reglab/statecodes huggingface dataset:
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 7A - Emergency Use Auto-Injectable Epinephrine Program › Section 13-7A-06 - Receipt, Dispensing and Administration of Auto-Injectable Epinephrine

(a)    (1)    A physician licensed to practice medicine in the State may prescribe auto–injectable epinephrine in the name of a certificate holder.
(2)    A pharmacist licensed to practice pharmacy in the State or a physician may dispense auto–injectable epinephrine under a prescription issued to a certificate holder.
(b)    A certificate holder may:
(1)    On presentment of a certificate, receive from any physician licensed to practice medicine in the State a prescription for auto–injectable epinephrine and the necessary paraphernalia for the administration of auto–injectable epinephrine; and
(2)    Possess and store prescribed auto–injectable epinephrine and the necessary paraphernalia for the administration of auto–injectable epinephrine.
(c)    In an emergency situation when a physician or emergency medical services are not immediately available, a certificate holder or an agent may administer auto–injectable epinephrine to an individual who is experiencing or is believed in good faith by the certificate holder or agent to be experiencing anaphylaxis.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 7A - Emergency Use Auto-Injectable Epinephrine Program › Section 13-7A-07 - Immunity From Liability

(a)    (1)    Except as provided in paragraph (2) of this subsection, a cause of action may not arise against a certificate holder for any act or omission if the certificate holder or agent is acting in good faith while administering auto–injectable epinephrine to an individual who is experiencing or believed by the certificate holder or agent to be experiencing anaphylaxis except where the conduct of the certificate holder or agent amounts to gross negligence, willful or wanton misconduct, or intentionally tortious conduct.
(2)    The provisions of paragraph (1) of this subsection do not apply if a certificate holder or participating facility that makes available, or a certificate holder who administers, auto–injectable epinephrine to an individual who is experiencing or is believed by the certificate holder or participating facility to be experiencing anaphylaxis:
(i)    Fails to follow standards and procedures for storage and administration of auto–injectable epinephrine; or
(ii)    Administers auto–injectable epinephrine that is beyond the manufacturer’s expiration date.
(b)    (1)    A cause of action may not arise against any physician for any act or omission if the physician in good faith prescribes or dispenses auto–injectable epinephrine and the necessary paraphernalia for the administration of auto–injectable epinephrine to a certificate holder or participating facility under this subtitle.
(2)    A cause of action may not arise against any pharmacist for any act or omission if the pharmacist in good faith dispenses auto–injectable epinephrine and the necessary paraphernalia for the administration of auto–injectable epinephrine to a certificate holder or a participating facility under this subtitle.
(c)    This section does not affect and may not be construed as affecting any immunities from civil liability or defenses established by any other provision of law or by common law to which a physician or pharmacist may be entitled.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 7A - Emergency Use Auto-Injectable Epinephrine Program › Section 13-7A-08 - Construction of Subtitle

(a)    This subtitle may not be construed to create a duty on any individual employed by a recreation or wellness facility at an eligible institution or food service facility to obtain a certificate under this subtitle, and an individual employed by a recreation or wellness facility at an eligible institution or food service facility may not be held civilly liable for failing to obtain a certificate under this subtitle.
(b)    An individual may not be held civilly liable in any action arising from or in connection with the administration of auto–injectable epinephrine by the individual solely because the individual did not possess a certificate issued under this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 7A - Emergency Use Auto-Injectable Epinephrine Program › Section 13-7A-09 - Report of Each Incident

A certificate holder shall submit to the Department, in the manner required under § 13–7A–03 of this subtitle, a report of each incident that occurred on the premises of a participating facility that involved the administration of auto–injectable epinephrine by a certificate holder or an agent.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 9 - Organ and Tissue Donation Awareness › Section 13-901 - Organ and Tissue Donation Awareness Fund. [Effective Until October 1, 2027]

(a)    (1)    There is an Organ and Tissue Donation Awareness Fund.
(2)    The Fund consists of money collected under § 16–111.2(f) of the Transportation Article.
(3)    The Fund is a special, continuing, nonlapsing fund that is not subject to § 7–302 of the State Finance and Procurement Article.
(4)    The Treasurer shall separately hold and the Comptroller shall account for the Fund.
(5)    The Fund shall be invested and reinvested in the same manner as other State funds.
(6)    Any investment earnings shall be retained to the credit of the Fund.
(b)    (1)    The Fund shall be managed and supervised by the Secretary or the Secretary’s designee.
(2)    The Fund shall be used to promote public education and awareness about organ, tissue, and eye donations and to fund the establishment, operation, and maintenance of a donor registry as provided in § 4–516 of the Estates and Trusts Article.
(3)    The Fund shall be subject to audit by the Office of Legislative Audits under Title 2, Subtitle 12 of the State Government Article.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1004 - Biennial Tobacco Study

(a)    Beginning in fiscal year 2007 and in every second year thereafter, the Department shall conduct a Tobacco Study which shall measure the same factors that are set forth in § 13–1003(c) of this subtitle and use the same methodology or model that was used for the Baseline Tobacco Study.
(b)    To carry out the evaluation and surveillance functions of this subtitle, the Department may conduct any other tobacco study measuring the factors set forth in § 13–1003(c) of this subtitle and using a methodology or model that is consistent with but need not be identical to that used to conduct the Baseline Tobacco Study.
(c)    (1)    Subject to paragraphs (2) through (4) of this subsection, the Department shall contract with a higher education institution or private entity to conduct the Biennial Tobacco Study.
(2)    The Department shall issue a request for proposal to select the entity that will conduct the Biennial Tobacco Study.
(3)    The Department may contract with an entity to conduct one or more biennial tobacco studies.
(4)    The Department shall use the criteria established in § 13–1003(e)(5) of this subtitle as a guide in administering the request for proposal process.
(d)    On or before May 31 of each even–numbered fiscal year, beginning in fiscal year 2008, the Department shall submit a report to the Governor and, subject to § 2–1257 of the State Government Article, the General Assembly on:
(1)    The results of the Biennial Tobacco Study; and
(2)    Beginning in fiscal year 2024, a State– and county–level data summary and trends report on data collected under § 7–420 of the Education Article.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1005 - Statewide Public Health Component

(a)    There is a Statewide Public Health Component in the Program.
(b)    The purpose of the Statewide Public Health Component is to maximize the effectiveness of the anti-tobacco initiatives in the State by authorizing the Department to take steps to ensure that the Program is implemented in a coordinated and integrated manner throughout the State.
(c)    Subject to subsections (d) and (e) of this section and as necessary to ensure a coordinated and integrated statewide effort to implement tobacco use prevention and cessation programs, the Department may develop and implement statewide anti-tobacco initiatives that are consistent with the findings and recommendations of the Task Force Report and the recommendations of the Centers for Disease Control and Prevention regarding best practices for comprehensive tobacco control programs as they relate to statewide programs, including programs that support the implementation of the Local Public Health Component.
(d)    (1)    To implement this section, the Department may issue a request for proposal, distribute a grant, or enter into a contract.
(2)    The request for proposal, grant, or contract shall state with specificity the objectives and performance criteria that will be used to measure the success of the Program to which the request for proposal, grant, or contract relates.
(3)    If the Department issues a request for proposal to select an entity to implement an initiative under this section, the Department shall use the criteria established in § 13-1003(e)(5) of this subtitle as a guide in administering the request for proposal process.
(e)    (1)    Except as provided under paragraph (2) of this subsection, the Department may not spend any of the money that is allocated to the Statewide Public Health Component in the State budget until after the Baseline Tobacco Study is completed.
(2)    (i)    Subject to subparagraph (ii) of this paragraph and before the Baseline Tobacco Study is completed, the Department may use money that is allocated to the Statewide Public Health Component in the State budget for fiscal year 2001 to distribute grants that will be used to provide outreach and start-up technical assistance to communities for the purpose of organizing participation in community health coalitions.
(ii)    The Department shall use at least $750,000 of the money that is allocated to the Statewide Public Health Component in the State budget for fiscal year 2001 to provide outreach and start-up technical assistance to African American communities in the State for the purpose of organizing participation in community health coalitions that are formed under § 13-1008(b), § 13-1109(c), or § 13-1115(b) of this title.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1006 - Local Public Health Component

(a)    There is a Local Public Health Component in the Program.
(b)    The purpose of the Local Public Health Component is to maximize the effectiveness of anti-tobacco initiatives in the State by authorizing local health coalitions to develop and implement tobacco use prevention and cessation programs in coordination with the Department.
(c)    Subject to §§ 13-1007 through 13-1012 of this subtitle, the Department may distribute grants to counties for tobacco use prevention and cessation programs, including:
(1)    Community-based programs;
(2)    School-based programs which may include tobacco use prevention and cessation components of school-based health care services and programs established under §§ 7-401 and 7-415 of the Education Article; and
(3)    Programs relating to enforcement of tobacco control laws.
(d)    (1)    Except as provided under paragraph (2) of this subsection, the Department may not spend any funds that are allocated to the Local Public Health Component in the State budget until after the Baseline Tobacco Study has been completed.
(2)    Before the Baseline Tobacco Study is completed, the Department may distribute a planning grant of not more than $10,000 to each local health department.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1007 - Local Public Health Tobacco Grant -- County Goals; Formula

(a)    After the Baseline Tobacco Study has been completed and before soliciting applications for Local Public Health Tobacco Grants, the Department, in consultation with the local health departments, shall:
(1)    Establish short–term and long–term tobacco use prevention and cessation goals for each county;
(2)    Establish other requirements for each county that the Department determines to be necessary to meet the goals established under paragraph (1) of this subsection; and
(3)    Provide for the distribution of Local Public Health Tobacco Grants to eligible counties based on the formula established under subsection (b) of this section.
(b)    Subject to subsections (c) through (e) of this section and §§ 13–1008 through 13–1012 of this subtitle, the Department shall distribute a Local Public Health Tobacco Grant to each county that is equal to the sum of:
(1)    A base amount of funding as determined by the Department for each county and Baltimore City;
(2)    The product of:
(i)    One–half of the amount remaining from the allocation to the Local Public Health Component in the State budget after the base amount under item (1) of this subsection is distributed to each county and Baltimore City; and
(ii)    The number of individuals in the county attending middle school or high school who smoke or otherwise use tobacco products divided by the number of individuals in the State attending middle school or high school who smoke or otherwise use tobacco products; and
(3)    The product of:
(i)    One–half of the amount remaining from the allocation to the Local Public Health Component in the State budget after the base amount under item (1) of this subsection is distributed to each county and Baltimore City; and
(ii)    The number of individuals in the county who smoke or otherwise use tobacco products divided by the number of individuals in the State who smoke or otherwise use tobacco products.
(c)    Beginning in fiscal year 2005, the calculations of the numbers of individuals smoking or using tobacco products required in subsection (b)(2)(ii) and (3)(ii) of this section shall be based on the most recent data averaged over a multiyear period as determined by the Department.
(d)    The allocation formula calculated in accordance with subsection (b) of this section for fiscal year 2005 shall remain in effect for the following 3 years and thereafter shall be recalculated every 4th year in accordance with the provisions of this section.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1009 - Local Public Health Tobacco Grant -- Joint Applications

(a)    The local health officers of two or more counties may join together as a region to apply for a Local Public Health Tobacco Grant.
(b)    The amount of the Local Public Health Tobacco Grant that is distributed to a region under subsection (a) of this section shall be equal to the sum of the Local Public Health Tobacco Grants that otherwise would have been distributed to each county under § 13–1007 of this subtitle.
(c)    If the local health officers of two or more counties join together as a region to apply for a Local Public Health Tobacco Grant, the local health officers shall act jointly to:
(1)    Develop a Comprehensive Plan for Tobacco Use Prevention and Cessation, as required under § 13–1008 of this subtitle;
(2)    Establish a Community Health Coalition, as required under § 13–1008 of this subtitle, or identify another coalition approved by the Department;
(3)    Demonstrate that the base–year funding requirement of § 13–1011 of this subtitle has been met; and
(4)    Otherwise satisfy the requirements of §§ 13–1006 through 13–1012 of this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1010 - Local Public Health Tobacco Grant -- Community Health Coalition

(a)    The membership of a Community Health Coalition established under § 13-1008(b) of this subtitle shall:
(1)    Reflect the demographics of the county; and
(2)    Include representatives of community-based groups, including minority, rural, and medically underserved populations, that, taken together, are familiar with all of the different communities and cultures in the county.
(b)    The membership of a Community Health Coalition established under § 13–1008(b) of this subtitle may include:
(1)    Representatives of:
(i)    A local management board established under Title 8, Subtitle 3 of the Human Services Article;
(ii)    The local public school system;
(iii)    Local hospitals, clinics, physicians, and other health care providers;
(iv)    Local law enforcement;
(v)    Local businesses;
(vi)    Local religious organizations;
(vii)    Local media;
(viii)    Institutions of higher education; and
(ix)    Hospitals and other entities located outside the county that could enhance the county’s tobacco use prevention and cessation efforts; and
(2)    Any other person that the local health officer believes would help the county meet the tobacco use prevention and cessation goals and requirements established for the county under § 13–1007 of this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1011 - Local Public Health Tobacco Grant -- Submission of Program Inventory; Base-Year Funding

(a)    (1)    Before receiving a Local Public Health Tobacco Grant, a local health officer shall submit to the Department an inventory of all publicly funded tobacco use prevention and cessation programs in the county that were identified under § 13-1008(b)(2) of this subtitle.
(2)    The inventory shall specify the amount of county funds that are being spent on each of the programs included in the inventory.
(b)    The level of funding specified under subsection (a)(2) of this section shall be the county’s base-year funding for tobacco use prevention and cessation programs.
(c)    A Local Public Health Tobacco Grant may not be used to supplant a county’s base-year funding for tobacco use prevention and cessation programs.
(d)    The Department may not distribute a Local Public Health Tobacco Grant to a county unless the Department determines that the county will spend, in the applicable fiscal year, at least its base-year funding for tobacco use prevention and cessation programs.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1012 - Local Public Health Tobacco Grant -- Review of Comprehensive Plan

(a)    The Department shall review a Comprehensive Plan for Tobacco Use Prevention and Cessation submitted under § 13-1008(d) of this subtitle and determine whether:
(1)    The Plan addresses the goals and requirements established for the county under § 13-1007 of this subtitle;
(2)    The Plan allocates resources in a manner that is consistent with the needs of the different populations in the county, including targeted minority populations, as identified in the Baseline Tobacco Study and biennial tobacco studies;
(3)    The Plan allocates resources in a manner that is consistent with the recommendations of the Centers for Disease Control and Prevention regarding best practices for a comprehensive tobacco control program or states a reason for not meeting this requirement and identifies other resources that, taken together, meet this requirement; and
(4)    The local health officer has complied with the other requirements of §§ 13-1007 through 13-1011 of this subtitle.
(b)    The Department may not distribute a county’s share of money for a Local Public Health Tobacco Grant, as provided under § 13-1007 of this subtitle, if the Department determines that the requirements of subsection (a) of this section have not been met.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1014 - Administrative Component

(a)    There is an Administrative Component in the Program.
(b)    The purpose of the Administrative Component is to provide the necessary administrative structure in the Department for effective management of the Program.
(c)    Funds that are allocated to the Administrative Component in the State budget shall be used to cover administrative costs incurred by the Department in administering the Program.
(d)    Unless otherwise specified in the annual budget bill as enacted, the amount of funds that are allocated to the Administrative Component in the State budget may not exceed 7% of the total amount that is allocated to the Program in the State budget.
(e)    A county that receives funds under a Local Public Health Tobacco Grant, a person who receives funds under a Local Public Health Tobacco Grant, and any other person who receives funds under any component of the Program may not use more than 7% of the funds to cover administrative costs.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 10 - Tobacco Use Prevention and Cessation Program › Section 13-1015 - Annual Appropriations to Fund Activities to Reduce Tobacco Use

(a)    For fiscal year 2011 and fiscal year 2012, the Governor shall include at least $6,000,000 in the annual budget in appropriations for activities aimed at reducing tobacco use in Maryland as recommended by the Centers for Disease Control and Prevention, including:
(1)    Media campaigns aimed at reducing smoking initiation and encouraging smokers to quit smoking;
(2)    Media campaigns educating the public about the dangers of secondhand smoke exposure;
(3)    Enforcement of existing laws banning the sale or distribution of tobacco products to individuals under the age of 21 years;
(4)    Promotion and implementation of smoking cessation programs; and
(5)    Implementation of school–based tobacco education programs.
(b)    (1)    For fiscal years 2013 through 2021, the Governor shall include at least $10,000,000 in the annual budget in appropriations for the purposes described in subsection (a) of this section.
(2)    For fiscal year 2022 and each fiscal year thereafter, the Governor shall include at least $18,250,000 in the annual budget in appropriations for the purposes described in subsection (a) of this section.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1104 - Biennial Cancer Study

(a)    Beginning in fiscal year 2004 and biennially thereafter, the Department shall conduct a Biennial Cancer Study.
(b)    The Biennial Cancer Study shall:
(1)    Measure the same factors that are set forth in § 13–1103(d) of this subtitle; and
(2)    Use the same methodology or model that is used to conduct the Baseline Cancer Study.
(c)    The Department may:
(1)    Conduct the Biennial Cancer Study or any part of the Study; or
(2)    Contract with a higher education institution or private entity to conduct the Biennial Cancer Study or any part of the Study.
(d)    (1)    If the Department chooses to have a higher education institution or private entity conduct the Biennial Cancer Study or any part of the Study, the Department shall issue a request for proposal to select the entity that will conduct the Study or the relevant part of the Study.
(2)    The Department may contract with an entity to conduct one or more biennial cancer studies or a part of one or more biennial cancer studies.
(e)    On or before December 31 of each odd numbered fiscal year, beginning in fiscal year 2005, the Department shall submit a report to the Governor and, subject to § 2–1257 of the State Government Article, the General Assembly, on the results of the Biennial Cancer Study.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1105 - Local Public Health Cancer Grant

Before the Department distributes a Local Public Health Cancer Grant to any county under §§ 13-1107 through 13-1113 of this subtitle, the Department shall develop an inventory of publicly funded screening programs that includes information relating to:
(1)    The number and types of publicly funded screening programs for each targeted cancer, both statewide and in each county, and the number of individuals screened each year in these programs; and
(2)    The existence of mechanisms to ensure that uninsured individuals receive appropriate treatment for any cancer that is detected in the screening programs identified under item (1) of this section.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1106 - Statewide Public Health Component

(a)    There is a Statewide Public Health Component in the Program.
(b)    The purpose of the Statewide Public Health Component is to maximize the effectiveness of the anti-cancer initiatives in the State by authorizing the Department to take steps to ensure that the Program is implemented in a coordinated and integrated manner throughout the State.
(c)    Subject to subsection (d) of this section and as necessary to ensure a coordinated and integrated statewide effort to implement cancer prevention, identification, and treatment programs for targeted cancers, the Department may develop and implement statewide anti-cancer initiatives that are consistent with the findings and recommendations of the Task Force Report, including programs that support the implementation of the Local Public Health Component of the Program.
(d)    If the Department issues a request for proposal, distributes a grant, or enters into a contract as authorized under subsection (c) of this section, the request for proposal, grant, or contract shall state with specificity the objectives and performance criteria that will be used to measure the success of the program to which the request for proposal, grant, or contract relates.
(e)    The Department may not spend any money that is allocated to the Statewide Public Health Component in the State budget until the Baseline Cancer Study has been completed.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1107 - Local Public Health Component

(a)    There is a Local Public Health Component in the Program.
(b)    The purpose of the Local Public Health Component is to maximize the effectiveness of anti–cancer initiatives in the State by empowering local health coalitions to develop and implement cancer prevention, education, screening, and treatment programs in coordination with the Department.
(c)    Subject to §§ 13–1108 through 13–1113 of this subtitle, the Department may distribute grants to counties for cancer prevention, education, screening, and treatment programs.
(d)    (1)    Except as provided under paragraph (2) of this subsection, the Department may not spend any funds that are allocated to the Local Public Health Component in the State budget until after the Baseline Cancer Study has been completed.
(2)    Before the Baseline Cancer Study is completed, the Department may distribute a planning grant of not more than $10,000 to each local health department other than the Baltimore City Health Department.
(e)    Prior to each fiscal year, the Department shall determine the percentage of funds that shall be allocated to cancer screening, diagnosis, and treatment by a county or Statewide Academic Health Center that receives funds under a Local Public Health Cancer Grant.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1110 - Local Public Health Cancer Grant -- Joint Applications

(a)    The local health officers of two or more counties may join together as a region to apply for a Local Public Health Cancer Grant.
(b)    The Department may require that two or more counties join together as a region to apply for a Local Public Health Cancer Grant if the Department determines that:
(1)    It would be cost–effective to fund cancer prevention, education, screening, and treatment programs for targeted cancers on a regional basis; and
(2)    It would serve the public health interests of the counties to fund cancer prevention, education, screening, and treatment programs for targeted cancers on a regional basis.
(c)    The amount of a Local Public Health Cancer Grant that is distributed to a region under this section shall be equal to the sum of the Local Public Health Cancer Grants that otherwise would have been distributed to each county under the formula established under § 13–1108 of this subtitle.
(d)    If the local health officers of two or more counties choose to join together as a region to apply for a Local Public Health Cancer Grant or are required to do so by the Department, the local health officers shall act jointly to:
(1)    Develop a Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment, as required under § 13–1109(c) of this subtitle;
(2)    Establish a Community Health Coalition, as provided under § 13–1111 of this subtitle, or identify another coalition approved by the Department;
(3)    Demonstrate that the base–year funding requirement established under § 13–1112 of this subtitle has been met; and
(4)    Otherwise satisfy the requirements of §§ 13–1107 through 13–1113 of this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1111 - Local Public Health Cancer Grant -- Community Health Coalition

(a)    (1)    The membership of a Community Health Coalition established under § 13-1109(c) of this subtitle shall:
(i)    Reflect the demographics of the county; and
(ii)    Include representatives of community-based groups, including minority, rural, and medically underserved populations, that, taken together, are familiar with all of the different communities and cultures in the county.
(2)    (i)    In addition to the requirements of paragraph (1) of this subsection, in Baltimore City and in Baltimore, Montgomery, and Prince George’s counties, the Community Health Coalition shall include representatives of the major community hospitals that treat county residents with targeted cancers.
(ii)    In Baltimore, Montgomery, and Prince George’s counties, the local health officer, in consultation with the Department, shall determine whether a hospital is a major community hospital based on the following factors:
1.    The number of county residents with targeted cancers who are served by the hospital;
2.    Whether the hospital has special expertise in treating targeted cancers;
3.    Whether the hospital has demonstrated a commitment to treating uninsured individuals; and
4.    The number of research activities conducted by the hospital that relate to targeted cancers and the amount of funding for these activities.
(iii)    In Baltimore City, the University of Maryland Medical Group and the Johns Hopkins Institutions, acting jointly in collaboration with the Baltimore City Health Department, in consultation with the Department, shall determine whether a hospital is a major community hospital based on the factors listed under subparagraph (ii) of this paragraph.
(b)    The membership of a Community Health Coalition established under § 13–1109(c) of this subtitle may include:
(1)    Representatives of:
(i)    A local management board established under Title 8, Subtitle 3 of the Human Services Article;
(ii)    Local hospitals, clinics, physicians, and other health care providers;
(iii)    Local religious organizations;
(iv)    Institutions of higher education; and
(v)    Hospitals and other entities located outside the county that could enhance the county’s cancer prevention, education, screening, and treatment efforts; and
(2)    Any other person that the local health officer believes would help the county meet the cancer prevention, education, screening, and treatment goals and requirements established for the county under § 13–1108 of this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1112 - Local Public Health Cancer Grant -- Submission of Program Inventory; Base-Year Funding

(a)    Except as provided in § 13-1115(f) of this subtitle, this section does not apply in Baltimore City.
(b)    (1)    Before receiving a Local Public Health Cancer Grant, a local health officer shall submit to the Department an inventory of all existing publicly funded cancer prevention, education, screening, and treatment programs that relate to targeted cancers in the county that were identified under § 13-1109(c) of this subtitle.
(2)    The inventory shall specify the amount of county funds that are being spent on each of the programs included in the inventory.
(c)    The level of funding specified under subsection (b)(2) of this section shall be the county’s base-year funding for cancer prevention, education, screening, and treatment programs that relate to targeted cancers.
(d)    A Local Public Health Cancer Grant may not be used to supplant a county’s base-year funding for cancer prevention, education, screening, and treatment programs that relate to targeted cancers.
(e)    The Department may not distribute a Local Public Health Cancer Grant to a county unless the Department determines that the county will spend, in the applicable fiscal year, at least its base-year funding for cancer prevention, education, screening, and treatment programs that relate to targeted cancers.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1113 - Local Public Health Cancer Grant -- Review of Comprehensive Plan

(a)    The Department shall review a Comprehensive Plan for Cancer Prevention, Education, Screening, and Treatment submitted under § 13-1109(e) of this subtitle and determine whether:
(1)    The Plan addresses the goals and requirements established for the county under § 13-1108 of this subtitle; and
(2)    All other requirements of §§ 13-1107 through 13-1112 of this subtitle have been met.
(b)    The Department may not distribute a county’s share of money for a Local Public Health Cancer Grant, as provided under § 13-1108 of this subtitle, if the Department determines that the requirements of subsection (a) of this section have not been met.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1114 - Statewide Academic Health Center Component

(a)    There is a Statewide Academic Health Center Component in the Program.
(b)    The purpose of the Statewide Academic Health Center Component is to maximize the effectiveness of the Program by involving the University of Maryland Medical Group and the Johns Hopkins Institutions in the implementation of the Program.
(c)    Subject to §§ 13–1115 and 13–1116 of this subtitle, the Department may implement the Statewide Academic Health Center Component by distributing:
(1)    Statewide Academic Health Center Public Health Grants, as provided under § 13–1115 of this subtitle; and
(2)    Statewide Academic Health Center Cancer Research Grants, as provided under § 13–1116 of this subtitle.
(d)    The University of Maryland Medical Group and the Johns Hopkins Institutions shall coordinate their efforts with regard to initiatives that are funded with grants that are distributed under the Statewide Academic Health Center Component to maximize the benefits received from the use of these grant funds and to eliminate unnecessary duplication of efforts.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 11 - Cancer Prevention, Education, Screening, and Treatment Program › Section 13-1119 - Administrative Component

(a)    There is an Administrative Component in the Program.
(b)    The purpose of the Administrative Component is to provide the necessary administrative structure in the Department for effective management of the Program.
(c)    Funds that are allocated to the Administrative Component in the State budget shall be used to cover administrative costs incurred by the Department in administering the Program.
(d)    Unless otherwise specified in the annual budget bill as enacted, the amount of funds that are allocated to the Administrative Component in the State budget may not exceed 7% of the total amount that is allocated to the Program in the State budget.
(e)    A county that receives funds under a Local Public Health Cancer Grant, a person who receives funds under a Local Public Health Cancer Grant, a Statewide Academic Health Center that receives money under any of the grants distributed under the Statewide Academic Health Component, and any other person who receives funds under the Program may not use more than 7% of the funds to cover administrative costs.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1201 - Definitions

(a)    In this subtitle the following words have the meanings indicated.
(b)    “Data use agreement” means an agreement between the Department and a national, State, or local agency or program that establishes the terms and conditions for the confidential submission, collection, storage, analysis, reporting, aggregation, and dissemination of de–identified data obtained from the Maternal Mortality Review Program.
(c)    “Local team” means the multidisciplinary and multiagency maternal mortality review team established for a county.
(d)    “Maternal death” means the death of a woman during pregnancy or within 1 year after the woman ceases to be pregnant.
(e)    “Maternal mortality review committee” means the maternal mortality review committee of MedChi that is a medical review committee, as defined under § 1–401 of the Health Occupations Article.
(f)    “MedChi” means the Maryland State Medical Society.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1202 - Findings

The General Assembly finds that:
(1)    Maternal deaths are a serious public health concern and have a tremendous family and societal impact;
(2)    Maternal deaths are significantly underestimated and inadequately documented, preventing efforts to identify and reduce or eliminate the causes of death;
(3)    No processes exist in the State for the confidential identification, investigation, or dissemination of findings regarding maternal deaths; and
(4)    There is a need to establish a Maternal Mortality Review Program to review maternal deaths and to develop strategies for the prevention of maternal deaths.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1204 - Administration; Development of System Regarding Maternal Death Cases

(a)    The Secretary may contract with MedChi to administer the Maternal Mortality Review Program.
(b)    In consultation with the maternal mortality review committee of MedChi, the Secretary shall develop a system to:
(1)    Identify maternal death cases;
(2)    Review medical records and other relevant data;
(3)    Contact family members and other affected or involved persons to collect additional relevant data;
(4)    Consult with relevant experts to evaluate the records and data collected;
(5)    Make determinations regarding the preventability of maternal deaths;
(6)    Develop recommendations for the prevention of maternal deaths; and
(7)    Disseminate findings and recommendations to policy makers, health care providers, health care facilities, and the general public.
(c)    On the approval of the Secretary and with a signed data use agreement, the Department may release de–identified data and findings to the Centers for Disease Control and Prevention, local maternal mortality review teams, and other entities at the discretion of the Secretary.
(d)    In accordance with § 4–221 of this article and notwithstanding § 4–224 of this article, the Secretary shall provide the Program with:
(1)    Information on maternal death cases when the records become available, including a copy of the death certificate; and
(2)    Medical information from the birth or fetal death record for any pregnancy that occurred within 1 year before the death of the woman, excluding Social Security numbers, addresses, and names of the infants.
(e)    On the request of the Secretary, the Program shall be provided access, to the extent allowed by law, to all information and records maintained by a State or local government agency, law enforcement investigative information, medical examiner investigative information, parole and probation information and records, and information and records of a social services agency that provided services to a woman whose death is being reviewed by the Program.
(f)    The Maternal Mortality Review Program, in consultation with the Office of Minority Health and Health Disparities, shall make recommendations to reduce any disparities in the maternal mortality rate including recommendations related to social determinants of health.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1205 - Access to Medical Records

(a)    A health care provider or health care facility, as defined under Title 19, Subtitles 3, 3A, and 3B of this article, shall provide the Maternal Mortality Review Program reasonable access to all relevant medical records associated with a case under review by the Maternal Mortality Review Program.
(b)    The provisions of Title 4, Subtitle 3 of this article do not apply to a disclosure made to the Program under this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1206 - Health Care Provider and Health Care Facility Report

(a)    Notwithstanding the provisions of Title 4, Subtitle 3 of this article, if a patient of a health care provider or a health care facility dies of a maternal death and the health care provider or the health care facility has knowledge of the circumstances of the death, the health care provider or the health care facility shall report the death to the Maternal Mortality Review Program.
(b)    Any health care provider and health care facility report required under this section shall be:
(1)    Confidential;
(2)    Not open to public inspection; and
(3)    Except under a court order sealing the court record, not subject to subpoena or discovery in any criminal or civil proceeding.
(c)    A health care provider or health care facility may not be held liable for civil damages or subject to any criminal or disciplinary action for good faith efforts made to comply with the provisions of this subtitle.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1207 - Local Team

(a)    (1)    Subject to paragraph (2) of this subsection, there may be a multidisciplinary and multiagency maternal mortality review team in each county.
(2)    (i)    Two or more counties may agree to establish a single multicounty local team.
(ii)    A multicounty local team shall execute a memorandum of understanding on membership, staffing, and operation.
(b)    If a local team is established in a county, the local team:
(1)    Shall be convened by the local health officer; and
(2)    May include representatives from other local agencies and local organizations, licensed health care providers with expertise in maternal child health, and other individuals necessary to the work of the local team, recommended by the local team, and designated by the local health officer.
(c)    From among its members, each local team shall elect a chair by majority vote.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1208 - Local Team -- Purpose; Duties

(a)    The purpose of a local team is to prevent maternal deaths by:
(1)    Promoting cooperation and coordination among agencies involved in preventing and responding to maternal deaths or in providing services to surviving family members;
(2)    Developing an understanding of the causes and incidence of maternal deaths in the county;
(3)    Developing plans for and recommending changes within the community, local institutions, and agencies the members represent to prevent maternal deaths; and
(4)    Advising the Maternal Mortality Review Program on changes to law, policy, or practice to prevent maternal deaths.
(b)    To achieve its purpose, a local team shall:
(1)    In consultation with the Maternal Mortality Review Program, establish and implement a protocol for the local team;
(2)    Meet at least  annually to review the status of maternal fatality cases, recommend actions to improve coordination of services in the community, and recommend actions within local institutions and member agencies to prevent maternal deaths;
(3)    Enter into a data use agreement with the Department for the receipt of information from the Maternal Mortality Review Program necessary to carry out the local team’s purpose and duties; and
(4)    Provide reports to the Maternal Mortality Review Program, including:
(i)    Information on, and local team discussions related to, individual cases;
(ii)    Any racial disparities observed during case review;
(iii)    Steps taken to improve coordination of services and investigations;
(iv)    Steps taken to implement changes recommended by the local team within member agencies; and
(v)    Recommendations on necessary changes to State and local law, policy, and practice to prevent maternal deaths.
2023 Maryland Statutes › Health - General › Title 13 - Miscellaneous Health Care Programs › Subtitle 12 - Maternal Mortality Review Program › Section 13-1209 - Local Team -- Access to Information and Records

On request of the chair of the local team and as necessary to carry out the local team’s purpose and duties, the local team shall be provided:
(1)    Access to all relevant information and records in accordance with the local team’s data use agreement with the Department; and
(2)    Access, to the extent allowed by law, to all information and records maintained by any State or local government agency,  law enforcement investigative information, medical examiner investigative information, parole and probation information and records, and information and records of a social services agency that provided services to a woman whose death is being reviewed by the local team.