reglab/housing_qa huggingface dataset:
MD. Health - General Code Ann. §  19-307 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-307 - Classifications of Hospitals and Related Institutions

    (a)    (1)    A hospital shall be classified:            (i)    As a general hospital if the hospital at least has the facilities and provides the services that are necessary for the general medical and surgical care of patients;            (ii)    As a special hospital if the hospital:                1.    Defines a program of specialized services, such as obstetrics, mental health, tuberculosis, orthopedy, chronic disease, or communicable disease;                2.    Admits only patients with medical or surgical needs within the program; and                3.    Has the facilities for and provides those specialized services;            (iii)    As a special rehabilitation hospital if the hospital meets the requirements of this subtitle and Subtitle 12 of this title; or            (iv)    As a limited service hospital if the health care facility:                1.    Is licensed as a hospital on or after January 1, 1999;                2.    Changes the type or scope of services offered by eliminating the capability to admit or retain individuals for overnight hospitalization;                3.    Retains an emergency or urgent care center; and                4.    Complies with the regulations adopted by the Secretary under § 19-307.1 of this subtitle.        (2)    The Secretary may set, by rule or regulation, other reasonable classifications for hospitals.    (b)    A related institution shall be classified:        (1)    As a care home if the related institution provides care to individuals who, because of advanced age or physical or mental disability, require domiciliary care or personal care in a protective environment; or        (2)    As a nursing home if the related institution:            (i)    Provides nursing care for chronically ill or convalescent patients; or            (ii)    Offers to provide 24-hour a day nursing care of patients in a home-type facility such as:                1.    A convalescent home;                2.    A nursing unit of a home for the aged;                3.    A psychiatric nursing home;                4.    A nursing facility for individuals with disabilities;                5.    A home for alcoholics; or                6.    A halfway house.
MD. Health - General Code Ann. §  19-307.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-307.1 - Regulations for Limited Service Hospitals

    The Department shall adopt regulations for a limited service hospital that include the following standards:        (1)    The limited service hospital shall be open 24 hours a day, 7 days a week;        (2)    There shall be at least one physician credentialed in emergency medicine at the limited service hospital at all times;        (3)    A sufficient number of registered nurses and other health professionals shall be available at the limited service hospital to provide advanced life support;        (4)    Basic X–ray and laboratory facilities shall be available at the limited service hospital and operable at all times by one radiology technician and one laboratory technician;        (5)    Resuscitation equipment, including monitor, defibrillator, cardiac medications, intubation equipment, and intravenous line equipment shall be available at the limited service hospital and operable at all times;        (6)    Standard procedures in accordance with the State Emergency Medical Services Plan shall exist for the immediate transport of individuals in need of hospitalization or other more definitive care;        (7)    A specific defined role in the Emergency Medical Services System with appropriate telephone communication shall exist;        (8)    Emergency services shall be available to all persons regardless of ability to pay;        (9)    Adoption, implementation, and enforcement of a policy shall exist that requires, except in an emergency life–threatening situation where it is not feasible or practicable, compliance by all employees and medical staff involved in patient care services with the Centers for Disease Control and Prevention’s guidelines on universal precautions; and        (10)    Any other standard that the Secretary deems necessary to ensure the quality of the services provided by a limited service hospital.
MD. Health - General Code Ann. §  19-307.2 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-307.2 - Licensed Bed Capacity

    (a)    For a hospital classified as a general hospital, the Secretary shall annually calculate the hospital’s licensed bed capacity.    (b)    The annual licensed bed calculation for each hospital shall equal 140 percent of the average daily census for the 12-month period immediately preceding the calculation.    (c)    If necessary to adequately meet demand for services, a hospital may exceed its licensed bed capacity if:        (1)    On average for the 12-month period, the hospital does not exceed its licensed bed capacity based on the annual calculation; and        (2)    The hospital includes in its monthly report to the Health Services Cost Review Commission the following information:            (i)    The number of days in the month the hospital exceeded its licensed bed capacity; and            (ii)    The number of beds that were in excess on each of those days.    (d)    Before July 1, 2000 and each July 1 thereafter, the Secretary shall delicense any licensed hospital beds determined to be excess bed capacity under subsection (b) of this section.
MD. Health - General Code Ann. §  19-308 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308 - Standards and Inspections

    (a)    The Secretary shall adopt reasonable rules and regulations that set standards of services for related institutions, accredited hospitals, nonaccredited hospitals, accredited residential treatment centers, and nonaccredited residential treatment centers in the following areas:        (1)    The care of patients;        (2)    The medical supervision of patients;        (3)    The physical environment;        (4)    Disease control;        (5)    Sanitation;        (6)    Safety; and        (7)    Dietary matters.    (b)    (1)    To assure compliance with the standards adopted under this subtitle, the Secretary shall have an inspection made:            (i)    Of each related institution, each accredited hospital or nonaccredited hospital, and each accredited residential treatment center or nonaccredited residential treatment center for which a license is sought; and            (ii)    Periodically of each related institution, each accredited hospital or nonaccredited hospital, and each accredited residential treatment center or nonaccredited residential treatment center for which a license has been issued.        (2)    At least 2 inspections a year of each related institution shall be unannounced.        (3)    The part of a building that contains part of a hospital, residential treatment center, or related institution and any outbuilding are considered part of the facility and are subject to inspection to determine occupancy status for licensing purposes.        (4)    Subject to § 2–1257 of the State Government Article, during each regular session of the General Assembly, the Department shall submit to the General Assembly a report on the inspections.        (5)    (i)    An employee of the Department may not inform a hospital, residential treatment center, or related institution of any proposed inspection activity, unless the chief of the employee’s division directs the employee to do so.            (ii)    An employee who violates any provision of this paragraph is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 or imprisonment not exceeding 1 year or both.
MD. Health - General Code Ann. §  19-308.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.1 - Patient Care Personnel

    (a)    (1)    In this section, “patient care personnel” means an individual whom a related institution employs to provide health related or personal care services.        (2)    “Patient care personnel” does not include an individual who provides general administrative, nonmedical supervisory, or record keeping services in a related institution.    (b)    The Secretary may adopt reasonable rules and regulations that set minimum qualifications for patient care personnel who are not licensed under the Health Occupations Article.
MD. Health - General Code Ann. §  19-308.2 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.2 - Transfer of Patients Between Hospitals

    (a)    (1)    Subsection (b)(1) of this section is not intended to preempt the requirements of § 10-625 of this article.        (2)    The Department shall adopt guidelines, after consultation with the Maryland Hospital Association, Inc., governing the transfer of patients between hospitals to ensure that transfers of patients between hospitals are accomplished in a medically appropriate manner and in accordance with the health care policies of the State that, at a minimum, require:            (i)    Notification to the receiving hospital before the transfer and confirmation by that hospital that the patient meets that hospital’s admissions criteria relating to appropriate bed, physician, and other services necessary to treat the patient;            (ii)    The use of medically appropriate life-support measures that a reasonable and prudent physician exercising ordinary care would use to stabilize the patient before transfer and to sustain the patient during the transfer;            (iii)    The provision of appropriate personnel and equipment that a reasonable and prudent physician exercising ordinary care would use for the transfer; and            (iv)    The transfer of all necessary records for continuing the care for the patient.    (b)    (1)    The Department shall adopt regulations providing for penalties for hospitals that violate provisions of subsection (a) of this section.        (2)    A penalty not exceeding $1,000 may be imposed per violation.
MD. Health - General Code Ann. §  19-308.3 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.3 - Applications or Contracts for Admission

    (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. Health - General Code Ann. §  19-308.4 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.4 - Personal Identification Tags for Employees and Certain Others

    (a)    Each hospital or nursing facility in the State shall ensure that its employees and any other individuals who provide a health care service within or on the premises of the hospital or nursing facility wear a personal identification tag, except where inappropriate for medical reasons, that indicates in readable text:        (1)    The first name, nickname, last name, or full name of the individual that is commonly used in the hospital or nursing facility; and        (2)    The professional or other title of the individual.    (b)    The Secretary may impose a fine not to exceed $25 per violation of this section.
MD. Health - General Code Ann. §  19-308.5 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.5 - Universal Newborn Hearing Screening Program

    (a)    Each hospital that provides obstetrical services shall establish a universal newborn hearing screening program to ensure that:        (1)    (i)    All newborns born in the hospital are screened for hearing loss before discharge; and            (ii)    The results are reported as required under § 13–605 of this article; and        (2)    Before discharge and to the extent practicable, the hospital provides to the parent or legal guardian of a newborn identified as having a hearing loss under item (1)(i) of this subsection a list of resources available for parents of children with hearing loss, including:            (i)    Locations for subsequent testing; and            (ii)    Resources on language and communication mode options for communicating with their child.    (b)    The universal newborn hearing screening program established under this section shall consist of at least one of the following screening tests:        (1)    Auditory brain stem response;        (2)    Otoacoustic emissions; or        (3)    Another appropriate screening test recommended by the Advisory Council and approved by the Secretary.
MD. Health - General Code Ann. §  19-308.6 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.6 - Uniform Emergency Security Codes for Hospitals

    (a)    The Secretary, in consultation with the Association of Maryland Hospitals and Health Systems and the Maryland Association of Hospital Security and Safety Directors, shall develop a uniform set of emergency security codes for hospitals.    (b)    The Secretary shall adopt regulations to implement the uniform set of emergency security codes.    (c)    Each hospital in Maryland shall implement the provisions of the uniform set of emergency security codes for hospitals within 2 years of the adoption of the regulations by the Secretary.
MD. Health - General Code Ann. §  19-308.7 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.7 - Umbilical Cord Blood Donation

    (a)    Unless it is medically inadvisable, each hospital shall allow a pregnant patient to arrange for the donation of the blood extracted from the umbilical cord of the patient’s newborn child to a certified public cord blood bank.    (b)    A patient who agrees to donate cord blood to a public cord blood bank may not be charged for the costs of collecting, storing, or transporting the cord blood.    (c)    A hospital is not required to collect cord blood if in the professional judgment of a licensed physician the collection of the cord blood would threaten the health of the mother or newborn child.    (d)    A hospital or hospital employee, including a physician, nurse, or other medical staff, may not be required to collect cord blood if the collection of cord blood conflicts with the bona fide religious practices and beliefs of the hospital or hospital employee.    (e)    This section may not be construed to require a hospital to arrange for the donation of blood extracted from umbilical cords.    (f)    (1)    The Department, in consultation with obstetricians, the Maryland Hospital Association, and interested groups, shall develop educational materials concerning the values, uses, and donation of umbilical cord blood for the purposes of paragraph (2) of this subsection.        (2)    Each obstetrician and hospital that provides obstetrical services shall distribute the educational materials described in paragraph (1) of this subsection to pregnant patients.
MD. Health - General Code Ann. §  19-308.8 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-308.8 - Discharge or Transfer of Patients

    (a)    A hospital may discharge a patient:        (1)    Entirely;        (2)    To another level of care, treatment, or services;        (3)    To different health professionals; or        (4)    To settings for continued services.    (b)    A hospital’s process for transfer or discharge shall be based on a patient’s assessed needs.    (c)    To facilitate discharge or transfer, the hospital shall:        (1)    Assess a patient’s needs;        (2)    Plan for discharge or transfer;        (3)    Facilitate the discharge or transfer process;        (4)    Give the patient or person responsible for providing continuing care to the patient written discharge instructions in a form the patient can understand; and        (5)    Help to ensure that continuity of care, treatment, and services is maintained.    (d)    If a hospital fails to comply with the requirements of this section, the Secretary may impose a civil money penalty not to exceed $10,000 for each failure to comply.    (e)    A hospital may appeal a civil money penalty imposed under subsection (c) of this section in accordance with Title 10, Subtitle 2 of the State Government Article.
MD. Health - General Code Ann. §  19-309 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-309 - Complaints

    (a)    Notwithstanding any other provisions of this subtitle, each hospital or residential treatment center shall be open to inspections by the Department to investigate and resolve any complaint concerning patient care, safety, medical and nursing supervision, physical environment, sanitation or dietary matters.    (b)    (1)    To resolve expeditiously a complaint that alleges the existence of any nonlife-threatening deficiency, the Department may refer the complaint directly to the hospital or residential treatment center.        (2)    If appropriate, issues relating to the practice of medicine or the licensure or conduct of a health professional shall be referred to the hospital or the residential treatment center and may be referred to the appropriate licensure board for resolution.        (3)    If the Department determines that the hospital or residential treatment center has not satisfactorily addressed the referred complaint or where the complaint alleges the existence of a life-threatening deficiency, the Department shall conduct an independent investigation.
MD. Health - General Code Ann. §  19-310.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-310.1 - Quality Assessment of Nursing Facilities; Medicare Reimbursement

    (a)    (1)    This section applies to a nursing facility, as defined in § 19–301 of this subtitle, that:            (i)    Has 45 or more beds; and            (ii)    Operates in the State.        (2)    This section does not apply to a nursing home bed in a continuing care retirement community that has obtained a certificate of registration to provide continuing care under Title 10, Subtitle 4 of the Human Services Article.    (b)    (1)    The Department may impose a quality assessment on each freestanding nursing facility subject to this section.        (2)    The amount assessed in the aggregate on all nursing facilities may not exceed 6.0% of the operating revenue for all nursing facilities subject to this section for the previous fiscal quarter.        (3)    The assessment authorized by this section shall be paid by each nursing facility in accordance with this section.    (c)    (1)    On or before the 60th day after each quarter of the State fiscal year, each nursing facility subject to this section shall pay to the Comptroller an amount determined by the Department based on an amount per non–Medicare day of service for the previous fiscal quarter.        (2)    The assessment shall be based on an amount per patient day, not including Medicare days.    (d)    (1)    All amounts collected by the State Comptroller under this section shall be distributed to a special fund, to be used by the Department only to fund reimbursements to nursing facilities under the Medicaid program.        (2)    At least 65% of the funds allocated by the Department as reimbursements to nursing facilities under this section shall be in addition to and may not supplant funds already appropriated for this purpose.    (e)    The Department shall adopt regulations to implement this section.    (f)    On or before September 1, 2015, and each year thereafter, the Department shall report to the General Assembly, in accordance with § 2–1257 of the State Government Article, on the implementation of this section, including:        (1)    The percentage and amount of the assessment charged to each nursing facility subject to this section;        (2)    The number of nursing facilities subject to this section with a net loss; and        (3)    A comparison of the total amount provided in the Medicaid budget for nursing home reimbursement in the current fiscal year to the actual amount received in the immediately prior fiscal year.
MD. Health - General Code Ann. §  19-310.2 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 3 - Hospitals and Related Institutions|Part I - Definitions; General Provisions|Section 19-310.2 - Protocol for Sexual Assault Medical Forensic Examinations

    On or before July 1, 2014, each hospital that provides emergency medical services shall have a protocol to provide timely access to a sexual assault medical forensic examination by a forensic nurse examiner or a physician to a victim of an alleged rape or sexual offense who arrives at the hospital for treatment.