reglab/statecodes huggingface dataset:
2023 Maryland Statutes › Health - General › Title 17 - Laboratories › Subtitle 6 - Biological Agents Registry Program › Section 17-605 - Penalty

(a)    A person who violates any provision of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $100 for the first offense and not exceeding $500 for each subsequent conviction for a violation of the same provision.
(b)    Each day a violation is continued after the first conviction is a subsequent offense.
2023 Maryland Statutes › Health - General › Title 17 - Laboratories › Subtitle 7 - Biosafety Level 3 Laboratories in Frederick County › Section 17-701 - Biosafety Level 3 Laboratories in Frederick County -- Information Reported

(a)    In this section, “BSL–3 laboratory” means a laboratory designated as a biosafety level 3 (BSL–3) laboratory by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institutes of Health, Biosafety in Microbiological and Biomedical Laboratories, as applicable, based on:
(1)    Usage of biological agents that may cause serious or potentially lethal disease after inhalation, ingestion, or absorption; and
(2)    Required biocontainment precautions.
(b)    This section applies to each BSL–3 laboratory in Frederick County that:
(1)    Does not work with federally regulated biological select agents and toxins or their products; and
(2)    (i)    Is a commercial or for–profit laboratory;
(ii)    Is owned by or is part of a teaching hospital or an institution of postsecondary education; or
(iii)    Is a privately funded biomedical research laboratory.
(c)    The Department shall develop and make available a standardized form for a BSL–3 laboratory subject to this section to use to provide the information required under subsection (d) of this section.
(d)    On or before October 30 each year, each BSL–3 laboratory subject to this section shall report to the Department:
(1)    The address of the laboratory;
(2)    The name, telephone number, and e–mail address of a contact person for the laboratory; and
(3)    Any other information required by the Department to determine the location of the laboratory.
(e)    On or before December 31 each year, the Department shall report to:
(1)    The Maryland Department of Emergency Management and the health officer and emergency management officials of Frederick County the number and location of BSL–3 laboratories subject to this section; and
(2)    The Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly the total number of BSL–3 laboratories subject to this section.
(f)    (1)    Except as provided in paragraph (2) of this subsection and subsection (e) of this section, any information the Department collects from BSL–3 laboratories subject to this section is confidential and not subject to inspection under the Public Information Act.
(2)    Any information the Department collects from BSL–3 laboratories subject to this section shall be made available if requested by the BSL–3 laboratory’s insurance carrier or in a legal proceeding.
(g)    (1)    Activity of a BSL–3 laboratory subject to this section that fails to report the information required under subsection (d) of this section shall be considered ultrahazardous and abnormally dangerous.
(2)    A BSL–3 laboratory subject to this section that fails to report the information required under subsection (d) of this section is strictly liable for damages for any injury, death, or loss to person or property that is caused by the BSL–3 laboratory.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 1 - General Responsibilities of Secretary › Section 18-101 - Investigations Into Causes of Disease and Mortality

The Secretary shall investigate:
(1)    The causes of disease and, particularly, the causes of epidemics;
(2)    The causes of mortality; and
(3)    The influence of locality, employment, habit, and other conditions on health.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 1 - General Responsibilities of Secretary › Section 18-102 - Infectious and Contagious Diseases

(a)    The Secretary shall adopt rules and regulations necessary to prevent:
(1)    The introduction of an infectious or contagious disease into this State or other disease that endangers public health in this State; or
(2)    The spread of an infectious or contagious disease or other disease that endangers public health in this State.
(b)    When the Secretary has reason to believe that an infectious or contagious disease or other disease that endangers public health exists within the State, the Secretary shall:
(1)    Investigate the suspected disease; and
(2)    Act properly to prevent the spread of the disease.
(c)    (1)    Except as provided in paragraph (2) of this subsection, an individual enrolled in an institution of higher education who resides in on-campus student housing shall be vaccinated against meningococcal disease.
(2)    An individual is exempt from the vaccination requirement in paragraph (1) of this subsection if:
(i)    The institution of higher education provides detailed information on the risks associated with meningococcal disease and the availability and effectiveness of any vaccine to:
1.    The individual, if the individual is 18 years of age or older; or
2.    The individual’s parent or guardian, if the individual is a minor; and
(ii)    1.    The individual is 18 years of age or older and the individual signs a written waiver in a form approved by the Secretary stating that the individual has received and reviewed the information provided and has chosen not to be vaccinated against meningococcal disease; or
2.    The individual is a minor and the individual’s parent or guardian signs a written waiver in a form approved by the Secretary stating that the parent or guardian has received and reviewed the information provided and has chosen to not have the individual vaccinated against meningococcal disease.
(3)    Nothing in this subsection shall be construed to require any institution of higher education to provide or pay for vaccinations against meningococcal disease.
(4)    The Secretary, in consultation with the Maryland Higher Education Commission, shall adopt regulations necessary to implement this subsection.
(d)    The Secretary may enter on and inspect private property to determine the presence, cause, and source of an infectious or contagious disease or other disease that endangers public health in this State.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 1 - General Responsibilities of Secretary › Section 18-103 - Communicable Diseases

(a)    The Secretary shall:
(1)    Obtain accurate and complete reports on communicable diseases in this State;
(2)    Determine the prevalence of each communicable disease; and
(3)    Devise means to control communicable diseases.
(b)    The Secretary shall publish monthly a communicable disease bulletin for health officers and other related health professionals.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 1 - General Responsibilities of Secretary › Section 18-107 - Diseases of Pregnancy and Childhood

(a)    The Secretary shall:
(1)    Devise and institute means to prevent and control morbidity and mortality associated with:
(i)    Pregnancy;
(ii)    Childbirth;
(iii)    Infancy; and
(iv)    Early childhood; and
(2)    Promote the welfare and hygiene of maternity and infancy.
(b)    (1)    The Secretary shall establish a Morbidity, Mortality, and Quality Review Committee in the Department.
(2)    The Committee shall:
(i)    Conduct confidential and anonymous case reviews of morbidity and mortality associated with pregnancy, childbirth, infancy, and early childhood; and
(ii)    Develop and implement interventions to improve the system of care for pregnancy, childbirth, infancy, and early childhood based on the findings from case reviews conducted under item (i) of this paragraph.
(3)    (i)    The Secretary shall adopt regulations to implement the requirements of this section.
(ii)    The regulations shall include:
1.    The types of case reviews conducted by the Committee;
2.    The confidentiality of case reviews;
3.    A description of the types of records and information needed by the Committee to conduct the case reviews under this section; and
4.    The process for obtaining records, including patient medical records, and any other necessary information in accordance with § 4–305(b) of this article.
(c)    This section does not enable the Secretary:
(1)    To take charge of a child if the parent, guardian, or other person who has custody of the child objects; or
(2)    To treat the child for a disease without the consent of the parent, guardian, or other person who has custody of the child.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 1 - General Responsibilities of Secretary › Section 18-110 - Public Health Outreach Programs Regarding Cognitive Impairment, Alzheimer's Disease, and Other Types of Dementia

The Department, in partnership with the Department of Aging, the Virginia I. Jones Alzheimer’s Disease and Related Disorders Council, and the Greater Maryland Chapter of the Alzheimer’s Association, shall incorporate information into relevant public health outreach programs administered by the Department to:
(1)    Educate health care providers regarding:
(i)    The importance of early detection and timely diagnosis of cognitive impairment;
(ii)    Validated assessment tools for the detection and diagnosis of cognitive impairment;
(iii)    The value of a Medicare annual wellness visit or other annual physical for an individual at least 65 years old for cognitive health; and
(iv)    The Medicare care planning billing code for individuals with cognitive impairment; and
(2)    Increase understanding and awareness of:
(i)    The early warning signs of Alzheimer’s disease and other types of dementia;
(ii)    The value of early detection and diagnosis of Alzheimer’s disease and other types of dementia; and
(iii)    How to reduce the risk of cognitive decline, particularly among individuals in Black and Latino communities who are at greater risk of developing Alzheimer’s disease and other types of dementia.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-201 - Infectious or Contagious Disease Reports -- by Physicians

(a)    A physician with reason to suspect that a patient under the physician’s care has a condition or an infectious or contagious disease, except human immunodeficiency virus or acquired immunodeficiency syndrome, that endangers public health and that has been designated by the Secretary as reportable shall submit immediately a report to the health officer for the county where the physician cares for that patient.
(b)    The report shall:
(1)    Contain the information and be in a format specified or approved by the Secretary; and
(2)    Be transmitted as directed by the Secretary.
(c)    (1)    Except as provided in paragraphs (2) through (5) of this subsection, all reports and all information collected in connection with a report from a health care provider, the subject of the report, or other individuals who might be affected by the condition or disease in the report are:
(i)    Confidential;
(ii)    Not medical records under Title 4, Subtitle 3 of this article;
(iii)    Not open to public inspection; and
(iv)    Not discoverable or admissible in evidence in any civil or criminal matter except in accordance with a court order sealing the court record.
(2)    This subsection does not apply to reports, information, and records otherwise available to the public or required to be publicly disclosed.
(3)    The Secretary may prepare and disseminate nonindividually identifiable information about one or more cases of a condition or disease based on any report received under this section, for any purpose consistent with the Secretary’s lawful duties as authorized by an act of the Maryland General Assembly.
(4)    This subsection does not apply to or restrict the use or publication of any statistics, information, or other material that summarizes or refers to confidential records in the aggregate, without disclosing the identity of any individual who is the subject of the confidential record.
(5)    This subsection does not apply to a disclosure by the Secretary to another governmental agency performing its lawful duties as authorized by an act of the Maryland General Assembly or the United States Congress where the Secretary determines that:
(i)    The agency to whom the information is disclosed will maintain the confidentiality of the disclosure; and
(ii)    The disclosure is necessary to protect the public health or to prevent the spread of an infectious or contagious disease.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-201.1 - Aids Reports -- by Physicians

(a)    A physician who has diagnosed a patient under the physician’s care  with human immunodeficiency virus infection or acquired immunodeficiency syndrome according to the current definition published in the morbidity and mortality weekly report by the Centers for Disease Control and Prevention of the Department of Health and Human Services shall submit immediately a report to the health officer for the county where the physician cares for that patient.
(b)    The report shall:
(1)    Be on the form that the Secretary provides;
(2)    Identify the disease;
(3)    State the name, age, race, sex, and residence address of the patient; and
(4)    Be signed by the physician.
(c)    (1)    A physician shall submit a report as described in subsection (b) of this section to the Secretary within 48 hours of the birth of an infant whose mother has tested positive for the human immunodeficiency virus.
(2)    If a newborn infant does not become HIV positive after 18 months from the date that the report required in paragraph (1) of this subsection was submitted, the Secretary shall have the newborn infant’s name removed from the HIV registry.
(d)    (1)    All physician reports required under this section are:
(i)    Confidential and subject to Title 4, Subtitle 1 of this article; and
(ii)    Not medical records under Title 4, Subtitle 3 of this article, but are subject to the confidentiality requirements of Title 4, Subtitle 1 of this article.
(2)    The reports and any proceedings, records, or files relating to the reports required under this section are not discoverable and are not admissible in evidence in any civil action.
(3)    This subsection does not apply to a disclosure by the Secretary to another governmental agency performing its lawful duties pursuant to State or federal law where the Secretary determines the agency to whom the information is disclosed will maintain the confidentiality of the disclosure.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-202 - Infectious or Contagious Disease Reports -- by Institutions

(a)    In this section, “institution” includes:
(1)    A hospital; and
(2)    A lodging facility.
(b)    When the administrative head of an institution has reason to believe that an individual on the premises of the institution has a condition or an infectious or contagious disease, except human immunodeficiency virus or acquired immunodeficiency syndrome, that has been designated by the Secretary as reportable, the administrative head immediately shall submit a report to the health officer for the county where the institution is located.
(c)    The report shall:
(1)    Contain the information and be in a format specified or approved by the Secretary; and
(2)    Be transmitted as directed by the Secretary.
(d)    (1)    Except as provided in paragraphs (2) through (5) of this subsection, all reports and all information collected in connection with a report from a health care provider, the subject of the report, or other individuals who might be affected by the condition or disease in the report are:
(i)    Confidential;
(ii)    Not medical records under Title 4, Subtitle 3 of this article;
(iii)    Not open to public inspection; and
(iv)    Not discoverable or admissible in evidence in any civil or criminal matter except in accordance with a court order sealing the court record.
(2)    This subsection does not apply to reports, information, and records otherwise available to the public or required to be publicly disclosed.
(3)    This subsection does not apply to or restrict the use or publication of any statistics, information, or other material that summarizes or refers to confidential records in the aggregate, without disclosing the identity of any individual who is the subject of the confidential record.
(4)    The Secretary may prepare and disseminate nonindividually identifiable information about one or more cases of a condition or a disease based on any report received under this section, for any purpose consistent with the Secretary’s lawful duties as authorized by an act of the Maryland General Assembly.
(5)    This subsection does not apply to a disclosure by the Secretary to another governmental agency performing its lawful duties as authorized by an act of the Maryland General Assembly or the United States Congress where the Secretary determines that:
(i)    The agency to whom the information is disclosed will maintain the confidentiality of the disclosure; and
(ii)    The disclosure is necessary to protect the public health or to prevent the spread of an infectious or contagious disease.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-202.1 - Duties of Institutions to Report Hiv-Positive Patients

(a)    In this section, “institution” includes:
(1)    A hospital;
(2)    A nursing home;
(3)    A hospice facility;
(4)    A medical clinic in a correctional facility;
(5)    An inpatient psychiatric facility; and
(6)    An inpatient drug rehabilitation facility.
(b)    When an institution has an individual in the care of the institution with a diagnosis of human immunodeficiency virus or acquired immunodeficiency syndrome according to the current definition published in the morbidity and mortality weekly report by the Centers for Disease Control and Prevention, a clinical or infection control practitioner shall submit a report within 48 hours to the health officer for the county where the institution is located.
(c)    The report shall:
(1)    Be on the form that the Secretary provides;
(2)    Identify the disease;
(3)    State the name, age, race, sex, and residence address of the individual with the disease;
(4)    State the name of the administrative head of the institution; and
(5)    State the address of the institution.
(d)    (1)    All institution reports required under this section are:
(i)    Confidential and subject to Title 4, Subtitle 1 of this article; and
(ii)    Not medical records under Title 4, Subtitle 3 of this article, but are subject to the confidentiality requirements of Title 4, Subtitle 1 of this article.
(2)    The reports and any proceedings, records, or files relating to the reports required under this section are not discoverable and are not admissible in evidence in any civil action.
(3)    This subsection does not apply to a disclosure by the Secretary to another governmental agency performing its lawful duties in accordance with State or federal law where the Secretary determines the agency to whom the information is disclosed will maintain the confidentiality of the disclosure.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-203 - Information Provided to a Cancer Control Agency in Another State

Notwithstanding any other provision of law, the Department may provide patient-identifying information for patients treated in this State for cancer to a cancer control agency in another state if:
(1)    The patient is a resident of the other state;
(2)    The Department determines that the agency will preserve the confidentiality of the information; and
(3)    The other state has authority to provide equivalent information on Maryland residents to this State.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part I - Reports on Diseases › Section 18-207 - Human Immunodeficiency Virus; Case Report; Confidentiality

(a)    (1)    In this section the following words have the meanings indicated.
(2)    “Designated anonymous HIV test site” means an HIV counseling and testing site approved by the Maryland Department of Health as a site where a patient may have an anonymous HIV test.
(3)    “HIV/AIDS case report” means an abstract of the medical record of a patient diagnosed with human immunodeficiency virus or acquired immunodeficiency syndrome which contains:
(i)    Reasonably obtained patient demographic information, including name and risk factors;
(ii)    Relevant information on the:
1.    Initial diagnosis;
2.    Treatment and referral; and
3.    Clinical condition; and
(iii)    Facility and other provider identification information.
(4)    “Report” means:
(i)    A laboratory examination report for HIV or CD 4+ count as required by § 18–205 of this subtitle;
(ii)    A report for HIV or AIDS as required by § 18–201.1, § 18–202,  or § 18–202.1 of this subtitle; or
(iii)    An HIV/AIDS case report.
(b)    (1)    Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary’s request,  make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report.
(2)    A report or information assembled or obtained under this section:
(i)    Is confidential and subject to Title 4, Subtitle 1 of this article; and
(ii)    Is not a medical record under Title 4, Subtitle 3 of this article, but is subject to the confidentiality requirements of Title 4, Subtitle 1 of this article.
(3)    This subsection does not apply to a disclosure by the Secretary to another governmental agency performing its lawful duties pursuant to State or federal law where the Secretary determines that the agency to which the information is disclosed will maintain the confidentiality of the disclosure.
(4)    The report and any proceedings, records, or files relating to the reports required under this section are not discoverable and are not admissible in evidence in any civil action.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-208 - General Duties

(a)    (1)    When a health officer has reason to believe that a disease that endangers public health exists within the county, the health officer shall:
(i)    Report immediately to the appropriate county board of health; and
(ii)    With the approval of the board:
1.    Investigate the suspected disease; and
2.    Act properly to prevent the spread of the disease.
(2)    (i)    Except in Baltimore City, the attending physician of an individual who has the disease may act properly to prevent the spread of the disease and does not need the approval of the county board of health to act.
(ii)    A physician may act under this paragraph only until the health officer completes the investigation under paragraph (1) of this subsection or, if sooner, until the emergency ends.
(3)    A county board of health shall pay the necessary and legitimate expenses that a health officer incurs under this subsection.
(b)    When a health officer is notified of an infectious or contagious disease within the county, the health officer:
(1)    Shall act immediately to prevent the spread of the disease;
(2)    Within 24 hours after receiving notice of the disease, shall give the Secretary all information obtained on the disease; and
(3)    Shall cooperate with the Secretary to prevent the spread of the disease.
(c)    (1)    When a health officer knows of any unusual disease or mortality in the county or a contiguous county, the health officer promptly shall give the Secretary notice of the disease or mortality.
(2)    If a health officer is unsure whether a disease is infectious or contagious, the health officer shall notify the Secretary.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-209 - Notice to School Boards

When a health officer receives notice of an infectious or contagious disease that affects or is likely to endanger the health of school children within the county, the health officer immediately shall give written notice to the county board of education.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-210 - Disinfecting

(a)    To prevent the spread of an infectious or contagious disease that endangers public health, a health officer may have:
(1)    Any part of a house disinfected if the house has been exposed to the disease; and
(2)    Any article in the house disinfected or destroyed if the article has been exposed to the disease.
(b)    The county where the house is located shall:
(1)    Incur the expense of disinfecting the house; and
(2)    Reasonably compensate a person who suffers damage from the exercise of a power granted by this section, if the person is not at fault.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-211 - Moving Infected Individuals

(a)    A health officer may have an individual moved to a suitable place for the reception of the sick if:
(1)    A physician certifies that the individual has an infectious disease that endangers public health;
(2)    The individual:
(i)    Is staying in a room occupied by more than 1 family;
(ii)    Is on board a vessel; or
(iii)    Otherwise does not have proper housing; and
(3)    The administrative head of the place for the reception of the sick consents to the move.
(b)    The city or county where the infected individual is found shall pay for the cost of moving the individual.
(c)    A person may not willfully disobey an order or obstruct the carrying out of an order of the health officer to move an individual.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-212 - Health Officer Records

(a)    The health officer shall keep a record of each report that is submitted to the health officer under § 18-201 of this subtitle.
(b)    The record shall:
(1)    Be on the form that the Secretary provides;
(2)    State the date of the report;
(3)    State the name of the physician who submits the report;
(4)    State the disease identified in the report;
(5)    State the name and residence address of the patient named in the report; and
(6)    State the actions taken to prevent the spread of the disease.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-212.1 - Authority of Governor to Quarantine Vessels

If the Governor has strong grounds to believe that there is a danger of a malignant and contagious disease being introduced into the State, the Governor may:
(1)    Quarantine a vessel that is entering the waters of the State;
(2)    Prohibit or restrict contact between the State and the place affected by the disease; and
(3)    Take other actions that appear to the Governor to be necessary to carry out this section.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-214.1 - Expedited Partner Therapy Program

(a)    The purpose of expedited partner therapy is to provide antibiotic therapy to any partner of a patient diagnosed with a sexually transmitted infection identified in subsection (b) of this section in order to:
(1)    Contain and stop the further spread of the infection; and
(2)    Reduce the likelihood of reinfection in the diagnosed patient.
(b)    Notwithstanding any other provision of law, the following health care providers may prescribe, dispense, or otherwise provide antibiotic therapy to any sexual partner of a patient diagnosed with chlamydia, gonorrhea, or trichomoniasis without making a personal physical assessment of the patient’s partner:
(1)    A physician licensed under Title 14 of the Health Occupations Article;
(2)    An advanced practice registered nurse with prescriptive authority licensed under Title 8 of the Health Occupations Article acting in accordance with § 8–508 of the Health Occupations Article;
(3)    An authorized physician assistant licensed under Title 15 of the Health Occupations Article acting in accordance with § 15–302.2 of the Health Occupations Article; and
(4)    A registered nurse employed by a local health department who complies with:
(i)    The formulary developed and approved under § 3–403(b) of this article; and
(ii)    The requirements established under § 8–512 of the Health Occupations Article.
(c)    This section may not be construed to otherwise expand the prescribing or dispensing authority of an advanced practice registered nurse with prescriptive authority or a physician assistant.
(d)    Notwithstanding any other provision of law, a pharmacist licensed under Title 12 of the Health Occupations Article may dispense antibiotic therapy prescribed in accordance with subsection (b) of this section.
(e)    The Secretary shall adopt regulations to implement the requirements of this section in public and private health care settings in the State.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part II - Control of Infectious and Contagious Diseases › Section 18-214.2 - Outbreak Response Plan -- Customization

(a)    (1)    In this section, “public institution of higher education” means:
(i)    A public senior higher education institution, as defined in § 10–101 of the Education Article; and
(ii)    A community college.
(2)    A public institution of higher education does not include an institution without residential housing or a health center.
(b)    (1)    On or before August 1 each year, beginning in 2021, each public institution of higher education shall submit an outbreak response plan to the Department.
(2)    If there is an outbreak of a contagious disease at a public institution of higher education, the public institution of higher education shall implement the outbreak response plan required under paragraph (1) of this subsection.
(c)    The outbreak response plan required under subsection (b) of this section shall be customized to the public institution of higher education and include:
(1)    A process for expediently notifying students, families of students, faculty, and staff of:
(i)    The outbreak of a contagious disease;
(ii)    Subpopulations that are at high risk of severe complications from the contagious disease;
(iii)    Guidance on how students, families of students, faculty, and staff can take reasonable protective measures; and
(iv)    Information on the availability of laboratory testing for students, faculty, and staff;
(2)    Processes for implementing evidence–based outbreak response measures;
(3)    The provision of staff to successfully implement the outbreak response plan during an outbreak of a contagious disease at the public institution of higher education;
(4)    A process for reporting an outbreak of a contagious disease at the public institution of higher education to:
(i)    The Department;
(ii)    The local health department;
(iii)    Campus health providers;
(iv)    Local community health providers; and
(v)    Regional hospitals; and
(5)    Any other measure required by the Department.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part III - Penalties › Section 18-215 - Penalties for Failure to File Reports or Making Unauthorized Use of Reports of Confidential Information

(a)    In addition to any other penalty provided by law, a physician who fails to submit the report required under § 18–204 of this subtitle, on conviction, is subject to a fine not exceeding $10.
(b)    A person who violates any provision of § 18–202 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $50.
(c)    In addition to any other penalty provided by law, a physician who fails to submit the report required under § 18–201 of this subtitle, on conviction, is subject to a fine not exceeding $100.
(d)    A person who violates any provision of § 18–205 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.
(e)    A health care provider or any other person, including an officer or employee of a governmental unit, who knowingly and willfully discloses personal identifying health information acquired for the purposes of HIV and AIDS reporting under § 18–201.1, § 18–202.1, § 18–205, or § 18–207 of this subtitle to any person who is not authorized to receive personal identifying health information under this subtitle or otherwise in violation of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000 for the first offense and not exceeding $5,000 for each subsequent conviction for a violation of any provision of this subtitle.
(f)    (1)    A health care provider or any other person, including an officer or employee of a governmental unit, who knowingly and willfully requests or obtains information on HIV and AIDS developed under § 18–201.1, § 18–202.1, § 18–205, or § 18–207 of this subtitle under false pretenses or through deception, on conviction is subject to:
(i)    A fine not exceeding $100,000, imprisonment for not more than 5 years, or both; and
(ii)    If the offense is committed with intent to sell, transfer, or use individually identifiable health information for commercial advantage, personal gain, or malicious harm, a fine not exceeding $250,000, imprisonment for not more than 10 years, or both.
(2)    This subsection does not apply to an officer or employee of a governmental unit that is conducting a criminal investigation.
(g)    A health care provider or any other person who knowingly violates subsection (e) or (f) of this section is liable for actual damages.
(h)    A physician, laboratory, or institution as defined in § 18–202.1 of this subtitle that in good faith submits a report or otherwise discloses information in accordance with this subtitle is not liable in any action arising from the disclosure of the information.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part III - Penalties › Section 18-216 - Refusal to Move Infected Individual

A person who violates any provision of § 18-211(c) of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $200 or imprisonment not exceeding 6 months.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part IV - Animal Control › Section 18-217 - Legislative Findings and Declaration

The General Assembly finds and declares that it is in the public interest to ensure the public health, safety, and welfare by strictly regulating in this State the importation, transportation, sale, transfer, breeding, raising, keeping, and possession of certain animals which pose a possibility of the introduction of a disease or pest harmful to humans, or endangers the physical safety of human beings.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part IV - Animal Control › Section 18-218 - "Animal" Defined

In this part, “animal” means any nonhuman living creature, whether native to Maryland or not, which is:
(1)    Wild by nature; and
(2)    Endowed with sensation and power of voluntary motion.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part IV - Animal Control › Section 18-219 - Prohibition on Dangerous Animals

(a)    The Secretary may prohibit the importation, selling, trading, purchasing, bartering, breeding, raising, keeping, or possession of any animals found to be dangerous to human health and safety.
(b)    This section does not apply to:
(1)    Domestic cats;
(2)    Domestic dogs;
(3)    Domestic ferrets;
(4)    Animals used for agricultural purposes;
(5)    Animals used for scientific purposes;
(6)    Animals used for educational purposes;
(7)    Animals used for public exhibitions; or
(8)    Any animal that the Secretary determines is not a threat to human health and safety.
(c)    This section may not be construed to prohibit the breeding, raising, keeping, or possession of turtles by a person who has obtained a permit under Title 10, Subtitle 9 of the Natural Resources Article.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 2 - Reports; Preventive Actions › Part IV - Animal Control › Section 18-222 - Penalties; Seizure of Contraband Animals

(a)    Any person who imports, transports, sells, transfers, breeds, raises, keeps, or possesses any animal which is prohibited under § 18-219 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500, or imprisonment not exceeding 1 year, or both.
(b)    Any animal, whose possession or keeping is prohibited under § 18-219 of this subtitle shall be considered a nuisance and a contraband, and is subject to seizure by any authorized law-enforcement officer.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part I - Cancer › Section 18-301 - Treatment of Cancer

(a)    Except for a physician or a dentist, a person may not:
(1)    Treat or prescribe a treatment for cancer; or
(2)    Represent to the public that the person can cure, treat, or prescribe a treatment for cancer.
(b)    A person may not sell, offer to sell, or give away a drug, medicine, or device that the manufacturer or seller represents as a cancer cure unless a physician or dentist prescribes the drug, medicine, or device.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part I - Cancer › Section 18-303 - Diethylstilbestrol

(a)    (1)    The Secretary shall establish and promote a statewide public information campaign on diethylstilbestrol (DES).
(2)    The public information campaign shall:
(i)    Try to reach each individual who has been exposed to diethylstilbestrol and each offspring of those individuals, to encourage the individuals and offspring to seek medical care for the prevention or treatment of cancer that results from the exposure to diethylstilbestrol; and
(ii)    Include any other matter that the Secretary considers appropriate.
(b)    The Secretary shall expand existing cancer screening programs to detect any cancer or other abnormal condition that results from exposure to diethylstilbestrol, including breast, cervical, testicular, or vaginal cancer or vaginal adenosis.
(c)    The Secretary shall establish a program to train physicians, physician’s assistants, and nurses in:
(1)    Identifying individuals who have been exposed to diethylstilbestrol;
(2)    Diagnosing and treating any cancer or other abnormal condition that results from the exposure; and
(3)    Preventing exposure to diethylstilbestrol.
(d)    To carry out this section, the Secretary:
(1)    On request, shall receive the help of or information from any agency of this State or of a political subdivision; and
(2)    May contract for any necessary services.
(e)    (1)    The Secretary may set a sliding fee schedule for services provided under this section.
(2)    This State shall reimburse a provider of screening and diagnosis under this section in the amount that the screening and diagnosis exceeds the total of the fee charged for the service and of all third party payments for the service.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part I - Cancer › Section 18-304 - Penalties

A person who violates any provision of § 18-301 or § 18-302 of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $5,000 or imprisonment not exceeding 5 years or both.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part II - Diseases of Pregnancy and Infancy › Section 18-307 - Syphilis

(a)    This section does not apply to a woman who objects to a standard serological syphilis test because the test is against the religious beliefs and practices of the woman.
(b)    (1)    The individual attending a woman for pregnancy shall submit to a medical laboratory:
(i)    A blood sample taken from the woman at the time that the individual first examines the woman; and
(ii)    A blood sample taken from the woman during the third trimester of the pregnancy.
(2)    The medical laboratory to which a blood sample is submitted shall do a standard serological syphilis test that is approved by the Department.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part II - Diseases of Pregnancy and Infancy › Section 18-308 - Gonococcal Ophthalmia Neonatorum

(a)    Immediately after the birth of a child, the attending physician or attending nurse midwife shall use in the eyes of the child a prophylactic, approved by the Department, against gonococcal ophthalmia neonatorum.
(b)    If, within 2 weeks after the birth of a child, an eye of the child becomes inflamed or swollen:
(1)    The attending physician shall test to determine if gonococcal ophthalmia neonatorum is the cause of the inflammation or swelling; or
(2)    If there is no attending physician, any other individual who has care of the child shall report the condition immediately to a physician or to the health officer for the county where the child is located, so that testing may be done.
(c)    Within 48 hours after a physician knows that a child under the physician’s care has gonococcal ophthalmia neonatorum, the physician shall submit a report to the Department.
(d)    An individual other than a physician may not treat the inflammation or swelling.
(e)    A person who violates any provision of subsection (b)(2) or (d) of this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $100 or imprisonment not exceeding 6 months or both.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part II - Diseases of Pregnancy and Infancy › Section 18-309 - Fetal Alcohol Syndrome Public Awareness Campaign

(a)    (1)    To the extent that funds are available for this purpose, the Secretary, in collaboration with other State agencies, shall establish and promote a statewide public information, awareness, and education campaign on Fetal Alcohol Syndrome and other effects of prenatal alcohol exposure.
(2)    The campaign shall:
(i)    Reach out to the general public and specific populations determined to be at high risk for contracting Fetal Alcohol Syndrome;
(ii)    Disseminate the information about Fetal Alcohol Syndrome through written materials, television, radio, posters, or any other medium the Secretary considers appropriate and effective for conveying the information;
(iii)    Distribute informational materials free of charge to prenatal clinics and to establishments that serve alcoholic beverages; and
(iv)    Include any other matter that the Secretary considers appropriate.
(b)    To carry out this section, the Secretary:
(1)    On request, shall receive aid or information from any agency of this State, or from a political subdivision;
(2)    May request the services of interested advocacy groups; and
(3)    May contract for any necessary services.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part III - Rabies › Section 18-313 - Statewide System

The Secretary of Health shall provide a statewide system:
(1)    To control rabies;
(2)    To grant authority to the public health veterinarian and the local health officer in matters pertaining to the disposition of animals that bite or otherwise expose rabies to an individual;
(3)    To assist local political subdivisions regarding the laboratory testing of rabid animals;
(4)    To treat each individual who is exposed or suspected of having been exposed to rabies; and
(5)    To distribute, in accordance with the conditions set by the Secretary of Agriculture, the biological products that are needed to prevent and treat rabies.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part III - Rabies › Section 18-315 - Antirabies Clinics

(a)    With the county health department for each county, the Department shall provide for an antirabies clinic in the county.
(b)    Each clinic shall be staffed by a graduate veterinarian.
(c)    The clinic for a county shall be offered on or before June 30 of each year, on the date and at the location that the Department and the health department for the county determine.
(d)    Each county health department may charge fees that are set so as to produce funds to cover the cost of material and services that the clinic provides.
(e)    The public health veterinarian shall set the vaccination procedures to be used at the clinics.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part III - Rabies › Section 18-316 - Reports of Possible Rabies Cases

(a)    (1)    Except as provided in paragraph (2) of this subsection, an individual immediately shall report to the local police or sheriff if the individual:
(i)    Knows that a dog, cat, or other warm blooded animal has bitten, scratched, or otherwise exposed an individual to a possible rabies infection; or
(ii)    Suspects that an animal has rabies.
(2)    In Frederick County, the individual shall report to the animal control center of Frederick County.
(b)    On receipt of a report under this section, the police, sheriff, or animal control center staff shall:
(1)    Notify the health officer for the county where the report is made; and
(2)    Enforce all orders of the health officer and the public health veterinarian.
(c)    If the public health veterinarian or the local health officer issues an order to surrender an animal that is suspected of having rabies, a person may not hide or secret the animal:
(1)    In the custody of the person; or
(2)    In the custody or with the cooperation of any other person.
(d)    A person who fails or refuses to comply with any provision of this section or any order issued under this section is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500.
2023 Maryland Statutes › Health - General › Title 18 - Disease Prevention › Subtitle 3 - Specific Diseases › Part III - Rabies › Section 18-318 - Vaccinations -- Dogs, Cats, and Ferrets

(a)    Each person who owns or keeps a dog, cat, or ferret that is 4 months old or older shall have the dog, cat, or ferret vaccinated adequately against rabies.
(b)    (1)    A county may not register or license a dog, cat, or ferret unless the person who owns or keeps the dog, cat, or ferret submits, with the application for registration or license, proof that the dog, cat, or ferret has been vaccinated adequately against rabies.
(2)    The public health veterinarian shall determine the proof of vaccination that is acceptable.