Maryland Register Issue Date:  March 10, 2023 Volume 50 •  Issue 5  • Pages 173 —204 IN THIS ISSUE Judiciary Regulations Special Documents General Notices

Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before February 17, 2023 5 p.m. Pursuant to State Government Article, §7-206, Annotated Code of Maryland, I hereby certify that this issue contains all documents required to be codified as of February 17, 2023. Gail S. Klakring Acting Administrator, Division of State Documents Office of the Secretary of State

Information About the Maryland Register and COMAR

MARYLAND REGISTER

The Maryland Register is an official State publication published every other week throughout the year. A cumulative index is published quarterly.

The Maryland Register is the temporary supplement to the Code of Maryland Regulations. Any change to the text of regulations published in COMAR, whether by adoption, amendment, repeal, or emergency action, must first be published in the Register.

The following information is also published regularly in the Register:

• Governor’s Executive Orders

• Attorney General’s Opinions in full text

• Open Meetings Compliance Board Opinions in full text

• State Ethics Commission Opinions in full text

• Court Rules

• District Court Administrative Memoranda

• Courts of Appeal Hearing Calendars

• Agency Hearing and Meeting Notices

• Synopses of Bills Introduced and Enacted by the General Assembly

• Other documents considered to be in the public interest

CITATION TO THE MARYLAND REGISTER

The Maryland Register is cited by volume, issue, page number, and date. Example:

• 19:8 Md. R. 815—817 (April 17, 1992) refers to Volume 19, Issue 8, pages 815—817 of the Maryland Register issued on April 17, 1992.

CODE OF MARYLAND REGULATIONS (COMAR)

COMAR is the official compilation of all regulations issued by agencies of the State of Maryland. The Maryland Register is COMAR’s temporary supplement, printing all changes to regulations as soon as they occur. At least once annually, the changes to regulations printed in the Maryland Register are incorporated into COMAR by means of permanent supplements.

CITATION TO COMAR REGULATIONS

COMAR regulations are cited by title number, subtitle number, chapter number, and regulation number. Example: COMAR 10.08.01.03 refers to Title 10, Subtitle 08, Chapter 01, Regulation 03.

DOCUMENTS INCORPORATED BY REFERENCE

Incorporation by reference is a legal device by which a document is made part of COMAR simply by referring to it. While the text of an incorporated document does not appear in COMAR, the provisions of the incorporated document are as fully enforceable as any other COMAR regulation. Each regulation that proposes to incorporate a document is identified in the Maryland Register by an Editor’s Note. The Cumulative Table of COMAR Regulations Adopted, Amended or Repealed, found online, also identifies each regulation incorporating a document. Documents incorporated by reference are available for inspection in various depository libraries located throughout the State and at the Division of State Documents. These depositories are listed in the first issue of the Maryland Register published each year. For further information, call 410-974-2486.

HOW TO RESEARCH REGULATIONS

An Administrative History at the end of every COMAR chapter gives information about past changes to regulations. To determine if there have been any subsequent changes, check the ‘‘Cumulative Table of COMAR Regulations Adopted, Amended, or Repealed’’ which is found online at http://www.dsd.state.md.us/PDF/CumulativeTable.pdf. This table lists the regulations in numerical order, by their COMAR number, followed by the citation to the Maryland Register in which the change occurred. The Maryland Register serves as a temporary supplement to COMAR, and the two publications must always be used together. A Research Guide for Maryland Regulations is available. For further information, call 410-260-3876.

SUBSCRIPTION INFORMATION

For subscription forms for the Maryland Register and COMAR, see the back pages of the Maryland Register. Single issues of the Maryland Register are $15.00 per issue.

CITIZEN PARTICIPATION IN
THE REGULATION-MAKING PROCESS

Maryland citizens and other interested persons may participate in the process by which administrative regulations are adopted, amended, or repealed, and may also initiate the process by which the validity and applicability of regulations is determined. Listed below are some of the ways in which citizens may participate (references are to State Government Article (SG),

Annotated Code of Maryland):

• By submitting data or views on proposed regulations either orally or in writing, to the proposing agency (see ‘‘Opportunity for Public Comment’’ at the beginning of all regulations appearing in the Proposed Action on Regulations section of the Maryland Register). (See SG, §10-112)

• By petitioning an agency to adopt, amend, or repeal regulations. The agency must respond to the petition. (See SG §10-123)

• By petitioning an agency to issue a declaratory ruling with respect to how any regulation, order, or statute enforced by the agency applies. (SG, Title 10, Subtitle 3)

• By petitioning the circuit court for a declaratory judgment

on the validity of a regulation when it appears that the regulation interferes with or impairs the legal rights or privileges of the petitioner. (SG, §10-125)

• By inspecting a certified copy of any document filed with the Division of State Documents for publication in the Maryland Register. (See SG, §7-213)

Maryland Register (ISSN 0360-2834). Postmaster: Send address changes and other mail to: Maryland Register, State House, Annapolis, Maryland 21401. Tel. 410-260-3876. Published biweekly, with cumulative indexes published quarterly, by the State of Maryland, Division of State Documents, State House, Annapolis, Maryland 21401. The subscription rate for the Maryland Register is $225 per year (first class mail). All subscriptions post-paid to points in the U.S. periodicals postage paid at Annapolis, Maryland and additional mailing offices.

Wes Moore, Governor; Susan C. Lee, Secretary of State; Gail S. Klakring, Administrator; Mary D. MacDonald, Senior Editor, Maryland Register and COMAR; Elizabeth Ramsey, Editor, COMAR Online, and Subscription Manager; Tami Cathell, Help Desk, COMAR and Maryland Register Online.

Front cover: State House, Annapolis, MD, built 1772—79.

Illustrations by Carolyn Anderson, Dept. of General Services

Note: All products purchased are for individual use only. Resale or other compensated transfer of the information in printed or electronic form is a prohibited commercial purpose (see State Government Article, §7-206.2, Annotated Code of Maryland). By purchasing a product, the buyer agrees that the purchase is for individual use only and will not sell or give the product to another individual or entity.

Closing Dates for the Maryland Register

Schedule of Closing Dates and Issue Dates for the
Maryland Register ..................................................................... 176

COMAR Research Aids

Table of Pending Proposals ........................................................... 177

Index of COMAR Titles Affected in This Issue

COMAR Title Number and Name Page

08 Department of Natural Resources ..................................... 181

11 Department of Transportation ............................................ 181

12 Department of Public Safety and Correctional Services ... 182

13A State Board of Education ................................................... 182

14 Independent Agencies ....................................................... 182

20 Public Service Commission ............................................... 183

30 Maryland Institute for Emergency Medical Services
Systems (MIEMSS) ....................................................... 184

33 State Board of Elections .................................................... 190

PERSONS WITH DISABILITIES

Individuals with disabilities who desire assistance in using the publications and services of the Division of State Documents are encouraged to call (410) 974-2486, or (800) 633-9657, or FAX to (410) 974-2546, or through Maryland Relay.

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS .................................. 180

Final Action on Regulations

08 DEPARTMENT OF NATURAL RESOURCES

BOATING — SPEED LIMITS AND OPERATION OF
VESSELS

Little Annemessex River 181

Susquehanna River 181

11 DEPARTMENT OF TRANSPORTATION

OFFICE OF THE SECRETARY

Tax Credits — Employer-Provided Commuter Benefits —
Expansion and Administration .............................................. 181

12 DEPARTMENT OF PUBLIC SAFETY AND
CORRECTIONAL SERVICES

POLICE TRAINING AND STANDARDS COMMISSION

Police Complaint Mediation Program .. 182

13A STATE BOARD OF EDUCATION

SUPPORTING PROGRAMS

Purple Star Schools Program ................................................... 182

STUDENTS

General Regulations . 182

14 INDEPENDENT AGENCIES

COMMISSION ON CRIMINAL SENTENCING POLICY

General Regulations ................................................................. 182

Criminal Offenses and Seriousness Categories ....................... 182

20 PUBLIC SERVICE COMMISSION

SERVICE SUPPLIED BY ELECTRIC COMPANIES

Engineering . 183

Small Generator Facility Interconnection Standards . 183

Proposed Action on Regulations

30 MARYLAND INSTITUTE FOR EMERGENCY
MEDICAL SERVICES SYSTEMS (MIEMSS)

DESIGNATION OF TRAUMA AND SPECIALTY
REFERRAL CENTERS

Pediatric Trauma Center Standards . 184

33 STATE BOARD OF ELECTIONS

Campaign Financing

Campaign Finance Report 190

Prohibitions . 190

Contributions by Employee Membership and
Membership Entities . 190

Legal Expenses ........................................................................ 190

Exploratory Committees . 190

Violations

Civil Penalties . 190

Special Documents

DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

Projects Approved for Consumptive Uses of Water ............ 194

Grandfathering (GF) Registration Notice . 195

Commission Meeting . 195

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0030 . 196

Water Quality Certification 22-WQC-0031 . 196

Water Quality Certification 22-WQC-0032 . 197

Water Quality Certification 22-WQC-0046 . 197

Water Quality Certification 22-WQC-0050 . 198

Water Quality Certification 22-WQC-0051 . 198

MARYLAND HEALTH CARE COMMISSION

SCHEDULE FOR CERTIFICATE OF CONFORMANCE
REVIEWS — PERCUTANEOUS CORONARY
INTERVENTION SERVICES ...................................... 199

SCHEDULES FOR CERTIFICATE OF NEED
REVIEW ........................................................................ 199

General Notices

STATE COLLECTION AGENCY LICENSING BOARD

Public Meeting ......................................................................... 203

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL
SERVICES SYSTEMS (MIEMSS)

Call for Applications from Those Wishing to be Considered
for Designation as a Level II Trauma Center 203

Listing of Comprehensive Stroke Centers Requesting
Reverification of Status and Call for Applications from
Those Wishing to Be Considered for Designation . 203

Listing of Freestanding Emergency Medical Facilities
Requesting Reverification of Status and Call for
Applications from Those Wishing to Be Considered for
Designation ........................................................................... 203

Listing of Primary Stroke Centers Requesting Reverification
of Status and Call for Applications from Those Wishing to
Be Considered for Designation . 203

Listing of Cardiac Interventional Centers Requesting
Reverification of Status and Call for Applications from
Those Wishing to Be Considered for Designation . 203

MARYLAND STATE LOTTERY AND GAMING CONTROL
AGENCY

Public Meeting . 204

MARYLAND HEALTH CARE COMMISSION

Public Meeting . 204

SPORTS WAGERING APPLICATION REVIEW
COMMISSION

Public Meeting . 204

STATE COLLECTION AGENCY LICENSING BOARD

Public Meeting . 204

COMAR Online

The Code of Maryland Regulations is available at www.dsd.state.md.us as a free service of the Office of the Secretary of State, Division of State Documents. The full text of regulations is available and searchable. Note, however, that the printed COMAR continues to be the only official and enforceable version of COMAR.

The Maryland Register is also available at www.dsd.state.md.us.

For additional information, visit www.dsd.maryland.gov, Division of State Documents, or call us at (410) 974-2486 or 1 (800) 633-9657.

Availability of Monthly List of
Maryland Documents

The Maryland Department of Legislative Services receives copies of all publications issued by State officers and agencies. The Department prepares and distributes, for a fee, a list of these publications under the title ‘‘Maryland Documents’’. This list is published monthly, and contains bibliographic information concerning regular and special reports, bulletins, serials, periodicals, catalogues, and a variety of other State publications. ‘‘Maryland Documents’’ also includes local publications.

Anyone wishing to receive ‘‘Maryland Documents’’ should write to: Legislative Sales, Maryland Department of Legislative Services, 90 State Circle, Annapolis, MD 21401.

CLOSING DATES AND ISSUE DATES THROUGH
DECEMBER 2023^†

Issue Date	Emergency and Proposed Regulations 5 p.m.*	Notices, etc. 10:30 a.m.	Final Regulations 10:30 a.m.
2023
March 24	March 6	March 13	March 15
April 7	March 20	March 27	March 29
April 21	April 3	April 10	April 12
May 5	April 17	April 24	April 26
May 19	May 1	May 8	May 10
June 2	May 15	May 22	May 24
June 16	May 26**	June 5	June 7
June 30	June 12	June 16 **	June 21
July 14	June 26	July 3	July 5
July 28	July 10	July 17	July 19
August 11	July 24	July 31	August 2
August 25	August 7	August 14	August 16
September 8	August 21	August 28	August 30
September 22	September 1**	September 11	September 13
October 6	September 18	September 25	September 27
October 20	October 2	October 6**	October 11
November 3	October 16	October 23	October 25
November 17	October 30	November 6	November 8
December 1	November 13	November 20	November 22
December 15	November 27	December 4	December 6
December 29	December 11	December 18	December 20

^† Please note that this table is provided for planning purposes and that the Division of State Documents (DSD) cannot guarantee submissions will be published in an agency’s desired issue. Although DSD strives to publish according to the schedule above, there may be times when workload pressures prevent adherence to it.

* Also note that proposal deadlines are for submissions to DSD for publication in the Maryland Register and do not take into account the 15-day AELR review period. The due date for documents containing 8 to 18 pages is 48 hours before the date listed; the due date for documents exceeding 18 pages is 1 week before the date listed.

NOTE: ALL DOCUMENTS MUST BE SUBMITTED IN TIMES NEW ROMAN, 9-POINT, SINGLE-SPACED FORMAT. THE PAGE COUNT REFLECTS THIS FORMATTING.

** Note closing date changes.

The regular closing date for Proposals and Emergencies is Monday.

Cumulative Table of COMAR Regulations
Adopted, Amended, or Repealed

This table, previously printed in the Maryland Register lists the regulations, by COMAR title, that have been adopted, amended, or repealed in the Maryland Register since the regulations were originally published or last supplemented in the Code of Maryland Regulations (COMAR). The table is no longer printed here but may be found on the Division of State Documents website at www.dsd.state.md.us.

Table of Pending Proposals

The table below lists proposed changes to COMAR regulations. The proposed changes are listed by their COMAR number, followed by a citation to that issue of the Maryland Register in which the proposal appeared. Errata and corrections pertaining to proposed regulations are listed, followed by “(err)” or “(corr),” respectively. Regulations referencing a document incorporated by reference are followed by “(ibr)”. None of the proposals listed in this table have been adopted. A list of adopted proposals appears in the Cumulative Table of COMAR Regulations Adopted, Amended, or Repealed.

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

05.20.05.01—.12 • 49:25 Md. R. 1054 (12-2-22)

07 DEPARTMENT OF HUMAN SERVICES

07.02.01.10 • 49:9 Md. R. 532 (4-22-22)

08 DEPARTMENT OF NATURAL RESOURCES

08.02.04.11 • 49:15 Md. R. 742 (7-15-22)

49:18 Md. R. 855 (8-26-22) (err)

08.03.09.11 • 50:2 Md. R. 52 (1-27-23)

09 MARYLAND DEPARTMENT OF LABOR

09.01.12.01—.08 • 50:2 Md. R. 55 (1-27-23)

09.03.14.01—.18 • 50:4 Md. R. 125 (2-24-23)

09.09.03.03 • 49:25 Md. R. 1057 (12-2-22)

09.12.32.01—06 • 49:21 Md. R. 953 (10-7-22)

09.12.50.02,.02-1,.03 • 50:2 Md. R. 55 (1-27-23) (ibr)

09.12.51.04 • 50:2 Md. R. 55 (1-27-23)

09.12.57.01,.02 • 50:2 Md. R. 62 (1-27-23) (ibr)

09.12.58.03,.04 • 50:2 Md. R. 63 (1-27-23) (ibr)

09.12.81.02 • 50:1 Md. R. 11 (1-13-23) (ibr)

09.19.02.04 • 50:3 Md. R. 91 (2-10-23)

09.22.01.13 • 50:3 Md. R. 92 (2-10-23)

09.22.04.01—.10 • 50:3 Md. R. 92 (2-10-23)

50:4 Md. R. 135 (2-24-23) (corr)

09.37.05.01—.08 • 49:26 Md. R. 1083 (12-16-22)

10 MARYLAND DEPARTMENT OF HEALTH

Subtitle 09 (2nd volume)

10.09.01.03,.06 • 50:4 Md. R. 135 (2-24-23)

10.09.02.01,.03—.05,.07—.09,.11 • 50:1 Md. R. 11 (1-13-23) (ibr)

10.09.05.01,.03—.07 • 49:27 Md. R. 1113 (12-30-22)

10.09.15.03,.07 • 50:4 Md. R. 136 (2-24-23)

10.09.16.01—.13 • 50:4 Md. R. 136 (2-24-23)

10.09.17.03,.04 • 50:4 Md. R. 139 (2-24-23)

10.09.21.02—.04,.06 • 50:2 Md. R. 64 (1-27-23)

10.09.31.01,.03—.06 • 49:22 Md. R. 982 (10-21-22)

10.09.40.01—.06 • 50:1 Md. R. 13 (1-13-23)

10.09.41.04,.07 • 49:16 Md. R. 762 (7-29-22)

10.09.46.01,.04,.05,.09-1,.12 • 50:2 Md. R. 65 (1-27-23)

10.09.49.03—.10 • 49:24 Md. R. 1028 (11-18-22)

10.09.52.01—.06 • 50:1 Md. R. 13 (1-13-23)

10.09.54.01,.04,.14,.16,.17,.22 • 50:3 Md. R. 94 (2-10-23)

10.09.55.03,.06 • 49:27 Md. R. 1115 (12-30-22)

10.09.56.22 • 50:4 Md. R. 140 (2-24-23)

10.09.76.01,.03,.05 • 50:1 Md. R. 13 (1-13-23)

10.09.77.01,.03—.07,.10 • 50:1 Md. R. 21 (1-13-23)

10.09.80.01,.05,.06,.08 • 50:4 Md. R. 141 (2-24-23)

10.09.95.05 • 49:23 Md. R. 999 (11-4-22)

10.09.96.01,.02,.05,.06 • 49:24 Md. R. 1028 (11-18-22)

Subtitles 10—22 (3rd volume)

10.15.07.01 • 49:27 Md. R. 1116 (12-30-22) (ibr)

10.21.01.04,.08 • 49:23 Md. R. 1000 (11-4-22)

Subtitles 23—36 (4th volume)

10.28.01.01—.06 • 49:26 Md. R. 1084 (12-16-22)

10.32.01.03 • 49:16 Md. R. 768 (7-29-22)

10.32.02.03 • 49:16 Md. R. 768 (7-29-22)

10.32.02.10 • 49:16 Md. R. 769 (7-29-22)

10.34.14.01,.03..03-1 • 50:3 Md. R. 96 (2-10-23)

Subtitles 37—52 (5th volume)

10.37.01.02 • 50:2 Md. R. 67 (1-27-23) (ibr)

10.37.10.03,.04,.05 • 50:3 Md. R. 97 (2-10-23)

10.37.10.26 • 49:18 Md. R. 822 (8-26-22)

10.38.13.01—.06 • 50:1 Md. R. 22 (1-13-23)

10.40.12.01—.06 • 49:26 Md. R. 1085 (12-16-22)

10.41.06.01—.06 • 49:26 Md. R. 1087 (12-16-22)

10.42.10.01—.06 • 49:26 Md. R. 1088 (12-16-22)

10.43.17.01—.06 • 50:2 Md. R. 68 (1-27-23)

10.46.08.01—.06 • 49:27 Md. R. 1116 (12-30-22)

10.47.07.02—.05-1,.07—.09 • 50:1 Md. R. 24 (1-13-23)

Subtitles 53—68 (6th volume)

10.56.10.01—.06 • 49:27 Md. R. 1117 (12-30-22)

10.58.06.01—.06 • 49:26 Md. R. 1090 (12-16-22)

10.58.16.02,.13—.19 • 49:26 Md. R. 1090 (12-16-22)

10.60.01.01 • 50:1 Md. R. 26 (1-13-23)

10.60.02.06 • 50:1 Md. R. 26 (1-13-23)

10.60.03.01 • 50:1 Md. R. 26 (1-13-23)

10.60.06.01 • 50:1 Md. R. 26 (1-13-23)

10.62.01.01 • 50:3 Md. R. 98 (2-10-23)

10.62.06.01,.02 • 50:3 Md. R. 98 (2-10-23)

10.62.08.07,.08,.14 • 50:3 Md. R. 98 (2-10-23)

10.62.09.05 • 50:3 Md. R. 98 (2-10-23)

10.62.11.02,.04 • 50:3 Md. R. 98 (2-10-23)

10.62.12.06,.09 • 50:3 Md. R. 98 (2-10-23)

10.62.17.01 • 50:3 Md. R. 98 (2-10-23)

10.62.18.10 • 50:3 Md. R. 98 (2-10-23)

10.62.19.07,.12 • 50:3 Md. R. 98 (2-10-23)

10.62.20.05 • 50:3 Md. R. 98 (2-10-23)

10.62.21.06 • 50:3 Md. R. 98 (2-10-23)

10.62.22.03,.05,.06 • 50:3 Md. R. 98 (2-10-23)

10.62.23.02,.03,.07 • 50:3 Md. R. 98 (2-10-23)

10.62.25.08,.10,.13 • 50:3 Md. R. 98 (2-10-23)

10.62.26.05 • 50:3 Md. R. 98 (2-10-23)

10.62.28.03,.05,.06 • 50:3 Md. R. 98 (2-10-23)

10.62.30.03—.05,.08 • 50:3 Md. R. 98 (2-10-23)

10.62.33.06 • 50:3 Md. R. 98 (2-10-23)

10.63.01.02,.05 • 50:4 Md. R. 143 (2-24-23)

10.63.02.02 • 50:4 Md. R. 143 (2-24-23)

10.63.03.20,.21 • 50:4 Md. R. 143 (2-24-23)

10.65.10.01—.06 • 50:2 Md. R. 69 (1-27-23)

10.67.06.04 • 50:2 Md. R. 64 (1-27-23)

10.67.06.26-6 • 49:22 Md. R. 982 (10-21-22)

11 DEPARTMENT OF TRANSPORTATION

Subtitles 01—10

11.03.01.01,.04 • 49:25 Md. R. 1057 (12-2-22)

Subtitles 11—23 (MVA)

11.21.01.02,.04-1,.04-2,.04-4,.04-5,.07,.08,.11—.13 • 50:3 Md. R. 103 (2-10-23)

13A STATE BOARD OF EDUCATION

13A.03.02.02,.04,.06,.07,.09,.09-1 • 49:9 Md. R. 533 (4-22-22)

13A.03.05.02—.04 • 49:26 Md. R. 1093 (12-16-22)

50:3 Md. R. 103 (2-10-23) (corr)

13A.05.14.01—.13 • 50:4 Md. R. 151 (2-24-23)

13A.07.06.01—.15 • 49:1 Md. R. 39 (1-3-22) (ibr)

13A.12.01.01—.14 • 49:2 Md. R. 92 (1-14-22)

13A.12.02.01—.29 • 49:2 Md. R. 92 (1-14-22)

13A.12.03.01—.12 • 49:2 Md. R. 92 (1-14-22)

13A.12.04.01—.16 • 49:2 Md. R. 92 (1-14-22)

13A.12.05.01—.15 • 49:2 Md. R. 92 (1-14-22)

13A.12.06.01—.09 • 49:2 Md. R. 92 (1-14-22)

13A.12.07.01—.08 • 49:2 Md. R. 92 (1-14-22)

13A.15.01.02 • 49:24 Md. R. 1032 (11-18-22)

13A.15.04.03 • 49:24 Md. R. 1032 (11-18-22)

13A.15.13.01—.10 • 49:24 Md. R. 1032 (11-18-22)

13A.15.14.01—.09 • 49:24 Md. R. 1032 (11-18-22)

13A.15.15.01—.08 • 49:24 Md. R. 1032 (11-18-22)

13A.15.16.01—.04 • 49:24 Md. R. 1032 (11-18-22)

13B MARYLAND HIGHER EDUCATION COMMISSION

13B.01.01.17 • 50:4 Md. R. 153 (2-24-23)

13B.02.06.01,.06,.11,.14 • 50:4 Md. R. 153 (2-24-23)

13B.03.01.03,.13 • 50:4 Md. R. 155 (2-24-23)

13B.07.02.03 • 50:4 Md. R. 156 (2-24-23)

13B.08.01.02 • 49:16 Md. R. 772 (7-29-22)

13B.08.12.01—.08 • 50:4 Md. R. 156 (2-24-23)

13B.08.13.03 • 49:17 Md. R. 802 (8-12-22)

13B.08.14.02,.06,.07 • 49:17 Md. R. 803 (8-12-22)

13B.08.20.02—.13 • 50:4 Md. R. 158 (2-24-23)

14 INDEPENDENT AGENCIES

14.04.09.01—.04 • 49:9 Md. R. 536 (4-22-22)

14.09.04.03 • 50:1 Md. R. 30 (1-13-23)

14.40.04.01—.03 • 50:2 Md. R. 70 (1-27-23)

14.40.05.03,.04 • 50:2 Md. R. 71 (1-27-23)

15 MARYLAND DEPARTMENT OF AGRICULTURE

15.01.20.01—.11 • 50:3 Md. R. 104 (2-10-23)

21 STATE PROCUREMENT REGULATIONS

21.11.11.01,.06,.07 • 50:2 Md. R. 72 (1-27-23)

26 DEPARTMENT OF THE ENVIRONMENT

Subtitles 01—07 (Part 1)

26.04.01.01,.01-1,.20,.37 • 50:3 Md. R. 106 (2-10-23) (ibr)

26.04.12.01—.07 • 50:2 Md. R. 73 (1-27-23)

Subtitles 08—12 (Part 2)

26.11.19.20 • 49:27 Md. R. 1119 (12-30-22)

26.11.42.01—.11 • 49:27 Md. R. 1119 (12-30-22) (ibr)

30 MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

30.08.05.13 • 50:1 Md. R. 37 (1-13-23)

30.08.08.01—.22 • 50:5 Md. R. 184 (3-10-23)

31 MARYLAND INSURANCE ADMINISTRATION

31.10.44.02—.11 • 50:4 Md. R. 160 (2-24-23)

33 STATE BOARD OF ELECTIONS

33.01.07.01—.06 • 49:9 Md. R. 537 (4-22-22)

33.13.02.03 • 50:5 Md. R. 190 (3-10-23)

33.13.10.01,.04 • 50:5 Md. R. 190 (3-10-23)

33.13.20.03 • 50:5 Md. R. 190 (3-10-23)

33.13.22.01—.03,.05—.07 • 50:5 Md. R. 190 (3-10-23)

33.13.23.01—.11 • 50:5 Md. R. 190 (3-10-23)

33.18.01.02 • 50:5 Md. R. 190 (3-10-23)

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS

This is to certify that by an Order of this Court dated January 18, 2023, CHARLES EDWARD SMITH (CPF# 0506140296), as of February 18, 2023, Charles Edward Smith has been temporarily suspended, effective February 18, 2023 and his name has been stricken from the register of attorneys in this Court. Notice of this action is given in accordance with Maryland Rule 19-761(b).

* * * * * * * * * *

This is to certify that by an Order of this Court dated February 23, 2023, ROBERT STEVEN POPE (CPF# 1212190004), as of February 23, 2023, Robert Steven Pope has been disbarred by consent, effective immediately and his name has been stricken from the register of attorneys in this Court. Notice of this action is given in accordance with Maryland Rule 19-761(b).

[23-05-01]

Final Action on Regulations

Symbol Key

• Roman type indicates text already existing at the time of the proposed action.

• Italic type indicates new text added at the time of proposed action.

• Single underline, italic indicates new text added at the time of final action.

• Single underline, roman indicates existing text added at the time of final action.

• [[Double brackets]] indicate text deleted at the time of final action.

Title 08
DEPARTMENT OF NATURAL RESOURCES

Subtitle 18 BOATING — SPEED LIMITS AND OPERATION OF VESSELS

08.18.12 Little Annemessex River

Authority: Natural Resources Article, §§8-703 and 8-704, Annotated Code of Maryland

Notice of Final Action

[22-343-F]

On February 19, 2023, the Acting Secretary of Natural Resources adopted new Regulation .05 under COMAR 08.18.12 Little Annemessex River. This action, which was proposed for adoption in 49:27 Md. R. 1113 (December 30, 2022), has been adopted as proposed.

Effective Date: March 20, 2023.

JOSH KURTZ
Acting Secretary of Natural Resources

Subtitle 18 BOATING — SPEED LIMITS AND OPERATION OF VESSELS

08.18.26 Susquehanna River

Authority: Natural Resources Article, §§8-703 and 8-704, Annotated Code of Maryland

Notice of Final Action

[22-285-F]

On February 28, 2023, the Acting Secretary of Natural Resources adopted amendments to Regulation .06 under COMAR 08.18.26 Susquehanna River. This action, which was proposed for adoption in 50:1 Md. R. 10 (January 13, 2023), has been adopted as proposed.

Effective Date: March 20, 2023.

JOSH KURTZ
Acting Secretary of Natural Resources

Title 11
DEPARTMENT OF TRANSPORTATION

Subtitle 01 OFFICE OF THE SECRETARY

11.01.18 Tax Credits — Employer-Provided Commuter Benefits — Expansion and Administration

Authority: Environment Article, §2-901; Transportation Article, §2-103; Annotated Code of Maryland

Notice of Final Action

[22-215-F]

On February 27, 2023, the Department of Transportation adopted new Regulations .01—.06 under a new chapter, COMAR 11.01.18 Tax Credits — Employer-Provided Commuter Benefits — Expansion and Administration. This action, which was proposed for adoption in 49:27 Md. R. 1118—1119 (December 30, 2022), has been adopted as proposed.

Effective Date: March 20, 2023.

PAUL J. WIEDEFELD
Secretary of Transportation

Title 12
DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

Subtitle 04 POLICE TRAINING AND STANDARDS COMMISSION

12.04.11 Police Complaint Mediation Program

Authority: Public Safety Article, §§3-207 and 3-208, Annotated Code of Maryland

Notice of Final Action

[22-277-F]

On February 28, 2023, the Police Training and Standards Commission adopted new Regulations .01―.08 under a new chapter, COMAR 12.04.11 Police Complaint Mediation Program. This action, which was proposed for adoption in 50:1 Md. R. 28―29 (January 13, 2023), has been adopted as proposed.

Effective Date: March 20, 2023.

BARBARA L. DUNCAN
Chair
Police Training and Standards Commission

Title 13A
STATE BOARD OF EDUCATION

Subtitle 06 SUPPORTING PROGRAMS

13A.06.10 Purple Star Schools Program

Authority: Education Article, §§2-205 and 7-129, Annotated Code of Maryland

Notice of Final Action

[22-212-F]

On February 28, 2023, the State Board of Education adopted new Regulations .01—.05 under a new chapter, COMAR 13A.06.10 Purple Star Schools Program. This action, which was proposed for adoption in 49:26 Md. R. 1093—1095 (December 16, 2022), has been adopted as proposed.

Effective Date: March 20, 2023.

MOHAMMED CHOUDHURY
State Superintendent of Schools

Subtitle 08 STUDENTS

13A.08.01 General Regulations

Authority: Education Article, §§2-205, 7-101, 7-101.1, 7-208, 7-301, 7-301.1, 7-303—7-305, 7-305.1, 7-307, 7-308, and 8-404, Annotated Code of Maryland; Federal Statutory Reference: 20 U.S.C. §§1232g and 7912

Notice of Final Action

[22-213-F]

On February 28, 2023, the State Board of Education adopted amendments to Regulation .01 under COMAR 13A.08.01 General Regulations. This action, which was proposed for adoption in 49:26 Md. R. 1095 (December 16, 2022), has been adopted as proposed.

Effective Date: March 20, 2023.

MOHAMMED CHOUDHURY
State Superintendent of Schools

Title 14
INDEPENDENT AGENCIES

Subtitle 22 COMMISSION ON CRIMINAL SENTENCING POLICY

Notice of Final Action

[22-303-F]

On February 28, 2023, the Maryland State Commission on Criminal Sentencing Policy adopted amendments to:

(1) Regulations .09, .10, and .11 under COMAR 14.22.01 General Regulations; and

(2) Regulation .02 under COMAR 14.22.02 Criminal Offenses and Seriousness Categories.

This action, which was proposed for adoption in 50:1 Md. R. 32—36 (January 13, 2023), has been adopted as proposed.

Effective Date: April 1, 2023.

DAVID SOULE
Executive Director

Title 20
PUBLIC SERVICE COMMISSION

Subtitle 50 SERVICE SUPPLIED BY ELECTRIC COMPANIES

20.50.02 Engineering

Authority: Public Utilities Article, §§2-113, 2-121, 5-101, and 5-303, Annotated Code of Maryland

Notice of Final Action

[22-262-F-I]

On February 22, 2023, the Maryland Public Service Commission adopted amendments to Regulation .02 under COMAR 20.50.02 Engineering. This action, which was proposed for adoption in 49:25 Md. R. 1058—1059 (December 2, 2022), has been adopted as proposed.

Effective Date: March 20, 2023.

ANDREW S. JOHNSTON
Executive Secretary

Subtitle 50 SERVICE SUPPLIED BY ELECTRIC COMPANIES

20.50.09 Small Generator Facility Interconnection Standards

Authority: Public Utilities Article, §§2-113, 2-121, 5-101, 5-303, and 7-306, Annotated Code of Maryland

Notice of Final Action

[22-214-F]

On February 22, 2023, the Maryland Public Service Commission adopted amendments to Regulations .01, .06, and .14 under COMAR 20.50.09 Small Generator Facility Interconnection Standards. This action, which was proposed for adoption in 49:26 Md. R. 1095—1097 (December 16, 2022), has been adopted with the nonsubstantive changes shown below.

Effective Date: March 20, 2023.

Attorney General’s Certification

In accordance with State Government Article, §10-113, Annotated Code of Maryland, the Attorney General certifies that the following changes do not differ substantively from the proposed text. The nature of the changes and the basis for this conclusion are as follows:

Regulation .06: The short change in initiating the rule's requirements necessary for the new technology to be available does not alter the rights and obligations of those affected by the rule. The General Counsel for Potomac Edison stated at the public rule making that these three changes were non-substantive.

.06 General Requirements.

A.—N. (proposed text unchanged)

O. Smart Inverters.

(1) After [[April 1, 2023,]] January 1, 2024, any small generator facility requiring an inverter that submits an interconnection request shall use a smart inverter with either a default or a site-specific utility required inverter settings profile, as determined by a utility.

(2) Any small generator facility may replace an existing inverter with a similar spare inverter that was purchased prior to [[April 1, 2023,]] January 1, 2024, for use at the small generator facility. This requirement does not apply to inverter replacements conducted under manufacturer warranty.

(3) Prior to [[April 1, 2023,]] January 1, 2024, all utilities will establish default utility required inverter settings profiles for smart inverters pursuant to §O(5) of this regulation. A utility with a total number of less than 150,000 customers served in Maryland may use a Statewide utility required inverter settings profile as their default utility required inverter settings profile.

(4)—(8) (proposed text unchanged)

(9) A utility with a total number of 150,000 or more customers served in Maryland shall:

(a) File an initial default utility required inverter settings profile with the Commission for approval by [[January 1, 2023]] October 1, 2023 to be effective by [[April 1, 2023]] January 1, 2024.

(b) (proposed text unchanged)

(10)—(11) (proposed text unchanged)

P.—Q. (proposed text unchanged)

ANDREW S. JOHNSTON
Executive Secretary

Proposed Action on Regulations

Title 30
MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subtitle 08 DESIGNATION OF TRAUMA AND SPECIALTY REFERRAL CENTERS

30.08.08 Pediatric Trauma Center Standards

Authority: Education Article, §13-509, Annotated Code of Maryland

Notice of Proposed Action

[22-306-P]

The Maryland Emergency Medical Services Board proposes to repeal existing Regulations .01—.20 and adopt new Regulations .01—.22 under COMAR 30.08.08 Pediatric Trauma Center Standards. This action was considered by the EMS Board at its regular meeting held on April 12, 2022.

Statement of Purpose

The purpose of this regulation is to update the standards for designation as a pediatric trauma center to reflect current standards of care.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Elizabeth Wooster, Director, Trauma and Injury Specialty Care Program, MIEMSS, 653 West Pratt Street Baltimore, MD 21201, or call 4107063932, or email to ewooster@miemss.org. Comments will be accepted through April 10, 2023. A public hearing has not been scheduled.

.01 Definitions.

A. In this chapter, the following term has the meaning indicated.

B. Term Defined. “Level I pediatric trauma center (level I PTC)” means a hospital that is capable of and committed to providing comprehensive pediatric trauma care to children younger than 15 years old, meets the standards of this chapter, and is an:

(1) In-State hospital designated by MIEMSS and approved by the EMS Board to provide comprehensive pediatric trauma care services; or

(2) Out-of-State hospital that has entered into an agreement with MIEMSS and been approved by the EMS Board to provide comprehensive pediatric trauma services to Maryland patients.

.02 Organization.

A. The hospital's board of directors, administrators, and medical and nursing staffs shall demonstrate commitment to the optimal care of injured pediatric patients by:

(1) Formulating a board of director's resolution stating that:

(a) The hospital agrees to meet the Maryland Pediatric Trauma Center designation standards; and

(b) The hospital has a commitment to the infrastructure and the financial, human, and physical resources necessary to support the hospital’s designation as a pediatric trauma center;

(2) Establishing an identifiable organization whose dedication to the care of injured children is shown in:

(a) Its mission statement;

(b) The configuration of its medical, administrative, and support staffs; and

(c) The configuration of its physical plant;

(3) Participating in the Statewide trauma system, including submission of patient care data to the State Trauma Registry for system and quality management (QM);

(4) Assuring that all pediatric trauma patients shall receive medical care commensurate with the hospital's designation as a pediatric trauma center; and

(5) A board of director's resolution, bylaws, contracts, and budgets, all specific to the pediatric trauma center, indicating the hospital's commitment to the financial, human, and physical resource infrastructure that is necessary to support the hospital's designation as a pediatric trauma center.

B. The hospital shall:

(1) Be licensed as an acute care hospital by the Maryland Department of Health or, if located outside Maryland, in the state in which it is located;

(2) Be accredited by The Joint Commission;

(3) Maintain current equipment and technology to support optimal pediatric trauma care;

(4) Admit annually 200 or more injured children who are younger than 15 years old;

(5) Have the ability to treat effectively all types of pediatric injuries, including:

(a) Brain injury;

(b) Spinal cord injury;

(c) Solid organ injury;

(d) Chest injury;

(e) Complex musculoskeletal injury;

(f) Burns;

(g) Eye injury;

(h) Hand and upper extremity injury; and

(i) Lower extremity injury; and

(6) Have a heliport or helipad positioned at the closest safe location so there is a limited distance from the helipad to the hospital.

C. The pediatric trauma center shall have a pediatric trauma leadership team responsible for monitoring and coordinating all components of the pediatric trauma program, including:

(1) A pediatric trauma medical director (TMD) who:

(a) Is a board-certified pediatric surgeon;

(b) Demonstrates expertise and commitment to the care of injured children;

(c) With the trauma program manager (TPM), is empowered by the hospital’s governing body to lead the pediatric trauma center;

(d) Has the authority and scope for administering all aspects of trauma care and is responsible for the overall clinical coordination of the pediatric trauma center;

(e) Has the responsibility for the oversight of the QM process related to all pediatric trauma patients;

(f) Participates in and publishes pediatric trauma research;

(g) Has a job description developed by the hospital to reflect the role and responsibilities as defined by COMAR;

(h) Appears on the hospital’s organizational chart where the relationship between the TMD and other hospital services are depicted and delineated;

(i) Participates in local, regional, state and national activities related to pediatric injury care and prevention; and

(j) Participates in pediatric trauma education activities such as undergraduate medical education, postgraduate training programs, and continuing education (CE); and

(2) A pediatric trauma program manager (TPM) who:

(a) Is a 1.0 full-time equivalent (FTE) committed to the management of the pediatric trauma center;

(b) Meets the requirements of Regulation .20 of this chapter; and

(c) If the 1.0 FTE TPM has oversight of additional centers or services, the TPM is assisted by a 1.0 FTE QM nurse coordinator for each additional center or service.

D. There shall be one or more committees that provide expert input to the hospital’s management of the pediatric trauma program. The committees shall:

(1) Under the leadership of the TMD and TPM or designee, ensure physician trauma peer review includes active participation by representatives from general surgery to address clinical care issues;

(2) Under the leadership of the TMD, conduct trauma multidisciplinary review that includes orthopedic surgery, emergency medicine, critical care, anesthesia, neurosurgery, radiology, rehabilitation, and nursing to address and ensure multidisciplinary review of clinical care and systematic issues; and

(3) Monitor, track, and trend pediatric trauma care within hospital departments, medical and nursing staffs, and representative disciplines across the trauma care continuum.

E. The pediatric trauma center shall have a pediatric trauma resuscitation team:

(1) Whose members are:

(a) Present in house and immediately available upon notification;

(b) Oriented to the internal pediatric trauma clinical management protocols and policies; and

(c) Have demonstrated skills for pediatric trauma care that are appropriate and specific to their specialty roles;

(2) That is available in the trauma resuscitation areas upon arrival of all trauma patients when there is advanced notification;

(3) That follows clearly defined policies and protocols for activation criteria and roles and responsibilities;

(4) That includes a team leader, who shall be either:

(a) An attending pediatric surgeon; or

(b) A postgraduate, year-3 or above general surgeon; and

(5) That includes an in-house emergency medicine physician who has experience and training in pediatric trauma resuscitation, and shall act as the pediatric trauma resuscitation team leader until relieved by the pediatric trauma surgeon in the resuscitation area.

F. There is a pediatric trauma multidisciplinary team that, in addition to physicians and nurses, consists of professionals with a focus on the unique needs of children and families, including:

(1) Social work;

(2) Child psychiatry;

(3) Child life therapy;

(4) Rehabilitation services, that is, physical, occupational, and speech therapies; and

(5) Respiratory therapy.

G. The hospital shall have a completed interdisciplinary plan of care specific to the needs of each pediatric trauma patient that addresses all phases of care, including acute care of injuries, disposition, discharge, and rehabilitation needs.

H. The hospital shall have written policies and procedures to direct the organized and safe interhospital transfer process of pediatric trauma patients. The hospital shall:

(1) Complete transfers to in-State hospitals, or to out-of-State hospitals listed in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual, in accordance with the guidelines contained in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual, without the need for separate transfer agreements; and

(2) Have a written transfer agreement in place for transfer of a patient to an out-of-State hospital not listed in the Maryland Emergency Medical Services Interhospital Transfer Resource Manual, if the hospital transfers to such an out-of-State hospital more than five times a year.

.03 Medical Staff.

A. The hospital shall have a credentialing process. Each physician and all advance practice professionals (APPs) shall be credentialed by the hospital for the appropriate specialty, including pediatric trauma care.

B. The hospital shall have a process for delineation and reevaluation of privileges that includes:

(1) A pediatric trauma panel, which shall be limited to those with demonstrated skills, commitment, experience, and interest in pediatric trauma care;

(2) Appointment and reappointment to the pediatric trauma admitting or consulting staff that is coordinated by the medical staff office; and

(3) The delineation of privileges for the pediatric trauma admitting or consulting staff approved by the pediatric TMD based on the following criteria:

(a) Maintenance of good standing in the primary specialty;

(b) Evidence of the required continuing medical education in trauma;

(c) Documented attendance at multidisciplinary meetings, morbidity and mortality (M&M) rounds, and hospital peer-review conferences that deal with the care of injured patients; and

(d) Satisfactory performance in managing pediatric trauma patients based on performance assessment and outcome analysis.

C. The hospital shall have continuing medical education (CME) requirements as follows:

(1) Pediatric surgeons taking trauma calls shall have evidence of 16 hours of trauma-related CME credits per year;

(2) ATLS® may be counted toward the required CME credits;

(3) Successful completion of an ATLS® course, at least once, is required for all attending pediatric surgeons providing pediatric trauma care;

(4) The TMD and APPs providing pediatric trauma care must maintain a current ATLS® certification; and

(5) Physician CME credits shall be documented in accordance with hospital policy.

D. Clinical service requirements are as follows:

(1) Pediatric surgery:

(a) Board-certified or board-eligible pediatric surgeons trained in trauma care;

(b) Either:

(i) An in-house PGY3 or higher resident or attending surgeon, who shall be at the bedside within 15 minutes of being called, with compliance demonstrated at least 80 percent of the time; or

(ii) An attending pediatric trauma surgeon who takes out-of-the-hospital trauma calls shall be immediately available for consultation and at the bedside within 30 minutes of being called, with compliance demonstrated at least 80 percent of the time; and

(c) General surgery APPs taking trauma call who have documentation of an average of 16 hours per year of trauma-related education.

(2) Pediatric neurosurgery:

(a) Either:

(i) A board-certified or board-eligible, trauma fellowship-trained attending neurosurgeon, or PGY2 or higher resident with an attending neurosurgeon on call, who shall be at the patient’s bedside within 30 minutes after emergent consultation has been requested; or

(ii) A Neurosurgery APP with an attending neurosurgeon on-call, who shall be at the patient’s bedside within 30 minutes after emergent consultation has been requested;

(b) Neurosurgery APPs taking trauma call shall have documentation of average of 16 hours a year of trauma-related education; and

(c) A liaison to the trauma QM program with 50 percent attendance.

(3) Pediatric Orthopedic surgery:

(a) Either:

(i) A board-certified or board-eligible trauma-fellowship-trained attending orthopedic surgeon or PGY2 or higher resident with an attending orthopedic surgeon on call, who shall be at the patient’s bedside within 30 minutes after emergent consultation has been requested; or

(ii) A PGY2 or higher orthopedic surgeon in house with an attending orthopedic surgeon on call, who shall be at the patient’s bedside within 30 minutes after emergent consultation has been requested;

(b) Orthopedic surgery APPs taking trauma call shall have documentation of average of 16 hours a year of trauma-related education; and

(c) A liaison to the trauma QM program with 50 percent attendance.

(4) Pediatric anesthesia:

(a) A board-certified or board-eligible in-house attending physician 24 hours a day; and

(b) A liaison to the trauma QM program with 50 percent attendance.

(5) Pediatric emergency medicine:

(a) A physician director who is board certified in pediatric emergency medicine;

(b) Board-certified or board-eligible pediatricians, emergency medicine physicians, or pediatric emergency medicine physicians in house 24 hours a day;

(c) Physicians who have demonstrated special capabilities through commitment, CME, and experience in the care of injured children; and

(d) A liaison to the trauma QM program with 50 percent attendance.

(6) Pediatric critical care:

(a) A board-eligible or board-certified pediatric critical care physician in house 24 hours a day for the ICU;

(b) A designated liaison from pediatric surgery; and

(c) A liaison to the trauma QM program with 50 percent attendance.

E. The hospital shall have the following additional pediatric surgical specialties on call and available 24 hours a day, and shall be at the bedside within 30 minutes after emergent consultation has been requested by the trauma resuscitation team leader based on institution-specific criteria:

(1) Plastic surgery;

(2) Urology;

(3) Oral-maxillofacial surgery;

(4) Ophthalmology;

(5) Otolaryngology, head, and neck surgery;

(6) Cardiovascular surgery; and

(7) Hand surgery.

F. The hospital shall have the following additional nonsurgical pediatric specialties on call and available 24 hours a day within 60 minutes after emergent consultation has been requested by the trauma resuscitation team leader based on institution-specific criteria:

(1) Radiology;

(2) Neuroradiology;

(3) Interventional radiology;

(4) Physiatry;

(5) Psychiatry;

(6) Infectious disease;

(7) General pediatrics;

(8) Neurology;

(9) Gastroenterology;

(10) Nephrology;

(11) Cardiology;

(12) Hematology-oncology;

(13) Pulmonology;

(14) Endocrinology;

(15) Pathology;

(16) Allergy and immunology; and

(17) Angiography.

.04 Nursing Service.

A. The oversight and responsibility for pediatric trauma nursing care shall be assigned within the Department of Nursing.

B. There shall be a plan for providing adequate and appropriate nursing staff to meet the acuity needs of pediatric trauma patients in each unit of care.

C. The nursing department shall participate in the interdisciplinary QM monitoring of pediatric trauma care.

D. There shall be an education program for all nurses providing care for pediatric trauma patients addressing the specific care needs of the patients and their families.

E. The education program developed and approved by the trauma quality improvement committee (TQIC) shall include:

(1) An introductory 16-hour trauma nursing curriculum that:

(a) Addresses resuscitation and definitive care for pediatric trauma patients; and

(b) Covers the continuum of care; and

(2) A CE requirement of:

(a) 8 hours every year for emergency and critical care nurses; and

(b) 4 hours every year for nurses providing pediatric trauma care in other clinical areas.

F. Nursing shall have representation at pediatric trauma multidisciplinary meetings.

.05 Pediatric Emergency Department (PED).

The hospital shall have an ED dedicated to pediatric care, including:

A. A designated and dedicated ED physician director and nurse manager;

B. A sufficient number of registered nurses and other clinicians who:

(1) Have the necessary knowledge and skills to provide care during trauma resuscitation;

(2) Are present to manage projected caseloads; and

(3) Immediately reinforce the number of staff upon notice of multiple admissions;

C. Defined and agreed upon roles and responsibilities approved by the TMD to ensure availability of ED resources;

D. Verification of functioning life-safety emergency equipment and supplies organized for trauma resuscitation present and immediately available 24 hours a day;

E. An identified pediatric trauma resuscitation room with dedicated staff, equipment, and supplies 24 hours a day;

F. Designation by MIEMSS as a pediatric base station;

G. Policies and protocols for trauma team response and roles in ED trauma resuscitation in accordance with Regulation .20 of this chapter; and

H. Equipment for resuscitation of patients of all ages, including:

(1) Airway management equipment and supplies including a “difficult airway cart”;

(2) Emergency equipment located in the resuscitation area/ED for:

(a) Thoracotomy;

(b) Vascular access;

(c) Thoracostomy or chest decompression;

(d) Bedside ultrasound;

(e) Extremity hemorrhage control devices/tourniquet; and

(f) Rapid infuser and warmer;

(3) Medications necessary for the resuscitation and emergency care of children with immediate capability for appropriate pediatric dosages based on weight in kilograms;

(4) Printed pre-calculated pediatric drug dosage reference materials, including, but not limited to, charts, wall posters, and length-based dosage tapes;

(5) The following monitoring devices:

(a) ECG monitor/defibrillator capable of providing a hard copy rhythm strip, and with internal and external pediatric paddles capable of delivering from 0 to 360 joules;

(b) Pulse oximeter with adult and pediatric probes;

(c) Blood pressure cuffs in infant, child, adult, and thigh sizes;

(d) Thermometer probe capable of reading from 28 to 42 degrees centigrade;

(e) Otoscope;

(f) Ophthalmoscope;

(g) Transport monitor with pediatric capabilities;

(h) Doppler and noninvasive blood pressure monitoring devices for infant, child, and adult;

(i) End-tidal carbon dioxide monitor; and

(j) Pressure monitor for central venous pressure and arterial line pressure;

(6) Standard intravenous fluids and administration devices, including large-bore intravenous catheters;

(7) Newborn resuscitation supplies;

(8) Compartmental pressure measuring devices immediately available; and

(9) Cervical and skeletal traction devices immediately available.

.06 Pediatric Operating Room (OR).

A. The hospital shall have an OR adequately staffed and immediately available and equipped to care for injured children of all ages.

B. The OR shall have supplies, equipment, medications, and staff approved by the TMD to ensure availability of optimal resources.

C. The OR shall have equipment and supplies for microvascular and microneural surgery.

.07 Pediatric Post Anesthesia Care Unit (PACU).

A. The hospital shall have a PACU adequately staffed, immediately available, and equipped to care for injured children.

B. The PACU shall:

(1) Be available to pediatric trauma patients with an appropriately trained registered nurse and other essential staff 24 hours a day to care for the multiply injured child;

(2) Have equipment for continuous monitoring of temperature, hemodynamics, and gas exchange; and

(3) Have available pediatric resuscitation equipment and medications.

.08 Pediatric Intensive Care Unit (PICU).

A. The hospital shall have a separate PICU with the capability to care for all significantly injured children.

B. The PICU shall:

(1) Have appropriately trained registered nurse staff to care for the critically injured child to include:

(a) Brain injury;

(b) Spinal cord injury;

(c) Solid organ injury;

(d) Chest injury;

(e) Complex musculoskeletal injury;

(f) Burns;

(g) Eye injury;

(h) Hand and upper extremity injury; and

(i) Lower extremity injury;

(2) Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;

(3) Have a written plan to:

(a) Triage children from the PICU to accommodate acute admissions; or

(b) Provide alternative critical care beds with appropriately trained pediatric critical care registered nurses;

(4) Have available the pediatric resuscitation equipment and medications;

(5) Have the equipment and capability for continuous invasive monitoring of the critically injured child;

(6) Have extracorporeal membrane oxygenation capability;

(7) Have capability for all renal replacement therapies; and

(8) Have support services with immediate access to clinical diagnostic services and stat lab.

.09 General Pediatric Unit.

A. The hospital shall have a general pediatric unit, ideally a dedicated surgical unit to include trauma, adequately staffed 24 hours a day and equipped to care for all injured children.

B. The general pediatric unit shall:

(1) Have the equipment and capability to care for the child with multiple traumatic injuries;

(2) Have appropriately trained registered nursing staff to care for the multiply injured child;

(3) Be staffed at a level to ensure appropriate nurse-patient ratios as determined by written nursing standards;

(4) Have written plans for discharge and transfer of injured children to:

(a) Appropriate inpatient rehabilitation;

(b) Pediatric home care; and

(c) Outpatient follow-up; and

(5) Have the support services available for psychological support, rehabilitative therapy, and educational liaison with schools.

.10 Radiological Specialty Capabilities.

The hospital shall have:

A. Radiological specialty capabilities and equipment to handle all injured children;

B. Qualified pediatric radiologists and staff available within 60 minutes of consultation notification to perform complex imaging studies or interventional procedures 24 hours a day;

C. A board-certified or board-eligible radiology attending physician on call who shall provide interpretations of radiographs within 30 minutes, in house or via teleradiology, available 24 hours a day;

D. Changes in interpretation between preliminary and final reports, as well as missed injuries, monitored through the QM program;

E. In-house radiology technicians 24 hours a day;

F. Computed tomography (CT) scan with an in-house CT technician 24 hours a day;

G. Back-up CT scan capabilities;

H. Angiography;

I. Sonography;

J. Magnetic resonance imaging;

K. Nuclear scanning; and

L. Trans-esophageal echocardiography.

.11 Rehabilitation Services.

The hospital shall have:

A. Rehabilitation capabilities adequately staffed with equipment available to treat all injured children while in the pediatric trauma center;

B. Rehabilitation consultation services, occupational therapy, speech therapy, and physical therapy, available in the critical care phase as needed;

C. Pediatric rehabilitation services staffed by personnel trained in pediatric rehabilitation care and properly equipped for acute care of injured pediatric patients;

D. Full in-house service or transfer process in place to a rehabilitation service for long-term care or sub-acute care; and

E. Transfer agreements to rehabilitation hospitals, for the primary three rehabilitation hospitals the trauma center utilizes, which may be a joint transfer agreement if the trauma center is a part of a health system that utilizes a particular rehabilitation center.

.12 Follow-Up Services.

A. The hospital shall have follow-up services adequately staffed and equipped to treat injured children.

B. Pediatric trauma clinic outpatient follow-up shall be available with coordination of the interdisciplinary team.

C. Pediatric surgical and medical subspecialty clinics shall be available for follow-up care.

.13 Clinical Laboratory Service.

A. The hospital shall have clinical laboratory service available 24 hours a day, adequately staffed and immediately available and equipped for injured children.

B. The clinical laboratory service shall have the following services available:

(1) Stat lab capabilities;

(2) Standard analysis of blood, urine, and other body fluids;

(3) Blood-typing and cross match;

(4) Comprehensive blood bank or access to a central blood bank in the community and adequate storage facilities with stock minimums set by protocol for blood products;

(5) Blood gas analysis;

(6) Coagulation studies;

(7) Microbiology; and

(8) Toxicological screening.

.14 Quality Management.

A. The hospital shall have ongoing QM of the pediatric trauma program that is integrated into the hospital's overall QM program and reported to the hospital's governing body.

B. The following shall be included in the pediatric QM program:

(1) A structure to ensure that defined program outcomes and performance measures are developed and monitored regularly;

(2) A special audit of all pediatric trauma deaths;

(3) Review of morbidity and mortality;

(4) Evaluation of medical care, nursing care, utilization review, tissue review, and prehospital care;

(5) Monthly review, at an appropriate interdisciplinary forum, of the performance of the pediatric trauma program, including:

(a) Trends;

(b) All deaths;

(c) All transfers;

(d) Morbidities;

(e) Problem identification and solution;

(f) Issues identified from the QM process; and

(g) System or administrative issues;

(6) Maintenance of minutes for all meetings in accordance with the hospital QM program;

(7) Requirements for designated liaisons (medical and nursing) to attend at least 50 percent of the trauma peer review meetings, and with supporting documentation;

(8) Requirements for all pediatric general surgeons who take pediatric trauma call to attend at least 50 percent of the trauma peer review meetings;

(9) Documentation of QM to demonstrate the interdisciplinary approach to the QM program, including:

(a) Problem identification;

(b) Analysis;

(c) Action planning;

(d) Implementation;

(e) Reevaluation; and

(f) Corrective action; and

(10) Monitoring of Level I Pediatric Trauma Center bypass status including “fly-by” and re-route events.

.15 Injury Prevention and Public Education.

The level I pediatric trauma center shall:

A. Collaborate closely with MIEMSS and other State agencies in developing, monitoring, and evaluating the effectiveness of prevention and public education programs;

B. Conduct epidemiology research including studies in injury control;

C. Collaborate with other hospitals, MIEMSS, or other agencies in pediatric injury prevention initiatives and research;

D. Have an organized and effective approach to injury that prioritizes those efforts based on the Maryland State Trauma Registry (MSTR) and epidemiologic data;

E. Monitor progress of prevention programs in cooperation with State QM activities;

F. Have a designated prevention coordinator;

G. Have outreach and program development activities targeted to pediatric injury prevention within the region and State;

H. Have information resources for children and families; and

I. Collaborate with existing national, regional, and State programs.

.16 Trauma Research.

The level I pediatric trauma center shall:

A. Have an organized pediatric trauma research program with a designated physician director and a documented research plan;

B. Hold regular meetings of the research group;

C. Show evidence of productivity;

D. Have research proposals reviewed by an institutional review board;

E. Conduct clinical research designed to enhance the trauma system’s ability to resuscitate, stabilize, and treat trauma patients in the most cost-effective manner;

F. Present research study results at local, regional, and national meetings; and

G. Produce publications in peer-reviewed journals on an average of seven times per year.

.17 Education.

The hospital shall:

A. Assist MIEMSS with developing, monitoring, and evaluating the effectiveness of EMS training programs;

B. Offer and participate in formal pediatric trauma CE for hospital personnel and community health care clinicians;

C. Have a pediatric surgery fellowship program accredited by the Accreditation Council of Graduate Medical Education (ACGME);

D. Participate in a general surgical residency program accredited by the ACGME;

E. Participate in a pediatric emergency medicine fellowship program; and

F. Participate in undergraduate medical and nursing education.

.18 Continuing Education (CE).

A. The hospital shall provide and participate in periodic continuing education programs for physicians, nurses, and allied health personnel concerning the treatment and care of the pediatric trauma patient and family.

B. The hospital shall:

(1) Provide formal internal continuing education programs for physicians, nurses, and allied health professionals;

(2) Provide orientation on pediatric trauma protocols and trauma care for all rotating physicians, nurses, and allied health personnel assigned to units where pediatric trauma care is provided; and

(3) Provide external continuing education programs concerning the care and treatment of pediatric trauma patients for physicians, nurses, and allied health personnel within the region and in the State.

.19 Policies, Protocols, and Agreements.

A. The hospital shall develop, distribute, and monitor implementation of the following patient treatment and care protocols:

(1) Pediatric resuscitation protocol;

(2) Procedural sedation protocols for children;

(3) Transfusion and massive transfusion protocol;

(4) Infection control protocol;

(5) Pediatric trauma resuscitation team activation protocol;

(6) Physician call schedule and notification protocol;

(7) Interhospital transfer protocol;

(8) Helicopter safety protocol;

(9) Organ procurement protocol;

(10) Child protection team protocol;

(11) Pediatric psychosocial care protocol; and

(12) Pediatric rehabilitation care protocol.

B. The hospital shall have written transfer agreements with specialty and pediatric rehabilitation centers.

.20 Trauma Program Manager.

A. There shall be a TPM who is a registered nurse responsible for the organization of services and systems necessary for a multidisciplinary approach to providing care to the injured patient in collaboration and conjunction with the TMD.

B. There shall be a defined organizational structure, which delineates the roles and responsibilities of the TPM.

C. The TPM shall be a 1.0 FTE position dedicated to the management of the pediatric trauma center.

D. The institution’s organization shall define the structural role of the TPM to include responsibility, accountability, and authority.

E. The TPM shall:

(1) Have a job description developed by the hospital to reflect the role and responsibilities and identified on an organizational chart depicting the relationship between the TPM and other services, including the Department of Nursing;

(2) Attend and participate in local, state and national trauma-related activities, including but not limited to EMS community, state trauma-related committees and events, and national trauma-related activities and events;

(3) Show evidence of 16 hours of trauma-related CE a year, and, over a 2-year period, half of the CE hours shall be obtained outside the hospital and be recognized by a national accrediting body;

(4) As requested, participate in multidisciplinary trauma research;

(5) Have sufficient administrative and budgetary commitment in order to support the needs of the trauma center inclusive of clerical and clinical nursing personnel that help fulfill the needs of concurrent performance improvement, outreach, and injury prevention functions;

(6) Supervise the Trauma Registry staff and trauma clinical QM staff and have oversite for injury prevention and outreach; and

(7) With the TMD, have oversight and approval of internal trauma-related education programs.

.21 Trauma Registry.

A. The Trauma Center shall maintain a pediatric Trauma Registry with participation in the MSTRB. The Trauma Registry shall include, at a minimum, all of the data elements compliant with the MSTR Data Dictionary for Pediatric Patients, including:

(1) Demographic data;

(2) Pre-hospital data;

(3) Process of acute care;

(4) Clinical data;

(5) Outcome data;

(6) Final anatomical diagnoses;

(7) Procedure codes;

(8) QM data;

(9) Standard report utilization; and

(10) Case inclusion criteria.

C. The Trauma Registry shall support the trauma center with evidence of active interface with the institution and State QM process to improve the care of injured patients across the continuum from injury prevention to outcomes measurement.

D. The Trauma Registry may be under a separate department that provides support and conducts the registry data abstraction with a reporting structure to the TMD and TPM.

E. The Trauma Program Manager shall have the authority, responsibility, accountability, and oversight of the Trauma Registry, inclusive of data submission as required by MIEMSS.

F. The Trauma Registry shall have:

(1) A staffing plan that includes workload analysis that defines personnel needs necessary to comply with the MIEMSS data submission requirements, and

(2) One trauma registrar (1.0 FTE) dedicated to the trauma program for every 500—750 patients, subject to meeting performance standards and MIEMSS-defined submissions per year.

G. All discharged trauma patient records, with the minimum quarterly and annual data elements with the number of patients, shall be verified no later than 6 weeks after the end of each quarter.

H. All records shall be completed within 60 days of patient discharge.

I. Validation and National Trauma Data Bank (NTDB) checks shall be completed and the records shall be closed except when a medical examiner (ME) autopsy report is not yet available for registry record abstraction.

J. The Trauma Registry shall have a plan to ensure Inter-rater reliability of the data entered. Ongoing review and evaluation shall ensure the quality, reliability and validity of the institution’s MSTR data.

K. The Trauma Center shall submit data to the NTDB.

L. Trauma Registry staff shall have:

(1) A job description developed by the hospital to reflect roles and responsibilities;

(2) Core requirements including:

(a) Anatomy and physiology;

(b) Medical terminology; and

(c) Education to be completed within 1 year of hire includes:

(i) American Trauma Society Trauma Registrar Course; and

(ii) Association of the Advancement of Automotive Medicine’s Injury Scaling Course; and

(3) Job responsibilities to include:

(a) Ensuring assigned cases are compliant with Maryland Data Dictionary Inclusion Criteria or other trauma center self-defined criteria;

(b) Compiling abstracted data for MSTR case from various sources; and

(c) Appropriately coding injuries, complications, and procedures.

M. The Trauma Registry staff liaison shall:

(1) Attend a minimum of 50 percent all trauma multidisciplinary/peer review meetings that are held; and

(2) Actively participate in the Maryland TQIC.

.22 Emergency Preparedness.

A. The trauma center shall have a hospital emergency preparedness or disaster plan described in the hospital’s policy and procedure manual or equivalent.

B. The hospital disaster plan shall have a hazards vulnerability analysis to guide the response plan.

C. Hospital Incident Command System shall be used as a management system for incident command, planning, logistics, operations, and finance/administrative functions.

D. A tiered approach depending on the magnitude of the event and alternatives for care shall be identified.

E. The trauma center shall be represented on the hospital’s emergency preparedness or disaster committee.

F. The trauma center hospital shall:

(1) Participate in local, state, or national disaster management meetings, plans, and exercises;

(2) Conduct hospital drills that test the hospital’s disaster plan at least twice a year, including actual plan activations that can substitute for drills; and

(3) Have a written plan for supporting trauma center incident debriefing that is accessible to all staff members.

THEODORE DELBRIDGE, MD
Executive Director

Title 33
STATE BOARD OF ELECTIONS

Notice of Proposed Action

[22-332-P]

The State Board of Elections proposes to:

(1) Adopt new Regulation .03 under COMAR 33.13.02 Campaign Finance Report;

(2) Amend Regulations .01 and .04 under COMAR 33.13.10 Prohibitions;

(3) Adopt new Regulation .03 under COMAR 33.13.20 Contributions by Employee Membership and Membership Entities;

(4) Amend Regulations .01, .03, and .05 and repeal Regulations .02, .06, and .07 under COMAR 33.13.22 Legal Expenses;

(5) Adopt new Regulations .01—.11 under a new chapter, COMAR 33.13.23 Exploratory Committees; and

(6) Amend Regulation .02 under COMAR 33.18.01 Civil Penalties.

This action was considered by the State Board of Elections at its October 26, 2022, meeting, notice of which was given in accordance with General Provisions Article, §3-302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to:

(1) Define the requirement and parameters of a final campaign finance report;

(2) Define "firewall" as related to campaign financing;

(3) Define the parameters of the use of a vendor as related to campaign financing;

(4) Clarify that payroll contribution deductions are not considered a recurring contribution under Election Law;

(5) Clarify the scope of COMAR 33.13.22 Legal Expenses;

(6) Repeal the requirements of Regulations .02, .06, and .07 under COMAR 33.13.22;

(7) Remove the requirement of a political committee to report all contributions received, disbursements made, and outstanding obligations incurred in connection with legal expenses associated with maintaining or contesting the results of an election on a disclosure report;

(8) Clarify that a contribution to a political committee for legal expenses related to contesting election results are subject to the contribution limits set forth in Election Law;

(9) Establish a new chapter, COMAR 33.13 23 Exploratory Committees, and define the terms therein;

(10) Define who is eligible to and who is prohibited from establishing an exploratory committee;

(11) Define the scope of what an exploratory committee may do, what disbursements are permissible or prohibited, and the amount of funds the committee may receive from a person;

(12) Require an authority line on any material produced by an exploratory or draft committee;

(13) Require an exploratory or draft committee to establish a bank account;

(14) Limit the dollar amount of funds or assets that an exploratory committee can transfer to a political committee and specify what to do with any surplus funds;

(15) Update the fine amount for civil penalties; and

(16) Establish the amounts for civil penalties for failing to receive affirmative consent for recurring contributions and for failure to report certain contributions.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

The proposed action has minimal or no economic impact on small businesses.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Tracey Hartman, Director of Special Projects, State Board of Elections, 151 West Street, Suite 200, Annapolis, MD 21401, or call 4102692931, or email to traceye.hartman@maryland.gov. Comments will be accepted through April 10, 2023. A public hearing has not been scheduled.

Subtitle 13 Campaign Financing

33.13.02 Campaign Finance Report

Authority: Election Law Article, §§1-101, 2-102(b)(4), 13-218(b), 13-304(b), 13-221(a)(3), 13-245, and Title 13, Subtitle 3, Annotated Code of Maryland

.03 Final Report.

A. Closeout Report Required. A campaign finance entity shall file a campaign finance report marked as final to cease future reporting obligations.

B. Approval Required. The submission of a final campaign finance report does not cease future reporting obligations until the submission is approved by the State Board.

33.13.10 Prohibitions

Authority: Election Law Article, §§1-101(o), 1-101(aa), 2-102(b)(4), 13-218, 13-220.1, 13-221, 13-225—13-237, 13-239, 13-245, 13-306, 13-307, and 13-309.1 and
Title 13, Subtitle 3, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(3) (text unchanged)

(4) Firewall.

(a) “Firewall” means a screening mechanism maintained by a person to protect confidences from improper disclosure to other persons who are not involved in a particular representation.

(b) “Firewall” includes a policy implemented to prohibit the flow of information between employees or consultants providing services for the person paying for the communication and those employees or consultants currently or previously providing services to the candidate who is clearly identified in the communication.

[(4)] (5) (text unchanged)

[(5)] (6) (text unchanged)

.04 Coordinated Expenditures.

A. (text unchanged)

B. Coordinated Actions. A disbursement or a promise to make a disbursement by a person or entity subject to Election Law Article, §§13-306, 13-307, and 13-309.1, Annotated Code of Maryland, shall be deemed a coordinated [and an in-kind contribution to the candidate, political party, or ballot issue committee] expenditure if the disbursement:

(1)—(2) (text unchanged)

(3) Republishes [substantial] nonincidental portions of campaign material prepared by the candidate, ballot issue committee, or political party;

(4)—(5) (text unchanged)

C. Use of a Vendor.

(1) A person or entity subject to Election Law Article, §§13-306, 13-307, and 13-309.1, Annotated Code of Maryland, is presumed to have made a coordinated expenditure if the during the 18-month period preceding the disbursement, the person has retained the professional services of a vendor, an advisor, or a consultant that has provided professional services to the candidate or political party that is the beneficiary of the disbursement unless the entity employing the vendor, advisor, or consultant has established a firewall.

(2) A firewall shall be set up to prevent individual employees of the vendor, consultant, or advisor from working on both accounts within the 18-month period.

33.13.20 Contributions by Employee Membership and Membership Entities

Authority: Election Law Article, §§1-101, and 2-102(b)(4), Annotated Code of Maryland

.03 Recurring Contributions

Payroll deduction contributions are not considered a recurring contribution under Election Law Article, §13-244, Annotated Code of Maryland.

33.13.22 Legal Expenses

Authority: Election Law Article, §§1-101 and 2-102(b)(4) [and
13-233], Annotated Code of Maryland

.01 Scope.

A. This chapter applies to legal expenses associated with maintaining or contesting the results of an election of a political committee.

.03 Management.

The political committee shall[:

A. Maintain] maintain account books and records for legal expenses associated with maintaining or contesting the results of an election in accordance with the requirements of Election Law Article, §13-221, Annotated Code of Maryland[; and

B. Report all contributions received, disbursements made, and outstanding obligations incurred in connection with legal expenses associated with maintaining or contesting the results of an election on a disclosure report].

.05 Applicability of Contribution Limits.

A. Contributions.

(1) All monies received from [an individual] a person to the political committee to pay for the legal expenses associated with maintenance or contest of the election result are contributions.

(2) All services provided by [an individual] a person to the political committee to offset the costs of legal expenses associated with maintenance or contest of the election result are contributions.

B. Contribution Limit. [An individual may make an unlimited contribution] A contribution to the political committee to pay for or offset the legal expenses associated with maintenance or contest of the election result is subject to the contribution limits pursuant to Election Law Article, §13-226, Annotated Code of Maryland.

33.13.23 Exploratory Committees

Authority: Election Law Article, §§1-101 and 2-102(b)(4), Annotated Code of Maryland

.01 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) “Draft committee” means an entity that is organized to encourage a potential candidate to run for office but is not authorized by the potential candidate.

(2) Exploratory Committee.

(a) “Exploratory committee” means an entity established by a prospective candidate for a public office to determine the potential candidate’s viability for that public office.

(b) “Exploratory committee” does not mean a political committee.

.02 Applicability.

A. An individual who is not a candidate may establish an exploratory committee for a public office.

B. A person may establish a draft committee for a public office for an individual only if:

(1) The draft committee is established not in coordination or cooperation with the individual it is intends to encourage to seek public office; and

(2) The individual the draft committee intends to encourage for public office is not a candidate.

.03 Candidate Prohibition.

An individual who is a candidate may not establish an exploratory or draft committee for a public office.

.04 Scope.

An exploratory committee for an individual seeking a public office may receive funds and make disbursements to determine the individual’s viability for the public office sought.

.05 Permissible Disbursements.

Exploratory committees may make a disbursement on the following activities:

A. Conducting surveys or polls regarding viability of the potential candidate for the public office sought;

B. Sending direct mailings and other communications to potential voters;

C. Employing staff; or

D. Establishing a website.

.06 Prohibitions.

An exploratory committee may not pay any expense in advance for goods or services to be used by the political committee of a potential candidate once the potential candidate registers an authorized candidate campaign committee.

.07 Receipt of Funds.

An exploratory or draft committee may receive an unlimited amount of funds from a person.

.08 Authority Line.

A. Any material published, distributed, or disseminated to a potential voter by the exploratory committee shall:

(1) Be considered as campaign material; and

(2) Include an authority line with the name and address of the entity.

B. Any material published, distributed, or disseminated to a potential voter by a draft committee shall:

(1) Be considered as campaign material; and

(2) Include an authority line with:

(a) The name and address of the entity; and

(b) The statement required under Election Law Article, §13-401(b), Annotated Code of Maryland.

.09 Bank Account.

A. An exploratory committee shall establish a designated exploratory committee account to receive funds and make disbursements.

B. The designated exploratory committee account shall:

(1) Be in a financial institution; and

(2) Be registered in a manner that identifies it as the account of the exploratory committee.

.10 Transfer Allowed.

A. An exploratory committee may transfer up to $6,000 to a political committee.

B. Any assets of the exploratory committee given to the authorized candidate campaign committee of the candidate for whom the exploratory committee was established to determine viability is an in-kind contribution and may not exceed $6,000.

.11 Surplus Funds.

An exploratory committee may:

A. Return the funds to its donors;

B. Make a disbursement to a charitable organization; or

C. Make a donation to the Fair Campaign Financing Fund.

Subtitle 18 Violations

33.18.01 Civil Penalties

Authority: Election Law Article, §§2-102(b)(4), 13-235, 13-239, and 13-604.1, Annotated Code of Maryland

.02 Civil Penalties.

	1st Offense	2nd Offense	3rd and Subsequent Offenses
A. Disbursement made by unauthorized individual
(1) If made by a person other than the responsible officers or candidate	$[250] 500	$[500] 1,000	$[500] 1,000
(2) If made by a candidate	$[500] 1,000	$[500] 1,000	$[500] 1,000
(3) If made by the chairman and not in accordance with Election Law Article, §13-218(d), Annotated Code of Maryland	$[250] 500	$[500] 1,000	$[500] 1,000
B. Failure to maintain a campaign bank account
(1) No bank account	$[50] 100	$[250] 500	$[500] 1,000
(2) Used personal or other account controlled by the responsible officers or candidate	$[500] 1,000	$[500] 1,000	$[500] 1,000
C. Disbursement by unauthorized methods
(1) Credit card disbursement	$[100] 200	$[500] 1,000	$[500] 1,000
(2) Cash disbursement greater than $25	$[100] 200	$[500] 1,000	$[500] 1,000
(3) Non-check disbursement for walk-around services	$[100] 200	$[250] 500	$[500] 1,000
D. Failure to maintain account books and records
(1) Loan documents	$[250] 500	$[500] 1,000	$[500] 1,000
(2) Bank records	$[500] 1,000	$[500] 1,000	$[500] 1,000
(3) Expenditure records	$[100] 200	$[250] 500	$[500] 1,000
(4) Campaign contribution records or receipts	$[100] 200	$[250] 500	$[500] 1,000
(5) Records for lump sum entries	$[100] 200	$[250] 500	$[500] 1,000
E. Failure to report contribution(s) on a campaign finance report
(1) Less than 10 contributions	$50	$[250] 350	$[500] 1,000
(2) Between 10 and 20 contributions	$150	$[300] 600	$[500] 1,000
(3) More than 20 contributions	$[300] 600	$[500] 1,000	$[500] 1,000
(4) Knowingly and willfully failed to disclose a contribution	$[500] 1,000	$[500] 1,000	$[500] 1,000
F. Failure to report expenditure(s) on a campaign finance report
(1) Less than 10 expenditures	$50	$[250] 350	$[500] 1,000
(2) Between 10 and 20 expenditures	$150	$[300] 600	$[500] 1,000
(3) More than 20 expenditures	$[300] 600	$[500] 1,000	$[500] 1,000
(4) Knowingly and willfully failed to disclose an expenditure	$[500] 1,000	$[500] 1,000	$[500] 1,000
G. Failure to include authority line or authority line is insufficient
(1) No Authority Line	$250	$[500] 1,000	$[500] 1,000
(2) Present but missing one or more requirements	$50	$[150] 300	$[350] 750
H. Failure to retain a copy of campaign material	$[250] 500	$[500] 1,000	$[500] 1,000
I. Failure to receive affirmative consent by the contributor or donor for a recurring contribution or donation	$500	$1,000	$1,000
J. Failure to report contribution(s) on a statement required under Election Law Article, §14-1014, or General Provisions Article, §5-716, Annotated Code of Maryland
(1) Less than 10 contributions	$50	$350	$1,000
(2) Between 10 and 20 contributions	$150	$600	$1,000
(3) More than 20 contributions	$600	$1,000	$1,000
(4) Knowingly and willfully failed to disclose a contribution	$1,000	$1,000	$1,000

LINDA H. LAMONE
State Administrator of Elections

Special Documents

DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

Projects Approved for Consumptive Uses of Water

AGENCY: Susquehanna River Basin Commission.

ACTION: Notice.

SUMMARY: This notice lists Approvals by Rule for projects by the Susquehanna River Basin Commission during the period set forth in DATES.

DATES: January 1-31, 2023.

ADDRESSES: Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, PA 17110-1788.

FOR FURTHER INFORMATION CONTACT: Jason E. Oyler, General Counsel and Secretary to the Commission, telephone: (717) 238-0423, ext. 1312; fax: (717) 238-2436; e-mail: joyler@srbc.net. Regular mail inquiries may be sent to the above address.

SUPPLEMENTARY INFORMATION: This notice lists the projects, described below, receiving approval for the consumptive use of water pursuant to the Commission’s approval by rule process set forth in 18 CFR §806.22 (e) and (f) for the time period specified above.

Water Source Approval — Issued Under 18 CFR 806.22(f):

BKV Operating, LLC; Pad ID: Mirabelli Pad 1-1H; ABR-201008138.R2; Washington Township, Wyoming County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: January 18, 2023.

Blackhill Energy LLC; Pad ID: TYLER Pad; ABR-201008153.R2; Springfield Township, Bradford County, Pa.; Consumptive Use of Up to 4.9900 mgd; Approval Date: January 18, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Phillips; ABR-201010050.R2; Elkland Township, Sullivan County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 18, 2023.

Coterra Energy Inc.; Pad ID: SmithR P4; ABR-202301001; Springville Township, Susquehanna County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: January 18, 2023.

Pennsylvania General Energy Company, L.L.C.; Pad ID: COP Tract 726 Pad D; ABR-202301004; Plunketts Creek Township, Lycoming County, Pa.; Consumptive Use of Up to 4.5000 mgd; Approval Date: January 18, 2023.

S.T.L. Resources, LLC; Pad ID: Bergey 1; ABR-201009056.R2; Gaines Township, Tioga County, Pa.; Consumptive Use of Up to 4.9900 mgd; Approval Date: January 18, 2023.

S.T.L. Resources, LLC; Pad ID: Marshlands H. Bergey Unit #1; ABR-20091230.R2; Gaines Township, Tioga County, Pa.; Consumptive Use of Up to 4.9900 mgd; Approval Date: January 18, 2023.

S.T.L. Resources, LLC; Pad ID: Paul 906 808 Pad; ABR-202301002; West Branch Township, Potter County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: January 18, 2023.

S.T.L. Resources, LLC; Pad ID: Thomas 808 Pad; ABR-202301003; Elk Township, Tioga County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: January 18, 2023.

Blackhill Energy LLC; Pad ID: GRIPPIN A Pad; ABR-201210015.R2; Springfield Township, Bradford County, Pa.; Consumptive Use of Up to 4.9900 mgd; Approval Date: January 23, 2023

Blackhill Energy LLC; Pad ID: KINGSLY E Pad; ABR-201210016.R2; Springfield Township, Bradford County, Pa.; Consumptive Use of Up to 4.9900 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Gemm; ABR-201010049.R2; Litchfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Grant; ABR-201010051.R2; Smithfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Juser; ABR-201010065.R2; Rush Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Mehalick Drilling Pad; ABR-201210018.R2; Cherry Township, Sullivan County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Tague West Drilling Pad; ABR-201210012.R2; Lemon Township, Wyoming County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Teeter Drilling Pad; ABR-201210013.R2; Smithfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 23, 2023.

Repsol Oil & Gas USA, LLC; Pad ID: UPHAM (05 129) R; ABR-201010032.R2; Pike Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: January 23, 2023.

Seneca Resources Company, LLC; Pad ID: Zimmer 586; ABR-201010042.R2; Covington Township, Tioga County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 23, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Crystal; ABR-201011009.R2; North Towanda Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 25, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Drake; ABR-201010066.R2; Litchfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 25, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Gary; ABR-201012019.R2; Rush Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 25, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Shores; ABR-201010064.R2; Sheshequin Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 25, 2023.

Repsol Oil & Gas USA, LLC; Pad ID: HARVEY (05 073) M; ABR-201011031.R2; Orwell Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: January 25, 2023.

Repsol Oil & Gas USA, LLC; Pad ID: NEVILLE (05 028) V; ABR-201011033.R2; Warren Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: January 25, 2023.

Seneca Resources Company, LLC; Pad ID: SGL 90C Pad; ABR-201011024.R2; Lawrence Township, Clearfield County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 25, 2023.

SWN Production Company, LLC; Pad ID: Bolles South Well Pad; ABR-201210017.R2; Franklin Township, Susquehanna County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 25, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Hartz; ABR-201012039.R2; Ulster Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 30, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Slattery; ABR-201211004.R2; Cherry Township, Sullivan County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 30, 2023.

EQT ARO LLC; Pad ID: Ann C Good Pad B; ABR-201011047.R2; Cogan House Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 30, 2023.

EQT ARO LLC; Pad ID: Larry's Creek F&G Pad F; ABR-201211006.R2; Mifflin Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 30, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Epler; ABR-201011041.R2; Albany Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Keir; ABR-201012002.R2; Sheshequin Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Mobear; ABR-201012006.R2; Wilmot Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Roeber; ABR-201011037.R2; Wyalusing Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: Roland; ABR-201012021.R2; Wilmot Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Chesapeake Appalachia, L.L.C.; Pad ID: SGL 289A; ABR-201012015.R2; West Burlington Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: January 31, 2023.

Seneca Resources Company, LLC; Pad ID: Nestor 551; ABR-201011040.R2; Delmar Township, Tioga County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: January 31, 2023.

Water Source Approval — Issued Under 18 CFR 806.22(e):

Kellogg Company – Lancaster Plant; ABR-202301005; East Hempfield Township, Lancaster County, Pa.; Consumptive Use of Up to 0.285 mgd; Approval Date: January 13, 2023.

AUTHORITY: Public Law 91-575, 84 Stat. 1509 et seq., 18 CFR parts 806 and 808.

DATED: February 6, 2023.

JASON E. OYLER
General Counsel and Secretary to the Commission

[23-05-02]

SUSQUEHANNA RIVER BASIN COMMISSION

Grandfathering (GF) Registration Notice

AGENCY: Susquehanna River Basin Commission.

ACTION: Notice.

SUMMARY: This notice lists Grandfathering Registration for projects by the Susquehanna River Basin Commission during the period set forth in DATES.

DATES: January 1-31, 2023.

ADDRESSES: Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, PA 17110-1788.

FOR FURTHER INFORMATION CONTACT: Jason E. Oyler, General Counsel and Secretary to the Commission, telephone: (717) 238-0423, ext. 1312; fax: (717) 238-2436; e-mail: joyler@srbc.net. Regular mail inquiries may be sent to the above address.

SUPPLEMENTARY INFORMATION: This notice lists GF Registration for projects, described below, pursuant to 18 CFR Part 806, Subpart E, for the time period specified above:

Halifax Area Water and Sewer Authority – Public Water Supply System, GF Certificate No. GF-202301239, Halifax Township, Dauphin County, Pa.; Wells 1, 2, and 3; Issue Date: January 13, 2023.

Lewistown Country Club, GF Certificate No. GF-202301240, Granville Township, Mifflin County, Pa.; Pond 8; Issue Date: January 13, 2023.

RADD Golf LLC – RADD Golf LLC dba Four Seasons Golf Club, GF Certificate No. GF‑202301241, Exeter Borough, Luzerne County, Pa.; Slocum Avenue Well; Issue Date: January 31, 2023.

AUTHORITY: Public Law 91-575, 84 Stat. 1509 et seq., 18 CFR parts 806 and 808.

DATED: February 6, 2023.

JASON E. OYLER
General Counsel and Secretary to the Commission

[23-05-03]

SUSQUEHANNA RIVER BASIN COMMISSION

Commission Meeting

AGENCY: Susquehanna River Basin Commission.

ACTION: Notice.

 
SUMMARY: The Susquehanna River Basin Commission will conduct its regular business meeting on March 16, 2023 in Harrisburg, Pennsylvania. Details concerning the matters to be addressed at the business meeting are contained in the Supplementary Information section of this notice. Also the Commission published a document in the Federal Register on January 11, 2023, concerning its public hearing on February 2, 2023, in Harrisburg, Pennsylvania. 

DATES: The meeting will be held on Thursday, March 16, 2023, at 9 a.m.

ADDRESSES: This public meeting will be conducted in person and digitally from the Susquehanna River Basin Commission, 4423 N. Front Street, Harrisburg, Pennsylvania 17110.

FOR FURTHER INFORMATION CONTACT: Jason E. Oyler, General Counsel and Secretary to the Commission, telephone: 717-238-0423; fax: 717-238-2436.

SUPPLEMENTARY INFORMATION: The business meeting will include actions or presentations on the following items: (1) approval of contracts, grants and agreements; (2) a motion to release a proposed general permit for public comment (3) and actions on 18 regulatory program projects.

This agenda is complete at the time of issuance, but other items may be added, and some stricken without further notice. The listing of an item on the agenda does not necessarily mean that the Commission will take final action on it at this meeting. When the Commission does take final action, notice of these actions will be published in the Federal Register after the meeting. Any actions specific to projects will also be provided in writing directly to project sponsors.

The meeting will be conducted both in person at the Susquehanna River Basin Commission Harrisburg headquarters and digitally. The public is invited to attend the Commission’s business meeting. You can access the Business Meeting remotely via Zoom : https://us02web.zoom.us/j/82472805136?pwd=VlpHaElpeWF2U0RhWVFQRHhTbU40UT09; Meeting ID 824 7280 5136; Passcode: SRBC4423! or via telephone: 309-205-3325 or 312-626-6799; Meeting ID 824 7280 5136.

Written comments pertaining to items on the agenda at the business meeting may be mailed to the Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, Pennsylvania 17110-1788, or submitted electronically through www.srbc.net/about/meetings-events/business-meeting.html. Such comments are due to the Commission on or before February 13, 2023. Comments will not be accepted at the business meeting noticed herein.

AUTHORITY: Pub. L. 91-575, 84 Stat. 1509 et seq., 18 CFR Parts 806, 807, and 808.

DATED: February 6, 2023.

JASON E. OYLER
General Counsel and Secretary to the Commission

[23-05-04]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0030

Snug Harbor Civic Association, Inc

C/o Stephen Hadley

12317 Snug Harbor Rd

Berlin, Maryland 21811

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0030.

Location: The project is located within two canals at the Snug Harbor Subdivision off of Snug Harbor Road and Meadow Drive and in the Sinepuxent Bay.

The purpose of the project is to improve navigable access. Project Description includes:

· Mechanically dredge a 2065-foot long by 25-foot wide canal (North canal) with a 205-foot long by 60-foot wide entrance channel, and a 2100-foot long by 25-foot wide canal (South canal) with a 135-foot long by 60-foot wide entrance channel to a maximum depth of 3 feet at mean low water;

· Transport 3,400 cubic yards of dredged material in watertight trucks to either of the following three dredge material disposal sites; 1) Brittingham Dredge Disposal Site at Tax Map 20 Parcel 185, on Friendship Road, Berlin, Maryland, 2) Brittingham Landscaping Dredge Spoil Site at Map 42, Parcel 144 on Asherwood Branch Road, Berlin, Maryland and Absolute Ventures, LLC at 7968 Libertytown Road, Berlin, Maryland.

· Provide for six years of maintenance dredging; and

· Collect two soil samples 2-inches wide by 2.5-foot deep within the canals.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision. This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision, and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Mary Phipps-Dickerson at (443) 509-0797 or mary.phippsdickerson@maryland.gov

[23-05-05]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0031

Kirk Simpkins

PO Box 550

Princess Anne, Maryland 21853

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0031.

Location: The project is located on the entrance channel to Webster Cove at 13317 Dorsey Road, Mt. Vernon, in Somerset County, Maryland.

The purpose of the project is to improve navigable access and for shoreline stabilization. The project proposes to restore and protect an oyster packing house and associated pier as depicted on plans dated January, 11, 2023 and described below:

1. Construct and backfill a new 57.35-foot long bulkhead with 4.23 cubic yards of material all within a maximum of 3.91 feet channelward of the mean high water line;

2. Construct a 30-foot long by 8-foot wide pier with a 50-foot long by 8-foot wide platform all within a maximum of 38 feet channelward of the mean high water line; and

3. Install a 30-foot long by 18-inch diameter fiber log for sand containment extending a maximum of 6.5 feet channelward of the mean high water line and fill and grade with 2 cubic yards of sand along 35 feet of eroding shoreline and plant 91.46 square feet with marsh vegetation.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision. This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision, and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Mary Phipps-Dickerson at (443) 509-0797 or mary.phippsdickerson@maryland.gov

[23-05-06]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0032

Ellis Juan

24499 New Post Road

Saint Michaels, Maryland 21663

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0032.

Location: The project is located on the entrance channel to Webster Cove at 13317 Dorsey Road, Mt. Vernon, in Somerset County, Maryland.

The purpose of the project is to improve navigable access and for shoreline stabilization. The project proposes to construct a shoreline stabilization project as depicted on plans dated March 17, 2022 and described below:

1. construct 175 linear feet of revetment within a maximum of 6 feet channelward of the mean high water line;

2. construct a 6 to 12-foot wide by 100-foot long stone groin perpendicular to the shoreline;

3. construct 240 feet of segmented low profile stone, sand containment structures extending a maximum of 25 feet channelward of the mean high water line; and fill and grade with 267 cubic yards of sand along 240 feet of eroding shoreline and plant 4,800 square feet with marsh vegetation.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision. This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision, and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Mary Phipps-Dickerson at (443) 509-0797 or mary.phippsdickerson@maryland.gov

[23-05-07]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0046

MD DNR / Love Point State Park

580 Taylor Avenue

Annapolis, MD 21401-8329

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0046.

Location: Love Point State Park, 400 Pier Avenue, Stevensville, MD 21666

Proposed Work and Purpose: The purpose of the project is to protect the shoreline, restore public access for commercial waterman, upgrade the existing pier facility and provide a boat ramp for the Department’s Natural Resource Police, and restore the commercial bulkhead for barge loading and unloading by performing the following work.

· Remove, cut, or demolish an existing bulkhead and construct 210 linear feet of revetment a maximum of 8.6' channelward of the mean high water line.

· Construct 526 linear feet of bulkhead a maximum of 18 inches channelward of the mean high water line.

· Remove, cut, or demolish an existing bulkhead and construct 194 linear feet of bulkhead a max. of 18-inches channelward of an existing deteriorated bulkhead.

· Remove two in-water structures and construct three 4.5-foot wide by 18.5-foot long finger piers and emplace fifteen mooring piles a maximum of 43 feet channelward of the mean high water line.

· Construct a 20-foot wide by 37.5-foot long boat ramp with two wing walls a maximum of 20 feet channelward of the mean high water line.

· Construct a 10-foot wide by 58-foot long pier with a 3.5-foot wide by 24-foot long gangway, one 6-foot wide by 30-foot long finger pier, one 15-foot wide by 30-foot long platform a maximum of 77 feet channelward of the mean high water line.

· Mechanically maintenance dredge an irregular shaped 1,960 square foot area to a depth of 5.5 feet at mean low water and emplace 200 cubic yards of dredge material on site for dewatering to be beneficially reused as fill landward of the constructed bulkheads.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision. This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC. 

Contact: Jonathan Stewart at jon.stewart@maryland.gov or 410-537-3059.

[23-05-08]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0050

U.S. National Park Service – C&O Canal National Historical Park

142 Potomac Street

Williamsport, MD 21795

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0050.

Location: C&O Canal National Historical Park near MacArthur Boulevard Milepost 11 in Montgomery County

The purpose of the project is to prevent failure of the dry-stone wall, decrease sediment load entering the Canal, and prevent damage to the Potomac Interceptor

1. Temporary impacts to 131,059 square feet of stream; permanent impacts to 282 square feet of stream.

2. Temporary impacts to 2,154 square feet of forested nontidal wetlands.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision. This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Melissa Knapp at melissa.knapp@maryland.gov or 410-218-7451.

[23-05-09]

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 22-WQC-0051

Edward Zebovitz

3317 Shore Dr

Annapolis, MD 21403

Add’l. Info: Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 22-WQC-0051.

Location: 3317 Shore Dr., Annapolis, MD 21403

The purpose of the project is to stabilize an eroding shoreline.

1. Remove an existing, failed bulkhead and debris.

2. Construct 117 linear feet of stone revetment, backfill 540 square feet with 74 cubic yards of sand fill with all work taking place within a maximum of 30 feet channelward of the mean high water line.

The WQC and its attachments may be viewed at the following link:

https://mde.maryland.gov/programs/Water/WetlandsandWaterways/Pages/WQC.aspx

Appeal of Final Decision: This Water Quality Certification is a final agency decision. Any person aggrieved by the Department’s decision to issue this WQC may appeal such decision in accordance with COMAR 26.08.02.10F(4). A request for appeal shall be filed with the Department within 30 days of publication of the final decision and specify in writing the reason why the final decision should be reconsidered. A request for appeal shall be submitted to: Secretary of the Environment, Maryland Department of the Environment, 1800 Washington Boulevard, Baltimore, MD 21230. Any request for an appeal does not stay the effectiveness of this WQC.

Contact: Mel Throckmorton at mel.throckmorton@maryland.gov or 410-375-2803.

[23-05-10]

MARYLAND HEALTH CARE COMMISSION

SCHEDULE FOR CERTIFICATE OF CONFORMANCE REVIEWS
PERCUTANEOUS CORONARY INTERVENTION SERVICES

The Maryland Health Care Commission hereby provides notice of the review schedule for a Certificate of Conformance application for the establishment of a primary percutaneous coronary intervention (PCI) program and for the establishment of an elective PCI program. This schedule supersedes the schedules previously published in the Maryland Register. Letters of intent and applications by acute care general hospitals for a Certificate of Conformance to establish a primary or elective PCI program may only be received and reviewed according to this published schedule. All letters of intent and applications must be received at the offices of the Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, MD 21215, no later than 4:30 p.m. on the scheduled date of submission. For further information regarding this review schedule or procedures, contact Eileen Fleck, (410) 764-3287.

PRIMARY PERCUTANEOUS CORONARY INTERVENTION SERVICES

Letter of Intent Due Date	Application Submission Date
August 25, 2023	September 29, 2023

ELECTIVE PERCUTANEOUS CORONARY INTERVENTION SERVICES

Letter of Intent Due Date	Application Submission Date
August 25, 2023	September 29, 2023

A hospital shall have been providing primary PCI services for at least two years before seeking a Certificate of Conformance to provide elective PCI services, unless the hospital is located in a part of Maryland that does not have sufficient access to primary PCI services. Therefore, this review schedule for a Certificate of Conformance for elective PCI services is applicable only to Holy Cross Hospital of Silver Spring. An application to establish primary PCI and elective PCI services simultaneously based on insufficient access to emergency PCI services is not subject to this review schedule and may be filed at any time.

[23-05-11]

SCHEDULES FOR CERTIFICATE OF NEED REVIEW

The Maryland Health Care Commission provides the following schedules to interested members of the public and sponsors of health care facility and service projects subject to Certificate of Need (“CON”) review and approval. Not every type of project subject to the requirements of CON review and approval is included in this review schedule. In these cases, persons seeking CON approval for a project may file a letter of intent at any time. (See COMAR 10.24.01.07 and .08 for additional information on CON application filing and project review.)

The general criteria for Certificate of Need review are set forth at COMAR 10.24.01.08G(3). It will be noted that the first criterion is evaluation of the project according to all relevant State Health Plan standards, policies, and criteria. State Health Plan regulations can be accessed at https://mhcc.maryland.gov/mhcc/pages/hcfs/hcfs_shp/hcfs_shp.aspx

This Certificate of Need review schedule updates the last schedule published in the Maryland Register on May 20, 2022 This review schedule is not a solicitation by the Commission for Certificate of Need applications, and does not indicate, in and of itself, that additional capacity is needed in services subject to Certificate of Need review, or that Certificate of Need applications submitted for the services described will be approved by the Commission.

Applicants are encouraged to discuss their development plans and projects with the Commission Staff prior to filing letters of intent or applications.

Letters of Intent and applications for scheduled reviews may only be received and reviewed according to these published schedules. All Letters of Intent and Certificate of Need applications, including the required number of copies of CON applications, must be received at the offices of the Maryland Health Care Commission, 4160 Patterson Avenue, Baltimore, Maryland 21215, no later than 4:30 p.m. on the scheduled date of submission. Letters of Intent should be filed by US mail and email to ruby.potter@maryland.gov and wynee.hawk1@maryland.gov Letters of intent for projects not covered by this review schedule may be filed at any time.

For further information about review schedules or procedures, contact Wynee Hawk, Chief, Certificate of Need, at (410) 764-5982 or wynee.hawk1@maryland.gov

The Commission will use the following regional configuration of jurisdictions for the General Hospital Project, Special Hospital Project, Freestanding Ambulatory Surgical Facility Project, and Schedule Two Comprehensive Care Facility Project Review Schedules:

Western Maryland: Allegany, Frederick, Garrett, and Washington	Central Maryland: Anne Arundel, Baltimore City, Baltimore County, Carroll, Harford, and Howard
Eastern Shore: Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, and Worcester	Montgomery & Southern Maryland: Calvert, Charles, Montgomery, Prince George's, and St. Mary's

General Hospital Projects

The Commission hereby publishes the following schedules for the submission of Certificate of Need applications by general hospitals, for projects that involve: (1) capital expenditures by or on behalf of general hospitals that exceed the applicable capital expenditure threshold; (2) proposed changes in bed capacity or operating room capacity at existing hospitals; (3) the relocation of a general hospital; and/or (4) a change in the type or scope of any health care service offered by a general hospital, as specified at COMAR 10.24.01.02A, except for neonatal intensive care. Please note that the following schedule does not apply to establishment of a new general hospital.

Schedule One
All General Hospital Projects

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	April 7, 2023	April 19, 2023	June 9, 2023
Eastern Shore	May 5, 2023	May 17, 2023	July 7, 2023
Montgomery & Southern Maryland	August 4, 2023	August 16, 2023	October 6, 2023
Western Maryland	September 1, 2023	September 13, 2023	November 3, 2023

Schedule Two
All General Hospital Projects

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	October 6, 2023	October 18, 2023	December 8, 2023
Eastern Shore	November 3, 2023	November 15, 2023	January 5, 2024
Montgomery & Southern Maryland	February 2, 2024	February 14, 2024	April 5, 2024
Western Maryland	March 1, 2024	March 13, 2024	May 3, 2024

Replacement of Hospital Emergency CONs with Formal CONs – Changes in Bed Capacity

The Commission hereby publishes the following special schedule for the submission of Certificate of Need applications by general hospitals that received emergency CONs during the period of 2020 to 2021 to add bed capacity in response to the COVID-19 pandemic and the heightened demand for hospital beds that surges in COVID-19 cases created. MHCC has established guidance for holders of emergency CONs expiring in 2023 and this schedule is consistent with that guidance. Please note that the following schedule only applies to projects that will formally authorize, on a permanent basis, the increases in physical bed capacity at existing general hospitals previously authorized in an emergency CON. It does not apply to the establishment of a new general hospital as a replacement for the emergency CONs that established “Alternate Care Site” hospitals.

Schedule
Changes in General Hospital Bed Capacity

Region	Notice of Intent Due Date	Pre-Application Conference Date	Application Submission Date
All Maryland	March 30, 2023	Upon Request	June 2, 2023

Special Hospital Projects (Pediatric, Psychiatric, Chronic, and Rehabilitation)

The Commission hereby publishes the following schedules for the submission of Certificate of Need applications by special hospitals, for projects that involve: (1) capital expenditures by or on behalf of special hospitals that exceed the applicable capital expenditure threshold; (2) proposed changes in bed capacity at existing special hospitals; (3) the relocation of a special hospital; and/or (4) a change in the type or scope of any health care service offered by a special hospital, as specified at COMAR 10.24.01.02A. Please note that the following schedule does not apply to establishment of a new special hospital.

Schedule One
Special Hospitals (Pediatric, Psychiatric, Chronic, and Rehabilitation)

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	February 3, 2023	February 15, 2023	April 7, 2023
Eastern Shore	March 3, 2023	March 15, 2023	May 5, 2023
Montgomery & Southern Maryland	April 7, 2023	April 19, 2023	June 9, 2023
Western Maryland	May 5, 2023	May 17, 2023	July 7, 2023

Schedule Two
Special Hospitals (Pediatric, Psychiatric, Chronic, and Rehabilitation)

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	August 4 2023	August 16, 2023	October 6, 2023
Eastern Shore	September 8, 2023	September 20, 2023	November 10, 2023
Montgomery & Southern Maryland	October 6, 2023	October 18, 2023	December 8, 2023
Western Maryland	November 3, 2023	November 15, 2023	January 5, 2024

Freestanding Ambulatory Surgical Facility Projects

The Commission hereby publishes the following schedules for the submission of Certificate of Need applications to establish freestanding ambulatory surgical facilities, add operating rooms at an existing freestanding ambulatory surgical facility, or make a capital expenditure by a hospital for a freestanding ambulatory surgical facility project that requires Certificate of Need review and approval. The definition of freestanding ambulatory surgical facility can be found at Health-General Article §19-114(b).

Schedule One
Freestanding Ambulatory Surgical Facility Projects

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	February 3, 2023	February 15, 2023	April 7, 2023
Eastern Shore	March 3, 2023	March 15, 2023	May 5, 2023
Montgomery & Southern Maryland	April 7, 2023	April 19, 2023	June 9, 2023
Western Maryland	May 5, 2023	May 17, 2023	July 7, 2023

Schedule Two
Freestanding Ambulatory Surgical Facility Projects

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	August 4 2023	August 16, 2023	October 6, 2023
Eastern Shore	September 8, 2023	September 20, 2023	November 10, 2023
Montgomery & Southern Maryland	October 6, 2023	October 18, 2023	December 8, 2023
Western Maryland	November 3, 2023	November 15, 2023	January 5, 2024

Comprehensive Care Facilities

The Commission hereby publishes the following schedules for the review of projects proposed in CON applications that do not involve an increase in CCF bed capacity in the jurisdiction in which the project is located. These include projects that relocate an existing facility or, in effect, relocate CCF bed capacity from an existing facility to a new site within the same jurisdiction.

Schedule One
Comprehensive Care Facility Services

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	February 3, 2023	February 15, 2023	April 7, 2023
Eastern Shore	March 3, 2023	March 15, 2023	May 5, 2023
Montgomery & Southern Maryland	April 7, 2023	April 19, 2023	June 9, 2023
Western Maryland	May 5, 2023	May 17, 2023	July 7, 2023

Schedule Two
Comprehensive Care Facility Services

Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Central Maryland	August 4 2023	August 16, 2023	October 6, 2023
Eastern Shore	September 8, 2023	September 20, 2023	November 10, 2023
Montgomery & Southern Maryland	October 6, 2023	October 18, 2023	December 8, 2023
Western Maryland	November 3, 2023	November 15, 2023	January 5, 2024

Freestanding Medical Facility Projects

The Commission hereby publishes the following statewide schedule for Certificate of Need review of proposed projects by general hospitals to establish or relocate freestanding medical facilities (FMFs) and proposed capital expenditures by hospitals for FMF projects that exceed the applicable capital expenditure threshold. Please note that these schedules do not apply to the filing of a request for an Exemption from Certificate of Need by a general hospital seeking to convert to a freestanding medical facility.

Schedule One
Freestanding Medical Facility Projects

Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
August 4, 2023	August 16, 2023	October 6, 2023

Cardiac Surgery Services

The Maryland Health Care Commission provides the following schedule for the review of applications for Certificates of Need (“CON”) by general hospitals seeking to introduce cardiac surgery services. This review schedule is not a solicitation by the Commission for CON applications, and it does not indicate that additional capacity is needed or that CON applications submitted will be approved by the Commission. Applicants are encouraged to discuss their development plans and projects with the Commission staff prior to filing Letters of Intent. Please note that there is no scheduled review cycle for the Baltimore/Upper Shore region because the applicable State Health Plan, COMAR 10.24.17, states that, “a new cardiac surgery program will only be considered in a health planning region if the most recently approved program in the health planning region has been in operation for at least three years.” The most recently approved program in the Baltimore/Upper Shore region initiated operation in December, 2020.

Region Definitions for Cardiac Surgery

Metropolitan Washington Region: Calvert, Charles, Frederick, Montgomery, Prince George’s,

and St. Mary’s

Eastern (Lower Shore) Region: Dorchester, Somerset, Wicomico, and Worcester

Western Region: Allegany, Garrett, and Washington

Schedule One
Cardiac Surgery Services

Planning Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Metropolitan Washington	February 3, 2023	February 15, 2023	April 7, 2023
Eastern (Lower Shore)	March 3, 2023	March 15, 2023	May 5, 2023
Western	April 7, 2023	April 19, 2023	June 9, 2023

Schedule Two
Cardiac Surgery Services

Planning Region	Letter of Intent Due Date	Pre-Application Conference Date	Application Submission Date
Metropolitan Washington	August 4 2023	August 16, 2023	October 6, 2023
Eastern (Lower Shore)	September 8, 2023	September 20, 2023	November 10, 2023
Western	October 6, 2023	October 18, 2023	December 8, 2023

Home Health Agency Projects

There are no scheduled CON review cycles for Home Health Agency applicants at this time.

[23-05-12]

General Notices

Notice of ADA Compliance

The State of Maryland is committed to ensuring that individuals with disabilities are able to fully participate in public meetings. Anyone planning to attend a meeting announced below who wishes to receive auxiliary aids, services, or accommodations is invited to contact the agency representative at least 48 hours in advance, at the telephone number listed in the notice or through Maryland Relay.

STATE COLLECTION AGENCY LICENSING BOARD

Subject: Public Meeting

Date and Time: March 21, 2023, 2 — 3 p.m. Thereafter the public meetings will take place the second Tuesday of every month, accessed via the Google Meet information given below.

Place: Via Google Meet — please see details below.

Add’l. Info: Google Meet joining info:

meet.google.com/jep-vrpm-wtq;

(US) +1 984-221-1004;

PIN: 663 109 360#

Contact: Kelly Mack 410-230-6079

[23-05-21]

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subject: Call for Applications from Those Wishing to be Considered for Designation as a Level II Trauma Center

Add’l. Info: Pursuant to COMAR 30.08.02.03C, the Maryland Institute for Emergency Medical Services Systems is soliciting applications from any hospital currently designated as a Level III Trauma Center to become designated as a Level II Trauma Center. Any hospital interested in such a designation should contact Elizabeth Wooster, Director, Trauma and Injury Specialty Care Program, at 410-706-3932 or email ewooster@miemss.org.

Any application submitted in response to this solicitation must be submitted to MIEMSS no later than September 10, 2023.

Contact: Elizabeth Wooster 410-706-3932

[23-05-18]

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subject: Listing of Comprehensive Stroke Centers Requesting Reverification of Status and Call for Applications from Those Wishing to Be Considered for Designation

Add’l. Info: Pursuant to COMAR 30.08.02C, the Maryland Institute for Emergency Medical Services Systems gives notice that the following hospitals have requested reverification as Comprehensive Stroke Centers:

1. University of Maryland Medical Center; and

2. MedStar Franklin Square Medical Center.

Any person with knowledge of any reason why either of the above-listed hospitals should not be reverified and redesignated is requested to submit a written statement of the reason to MIEMSS by April 6, 2023.

In addition, pursuant to COMAR 30.08.02.03C, a hospital not yet designated but that wishes to be considered for designation as a Comprehensive Stroke Center should submit a letter of intent to MIEMSS no later than April 6, 2023. For more information, contact Kenny Barajas, Chief, Office of Care Integration, at 410-706-3930 or email kbarajas@miemss.org.

Contact: Kenny Barajas, DNP, RN, CEN 410-706-3930

[23-05-13]

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subject: Listing of Freestanding Emergency Medical Facilities Requesting Reverification of Status and Call for Applications from Those Wishing to Be Considered for Designation

Add’l. Info: Pursuant to COMAR 30.08.02C, the Maryland Institute for Emergency Medical Services Systems gives notice that the following hospital has requested reverification as a Freestanding Emergency Medical Facility:

1. Laurel Regional Medical Center.

Any person with knowledge of any reason why the above-listed hospital should not be reverified and redesignated is requested to submit a written statement of the reason to MIEMSS by April 6, 2023.

In addition, pursuant to COMAR 30.08.02.03C, a hospital not yet designated but that wishes to be considered for designation as a Freestanding Emergency Medical Facility should submit a letter of intent to MIEMSS no later than April 6, 2023. For more information contact Kenny Barajas, Chief, Office of Care Integration at 410-706-3930 or email kbarajas@miemss.org.

Contact: Kenny Barajas, DNP, RN, CEN 410-706-3930

[23-05-14]

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subject: Listing of Primary Stroke Centers Requesting Reverification of Status and Call for Applications from Those Wishing to Be Considered for Designation

Add’l. Info: Pursuant to COMAR 30.08.02C, the Maryland Institute for Emergency Medical Services Systems gives notice that the following hospitals have requested reverification as Primary Stroke Centers:

1. Carroll Hospital Center;

2. Northwest Hospital;

3. ChristianaCare, Union Hospital; and

4. Frederick Health Hospital.

Any person with knowledge of any reason why any of the above-listed hospitals should not be reverified and redesignated is requested to submit a written statement of the reason to MIEMSS by April 6, 2023.

In addition, pursuant to COMAR 30.08.02.03C, a hospital not yet designated but that wishes to be considered for designation as a Primary Stroke Center should submit a letter of intent to MIEMSS no later than April 6, 2023. For more information contact Kenny Barajas, Chief, Office of Care Integration at 410-706-3930 or email kbarajas@miemss.org.

Contact: Kenny Barajas, DNP, RN, CEN 410-706-3930

[23-05-15]

MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

Subject: Listing of Cardiac Interventional Centers Requesting Reverification of Status and Call for Applications from Those Wishing to Be Considered for Designation

Add’l. Info: Pursuant to COMAR 30.08.02.10E, the Maryland Institute for Emergency Medical Services Systems gives notice that the following hospitals have requested reverification as Cardiac Interventional Centers:

1. Adventist HealthCare Shady Grove Medical Center;

2. Adventist HealthCare White Oak Medical Center;

3. Ascension St. Agnes Hospital;

4. Carroll Hospital Center;

5. Frederick Health Hospital;

6. Holy Cross Health;

7. Howard County General Hospital;

8. Johns Hopkins Bayview Medical Center;

9. Johns Hopkins Medical Center;

10. Johns Hopkins Suburban Hospital;

11. LifeBridge Health Sinai Hospital;

12. Luminis Anne Arundel Medical Center;

13. MedStar Franklin Square Medical Center;

14. Medstar Southern Maryland Hospital Center;

15. MedStar Union Memorial Hospital16. Meritus Medical Center;

16. TidalHealth Peninsula Regional Medical Center18. University of Maryland Baltimore Washington Medical Center;

17. University of Maryland Capital Region Medical Center;

18. University of Maryland Medical Center;

19. University of Maryland St. Joseph Medical Center; and

20. UPMC Western Maryland Regional Medical Center23. Upper Chesapeake Medical Center.

Any person with knowledge of any reason why any of the above-listed hospitals should not be reverified and redesignated is requested to submit a written statement of the reason to MIEMSS by April 6, 2023.

In addition, pursuant to COMAR 30.08.02.03, a hospital not yet designated but that wishes to be considered for designation as a Cardiac Interventional Center should submit a letter of intent to MIEMSS no later than April 6, 2023. For more information contact Katie Hall, Director, Cardiac Interventional Centers at 410-706-4740 or email khall@miemss.org.

Contact: Katie Hall, MSN, RN 410-706-4740

[23-05-16]

MARYLAND STATE LOTTERY AND GAMING CONTROL AGENCY

Subject: Public Meeting

Date and Time: February 23, 2023, 10 a.m. — 12 p.m.

Place: Montgomery Business Park,1800 Washington Blvd., Ste. 330, Baltimore, MD

Add’l. Info: The meeting will be in person and via livestream available on the day of the meeting at:

https://www.mdgaming.com/commission-meeting-3-23-2023/.

Contact: Kathy Lingo 410-230-8790

[23-05-20]

MARYLAND HEALTH CARE COMMISSION

Subject: Public Meeting

Date and Time: March 16, 2023, 1 — 4 p.m.

Place: 4160 Patterson Ave., Baltimore, MD, and via Zoom

Add’l. Info: Hybrid Meeting. Please visit the MHCC website mhcc.maryland.gov to register to attend this meeting via ZOOM.

Contact: Valerie Wooding 410-764-3570

[23-05-19]

SPORTS WAGERING APPLICATION REVIEW COMMISSION

Subject: Public Meeting

Date and Time: March 15, 2023, 9 — 11 a.m.

Place: Virtual meeting — please see details below.

Add’l. Info: Meeting to be livestreamed at swarc.org.

Contact: James Butler 410-230-8781

[23-05-17]

STATE COLLECTION AGENCY LICENSING BOARD

Subject: Public Meeting

Date and Time: March 21, 2023, 2 — 3 p.m.

Place: Via Google Meet — please see details below.

Add’l. Info: Google Meet joining info:

meet.google.com/jep-vrpm-wtq;

(US) +1 984-221-1004

PIN: 663 109 360#

Contact: Kelly Mack 410-230-6079

[23-05-22]