Maryland Administrative Code

.20 Cause for Suspension or Removal and Imposition of Sanctions. A. If the Department determines that a provider, vendor, agent or employee of the provider, vendor, or a person with an ownership interest in the provider or vendor has failed to comply with these regulations, or ap…

.21 Funding Availability. Payment under this chapter is contingent on the availability of funds in accordance with State Finance and Procurement Article, §§7-234 and 7-235, Annotated Code of Maryland.

.01 Purpose. The purpose of this chapter is to set forth requirements for conducting lead poisoning risk assessments, blood tests for lead poisoning of minor children, and the reporting of blood lead analysis in accordance with applicable State law.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Administer a blood test for lead poisoning” means to: (a) Draw a blood specimen, by either venous or capillary methodology, and: (i) Send the specimen to a medical laborat…

.03 Administration of Lead Exposure Risk Questionnaire. A primary care provider for a child shall complete a lead exposure risk questionnaire: A. During the 12-month visit and again during the 24-month visit if the child does not reside in an at-risk area; B. If the child does no…

.04 Blood Tests for Lead Poisoning. A. A primary care provider for a child who resides, or who is known to have previously resided, in an at-risk area shall administer a blood test for lead poisoning during the 12-month visit and again during the 24-month visit. B. A primary care…

.05 Documentation Requirements on Entry into a Prekindergarten Program, Kindergarten Program, or First Grade. A. The parent or guardian of a child who currently resides, or has previously resided, in an at-risk area shall provide to the administrator of the child’s school or prog…

.06 Blood Lead Analysis Reporting Requirements. A. Notwithstanding §B of this regulation, a medical laboratory shall report, to the Department of the Environment, the information required under Environment Article, §6-303, Annotated Code of Maryland. B. A medical laboratory that …

.01 Purpose. The purpose of this chapter is to clarify the authority of State and local child fatality review teams in Maryland to participate in certain national child death review case reporting systems as a means to enhance the CFR teams' ability to more effectively carry out …

.02 Scope. A. This chapter controls the drafting and implementation of data use agreements between the State child fatality review team and other public or private organizations or entities in order to assure that Maryland's State and local child fatality review teams are able to…

.03 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Child death review (CDR) case reporting system” means a national standardized, web-based reporting system for the confidential collection, analysis, aggregation, and repor…

.04 Data Use Agreement. A. The Department may enter into a data use agreement with a NCCDR to participate in the NCCDR's case reporting system. B. The purpose of the data use agreement is to establish the terms and conditions for: (1) The confidential submission, collection, stor…

.05 National Center for Child Death Review's Duties. The data use agreement with the NCCDR shall: A. Assure that the State and local CFR teams have full access to and use of the CDR reporting system for the purposes of collecting, analyzing, aggregating, and reporting on child de…

.06 Electronic Data Transmittal. Staff of the State or local CFR team shall first de-identify or remove information which would allow identification of an individual from any CFR team reports filed with, or information electronically transmitted by staff to, the NCCDR.

.07 Confidentiality of Data. If any personally identifying child fatality review information or record is acquired by the NCCDR or its staff, that information or record is confidential and subject to the same confidentiality and discovery protections set forth in Health-General A…

.08 Terms and Construction of a Data Use Agreement. Any data use agreement entered into by the State CFR Team and a NCCDR shall: A. Incorporate by reference and be construed in accordance with the provisions of Health-General Article, Title 5, Subtitle 7, Annotated Code of Maryla…

.01 Scope. This chapter does not apply to the review of a fetal death that is the result of a voluntary or therapeutic termination of pregnancy.

.02 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Committee” means the Morbidity, Mortality, and Quality Review Committee established within the Department. (2) “Department” means the Maryland Department of Health. (3) “J…

.03 Incorporation by Reference. The Maryland Perinatal System Standards (Perinatal Clinical Advisory Committee, June 2014) is incorporated by reference.

.04 Morbidity, Mortality, and Quality Review Committee. There is a Morbidity, Mortality, and Quality Review Committee established within the Department.

.05 Membership. A. The Committee shall be: (1) A State-level multidisciplinary and multiagency review Committee within the Department; and (2) Composed of at least 26 members as described in §§B and C of this regulation. B. Ex Officio Members. The Committee shall include the foll…

.06 Committee Duties. A. To achieve its purpose, the Committee shall: (1) Provide consultation to FIMR teams and other MMQR teams; (2) Conduct confidential and anonymous case reviews of morbidity and mortality associated with pregnancy, childbirth, infancy, and early childhood; (…

.07 Local Teams — Establishment and Purpose. A. A jurisdiction shall have a multidisciplinary and multiagency FIMR team or other MMQR team. B. The purpose of a FIMR team is to facilitate the reduction of fetal and infant deaths by: (1) Conducting confidential case reviews of feta…

.08 FIMR Teams — Membership. A. Members of a FIMR team shall be appointed by the local health officer of the jurisdiction or be jointly appointed by the health officers of the jurisdictions comprising the multi-jurisdiction local team. B. A FIMR team shall appoint a chairman from…

.09 MMQR Teams — General. MMQR teams may: A. Inform the Committee of changes that affect morbidity or mortality associated with pregnancy, childbirth, infancy, or early childhood in: (1) Local law; (2) Policy; or (3) Practice; and B. Provide the Committee with requested reports a…

.10 Types of Committee Reviews. The Committee may conduct morbidity, mortality, and quality reviews associated with pregnancy, childbirth, infancy, and early childhood, including but not limited to reviews of the following: A. Individual cases or clusters of cases of morbidity or…

.11 Access to Records and Information. A. A health care provider, hospital, HIPAA (Health Insurance Portability and Accountability Act of 1996) business associate, or other related entity shall, on written request of the Committee, FIMR team, other MMQR team, or their staff, prov…

.12 Meetings. A. The Committee shall meet at least semiannually. B. FIMR teams shall meet at least quarterly. C. A meeting of the Committee, FIMR teams, or other MMQR teams shall be closed to the public and is not subject to General Provisions Article, Title 3, Subtitle 3, Annota…

.13 Confidentiality of Records and Information. A. The following shall be held confidential and may not be released to a person except as provided in this chapter: (1) Records and information received by the Committee, FIMR team, or other MMQR team; (2) Documents produced in the …

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “ASTM Standards” means the standard consumer safety performance specifications for infant bedding and related accessories set by the American Society for Testing and Materi…

.02 General Provisions. A. Baby bumper pads are hereby declared to be a hazardous material and may not be shipped or sold to a purchaser in Maryland beginning June 21, 2013. B. ASTM Standards. (1) After notification that ASTM has adopted a new voluntary standard for baby bumper p…

.03 Violations. A. A notice of violation will be issued by the Department to any person found to have shipped or sold a baby bumper pad to a purchaser in Maryland after June 21, 2013. B. A person who, after being issued a notice of violation, ships or sells a baby bumper pad to a…

.01 Purpose. This chapter: A. Defines: (1) Mifepristone data; (2) Health information exchange; (3) Electronic health network; and (4) Protected Health Care Commission; B. Lists the: (1) Mifepristone data, and diagnosis, procedure, and related codes for abortion care that are subj…

.02 Definitions. A. In this chapter, the following terms have the meaning indicated. B. Terms Defined. (1) “Electronic health network” has the meaning stated in COMAR 10.25.09.02. (2) “Gender-affirming treatment” has the meaning stated in Health-General Article, §15-151, Annotate…

.03 Abortion Care Codes. A health information exchange and an electronic health network shall restrict the disclosure of the abortion care medical diagnosis codes and current procedural terminology (CPT) codes listed in the tables below. A. List of Medical Diagnosis Codes. Intern…

.04 Mifepristone Data Codes. A health information exchange and an electronic health network shall restrict the disclosure of mifepristone data Healthcare Common Procedure Coding System (HCPCS) codes and medication codes listed in the tables below. A. List of Healthcare Common Pro…

.05 Restrictions on Disclosure of Mifepristone Data. Data is restricted in accordance with COMAR 10.25.18 and COMAR 10.25.07.

.06 Gender-Affirming Treatment Codes. A. A health information exchange and an electronic health network shall restrict the disclosure of the gender-affirming treatment medical diagnosis codes and current procedural terminology (CPT) codes listed in §B below. B. List of Medical Di…

.07 Sensitive Health Services. The Secretary shall determine what sensitive health services are subject to restriction under this chapter based on the recommendations of the Protected Health Care Commission.

.01 Definitions. A. In this chapter, the following terms have the meanings indicated. B. Terms Defined. (1) “Department” means the Maryland Department of Health. (2) “Facility” means a surgical abortion facility. (3) Health Professional. (a) “Health professional” means an individ…

.02 License Required. A. A person may not establish or operate a surgical abortion facility without obtaining a license from the Secretary. B. License Period. A license is valid for 3 years from the date of issuance, unless suspended or revoked by the Secretary. C. A license issu…

.03 Licensing Procedures. A. A person desiring to operate a facility shall: (1) Be in compliance with all applicable federal and State laws and regulations; (2) File an application as required and provided by the Department; and (3) Submit a written description of its quality ass…

.04 Inspections by the Department. A. Open for Inspection. A licensed facility or an entity proposing to operate such a facility shall be open during normal business hours, or any other times that the facility is serving patients, for inspection by the Department and by any other…

.05 Administration. A. Administrator. (1) Each facility shall have an administrator, who is responsible for the daily operation of the facility, including but not limited to: (a) Consulting with the staff to develop and implement the facility's policies and procedures required un…

.06 Personnel. A. Qualifications of Physicians and Staff. A facility shall ensure that all physicians and other health professionals who are employees or contractual staff have been appropriately trained and licensed or certified under the Health Occupations Article, Annotated Co…

.07 Surgical Abortion Services. A. Surgical abortion procedures shall be performed in a safe manner by a physician credentialed by the facility under Regulation .06 of this chapter. B. An administrator, in consultation with the medical director, shall develop and implement polici…

.08 Anesthesia Services. A. Anesthetics shall be administered by health practitioners who are licensed, certified, or otherwise authorized to do so under the Health Occupations Article, Annotated Code of Maryland. B. Anesthetics shall be administered only by a: (1) Qualified anes…