Md. Code, Insurance § 19-603 — MD Code / Article gin / Title 19 / Subtitle 6 / Section 19-603
§19–603.
Status: in_force

(a) In this section, “local government” means a county or municipal corporation in the State.

(b) A local government:

(1) may enter into an agreement to fund an insurance pool established under this subtitle; and

(2) except as otherwise provided in this section, may determine by resolution the provisions, terms, conditions, and duration of the agreement.

(c) (1) Except as provided in paragraph (2) of this subsection, a payment obligation in an agreement authorized by this section:

(i) shall be a general obligation of the local government to which its full faith and credit and unlimited taxing power is pledged; and

(ii) may not be subject to annual appropriation by the local government.

(2) If a provision of the Maryland Constitution limits a local government in undertaking a payment obligation described in paragraph (1) of this subsection, or requires a local government to comply with certain procedures before undertaking a payment obligation described in paragraph (1) of this subsection, the local government may provide that the payment obligation is:

(i) a limited obligation of the local government repayable from assets and revenues as provided in the agreement; or

(ii) subject to annual appropriation by the local government.

(d) Subject to the limitations of this section, a local government may undertake a payment obligation in an agreement authorized by this section:

(1) without regard to any limitations contained in its charter or other applicable public local or public general law that otherwise would apply; and

(2) without complying with any procedures contained in its charter or other applicable public local or public general law that otherwise would be required.

(e) On the date a local government executes an agreement authorized by this section, the aggregate outstanding and unpaid principal amount that the local government is obligated to pay under the agreement may not exceed 0.2% of the local government’s assessable base for real property tax purposes for the fiscal year in which the agreement is executed, as determined by the State Department of Assessments and Taxation.
Md. Code, Health - General § 19-2108 — MD Code / Article ghg / Title 19 / Subtitle 21 / Section 19-2108
§19–2108.
Status: in_force

§19–2108. IN EFFECT

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

(a) The power of the Secretary over plans, proposals, and projects of units in the Department does not include the power to disapprove or modify any decision or determination that the Commission makes under authority specifically delegated by law to the Commission.

(b) The power of the Secretary to transfer by rule, regulation, or written directive any staff, functions, or funds of units in the Department does not apply to any staff, functions, or funds of the Commission.

(c) (1) The power of the Secretary over the procurement procedure for units in the Department does not apply to the procurement procedure of the Commission.

(2) Notwithstanding paragraph (1) of this subsection, when procuring services or supplies, the Commission is subject to the provisions of the State Finance and Procurement Article.
Md. Code, Health - General § 19-329 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-329
§19–329.
Status: in_force

(a) (1) If, under a Montgomery or Prince George’s county ordinance for licensing related institutions, the county licensing authority proposes to suspend or revoke the county license of a related institution, that authority shall give the Secretary notice of the proposed suspension or revocation and the reasons for it before the authority notifies the related institution.

(2) If, within 14 days after the Secretary receives the notice, the Secretary disapproves the proposed suspension or revocation, the county licensing authority may not proceed with the action. Otherwise the county licensing authority may proceed with the action.

(3) If the Secretary disapproves the proposed suspension or revocation, the Secretary shall state, in writing, the reasons for the disapproval.

(b) (1) If the Montgomery or Prince George’s county licensing authority proposes to restrict new admissions to a related institution, that authority shall give the Secretary as much prior notice of the proposed restriction as possible, so that State and county action may be coordinated.

(2) The Secretary may become a party to any county administrative or judicial proceeding on the restriction.
Md. Code, Health - General § 19-3C-03 — MD Code / Article ghg / Title 19 / Subtitle 3C / Section 19-3C-03
§19–3C–03.
Status: in_force

(a) The Secretary may investigate complaints concerning the conformance of a cosmetic surgical facility to the requirements of regulations adopted under § 19–3C–02 of this subtitle.

(b) If the complaint concerns health care practitioner performance or standards of medical practice, the complaint shall be referred to the appropriate health occupations board that licenses, certifies, or otherwise regulates the health care practitioner under the Health Occupations Article.
Md. Code, Health - General § 19-14B-01 — MD Code / Article ghg / Title 19 / Subtitle 14B / Section 19-14B-01
§19–14B–01.
Status: in_force

(a) (1) As provided in subsection (e) of this section, a portion of the revenues from the quality assessment that is assessed under § 19–310.1 of this title shall be distributed to nursing facilities subject to § 19–310.1 of this title based on accountability measures that indicate quality of care or a commitment to quality of care.

(2) In consultation with representatives of the nursing facilities and other stakeholders, the Maryland Department of Health shall develop accountability measures to use in a pay–for–performance program that take into account both performance and improvement.

(3) The accountability measures shall be objective, measurable, and when considered in combination with each other, deemed to have a correlation to residents’ quality of life and care.

(b) (1) On or before December 1, 2009, and each year thereafter, the Department shall, in consultation with representatives of nursing facilities and other interested stakeholders, make necessary changes to the pay–for–performance program to determine the effect on providers and to determine if the measures satisfy the requirements of being objective, measurable, and, when considered in combination with each other, have a correlation to residents’ quality of life and care.

(2) In performing the review required under paragraph (1) of this subsection, on or before December 1, 2009, and on or before December 1, 2010, the Department shall examine and modify the pay–for–performance program to include improvement measures in the scoring criteria.

(c) (1) A portion of the revenues generated by the quality assessment under § 19–310.1 of this title shall be in an incentive program to be distributed as provided in this section, to the extent federal law allows.

(2) The distribution of revenues as provided in this section shall be used as an incentive for nursing facilities to provide quality care and may not be used to directly or indirectly hold harmless any nursing facility.

(d) On or before December 1, 2008, the plan required under this section shall be submitted by the Department, in accordance with § 2–1257 of the State Government Article, to the General Assembly.

(e) (1) On or before July 1, 2009, the Department shall:

(i) Score nursing facilities based on scoring criteria developed and reported to the General Assembly in the December 1, 2008 report as required by Chapter 200 of the Acts of the General Assembly of 2008; and

(ii) Send each nursing facility a transmittal with the scoring criteria, the performance of the nursing facility relative to the scoring, and the money that would have been received by the nursing facility using the scoring criteria.

(2) Beginning July 1, 2010, the Department shall distribute 50% of the revenues generated by the quality assessment that is assessed under § 19–310.1 of this title and required for use in a pay–for–performance program to nursing facilities as provided in this section.

(3) Beginning July 1, 2011, the Department shall fully implement the pay–for–performance program as provided in this section.
Md. Code, Insurance § 19-1107 — MD Code / Article gin / Title 19 / Subtitle 11 / Section 19-1107
§19–1107.
Status: in_force

If a wellness program contracts to indemnify or to pay or provide a specified determinable amount or benefit on the occurrence of a determinable contingency, the wellness program shall be considered insurance and be subject to the provisions of this article and regulations adopted under this article.
Md. Code, Health - General § 19-1903 — MD Code / Article ghg / Title 19 / Subtitle 19 / Section 19-1903
§19–1903.
Status: in_force

(a) In addition to the checks required under this subtitle, an adult dependent care program may require an alcohol or controlled dangerous substance test of the potential employee.

(b) An alcohol or controlled dangerous substance test conducted under this section shall comply with the provisions of § 17-214 of this article.
Md. Code, Insurance § 19-503.1 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-503.1
§19–503.
Status: in_force

§19–503.1.

(a) In this section, “insurance identification card” means a card issued by or on behalf of an insurer, in a form that the Commissioner prescribes or approves, as an indication that the insurer has issued a motor vehicle liability insurance policy meeting the requirements of this subtitle.

(b) (1) An insurer that issues, sells, or delivers a motor vehicle liability insurance policy in the State shall provide to an insured at the time the motor vehicle liability insurance policy is initially issued and at each renewal an insurance identification card that indicates:

(i) the first named insured on the motor vehicle liability insurance policy;

(ii) the motor vehicle covered under the motor vehicle liability insurance policy; and

(iii) the period for which coverage under the motor vehicle liability insurance policy is in effect.

(2) (i) If an insured and an insurer both consent, an insurance identification card may be produced in electronic format.

(ii) Acceptable electronic formats include display of electronic images on a cellular phone or any other type of portable electronic device.

(3) (i) Except as provided in subparagraphs (ii) and (iii) of this paragraph, an insurance identification card shall be valid only for the period for which motor vehicle liability insurance coverage has been paid by the insured.

(ii) If the insured is on an insurer–sponsored payment plan or has financed premiums through a premium finance company, the insurance identification card may be issued for periods of 6 months even if the payment by the insured is for a period of less than 6 months.

(iii) For a 12–month commercial motor vehicle liability insurance policy covering three or more vehicles, the insurance identification card may be issued for a period of 12 months even if the payment by the insured is for a period of less than 12 months.
Md. Code, Health Occupations § 19-307 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-307
§19–307.
Status: in_force

(a) Subject to the provisions of subsections (b) and (c) of this section, a license authorizes the licensee to practice social work while the license is in effect.

(b) A licensed social worker may practice social work only within the scope of the specific category of license issued by the Board.

(c) (1) A licensed bachelor social worker may not:

(i) Engage in independent practice unless the licensed bachelor social worker is approved by the Board to engage in independent practice in accordance with § 19–302(f) of this subtitle;

(ii) Make a clinical diagnosis of a behavioral health or emotional disorder;

(iii) Provide psychotherapy; or

(iv) Engage in private practice.

(2) A licensed master social worker may not:

(i) Engage in independent practice unless the licensed master social worker is approved by the Board to engage in independent practice in accordance with § 19–302(f) of this subtitle;

(ii) Treat behavioral health or emotional disorders or provide psychotherapy without the supervision of a licensed certified social worker–clinical;

(iii) Diagnose a behavioral health disorder without the supervision of a licensed certified social worker–clinical; or

(iv) Engage in private practice.

(3) A licensed certified social worker may not:

(i) Treat behavioral health or emotional disorders or provide psychotherapy without the supervision of a licensed certified social worker–clinical;

(ii) Diagnose a mental disorder without the supervision of a licensed certified social worker–clinical; or

(iii) Engage in private practice.
Md. Code, Health Occupations § 19-311.1 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-311.1
§19–311.
Status: in_force

§19–311.1.

(a) If after a hearing under § 19–312 of this subtitle the Board finds that there are grounds under § 19–311 of this subtitle to reprimand a licensee, place a licensee on probation, or suspend or revoke a license, the Board may impose a fine on the licensee in an amount not exceeding $10,000:

(1) Instead of reprimanding the licensee, placing the licensee on probation, or suspending or revoking the social worker’s license; or

(2) In addition to reprimanding the licensee, placing the licensee on probation, or suspending or revoking the social worker’s license.

(b) The Board shall adopt regulations to set standards for the imposition of fines under this section.

(c) The Board shall pay any fine collected under this section into the General Fund.
Md. Code, Insurance § 19-515 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-515
§19–515.
Status: in_force

An insurer may not refuse to issue or renew a motor vehicle liability insurance policy under this subtitle on the ground that the applicant has been issued a citation under § 3-8A-33 of the Courts Article.
Md. Code, Alcoholic Beverages and Cannabis § 19-1001 — MD Code / Article gab / Title 19 / Subtitle 10 / Section 19-1001
§19–1001.
Status: reserved

(a) There is an arts beer and wine license.

(b) (1) The Board may issue the license to a nonprofit or for–profit retail business, including an art center, an art gallery, a museum, or a similar business that is primarily devoted to art that expresses matters of serious literary, artistic, scientific, or political value, that:

(i) engages in the display and sale of original artwork; and

(ii) is located in an arts and entertainment district approved by the Department of Commerce.

(2) The Board may not issue the license to a business that displays and sells commercially prepared or mass–produced artistic products.

(3) The license holder may sell or serve beer and wine:

(i) at retail for on–premises consumption when snacks are served; and

(ii) on Monday through Sunday, during normal business hours but not earlier than 10 a.m. and not later than 10 p.m.

(4) The license may not be transferred from the location for which the license was originally issued to another location.

(c) The annual license fee is $250.

(d) The Board may adopt regulations to carry out this section.
Md. Code, Business Regulation § 19-304 — MD Code / Article gbr / Title 19 / Subtitle 3 / Section 19-304
§19–304.
Status: in_force

(a) (1) After the recordation, a person may not:

(i) use a registered returnable container of another with contents of a nature different from that delivered; or

(ii) sell, buy, rent, or otherwise traffic in a registered returnable textile of another.

(2) A person who violates this subsection:

(i) is guilty of a misdemeanor and on conviction is subject to:

1. for a first violation, imprisonment not exceeding 1 year or a fine not exceeding $1,000; and

2. for each subsequent violation, imprisonment not exceeding 3 years or a fine not exceeding $2,500 or both; and

(ii) shall forfeit to the rightful owner possession of the property involved in the violation.

(b) (1) After the recordation, a person may not willfully deface, remove, conceal, or destroy an identifying name, mark, or device attached, impressed, or imprinted on a returnable container or returnable textile of another.

(2) A person who violates this subsection:

(i) is guilty of a misdemeanor and on conviction is subject to:

1. for a first violation, imprisonment not exceeding 1 year or a fine not exceeding $1,000; and

2. for each subsequent violation, imprisonment not exceeding 3 years or a fine not exceeding $2,500 or both; and

(ii) shall forfeit to the rightful owner possession of the property involved in the violation.

(c) (1) After the recordation, a person may not willfully break, destroy, or otherwise injure a returnable container or returnable textile of another.

(2) A person who violates this subsection:

(i) is guilty of a misdemeanor and on conviction is subject to:

1. for a first violation, imprisonment not exceeding 1 year or a fine not exceeding $1,000; and

2. for each subsequent violation, imprisonment not exceeding 3 years or a fine not exceeding $2,500 or both; and

(ii) shall forfeit to the rightful owner possession of the property involved in the violation.

(d) (1) After the recordation, a person may not buy, offer for sale, sell, use, give, receive, hire, rent, lend, transport, collect from ash or garbage receptacles, dumps, or premises, keep in stock or store, or dispose of a returnable container or returnable textile of another without an assignment from or the written consent of the registered owner.

(2) A person who violates this subsection:

(i) is guilty of a misdemeanor and on conviction is subject to:

1. for each first violation, imprisonment not exceeding 1 year or a fine not exceeding $1,000; and

2. for each subsequent violation, imprisonment not exceeding 3 years or a fine not exceeding $2,500 or both; and

(ii) shall forfeit to the rightful owner possession of the property involved in the violation.

(e) A person may not adopt and register under this subtitle a returnable container or returnable textiles, or a description, name, mark or device, that:

(1) has been previously registered by another; or

(2) is in use by another in good faith.

(f) (1) A person who receives a registered returnable container or registered returnable textile may not fail on demand to surrender promptly the container or textile to the person from whom the container or textile was received.

(2) A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to:

(i) for each first violation, imprisonment not exceeding 1 year or a fine not exceeding $1,000; and

(ii) for each subsequent violation, imprisonment not exceeding 3 years or a fine not exceeding $2,500 or both.

(g) (1) A person who receives a registered returnable container that has come into immediate contact with a dairy product shall thoroughly clean the inside of the container immediately after emptying the contents.

(2) A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to a fine of $500.
Md. Code, Health - General § 19-371 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-371
§19–371.
Status: in_force

(a) Each hospital and each related institution shall establish:

(1) An advisory committee as provided in this Part IX of this subtitle; and

(2) A written procedure by which the advisory committee shall be convened.

(b) An advisory committee at a related institution may function:

(1) Solely at that related institution;

(2) Jointly with a hospital advisory committee; or

(3) Jointly with an advisory committee representing no more than 30 other related institutions.
Md. Code, Alcoholic Beverages and Cannabis § 19-404 — MD Code / Article gab / Title 19 / Subtitle 4 / Section 19-404
§19–404.
Status: in_force

(a) This section applies to a Class 7 micro–brewery license in the county.

(b) Notwithstanding § 2–209(b) of this article, the license may be issued only to the holder of:

(1) a Class B beer, wine, and liquor (on–sale) license that is issued for use on the premises of a restaurant located in the county; or

(2) a Class D alcoholic beverages license that is issued for use on the premises of the existing Class D license located in the county.

(c) (1) The Executive Director may issue to a single applicant one Class 6 pub–brewery license or one Class 7 micro–brewery license, but not both, for a location in an enterprise zone in the county, if the applicant holds no more than three Class B beer, wine, and liquor licenses.

(2) This subsection does not limit the number of Class 7 micro–brewery licenses that the Executive Director may issue in the county.

(d) The hours and days of sale under a Class 7 micro–brewery license are the same as those for a Class D beer license.
Md. Code, Alcoholic Beverages and Cannabis § 19-2002 — MD Code / Article gab / Title 19 / Subtitle 20 / Section 19-2002
§19–2002.
Status: in_force

(a) Except as provided in § 19–2006 of this subtitle, a holder of a Class A beer license may sell beer on each day of the week, from 6 a.m. to midnight.

(b) A holder of a Class B beer (on–sale) license may sell beer:

(1) on Monday through Saturday, from 6 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.

(c) A holder of a Class C beer (on–sale) license may sell beer:

(1) on Monday through Saturday, from 10 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.

(d) A holder of a Class D beer (on–sale) license may sell beer:

(1) on Monday through Saturday, from 6 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.
Md. Code, Health - General § 19-4B-01 — MD Code / Article ghg / Title 19 / Subtitle 4B / Section 19-4B-01
§19–4B–01.
Status: in_force

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

(b) “Background check” has the meaning stated in § 19-1901 of this title.

(c) “Care provider” means an individual who provides health care services and assistance to a client in the activities of daily living, including:

(1) Bathing, toileting, and personal hygiene;

(2) Dressing;

(3) Meal preparation and eating;

(4) Companionship; and

(5) Assistance in physical transfer and ambulation.

(d) “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.

(e) “Home health aid services” means personal and health care services delivered to a client by a care provider.

(f) “License” means a nursing referral service agency license.

(g) “Licensed health professional” means an individual who is licensed or certified under the Health Occupations Article to provide health care services.

(h) “Nursing referral service agency” means one or more individuals engaged in the business of screening and referring, directly or in accordance with contractual arrangements that may include independent contractors, licensed health professionals or care providers to clients for the provision of nursing services, home health aid services, or other home health care services at the request of the client.

(i) “Private agency” has the meaning stated in § 19-1901 of this title.
Md. Code, Insurance § 19-103 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-103
§19–103.
Status: in_force

Each policy issued to cover the liability of a charitable institution for negligence or any other tort shall provide that, for a claim covered by the policy, the insurer may not assert the defense that the insured is immune from liability because it is a charitable institution.
Md. Code, Health - General § 19-408 — MD Code / Article ghg / Title 19 / Subtitle 4 / Section 19-408
§19–408.
Status: in_force

(a) A person may not operate, attempt to operate, or hold one’s self out as operating a home health agency unless licensed under this subtitle.

(b) A home health agency may not withhold any home health care services from an individual because of the individual’s age, sex, sexual orientation, gender identity, disability, race, color, creed, national origin, source of payment, or ability to pay.
Md. Code, Health - General § 19-505 — MD Code / Article ghg / Title 19 / Subtitle 5 / Section 19-505
§19–505.
Status: in_force

(a) Admission of an individual to a center shall be based on:

(1) The statement of a physician who, after an examination of the individual, finds that the individual needs care at a center; and

(2) The review and approval of an application for admission of the individual by the center.

(b) If an individual cannot be placed in a special facility in this State that can treat the condition of the individual, the individual may be admitted to a center.

(c) A center may not admit an individual who has:

(1) A mental disorder of the type that requires care in a mental health facility; or

(2) An orthopedic disease for which medical treatment is available in a special orthopedic hospital.

(d) (1) The centers shall be operated primarily for residents of this State.

(2) A center may admit an individual who is not a resident of this State if:

(i) The individual is admitted and discharged in accordance with a specific regional health program or specific demonstration or study project approved by the Department; and

(ii) This State is reimbursed for the full cost of services to the individual.
Md. Code, Education § 19-110 — MD Code / Article ged / Title 19 / Subtitle 1 / Section 19-110
§19–110.
Status: in_force

(a) The title to any property acquired or constructed under the provisions of this title shall be in the State of Maryland for the use of a system.

(b) The State consents to the use of any lands owned by it for the use of a system which may be suitable and necessary for the construction or operation of any of the buildings and facilities authorized by the provisions of this title and covenants that it will not revoke this consent during the term of bonds secured by auxiliary facilities fees or academic fees or facilities constructed thereon.
Md. Code, Health - General § 19-3A-03 — MD Code / Article ghg / Title 19 / Subtitle 3A / Section 19-3A-03
§19–3A–03.
Status: in_force

(a) The Department shall issue a license to a freestanding medical facility that:

(1) Meets the licensure requirements under this subtitle; and

(2) Receives a certificate of need or an exemption from obtaining a certificate of need from the Maryland Health Care Commission under § 19–120 of this title.

(b) A freestanding medical facility that uses in its title or advertising the word “emergency” or other language indicating to the public that medical treatment for immediately life–threatening medical conditions exist at that facility shall be licensed by the Department before it may operate in this State.

(c) Notwithstanding subsection (a)(2) of this section, the Department may not require a freestanding medical facility pilot project to be approved by the Maryland Health Care Commission as a condition of licensure.
Md. Code, Local Government § 19-1002 — MD Code / Article glg / Title 19 / Subtitle 10 / Section 19-1002
§19–1002.
Status: in_force

A county may expend the net proceeds of the sale of an issue of notes only to:

(1) make grants and loans in accordance with § 9–1605.2(h)(2)(i) of the Environment Article;

(2) make grants and loans to cover engineering costs and non–best–available–technology components, including drainfields, needed for the repair of existing on–site sewage disposal systems or the installation of new on–site sewage disposal systems that use the best available technology for nitrogen removal; or

(3) refund one or more issues of notes.
Md. Code, Insurance § 19-405 — MD Code / Article gin / Title 19 / Subtitle 4 / Section 19-405
§19–405.
Status: in_force

When a workers’ compensation insurance policy is renewed, the insurer shall give the employer a conspicuous written notice that:

(1) the employer must have a work permit for each minor employee as required by Title 3, Subtitle 2 of the Labor and Employment Article; and

(2) if the employer does not have a work permit for a minor employee:

(i) the State Workers’ Compensation Commission may award twice the compensation and death benefits otherwise allowed under Title 9, Subtitle 6 of the Labor and Employment Article in a claim by that employee or that employee’s dependent; and

(ii) the employer is solely liable for any increase in compensation or death benefits in a claim by that employee or that employee’s dependent.
Md. Code, Alcoholic Beverages and Cannabis § 19-2201 — MD Code / Article gab / Title 19 / Subtitle 22 / Section 19-2201
§19–2201.
Status: in_force

Title 4, Subtitle 7 (“Expiration of Local Licenses”) of Division I of this article applies in the county without exception or variation.
Md. Code, Local Government § 19-106 — MD Code / Article glg / Title 19 / Subtitle 1 / Section 19-106
§19–106.
Status: in_force

Notwithstanding any other law, the pledge of any bonds or obligations issued on the full faith and credit of Harford County or any general obligation bonds of the State shall be accepted as sufficient collateral for the deposit of any money of Harford County.
Md. Code, Health - General § 19-1412 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1412
§19–1412.
Status: in_force

(a) The Secretary shall:

(1) Establish a technical assistance unit within the Department to support compliance efforts and best practices; and

(2) Establish a list of approved medical automated systems.

(b) The Secretary may:

(1) Partially reimburse a nursing home for installation of automated systems that have been approved by the Department;

(2) Develop guidelines for reimbursement; and

(3) Adopt regulations for the implementation of this subtitle.
Md. Code, Health - General § 19-127 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-127
§19–127.
Status: in_force

The circuit court for the county where a health care project is being developed or operated in violation of this Part II of this subtitle may enjoin further development or operation.
Md. Code, Business Occupations and Professions § 19-413 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-413
§19–413.
Status: in_force

(a) Subject to subsection (b) of this section, a security guard must hold a valid permit to carry a handgun under Title 5, Subtitle 3 of the Public Safety Article before carrying a handgun while providing security guard services.

(b) A security guard may not carry a handgun while providing security guard services until:

(1) receiving approval to carry a handgun from the licensed security guard agency or security guard employer;

(2) notifying the Secretary of the intent of the security guard to carry a handgun while providing security guard services; and

(3) the Secretary confirms that the security guard has a valid permit to carry a handgun under Title 5, Subtitle 3 of the Public Safety Article and has not been convicted of a disqualifying crime under § 5–101 of the Public Safety Article.
Md. Code, Health - General § 19-345 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-345
§19–345.
Status: reserved

(a) A resident of a facility may not be transferred or discharged from the facility involuntarily except for the following reasons:

(1) The transfer or discharge is necessary for the resident’s welfare and the resident’s needs cannot be met in the facility;

(2) The transfer or discharge is appropriate because the resident’s health has improved sufficiently so that the resident no longer needs the services provided by the facility;

(3) The health or safety of an individual in a facility is endangered;

(4) The resident has failed, after reasonable and appropriate notice, to pay for, or under Medicare or Medicaid or otherwise, to have paid for a stay at the facility; or

(5) The facility ceases to operate.

(b) (1) A Medicaid certified facility may not:

(i) Include in the admission contract of a resident any requirement that, to stay at the facility, the resident will be required to pay for any period of time or amount of money as a private pay resident for any period when the resident is eligible for Medicaid benefits; or

(ii) Transfer or discharge a resident involuntarily because the resident is a Medicaid benefits recipient.

(2) (i) Except as provided in subparagraph (ii) of this paragraph, a Medicaid certified facility is presumed to be transferring or discharging a resident in violation of this subsection, if the resident is or becomes eligible for Medicaid benefits.

(ii) A Medicaid certified facility is not presumed to be transferring or discharging a resident in violation of this subsection for transferring or discharging a resident for nonpayment for services while the resident was ineligible for assistance under the medical assistance program.
Md. Code, Alcoholic Beverages and Cannabis § 19-1405 — MD Code / Article gab / Title 19 / Subtitle 14 / Section 19-1405
§19–1405.
Status: in_force

The hearing for a new applicant and the issuance of a license may not be delayed due to the failure of the Federal Bureau of Investigation to provide the requested criminal history records check by the date of the scheduled hearing.
Md. Code, Insurance § 19-705 — MD Code / Article gin / Title 19 / Subtitle 7 / Section 19-705
§19–705.
Status: in_force

An authorized insurer that provides lead hazard coverage for an affected property under this subtitle shall offer the coverage without a deductible, and may also offer the coverage with a deductible.
Md. Code, Health - General § 19-354 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-354
§19–354.
Status: in_force

A hospital or related institution that is a charitable institution shall have the immunity from liability described under § 5-632 of the Courts and Judicial Proceedings Article.
Md. Code, Local Government § 19-504 — MD Code / Article glg / Title 19 / Subtitle 5 / Section 19-504
§19–504.
Status: in_force

(a) Except as provided in subsection (b) of this section, the issuance of all bonds of a county shall be authorized by public local law enacted in accordance with §§ 9–308 through 9–315 of this article.

(b) To issue bonds described in § 19–503(c) of this subtitle, a county:

(1) need not enact a public local law; and

(2) shall comply with the law authorizing issuance of the bonds.

(c) The public local law required under subsection (a) of this section shall contain:

(1) a statement of:

(i) the aggregate amount of bonds authorized by the public local law;

(ii) the public purpose for which the bond proceeds are to be spent; and

(iii) the revenues from which the principal of and interest on the bonds will be payable; and

(2) a requirement that the county commissioners, before issuing any of the bonds, adopt a resolution containing the information specified in subsection (d) of this section.

(d) (1) A resolution adopted under subsection (c)(2) of this section shall contain:

(i) a statement of:

1. the amount of bonds to be issued; and

2. the public purpose for which the bond proceeds are to be spent;

(ii) the form of the bonds, including:

1. the place at which the bonds will be payable;

2. the time at which the bonds will be payable;

3. the interest rate on the bonds or a space to insert the interest rate when determined;

4. the title of each official whose signature must be affixed to or imprinted on the bonds;

5. the authority for issuance of the bonds; and

6. the revenues from which the principal of and interest on the bonds will be payable;

(iii) specific provision for the appropriation and disposal of the bond proceeds;

(iv) specific provision for the payment of the principal of and interest on the bonds, including the source of payment; and

(v) the form of the notice soliciting bids for the purchase of the bonds.

(2) The provision made for payment of the bonds under paragraph (1)(iv) of this subsection is a covenant binding the county to provide money from the source described to pay the principal of and interest on the bonds when due.

(e) (1) If the public local law authorizing the bonds does not exempt them from §§ 19–205 and 19–206 of this title, the form of the notice soliciting bids for the purchase of the bonds shall include the information required by § 19–205 of this title.

(2) The notice of sale also may:

(i) require prospective purchasers to submit bids on specified forms;

(ii) provide for approval of the legality of the bonds; and

(iii) contain a financial statement of the county.

(3) Any of the items under paragraph (2) of this subsection also may be separately set forth in a circular or official statement.

(f) A resolution authorizing any bonds of a county may contain any other provision not inconsistent with this subtitle that the county commissioners consider appropriate, including a provision that:

(1) the principal of and interest on the bonds shall be payable at one or more banks or trust companies in or outside the State;

(2) except for the signature of the clerk or secretary, which must be manually affixed, the signatures of officials of the county and official seals to be affixed to the bonds or any coupons attached to the bonds shall be imprinted on the bonds or coupons in facsimile;

(3) at the option of the county, some or all of the bonds shall be made redeemable, before maturity, at or above par value as required in the resolution if:

(i) the bonds contain a statement of the redemption provisions; and

(ii) the resolution provides for published notice before a redemption;

(4) the issue of bonds shall be in varying denominations and in coupon form registrable as to principal only, in fully registered form, or both forms if they are interchangeable; and

(5) a bond is a valid and binding obligation of the county in accordance with the terms of the bond even if an official whose signature appears on the bond:

(i) ceases to be an official before the delivery of the bond; or

(ii) becomes an official after the date of issue of the bond.

(g) Subject to § 19–505(d) of this subtitle, neither a resolution authorizing any bonds of a county nor the question of the issuance of bonds authorized by the resolution need be submitted to referendum of the voters of the county.
Md. Code, Local Government § 19-208 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-208
§19–208.
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 municipality;

(iii) a public corporation of the State; and

(iv) a political subdivision or an agency or instrumentality of a political subdivision of the State.

(2) This section does not apply to Baltimore City.

(b) A governmental entity authorized to issue bonds:

(1) subject to the limitations in this section and notwithstanding any other law, if the governmental entity determines that it is in the public interest, may issue and sell bonds in denominations of $1,000 or less, in any form;

(2) may sell the bonds in integral multiples; and

(3) subject to any other provision of law, may set the prices for and the interest rates to be paid on the bonds.

(c) (1) A governmental entity may not have bonds outstanding under this section in excess of a total principal amount of the greater of:

(i) $1,000,000; or

(ii) 10% of the total outstanding bonded indebtedness of the governmental entity at the time the bonds are issued.

(2) The total debts of a governmental entity, including bonds under this section, may not exceed a limit set by law.

(d) A governmental entity may sell bonds issued under this section in any manner that the governmental entity considers appropriate, notwithstanding §§ 19–205 and 19–206 of this subtitle or any other law that requires the solicitation of competitive bids or the public sale of bonds to the highest bidder or bidders or that regulates the manner in which the sale shall be advertised or the bonds sold.

(e) (1) A governmental entity that issues bonds under this section shall approve a disclosure document that includes:

(i) a description of the security for the bonds;

(ii) a statement of the purposes for which the proceeds of the bonds will be used;

(iii) a description of the financial condition of the governmental entity;

(iv) a statement of the prices for and the interest rates to be paid on the bonds; and

(v) a statement of the times and places of payment of the principal of and interest on the bonds.

(2) A governmental entity shall make the disclosure document available to buyers of the bonds.
Md. Code, Health - General § 19-1813 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1813
§19–1813.
Status: in_force

(a) In this section, “assisted living referrer” means an individual or agency that:

(1) Makes referrals to assisted living programs without cost to the person receiving the referral; and

(2) Is compensated by an assisted living program or other third party for referring individuals to a licensed assisted living program.

(b) Each assisted living referrer:

(1) Shall register with the Office of Health Care Quality;

(2) Shall disclose to a client or potential client of the assisted living referrer all financial relationships the assisted living referrer has with assisted living programs;

(3) If referring a client or potential client to an assisted living program, shall affirm that the assisted living program is licensed;

(4) If referring a client or potential client to an assisted living program, may refer the client or potential client only to a licensed assisted living program;

(5) Shall maintain general liability insurance;

(6) Shall require employees to obtain a criminal history records check;

(7) Shall provide to the client or the client’s representative a description of the services that will be provided by the referrer;

(8) If the referrer has a financial agreement with the client or the client’s representative, shall provide the agreement to the client or the client’s representative in writing or by electronic means; and

(9) Shall notify the Office of Health Care Quality immediately on learning that the assisted living program is operating without a license.

(c) An assisted living referrer may not:

(1) Receive funding from the Department if the assisted living referrer is in violation of this subtitle;

(2) Make referrals only to licensed assisted living programs from which the assisted living referrer receives compensation as described in subsection (a)(2) of this section; or

(3) Request payment of a referral fee from an assisted living program more than 2 years after the assisted living referrer provided the referral.

(d) If requested by any person or on its own initiative, the Office of the Attorney General may investigate whether an assisted living referrer violated this subtitle and may seek appropriate relief.

(e) The Office of Health Care Quality shall maintain a user–friendly database of licensed assisted living programs.

(f) (1) On or before September 30, 2025, an assisted living referrer:

(i) Shall keep a client or potential client’s medical record, as defined in § 4–301 of this article, confidential and may disclose the medical record only for the purpose of making a referral if the client or potential client gives informed written, electronic, or audio recorded consent; and

(ii) May not sell the personal data of a client, potential client, or client’s representative to another person unless the client or the client’s representative gives informed written, electronic, or audio recorded consent.

(2) On or after October 1, 2025, an assisted living referrer shall comply with all applicable data privacy laws.
Md. Code, Business Occupations and Professions § 19-202 — MD Code / Article gbo / Title 19 / Subtitle 2 / Section 19-202
§19–202.
Status: in_force

(a) In addition to any powers set forth elsewhere, the Secretary may:

(1) adopt regulations to carry out this title;

(2) use any member of the Department of State Police, as necessary, to carry out and enforce this title; and

(3) make inquiries and conduct an investigation regarding any applicant:

(i) for a license; or

(ii) for employment with a licensee as a security guard.

(b) In addition to any duties set forth elsewhere, the Secretary shall:

(1) adopt regulations that set standards for the certification of employees of security guard agencies as security guards;

(2) keep a roster of the individuals certified as security guards under this title, including on the roster:

(i) the names of individuals certified;

(ii) the name of the licensed security guard agency with or by which each individual is associated or employed; and

(iii) any other information that the Secretary considers appropriate; and

(3) adopt by regulation a schedule of fines for violations of this title that may be assessed by the Secretary under §§ 19-313 and 19-408 of this title.
Md. Code, Health Occupations § 19-203 — MD Code / Article gho / Title 19 / Subtitle 2 / Section 19-203
§19–203.
Status: in_force

(a) (1) From among its members, the Board shall elect a chair, vice chair, and secretary–treasurer every 2 years.

(2) The Board may elect other officers as necessary to fulfill the duties and responsibilities of the Board.

(b) The Board shall determine:

(1) The manner of election of the chair, vice chair, secretary–treasurer, and other officers; and

(2) The duties of each officer.
Md. Code, Health - General § 19-401 — MD Code / Article ghg / Title 19 / Subtitle 4 / Section 19-401
§19–401.
Status: in_force

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

(b) “Home health agency” means a health-related institution, organization, or a part of an institution that:

(1) Is owned or operated by 1 or more persons, whether or not for profit and whether as a public or private enterprise; and

(2) Directly or through a contractual arrangement, provides to a sick or disabled individual in the residence of that individual skilled nursing services, home health aid services, and at least one other home health care service that are centrally administered.

(c) (1) “Home health care” means any of the following services that are provided under the general direction of a licensed health professional practicing within the scope of their practice:

(i) Audiology and speech pathology;

(ii) Dietary and nutritional services;

(iii) Drug services;

(iv) Home health aid;

(v) Laboratory;

(vi) Medical social services;

(vii) Nursing;

(viii) Occupational therapy;

(ix) Physical therapy; or

(x) Provision of medically necessary sickroom equipment and supplies.

(2) However, the provisions of this subsection do not apply to:

(i) A nursing referral service agency that is licensed as a nursing referral service agency under the provisions of Subtitle 4B of this title; or

(ii) A home-based hospice care program that is licensed as a home-based hospice care program under the provisions of Subtitle 9 of this title.

(3) A home health agency shall also be licensed as a hospice care program if the home health agency operates a hospice care program that is distinct from its other services.
Md. Code, Health - General § 19-711 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-711
§19–711.
Status: in_force

(a) Within 90 days after the filing of an application for a certificate of authority to operate as a health maintenance organization, the Commissioner shall issue the certificate of authority to the applicant if:

(1) The application conforms with § 19-708 of this subtitle;

(2) The applicant has paid the fees required by § 19-709 of this subtitle;

(3) The Department has advised in writing that the health maintenance organization’s proposed health-related services, operations, and functions that fall under the regulatory jurisdiction of the Department appear to meet its requirements or are approved by the Department; and

(4) The Commissioner is satisfied that the requirements of § 19-710 of this subtitle are met.

(b) (1) Subject to paragraph (2) of this subsection, the provisions of Title 7 of the Insurance Article apply to health maintenance organizations.

(2) Before approving a transaction under § 7-306 of the Insurance Article, the Insurance Commissioner shall consult with the Secretary.

(c) Subsection (b) of this section may not apply to any transaction preempted by federal law.
Md. Code, Health - General § 19-388 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-388
§19–388.
Status: in_force

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

(b) “Coordinators” means the pediatric overstay coordinator in the Department and the pediatric overstay coordinator in the Department of Human Services.

(c) “Pediatric hospital overstay patient” means a patient under the age of 22 years who remains in an inpatient unit or emergency department of a hospital for more than 48 hours after being medically cleared for discharge or transfer.
Md. Code, Health - General § 19-112 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-112
§19–112.
Status: in_force

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

(2) “Center” means a Patient Safety Center designated by the Commission.

(3) “Fund” means the Maryland Patient Safety Center Fund.

(b) (1) On or before December 31, 2025, the Commission shall designate a Center for the State.

(2) The Center designated under paragraph (1) of this subsection shall continue to act as the State–designated Center for the duration of the designation period, as determined by the Commission, if the Center continuously meets the standards and requirements established by the Commission.

(c) The designated Center shall:

(1) Develop, coordinate, and implement patient safety initiatives across the State;

(2) Be a model for patient safety innovation and implementation in the State;

(3) Convene health care providers, patients, and families to:

(i) Improve the quality of health care and reduce preventable and avoidable harm; and

(ii) Provide safe and equitable health care for State citizens; and

(4) Share information relating to best practices among providers and patients in the State.

(d) (1) There is a Patient Safety Center Fund.

(2) The purpose of the Fund is to subsidize a portion of the costs of the Center so that the Center may perform the duties described under subsection (c) of this section.

(3) The Commission shall administer the Fund.

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

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

(5) The Fund consists of:

(i) Money appropriated in the State budget to the Fund;

(ii) Interest earnings; and

(iii) Any other money from any other source accepted for the benefit of the Fund.

(6) The Fund may be used only to subsidize a portion of the costs of the Center so that the Center may perform the duties described under subsection (c) of this section.

(7) (i) The State Treasurer shall invest the money of the Fund in the same manner as other State money may be invested.

(ii) Any interest earnings of the Fund shall be credited to the Fund.

(e) (1) (i) For fiscal years 2023 through 2025, the Governor shall include in the annual budget bill an appropriation of $1,000,000 for the Fund.

(ii) For fiscal year 2026 and each fiscal year thereafter, the Governor may include in the annual budget bill an appropriation of $1,000,000 for the Fund.

(2) The Commission may provide an annual grant from the Fund to the Center in the amount appropriated under paragraph (1) of this subsection, plus any interest and other income distributed to the Fund.

(3) Expenditures from the Fund may be made only in accordance with the State budget.

(4) Money expended from the Fund for the Center is supplemental to, and is not intended to take the place of, funding that otherwise would be appropriated for the Center.

(f) On or before October 1 each year, the Commission, in conjunction with the Center, shall report to the Senate Finance Committee and the House Health and Government Operations Committee, in accordance with § 2–1257 of the State Government Article, on:

(1) The Center’s statewide activities related to the development, coordination, and implementation of patient safety initiatives; and

(2) How the Center’s statewide initiatives align with State–designated priorities.
Md. Code, Local Government § 19-224 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-224
§19–224.
Status: in_force

(a) This section applies only to the following governmental entities:

(1) a county;

(2) a municipality;

(3) a public corporation or other political subdivision of the State; and

(4) any instrumentality or agency of a county, municipality, public corporation, or other political subdivision of the State.

(b) (1) A bond or grant anticipation note issued under Part III of this subtitle shall be considered investment securities to the extent set forth in this section.

(2) If a bond issued by a governmental entity otherwise complies with the requirements of the Commercial Law Article for investment securities, the bond shall be considered to be an investment security notwithstanding that:

(i) the ordinance, resolution, or other authority under which the bond is issued subjects the bond to an indenture or agreement that is separate from the ordinance, resolution, or authority;

(ii) the ordinance, resolution, or other authority under which the bond is issued limits payment of principal and interest to:

1. the proceeds of limited sources of revenue; or

2. a special fund established for that purpose;

(iii) any law limits payment of principal and interest to a certain amount or rate of tax that may be imposed; or

(iv) principal or interest are registrable.

(c) A bond that is considered to be an investment security under subsection (b) of this section has all the attributes of an investment security that are possessed by a bond that is:

(1) issued on the full faith and credit of the governmental entity;

(2) payable to bearer; and

(3) secured as to the payment of principal and interest by the unlimited taxing power of the governmental entity.
Md. Code, Local Government § 19-808 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-808
§19–808.
Status: in_force

(a) Cecil County shall sell bonds authorized under this subtitle at public or private sale and on the terms that the county considers best.

(b) Bonds issued under this subtitle are exempt from §§ 19–205 and 19–206 of this title.
Md. Code, Business Occupations and Professions § 19-305 — MD Code / Article gbo / Title 19 / Subtitle 3 / Section 19-305
§19–305.
Status: in_force

The Secretary may not issue a license to an applicant whose trade or fictitious name or trademark is so similar to that used by another licensee that the public may be confused or misled by the similarity.
Md. Code, Local Government § 19-306 — MD Code / Article glg / Title 19 / Subtitle 3 / Section 19-306
§19–306.
Status: in_force

The principal of and interest on bonds or tax anticipation notes issued in accordance with the charter of a municipality or this subtitle are exempt from State and local taxes.
Md. Code, Alcoholic Beverages and Cannabis § 19-1408 — MD Code / Article gab / Title 19 / Subtitle 14 / Section 19-1408
§19–1408.
Status: in_force

(a) (1) In addition to any other fee required for a license, the Board may charge an application fee for a new license in the amount of:

(i) $150 for an application for a Class A, Class B, Class C, or Class D beer and wine license; and

(ii) $200 for an application for a Class A, Class B, Class C, or Class D beer, wine, and liquor license.

(2) The application fee under this subsection is nonrefundable whether the license is issued or denied.

(3) The application fee does not apply to the renewal or transfer of a license for the same premises.

(b) In addition to any other fee required for a license, the Board may charge a transfer fee of $50 per license transfer.
Md. Code, Health - General § 19-1905 — MD Code / Article ghg / Title 19 / Subtitle 19 / Section 19-1905
§19–1905.
Status: in_force

(a) As part of the application process for a criminal history records check, an eligible employee shall complete and sign a disclosure statement.

(b) The Department or its designee shall mail an acknowledged receipt of the application with a disclosure statement from an eligible employee within 3 days after receipt of the application to:

(1) The adult dependent care program seeking to hire the eligible employee; and

(2) The eligible employee.
Md. Code, Business Occupations and Professions § 19-303 — MD Code / Article gbo / Title 19 / Subtitle 3 / Section 19-303
§19–303.
Status: in_force

(a) In this section, “organized police agency” means:

(1) a police department of the State or of a county or municipal corporation of the State;

(2) a private police department that is allowed to enroll its officers in approved Maryland Police Training and Standards Commission schools and academies; or

(3) a law enforcement agency of the United States, of any state, or of any county or municipal corporation of any state.

(b) An individual applicant or, if the applicant is a firm, the representative member shall have:

(1) at least 5 years experience as a full–time private detective certified under Title 13 of this article;

(2) at least:

(i) 5 years of experience as a full–time police officer with an organized police agency; and

(ii) completed successfully a police officer training course that is recognized and approved by the Maryland Police Training and Standards Commission;

(3) at least 3 years of experience in an investigative capacity as a detective while serving as a police officer with an organized police agency;

(4) at least:

(i) 3 years of experience in an investigative capacity in any unit of the United States, of the State, or of a county or municipal corporation of the State for the purpose of law enforcement; and

(ii) completed successfully the police officer training that is recognized and approved by the Maryland Police Training and Standards Commission;

(5) at least:

(i) 5 years of experience as a full–time fire investigator for a fire department or law enforcement agency of the State or of a county or municipal corporation of the State; and

(ii) completed successfully the training certified by the Maryland Police Training and Standards Commission or the Maryland Fire–Rescue Education and Training Commission; or

(6) at least:

(i) 5 years of experience as a full–time correctional supervisor in a correctional facility in the State; and

(ii) completed successfully the training required by the Correctional Training Commission.
Md. Code, Health - General § 19-713.3 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-713.3
§19–713.
Status: in_force

§19–713.3.

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

(2) “Administrative service provider contract” has the meaning stated in § 19-713.2 of this subtitle.

(3) “Contracting provider” has the meaning stated in § 19-713.2 of this subtitle.

(b) (1) A person must register with the Commissioner before the person acts as a contracting provider in this State.

(2) A health maintenance organization may not enter into an administrative service provider contract with a contracting provider that has not registered with the Commissioner.

(c) (1) An applicant for registration shall submit an application to the Commissioner in a form approved by the Commissioner and include any information required under subsection (e) of this section.

(2) A registration under this section expires 2 years from the date the application is approved.

(d) The Commissioner may charge a registration fee sufficient to cover the cost of implementing this section.

(e) The Commissioner may adopt regulations to carry out the provisions of this section and § 19-713.2 of this subtitle.
Md. Code, Health - General § 19-220 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-220
§19–220.
Status: in_force

(a) (1) To have the statistical information needed for rate review and approval, the Commission shall compile all relevant financial and accounting information.

(2) The information shall include:

(i) Necessary operating expenses;

(ii) Appropriate expenses that are incurred in providing services to patients who cannot or do not pay;

(iii) Incurred interest charges; and

(iv) Reasonable depreciation expenses that are based on the expected useful life of property or equipment.

(b) The Commission shall define, by regulation, the types and classes of charges that may not be changed, except as specified in § 19-222 of this subtitle.

(c) The Commission shall obtain from each facility its current rate schedule and each later change in the schedule that the Commission requires.

(d) Consistent with the all–payer model contract approved by the federal Center for Medicare and Medicaid Innovation, the Commission shall:

(1) Permit a nonprofit facility to charge reasonable rates that will permit the facility to provide, on a solvent basis, effective and efficient service that is in the public interest; and

(2) Permit a proprietary profit–making facility to charge reasonable rates that:

(i) Will permit the facility to provide effective and efficient service that is in the public interest; and

(ii) Based on the fair value of the property and investments that are related directly to the facility, include enough allowance for and provide a fair return to the owner of the facility.

(e) In the determination of reasonable rates for each facility, as specified in this section, the Commission shall take into account all of the cost of complying with recommendations made, under Subtitle 1 of this title, on comprehensive health planning.

(f) In reviewing rates or charges or considering a request for change in rates or charges, the Commission shall permit a facility to charge rates that, in the aggregate, will produce enough total revenue to enable the facility to meet reasonably each requirement specified in this section.

(g) Except as otherwise provided by law, in reviewing rates or charges or considering a request for changes in rates or charges, the Commission may not hold executive sessions.
Md. Code, Health - General § 19-325 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-325
§19–325.
Status: in_force

(a) If voluntary efforts to reduce excess capacity prove insufficient, as a last resort the Maryland Health Care Commission and the Health Services Cost Review Commission may petition the Secretary to delicense any hospital or part of a hospital or hospital service based on a finding after a public hearing that the delicensure is consistent with the State health plan or institution–specific plan. The petition shall specify in detail all efforts made by the petitioner to encourage the hospital:

(1) To reduce its underutilized capacity;

(2) To merge or consolidate;

(3) To become more efficient and effective; and

(4) To convert from acute capacity to alternative uses, where appropriate.

(b) On petition by the Maryland Health Care Commission and the Health Services Cost Review Commission, the Secretary may order that a hospital or part of a hospital or hospital service be delicensed if:

(1) The Secretary determines that delicensure is the last resort and a hospital or hospital services are excessive or inefficient, which determination is based on and is not inconsistent with the State health plan or institution–specific plan;

(2) An opportunity for notice and hearing in accordance with the Administrative Procedure Act has been given to the affected hospital, and in the affected political subdivision notice shall be given to the elected public officials and for at least 2 consecutive weeks in a newspaper of general circulation; and

(3) The hospital is not the sole provider of hospital services in a county for which the Commission and Health Services Cost Review Commission have petitioned for all of the beds of the hospital to be delicensed.

(c) The Maryland Health Care Commission and the Health Services Cost Review Commission are necessary parties to any proceeding in accordance with this section.

(d) Any person who is aggrieved by a final decision of the Secretary under this section may take a direct judicial appeal.

(e) The appeal shall be made as provided for judicial review of final decisions in the Administrative Procedure Act.

(f) The Secretary may participate in any appeal of a decision made in accordance with this section.

(g) In the event of an adverse decision that affects its final decision, the Secretary may apply within 30 days by writ of certiorari to the Court of Appeals for review where:

(1) Review is necessary to secure uniformity of decision, as where the same statute has been construed differently by 2 or more judges; or

(2) There are other special circumstances that render it desirable and in the public interest that the decision be reviewed.
Md. Code, Health - General § 19-308.3 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.3
§19–308.
Status: in_force

§19–308.3.

(a) In this section “facility” means a related institution that, under the regulations of the Department, is a comprehensive care facility or an extended care facility.

(b) Before a facility may use an application or contract for admission the administrator of the facility shall submit the application or contract for admission to the Department.

(c) Before a facility may make any substantive change in an application or contract for admission that has been submitted under subsection (b) of this section, the administrator of the facility shall submit the proposed change to the Department.

(d) The Department, after consulting with the Department of Aging, shall review the applications and contracts to assure:

(1) That the rights, responsibilities, and duties of the parties are set forth clearly and legibly;

(2) That they comply with applicable federal and State laws, including the patient’s bill of rights; and

(3) That they do not contain provisions which are unenforceable because of public policy.

(e) (1) Any application or contract for admission submitted by a facility to the Department for review and approval in accordance with the provisions of this section shall be deemed approved if the Department fails to make a decision on the proposed application or contract for admission within 30 days of its submission.

(2) Any substantive change in an application or contract for admission submitted by a facility to the Department for review and approval in accordance with the provisions of this section shall be deemed approved if the Department fails to make a decision on the proposed substantive change within 15 days of its submission.

(3) Any decision disapproving any provision of any application or contract shall clearly and with particularity state the grounds for such disapproval.

(f) The Department shall adopt regulations to implement the provisions of this section.
Md. Code, Health - General § 19-907 — MD Code / Article ghg / Title 19 / Subtitle 9 / Section 19-907
§19–907.
Status: in_force

(a) An applicant for a license shall submit an application to the Secretary.

(b) The application:

(1) Shall be on the form that the Secretary requires;

(2) Shall be signed and verified by the individual; and

(3) Shall include:

(i) The name of the applicant;

(ii) A statement that the applicant meets the requirements of this subtitle;

(iii) The location of the proposed hospice;

(iv) The name of the individual who is to be the medical director of the hospice care program; and

(v) Any other information that the Secretary requires.
Md. Code, Health - General § 19-349.1 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-349.1
§19–349.
Status: in_force

§19–349.1.

(a) A hospital shall provide oral and written notice to a patient of the patient’s outpatient status, the billing implications of the outpatient status, and the impact of the outpatient status on the patient’s eligibility for Medicare rehabilitation services if:

(1) The patient receives on–site services from the hospital for more than 23 consecutive hours;

(2) The on–site services received by the patient include a hospital bed and meals that have been provided in an area of the hospital other than the emergency room; and

(3) The patient is classified as an outpatient at the hospital for observation rather than an admitted inpatient.

(b) The Department, in consultation with hospitals in the State, shall adopt by regulation standardized elements to be included in the written notice required under subsection (a) of this section.
Md. Code, Health - General § 19-909 — MD Code / Article ghg / Title 19 / Subtitle 9 / Section 19-909
§19–909.
Status: in_force

(a) While it is effective, a general license authorizes the general licensee to operate a general hospice care program.

(b) (1) While it is effective, a limited license authorizes the limited licensee to operate a limited hospice care program.

(2) A limited licensee may not provide any medical, nursing, or other health services directly or through a contractual arrangement.
Md. Code, Health - General § 19-513 — MD Code / Article ghg / Title 19 / Subtitle 5 / Section 19-513
§19–513.
Status: in_force

(a) Except with the approval of the administrative head of a center, a person other than an employee of the center may not bring any alcoholic beverage into any area of the center that is used by individuals under treatment in the center.

(b) An employee of the center may not:

(1) Drink any alcoholic beverage while on duty; or

(2) Give any alcoholic beverage to an individual who is under treatment in the center.

(c) A person who violates any provision of this section is guilty of a misdemeanor and on conviction is subject to a penalty not exceeding $100 or imprisonment not exceeding 60 days or both.
Md. Code, Health - General § 19-1910 — MD Code / Article ghg / Title 19 / Subtitle 19 / Section 19-1910
§19–1910.
Status: in_force

The following persons or agencies shall have the immunity from civil or criminal liability described under § 5-619 of the Courts and Judicial Proceedings Article in connection with a criminal history records check under this subtitle:

(1) An adult dependent care program; and

(2) A State agency.
Md. Code, State Finance and Procurement § 19-116 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-116
§19–116.
Status: in_force

Every contract that the State enters into shall include language substantially similar to the following:

“As a condition of entering into this agreement, upon the request of the Commission on Civil Rights, and only after the filing of a complaint against the company under Title 19 of the State Finance and Procurement Article, as amended from time to time, the company agrees to: provide to the State within 60 days after the request a truthful and complete list of the names of all subcontractors, vendors, and suppliers that the company has used in the past 4 years on any of its contracts that were undertaken within the State of Maryland, including the total dollar amount paid by the contractor on each subcontract or supply contract. The company further agrees to cooperate in any investigation conducted by the State pursuant to the State’s Commercial Nondiscrimination Policy as set forth under Title 19 of the State Finance and Procurement Article of the Annotated Code of Maryland, to provide any documents relevant to any investigation that is requested by the State. The company understands and agrees that violation of this clause shall be considered a material breach of this agreement and may result in contract termination, disqualification by the State from participating in State contracts, and other sanctions.”.
Md. Code, Local Government § 19-607 — MD Code / Article glg / Title 19 / Subtitle 6 / Section 19-607
§19–607.
Status: in_force

A note is not subject to §§ 19–205 and 19–206 of this title.
Md. Code, Insurance § 19-1102 — MD Code / Article gin / Title 19 / Subtitle 11 / Section 19-1102
§19–1102.
Status: in_force

It is the intent of the General Assembly to promote the public welfare by creating a comprehensive legal framework within which pet insurance may be sold in the State.
Md. Code, Local Government § 19-216 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-216
§19–216.
Status: in_force

(a) A bond anticipation note may not be issued under this part unless it is signed, endorsed, or guaranteed in the manner required by law for the bonds in anticipation of which the note is issued.

(b) A bond or grant anticipation note is valid and binding in accordance with its terms notwithstanding that:

(1) an official whose signature appears on the note is no longer an official when the note is delivered; or

(2) an official whose signature appears on the note became an official after the note was issued.
Md. Code, Business Occupations and Professions § 19-406 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-406
§19–406.
Status: in_force

(a) At any time that a certified security guard provides a security guard service, the security guard shall carry the certification card issued under § 19-405 of this subtitle.

(b) On request of a law enforcement officer, a certified security guard shall show the security guard’s certification card.
Md. Code, Alcoholic Beverages and Cannabis § 19-2101 — MD Code / Article gab / Title 19 / Subtitle 21 / Section 19-2101
§19–2101.
Status: in_force

Title 4, Subtitle 6 (“Revocation and Suspension of Local Licenses”) of Division I of this article applies in the county without exception or variation.
Md. Code, Alcoholic Beverages and Cannabis § 19-904 — MD Code / Article gab / Title 19 / Subtitle 9 / Section 19-904
§19–904.
Status: in_force

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

(b) The license authorizes the license holder to sell beer, wine, and liquor at retail at the place described in the license for on–premises consumption.

(c) In accordance with § 4–202 of this article, the Board may limit the number of Class D beer, wine, and liquor licenses to be issued.

(d) The license may not be issued for use by a drugstore.

(e) The Board shall adopt regulations to carry out this section.

(f) The annual license fee is $1,500.
Md. Code, Health - General § 19-334 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-334
§19–334.
Status: in_force

(a) In addition to any other power set forth in this article or the Health Occupations Article, the Secretary may file a petition for appointment of a receiver for a nursing home or community program defined in this subtitle if, after investigation of the Secretary or after investigation at the request of the Secretary of Aging, the Secretary reasonably believes that:

(1) A person is operating the nursing home or community program without a license for it;

(2) The nursing home or community program will be closed within 30 days and arrangements to relocate its residents have not been approved by the Secretary;

(3) The nursing home or community program or its residents have been abandoned; or

(4) A situation, physical condition, practice, or method of operation presents an imminent danger of death or serious mental or physical harm to the individuals.

(b) A petition under this section shall be filed with the circuit court for the county where the nursing home or community program is located.
Md. Code, Health - General § 19-22A-06 — MD Code / Article ghg / Title 19 / Subtitle 22A / Section 19-22A-06
§19–22A–06.
Status: in_force

(a) The Council consists of the following 16 voting members and 6 ex officio members:

(1) One member of the Senate of Maryland, appointed by the President of the Senate, as an ex officio member;

(2) One member of the House of Delegates, appointed by the Speaker of the House, as an ex officio member;

(3) The Secretary of Health, or a designee of the Secretary, as an ex officio member;

(4) The State Superintendent of Schools as an ex officio member;

(5) The Executive Director of the Maryland Health Benefit Exchange as an ex officio member;

(6) The Chairman of the Commission, or a designee of the Chairman, as an ex officio member; and

(7) The following 16 members, appointed by the Governor:

(i) The President of the Maryland Assembly on School–Based Health Care, or a designee of the President;

(ii) Three representatives of school–based health centers, nominated by the Maryland Assembly on School–Based Health Care:

1. From a diverse array of sponsoring organizations; and

2. For at least one of the representatives, from a nursing background;

(iii) One representative of the Public Schools Superintendents Association of Maryland;

(iv) One representative of the Maryland Association of Boards of Education;

(v) One elementary school principal of a school that has a school–based health center;

(vi) One secondary school principal of a school that has a school–based health center;

(vii) One representative of the Maryland Hospital Association;

(viii) One representative of the Maryland Association of County Health Officers;

(ix) One representative of a federally qualified health center, nominated by the Mid–Atlantic Association of Community Health Centers;

(x) One representative of a managed care organization;

(xi) One representative of a commercial health insurance carrier;

(xii) One pediatrician, nominated by the Maryland Chapter of the American Academy of Pediatrics;

(xiii) One parent or guardian of a student who utilizes services at a school–based health center; and

(xiv) One school nurse, nominated by the Maryland Association of School Health Nurses.

(b) In making the appointments required under this section, the Governor shall ensure that the Council is representative of:

(1) The geographic regions of the State; and

(2) Minority populations of the State.

(c) (1) The term of a member appointed under subsection (a) of this section is 3 years.

(2) The terms of voting members are staggered as required by the terms provided for members of the Council on October 1, 2015.

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

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

(d) The Governor shall appoint a successor in the event of a vacancy on the Council.

(e) From among the members of the Council, the voting members of the Council shall elect a chair for a 2–year term.

(f) A member of the Council may not receive compensation but is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.
Md. Code, Alcoholic Beverages and Cannabis § 19-1404 — MD Code / Article gab / Title 19 / Subtitle 14 / Section 19-1404
§19–1404.
Status: in_force

The Board shall keep all criminal history record information in a sealed envelope available only to the members of the Board and their clerks.
Md. Code, Business Regulation § 19-701 — MD Code / Article gbr / Title 19 / Subtitle 7 / Section 19-701
§19–701.
Status: in_force

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

(b) “Animal control unit” has the meaning stated in § 10–617 of the Criminal Law Article.

(c) (1) “Animal welfare organization” means a nonprofit organization:

(i) that has tax exempt status under § 501(c)(3) of the U.S. Internal Revenue Code; and

(ii) whose mission and practice is the rescue of animals and the placement of those animals in permanent homes.

(2) “Animal welfare organization” does not include an organization that obtains animals from a breeder or broker in exchange for payment or compensation.

(d) “Breeder” means a person who breeds or raises dogs or cats to sell, exchange, or otherwise transfer to the public.

(e) “Broker” means a person who transfers dogs or cats for resale by another person.

(f) (1) “Retail pet store” means:

(i) a for–profit establishment that sells or offers for sale domestic animals to be kept as household pets; or

(ii) a broker.

(2) “Retail pet store” does not include an establishment at which the animals sold at the establishment were born at the establishment.
Md. Code, Insurance § 19-702 — MD Code / Article gin / Title 19 / Subtitle 7 / Section 19-702
§19–702.
Status: in_force

This subtitle applies only to authorized insurers that deliver or issue for delivery in the State third party bodily injury liability insurance under:

(1) homeowner’s coverage;

(2) owners’, landlords’, and tenants’ coverage; or

(3) any other premises liability coverage.
Md. Code, Health - General § 19-362 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-362
§19–362.
Status: in_force

(a) (1) An intermediate sanction may be imposed consistent with this section when a hazardous condition exists in a related institution and that condition is not remedied pursuant to the following sections.

(2) In determining whether a hazardous condition exists, the following factors shall be considered:

(i) The potential impact of the condition on the health, life, or safety of patients;

(ii) The period of time during which the condition has existed;

(iii) The frequency of occurrence of the condition; and

(iv) The efforts made by the related institution to correct the condition.

(3) Upon determination by the Department that a hazardous condition exists, the Department will notify the facility that a hazardous condition exists which may subject the facility to a sanction.

(b) (1) The Department shall order that a plan of correction which is acceptable to the Department be submitted within 10 working days.

(2) The Department shall notify the related institution within 3 working days of receipt of the plan of correction as to whether it is or is not acceptable.

(3) If the Department determines that the plan is not acceptable, the related institution will resubmit a revised plan within 5 working days of such notification.

(4) The Department will schedule reinspections of the facility based on time frames established in the plan of correction.

(c) (1) If the Department determines that an acceptable plan of correction has not been submitted, that the hazardous condition has not been corrected, or that progress satisfactory to the Department has not been accomplished, the Department shall order the facility ownership and appropriate administrative personnel to appear before a representative of the Department.

(2) Following the appearance, or if the facility ownership fails to appear, a decision may be issued which:

(i) Extends the time frame in which the hazardous condition must be corrected; or

(ii) Proposes the imposition of the sanction.

(d) (1) If a sanction is proposed, or if at the end of the extended time frame the hazardous condition has not been corrected, the Secretary may issue a sanction order.

(2) The sanction order shall state the number of days within which the hazardous condition must be corrected and shall require the related institution to establish an escrow account in accordance with § 19-363 of this subtitle.
Md. Code, Local Government § 19-228 — MD Code / Article glg / Title 19 / Subtitle 2 / Section 19-228
§19–228.
Status: in_force

This part applies only to the following governmental entities:

(1) a county;

(2) a municipality;

(3) a public corporation of the State;

(4) a sanitary commission or district; and

(5) a unit, public corporation, or other instrumentality of a county or a municipality.
Md. Code, Insurance § 19-209 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-209
§19–209.
Status: in_force

(a) (1) Subject to subsections (b), (c), and (d) of this section, an insurer may issue 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.

(2) The insurer may:

(i) require the deductible described in paragraph (1) of this subsection in a policy of the homeowner’s insurance; or

(ii) offer the deductible described in paragraph (1) of this subsection as an option to an applicant or insured.

(b) An insurer that 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 apply the deductible:

(1) only beginning at the time the National Hurricane Center of the National Weather Service issues a hurricane warning for any part of the State and ending 24 hours following the termination of the last hurricane warning issued for any part of the State; and

(2) regardless of where the insured’s home is located in the State.

(c) (1) An insurer that issues a policy of homeowner’s insurance may not adopt an underwriting standard that requires a deductible that exceeds 5% of the “Coverage A – Dwelling Limit” of the policy in the case of a hurricane unless the insurer has filed the underwriting standard with the Commissioner.

(2) The filing required by paragraph (1) of this subsection shall:

(i) be made at least 60 days before the insurer proposes to implement the underwriting standard in the State; and

(ii) include:

1. a copy of the underwriting standard the insurer intends to implement; and

2. the date on which the insurer intends to implement the underwriting standard.

(3) An underwriting standard subject to this subsection shall comply with all applicable laws.

(d) (1) 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 a policyholder with an annual statement explaining the manner in which the deductible is applied in accordance with § 19–209.1 of this subtitle.

(2) The insurer shall send a copy of the form used to provide the statement required under paragraph (1) of this subsection to the Commissioner prior to its use.

(e) The Commissioner may adopt regulations to implement the provisions of this section.
Md. Code, Health - General § 19-732 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-732
§19–732.
Status: in_force

(a) Except as otherwise provided in Title 15, Subtitle 10A of the Insurance Article, a party aggrieved by a final action of the Commissioner under this subtitle has the right to a hearing and the right to appeal from the action of the Commissioner under §§ 2–210 through 2–215 of the Insurance Article.

(b) A party aggrieved by an order of the Secretary under this subtitle may petition for judicial review as provided by the Administrative Procedure Act.
Md. Code, Health - General § 19-3B-04 — MD Code / Article ghg / Title 19 / Subtitle 3B / Section 19-3B-04
§19–3B–04.
Status: in_force

(a) An applicant for a license shall submit an application to the Secretary.

(b) The application shall:

(1) Be on a form and accompanied by any supporting information that the Secretary requires, including documentation that the Maryland Health Care Commission has determined that the freestanding ambulatory care facility either received a certificate of need or is exempt from certificate of need requirements; and

(2) Be signed and verified by the applicant.
Md. Code, Health - General § 19-319.2 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-319.2
§19–319.
Status: in_force

§19–319.2.

(a) In this section, “facility” means a special psychiatric hospital or an acute general care hospital with separately identified inpatient psychiatric service.

(b) (1) As a condition of licensure, each facility shall adopt written policies and procedures to implement the requirements of §§ 10-701 through 10-709 of this article. The policies and procedures:

(i) May expand the rights provided in §§ 10-701 through 10-709 of this article;

(ii) Shall provide for a mechanism for patients and others to report suspected violations of §§ 10-701 through 10-709 of this article to a designated official of the hospital;

(iii) Shall provide a system for investigating suspected violations; and

(iv) Shall ensure that there is a timely appropriate response to any suspected violation.

(2) The Secretary may inspect any document necessary to ensure compliance with this subsection and §§ 10-701 through 10-709 of this article.

(3) If a hospital that is a facility fails to adopt and implement the policies and procedures required by this subsection or maintains a continuing pattern of conditions or practices in knowing violation of §§ 10-701 through 10-709 of this article, the Secretary may impose the following penalties, but only after the Secretary has satisfied the conditions in § 19-360 of this subtitle:

(i) Delicensure of the specialty psychiatric hospital;

(ii) Delicensure of the separately identified psychiatric service of the acute general care hospital; or

(iii) A fine not to exceed $500 per day for each day the violation continues.
Md. Code, Health - General § 19-511 — MD Code / Article ghg / Title 19 / Subtitle 5 / Section 19-511
§19–511.
Status: in_force

(a) Each board shall meet at least 4 times a year, at the times and places that the board determines.

(b) A member of a board may not receive compensation.
Md. Code, Health Occupations § 19-304 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-304
§19–304.
Status: in_force

(a) An approved applicant is entitled to be examined for licensure as provided in this section.

(b) The Board shall ensure that a Board–approved examination for each category of license is made available for an applicant to take at least twice a year, at the times and places that the Board determines.

(c) The Board shall notify each approved applicant of the procedures for taking the examination.

(d) (1) The Board shall approve the subjects, scope, form, and passing score for each type of examination given under this subtitle.

(2) The examinations given under this subtitle shall strive to be free of cultural bias.

(e) (1) The Board, by regulation, may limit:

(i) The number of times an applicant may be reexamined after failing an examination required under this subtitle; and

(ii) The interval between reexaminations.

(2) If an applicant is permitted to be reexamined under paragraph (1) of this subsection, the applicant shall pay a fee to the examining body approved by the Board.

(f) The examination shall be prepared to measure the competence of the applicant to engage in the pertinent practice of social work.

(g) In the preparation, administration, and grading of an examination, the Board may employ, cooperate, or contract with an organization or consultant.
Md. Code, Local Government § 19-1004 — MD Code / Article glg / Title 19 / Subtitle 10 / Section 19-1004
§19–1004.
Status: in_force

The authority to borrow money and issue notes granted to a county under this subtitle is:

(1) supplemental to any other power granted to a county by any other law; and

(2) not in derogation of any other existing power of a county to borrow money.
Md. Code, Local Government § 19-701 — MD Code / Article glg / Title 19 / Subtitle 7 / Section 19-701
§19–701.
Status: in_force

This subtitle applies only to:

(1) Calvert County;

(2) Harford County; and

(3) St. Mary’s County.
Md. Code, Health Occupations § 19-403 — MD Code / Article gho / Title 19 / Subtitle 4 / Section 19-403
§19–403.
Status: in_force

A person may not intentionally:

(1) Use or attempt to use the license of another person who is a licensed social worker; or

(2) Impersonate another person who is a licensed social worker.
Md. Code, Alcoholic Beverages and Cannabis § 19-1304 — MD Code / Article gab / Title 19 / Subtitle 13 / Section 19-1304
§19–1304.
Status: in_force

(a) In this section, “festival” means a beer and wine festival in Dorchester County.

(b) There is a Dorchester County beer and wine festival (DBWF) license.

(c) The Board may issue the license to a holder of a retail license, Class 3 winery license, Class 4 limited winery license, Class 6 pub–brewery license, Class 7 micro–brewery license, or Class 8 farm brewery license.

(d) The license authorizes the holder to display and sell:

(1) wine that is:

(i) manufactured and processed in any state; and

(ii) distributed in the State when the license application is filed; and

(2) beer that is brewed by a brewer:

(i) that brews less than 40,000 barrels of beer annually; and

(ii) whose product is distributed in the State when the license application is filed.

(e) A license holder shall display and sell beer and wine:

(1) at retail for on– and off–premises consumption; and

(2) during the hours and days designated for the festival.

(f) The Board:

(1) (i) may approve more than one festival each year to be held on a weekend, Friday through Sunday inclusive; and

(ii) may not approve more than one festival for any one weekend;

(2) shall approve a location that is not already licensed; and

(3) shall ensure that the primary focus of a festival is the promotion of Maryland beer and wine.

(g) The license holder may hold another license of a different class or nature.

(h) Beer and wine displayed and sold shall be:

(1) invoiced to the license holder by a wholesaler, Class 3 winery, or Class 4 limited winery; and

(2) delivered to a festival from the licensed premises of the wholesaler, Class 3 winery, or Class 4 limited winery.

(i) A holder of a wholesale, Class 3 winery, or Class 4 limited winery license may enter into an agreement with the license holder to:

(1) deliver beer and wine not earlier than 2 days before the effective date of the license; and

(2) accept returns not later than 2 days after the expiration date of the license.

(j) The Board may set the license fee.

(k) The Board shall adopt regulations to carry out this section.
Md. Code, Health - General § 19-390 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-390
§19–390.
Status: in_force

(a) The Department and the Department of Human Services shall establish a pediatric hospital overstay coordinator within each department.

(b) The coordinators shall act in the best interest of a pediatric overstay patient by coordinating between hospitals, relevant State agencies and programs, and providers of mental health and substance use disorder services.

(c) The coordinators shall:

(1) Advocate on behalf of pediatric hospital overstay patients while maintaining appropriate patient confidentiality;

(2) Review policies and procedures of relevant State agencies and make recommendations for necessary changes to the policies and procedures to better serve pediatric hospital overstay patients;

(3) Maintain data on each pediatric hospital overstay patient, including:

(i) Patient’s length of stay;

(ii) The responsible State agency, if applicable;

(iii) Services needed;

(iv) Placement options being sought by the patient;

(v) Information regarding previous hospital admissions for a behavioral health diagnosis; and

(vi) Any other relevant data; and

(4) Report on the data collected under this subsection to the Secretary and the Secretary of Human Services.
Md. Code, Land Use § 19-101 — MD Code / Article glu / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

(a) The area in Montgomery County and Prince George’s County within the boundaries specified in this title is known as the Maryland–Washington Metropolitan District.

(b) The metropolitan district is the authority of the Commission for the purposes set forth in this division.
Md. Code, Health - General § 19-410 — MD Code / Article ghg / Title 19 / Subtitle 4 / Section 19-410
§19–410.
Status: in_force

A home health agency may not hold itself out as providing a complete array of physical rehabilitation services unless the home health agency:

(1) Provides a program of coordinated interdisciplinary rehabilitative care, including at a minimum, physical and occupational therapy, speech and language therapy, audiology therapy, psychotherapy, and social work services;

(2) Holds interdisciplinary meetings with the involvement of a physician to plan and monitor patient care; and

(3) Meets any other standard that the Secretary may adopt by regulation.
Md. Code, Health - General § 19-1804 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1804
§19–1804.
Status: in_force

The Department shall:

(1) Serve as the point of entry for persons desiring information on assisted living programs;

(2) Provide the Department of Aging and other State agencies that routinely receive inquiries from the public about assisted living with information that will enable the agencies to respond to the inquiries accurately and effectively; and

(3) Delegate various aspects of its responsibilities under this subtitle to monitor and inspect assisted living programs and facilities to the Department of Aging and the Department of Human Services, in accordance with an interagency agreement, for the purpose of ensuring compliance with the regulations adopted by the Department under this subtitle.
Md. Code, Local Government § 19-601 — MD Code / Article glg / Title 19 / Subtitle 6 / Section 19-601
§19–601.
Status: in_force

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

(b) “Authorizing resolution” means an administrative resolution adopted by the legislative body of a county.

(c) “County” includes a combination of two or more counties that have entered into an agreement under this part.

(d) (1) “Note” means an evidence of indebtedness of a county issued under this part.

(2) “Note” includes:

(i) a bond;

(ii) commercial paper;

(iii) a refunding bond;

(iv) a refunding note; and

(v) any other obligation.

(e) “State share”, with reference to a particular county on a particular date, means the aggregate amount of the anticipated State share of the costs of public school construction and capital improvements under § 5–303 of the Education Article that:

(1) has been approved by the Board of Public Works; and

(2) has not been advanced to the county.
Md. Code, Insurance § 19-205 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-205
§19–205.
Status: in_force

(a) (1) An insurer shall provide a policyholder with an annual statement that summarizes the coverages and exclusions under the policy issued by the insurer.

(2) The insurer’s statement shall be clear and specific.

(3) The insurer’s statement shall state whether the coverages under the policy provide for replacement cost, actual cash value, or other method of loss payment for covered structures and contents.

(4) The insurer’s statement shall include a disclosure that states:

(i) the policyholder should read the policy for complete information on coverages and exclusions;

(ii) the policyholder should refer to the declarations page for a listing of coverages purchased;

(iii) the policyholder should communicate with the insurance producer or the insurer for any additional information regarding the scope of coverages in the policy;

(iv) the statement does not include additional optional coverage purchased by the policyholder, if any;

(v) the statement is not part of the policy or contract of insurance and does not create a private right of action;

(vi) all rights, duties, and obligations are controlled by the policy and contract of insurance; and

(vii) the standard homeowner’s insurance policy does not cover losses from flood.

(b) The statement under subsection (a) of this section:

(1) is not part of the policy or contract of insurance; and

(2) does not create a private right of action.

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

(d) The Commissioner may adopt regulations to implement the provisions of this section.
Md. Code, Alcoholic Beverages and Cannabis § 19-1702 — MD Code / Article gab / Title 19 / Subtitle 17 / Section 19-1702
§19–1702.
Status: in_force

(a) (1) Subject to paragraph (2) of this subsection, for a license issued for the use of a corporation or club, the license holder may substitute on the license the name of a different officer for the name of any officer who:

(i) has died;

(ii) has retired; or

(iii) no longer holds an office in the corporation or club.

(2) A substitute officer shall be an individual approved by the Board who meets all the requirements applicable to the original officer.

(b) The license holder shall file an affidavit with the Board that contains:

(1) the substitution of the officer; and

(2) an explanation for the substitution.

(c) On receipt of the affidavit and payment of a $5 fee, the Board shall:

(1) amend its records; and

(2) issue a corrected license.
Md. Code, Health - General § 19-308.10 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.10
§19–308.
Status: in_force

§19–308.10.

(a) In this section, “safe sleep environment” means, as described in the most recent American Academy of Pediatrics policy statements, an environment in which a newborn may sleep that reduces the risk of sleep–related infant deaths, including through:

(1) The use of supine positioning;

(2) The use of a firm, flat sleep surface;

(3) The use of room sharing without bed sharing;

(4) The avoidance of soft bedding and overheating; and

(5) The avoidance of exposure to smoke.

(b) (1) As soon as practicable before a hospital discharges an infant after the birth of the infant, the hospital shall provide oral and written educational resources to the parent or legal guardian on how to provide a safe sleep environment.

(2) The oral and written educational resources required under paragraph (1) of this subsection may be supplemented by an educational video.

(c) (1) As soon as practicable before discharging an infant after the birth of the infant, a hospital shall:

(i) Ask the infant’s parent or legal guardian to describe the sleep environment that the parent or legal guardian will provide at home;

(ii) Inform the parent or legal guardian of the importance of ensuring that the infant has a safe sleep environment and the risks of suffocation and sudden infant death in unsafe sleep environments; and

(iii) Document that the educational resources described under subsection (b) of this section and the information described under item (ii) of this paragraph were provided to the parent or legal guardian.

(2) The hospital shall provide a list of resources available for the parent or legal guardian to obtain the items necessary to provide a safe sleep environment for the infant.

(d) On or before January 1, 2025, each hospital shall establish a process for:

(1) Providing each parent or legal guardian with:

(i) Oral and written educational resources as required under subsection (b) of this section; and

(ii) The information described under subsection (c)(1)(ii) of this section;

(2) A parent or legal guardian to confirm the receipt of the educational resources provided under subsection (b) of this section; and

(3) Maintaining records of confirmations made under item (2) of this subsection.

(e) (1) On or before January 1, 2025, the Department, in consultation with local health officers, shall develop for distribution to birthing parents and legal guardians a list of resources available by county to obtain the items necessary to provide a safe sleep environment for an infant.

(2) Each local health department shall provide an updated list of resources to the Department each year to assist the Department in developing the list of resources required under paragraph (1) of this subsection.
Md. Code, Health - General § 19-318 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-318
§19–318.
Status: in_force

(a) A person shall be licensed by the Secretary before the person may operate a hospital or related institution in this State.

(b) A hospital shall be classified as a special rehabilitation hospital before the hospital may provide or hold itself out as providing comprehensive physical rehabilitation services, as defined in § 19-1201 of this title.
Md. Code, Health - General § 19-14A-02 — MD Code / Article ghg / Title 19 / Subtitle 14A / Section 19-14A-02
§19–14A–02.
Status: in_force

(a) A nursing home that receives payment from the Medical Assistance Program shall provide a report of the credit balances of the nursing home to the Department on a quarterly basis.

(b) The Department shall conduct a third party liability review of the report of the credit balances provided under subsection (a) of this section.

(c) The Department may conduct a third party liability audit of a random sample of the reports of credit balances reviewed under subsection (b) of this section.

(d) (1) Subject to paragraph (2) of this subsection, the Department may conduct a third party liability audit of a nursing home that is found to be noncompliant as a result of the audit conducted under subsection (c) of this section.

(2) In conducting the third party liability audit authorized under paragraph (1) of this subsection, the Department may only review the financial information of the nursing home for the 2-year period immediately prior to the date of the audit period in which the nursing home was found to be noncompliant.
Md. Code, Alcoholic Beverages and Cannabis § 19-2401 — MD Code / Article gab / Title 19 / Subtitle 24 / Section 19-2401
§19–2401.
Status: in_force

Title 4, Subtitle 9 (“Judicial Review”) of Division I of this article applies in the county without exception or variation.
Md. Code, Alcoholic Beverages and Cannabis § 19-101 — MD Code / Article gab / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

(a) In this title:

(1) the definitions in § 1–101 of this article apply without exception or variation; and

(2) the following words have the meanings indicated.

(b) “Board” means the Board of License Commissioners for Dorchester County.

(c) “County” means Dorchester County.
Md. Code, Health - General § 19-729 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-729
§19–729.
Status: in_force

(a) A health maintenance organization may not:

(1) Violate any provision of this subtitle or any rule or regulation adopted under it;

(2) Fail to fulfill its obligations to provide the health care services specified in its contracts with subscribers;

(3) Make any false statement with respect to any report or statement required by this subtitle or by the Commissioner under this subtitle;

(4) Advertise, merchandise, or attempt to merchandise its services in a way that misrepresents its services or capacity for service;

(5) Engage in a deceptive, misleading, unfair, or unauthorized practice as to advertising or merchandising;

(6) Prevent or attempt to prevent the Commissioner or the Department from performing any duty imposed by this subtitle;

(7) Fraudulently obtain or fraudulently attempt to obtain any benefit under this subtitle;

(8) Fail to fulfill the basic requirements to operate as a health maintenance organization as provided in § 19–710 of this subtitle;

(9) Violate any applicable provision of Title 15, Subtitle 12 of the Insurance Article;

(10) Fail to provide services to a member in a timely manner as provided in § 19–705.1(b)(1) of this subtitle;

(11) Fail to comply with the provisions of Title 15, Subtitle 10A, 10B, 10C, or 10D or § 2–112.2 of the Insurance Article;

(12) Violate any provision of § 19–712.5 of this subtitle; or

(13) Violate any provision of Title 33 of the Insurance Article.

(b) If any health maintenance organization violates this section, the Commissioner may pursue any one or more of the courses of action described in § 19-730 of this subtitle.
Md. Code, Health - General § 19-380 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-380
§19–380.
Status: in_force

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

(b) (1) “Aftercare” means any assistance provided by a lay caregiver to a patient after discharge of the patient.

(2) “Aftercare” includes tasks that are limited to the patient’s condition at the time of discharge that do not require a licensed professional.

(c) “Discharge” means the exit or release of a patient from inpatient care in a hospital to the residence of the patient.

(d) “Lay caregiver” means an individual who:

(1) Is an adult;

(2) Is designated as a lay caregiver by a patient or the legal guardian of a patient under this part; and

(3) Performs aftercare for the patient at the residence of the patient.

(e) (1) “Residence” means a dwelling that a patient considers to be home.

(2) “Residence” does not include:

(i) A rehabilitation facility;

(ii) A hospital;

(iii) A nursing home;

(iv) An assisted living facility; or

(v) A group home licensed by the State.
Md. Code, Health - General § 19-712.5 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-712.5
§19–712.
Status: in_force

§19–712.5.

(a) A health maintenance organization shall reimburse a hospital emergency facility and provider, less any applicable co–payments, for medically necessary services provided to a member or subscriber of the health maintenance organization if the health maintenance organization authorized, directed, referred, or otherwise allowed the member or subscriber to use the emergency facility and the medically necessary services are related to the condition for which the member was allowed to use the emergency facility.

(b) A health maintenance organization shall reimburse a hospital emergency facility and provider, less any applicable co–payments, for medically necessary services that relate to the condition presented and that are provided by the provider in the emergency facility to a member or subscriber of the health maintenance organization if the health maintenance organization fails to provide 24–hour access in accordance with the standards of quality of care required under § 19–705.1(b)(1)(ii) of this subtitle.

(c) A health maintenance organization shall reimburse a hospital emergency facility and provider, less any applicable co–payments, for medical screening, assessment, and stabilization services rendered to meet the requirements of the federal Emergency Medical Treatment and Active Labor Act.

(d) Notwithstanding any other provision of this subtitle, a provider may not be required to obtain prior authorization or approval for payment from a health maintenance organization in order to obtain reimbursement under subsection (a), (b), or (c) of this section.

(e) Notwithstanding any other provision of this article, a hospital emergency facility or provider or a health maintenance organization that has reimbursed a provider may collect or attempt to collect payment from a member or subscriber for health care services provided for a medical condition that is determined not to be an emergency as defined in § 19–701(e) of this subtitle.

(f) If a health maintenance organization authorizes, directs, refers, or otherwise allows a member or subscriber to access a hospital emergency facility or other urgent care facility for a medical condition that requires emergency surgery, the health maintenance organization:

(1) Shall reimburse the physician, oral surgeon, periodontist, or podiatrist, who performed the surgical procedure, for follow–up care that is:

(i) Medically necessary;

(ii) Directly related to the condition for which the surgical procedure was performed; and

(iii) Provided in consultation with the member’s or subscriber’s primary care physician; and

(2) May not impose on the member or subscriber any co–payment or other cost–sharing requirement for any follow–up care that exceeds what a member or subscriber is required to pay for services rendered by a physician, oral surgeon, periodontist, or podiatrist who is a member of the provider panel of the health maintenance organization.
Md. Code, Health - General § 19-2103 — MD Code / Article ghg / Title 19 / Subtitle 21 / Section 19-2103
§19–2103.
Status: in_force

§19–2103. IN EFFECT

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

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

(2) Of the eleven members:

(i) One shall be a representative of a nonprofit health maintenance organization;

(ii) One shall be a representative of a nonprofit health service plan;

(iii) One shall be a representative of a Maryland hospital;

(iv) Four shall be individuals who:

1. Do not have any connection with the management or policy of a community health resource, nonprofit health service plan, or nonprofit health maintenance organization; and

2. Have a background or experience in health care;

(v) One shall be an individual who has a background or experience with an outpatient mental health clinic within the past 5 years; and

(vi) Three shall be individuals who have a background or experience with a community health resource within the past 5 years.

(3) At least two of the eleven members shall be health care professionals licensed in the State.

(b) To the extent practicable, when appointing members to the Commission, the Governor shall assure geographic balance and promote racial and gender diversity in the Commission’s membership.

(c) (1) On or after July 1, 2009, 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, 2009.

(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 may not serve more than two consecutive terms, except that a member appointed before July 1, 2009, may serve one additional 4–year term when the member’s current term expires.

(6) The Governor may remove a member for neglect of duty, incompetence, or misconduct.
Md. Code, Alcoholic Beverages and Cannabis § 19-2301 — MD Code / Article gab / Title 19 / Subtitle 23 / Section 19-2301
§19–2301.
Status: in_force

(a) The following sections of Title 4, Subtitle 8 (“Death of License Holder”) of Division I of this article apply in the county without exception or variation:

(1) § 4–802 (“Expiration of license on death of license holder”);

(2) § 4–804 (“Transfer or reinstatement of license”);

(3) § 4–805 (“Rights of protest, revocation, suspension, and restriction”); and

(4) § 4–806 (“Refund”).

(b) Section 4–803 (“Certificate of permission or renewal license for continuation of business”) of Division I of this article applies in the county, subject to § 19–2302 of this subtitle.
Md. Code, Health - General § 19-1410.3 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1410.3
§19–1410.
Status: in_force

§19–1410.3.

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

(2) “Catastrophic health emergency” means a health emergency with regard to which the Governor issues a proclamation under § 14–3A–02 of the Public Safety Article.

(3) “Compassionate care visitor” means a family member or legal guardian of a resident or any individual who is important to the mental, physical, or social well–being of the resident during critical situations including the end of the resident’s life, the significant mental or physical decline of the resident, or when exigent circumstances exist regarding the resident.

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

(5) “Personal care visitor” means a family member or legal guardian of a resident who is important to the mental, physical, or social well–being of the resident.

(b) (1) Consistent with federal requirements, the Department shall develop guidelines relating to the restrictions on visitation that a nursing home may impose to reduce the spread of COVID–19 or another disease that constitutes a catastrophic health emergency.

(2) The guidelines shall:

(i) Describe the circumstances under which visitation may be restricted to only compassionate care visitors and personal care visitors;

(ii) Limit the movement of visitors within the nursing home, which may include restricting visitors to the resident’s room or another designated room;

(iii) Require each visitor to follow safety protocols to limit the spread of COVID–19 or another disease that constitutes a catastrophic health emergency, which may include:

1. Testing for COVID–19 or another disease that constitutes a catastrophic health emergency;

2. Checking body temperature;

3. Health screenings;

4. The use of personal protective equipment;

5. Social distancing; and

6. Any other safety protocol that the Department considers appropriate to limit the spread of COVID–19 or another disease that constitutes a catastrophic health emergency in a nursing home;

(iv) Require, as practicable and when available, alternative means of communication with visitors if a nursing home determines that an in–person visit would endanger the health and safety of a patient, resident, or member of the staff; and

(v) Provide additional guidance necessary to promote access to residents by compassionate care visitors.

(3) In addition to the requirements in paragraph (2) of this subsection, the guidelines regarding personal care visitation shall:

(i) Establish procedures for the designation of a personal care visitor by a resident or a legal representative of the resident that:

1. May include requiring a health care professional to determine whether a personal care visitor is necessary for the mental, physical, or social well–being of the resident; and

2. If a determination is required, authorize the determination to be made by a health care professional who is not affiliated with the nursing home;

(ii) Provide that a resident may designate not more than one personal care visitor;

(iii) Establish procedures for changing the designation of a resident’s personal care visitor;

(iv) Require a personal care visitor to waive a nursing home from liability for exposure to COVID–19 or another disease that constitutes a catastrophic health emergency;

(v) Establish the circumstances under which visitation by a personal care visitor may be limited, suspended, or terminated, including increased local infection rates and health care capacity;

(vi) Establish standards for the frequency and duration of personal care visits; and

(vii) Establish the total number of personal care visitors authorized to visit a nursing home facility at any one time.
Md. Code, Public Utilities § 19-104 — MD Code / Article gpu / Title 19 / Subtitle 1 / Section 19-104
§19–104.
Status: in_force

A commissioner may not attempt to influence a county or State official in the conduct of the official’s duties for a purpose contrary to:

(1) this title; or

(2) the Maryland Public Ethics Law.
Md. Code, Health Occupations § 19-205 — MD Code / Article gho / Title 19 / Subtitle 2 / Section 19-205
§19–205.
Status: in_force

In addition to the powers and duties set forth elsewhere in this title, the Board has the following powers and duties:

(1) To adopt rules and regulations to carry out the provisions of this title;

(2) To adopt a code of ethics;

(3) To adopt an official seal;

(4) To hold hearings and keep records and minutes necessary for the orderly conduct of business;

(5) To issue a list annually of all currently licensed social workers and all social workers disciplined by the Board in the past year in accordance with § 4–333 of the General Provisions Article; and

(6) To investigate an alleged violation of this title.
Md. Code, Health - General § 19-712.4 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-712.4
§19–712.
Status: in_force

§19–712.4.

(a) In this section the terms “health care practitioner”, “health care entity”, and “health care service” have the same meanings as provided in § 1–301 of the Health Occupations Article.

(b) A health maintenance organization may seek repayment from a health care practitioner of any money paid for any claim, bill, or other demand or request for payment for the health care services that were determined by the appropriate regulatory licensing board to be furnished as a result of a referral prohibited by § 1–302 of the Health Occupations Article.

(c) Every contract between a health maintenance organization and its subscribers or a group of subscribers for the provision of health care services shall include a provision excluding payment of any claim, bill, or other demand or request for payment for health care services determined to be furnished as a result of a referral prohibited by § 1–302 of the Health Occupations Article.

(d) A health maintenance organization subject to the provisions of this section shall report to the Commissioner and the appropriate regulatory board any pattern of claims, bills or other demands or requests for payment submitted for a health care service provided as a result of a referral prohibited by § 1–302 of the Health Occupations Article within 30 days after that health maintenance organization has knowledge of that pattern.

(e) (1) Notwithstanding the provisions of this section, a health maintenance organization reimbursing for health care services is not required to audit or investigate any claim, bill, or other demand or request for payment for the purpose of determining whether those services were the result of a prohibited referral.

(2) Any audit or investigation of any claim, bill, or other demand or request for payment for the purpose of determining whether those services were the result of the prohibited referral are not grounds to delay payment or waive the provisions of § 15–1005 of the Insurance Article.

(f) For any claim, bill, or request for payment that is paid and is subsequently determined to be the result of a prohibited referral, a health maintenance organization may seek a refund of that payment in accordance with the provisions of § 1–305 of the Health Occupations Article.
Md. Code, Health - General § 19-727 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-727
§19–727.
Status: in_force

(a) Except as provided in subsection (b) of this section, a health maintenance organization is not exempted from any State, county, or local taxes solely because of this subtitle.

(b) (1) A nonprofit health maintenance organization that is exempt from taxation under § 501(c)(3) of the Internal Revenue Code is not subject to the insurance premium tax under Title 6, Subtitle 1 of the Insurance Article.

(2) Premiums received by an insurer under policies that provide health maintenance organization benefits are not subject to the premium tax imposed under Title 6, Subtitle 1 of the Insurance Article to the extent:

(i) Of the amounts actually paid by the insurer to a nonprofit health maintenance organization that operates only as a health maintenance organization; or

(ii) The premiums have been paid by that nonprofit health maintenance organization.
Md. Code, Insurance § 19-105 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-105
§19–105.
Status: in_force

An insurer that provides a general liability insurance policy to a fire department, fire company, rescue department, or rescue company shall offer to provide coverage for:

(1) a volunteer firefighter or volunteer ambulance rescue squad member who, in response to an emergency, provides assistance to the fire department, fire company, rescue department, or rescue company; and

(2) any other individual who, in response to an emergency, provides assistance at the request and under the direction of the fire department, fire company, rescue department, or rescue company.
Md. Code, Education § 19-108 — MD Code / Article ged / Title 19 / Subtitle 1 / Section 19-108
§19–108.
Status: in_force

(a) A system may provide by resolution for the issuance of bonds for the purpose of refunding any bonds or refunding bonds then outstanding including the payment of any redemption premium and any interest accrued or to accrue to the date of redemption of the bonds and any issuance costs of refunding bonds.

(b) The provisions of this title govern:

(1) The issuance of the refunding bonds;

(2) Their maturities and other details;

(3) The rights and remedies of the bondholder;

(4) The security for the refunding bonds; and

(5) The rights, duties, and obligations of a system.
Md. Code, Business Regulation § 19-207 — MD Code / Article gbr / Title 19 / Subtitle 2 / Section 19-207
§19–207.
Status: in_force

(a) A person may not falsely impersonate an officer or member of a uniformed services or patriotic organization, grand or subordinate lodge, or fraternal or sororal society that is chartered or has grand or subordinate lodges in the State.

(b) (1) Subject to paragraph (2) of this subsection, a person may not wear, or use to obtain aid, assistance, or personal or social recognition from a person in the State, the insignia of a military or patriotic organization, or a lodge or fraternal society that is chartered or has grand or subordinate lodges in the State, unless the person is entitled to use or wear the insignia under the constitution, bylaws, or rules of the organization, lodge, or society.

(2) Nothing in this subsection may be construed to prohibit a person from wearing an insignia of a lodge or society if the person is a parent, sibling, child, or spouse of a member of the lodge or society who is entitled to wear the insignia under this subsection.

(3) A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $200.

(c) (1) A person may not wear willfully, or use to obtain aid or assistance in the State, the insignia of the American Legion, the Veterans of Foreign Wars of the United States, or the Disabled American Veterans, unless the person is entitled to use or wear the insignia under the constitution, bylaws, or rules of the organization.

(2) A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to:

(i) a fine not exceeding $25; or

(ii) if payment of the fine is defaulted, imprisonment not exceeding 30 days.

(d) (1) A person may not willfully wear, exhibit, display, print, or use the insignia that is registered under this subtitle, unless the person is entitled to use or wear the insignia under the constitution, bylaws, or rules of the organization.

(2) A person who violates this subsection is guilty of a misdemeanor and on conviction is subject to:

(i) a fine not exceeding $100; or

(ii) if payment of the fine is defaulted, imprisonment not exceeding 60 days.
Md. Code, Health - General § 19-3C-02 — MD Code / Article ghg / Title 19 / Subtitle 3C / Section 19-3C-02
§19–3C–02.
Status: in_force

(a) The Secretary may adopt regulations for cosmetic surgical facilities in the State.

(b) Regulations adopted by the Secretary under this section shall include deeming a cosmetic surgical facility to meet specified requirements, if the cosmetic surgical facility is accredited by:

(1) The American Association for Accreditation of Ambulatory Surgical Facilities;

(2) The Accreditation Association for Ambulatory Health Care;

(3) The Joint Commission; or

(4) Any other accreditation organization, as determined by the Secretary.

(c) Regulations adopted under this section may not require higher standards for cosmetic surgical facilities than the standards required for ambulatory surgical facilities under Subtitle 3B of this title.

(d) (1) The Secretary may adopt regulations that establish the circumstances under which a procedure is a “cosmetic surgical procedure” under § 19–3C–01(c)(3) of this subtitle.

(2) The regulations adopted under paragraph (1) of this subsection shall be based on a finding by the Secretary that the procedure raises substantial health and safety concerns that warrant regulation of the procedure under this subtitle.

(3) In adopting regulations under paragraph (1) of this subsection, the Secretary shall consider available studies, reports, and other literature related to:

(i) The safety or risks of the procedure;

(ii) The education and training of the health care practitioners administering anesthesia for the procedure;

(iii) The education and training of the health care practitioners performing the procedure; and

(iv) The setting in which the procedure is performed.
Md. Code, Health - General § 19-4B-06 — MD Code / Article ghg / Title 19 / Subtitle 4B / Section 19-4B-06
§19–4B–06.
Status: in_force

For the purposes of any other provision of law, the granting of a license under this subtitle does not constitute a finding of any fact on which the granting of the license was based and may not give rise to any presumption regarding the existence of any fact on which the granting of the license was based.
Md. Code, Alcoholic Beverages and Cannabis § 19-902 — MD Code / Article gab / Title 19 / Subtitle 9 / Section 19-902
§19–902.
Status: in_force

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

(b) The Board may issue the license for use by a restaurant, motel, or hotel that has a facility:

(1) for serving full–course meals at least twice daily; and

(2) with seating at tables for at least 25 individuals, not including seats at bars or counters.

(c) The license authorizes the license holder to sell beer, wine, and liquor at the place described in the license for on–premises consumption.

(d) The annual license fee is $1,250.
Md. Code, Health - General § 19-1811 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1811
§19–1811.
Status: reserved

(a) (1) There is a Health Care Quality Account for Assisted Living Programs established in the Department.

(2) The Account shall be funded by civil money penalties paid by assisted living programs and other penalties that the Office of Health Care Quality may assess.

(3) The Department shall pay all penalties collected under this title to the Comptroller.

(4) The Comptroller shall distribute funds collected under this title to the Health Care Quality Account for Assisted Living Programs.

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

(6) Any unspent portions of the Account may not be transferred or reverted to the General Fund of the State, but shall remain in the Account to be used for the purposes specified in this section.

(b) The Health Care Quality Account for Assisted Living Programs shall be used for training, grant awards, demonstration projects, or other purposes designed to improve the quality of care.

(c) The Department shall adopt regulations for the distribution of funds from the Health Care Quality Account for Assisted Living Programs.
Md. Code, Health - General § 19-706 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-706
§19–706.
Status: in_force

(a) Each health maintenance organization that is issued a certificate of authority by the Commissioner shall be regulated under this subtitle.

(b) (1) Any health maintenance organization that is regulated by Title 14, Subtitle 1 of the Insurance Article is subject also to this subtitle.

(2) This subsection applies to a corporation described in Title 14, Subtitle 1 of the Insurance Article, but only if it is a health maintenance organization.

(c) Except as otherwise provided in this subtitle or expressly provided in the Insurance Article, a health maintenance organization is not subject to the insurance laws of this State.

(d) Only the Commissioner may issue, suspend, or revoke a certificate of authority of a health maintenance organization.

(e) The provisions of Title 27, Subtitle 8 of the Insurance Article shall apply to health maintenance organizations.

(f) The provisions of Title 15, Subtitle 10B of the Insurance Article shall apply to health maintenance organizations.

(g) The provisions of Title 6.5 of the State Government Article shall apply to the acquisition of a health maintenance organization owned by a nonprofit entity.

(h) The provisions of § 27–210 of the Insurance Article apply to health maintenance organizations.

(i) The provisions of § 15–145 of this article apply to health maintenance organizations.

(j) The provisions of Title 15, Subtitle 16 of the Insurance Article apply to health maintenance organizations.

(k) The provisions of § 2–517 of the State Personnel and Pensions Article apply to health maintenance organizations.

(l) The provisions of § 15–134 of the Insurance Article apply to health maintenance organizations.

(m) The provisions of § 4–406 of the Insurance Article apply to health maintenance organizations.

(n) The provisions of Title 4, Subtitle 5 of the Insurance Article apply to health maintenance organizations.

(o) The provisions of Title 9, Subtitle 4 of the Insurance Article apply to health maintenance organizations.

(p) The provisions of Title 33 of the Insurance Article apply to health maintenance organizations.

(q) The provisions of § 12–211 of the Insurance Article apply to health maintenance organizations.
Md. Code, Alcoholic Beverages and Cannabis § 19-803 — MD Code / Article gab / Title 19 / Subtitle 8 / Section 19-803
§19–803.
Status: reserved

(a) There is a Class B beer and wine license.

(b) (1) The license authorizes the license holder to sell beer and wine at a restaurant, at retail, at the place described in the license, for on–premises consumption.

(2) A license issued on or before June 30, 2008, for on– and off–premises consumption, may be renewed but may not be transferred.

(c) The annual license fee is $350.
Md. Code, Alcoholic Beverages and Cannabis § 19-1802 — MD Code / Article gab / Title 19 / Subtitle 18 / Section 19-1802
§19–1802.
Status: in_force

The requirement for a criminal history records check under § 4–107 of this article does not apply to applicants for license renewal.
Md. Code, Alcoholic Beverages and Cannabis § 19-1701 — MD Code / Article gab / Title 19 / Subtitle 17 / Section 19-1701
§19–1701.
Status: in_force

(a) The following sections of Title 4, Subtitle 3 (“Transfer of Local Licenses; Substitution of Names on License”) of Division I of this article apply in the county without exception or variation:

(1) § 4–302 (“Transfer of place of business; transfer of license and inventory”);

(2) § 4–303 (“Chain store, supermarket, or discount house”);

(3) § 4–304 (“Compliance with Bulk Transfers Act required”); and

(4) § 4–305 (“Filing fee and endorsement”).

(b) Section 4–306 (“Substitution of names of officers on license”) of Division I of this article does not apply in the county and is superseded by § 19–1702 of this subtitle.
Md. Code, Business Regulation § 19-402 — MD Code / Article gbr / Title 19 / Subtitle 4 / Section 19-402
§19–402.
Status: in_force

(a) A boat broker shall place any trust moneys received in anticipation of a boat purchase into a boat broker trust account until the boat broker:

(1) disburses the trust moneys to the beneficial owner on completion of the boat purchase; or

(2) returns the trust moneys to the purchaser if the boat purchase is not completed.

(b) A boat broker trust account established under this section shall be separate from the boat broker’s operating account.
Md. Code, Health - General § 19-1803 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1803
§19–1803.
Status: in_force

(a) The Department shall encourage, but may not require, providers of assisted living program services to offer a continuum of care.

(b) Providers of assisted living program services may provide services at a variety of levels and in a variety of settings.
Md. Code, Health - General § 19-2107 — MD Code / Article ghg / Title 19 / Subtitle 21 / Section 19-2107
§19–2107.
Status: in_force

§19–2107. IN EFFECT

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

(a) In addition to the powers set forth elsewhere in this subtitle, the Commission may:

(1) Adopt regulations to carry out the provisions of this subtitle;

(2) Create committees from among its members;

(3) Appoint advisory committees, which may include individuals and representatives of interested public or private organizations;

(4) Apply for and accept any funds, property, or services from any person or government agency;

(5) Make agreements with a grantor or payor of funds, property, or services, including an agreement to make any study, plan, demonstration, or project;

(6) Publish and give out any information that relates to expanding access to health care through community health resources that is considered desirable in the public interest;

(7) Subject to the limitations of this subtitle, exercise any other power that is reasonably necessary to carry out the purposes of this subtitle; and

(8) Assist community health resources in preparing to implement the Affordable Care Act.

(b) In addition to the duties set forth elsewhere in this subtitle, the Commission shall:

(1) Adopt rules and regulations that relate to its meetings, minutes, and transactions;

(2) Keep minutes of each meeting;

(3) Prepare annually a budget proposal that includes the estimated income of the Commission and proposed expenses for its administration and operation; and

(4) On or before October 1 of each year, submit to the Governor, to the Secretary, and, in accordance with § 2–1257 of the State Government Article, to the General Assembly an annual report on the operations and activities of the Commission during the preceding fiscal year.

(c) (1) The Commission may contract with a qualified, independent third party for any service that is necessary to carry out the powers and duties of the Commission.

(2) Unless permission is granted specifically by the Commission, a third party with whom the Commission contracts under paragraph (1) of this subsection may not release, publish, or use in a manner not authorized by the contract any information to which the third party has access under the contract.
Md. Code, Health - General § 19-734 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-734
§19–734.
Status: in_force

This subtitle may be cited as the “Maryland Health Maintenance Organization Act”.
Md. Code, Health - General § 19-7A-02 — MD Code / Article ghg / Title 19 / Subtitle 7A / Section 19-7A-02
§19–7A–02.
Status: in_force

(a) A license issued to a provider-sponsored organization under this subtitle authorizes the licensee to provide health care services only to Medicare beneficiaries under the federal Medicare+Choice Program.

(b) Nothing in this subtitle may be construed to limit a provider-sponsored organization from participating in the Medicaid program as a managed care organization.
Md. Code, Health - General § 19-712.6 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-712.6
§19–712.
Status: in_force

§19–712.6.

(a) Whenever a subscriber or an enrollee of a health maintenance organization is a resident of a continuing care facility that is regulated under Title 10, Subtitle 4 of the Human Services Article and received health care services in an acute care health care facility, the resident’s primary care physician shall refer, if medically appropriate, the resident to the skilled nursing unit at the resident’s continuing care facility for the provision of health care services included in the resident’s health maintenance organization Medicare contract if:

(1) The primary care physician and the resident or the designated representative of the resident do not choose an alternative course of treatment;

(2) The continuing care facility becomes a contracting provider in accordance with the health maintenance organization’s standard terms and conditions for its participating providers and meets the credentialing criteria for becoming a participating provider;

(3) The continuing care facility meets all the guidelines established by the Division of Licensing and Certification of the Department, including Medicare certification; and

(4) The continuing care facility’s skilled nursing unit is certified as a Medicare skilled nursing facility.

(b) (1) The continuing care facility is not obligated to accept for the provision of health care services anyone other than a resident of the continuing care facility.

(2) The health maintenance organization and the continuing care facility are not obligated to advertise in any manner that the continuing care facility is a participating provider with respect to coverage offered by the health maintenance organization for Medicare benefits or other treatment in the skilled nursing unit for anyone other than residents of the continuing care facility.
Md. Code, Alcoholic Beverages and Cannabis § 19-2005 — MD Code / Article gab / Title 19 / Subtitle 20 / Section 19-2005
§19–2005.
Status: in_force

(a) A holder of a Class A beer, wine, and liquor license may sell beer, wine, and liquor:

(1) on Monday through Saturday, from 6 a.m. to midnight; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from 6 a.m. to midnight.

(b) A holder of a Class B beer, wine, and liquor (on–sale) license may sell beer, wine, and liquor:

(1) on Monday through Saturday, from 7 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from 10 a.m. to midnight.

(c) A holder of a Class C beer, wine, and liquor (on–sale) license may sell beer, wine, and liquor:

(1) on Monday through Saturday, from 10 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.

(d) A holder of a Class D beer, wine, and liquor license may sell beer, wine, and liquor:

(1) on Monday through Saturday, from 6 a.m. to 1:45 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.
Md. Code, Commercial Law § 19-301 — MD Code / Article gcl / Title 19 / Subtitle 3 / Section 19-301
§19–301.
Status: in_force

A supplier may not:

(1) Coerce a dealer to accept delivery of equipment, parts, or accessories that the dealer has not ordered voluntarily unless the parts or accessories are safety parts or accessories required by the supplier;

(2) Condition the sale of additional equipment to a dealer on a requirement that the dealer also purchase other goods or services, except that a supplier may require the dealer to purchase parts that are reasonably necessary to maintain the quality of operation in the field of the equipment used in the trade area;

(3) Coerce a dealer into refusing to purchase equipment manufactured by another supplier; or

(4) Terminate, cancel, or fail to renew or substantially change the competitive circumstances of the retail agreement based on the results of any circumstance beyond the dealer’s control, including a natural disaster such as a sustained drought, high unemployment in the dealer market area, or a labor dispute.
Md. Code, Health - General § 19-1908 — MD Code / Article ghg / Title 19 / Subtitle 19 / Section 19-1908
§19–1908.
Status: in_force

(a) An eligible employee may contest the finding of a criminal conviction or pending charge reported in a printed statement issued by the Department as provided in this section.

(b) (1) In contesting the finding of a conviction or a pending charge, the eligible employee shall contact the office of the Secretary, or a designee of the Secretary, and a hearing shall be convened within 20 workdays, unless subsequently waived by the eligible employee.

(2) The Secretary, or a designee of the Secretary, shall render a decision regarding the appeal within 5 workdays after the hearing.

(c) (1) For the purposes of this subtitle, the record of a conviction for a crime or a copy of the record certified by the clerk of the court or by a judge of the court in which the conviction occurred, shall be conclusive evidence of the conviction.

(2) In a case where a pending charge is recorded, documentation provided by a court to the Secretary, or a designee of the Secretary, that a pending charge for a crime which has not been finally adjudicated shall be conclusive evidence of the pending charge.

(d) Failure of the eligible employee to appear at the scheduled hearing shall be considered grounds for dismissal of the appeal.
Md. Code, State Finance and Procurement § 19-101 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

(a) It is the policy of the State not to enter into a contract with any business entity that has discriminated in the solicitation, selection, hiring, or commercial treatment of vendors, suppliers, subcontractors, or commercial customers on the basis of race, color, religion, ancestry or national origin, sex, age, marital status, sexual orientation, gender identity, or on the basis of disability or any otherwise unlawful use of characteristics regarding the vendor’s, supplier’s, or commercial customer’s employees or owners.

(b) Nothing in this title shall be construed to prohibit or limit otherwise lawful efforts to remedy the effects of discrimination that have occurred or are occurring in the marketplace.

(c) A complaint of discrimination shall be filed within 4 years after the date the cause of action accrues.
Md. Code, Business Regulation § 19-401 — MD Code / Article gbr / Title 19 / Subtitle 4 / Section 19-401
§19–401.
Status: in_force

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

(b) “Beneficial owner” means a person for whose benefit a boat broker is entrusted to hold money.

(c) “Boat” means any vessel that is propelled by sail or machinery in the water.

(d) “Boat broker” means a person who provides boat brokerage services for another person.

(e) “Boat broker trust account” means an account that a broker maintains at a financial institution for the deposit of trust money.

(f) “Boat brokerage services” means to engage in any of the following activities for an expectation of compensation:

(1) selling a boat, offering to sell a boat, or negotiating to sell a boat;

(2) buying a boat, offering to buy a boat, or negotiating to buy a boat;

(3) soliciting or obtaining a listing of a boat; or

(4) negotiating the purchase, sale, or exchange of a boat.

(g) “Trust money” means a deposit, payment, or other money that a person entrusts to a boat broker to hold for the benefit of the person or a beneficial owner.
Md. Code, Business Regulation § 19-202 — MD Code / Article gbr / Title 19 / Subtitle 2 / Section 19-202
§19–202.
Status: in_force

(a) (1) Except as provided in subsection (b) of this section, an organization may register with the Secretary of State a facsimile, duplicate, or description of its name or insignia, including a badge, motto, button, decoration, charm, emblem, or rosette if the principles and activities of the organization are not repugnant to the Constitution and laws of the United States or this State.

(2) An organization that registers a name or insignia under this subsection may change or cancel the registration by reregistration.

(b) The Secretary of State may not register a name or insignia of an organization if the name or insignia is similar to, imitates, or so nearly resembles another name or insignia registered under this section as to be likely to deceive.
Md. Code, Alcoholic Beverages and Cannabis § 19-2601 — MD Code / Article gab / Title 19 / Subtitle 26 / Section 19-2601
§19–2601.
Status: in_force

(a) The following sections of Title 6, Subtitle 2 (“Enforcement”) of Division I of this article apply in the county without exception or variation:

(1) § 6–202 (“Inspections”);

(2) § 6–203 (“Use of equipment to measure quantity and quality of alcoholic beverages”);

(3) § 6–205 (“Peace officers”);

(4) § 6–206 (“Charging document for unlawful sale of alcoholic beverage”);

(5) § 6–207 (“Display of alcoholic beverages as prima facie evidence of sale”);

(6) § 6–208 (“Regulating possession or consumption of alcohol in public places”);

(7) § 6–209 (“Adoption of standards for authorization of consumption”); and

(8) § 6–210 (“State preemption of local disorderly intoxication laws”).

(b) The following sections of Title 6, Subtitle 2 (“Enforcement”) of Division I of this article apply in the county:

(1) § 6–204 (“Power to summon witnesses”), in addition to § 19–2602 of this subtitle; and

(2) § 6–211 (“Fines and forfeitures”), subject to § 19–2603 of this subtitle.
Md. Code, Health - General § 19-1403 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1403
§19–1403.
Status: in_force

(a) If a civil money penalty is proposed, the Secretary shall issue an order which shall state the basis on which the order is made, the deficiency or deficiencies on which the order is based, the amount of civil money penalties to be imposed, and the manner in which the amount of civil money penalties imposed was calculated.

(b) An order issued pursuant to subsection (a) of this section shall be void unless issued within 60 days of the inspection or reinspection at which the deficiency is identified.
Md. Code, Health - General § 19-406 — MD Code / Article ghg / Title 19 / Subtitle 4 / Section 19-406
§19–406.
Status: in_force

To qualify for a license, an applicant shall:

(1) Show that the home health agency will provide:

(i) Appropriate home health care to patients who may be cared for at a prescribed level of care, in their residence instead of in a hospital; and

(ii) Skilled nursing, home health aid, and at least one other home health care service that is approved by the Secretary; and

(2) Meet the requirements of Subtitle 1 of this title for certification of need.
Md. Code, Health - General § 19-1410.2 — MD Code / Article ghg / Title 19 / Subtitle 14 / Section 19-1410.2
§19–1410.
Status: in_force

§19–1410.2. IN EFFECT

(a) In this section, “workplace safety” means the prevention of any physical assault or threatening behavior against an employee in a nursing home.

(b) This section applies to nursing homes that are licensed for 45 beds or more.

(c) Each nursing home shall assign to an appropriate committee the task of:

(1) Conducting an annual assessment of workplace safety issues; and

(2) Making recommendations to the nursing home for reducing workplace injuries.

(d) In conducting an annual assessment of workplace safety issues, the committee assigned to conduct the assessment under subsection (c)(1) of this section shall consult with geriatric nursing assistants and other employees of the nursing home who are involved in assisting residents with activities of daily living.

§19–1410.2. ** TAKES EFFECT APRIL 1, 2026 PER CHAPTER 416 OF 2025 **

(a) In this section, “workplace safety” means the prevention of any physical assault or threatening behavior against an employee in a nursing home.

(b) This section applies to nursing homes that are licensed for 45 beds or more.

(c) Each nursing home shall assign to an appropriate committee the task of:

(1) Conducting an annual assessment of workplace safety issues; and

(2) Making recommendations to the nursing home for reducing workplace injuries.

(d) In conducting an annual assessment of workplace safety issues, the committee assigned to conduct the assessment under subsection (c)(1) of this section shall consult with certified nursing assistants and other employees of the nursing home who are involved in assisting residents with activities of daily living.
Md. Code, Health - General § 19-216 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-216
§19–216.
Status: in_force

(a) At the end of the fiscal year for a facility, at least 120 days following a merger or a consolidation, and at any other interval that the Commission sets, the facility shall file:

(1) A balance sheet that details its assets, liabilities, and net worth;

(2) A statement of income and expenses;

(3) The most recent Form 990 that the facility filed with the Internal Revenue Service; and

(4) Any other report that the Commission requires about costs incurred in providing services.

(b) (1) A report under this section shall:

(i) Be in the form that the Commission requires;

(ii) Conform to the uniform accounting and financial reporting system adopted under this subtitle; and

(iii) Be certified by the facility’s certified public accountant.

(2) If the Commission requires, responsible officials of a facility also shall attest that, to the best of their knowledge and belief, the report has been prepared in conformity with the uniform accounting and financial reporting system adopted under § 19–211 of this subtitle.
Md. Code, Health - General § 19-224 — MD Code / Article ghg / Title 19 / Subtitle 2 / Section 19-224
§19–224.
Status: in_force

(a) This section applies to each person that is concurrently:

(1) A trustee, director, or officer of any nonprofit facility in this State; and

(2) An employee, partner, director, officer, or beneficial owner of 3 percent or more of the capital account or stock of:

(i) A partnership;

(ii) A firm;

(iii) A corporation; or

(iv) Any other business entity.

(b) Each person specified in subsection (a) of this section shall file with the Commission an annual report that discloses, in detail, each business transaction between any business entity specified in subsection (a)(2) of this section and any facility that the person serves as specified in subsection (a)(1) of this section, if any of the following is $10,000 or more a year:

(1) The actual or imputed value or worth to the business entity of any transaction between it and the facility; or

(2) The amount of the contract price, consideration, or other advances by the facility as part of the transaction.

(c) A report under this section shall be:

(1) Signed and verified; and

(2) Filed in accordance with the procedures and on the form that the Commission requires.

(d) A person that willfully fails to file any report required by this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.
Md. Code, Public Utilities § 19-101 — MD Code / Article gpu / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

In this title, “Board” means the Board of Ethics established by the Commission under regulations adopted in accordance with Title 5, Subtitle 8, Part IV of the General Provisions Article.
Md. Code, Business Occupations and Professions § 19-307 — MD Code / Article gbo / Title 19 / Subtitle 3 / Section 19-307
§19–307.
Status: in_force

While a license is in effect, it authorizes the licensee to:

(1) conduct a business that provides security guard services for compensation or for hire;

(2) maintain an office for the conduct of business at each location stated in the security guard agency license certificate;

(3) employ individuals as security guards to provide security guard services to the public on behalf of the licensee; and

(4) represent the licensee to the public as a licensed security guard agency.
Md. Code, Local Government § 19-702 — MD Code / Article glg / Title 19 / Subtitle 7 / Section 19-702
§19–702.
Status: in_force

(a) The governing body of a county may borrow money to pay any of the capital construction costs of public library buildings in the county.

(b) The County Commissioners of St. Mary’s County may borrow money to pay any of the costs of preservation for public libraries in the county.
Md. Code, Local Government § 19-309 — MD Code / Article glg / Title 19 / Subtitle 3 / Section 19-309
§19–309.
Status: in_force

This subtitle does not impair any term or condition of any bond, note, or other obligation of a municipality issued by the municipality before Article XI–E of the Maryland Constitution took effect.
Md. Code, Alcoholic Beverages and Cannabis § 19-201 — MD Code / Article gab / Title 19 / Subtitle 2 / Section 19-201
§19–201.
Status: in_force

There is a Board of License Commissioners for Dorchester County.
Md. Code, Insurance § 19-504 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-504
§19–504.
Status: in_force

Each motor vehicle liability insurance policy issued, sold, or delivered in the State shall provide the minimum liability coverage specified in Title 17 of the Transportation Article.
Md. Code, Public Utilities § 19-106 — MD Code / Article gpu / Title 19 / Subtitle 1 / Section 19-106
§19–106.
Status: in_force

(a) The Board and its counsel each may:

(1) administer oaths; and

(2) issue subpoenas for the attendance of witnesses to testify or to produce other evidence.

(b) A subpoena issued under this section may be enforced judicially.
Md. Code, Insurance § 19-107 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-107
§19–107.
Status: in_force

(a) An insurer may not refuse to issue or renew a contract of motor vehicle insurance, property insurance, or casualty insurance solely because the subject of the risk or the applicant’s or insured’s address is located in a certain geographic area of the State unless:

(1) at least 60 days before the refusal, the insurer has filed with the Commissioner a written statement designating the geographic area; and

(2) the designation has an objective basis and is not arbitrary or unreasonable.

(b) A statement filed with the Commissioner under this section is a public record.
Md. Code, Insurance § 19-216 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-216
§19–216.
Status: in_force

(a) The Commissioner shall adopt by regulation a notice to be provided to insureds or policyholders at each renewal regarding areas of concerns, including:

(1) flood;

(2) coverage for loss from water that backs up through sewers and drains;

(3) deductibles;

(4) storm loss protective device discount;

(5) claims history; and

(6) increased hazard.

(b) The notice provided under subsection (a) of this section shall:

(1) be written in clear and specific language; and

(2) contain the following language in at least 10 point type:

“This notice is not your policy, does not give you any new or additional rights beyond those expressly stated in your policy, and does not alter your policy in any way.”.

(c) The notice provided under subsection (a) of this section does not create a private right of action.

(d) An insurer may provide the renewal notices required by §§ 19–202, 19–205(a)(4)(vii), 19–210(f), and 19–214(a) of this subtitle and § 27–501(n)(2) of this article by sending the notice authorized by subsection (a) of this section.

(e) The notice authorized 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 § 19-137 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-137
§19–137.
Status: in_force

If the Commission considers a further investigation necessary or desirable to authenticate information in a report that a health care practitioner or office facility files under this subtitle, the Commission may make necessary further examination of the records or accounts of the health care practitioner or office facility, in accordance with the regulations of the Commission.
Md. Code, Health - General § 19-2602 — MD Code / Article ghg / Title 19 / Subtitle 26 / Section 19-2602
§19–2602.
Status: in_force

(a) A hospital shall adopt and provide evidence to the Department that the hospital has:

(1) A doula policy that allows every birthing parent to have at least one doula present during birth in addition to authorized guests;

(2) An informed consent policy for significant medical intervention for the birthing parent; and

(3) A transfer acceptance policy that includes the hospital’s process for receiving:

(i) A patient from a health care practitioner regulated under Title 8 of the Health Occupations Article who had provided services to a birthing parent in a home birth setting;

(ii) A birthing parent’s or newborn’s medical information from the home birth provider; and

(iii) A transfer from a licensed direct–entry midwife that is consistent with the requirements of § 8–6C–08 of the Health Occupations Article.

(b) A hospital shall provide evidence to the Department that the hospital has adopted a policy under subsection (a) of this section:

(1) (i) On or before January 1, 2026; or

(ii) If the hospital is established after January 1, 2026, on the establishment of the hospital; and

(2) Whenever the policy is updated.

(c) The Department shall adopt regulations to carry out this section, including regulations that establish the form and manner in which a hospital may prove to the Department that the hospital has adopted a policy in compliance with this section.

(d) The Department shall make the policies provided by a hospital under this section available to the public on request and in a manner determined by the Department.

(e) This section does not prohibit a hospital from setting a policy that restricts the number of doulas or authorized guests.
Md. Code, Health - General § 19-1812 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1812
§19–1812.
Status: in_force

(a) Except as provided in subsections (g) and (h) of this section, the Department shall require that each assisted living program facility that provides services to 50 or more individuals have an emergency electrical power generator on the premises.

(b) The Department shall require that each facility provide emergency electrical power as provided in this section.

(c) (1) The emergency power source shall be a generating set and prime mover located on the facility premises with automatic transfer.

(2) An emergency power system shall meet the following requirements:

(i) In the event of failure of the normal electric service, the emergency electrical power shall be activated immediately;

(ii) The emergency generator set shall come to full speed and load acceptance within 10 seconds; and

(iii) The emergency generator shall have the capability of 48 hours of operation from fuel stored on–site.

(3) (i) The emergency power system shall be tested one time each month.

(ii) The emergency power system test shall require that the generator be exercised for a minimum of 30 minutes under normal emergency facility connected load.

(iii) The test shall be recorded in a permanent log book maintained for that purpose.

(d) The emergency power system shall provide lighting in the following areas of the facility:

(1) Areas of egress and protection as required by the State Fire Prevention Code and Life Safety Code 101 adopted by the State Fire Prevention Commission;

(2) Nurses’ station;

(3) Drug distribution station or unit dose station;

(4) An area for emergency telephone use;

(5) Boiler or mechanical room;

(6) Kitchen;

(7) Emergency generator location and switch gear location;

(8) Elevator, if operable on emergency power;

(9) Areas where life support equipment is used;

(10) If applicable, common areas or areas of refuge; and

(11) If applicable, toilet rooms of common areas or areas of refuge.

(e) Emergency electrical power shall be provided for the following:

(1) Nurses’ call system;

(2) At least one telephone in order to make and receive calls;

(3) Fire pump;

(4) Sewerage pump and sump pump;

(5) If required for evacuation purposes, an elevator;

(6) If necessary, heating equipment needed to maintain a minimum temperature of 70 degrees Fahrenheit (24 degrees Celsius) in all common areas or areas of refuge;

(7) Life support equipment; and

(8) Nonflammable medical gas systems.

(f) (1) If the emergency power system does not provide heat to all patient rooms or toilet rooms in the event of a loss of electricity from the main source of power, the facility shall provide common areas or areas of refuge for all patients.

(2) The Department shall adopt regulations regarding the requirements for designating parts of the facility as common areas or areas of refuge.

(g) An assisted living program facility shall be exempt from the requirements of this section if the facility can safely transfer residents through an enclosed corridor to a building that is equipped with an electrical power generator that satisfies the requirements of this section.

(h) (1) The Department may grant a facility a waiver from the requirements of this section if the facility:

(i) Provides evidence to the Department that the requirements of this section will create an undue financial burden on the facility and will require the facility to cease operation; and

(ii) Discloses to the residents of the facility that the facility does not have an emergency electrical power generator that meets the requirements of this section.

(2) Subject to paragraph (3) of this subsection, a waiver granted under paragraph (1) of this subsection may not exceed a period of 3 years.

(3) The Department may extend a waiver granted under paragraph (1) of this subsection for an additional period of 2 years beyond the period specified in paragraph (2) of this subsection.
Md. Code, Insurance § 19-509.2 — MD Code / Article gin / Title 19 / Subtitle 5 / Section 19-509.2
§19–509.
Status: in_force

§19–509.2.

(a) A final judgment in an action for personal injury protection coverage under a motor vehicle liability insurance policy does not preclude a subsequent action for uninsured or underinsured motorist coverage arising out of the same motor vehicle accident or occurrence.

(b) A final judgment in an action for personal injury protection coverage under a private passenger motor vehicle liability insurance policy does not preclude a subsequent action for enhanced underinsured motorist coverage arising out of the same motor vehicle accident or occurrence.
Md. Code, Health - General § 19-3A-08 — MD Code / Article ghg / Title 19 / Subtitle 3A / Section 19-3A-08
§19–3A–08.
Status: in_force

(a) This section applies to all payors subject to the rate–setting authority of the Health Services Cost Review Commission, including:

(1) Insurers, nonprofit health service plans, and health maintenance organizations that deliver or issue for delivery individual, group, or blanket health insurance policies and contracts in the State;

(2) Managed care organizations, as defined in § 15–101 of this article; and

(3) The Maryland Medical Assistance Program established under Title 15, Subtitle 1 of this article.

(b) A payor subject to this section shall pay rates set by the Health Services Cost Review Commission under Subtitle 2 of this title for hospital services provided at:

(1) A freestanding medical facility pilot project authorized under this subtitle prior to January 1, 2008; and

(2) A freestanding medical facility licensed under § 19–3A–03 of this subtitle.
Md. Code, Alcoholic Beverages and Cannabis § 19-1101 — MD Code / Article gab / Title 19 / Subtitle 11 / Section 19-1101
§19–1101.
Status: in_force

(a) The following sections of Title 4, Subtitle 11 (“Additional License Privileges”) of Division I of this article apply in the county without exception or variation:

(1) § 4–1102 (“Corkage — Consuming wine not purchased from license holder on licensed premises”); and

(2) § 4–1103 (“Removal of partially consumed bottle of wine from licensed premises”).

(b) Section 4–1105 (“Refillable container permit — Wine”) of Division I of this article does not apply in the county.

(c) The following sections of Title 4, Subtitle 11 (“Additional License Privileges”) of Division I of this article apply in the county:

(1) § 4–1104 (“Refillable container permit — Draft beer”), subject to § 19–1102 of this subtitle; and

(2) § 4–1106 (“Nonrefillable container permit –– Draft beer”), subject to § 19–1103 of this subtitle.
Md. Code, Local Government § 19-806 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-806
§19–806.
Status: in_force

(a) (1) A program shall require a down payment of at least 10% of the purchase price of the dwelling.

(2) (i) The down payment may be in the form of cash or real property owned by a mortgagor on which a dwelling has been constructed.

(ii) If the down payment is in the form of real property, the property shall be valued at the lesser of its purchase price or appraised value.

(b) An individual mortgage loan authorized under a program may not exceed $90,000.
Md. Code, State Finance and Procurement § 19-104 — MD Code / Article gsf / Title 19 / Subtitle 1 / Section 19-104
§19–104.
Status: in_force

(a) As a condition of participating in an economic development project, the State shall require the governmental entity, quasi-governmental entity, corporation, developer, or contractor that receives assistance from the State to comply with this title:

(1) in administering the economic development project; and

(2) in awarding contracts to manage or perform the work entailed in the economic development project.

(b) (1) Each contract and subcontract awarded in connection with an economic development project shall contain the nondiscrimination clause set forth in § 19-115 of this title.

(2) Any claim of discrimination relating to the economic development project shall be subject to investigation and adjudication by the State in accordance with this title.

(c) This title does not apply to:

(1) other than a lease of real estate for the State’s use, any real property acquisition by the State, including property subject to condemnation;

(2) settlement of litigation;

(3) except for proceedings to enforce this title, settlement of judicial or administrative enforcement proceedings by or on behalf of the State; and

(4) agreements concerning standards for locating facilities in a State right-of-way when a business entity has a statutory right to be in the right-of-way.
Md. Code, Alcoholic Beverages and Cannabis § 19-203 — MD Code / Article gab / Title 19 / Subtitle 2 / Section 19-203
§19–203.
Status: in_force

(a) (1) (i) The chair of the Board shall receive an annual salary of $3,000.

(ii) Each other member of the Board shall receive an annual salary of $2,500.

(2) Expenses of the Board:

(i) are subject to county personnel policies and rules; and

(ii) shall be provided for in the county budget.

(b) (1) The Board may:

(i) employ and set the compensation of clerical and other assistants as are necessary; and

(ii) with the approval of the County Council:

1. employ an inspector and a recording secretary who shall be employees of the county as provided in the county budget; and

2. appoint legal counsel.

(2) Restrictions applicable to members of the Board under § 19–202(c) of this subtitle shall apply to legal counsel and staff assigned to the Board.

(3) County personnel policies and rules shall apply to:

(i) staff assigned to the Board; and

(ii) staff expenses.

(4) Staff expenses shall be provided for in the county budget.
Md. Code, Local Government § 19-804 — MD Code / Article glg / Title 19 / Subtitle 8 / Section 19-804
§19–804.
Status: in_force

(a) By ordinance or resolution, the governing body of Cecil County shall specify:

(1) the program;

(2) the amount of bonds to be issued under the program;

(3) the interest rate of the bonds, or the manner of determining the rate; and

(4) other provisions not inconsistent with this subtitle to effect the financing of the mortgage loans.

(b) In the ordinance or resolution adopted under this subtitle, the governing body of Cecil County shall make findings regarding:

(1) the need for the financing authorized under this subtitle;

(2) the types of housing available and needed in the county; and

(3) other factors that the governing body finds appropriate to establish a program.

(c) An ordinance or resolution adopted under this subtitle is not subject to:

(1) referendum; or

(2) other procedures that do not apply to all ordinances or resolutions enacted by Cecil County.
Md. Code, Health - General § 19-4B-05 — MD Code / Article ghg / Title 19 / Subtitle 4B / Section 19-4B-05
§19–4B–05.
Status: in_force

(a) An individual may not operate or engage in, or attempt to operate or engage in, or hold one’s self out as operating or engaging in the business of a nursing referral service agency unless the individual is licensed under this subtitle.

(b) (1) An individual who violates this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 for the first offense and not exceeding $10,000 for any subsequent offense.

(2) Each day a violation is continued after the first conviction is a separate offense.
Md. Code, Insurance § 19-101 — MD Code / Article gin / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

(a) In addition to any requirement of this article and to the extent not inconsistent with this article, a workers’ compensation insurance policy is subject to Titles 9 and 10 of the Labor and Employment Article.

(b) In addition to any requirement of this article and to the extent not inconsistent with this article, a motor vehicle liability insurance policy is subject to the Maryland Vehicle Law.
Md. Code, Health - General § 19-101 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-101
§19–101.
Status: in_force

In this subtitle, “Commission” means the Maryland Health Care Commission.
Md. Code, Alcoholic Beverages and Cannabis § 19-2003 — MD Code / Article gab / Title 19 / Subtitle 20 / Section 19-2003
§19–2003.
Status: in_force

A holder of a Class A wine license may sell wine:

(1) on Monday through Saturday, from 6 a.m. to 1 a.m. the following day; and

(2) except as provided in § 19–2006 of this subtitle, on Sunday, from noon to midnight.
Md. Code, Alcoholic Beverages and Cannabis § 19-1201 — MD Code / Article gab / Title 19 / Subtitle 12 / Section 19-1201
§19–1201.
Status: in_force

(a) There is a Class B caterer’s license.

(b) (1) The Board may issue the license to a person to contract with a sponsor of a public or private event to provide food and alcoholic beverages if the person holds:

(i) a Class B restaurant or hotel (on–sale) beer and wine license or beer, wine, and liquor license; and

(ii) a caterer’s license issued by the county health department.

(2) The Board is not required to publish an application before issuing the license.

(c) The license authorizes a holder to:

(1) (i) provide beer and wine at an event that is held off the premises for which the holder’s Class B beer and wine license is issued; or

(ii) provide beer, wine, and liquor at an event that is held off the premises for which the holder’s Class B beer, wine, and liquor license is issued; and

(2) exercise the privileges of the license only during the hours and on the days authorized for the holder’s Class B license.

(d) The license holder shall notify the Board in writing at least 7 days before an event for which the license is to be used.

(e) The license holder:

(1) shall provide food for consumption at the catered event; and

(2) when catering a public event:

(i) shall distribute a wristband to each individual at the catered event who is at least 21 years old; and

(ii) may not serve an alcoholic beverage to an individual who is not wearing the wristband.

(f) The annual license fee is $200.

(g) This section does not require a holder of a Class B restaurant or hotel (on–sale) beer and wine license or beer, wine, and liquor license to obtain a Class B caterer’s license for catering on the premises for which the Class B restaurant or hotel license is issued.
Md. Code, Health Occupations § 19-303 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-303
§19–303.
Status: in_force

(a) To apply for a license, an applicant shall:

(1) Submit an application to the Board on the form that the Board requires; and

(2) Pay to the Board the application fee set by the Board.

(b) The Board shall:

(1) Review each application;

(2) Within 15 business days after the initial receipt of an application and after the receipt of supplemental documentation, notify the applicant of whether the application is complete; and

(3) Notify each applicant whether the applicant has been approved to take the pertinent licensure examination within 60 days from the date the Board received a completed application from the applicant.
Md. Code, Health - General § 19-705.2 — MD Code / Article ghg / Title 19 / Subtitle 7 / Section 19-705.2
§19–705.
Status: in_force

§19–705.2.

(a) With the advice of the Secretary, the Commissioner shall adopt regulations to establish a system for the receipt and timely investigation of complaints of members and subscribers of health maintenance organizations concerning the operation of any health maintenance organization in this State.

(b) The complaint system shall include:

(1) A procedure for the timely acknowledgment of receipt of a complaint;

(2) Criteria that the Secretary shall adopt by regulation for determining the appropriate level of investigation for a complaint concerning quality of care, including:

(i) A determination as to whether the member or subscriber with the complaint previously attempted to have the complaint resolved; and

(ii) A determination as to whether a complaint should be sent to the member’s or subscriber’s health maintenance organization for resolution prior to investigation under the provisions of this section; and

(3) A procedure for the referral of quality of care complaints to the Secretary for an appropriate investigation.

(c) If a determination is made to investigate a complaint under the provisions of this section prior to the member or subscriber attempting to otherwise resolve the complaint, the reasons for that determination shall be documented.

(d) Notice of the complaint system established under the provisions of this section shall be included in all contracts between a health maintenance organization and a member or subscriber of a health maintenance organization.

(e) For quality of care complaints referred to the Secretary for investigation under subsection (b)(3) of this section, the Secretary shall report to the Commissioner in a timely manner on the results and findings of each investigation.
Md. Code, Health - General § 19-14A-04 — MD Code / Article ghg / Title 19 / Subtitle 14A / Section 19-14A-04
§19–14A–04.
Status: in_force

The Department may adopt rules and regulations to carry out the provisions of this subtitle.
Md. Code, Local Government § 19-401 — MD Code / Article glg / Title 19 / Subtitle 4 / Section 19-401
§19–401.
Status: in_force

Section 10–203 of this article applies to the creation of public debt by a charter county.
Md. Code, Business Occupations and Professions § 19-404 — MD Code / Article gbo / Title 19 / Subtitle 4 / Section 19-404
§19–404.
Status: in_force

While certification of an individual as a security guard is in effect, the certification authorizes the individual to represent to the public that the individual is certified by the Secretary for employment as a security guard.
Md. Code, Health Occupations § 19-302.1 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-302.1
§19–302.
Status: in_force

§19–302.1.

To obtain a certified social worker–clinical license, an out–of–state applicant shall:

(1) Meet the requirements of § 19–302(a) of this subtitle;

(2) Be licensed or registered to practice social work in another state under a category of licensure that is equivalent to a certified social worker–clinical license;

(3) Have passed an examination in that state as a condition of licensure; and

(4) Have performed at least 1,000 hours of compensated social work practice per year for 5 years out of the 10 years preceding application to the Board.
Md. Code, Health - General § 19-1802 — MD Code / Article ghg / Title 19 / Subtitle 18 / Section 19-1802
§19–1802.
Status: in_force

The Department shall be the lead agency for supervising and monitoring a statewide interagency system for regulating the establishment and operation of assisted living programs.
Md. Code, Local Government § 19-605 — MD Code / Article glg / Title 19 / Subtitle 6 / Section 19-605
§19–605.
Status: in_force

(a) The notes shall be authorized by a resolution.

(b) The authorizing resolution shall:

(1) cite the authority to issue the notes and the amount authorized; and

(2) specify:

(i) the maturity;

(ii) the interest rate or manner of determining the rate, which may include a variable rate;

(iii) 1. the price at which the notes will be sold, which may be at, above, or below the face value of the notes; or

2. the manner of determining the price at which the notes will be sold;

(iv) the manner of the sale of the notes, which may be by private negotiation by the county with a prospective purchaser, if determined by the county to be in the county’s best interest;

(v) the terms or conditions, if any, under which notes may or shall be redeemed prior to their stated maturity; and

(vi) other terms on the notes.

(c) The authorizing resolution may provide for:

(1) the issuance of the notes in series, as money is required; and

(2) the renewal of the notes at maturity, with or without resale.
Md. Code, Health - General § 19-904 — MD Code / Article ghg / Title 19 / Subtitle 9 / Section 19-904
§19–904.
Status: in_force

(a) A building that contains a hospice facility shall:

(1) Be constructed soundly; and

(2) Meet the standards for construction and safety that the county or municipality imposes on a single-family residence.

(b) A building that contains a hospice facility may not be required to comply with health and safety standards for an institution.
Md. Code, Alcoholic Beverages and Cannabis § 19-2802 — MD Code / Article gab / Title 19 / Subtitle 28 / Section 19-2802
§19–2802.
Status: in_force

(a) The Board may impose a fine not exceeding $2,500 or suspend a license or both for a violation that is a cause for suspension of a license.

(b) A penalty imposed under this section:

(1) is in addition to and does not limit any other penalty for the same violation; and

(2) is independent of any court action based on the same violation.

(c) Fines collected under this section shall be paid into the general fund of the county.
Md. Code, Health - General § 19-22A-07 — MD Code / Article ghg / Title 19 / Subtitle 22A / Section 19-22A-07
§19–22A–07.
Status: in_force

(a) A majority of the members then serving on the Council is a quorum.

(b) The Council shall determine the times and places of its meetings and any other necessary operating procedures in accordance with the Open Meetings Act.

(c) (1) The Council may establish workgroups to advise the Council on specific issues, including behavioral health, oral health, and primary care.

(2) (i) The chair of the Council shall appoint the members of a workgroup established by the Council under paragraph (1) of this subsection.

(ii) The chair of the Council may appoint the following individuals to a workgroup:

1. Members of the Council with expertise in the issue to be studied; and

2. Members of the public, including consumers and stakeholder group representatives, with expertise in the area to be studied.
Md. Code, Insurance § 19-212 — MD Code / Article gin / Title 19 / Subtitle 2 / Section 19-212
§19–212.
Status: in_force

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

(2) (i) “Material reduction” means during a 1–year period a reduction of homeowner’s insurance policies in force for an insurer on a statewide basis by 3% or more due to cancellations or nonrenewals solely because the subject of the risk or the insured’s address is located in a certain geographic area of the State.

(ii) “Material reduction” does not include a homeowner’s insurance policy:

1. cancelled, nonrenewed, or otherwise terminated by an insured; or

2. cancelled or nonrenewed by an insurer pursuant to reasons other than a material reduction plan.

(3) (i) “Minimizes market disruption” means actions to be taken by an insurer that intends to engage in a plan of material reduction of its volume of policies to provide for the orderly reduction in homeowner’s insurance coverage.

(ii) “Minimizes market disruption” includes:

1. efforts by the insurer to maintain a service force in affected areas during the period of material reduction;

2. efforts to inform insureds of options available for replacement of coverage with authorized insurers; and

3. any actions serving to minimize market disruption.

(b) (1) At least 60 days in advance of implementing a plan of material reduction, an insurer shall file with the Commissioner a plan for orderly reduction.

(2) The plan shall:

(i) describe the insurer’s contemplated actions;

(ii) set forth the reasons for the actions;

(iii) describe the measures the insurer intends to take in order to minimize market disruption; and

(iv) provide any other information required by the Commissioner.

(c) (1) Except as provided in this section, a filing under this section may not take effect until 60 days after it is filed with the Commissioner.

(2) During the initial 60–day waiting period, the Commissioner may extend the waiting period for an additional period, not to exceed 60 days, by written notice to the insurer that the Commissioner needs additional time for consideration of the filing.

(3) A filing is deemed approved unless disapproved by the Commissioner during the waiting period or any extension of the waiting period.

(d) If the Commissioner finds that compliance with subsection (b) of this section would result in impairment of the insurer or a significant financial loss to the insurer, the Commissioner may allow an insurer to implement its plan of material reduction within 60 days after the filing of the plan.

(e) The Commissioner shall approve the plan of material reduction if the insurer demonstrates that the material reduction is accomplished in a manner that minimizes market disruption in the areas of material reduction.

(f) In reviewing a plan of material reduction, the Commissioner shall assess the impact of the plan of material reduction in:

(1) each county of the State; and

(2) areas within 1 mile of any saltwater shoreline or any shoreline directly adjacent to the Chesapeake Bay.

(g) (1) If the Commissioner disapproves the plan of material reduction, the Commissioner shall state:

(i) the points of objection with the plan; and

(ii) any amendments to the plan that the Commissioner may require, consistent with this section, including amendments designed to accomplish the plan of material reduction in a manner that minimizes market disruption.

(2) The insurer shall file an amended plan within 15 days after the date of return of the disapproved plan.

(3) Any intended withdrawal in accordance with a plan of material reduction that is disapproved is prohibited until the original or an amended plan of material reduction is approved by the Commissioner.

(h) The Commissioner may adopt regulations to implement the provisions of this section.
Md. Code, Health Occupations § 19-301 — MD Code / Article gho / Title 19 / Subtitle 3 / Section 19-301
§19–301.
Status: in_force

(a) Except as otherwise provided in this title, an individual shall be:

(1) Licensed by the Board before the individual may practice social work in this State while representing oneself as a social worker; or

(2) Licensed as a certified social worker–clinical before the individual may practice clinical social work in this State.

(b) This section does not apply to:

(1) Subject to subsection (d) of this section, an individual employed by any agency of the federal government while performing the duties of that employment;

(2) An individual licensed as a social worker in another state while responding to an emergency in this State;

(3) An individual who:

(i) Is licensed to practice social work in any other state;

(ii) Has an application for a license pending before the Board; and

(iii) Meets requirements established by the Board in regulations; or

(4) A student while pursuing a supervised course of study in a social work program that is accredited or is a candidate for accreditation by the Council on Social Work Education.

(c) An individual may not practice social work without a license under subsection (b)(3) of this section for more than 6 months.

(d) An individual employed by an agency of the federal government who is licensed to practice social work in the State shall comply with the provisions of this title.
Md. Code, Local Government § 19-308 — MD Code / Article glg / Title 19 / Subtitle 3 / Section 19-308
§19–308.
Status: in_force

(a) Except as provided in subsection (b) of this section, each bond or tax anticipation note issued in accordance with the charter of the municipality or this subtitle is a pledge of the full faith and credit of the municipality to the prompt payment, from the revenues described in the resolution or ordinance, of the principal of and interest on the bond or tax anticipation note when due.

(b) A revenue bond issued in accordance with the charter of the municipality is not a debt of the municipality to which its faith and credit or taxing power is pledged.

(c) (1) If at the time bonds are issued there is no charter or statutory limit on the power of the municipality to impose property taxes, the pledge under subsection (a) of this section is a covenant by the municipality to impose ad valorem taxes:

(i) on all real and tangible personal property in the municipality that is subject to assessment for unlimited municipal taxation; and

(ii) at a rate and in an amount sufficient to pay the principal of and the interest on the bonds in each year in which any of the bonds are outstanding.

(2) If at the time bonds are issued there is a charter or statutory limit on the power of the municipality to impose property taxes, the pledge under subsection (a) of this section is a covenant by the municipality to impose ad valorem taxes described in paragraph (1) of this subsection within the limits imposed by law.

(d) A charter provision or a statute that establishes a maximum limit on the rate at which a municipality may impose property taxes, or that removes an existing limit, enacted after bonds are issued by the municipality does not affect the covenants of the municipality under subsection (c) of this section with respect to bonds outstanding on the effective date of the charter provision or statute.

(e) (1) A municipality may not issue a bond under the charter of the municipality or this subtitle if, by its issuance, the maximum limits on the power of the municipality to incur debt imposed by charter or statute will be exceeded.

(2) A maximum limit imposed after a bond is issued does not affect the municipality’s obligation on the bond.

(3) The obligation of a municipality on an outstanding bond is not affected by the issuance of a bond in accordance with an increase in the maximum limit on the power of the municipality to incur debt, or the removal of an existing maximum limit, enacted after the outstanding bond is issued.

(f) (1) In addition to the pledge of its full faith and credit and taxing power to pay the principal of and interest on bonds, a municipality may secure the payment by the pledge of any other revenues, including:

(i) payments to the municipality from the State or federal government; and

(ii) special benefit assessments, taxes, fees, or service charges.

(2) To the extent that the additional revenues are sufficient in any year to pay the principal of and interest on the bonds to which they are pledged, the municipality is not obligated in that year to impose property taxes also pledged to pay the bonds.

(3) If the additional revenues are sufficient in any year to pay the principal of and interest on the bonds to which they are pledged, the failure of the municipality to impose property taxes in that year is not in breach of any of the municipal covenants described in subsection (c) of this section.
Md. Code, Health - General § 19-326 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-326
§19–326.
Status: in_force

If a hospital voluntarily closes, merges, or is delicensed under § 19–325 of this subtitle, the Department of Commerce, in cooperation with the Maryland Health Care Commission, shall assist the hospital and local community in identifying alternative uses for the hospital buildings or sites.
Md. Code, Health - General § 19-308.9 — MD Code / Article ghg / Title 19 / Subtitle 3 / Section 19-308.9
§19–308.
Status: in_force

§19–308.9.

(a) Except as provided in subsection (c) of this section, if an individual is treated at a hospital and the hospital conducts a urine drug screening to assist in diagnosing the individual’s condition, the hospital shall include testing for fentanyl in the individual’s urine drug screening.

(b) If the urine drug screening conducted in accordance with subsection (a) of this section detects fentanyl, the hospital shall report the test results, which shall be deidentified, to the Department through the State–designated health information exchange.

(c) This section does not apply to a hospital that does not have chemical analyzer equipment.

(d) This section does not affect any State law providing civil or criminal immunity to an individual who is in need of medical assistance after ingesting or using alcohol or drugs, or to an individual who in good faith assists another individual who is in need of medical assistance after ingesting or using alcohol or drugs.
Md. Code, Insurance § 19-402 — MD Code / Article gin / Title 19 / Subtitle 4 / Section 19-402
§19–402.
Status: in_force

(a) An insurer may not issue a workers’ compensation insurance policy unless the State Workers’ Compensation Commission has approved the form of the policy.

(b) Each policy of workers’ compensation insurance shall include the following provisions:

(1) the State Workers’ Compensation Commission, in the name of the State and for the benefit of a person entitled to compensation under the policy, may enforce the liability of the insurer for payment of compensation by:

(i) making the insurer a party to the original claim application; or

(ii) filing a separate claim application;

(2) the bankruptcy or insolvency of an employer does not relieve the insurer from payment of compensation for injury or death of a covered employee occurring during the life of the policy;

(3) as between the employee and the insurer, if the employer receives notice or has knowledge of the occurrence of an accidental injury, occupational disease, hernia, or hearing loss, the insurer is deemed also to have received the notice or have the knowledge;

(4) for the purposes of Titles 9 and 10 of the Labor and Employment Article, the insurer is subject to the same jurisdiction as the employer; and

(5) each award, decision, finding, or order against the employer for payment of compensation under Titles 9 and 10 of the Labor and Employment Article also is binding on the insurer.

(c) (1) A person that violates subsection (a) of this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000.

(2) The Commissioner may revoke the certificate of authority of a person that is convicted under this section.
Md. Code, Health - General § 19-3A-01 — MD Code / Article ghg / Title 19 / Subtitle 3A / Section 19-3A-01
§19–3A–01.
Status: in_force

In this subtitle, “freestanding medical facility” means a facility:

(1) In which medical and health services are provided;

(2) That, except for a freestanding medical facility established as a result of a conversion of a licensed general hospital under § 19–120(o)(3) of this title, is physically separate from a hospital or hospital grounds;

(3) That is an administrative part of a hospital, as defined in § 19–301 of this title; and

(4) That meets the requirements for provider–based status under the certification for an affiliated hospital as set forth by the Centers for Medicare and Medicaid Services in 42 C.F.R. § 413.65.
Md. Code, Health - General § 19-122 — MD Code / Article ghg / Title 19 / Subtitle 1 / Section 19-122
§19–122.
Status: in_force

A certificate of need is not required to delete, expand, develop, operate, or participate in a health care project for domiciliary care.
Md. Code, Business Regulation § 19-703 — MD Code / Article gbr / Title 19 / Subtitle 7 / Section 19-703
§19–703.
Status: in_force

(a) A retail pet store may not sell or otherwise transfer or dispose of cats or dogs.

(b) This section may not be construed to prohibit a retail pet store from collaborating with an animal welfare organization or animal control unit to offer space for these entities to showcase cats or dogs for adoption.