issued under a plan of composition approved in a proceeding under Chapter IX of the United States Bankruptcy Act; or

(iv) is issued under any other plan to refund or refinance in exchange, bond for bond, for an outstanding maturing debt, other than:

1. a current or floating debt; or

2. a bond under item (i) of this paragraph.

(2) This section does not apply to bond or grant anticipation notes issued under Part III of this subtitle.

(3) This section does not apply to a bond issued under an enabling act that:

(i) states that this section does not apply; or

(ii) provides a different method for establishing the maturity of the bond.

(c) (1) A governmental entity shall issue bonds on a serial maturity plan.

(2) The governmental entity may:

(i) vary the amounts of the series; and

(ii) provide for the maturity of a series in consecutive annual installments or at longer intervals.

(d) (1) The maturity date of the final series shall be based on the purpose for which the bonds are issued:

(i) within the time limit that applies under the schedule in paragraph (2) of this subsection; or

(ii) if more than one time limit applies, within the shortest applicable time limit.

(2) The schedule of maturity dates is as follows:

Limit on Purpose of Issue Maturity of Issue

Paving existing highways or streets 10 years

Airports and buildings constructed or to be constructed thereon 15 years

Highway construction 20 years

Electric light and power systems 25 years

Gas systems 25 years

Grade crossing eliminations 25 years

Harbor improvements 25 years

School construction 25 years

All other permanent structures of durable materials 25 years

Bridges 30 years

Land acquired for permanent improvements 40 years

Sewerage installation 40 years

Water systems 40 years
Md. Code, Insurance § 19-513 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-513
§19–513.
Status: in_force

(a) This section does not prohibit a nonprofit health service plan or an authorized insurer, with the approval of the Commissioner, from providing medical, hospital, and disability benefits in connection with motor vehicle accidents.

(b) (1) Notwithstanding any other provision of this subtitle, a person may not recover benefits under the coverages described in §§ 19–504, 19–505, 19–509, 19–509.1, and 19–512 of this subtitle from more than one motor vehicle liability insurance policy or insurer on a duplicative basis.

(2) Except as provided in § 19–509.1 of this subtitle, and notwithstanding any other provision of this subtitle, a person may not recover benefits under the coverages described in §§ 19–504, 19–505, 19–509, and 19–512 of this subtitle from more than one motor vehicle liability insurance policy or insurer on a supplemental basis.

(c) (1) The insurer of a motor vehicle for which the coverage described in § 19–505 of this subtitle is in effect shall pay the benefits described in § 19–505 of this subtitle to an individual who is injured in a motor vehicle accident:

(i) while occupying the insured motor vehicle; or

(ii) by the insured motor vehicle as a pedestrian, while in, on, or alighting from a vehicle powered by animal or muscular power, or while on or alighting from an animal.

(2) An insurer may not pay benefits under paragraph (1) of this subsection to an individual who is in violation of § 17–103 of the Transportation Article.

(d) (1) The insurer under a policy that contains the coverages described in §§ 19–505 and 19–509 of this subtitle shall pay the benefits described in §§ 19–505 and 19–509 to an individual insured under the policy who is injured in a motor vehicle accident:

(i) while occupying a motor vehicle for which the coverages described in §§ 19–505 and 19–509 of this subtitle are not in effect; or

(ii) by a motor vehicle for which the coverages described in §§ 19–505 and 19–509 of this subtitle are not in effect as a pedestrian, while in, on, or alighting from a vehicle powered by animal or muscular power, or while on or alighting from an animal.

(2) Benefits payable under paragraph (1) of this subsection shall be reduced to the extent of any medical or disability benefits coverage that is:

(i) applicable to the motor vehicle for which the coverages described in §§ 19–505 and 19–509 of this subtitle are not in effect; and

(ii) collectible from the insurer of that motor vehicle.

(e) Benefits payable under the coverages described in §§ 19–505 and 19–509 of this subtitle shall be reduced to the extent that the recipient has recovered benefits under the workers’ compensation laws of a state or the federal government for which the provider of the workers’ compensation benefits has not been reimbursed.
Md. Code, Health - General § 19-136 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-136
§19–136.
Status: in_force

In any matter that relates to the utilization or cost of health care services rendered by health care practitioners or office facilities, the Commission may:

(1) Hold a public hearing;

(2) Conduct an investigation; or

(3) Require the filing of any reasonable information.
Md. Code, Health - General § 19-107 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-107
§19–107.
Status: in_force

(a) (1) A majority of the full authorized membership of the Commission is a quorum.

(2) The decision of the Commission shall be by a majority of the quorum present and voting.

(b) The Commission shall meet at least six times each year, at the times and places that it determines.

(c) Each member of the Commission is entitled to:

(1) Compensation in accordance with the State budget; and

(2) Reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.

(d) (1) The Commission may employ a staff in accordance with the State budget.

(2) The Commission, in consultation with the Secretary, may set the compensation of a Commission employee in a position that:

(i) Is unique to the Commission;

(ii) Requires specific skills or experience to perform the duties of the position; and

(iii) Does not require the employee to perform functions that are comparable to functions performed in other units of the Executive Branch of State government.

(3) The Secretary of Budget and Management, in consultation with the Secretary, shall determine the positions for which the Commission may set compensation under paragraph (2) of this subsection.
Md. Code, Local Government § 19-305 — MD Code / Article glg / Title 19 / Subtitle 3 / Section 19-305
§19–305.
Status: in_force

All bonds and tax anticipation notes issued in accordance with the charter of a municipality or this subtitle shall be considered investment securities as provided in § 19–224 of this title.
Md. Code, Health - General § 19-321 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-321
§19–321.
Status: in_force

(a) The Secretary shall issue a license to any applicant if the applicant and the hospital or related institution to be operated meet the requirements of this subtitle.

(b) The Secretary shall include on each license that the Secretary issues:

(1) The name of the hospital or related institution; and

(2) The classification of the hospital or related institution.
Md. Code, Health - General § 19-3C-01 — MD Code / Article ghg / Title 19 / Subtitle 3C / Section 19-3C-01
§19–3C–01.
Status: in_force

(a) In this subtitle the following words have the meanings indicated.

(b) (1) “Cosmetic surgical facility” means an office or a facility in which a cosmetic surgical procedure is performed.

(2) “Cosmetic surgical facility” does not include:

(i) An ambulatory surgical facility regulated under Subtitle 3B of this title;

(ii) A hospital regulated under Subtitle 3 of this title; or

(iii) An office owned or operated by one or more dentists providing services within the scope of practice of dentistry under Title 4 of the Health Occupations Article.

(c) (1) “Cosmetic surgical procedure” means the use of surgical services to reshape the structure of a human body to change the appearance of an individual.

(2) Except as provided in paragraph (3) of this subsection, “cosmetic surgical procedure” does not include:

(i) A procedure done under local anesthesia or mild sedation; or

(ii) Liposuction that removes less than 1,000 cubic centimeters of aspirate.

(3) “Cosmetic surgical procedure” includes any procedure under paragraph (2) of this subsection that, under the circumstances established by the Secretary in regulations adopted under § 19–3C–02(d) of this subtitle, is a cosmetic surgical procedure.
Md. Code, Business Occupations and Professions § 19-405 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-405
§19–405.
Status: in_force

(a) The Secretary shall issue to each individual who is certified as a security guard under this subtitle a certification card that identifies the individual as a certified security guard.

(b) (1) Subject to this subsection, the Secretary shall determine the form and content of the certification card.

(2) The certification card shall be of a size and made of materials appropriate for its intended use, as provided under § 19-406 of this subtitle.

(3) The certification card shall contain:

(i) a statement that in substance specifies that the individual is certified by the Secretary as a security guard;

(ii) any information that the Secretary considers appropriate to:

1. identify the individual; or

2. specify the authority of the individual; and

(iii) the date on which the certification expires.
Md. Code, Health - General § 19-310.3 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-310.3
§19–310.
Status: in_force

§19–310.3.

(a) On or before January 1, 2018, each hospital shall have a protocol for discharging a patient who was treated by the hospital for a drug overdose or was identified as having a substance use disorder.

(b) The protocol:

(1) May include:

(i) Coordination with peer recovery counselors who can conduct a screening, a brief intervention, and referral to treatment and connection of the patient with community services; and

(ii) Prescribing opioid overdose reversal drugs approved by the federal Food and Drug Administration for the patient; and

(2) On or before June 30, 2023, shall require offering opioid overdose reversal drugs approved by the federal Food and Drug Administration, free of charge, to a patient who received treatment for a substance use disorder, opioid use disorder, or nonfatal drug overdose event.
Md. Code, Health - General § 19-310.4 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-310.4
§19–310.
Status: in_force

§19–310.4.

(a) (1) In this section the following words have the meanings indicated.

(2) “Committee” means the review committee established in accordance with subsection (e) of this section.

(3) “Program” means the Private Hospital Grant Program.

(b) Except as provided in subsection (f) of this section, this section may not be construed to prohibit an organization from receiving funds from a government source other than the Private Hospital Grant Program.

(c) There is a Private Hospital Grant Program.

(d) The purpose of the Program is to make recommendations to the Governor for funding in the annual State budget for capital projects at private hospitals in the State.

(e) (1) The Maryland Hospital Association shall establish a review committee to:

(i) Develop the process for hospitals in the State to submit requests for funding in the annual budget;

(ii) Establish eligibility criteria for a hospital to submit a request for funding under the Program;

(iii) Establish criteria for projects eligible to receive funding under the Program;

(iv) Establish deadlines for the submission of requests for funding and the determination of projects recommended for funding;

(v) Develop project scoring and selection criteria guidelines;

(vi) Review eligible requests for funding; and

(vii) Make final recommendations for projects to be funded in the annual State budget.

(2) To the extent practicable, the membership of the committee established under paragraph (1) of this subsection shall reflect the geographic diversity of hospitals in the State.

(3) The committee shall consult with the Department of Budget and Management and the Department of Legislative Services in:

(i) Establishing the project funding request process under paragraph (1) of this subsection; and

(ii) Making recommendations for funding requests.

(f) In consultation with the Department of Budget and Management, the committee may establish conditions under which a request for funding may be rejected for consideration.

(g) The Maryland Hospital Association shall submit the recommendations of the committee to the Governor and the Secretary of Budget and Management.

(h) For fiscal year 2026 and each fiscal year thereafter, the Governor may include in the capital or operating budget bill an appropriation of $20,000,000 for the Private Hospital Grant Program.
Md. Code, Health - General § 19-120.2 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-120.2
§19–120.
Status: in_force

§19–120.2.

(a) (1) In this section the following words have the meanings indicated.

(2) “Executive Director” means the Executive Director of the Commission.

(3) “Nursing home” has the meaning stated in § 19–1401 of this title.

(4) “Request for acquisition” means a request for the Commission to approve the acquisition of a nursing home.

(b) A person shall provide notice to the Commission at least 30 days before the closing of a change of ownership of a nursing home that:

(1) Involves at least a 5% transfer in ownership interest; and

(2) Is not an acquisition that requires approval under subsection (c) of this section.

(c) (1) This subsection does not apply to an acquisition that involves only changes of ownership interests among existing owners of a nursing home.

(2) At least 60 days before the closing date of the acquisition of a nursing home, a person shall:

(i) Submit to the Commission a request for acquisition; and

(ii) Provide notice to the residents, resident representatives, and employees of the nursing home that:

1. The request for acquisition was submitted to the Commission; and

2. There will be an opportunity to submit comments in accordance with subsection (f) of this section.

(d) (1) The Executive Director shall review a completed request for acquisition within 45 days after receiving the completed request from the applicant.

(2) The Executive Director, in consultation with the Secretary or the Secretary’s designee, may:

(i) Approve the acquisition;

(ii) Approve the acquisition with conditions;

(iii) Deny the acquisition; or

(iv) Refer the request for acquisition to the Commission for a final decision.

(e) To approve a request submitted under subsection (c) of this section, the Executive Director must find that the acquisition:

(1) Is consistent with the State Health Plan; and

(2) Subject to subsection (f) of this section, is in the public interest.

(f) In determining whether an acquisition of a nursing home is in the public interest, the Executive Director shall:

(1) Solicit and accept comments from individuals who:

(i) Reside in the nursing home;

(ii) Have family members who reside in the nursing home; or

(iii) Are employees of the nursing home; and

(2) Consult with the Attorney General on whether the acquisition raises public interest concerns.

(g) If the Executive Director refers a request for acquisition to the Commission under subsection (d)(2)(iv) of this section, the Commission shall use the criteria specified in subsections (e) and (f) of this section and regulations adopted by the Commission to make a final decision within 60 days after receiving the completed request from the applicant.

(h) If the Executive Director denies a request for acquisition or imposes a condition on the approval of the acquisition, a person that is a party to the acquisition may submit a written request for the Commission to review the decision in accordance with regulations adopted by the Commission.

(i) (1) A decision of the Commission under subsection (g) or (h) of this section shall be a final decision for the purpose of judicial review.

(2) A person that is a party to the acquisition may take a direct judicial appeal within 30 days after the Commission makes the final decision.

(3) The Commission shall send each final decision to the Secretary, the Secretary of Aging, the Office of Health Care Quality, the Office of the Attorney General, and the State Long–Term Care Ombudsman.

(j) (1) On or before July 1 immediately following the acquisition of a nursing home and each year for 3 years thereafter, the person that acquired the nursing home shall submit a report to the Commission in accordance with regulations adopted by the Commission.

(2) The Commission shall provide the report required under paragraph (1) of this subsection to the Secretary, the Secretary of Aging, the Office of Health Care Quality, the Office of the Attorney General, and the State Long–Term Care Ombudsman.

(k) (1) The Commission shall adopt regulations through an update to the State Health Plan for Facilities and Services to carry out the provisions of this section.

(2) The regulations adopted under this subsection shall:

(i) Require the person that acquired ownership of a nursing home to:

1. Reduce the number of resident rooms in the nursing home that contain more than two beds in accordance with standards established by the Commission; or

2. Receive a waiver from the requirement established under item 1 of this item from the Executive Director in accordance with standards established by the Commission;

(ii) 1. If necessary, allow the person that acquired ownership of a nursing home to temporarily delicense beds for at least 3 years immediately following the acquisition to reduce the number of resident rooms that contain more than two beds; and

2. Authorize the Commission to extend the period the beds are temporarily delicensed beyond 3 years for good cause shown, including demonstrated progress toward eliminating multibedded rooms by expanding the existing facility or transferring the beds to another facility within a merged asset system in the same jurisdiction;

(iii) Establish standards for the evaluation of the quality of the nursing homes currently or previously owned, whether in the State or outside the State, by the person that submitted a request for acquisition; and

(iv) Subject to paragraph (3) of this subsection, establish criteria for the Executive Director and the Commission to consider when making a decision regarding a request for acquisition.

(3) The criteria established by the Commission under paragraph (2)(iv) of this subsection shall require that the Commission take into consideration whether any nursing home currently or previously owned, within or outside the State, by the person submitting the request, for the period of 3 years immediately preceding the submission of the request:

(i) Maintained a quality assessment and assurance committee that met at least quarterly;

(ii) Was the subject of an enforcement action, a special focus facility designation, or a deficiency involving serious or immediate threat, actual harm, or immediate jeopardy to a resident; or

(iii) Was the subject of a lawsuit judgment, or an arbitration finding, following a complaint filed by a resident, resident representative, or a government agency.
Md. Code, Health - General § 19-349.2 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-349.2
§19–349.
Status: in_force

§19–349.2.

(a) (1) In this section the following words have the meanings indicated.

(2) “Electronically” means a secure digital or electronic transmission in compliance with federal and State law, including by:

(i) Patient Internet portal;

(ii) Encrypted e–mail; or

(iii) Text message with a link to an encrypted notice.

(3) (i) “Outpatient facility fee” means a hospital outpatient charge approved by the Commission for an outpatient clinic service, supply, or equipment, including the service of a nonphysician clinician.

(ii) “Outpatient facility fee” does not include:

1. A charge billed for services delivered in an emergency department; or

2. A physician fee billed for professional services provided at the hospital.

(4) (i) “Patient” means an individual who receives health care.

(ii) “Patient” includes:

1. A person authorized to consent to health care for an individual consistent with the authority granted, including a guardian, surrogate, or person with a medical power of attorney;

2. An individual who is a minor, if the minor seeks treatment to which the minor has the right to consent and has consented under Title 20, Subtitle 1 of this article;

3. A parent, guardian, custodian, or representative of an individual who is a minor; and

4. A person authorized to consent to health care for an individual who is a minor consistent with the authority granted.

(b) Subject to subsections (c), (d), (e), and (f) of this section, if a hospital charges an outpatient facility fee, the hospital shall provide the patient with a written notice, separate from any other forms or notices, in the following form or a substantially similar form:

IMPORTANT FINANCIAL INFORMATION

(Patient Name)________________ Appointment Date:___________________

Notice Of Hospital Outpatient Facility Fee And Billing Disclosure

a. Your appointment with (provider, practice, or outpatient facility name) will take place in an outpatient department of (hospital name).

b. (Hospital name) will charge an outpatient facility fee that is separate from and in addition to the bill you will receive from (provider).

c. You will receive two charges for your visit:

1. a provider services bill from (provider); and

2. a hospital facility bill from (hospital name).

Expected Fee

(if known) The amount of the facility fee that will be charged by (hospital name) for your appointment is $ ____________. or

(if unknown) (Hospital name’s) facility fee is likely to range from $___________ to $_____________. and

(if unknown) Based on appointments like the one you are scheduled for, we estimate the facility fee to be $____________. and

(if unknown) We are providing you with a range of fees and an estimate because the actual amount of the facility fee will depend on the hospital services that are actually provided. The fee could be higher if you require services during your appointment that we cannot reasonably predict today.

Financial help for your portion of the outpatient facility fee bill may be available. If you need financial help with the outpatient facility bill, please contact (hospital financial assistance office, with telephone number and direct website address).

Receiving services here may result in greater financial liability than receiving services at a location where a facility fee may not be charged.

(if applicable) No Facility Fee Location

You can see (provider) at another location that does not charge a facility fee.

(address and contact information)

Contact your insurance carrier to see if (provider) is a participating provider and in–network at the (address of alternative location) location.

Insurance Information

(1) The amount of the facility fee that you will be responsible for paying will depend on your insurance coverage.

(2) Insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.

(3) If you have insurance, you should contact your carrier to determine your insurance coverage and your estimated financial responsibility for the facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.

Facility Fee Complaints

If you have a complaint about an outpatient facility fee charge, please first contact the hospital, (hospital billing office contact information).

If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission, (contact information).

If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General, 1–877–261–8807 | Heau@oag.state.md.us | www.MarylandCares.org.

Acknowledgment

(1) I understand that I will be billed a hospital facility fee and a provider fee.

(2) (Hospital name) provided me with information on the facility fees that will be billed for my appointment.

(3) I understand that the fee could vary based on conditions and services provided to me that the hospital cannot reasonably predict today.

(4) I understand that my out–of–pocket costs will depend on my insurance coverage.

________(initial here) – by initialing here, I confirm that I received the facility fee information at the time I made my appointment with (provider).

By signing this form, I acknowledge that I have received this information before receiving services today.

_____________________________ _______________________________

Signature Date

To request this notice in an alternative format, please call (contact information) or e–mail (contact information).

(Same sentence in Spanish).

(c) If a patient does not speak English or requires the notice required under subsection (b) of this section to be in an alternative format, the hospital shall, to the extent practicable, provide the notice in a language or format that is understood by the patient.

(d) (1) A hospital shall determine the range of hospital outpatient facility fees and fee estimates, based on typical or average facility fees for the same or similar appointments, to be provided in the notice required under this section, consistent with the hospital’s most recent rate order as approved by the Commission.

(2) Each hospital that charges an outpatient facility fee shall use the range of hospital outpatient facility fees and fee estimates determined under paragraph (1) of this subsection.

(e) (1) For an appointment made in person or by telephone:

(i) Oral notice of all the information that would be provided in the form required under subsection (b) of this section shall be given at the time the appointment is made; and

(ii) Except as provided in paragraph (3) of this subsection, the written notice required under subsection (b) of this section shall be sent to the patient electronically at the time the appointment is made.

(2) For an appointment made electronically or using a website, the written notice required under subsection (b) of this section shall be:

(i) Provided at the time the appointment is made; and

(ii) Sent to the patient electronically at the time the appointment is made.

(3) If the patient refuses electronic communication under paragraph (1)(ii) of this subsection, the written notice shall be sent to the patient by first–class mail at the time the appointment is made.

(f) Before professional medical services are provided on the date of the appointment, the patient shall acknowledge in writing that the notice required under this section was provided at the time the appointment was made.

(g) A hospital may not charge, bill, or attempt to collect an outpatient facility fee unless the patient was given notice in accordance with this section.

(h) (1) On or before January 31 each year, beginning in 2022, each hospital shall report to the Health Services Cost Review Commission a list of the hospital–based, rate–regulated outpatient services provided by the hospital.

(2) On or before February 28 each year, beginning in 2022, the Health Services Cost Review Commission annually shall:

(i) Post on its website the list of the hospital–based, rate–regulated outpatient services reported by each hospital under paragraph (1) of this subsection; and

(ii) Provide the list of the hospital–based, rate–regulated outpatient services reported by each hospital to the Maryland Insurance Administration and the Health Education and Advocacy Unit in the Office of the Attorney General.

(3) When lack of notice in accordance with this section is alleged in a consumer complaint, the Commission shall give consideration in its investigatory and audit procedures as to whether notice was not feasible due to circumstances beyond the hospital’s control.
Md. Code, Alcoholic Beverages and Cannabis § 19-2501 — MD Code / Article gab / Title 19 / Subtitle 25 / Section 19-2501
§19–2501.
Status: in_force

(a) This section does not apply to an establishment for which the Board has:

(1) issued a license; or

(2) approved an application for a waiver of this section.

(b) A person who operates an establishment for profit, including a place of adult entertainment that allows at its location a form of sexual display or attire listed under § 4–605 of this article, may not:

(1) knowingly allow an individual to bring alcoholic beverages for consumption into the establishment; or

(2) sell, serve, keep, or allow to be consumed on the premises of the establishment or at a location under the control of the establishment:

(i) alcoholic beverages;

(ii) setups, including drinking containers and ice; and

(iii) other component parts of mixed alcoholic drinks.

(c) The Board shall adopt regulations to carry out the duties of this section.

(d) A person who violates this section is guilty of a misdemeanor and on conviction is subject to imprisonment not exceeding 2 years or a fine not exceeding $10,000 or both.
Md. Code, Alcoholic Beverages and Cannabis § 19-701 — MD Code / Article gab / Title 19 / Subtitle 7 / Section 19-701
§19–701.
Status: in_force

(a) There is a Class A wine license in the county.

(b) The license may be issued to a holder of a Class 4 limited winery license.

(c) (1) The license authorizes the license holder to sell at retail at the place described in the license wine produced at the winery.

(2) Wine shall be sold in a sealed package or container that may not be opened or its contents consumed on the licensed premises.

(d) The annual license fee is $50.
Md. Code, Local Government § 19-903 — MD Code / Article glg / Title 19 / Subtitle 9 / Section 19-903
§19–903.
Status: in_force

The General Assembly finds that it is in the best interests of the charter counties, code counties, and municipalities and the residents of the State to authorize each charter county, code county, or municipality to issue bonds in order to fund any unfunded liability of the county or municipality with respect to any pension or retirement plan or system to:

(1) use favorable market conditions that may exist to reduce the cost of the pension or retirement plan or system to the county or municipality; or

(2) otherwise structure and provide for pension plan liability funding in a manner consistent with the financial plans of the county or municipality.
Md. Code, Business Regulation § 19-203 — MD Code / Article gbr / Title 19 / Subtitle 2 / Section 19-203
§19–203.
Status: in_force

The chief executive officer of the organization shall apply for registration under this subtitle on the form that the Secretary of State provides.
Md. Code, Local Government § 19-1003 — MD Code / Article glg / Title 19 / Subtitle 10 / Section 19-1003
§19–1003.
Status: in_force

(a) The principal of the notes may be paid from:

(1) the county’s allocation of funds from the special account of the Bay Restoration Fund established under § 9–1605.2(h) of the Environment Article; and

(2) any other revenues that are pledged to the payment of the notes in the authorizing resolution.

(b) The interest on the notes may be paid from:

(1) any revenues, other than the county’s allocation of funds from the special account of the Bay Restoration Fund, that are pledged to the payment of the notes in the authorizing resolution; or

(2) money made available to the county to finance upgrades to on–site sewage disposal systems from:

(i) the State or a unit of the State, except for the funds from the special account of the Bay Restoration Fund allocated under this subtitle for grants and loans;

(ii) the federal government or a unit of the federal government; or

(iii) any other source.

(c) (1) A county may pledge its full faith and credit and taxing power to the payment of the principal of and interest on the notes in the authorizing resolution.

(2) A county that makes a pledge under paragraph (1) of this subsection shall, in each fiscal year that any of the notes are outstanding, impose ad valorem taxes on all assessable property in the county at a rate and amount sufficient to pay the principal of and interest on the notes maturing in that fiscal year.

(3) If the proceeds from the taxes imposed in any fiscal year prove inadequate for the payment, the county shall impose additional taxes in the succeeding fiscal year to make up the deficiency.
Md. Code, Business Occupations and Professions § 19-403 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-403
§19–403.
Status: in_force

(a) The Secretary shall certify as a security guard each individual whose application has been submitted as required by this subtitle and who meets the requirements of this subtitle.

(b) Within 5 days after the Secretary denies the application of an individual for certification as a security guard, the Secretary shall send written notice of the denial to the licensed security guard agency that submitted the application.
Md. Code, Health Occupations § 19-313 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-313
§19–313.
Status: in_force

(a) Except as provided in this section for an action under § 19–311 of this subtitle, any person aggrieved by a final decision of the Board in a contested case, as defined in the Administrative Procedure Act, may petition for judicial review as allowed by the Administrative Procedure Act.

(b) Any person aggrieved by a final decision of the Board under § 19–311 of this subtitle may not appeal to the Secretary but may take a direct judicial appeal as provided in the Administrative Procedure Act.
Md. Code, Health - General § 19-359 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-359
§19–359.
Status: in_force

(a) A person who operates a related institution in violation of the rules and regulations that the Secretary adopts for related institutions is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000. Each day a violation is continued after the first conviction is a separate offense.

(b) The Secretary may impose a civil money penalty not to exceed $10,000 for each offense under this section.

(c) (1) If a civil money penalty is imposed under this section or under § 19-358 of this subtitle, the Secretary shall issue an order which shall state the basis on which the order is made, the amount of the civil money penalty imposed, and the manner in which the amount of the civil money penalty was calculated.

(2) The operator of an unlicensed hospital or an unlicensed or unregistered related institution shall have the right to appeal from the order imposing the civil money penalty in accordance with Title 10, Subtitle 2 of the State Government Article (Administrative Procedure Act - Contested Cases).
Md. Code, Local Government § 19-604 — MD Code / Article glg / Title 19 / Subtitle 6 / Section 19-604
§19–604.
Status: in_force

(a) The principal of the notes may be paid from:

(1) the proceeds of any of the State share for a county;

(2) any other revenues that are pledged to the payment of the notes in the authorizing resolution; or

(3) money made available to the county to finance the public school construction and capital improvements from:

(i) the State or unit of the State;

(ii) the federal government or a unit of the federal government; or

(iii) any other source.

(b) The interest on the notes may be paid from:

(1) any revenues, other than the proceeds of the State share for a county, that are pledged to the payment of the notes in the authorizing resolution; or

(2) money made available to the county to finance public school construction and capital improvements from:

(i) the State or a unit of the State, except for the State share allocated under this part for public school construction and capital improvements;

(ii) the federal government or a unit of the federal government; or

(iii) any other source.

(c) (1) A county may pledge its full faith and credit and taxing power to the payment of the principal of and interest on the notes in the authorizing resolution.

(2) A county that makes a pledge under paragraph (1) of this subsection shall, in each fiscal year that any of the notes are outstanding, impose ad valorem taxes on all assessable property in the county at a rate and amount sufficient to pay the principal of and interest on the notes maturing in that fiscal year.

(3) If the proceeds from the taxes imposed in any fiscal year prove inadequate for the payment, the county shall impose additional taxes in the succeeding fiscal year to make up the deficiency.
Md. Code, Health - General § 19-123 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-123
§19–123.
Status: in_force

Notwithstanding the provisions of § 19-114(d)(2)(ii) of this subtitle, a continuing care community does not lose its exemption from certificate of need requirements when the continuing care community admits an individual directly to a nursing facility within the continuing care community if:

(1) The admittee’s spouse or relative is admitted at the same time under a joint contract to an independent living unit or assisted living unit within the continuing care community; or

(2) An individual having a long-term significant relationship with the admittee is admitted at the same time under a joint contract to an independent living unit or assisted living unit within the continuing care community.
Md. Code, Health - General § 19-1410 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1410
§19–1410.
Status: in_force

§19–1410. IN EFFECT

(a) Each nursing home shall develop and implement a quality assurance program.

(b) (1) Each nursing home shall designate a qualified individual to coordinate and manage the nursing home’s quality assurance program.

(2) Each nursing home shall establish a quality assurance committee and shall include at least the following members:

(i) The nursing home administrator;

(ii) The director of nursing;

(iii) The medical director;

(iv) A social worker;

(v) A licensed dietitian; and

(vi) A geriatric nursing assistant.

(3) The quality assurance committee shall:

(i) Meet at least monthly;

(ii) Maintain records of all quality assurance activities;

(iii) Keep records of committee meetings that shall be available to the Department during any on–site visit; and

(iv) Prepare monthly reports that shall be presented to the ombudsman, the resident’s council, and the family council.

(4) The quality assurance committee for a nursing home shall review and approve annually the quality assurance plan for the nursing home.

(5) Each nursing home shall establish a written quality assurance plan that:

(i) Includes procedures for concurrent review for all residents;

(ii) Provides criteria that routinely monitors nursing care including medication administration, prevention of decubitus ulcers, dehydration and malnutrition, nutritional status and weight loss or gain, accidents and injuries, unexpected deaths, changes in mental or psychological status, and any other data necessary to monitor quality of care;

(iii) Includes methods to identify and correct problems; and

(iv) Is readily available to nursing home residents and their families, guardians, or surrogate decision makers.

(6) The quality assurance plan shall be submitted to the Department every 2 years.

(7) The nursing home administrator shall take appropriate remedial actions based on the recommendations of the nursing home’s quality assurance committee.

(8) The Secretary may not require the quality assurance committee to disclose the records and the reports prepared by the committee except as necessary to assure compliance with the requirements of this section.

(9) If the Department determines that a nursing home is not implementing its quality assurance program effectively and that quality assurance activities are inadequate, the Department may impose appropriate sanctions on the nursing home to improve quality assurance including mandated employment of specified quality assurance personnel.

(c) (1) Each nursing home shall display on each floor of the nursing home a notice that explains the current ratio of licensed personnel to residents and unlicensed personnel to residents.

(2) The notice shall be:

(i) Posted in a location that is visible and accessible to residents and their family or guardians and any potential consumers; and

(ii) On a form provided by the Department.

§19–1410. ** TAKES EFFECT APRIL 1, 2026 PER CHAPTER 416 OF 2025 **

(a) Each nursing home shall develop and implement a quality assurance program.

(b) (1) Each nursing home shall designate a qualified individual to coordinate and manage the nursing home’s quality assurance program.

(2) Each nursing home shall establish a quality assurance committee and shall include at least the following members:

(i) The nursing home administrator;

(ii) The director of nursing;

(iii) The medical director;

(iv) A social worker;

(v) A licensed dietitian; and

(vi) A certified nursing assistant–I.

(3) The quality assurance committee shall:

(i) Meet at least monthly;

(ii) Maintain records of all quality assurance activities;

(iii) Keep records of committee meetings that shall be available to the Department during any on–site visit; and

(iv) Prepare monthly reports that shall be presented to the ombudsman, the resident’s council, and the family council.

(4) The quality assurance committee for a nursing home shall review and approve annually the quality assurance plan for the nursing home.

(5) Each nursing home shall establish a written quality assurance plan that:

(i) Includes procedures for concurrent review for all residents;

(ii) Provides criteria that routinely monitors nursing care including medication administration, prevention of decubitus ulcers, dehydration and malnutrition, nutritional status and weight loss or gain, accidents and injuries, unexpected deaths, changes in mental or psychological status, and any other data necessary to monitor quality of care;

(iii) Includes methods to identify and correct problems; and

(iv) Is readily available to nursing home residents and their families, guardians, or surrogate decision makers.

(6) The quality assurance plan shall be submitted to the Department every 2 years.

(7) The nursing home administrator shall take appropriate remedial actions based on the recommendations of the nursing home’s quality assurance committee.

(8) The Secretary may not require the quality assurance committee to disclose the records and the reports prepared by the committee except as necessary to assure compliance with the requirements of this section.

(9) If the Department determines that a nursing home is not implementing its quality assurance program effectively and that quality assurance activities are inadequate, the Department may impose appropriate sanctions on the nursing home to improve quality assurance including mandated employment of specified quality assurance personnel.

(c) (1) Each nursing home shall display on each floor of the nursing home a notice that explains the current ratio of licensed personnel to residents and unlicensed personnel to residents.

(2) The notice shall be:

(i) Posted in a location that is visible and accessible to residents and their family or guardians and any potential consumers; and

(ii) On a form provided by the Department.
Md. Code, Health - General § 19-347 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-347
§19–347.
Status: in_force

(a) (1) In this section the following words have the meanings indicated.

(2) (i) “Abuse” means the non–therapeutic infliction of physical pain or injury, or any persistent course of conduct intended to produce or resulting in mental or emotional distress.

(ii) “Abuse” does not include the performance of an accepted medical procedure that a physician orders.

(3) “Law enforcement agency” means the Department of State Police or a police agency of a county or municipal corporation.

(b) (1) A person who believes that a resident of a related institution has been abused shall report promptly the alleged abuse to an appropriate law enforcement agency and the Office of Health Care Quality in the Department.

(2) A report:

(i) May be oral or written; and

(ii) Shall contain as much information as the reporter is able to provide.

(3) (i) Unless the administrator is the alleged abuser, a recipient of a report promptly shall notify, to the extent allowed by federal and State law, the administrator of the related institution.

(ii) If the Office of Health Care Quality receives a report under paragraph (1) of this subsection, the Office promptly shall notify the Long–Term Care Ombudsman Program established under § 10–902 of the Human Services Article.

(c) Any employee of a related institution who is required to report alleged abuse under subsection (b) of this section, and who fails to report the alleged abuse within 3 days after learning of the alleged abuse, is liable for a civil penalty of not more than $1,000.

(d) (1) Unless otherwise provided, the law enforcement agency, with the assistance of the Secretary, shall:

(i) Investigate thoroughly each report of an alleged abuse; and

(ii) Attempt to ensure the protection of the alleged victim.

(2) The investigation shall include:

(i) A determination of the nature, extent, and cause of the abuse;

(ii) The identity of the alleged abuser; and

(iii) Any other pertinent fact or matter.

(3) Within 10 working days after the completion of the investigation, the law enforcement agency shall submit a written report of its findings to:

(i) The State’s Attorney;

(ii) The Secretary;

(iii) The local long–term care ombudsman entity, as defined in § 10–901 of the Human Services Article;

(iv) Unless the administrator is the alleged abuser, the administrator of the related institution; and

(v) The Office of Health Care Quality of the Maryland Department of Health.

(e) The law enforcement agency:

(1) Shall refer to the Secretary for investigation reported instances of abuse involving any persistent course of conduct intended to produce or resulting in mental or emotional distress; and

(2) May refer to the Secretary for investigation reported instances of patient–to–patient abuse.

(f) Within 10 working days after the completion of an investigation under subsection (d) of this section, the Secretary shall submit a written report of its findings to:

(1) The State’s Attorney;

(2) The local long–term care ombudsman entity, as defined in § 10–901 of the Human Services Article; and

(3) Unless the administrator is the alleged abuser, the administrator of the related institution.

(g) A person shall have the immunity from liability described under § 5–631 of the Courts and Judicial Proceedings Article for:

(1) Making a report under this section;

(2) Participating in an investigation arising out of a report under this section;

(3) Participating in a judicial proceeding arising out of a report under this section; or

(4) Participating in transferring, suspending, or terminating the employment of any individual who is believed to have abused or aided in abusing a resident under this section.

(h) (1) The Department shall provide each related institution with signs that set forth the reporting requirements under this section.

(2) The related institution shall post the signs conspicuously in the employee and public areas of the related institution.
Md. Code, Insurance § 19-106 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-106
§19–106.
Status: in_force

An insurer that issues or delivers a policy or contract of motor vehicle liability insurance in the State shall offer to provide to a policyholder, who is registered as a family child care provider under Title 9.5, Subtitle 3 of the Education Article, coverage in at least the amount required under § 17–103 of the Transportation Article for liability that results from bodily injury:

(1) to a family child care child while the child is a passenger in an automobile; and

(2) that arises out of an insured’s activities as a family child care provider.
Md. Code, Health Occupations § 19-407 — MD Code / Article gho / Title 19 / Subtitle 4 / Section 19-407
§19–407.
Status: in_force

(a) A person who violates any provision of this subtitle or § 19–301 of this title is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $10,000 or imprisonment not exceeding 2 years or both.

(b) A person who violates any provision of this subtitle or § 19–301 of this title is subject to a civil fine not exceeding $50,000 to be assessed by the Board in accordance with regulations adopted by the Board.

(c) Each violation of this subtitle is a separate offense.
Md. Code, Insurance § 19-209.1 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-209.1
§19–209.
Status: in_force

§19–209.1.

(a) An insurer that issues a policy of homeowner’s insurance that includes a deductible that is equal to a percentage of the “Coverage A – Dwelling Limit” of the policy, or has adopted an underwriting standard that requires a mandatory hurricane deductible equal to a percentage of the “Coverage A – Dwelling Limit” of the policy, shall provide an insured with a statement about the deductible at the time the policy of homeowner’s insurance is first issued and at each renewal.

(b) (1) The statement required under subsection (a) of this section shall:

(i) be titled, in at least 12 point type, “Percentage Deductible Notice”;

(ii) state the actual percentage of the percentage deductible;

(iii) state the circumstances under which the deductible applies;

(iv) include an example of how the deductible applies to a loss; and

(v) include the following statement, or a substantially similar statement, in at least 10 point type:

“Your homeowner’s insurance policy contains a percentage deductible, which means that your deductible for a covered loss will be determined by multiplying the dollar amount of your Coverage A – Dwelling Limit of Liability by this percentage under the following circumstances: (insert explanation of circumstances under which a percentage deductible would be applied)”.

(2) The example required under paragraph (1)(iv) of this subsection may be provided in the following manner:

“If, at the time of a covered loss, a homeowner’s insurance policy’s Coverage A – Dwelling Limit of Liability is $300,000 and the policy includes a 2% deductible, the policyholder will be responsible for paying a deductible of $6,000 on a claim for a covered loss ($300,000 x 2%). This means that, for example:

If the covered loss to the dwelling is $25,000 and the covered loss to personal property is $10,000 for a total covered loss of $35,000, the policyholder is responsible for paying a $6,000 deductible and the insurer is responsible for the balance of the covered loss, or $29,000.

If the covered loss to the dwelling is $5,000, the policyholder is responsible for paying the entire covered loss because the total amount of the covered loss is less than the percentage deductible, which is $6,000.”.

(c) (1) An insurer may satisfy the requirements of subsection (b) of this section if, on the declarations page of the policy of homeowner’s insurance or in a separate statement, the insurer states:

(i) the actual percentage of the percentage deductible;

(ii) the dollar amount of the percentage deductible as it relates to the policy of homeowner’s insurance; and

(iii) the circumstances under which the deductible applies.

(2) The statement shall be titled, in at least 12 point type, “Percentage Deductible Notice”.

(d) The statement required by this section may be delivered by electronic means if the insurer complies with the requirements of § 27–601.2 of this article.
Md. Code, Insurance § 19-207 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-207
§19–207.
Status: in_force

(a) (1) An insurer that sells or negotiates homeowner’s insurance in the State shall provide an applicant, at the time of application for homeowner’s insurance, with a written statement that lists all additional optional coverage available from the insurer to the applicant.

(2) If an application is made by telephone, the insurer is deemed to be in compliance with this section if, within 7 calendar days after the date of application, the insurer sends the statement to the applicant or insured by a first–class mail tracking method.

(3) If an application is made using the Internet, the insurer is deemed to be in compliance with this section if the insurer provides the statement to the applicant prior to submission of the application.

(b) The statement shall:

(1) be on a separate form;

(2) be titled, in at least 12 point type, “Additional Optional Coverage Not Included in the Standard Homeowner’s Insurance Policy”;

(3) contain the following disclosure in at least 10 point type:

“Your standard homeowner’s insurance policy does not cover all risks. You may need to obtain additional insurance to cover loss or damage to your home, property, and the contents of your home or to cover risks related to business or personal activities on your property.

This statement provides a list of the types of additional insurance coverage that are available. Contact your insurance company, insurance producer, or insurance agent to discuss these additional coverages.”; and

(4) contain a list of additional optional coverage.

(c) A statement required to be sent by a first–class mail tracking method under this section may be sent with the notice required under § 19–206 of this subtitle.

(d) A statement provided under this section does not create a private right of action.

(e) A statement required by this section may be delivered by electronic means if the insurer complies with the requirements of § 27–601.2 of this article.
Md. Code, Health - General § 19-1801 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1801
§19–1801.
Status: in_force

In this subtitle:

(1) “Assisted living program” means a residential or facility–based program that provides housing and supportive services, supervision, personalized assistance, health–related services, or a combination thereof that meets the needs of individuals who are unable to perform or who need assistance in performing the activities of daily living or instrumental activities of daily living in a way that promotes optimum dignity and independence for the individuals.

(2) “Assisted living program” does not include:

(i) A nursing home, as defined under § 19–1401 of this title;

(ii) A State facility, as defined under § 10–101 of this article;

(iii) A program licensed by the Department under Title 7 or Title 10 of this article;

(iv) A hospice care program regulated by the Department under Subtitle 9 of this title;

(v) Services provided by family members;

(vi) Services provided in an individual’s own home; or

(vii) A program certified by the Department of Human Services under Title 6, Subtitle 5, Part II of the Human Services Article as a certified Adult Residential Environment Program.