Maryland Administrative Code

.01 Purpose. This chapter and COMAR 10.10.13 establish a coordinated Statewide system for: A. Laboratory screening of newborn infants in the State for certain hereditary and congenital disorders associated with severe problems of health or development; and B. Follow-up services t…

.02 Scope. This chapter identifies standards and requirements for the Department, birthing facilities, and persons participating in one or more aspects of Maryland's Newborn Screening Program for hereditary and congenital disorders.

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) Birthing Facility. (a) “Birthing facility” means a facility that provides the antepartum, intrapartum, and postpartum management and care of women and their newborn infants…

.04 Responsibilities of the Department. A. Program Maintenance. The Department shall operate a Newborn Screening Program to identify congenital and hereditary disorders and provide follow-up services to newborn infants. B. Laboratory Oversight. The Department shall ensure that a …

.05 Selection of Disorders for Screening. A. The Department, with the advice of the Council, shall select the disorders for which screening is required by the Newborn Screening Program. B. The selected disorders are: (1) Biotinidase deficiency; (2) Congenital adrenal hyperplasia …

.06 Pre-Test Information. Before a blood-spot specimen is sent for newborn screening, a health care provider or the individual’s designated representative shall provide to the newborn infant’s parent or guardian an explanation of newborn screening that includes: A. Reasons for ne…

.07 Initial Screening. The individual in charge of a birthing facility or the individual’s designated representative, or the home birth attendant shall: A. If the parent or guardian of the newborn infant does not object to newborn screening: (1) Collect a blood-spot specimen: (a)…

.08 Second Screening. A health care provider shall have a blood-spot specimen collected for a second screening for the disorders set forth in Regulation .05 of this chapter when the newborn is between 10 and 14 days old.

.09 Transport of Blood-Spot Specimens to a Licensed Laboratory. A. A birthing facility representative, physician, or other health care provider or, in the case when a birth occurs outside a birthing facility, the individual required to prepare and file the certificate of birth, s…

.10 Results. A. Normal Screening Results. (1) The Department’s public health laboratory shall report normal newborn screening test results to the submitter of the blood-spot specimen within 3 business days after receipt of the blood-spot specimen. (2) A birthing facility represen…

.11 Referral Procedures. The individual in charge of a birthing facility or the individual’s designated representative, or the home birth attendant shall: A. Develop collection and transport procedures to ensure against collecting and submitting unsatisfactory blood-spot specimen…

.12 Follow-Up Procedures. A. Department's Responsibilities. (1) The Follow-Up Unit shall investigate each abnormal result indicative of increased risk for a hereditary or congenital disorder by contacting the infant’s health care provider, or other appropriate individual to notif…

.13 Records. A. The screening of newborn infants pursuant to this chapter is a population based public health surveillance program. B. On request, a laboratory or health care provider shall make available to the Follow-Up Unit medical records, records of laboratory tests, and any…

.01 Purpose and Scope. A. This chapter establishes Statewide screening protocols for critical congenital heart disease in newborn infants. B. This chapter identifies standards and requirements for the Department, birthing facilities, nurse midwives, and persons participating in n…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Attending clinician” means an individual who is: (a) A health care provider as defined in Health-General Article, §5-601, Annotated Code of Maryland; and (b) Responsible f…

.03 Pre-Test Information and the Right to Refuse Screening. A. Before a newborn infant is screened for CCHD, a health care provider shall provide to the newborn infant's parent or guardian an explanation of CCHD screening that includes: (1) Reasons for screening, including: (a) T…

.04 Screening Procedures. A. An authorized health care provider shall perform the screening. B. Newborn Infants Receiving Routine Care. (1) The birthing facility or nurse midwife shall: (a) Perform screening on a newborn infant between 24 hours and 48 hours of life; or (b) If una…

.05 Results. A. Recordation of Results. (1) All screening results shall be recorded in the newborn infant’s medical record. (2) All screening results shall be entered into the web-based system along with the following information: (a) Newborn infant’s: (i) Name; (ii) Date of birt…

.06 Birthing Facility and Nurse Midwife Responsibilities. A. Birthing Facility Responsibilities. The birthing facility shall: (1) Identify a clinical staff person as a contact for CCHD screening; (2) Develop protocols to ensure that all newborn infants are offered screening; (3) …

.07 Department Responsibilities. The Newborn Screening Follow-Up Unit shall: A. Investigate each instance of abnormal screening results to determine the cause for the abnormal result; B. Enter newborn infants found to have CCHD into the Birth Defects Reporting and Information Sys…

.08 Records. A. The screening of newborn infants pursuant to this chapter is a population-based public health surveillance program as defined under the Health Insurance Portability and Accountability Act of 1996. B. On request, a birthing facility or health care provider shall ma…

.01 Scope. A. The purpose of this chapter is to facilitate the implementation of the Maryland Asthma Control Program, to the extent allowed by available funding, by providing guidelines for the administration of the Asthma Coalition in its advisory capacity to the Program. B. Thi…

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Asthma data surveillance” means the ongoing and systematic collection, analysis, and interpretation of asthma-related information for the purposes of planning, implementin…

.03 Establishment and Membership. A. The Maryland Statewide Asthma Coalition is established. B. The Coalition consists of members recruited by the Director of the Maryland Asthma Control Program from each of the following organizations: (1) The Department; (2) The American Lung A…

.04 Quorum, Meetings, Compensation, and Staff. A. The members of the Coalition who are present at a meeting are a quorum to do business provided that at least eight members including one co-chair attend the meeting. B. The Coalition shall meet at least twice per year, at the time…

.05 Duties. The Coalition shall provide assistance to the Department in the development and implementation of the Program by: A. Advising the Department on asthma-related matters, including establishing priorities within the Maryland Asthma Plan, through maintaining and sharing e…

.06 Asthma Data Surveillance System. A. The Program shall establish a State asthma data surveillance system that has the authority to access and request the submission of data related to asthma, including the submission of a uniform data set and any confidential, patient-identify…

.01 Definitions. A. In this subtitle, the following terms have the meanings indicated. B. Terms Defined. (1) “Board” means the Maryland Board of Nursing. (2) “CEU” means continuing education courses that have been approved by the Board. (3) “Committee” means the Electrology Pract…

.01 General Provisions for Applications. A. An applicant shall submit: (1) A completed application to the Board on the form that the Board requires; (2) To a criminal history records check (CHRC) in accordance with Health Occupations Article, §8–303, Annotated Code of Maryland; (…

.02 Applicants for Licensure. A. An applicant for licensure in electrology shall: (1) Be of good moral character; (2) Be 18 years old or older; (3) Be a high school graduate or equivalent; and (4) Have successfully completed an electrology program that is in: (a) Maryland and app…

.03 Licensure by Examination. A. An applicant for licensure by examination shall submit to the Board: (1) A completed application; (2) The fee for examination as set forth in COMAR 10.53.12 that includes the application and clinical exam fees; (3) A certified copy of the applican…

.04 Licensure by Waiver. A. An applicant who is licensed in another state shall: (1) Comply with all requirements under Regulation .01A of this chapter; and (2) Submit to the Board: (a) Verification of the license; (b) Evidence of successful examination in another state that was …

.05 Renewal of Licensure. A. A licensee otherwise entitled to be licensed shall renew a license for 2 years by submitting to the Board: (1) A renewal application on a form provided by the Board; (2) The applicable fee as set forth in COMAR 10.53.12; and (3) Evidence acceptable to…

.06 Inactive Status. A. The Board shall place a license on inactive status if the licensee: (1) Submits to the Board: (a) A written request for inactive status; and (b) The applicable one-time fee as set forth in COMAR 10.53.12; or (2) Fails to submit the number of CEUs required …

.07 Reinstatement of Licensure. A. The Board shall reinstate the license of an individual who has failed to renew licensure for less than 5 years for any reason if the individual: (1) Is otherwise entitled to be licensed; and (2) Submits to the Board: (a) An application for reins…

.08 Licensure Exception. A license is not required for a student who is practicing electrology as part of an approved clinical electrology program.

.09 Instructor Licensure. A. General Requirements. An electrologist applying for an electrology instructor's license shall: (1) Be a licensed electrologist who has satisfied the requirements for licensure as set forth by this chapter; (2) Have practiced electrology actively for a…

.01 Theory and Clinical Examinations. A. The Board, upon the recommendation of the Electrology Practice Committee, shall approve an applicant to sit for the national theory Exam. B. The applicant, after being notified by the Board that they are eligible for the written national t…

.02 Reexamination. A. An applicant may retake a written examination or a failed section of a written examination after paying the reexamination fee established in COMAR 10.53.12. B. An applicant who fails the written examination two times may be re-examined if the applicant: (1) …

.03 Examinations for Applicants with Special Needs. A. An applicant with a disability may request modifications in examination materials or procedures. The applicant shall: (1) Make the request in writing at least 6 weeks before the examination date; and (2) Include in the reques…

.04 Examination Misconduct. A. The Board may determine that an individual who subverts or attempts to subvert the licensing examinations has not passed the examinations. B. Conduct that subverts or attempts to subvert the licensing examinations includes, but is not limited to: (1…

.01 Definition. A. In this chapter, the following term has the meaning indicated. B. Term Defined. “One continuing education unit (CEU)” means 1 clock hour of participation in an organized continuing education experience that is: (1) Related to the clinical practice of electrolog…

.02 Continuing Education Requirements. A. A licensed electrologist shall: (1) Complete 10 clock hours of Board-approved CEUs by October 28 of each year of licensure; and (2) Provide proof of completion to the Board upon renewal of licensure. B. CEUs earned in one renewal period m…

.03 Continuing Education Unit. A. One CEU is equivalent to 1 hour of education. B. More than one course may be taken to fulfill the CEU requirement. C. One semester credit hour at an approved university or college as required in Regulation .04 of this chapter taken for credit or …

.04 Approval of Courses. A. The Board shall approve a course, seminar, or speaker session if it is: (1) Relevant to the practice of electrology; and (2) Offered by a: (a) College or university approved by MHEC; (b) State or national professional electrology association; (c) Board…

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Electronic devices” means, but is not limited to, any of the following: (a) Telephones with recording and picture-taking ability (b) Digital cameras or any other device th…

.02 Standards of Practice. A. An electrologist shall be primarily concerned with the welfare of the patient. B. An electrologist shall seek professional treatment and refrain from the practice of electrology, if the electrologist suffers from a physical, mental, emotional, or che…