Closing Dates for the Maryland Register
Schedule of Closing Dates and
Issue Dates for the
Maryland Register ................................................................ 838
COMAR Research Aids
Table
of Pending Proposals ....................................................... 839
Index of COMAR Titles Affected in
This Issue
COMAR
Title Number and Name Page
07 Department of Human Services ...................................... 849
08 Department of Natural Resources ................................... 850
09 Maryland Department of Labor ...................................... 850
10 Maryland Department of Health ............................. 846, 852
11 Department
of Transportation ......................................... 859
13A State Board of Education ....................................... 845, 860
13B Maryland Higher Education Commission ........................ 845
14 Independent Agencies ............................................ 845, 848
15 Maryland Department of Agriculture ............................. 861
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 Governor
EXECUTIVE
ORDER 01.01.2025.18
Governor's
Intergovernmental Commission for Agriculture
(Rescinds
Executive Order 01.01.2006.06)...................... 842
The Judiciary
SUPREME
COURT OF MARYLAND
DISCIPLINARY
PROCEEDINGS.................................. 844
Emergency Action on Regulations
13A
STATE BOARD OF EDUCATION
STATE
SCHOOL ADMINISTRATION
State
Superintendent of Schools . 845
14
INDEPENDENT AGENCIES
MARYLAND
HEALTH BENEFIT EXCHANGE
State-Based
Health Insurance Subsidies Program .. 845
Final Action on Regulations
10
MARYLAND DEPARTMENT OF HEALTH
BOARD
OF NURSING
Examination
and Licensure . 846
COMMISSION
ON KIDNEY DISEASE
General
Regulations . 846
Physical
and Medical Standards . 846
Transmissible
Diseases . 846
Dialyzer
Reuse and Water Standards . 846
BOARD
OF PHYSICIANS
Unlicensed
X-Ray Machine Operator 846
BOARD
OF PHYSICAL THERAPY EXAMINERS
Fee
Schedule . 846
Continuing
Education Requirements . 846
BOARD
OF DENTAL EXAMINERS
Inspections
Compliance with Centers for Disease Control and Prevention Guidelines 847
BOARD
OF DIETETIC PRACTICE
Licensure . 847
BOARD
OF MASSAGE THERAPY EXAMINERS
General
Regulations . 847
13B
MARYLAND HIGHER EDUCATION COMMISSION
FINANCIAL
AID
Charles
W. Riley Firefighter and Ambulance and Rescue Squad Member Scholarship Program 847
Workforce Development Sequence Scholarship . 847
14
INDEPENDENT AGENCIES
PROGRAM
SERVICES
Attendant
Care Program .. 848
MARYLAND
HEALTH BENEFIT EXCHANGE
Individual
Exchange Navigator Certification and Training Standards 848
Insurance
Producer Authorization to Sell Qualified Plans in the SHOP Exchange and
Individual Exchange 848
Insurance
Producer Authorization—Renewal, Reinstatement, and Suspension or Revocation of
Authorization . 848
Captive
Producer Training and Authorization
Standards . 848
Appeals
from Determinations Regarding Producer Authorization or Individual Exchange
Navigator Certification . 848
Application
Counselor Training and Certification
Standards . 848
INTERAGENCY
COMMISSION ON SCHOOL CONSTRUCTION
Project
Delivery Methods . 848
Proposed Action on Regulations
07
DEPARTMENT OF HUMAN SERVICES
SOCIAL
SERVICES ADMINISTRATION
Child
Protective Services—Investigation of Child Abuse and Neglect 849
08
DEPARTMENT OF NATURAL RESOURCES
WILDLIFE
Forest
Wildlife . 850
09
MARYLAND DEPARTMENT OF LABOR
BOARD
OF PLUMBING
State
Plumbing Code . 850
BOARD
OF COSMETOLOGISTS
General
Regulations . 851
Beauty
Salons . 851
10
MARYLAND DEPARTMENT OF HEALTH
MARYLAND
HEALTH CARE COMMISSION
Certification
of Electronic Health Networks and Medical Care Electronic Claims Clearinghouses 852
BOARD
OF NURSING
Examination
and Licensure . 854
Practice
of Nurse Midwifery . 855
Practice
of Nurse Anesthetist 856
Practice
of the Nurse Practitioner 856
Standards
of Practice for Registered Nurses . 856
Standards
of Practice for Licensed Practical Nurses 856
Registered
Nurse—Workers' Compensation Medical Case Manager 856
Management
of Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse 856
Registered
Nurse—Forensic Nurse Examiner 856
Cosmetic
Procedures . 856
Standards
of Practice and Conduct 856
BOARD
OF NURSING—ELECTROLOGY PRACTICE COMMITTEE
Standards of Practice and Conduct 857
BOARD
OF NURSING
Delegation
of Acts by an Advanced Practice Registered Nurse 857
11
DEPARTMENT OF TRANSPORTATION
MARYLAND
AVIATION ADMINISTRATION
Baltimore/Washington
International Thurgood Marshall Airport 859
13A
STATE BOARD OF EDUCATION
STATE
SCHOOL ADMINISTRATION
State
Superintendent of Schools . 860
SCHOOL
PERSONNEL
Disqualification
Criteria for Substitute Teachers . 860
15
MARYLAND DEPARTMENT OF AGRICULTURE
PLANT
PEST CONTROL
Plant
Pest Control Regulations . 861
Special Documents
DEPARTMENT
OF THE ENVIRONMENT
WATER AND SCIENCE ADMINISTRATION
Water
Quality Certification 25-WQC-0001 . 862
Water
Quality Certification 25-WQC-0010 . 862
General Notices
STATE
COLLECTION AGENCY LICENSING BOARD
Public
Meeting . 864
DEPARTMENT
OF INFORMATION TECHNOLOGY
Public
Meeting . 864
Public
Meeting . 864
MARYLAND
STATE LOTTERY AND GAMING CONTROL COMMISSION
Public
Meeting . 864
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 2025†
|
Issue
Date
|
Emergency
and
Proposed
Regulations
5
p.m.*
|
Notices,
etc.
10:30
a.m.
|
Final
Regulations
10:30
a.m.
|
|
August 22
|
August 4
|
August 11
|
August 13
|
|
September 5
|
August 18
|
August 25
|
August 27
|
|
September 19
|
August 29**
|
September 8
|
September 10
|
|
October 3
|
September 15
|
September 22
|
September 24
|
|
October 17
|
September 29
|
October 6
|
October 8
|
|
October 31
|
October 10**
|
October 20
|
October 22
|
|
November 14
|
October 27
|
November 3
|
November 5
|
|
December 1***
|
November 10
|
November 17
|
November 19
|
|
December 12
|
November 24
|
December 1
|
December 3
|
|
December 26
|
December 8
|
December 15
|
December 17
|
† 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 due to holidays.
*** Note
issue date changes due to holidays.
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.
02
OFFICE OF THE ATTORNEY GENERAL
02.06.04 .01—.06 •
52:6 Md. R. 270 (3-21-25)
05 DEPARTMENT
OF HOUSING AND COMMUNITY DEVELOPMENT
05.24.01.01—.04 • 52:13 Md. R. 660 (6-27-25)
07 DEPARTMENT OF HUMAN SERVICES
07.02.07.02, .03, .11 • 52:16
Md. R. 849 (8-8-25)
07.02.25.01—.24 • 51:19
Md. R. 861 (9-20-24)
08 DEPARTMENT OF NATURAL RESOURCES
08.02.22.02 •
51:10 Md. R. 534 (5-17-24)
08.03.04.25 •
52:16 Md. R. 850 (8-8-25)
08.08.05.03 •
52:7 Md. R. 326 (4-4-25)
08.18.01.08 •
52:14 Md. R 715 (7-11-25)
09 MARYLAND DEPARTMENT OF LABOR
09.03.06.02,.04 •
52:1 Md. R. 27 (1-10-25)
09.03.06.02,.04 •
52:2 Md. R. 79 (1-24-25) (corr)
09.03.06.02,.06,.16 •
51:14 Md. R. 685 (7-12-24)
09.03.09.06 •
52:7 Md. R. 328 (4-4-2025)
09.11.07.01 •
52:12 Md. R. 600 (6-13-25)
09.14.18.01—.12 •
52:11 Md. R. 540 (5-30-25)
09.20.01.01, .02—.04, .06—.07 • 52:16
Md. R. 850 (8-8-25)
09.22.01.04, .15 •
52:6 Md. R. 273 (3-21-25)
•
52:16 Md. R. 850 (8-8-25)
09.22.02.03, .05 •
52:6 Md. R. 273 (3-21-25)
•
52:16 Md. R. 850 (8-8-25)
09.30.01,.01—.10 •
52:2 Md. R 371 (4-18-25)
09.32.01 .02, .03, .05, .06, .09, .09-1 .11,
.12, .16, ,.16-1 .17, .23, .25, .26, • 52:15 Md. R. 814
(7-25-25)
09.33.02.01—.06,.07—.09 •
52:12 Md. R. 600 (6-13-25)
09.34.05.02 •
52:10 Md. R. 441 (5-16-25)
09.34.06.02.—07,.14 •
52:10 Md. R. 441 (5-16-25)
09.34.07.02 •
52:10 Md. R. 441 (5-16-25)
09.34.08.01—.03,.05—.08,.10—.12 •
52:10 Md. R.441 (5-16-25)
09.34.09.02 •
52:10 Md. R. 441 (5-16-25)
09.36.07.01—.13 •
52:6 Md. R. 274 (3-21-25)
09.42.01.01—.03 •
51:21 Md. R. 929 (10-18-24)
09.42.02.01—.10 •
51:21 Md. R. 932 (10-18-24)
09.42.03.01—.10 •
51:21 Md. R. 933 (10-18-24)
09.42.04.01—.12 •
51:21 Md. R. 937 (10-18-24)
09.42.05.01—.05 •
52:1 Md. R. 28 (1-10-25)
10 MARYLAND DEPARTMENT OF HEALTH
Subtitles 01—08 (1st volume)
10.05.02.01—.15 •
52:10 Md. R. 446 (5-16-25)
10.07.01.24 •
52:11 Md. R. 545 (5-30-25)
Subtitle 09 (2nd volume)
10.09.02.07 • 52:5
Md. R. 241 (3-7-25) (ibr)
10.09.05.01—.05,.07,.10 •
52:9 Md. R407 (5-02-25) (ibr)
10.09.06.09 •
52:9 Md. R 409 (5-02-25)
10.09.07.08 •
52:7 Md. R. 333 (4-4-2025)
10.09.11.11
• 52:3 Md. R. 162
(2-7-25)
10.09.12.01,.04—.06 • 52:3 Md. R. 164 (2-7-25)
10.09.24.02,.07,.12 • 52:3 Md. R. 162
(2-7-25)
10.09.27.06 •
52:9 Md. R 410 (5-02-25)
10.09.28.04,.06 •
52:12 Md. R. 603 (6-13-25)
10.09.33.09 •
52:9 Md. R 411 (5-02-25)
10.09.37.03 • 52:5
Md. R. 242 (3-7-25)
10.09.43.10,.13 •
52:3 Md. R. 164 (2-7-25)
10.09.48.08 •
52:7 Md. R. 333 (4-4-2025)
10.09.53.04,.05 •
51:4 Md. R. 206 (2-23-24)
10.09.53.07 •
52:12 Md. R. 605 (6-13-25)
10.09.54.04, .22 •
52:12 Md. R. 606 (6-13-25)
10.09.76 .04,.05 •
52:5 Md. R. 243 (3-7-25)
10.09.80.08 •
52:12 Md. R. 607 (6-13-25)
10.09.92.04,.05 •
51:1 Md. R. 38 (1-12-24)
Subtitles 10—22
(3rd volume)
10.10.01.03 • 52:11 Md. R. 545 (5-30-25)
10.10.02.01 • 52:11 Md. R. 545 (5-30-25)
10.10.03.02—.04 • 52:11 Md. R. 545 (5-30-25)
10.10.04.01,.02 • 52:11 Md. R. 545 (5-30-25)
10.10.05.02,.04,.05 • 52:11 Md. R. 545 (5-30-25)
10.10.06.02,.07,.08,.12,.13 • 52:11 Md. R. (5-30-25)
10.10.07.07 • 52:11 Md. R. 545 (5-30-25)
10.10.08.02 • 52:11 Md. R. 545 (5-30-25)
10.10.12.02,.04,.07 • 52:11 Md. R. 545 (5-30-25)
10.21.12.01—03, .05, .06, .08—10, .12, .14 •
52:11 Md. R. 550 (5-30-2025)
10.21.13.01—.08,
.10,.12 • 52:11 Md. R. 550 (5-30-25)
Subtitles 23—36 (4th volume)
10.25.07.02,.09—.12 •
51:24 Md. R. 1086 (12-2-24)
10.25.07.01,.02,.05,.09—.12 • 52:16
Md. R. 852 (8-8-25)
10.27.01.01,.03,.17 • 52:16
Md. R. 854 (8-8-25)
10.27.02.01 •
52:12 Md. R. 609 (6-13-25)
10.27.05.01, .06 • 52:16
Md. R. 855 (8-8-25)
10.27.05.07 •
52:12 Md. R. 609(6-13-25)
10.27.06.06 • 52:16
Md. R. 856 (8-8-25)
10.27.07.03,.07 • 52:16
Md. R. 856 (8-8-25)
10.27.09.02 • 52:16
Md. R. 856 (8-8-25)
10.27.10.02 • 52:16
Md. R. 856 (8-8-25)
10.27.16.06 • 52:16
Md. R. 856 (8-8-25)
10.27.18.01,.02 •
52:12 Md. R. 609 (6-13-25)
10.27.20.04 • 52:16
Md. R. 856 (8-8-25)
10.27.21.04 • 52:16
Md. R. 856 (8-8-25)
10.27.25.05 • 52:16
Md. R. 856 (8-8-25)
10.27.26.02 •
52:12 Md. R. 609 (6-13-25)
10.27.28 .01—.06
• 52:16 Md. R. 857 (8-8-25)
10.28.05.03
• 52:7
Md. R. 334 (4-4-25)
10.28.07.02
• 52:7
Md. R. 334 (4-4-25)
10.28.08.01—.04
• 52:7
Md. R. 334 (4-4-25)
10.28.11.04
• 52:7
Md. R. 334 (4-4-25)
10.28.12.02
• 52:7
Md. R. 334 (4-4-25)
10.32.05.02—.06
• 52:11 Md. R. 563 (5-30-25)
10.32.06.02,
.04, .06, .07,.09—13 • 52:14 Md. R 716 (7-11-25)
10.32.24.01—.15 •
52:13 Md. R. 661 (6-27-25) (ibr)
10.32.25.01—.06 •
52:13 Md. R. 670 (6-27-25)
10.34.04.01,.03,.06—.09,
.10 • 52:14 Md. R 719 (7-11-25)
10.34.07.01-1
• 52:14 Md. R 720 (7-11-25)
10.34.43.01—.03 • 52:13 Md. R. 672 (6-27-25)
Subtitles 37—52 (5th volume)
10.37.01.03 •
51:17 Md. R. 779 (8-23-24)
10.42.01.02, .04, .11• 52:5
Md. R. 245 (3-7-25)
10.42.02.02 •
52:14 Md. R 720 (7-11-25)
10.46.05.01•
52:13 Md. R. 673 (6-27-25)
10.50.01.03,.04,.07,.10,.11•
52:13 Md. R. 674 (6-27-25) (ibr)
Subtitles 53—69 (6th volume)
10.53.05.02 • 52:16
Md. R. 856 (8-8-25)
10.53.09.04 •
52:13 Md. R. 678 (6-27-25)
10.57.02,.02, .04, .05,.07 •
52:13 Md. R. 678 (6-27-25)
10.57.03.03, .05, .08,
.09, .10 • 52:13 Md. R. 678 (6-27-25) 10.57.05.04 • 52:13 Md. R. 678 (6-27-25)
10.57.07.02 •
52:13 Md. R. 678 (6-27-25)
10.58.01.04 •
52:12 Md. R. 624 (6-13-25)
10.58.08.06 •
52:12 Md. R. 624 (6-13-25)
10.63.01.01—.13 •
52:10 Md. R. 449 (5-16-25)
10.63.02.01—.14 •
52:10 Md. R. 449 (5-16-25)
10.63.06.01—.21 •
52:10 Md. R. 449 (5-16-25)
10.63.09.01—.10 •
52:10 Md. R. 449 (5-16-25)
10.65.07.02
• 52:14 Md. R 721 (7-11-25)
10.65.12.01—.05
• 52:14 Md. R 721 (7-11-25)
10.67.01.01 • 52:3
Md. R. 166 (2-7-25)
10.67.06.13 • 52:3
Md. R. 166 (2-7-25)
10.69.01.01—.13 •
52:12 Md. R. 609 (6-13-25)
10.69.02.01—.06 •
52:12 Md. R. 609 (6-13-25)
10.69.03.01—.03 •
52:12 Md. R. 609 (6-13-25)
11 DEPARTMENT OF TRANSPORTATION
Subtitles
1—10
11.03.01..01, .04 • 52:16
Md. R. 859 (8-8-25)
11.03.01.13 •
52:12 Md. R. 625 (6-13-25)
11.04.15.01—.04 •
52:11 Md. R. 568 (5-30-25)
11.05.03.02,.03 •
52:13 Md. R. 680 (6-27-25)
11.11.05.02—.04, .06 •
52:13 Md. R. 682 (6-27-25)
Subtitles 11—23 (MVA)
11.13.13.01—.03 •
52:2 Md. R. 126 (1-24-25)(err)
11.14.01.01—.18
• 52:14 Md. R 723 (7-11-25)
11.14.02.01—.29 •
52:14 Md. R 723 (7-11-25)
11.14.03.01—.14 •
52:14 Md. R 723 (7-11-25)
11.14.04.01—.23 •
52:14 Md. R 723 (7-11-25)
11.14.05.01—.11 •
52:14 Md. R 723 (7-11-25)
11.14.06.01—.07 •
52:14 Md. R 723 (7-11-25)
13A STATE BOARD OF EDUCATION
13A.01.02.01 • 52:16
Md. R. 860 (8-8-25)
13A.01.10.01—.04 •
52:13 Md. R. 686 (6-27-25)
13A.03.07.02—.04,.06 •
52:13 Md. R. 686 (6-27-25)
13A.03.08.01—.08 •
52:14 Md. R 783 (7-11-25)
13A.05.07.01—.05 •
52:13 Md. R. 687 (6-27-25)
13A.07.01,.01—.07,.09 •
52:8 Md. R.372 (4-18-25)(ibr)
13A.07.12.01 • 52:16
Md. R. 860 (8-8-25)
13A.12.01.04 •
52:14 Md. R 785 (7-11-25)
13A.12.04.02 •
52:14 Md. R 785 (7-11-25)
13A.12.05.02 •
52:14 Md. R 785 (7-11-25)
13A.12.05.05 •
52:10 Md. R. 469 (5-16-25)
13A.12.06.01—.04, .08 .09 •
52:14 Md. R 786 (7-11-25)
13A.15.01.02 •
51:25 Md. R. 1154 (12-13-24)
13A.15.04.03 •
51:25 Md. R. 1154 (12-13-24)
13A.15.13.09 •
51:25 Md. R. 1154 (12-13-24)
13B MARYLAND HIGHER EDUCATION COMMISSION
13B.02.01.07 •
52:10 Md. R. 470 (5-16-25)
13B.02.01.12 •
52:15 Md. R. 817 (7-25-25)
13B.02.02.16 •
52:15 Md. R. 817 (7-25-25)
13B.08.20.02—.11, .13 •
52:13 Md. R. 688 (6-27-25)
13B.08.22.02 •
52:10 Md. R. 470 (5-16-25)
14 INDEPENDENT AGENCIES
14.01.04.05 • 51:25
Md. R. 1140 (12-13-24)
14.22.01.05 •
52:6 Md. R. 288 (3-21-25)
14.22.02.02 •
52:6 Md. R. 288 (3-21-25)
14.35.18.03,.04 •
51:17 Md. R. 789 (8-23-24)
(4-18-25)
14.35.21 .01—.07
• 52:14 Md. R 788 (7-11-25)
14.39.02.12 • 51:23
Md. R. 1046 (11-15-24)
14.41.01.01— 16 •
52:10 Md. R. 472 (5-16-25)
15 MARYLAND DEPARTMENT OF AGRICULTURE
15.03.08.05 •
52:15 Md. R. 818 (7-25-25)
15.06.02.06 • 52:16
Md. R. 861 (8-8-25)
17 DEPARTMENT
OF BUDGET AND MANAGEMENT
20 PUBLIC SERVICE COMMISSION
20.31.01.02 •
52:6 Md. R. 290 (3-21-25)
20.31.03.04 •
52:6 Md. R. 290 (3-21-25)
20.62.06.01—.04 •
52:15 Md. R. 819 (7-25-25)
26 DEPARTMENT OF THE ENVIRONMENT
Subtitles 01—07 (Part 1)
26.04.01.01,.01-1,.20,.31 •
51:6 Md. R. 309 (3-22-24) (ibr)
Subtitles 08—12
(Part 2)
26.11.09.01,.07 •
52:12 Md. R. 627 (6-13-25)
26.12.01.01 •
52:11 Md. R. 573 (5-30-2025) (ibr)
Subtitles 13—18 (Part 3)
26.13.01.03—.05 •
52:10 Md. R. 478 (5-16-25)
26.13.02.01, .04, .04-1, .04-7, .05, .06, .07,
.07-1, .11, .13, .16, .19,.23 • 52:10 Md. R. 478 (5-16-25)
26.13.03.01,.01-1,.02,.03-3,.03-4,.03-5,.03-7,.05,.05-4,.06 •
52:10 Md. R. 478 (5-16-25)
26.13.04.01 •
52:10 Md. R. 478 (5-16-25)
26.13.05.01, .04, .05,.14 •
52:10 Md. R. 478 (5-16-25)
26.13.06.01, .02, .05, .22 •
52:10 Md. R. 478 (5-16-25)
26.13.07.01, .02, .02-6, ,17, .20,.20-1—.20-6 •
52:10 Md. R. 478 (5-16-25)
26.13.09.01 •
52:10 Md. R. 478 (5-16-25)
26.13.10.01, .04, .06, .08, .09-1,.14, .16-1,
.17, .19, .20, .25, .32—.49 • 52:10 Md. R. 478 (5-16-25)
26.13.11.01 •
52:10 Md. R. 478 (5-16-25)
29
MARYLAND STATE POLICE
29.06.01.02, .05—.09, .14 • 52:3 Md. R. 172(2-7-25) (ibr)
30 MARYLAND INSTITUTE FOR
EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)
30.01.01.02 •
52:6 Md. R. 291 (3-21-25)
30.02.01.01
• 52:6 Md. R. 291 (3-21-25)
30.02.02.02—.09
• 52:6 Md. R. 291 (3-21-25)
30.03.03.03 •
52:15 Md. R. 821 (7-25-25)
30.07.01.01 •
52:12 Md. R. 630 (6-13-25)
31 MARYLAND INSURANCE ADMINISTRATION
31.04.22.03,
.08 • 52:5
Md. R. 248 (3-7-25)
31.10.51.03—.08 •
52:10 Md. R. 507 (5-16-25)
33 STATE BOARD OF ELECTIONS
33.05.01.04 •
52:13 Md. R. 690 (6-27-25)
33.07.11.01 •
52:13 Md. R. 690 (6-27-25)
33.10.01.30
• 52:13 Md. R. 690 (6-27-25)
33.11.01.05
• 52:13 Md. R. 690 (6-27-25)
33.11.03.06
• 52:13 Md. R. 690 (6-27-25)
33.12.04.07
• 52:13 Md. R. 690 (6-27-25)
33.13.06.01 •
52:14 Md. R 790 (7-11-25)
33.13.06.03 •
52:14 Md. R 790 (7-11-25)
33.13.06.05 •
52:14 Md. R 790 (7-11-25)
33.13.06.04 •
52:12 Md. R. 631 (6-13-25)
33.14.02.14 • 52:5
Md. R. 249 (3-7-25)
33.14.02.14 •
52:15 Md. R. 821 (7-25-25)
33.17.08.01—.10 •
52:13 Md. R. 690 (6-27-25)
36 MARYLAND STATE LOTTERY AND GAMING CONTROL
AGENCY
36.03.10.36 •
51:24 Md. R. 1118 (12-2-24)
36.10.13.39 •
51:24 Md. R. 1118 (12-2-24)
The Governor
EXECUTIVE ORDER 01.01.2025.18
Governor's Intergovernmental Commission for Agriculture
(Rescinds Executive Order 01.01.2006.06)
WHEREAS, Agriculture remains a vitally important part of Maryland’s
economy, history, and culture;
WHEREAS, A thriving culture of farming and food production
throughout the State will create new opportunities for businesses and fortify
the resilience of our food system;
WHEREAS, Increased soil health sequesters carbon and prevents
runoff while increasing farm yields and profitability;
WHEREAS, Multiple State and local agencies and stakeholder
organizations have an interest in—and exert influence upon—the economic
viability of agriculture within the State;
WHEREAS, On-going open communication and collaboration among state
and local agencies and industry organizations are critical to foster a
business-friendly climate for agricultural growth and profitability within the
State;
WHEREAS, Maryland must cultivate a clear path for entrepreneurs
entering the fields of farming and value-added processing, promotion and sales
so that agriculture remains the State’s top industry by growing new and
profitable businesses, and adding jobs throughout Maryland;
WHEREAS, Agritourism plays a significant role in the economic
impact and the evolving nature of farming in Maryland;
WHEREAS, Agritourism allows farms to diversify their operations and
educates non-farmers about the importance of agriculture to a community’s
economic base, quality of life, and culture; and
WHEREAS, Maryland must ensure the ease of establishment, viability,
and sustainability of agritourism operations.
NOW, THEREFORE, I, WES MOORE, GOVERNOR OF THE STATE OF MARYLAND, BY
VIRTUE OF THE AUTHORITY VESTED IN ME BY THE CONSTITUTION AND LAWS OF MARYLAND,
HEREBY RESCIND EXECUTIVE ORDER 01.01.2006.06 AND PROCLAIM THE FOLLOWING
EXECUTIVE ORDER, EFFECTIVE IMMEDIATELY:
A. Establishment. There is a Governor's
Intergovernmental Commission for Agriculture (“Commission”).
B. Membership.
(1) Voting Members. The Commission shall
consist of up to nineteen (19) voting members, including:
(a) The Secretary of Agriculture or the Secretary’s designee, who
shall serve as Chair;
(b) A representative from each
of the following organizations who shall be appointed by the Governor in
consultation with the Secretary of Agriculture:
(i) The Maryland Agricultural Commission;
(ii) The Maryland Agricultural and Resource Based Industry
Development Corporation;
(iii) The Maryland
Association of Counties;
(iv) The Maryland Municipal League;
(v) The Maryland Association of County Health Officers;
(vi) The Maryland Association of County Planning Officers;
(vii) The Maryland Farm Bureau; and
(viii) The Rural Maryland Council; and
(c) Up to ten (10) members of the general public with interest or
expertise in agriculture who shall be appointed by the Governor in consultation
with the Secretary of Agriculture.
(2) Non-Voting Members. The Commission may
also include the following members or their designee, who shall serve in an
advisory non-voting capacity:
(a) The Secretary of Planning;
(b) The Secretary of Health;
(c) The Secretary of Natural Resources;
(d) The Secretary of the Environment;
(e) The Secretary of Commerce;
(f) The Secretary of Emergency Management;
(g) The Secretary of Labor;
(h) The Secretary of Human
Services;
(i) The Secretary of Aging;
(j) The Secretary of Education;
(k) The Director of the Maryland Energy Administration;
(l) The Dean of the University of Maryland School of Agriculture
and Natural Resources;
(m) The Dean of the University of Maryland Eastern Shore School of
Agricultural and Natural Sciences; and
(n) The President of the University of Maryland Center for
Environmental Science.
C. Duties and
Responsibilities. The Commission shall:
(1) Work to increase the economic profitability of agriculture in
the State by ensuring that all appropriate agencies work in a cooperative,
coordinated manner with local government and industry groups to plan, implement, oversee and evaluate
intergovernmental initiatives related to the agricultural affairs of the State;
(2) Promote a clear and consistent “business-friendly” climate for
agriculture in the State by serving as a liaison between the Governor and local
governments and industry organizations;
(3) Develop annual intergovernmental goals for services and
functions dealing with the agricultural affairs of the State;
(4) Develop and implement:
(a) Procedures to identify and assess agricultural developments
that could potentially impact the State and local governments;
(b) A consistent, systematic method to coordinate the State’s
agricultural economic development activities; and
(c) Specific and measurable actions to improve the economic and
regulatory climate for agriculture in the State;
(5) Make recommendations for programs and policies to ensure that
the needs and goals of the State’s agricultural strategy are met and
accomplished; and
(6) Perform other duties and responsibilities as assigned by the
Governor.
D. Administration.
(1) The Commission shall be staffed by the Maryland Department of
Agriculture. The State agencies represented on the Commission shall provide
additional assistance as needed.
(2) Members
appointed by the Governor shall serve at the pleasure of the Governor.
(3) Members
representing an organization must maintain their specified organizational
affiliation in order to maintain service on the Commission.
(4) Members of the Commission may not receive any compensation for
their services, but may be reimbursed for their reasonable expenses incurred in
the performance of duties in accordance with the State Standard Travel
Regulations and as provided in the State budget.
E. Procedures.
(1) The Commission Chair shall:
(a) Oversee and lead the implementation of this Executive Order and
the work of the Commission;
(b) Determine the Commission's agenda; and
(c) Identify additional support as needed.
(2) The Commission Chair may adopt bylaws, rules, and other
procedures necessary to ensure the orderly transaction of business.
(3) A majority of the voting members present shall constitute a
quorum for the transaction of any business of the Commission.
F. Meetings of the
Commission.
(1) The Commission shall meet as often as its duties require, but
no less than twice annually.
(2) The Chair may convene meetings of the Commission and shall
preside over the meetings.
(3) The Chair may establish
subcommittees that meet in between the Commission’s official biannual meetings.
G. Reporting. The Commission shall
submit an annual report to the Governor by October 1st each year, outlining its
recommendations to support a coordinated agricultural strategy within the
State.
H. General Provisions.
(1) This Executive Order shall be implemented in a manner that is
consistent with all applicable statutes and regulations. Nothing in this
Executive Order shall operate to contravene any State or federal law or to
affect the State's receipt of federal funding.
(2) If any provision of this Executive Order or its application to
any person, entity, or circumstance is held invalid by any court of competent
jurisdiction, all other provisions or applications of the Executive Order shall
remain in effect to the extent possible without the invalid provision or
application. To achieve this purpose, the provisions of this Executive Order
are severable.
GIVEN Under My Hand and the Great Seal of the State of Maryland, in
Baltimore County, this 28th Day of July 2025.
Wes Moore
Governor
ATTEST:
Susan C. Lee
Secretary of State
[25-16-08]
The Judiciary
SUPREME COURT OF MARYLAND
DISCIPLINARY PROCEEDINGS
This is to certify that by an Order of this Court dated July
25, 2025, DUNCAN KENNER BRENT (CPF# 9312140089), as of July 25, 2025,
Duncan Kenner Brent has been immediately suspended, 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).
* * * * * * * * * *
This is to certify that by an Order of this Court dated July
25, 2025, PHILIP ALLEN DAVIS (CPF# 1512030002), as of July 25, 2025,
Philip Allen Davis name has been replaced on the
register of attorneys permitted to practice law in the Supreme Court of
Maryland. 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 July
25, 2025, EDWARD C. CROSSLAND
(CPF# 9312140172), as of July 25, 2025, Edward C. Crossland name has been
replaced on the register of attorneys permitted to practice law in the Supreme
Court of Maryland. Notice of this action is given in accordance with Maryland
Rule 19-761(b).
* * * * * * * * * *
[25-16-07]
Emergency Action on Regulations
Symbol Key
• Roman
type indicates text existing before emergency status was granted.
• Italic
type indicates new text.
• [Single brackets] indicate deleted text.
Emergency Regulations
Under State
Government Article, §10-111(b), Annotated Code of Maryland, an agency may
petition the Joint Committee on Administrative, Executive, and Legislative
Review (AELR), asking that the usual procedures for adopting regulations be set
aside because emergency conditions exist. If the Committee approves the
request, the regulations are given emergency status. Emergency status means
that the regulations become effective immediately, or at a later time specified
by the Committee. After the Committee has granted emergency status, the
regulations are published in the next available issue of the Maryland Register.
The approval of emergency status may be subject to one or more conditions,
including a time limit. During the time the emergency status is in effect, the
agency may adopt the regulations through the usual promulgation process. If the
agency chooses not to adopt the regulations, the emergency status expires when
the time limit on the emergency regulations ends. When emergency status
expires, the text of the regulations reverts to its original language.
Title 13A
STATE BOARD OF EDUCATION
Subtitle 01 STATE SCHOOL
ADMINISTRATION
13A.01.02 State Superintendent
of Schools
Authority: Education Article, §§2-205[(g)], 2-303, 5-301, 7-103,
and 7-409, Annotated Code of Maryland
Notice of Emergency Action
[25-154-E]
The Joint Committee on Administrative, Executive, and Legislative
Review has granted emergency status to amendments to Regulation .01
under COMAR 13A.01.02 State Superintendent of Schools.
Emergency status began:
July 23, 2025.
Emergency status
expires: January 19, 2026.
Estimate of Economic Impact
The emergency action has no economic impact.
Economic Impact on Small Businesses
The emergency action has minimal or no economic impact on small
businesses.
Editor’s Note: The text of this
document will not be printed here because it appears as a Notice of Proposed
Action on page 860 of this issue, referenced as [25-154-P].
CAREY M. WRIGHT, ED.D.
State Superintendent of Schools
Title
14
INDEPENDENT AGENCIES
Subtitle 35 MARYLAND HEALTH BENEFIT EXCHANGE
14.35.21 State-Based Health Insurance
Subsidies Program
Authority: Insurance
Article, §31-106(c)(1)(iv), Annotated Code of Maryland
Notice of Emergency
Action
[25-127-E]
The Joint Committee on
Administrative, Executive, and Legislative Review has granted emergency status
to new Regulations .01—.07 under a new chapter, COMAR 14.35.21 State-Based Health
Insurance Subsidies Program.
Emergency status began: July 11, 2025.
Emergency status expires: January 10, 2026.
Estimate of Economic Impact
The emergency action has no economic impact.
Economic Impact on Small Businesses
The emergency action has minimal or no economic impact on small
businesses.
Editor’s Note: The text of this document will not be printed here
because it appeared as a Notice of Proposed Action in 52:14:Md. R. 788—790 (July
11, 2025), referenced as [25-127-P].
MICHELE EBERLE
Executive Director
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 10
MARYLAND DEPARTMENT OF HEALTH
Subtitle 27 BOARD OF NURSING
10.27.01 Examination and
Licensure
Authority: Health Occupations Article, §§1-213, 8-201, 8-205,
8-206, 8-301—8-315, 8-6A-05(a), 8-701, 8-7A-01, Article 1116(b)(2), and 8-703;
Annotated Code of Maryland; Ch. 486, Acts of 2012; Chs. 281 and 282, Acts of
2013; Chs. 385 and 386, Acts of 2016; and Chs. 234 and 234, Acts of 2017
Notice of Final Action
[25-089-F]
On July 17, 2025, the Secretary of Health adopted amendments to
Regulation .13 under COMAR 10.27.01 Examination and Licensure.
This action, which was proposed for adoption in 52:11 Md. R. 554—555 (May 30,
2025), has been adopted as proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 30 COMMISSION ON KIDNEY
DISEASE
Notice of Final Action
[25-100-F]
On July 29, 2025, the Chairman of the Maryland Commission on Kidney
Disease adopted:
(1) Amendments to Regulations .01, .02, .03—.05,
.07—.09, and .11 under COMAR 10.30.01 General Regulations;
(2) Amendments to Regulations .02—.07 under COMAR
10.30.02 Physical and Medical Standards;
(3) Amendments to Regulations .02 and .03 under COMAR
10.30.03 Transmissible Diseases; and
(4) The repeal of existing Regulation .02 and amendments to
and the recodification of existing Regulation .03 to be Regulation .02
under COMAR 10.30.04 Dialyzer Reuse and Water Standards.
This action, which was proposed for adoption in 52:12 Md. R.
616—620 (June 13, 2025), has been adopted with the nonsubstantive changes shown
below.
Effective Date: August 18, 2025.
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 10.30.02.03F(1)(a)(i): This change corrects an error.
10.30.02 Physical and Medical Standards
Authority: Health-General Article, §§13-301—13-316 and 16-204,
Annotated Code of Maryland
.03 Freestanding Dialysis Facilities—General.
A.—E. (proposed text unchanged)
F. Administrator.
(1) Qualifications.
(a) The kidney dialysis facility administrator, if not the chief
executive officer, shall at a minimum:
[[(i) Be
certified or licensed as a health care professional;]]
[[[(i)]]] [[(ii)]]—[[[(iv)]]]
[[(v)]] (proposed text unchanged);
(b) (proposed text unchanged)
(2)—(4) (proposed text unchanged)
SUMESKA THAVARAJAH, M.D.
Chairman, Maryland Commission on Kidney Disease
Subtitle 32 BOARD OF PHYSICIANS
10.32.14 Unlicensed
X-Ray Machine Operator
Authority: Health Occupations Article, §§14-207, 14-306, and
14-308.1, Annotated Code of Maryland
Notice of Final Action
[25-097-F]
On July 29, 2025, the Secretary of Health adopted amendments to
Regulation .01, and new Regulations .02—.09 under COMAR 10.32.14
Unlicensed Limited X-Ray Machine Operator. This action, which was proposed
for adoption in 52:12 Md. R. 621—623 (June 13, 2025), has been adopted as
proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 38 BOARD OF PHYSICAL THERAPY
EXAMINERS
Notice of Final Action
[25-099-F]
On July 18, 2025, the Secretary of Health adopted amendments to:
(1) Regulation .02 under COMAR 10.38.07 Fee Schedule; and
(2) Regulation .05 under COMAR 10.38.08 Continuing
Education Requirements.
This action, which was proposed for adoption in 52:11 Md. R.
565—566 (May 30, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 44 BOARD OF DENTAL EXAMINERS
10.44.34 Inspections Compliance
with Centers for Disease Control and Prevention Guidelines
Authority: Health Occupations Article, §§4-205(c)(1) and
4-205(a)(6), Annotated Code of Maryland
Notice of Final Action
[25-093-F]
On July 29, 2025, the Secretary of Health adopted new Regulations .01—.04
under a new chapter, COMAR 10.44.34 Inspections—Compliance with Centers
for Disease Control and Prevention Guidelines. This action, which was
proposed for adoption in 52:12 Md. R. 623—624 (June 13, 2025), has been adopted
as proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 56 BOARD OF DIETETIC PRACTICE
10.56.01 Licensure
Authority: Health Occupations Article, §§5-205, 5-301, 5-303,
5-306, and 5-308––5-310, Annotated
Code of Maryland
Notice of Final Action
[25-072-F]
On July 25, 2025, the Secretary of Health adopted amendments to
Regulations .02—.04, .06, .08, the repeal of existing
Regulation .09, and the adoption of new Regulations .09—.12 under
COMAR 10.56.01 Licensure. This action, which was proposed for adoption
in 52:11 Md. R. 566—568 (May 30, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 65 BOARD OF MASSAGE THERAPY
EXAMINERS
10.65.01 General Regulations
Authority: General Provisions Article, §4-333(c); Health
Occupations Article, §§6-101, 6-102, 6-201—6-206, 6-301—6-306, and 6-504,
Annotated Code of Maryland
Notice of Final Action
[25-095-F]
On July 24, 2025, the Secretary of Health adopted amendments to
Regulation .06 under COMAR 10.65.01 General Regulations. This
action, which was proposed for adoption in 52:11 Md. R. 568 (May 30, 2025), has
been adopted as proposed.
Effective Date: August 18, 2025.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Title 13B
MARYLAND HIGHER EDUCATION COMMISSION
Subtitle 08 FINANCIAL AID
13B.08.03 Charles W. Riley
Firefighter and Ambulance and Rescue Squad Member Scholarship Program
Authority: Education Article, §§11-105, 18-204, and 18-603.1,
Annotated Code of Maryland
Notice of Final Action
[25-081-F]
On July 23, 2025, the Maryland Higher Education Commission adopted
amendments to Regulations .02, .04, and .09 under COMAR
13B.08.03 Charles W. Riley Firefighter and Ambulance and Rescue Squad Member
Scholarship Program. This action, which was proposed for adoption in 52:11
Md. R. 569 (May 30, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
SANJAY RAI
Secretary
13B.08.23 Workforce
Development Sequence Scholarship
Authority: Education Article, §§11-105 and 18-204, and Title 18,
Subtitle 33, Annotated Code of Maryland
Notice of Final Action
[25-083-F]
On July 23, 2025, the Maryland Higher Education Commission adopted
amendments to Regulation .07 and the repeal of existing Regulation .08
under COMAR 13B.08.23 Workforce Development Sequence Scholarship. This
action, which was proposed for adoption in 52:11 Md. R. 569 (May 30, 2025), has
been adopted as proposed.
Effective Date: August 18, 2025.
SANJAY RAI
Secretary
Title 14
INDEPENDENT AGENCIES
Subtitle 11 PROGRAM SERVICES
14.11.01 Attendant Care
Program
Authority: Human Services Article, §§7-401—7-406, Annotated Code of
Maryland
Notice of Final Action
[25-085-F]
On July 15, 2025, the Maryland Department of Disabilities adopted
amendments to Regulations .01—.07, the repeal of existing Regulation .08,
amendments to and the recodification of existing Regulations .09 and .13
to be Regulations .08 and .12, and the recodification of existing
Regulations .10—.12 to be Regulations .09—.11 under COMAR 14.11.01
Attendant Care Program. This action, which was proposed for adoption in
52:11 Md. R. 571—572 (May 30, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
KIMBERLY MCKAY
Assistant Secretary for Programs
Subtitle 35 MARYLAND HEALTH BENEFIT
EXCHANGE
Notice of Final Action
[25-086-F]
On July 21, 2025, the Maryland Health Benefit Exchange adopted:
(1) Amendments to Regulation .04
under COMAR 14.35.02 Individual Exchange Navigator Certification and
Training Standards;
(2) Amendments to Regulations .02 and .04 under COMAR
14.35.04 Insurance Producer Authorization to Sell Qualified Plans in the SHOP
Exchange and Individual Exchange;
(3) Amendments to Regulation .02 under COMAR 14.35.05
Insurance Producer Authorization—Renewal, Reinstatement, and Suspension or
Revocation of Authorization;
(4) The repeal of existing Regulations .01—.06 under COMAR
14.35.08 Captive Producer Training and Authorization Standards.
(5) Amendments to Regulation .01
under COMAR 14.35.10 Appeals from Determinations Regarding Producer
Authorization or Individual Exchange Navigator Certification; and
(6) Amendments to Regulation .06
under COMAR 14.35.13 Application Counselor Training and Certification
Standards.
This action, which was proposed for adoption in 52:12 Md. R.
626—627 (June 13, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
MICHELE EBERLE
Executive Director
Subtitle 39 INTERAGENCY COMMISSION ON
SCHOOL CONSTRUCTION
14.39.04 Project Delivery
Methods
Authority: Education Article §§4-126, 5-112, and 5-303, Annotated
Code of Maryland
Notice of Final Action
[25-079-F]
On July 17, 2025, the Interagency Commission on School Construction
adopted amendments to Regulations .05 and .08 under COMAR
14.39.04 Project Delivery Methods. This action, which was proposed for
adoption in 52:10 Md. R. 471 (May 16, 2025), has been adopted as proposed.
Effective Date: August 18, 2025.
ALEX DONAHUE
Executive Director
Proposed Action on Regulations
Title 07
DEPARTMENT OF HUMAN SERVICES
Subtitle
02 SOCIAL SERVICES ADMINISTRATION
07.02.07 Child Protective
Services—Investigation of Child Abuse and Neglect
Authority: Human Services
Article, §2-209, Annotated Code of Maryland
Notice of Proposed
Action
[25-151-P]
The Department of Human
Services proposes to amend Regulations .02, .03, and .11 under COMAR
07.02.07 Child Protective Services—Investigation of Child Abuse and Neglect.
Statement of Purpose
In compliance with Family
Law Article, §5-701, Annotated Code of Maryland, labor trafficking will be
added to the COMAR definition of child abuse under COMAR 07.02.07.02.
Additionally, under COMAR 07.02.07.03.C(2), labor trafficking will be included
in the list of cases not eligible for alternative responses. Under COMAR
07.02.07.11, Child Abuse Disposition, labor trafficking will be amended to
include it as the fifth element that can be present during an allegation of
child abuse.
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 Daniel Cohen, Legislative Analyst,
Department of Human Services, 25 S Charles Street Room #1921, Baltimore, MD,
21201, or call 443-610-5619, or email to [email protected]. Comments
will be accepted through September 8, 2025. A public hearing has not been
scheduled.
.02
Definitions.
A. (text unchanged)
B. Terms Defined.
(1)—(10) (text unchanged)
(11) “Child abuse” means:
(a) The physical or mental
injury of a child under circumstances that indicate that the child’s health or
welfare is harmed at substantial risk of being harmed by:
(i)—(iii) (text unchanged)
(iv) An authority figure; [or]
(b) Sexual abuse, whether
physical injuries sustained or not; or
(c) Labor trafficking.
(12)—(29) (text unchanged)
(30) “Labor Trafficking”
means knowingly:
(a) Taking, placing,
harboring, persuading, inducing, or enticing a child by force, fraud, or
coercion to provide services or labor; or
(b) Receiving a benefit
or thing of value from the provision of services or labor by a child that was
induced by force, fraud, or coercion.
[(30)] (31)—[(59)] (60)
(text unchanged)
.03
Eligibility for a CPS Response.
A.—B. (text unchanged)
C. Investigation.
(1) (text unchanged)
(2) Reports that are not
eligible for an alternative response and must be investigated are:
(a) (text unchanged)
(b) Reports of Labor
Trafficking;
[(b)] (c)—[(d)] (e)
(text unchanged)
D.—E. (text unchanged)
.11
Child Abuse Disposition.
A. Indicated Child Abuse.
(1) Physical Abuse with No Mental Injury. Except
as provided in §A(3) of this regulation, a local department may make a finding
of indicated child physical abuse if there is credible evidence, which has not
been satisfactorily refuted, that the following [four] five
elements were present during the alleged child abuse:
(a)—(b) (text unchanged)
(c) A parent, caregiver,
authority figure, or household or family member of the alleged victim
responsible for the alleged abuse; [and]
(d) Circumstances including
the nature, extent, and location of the injury indicating that the alleged
victim’s health or welfare was harmed or was at substantial risk of harm[.]
; and
(e) Labor Trafficking.
(2)—(3) (text unchanged)
B.—D. (text unchanged)
RAFAEL LOPEZ
Secretary
Title 08
DEPARTMENT OF NATURAL RESOURCES
Subtitle
03 WILDLIFE
08.03.04 Forest Wildlife
Authority: Natural
Resources Article, §§10-416 and 10-428, Annotated Code of Maryland
Notice of Proposed
Action
[25-158-P]
The Secretary of Natural
Resources proposes to adopt new Regulation .25 under COMAR 08.03.04
Forest Wildlife.
Statement of Purpose
The
purpose of this action is to implement provisions of Natural Resources Article,
§10-428, Annotated Code of Maryland, that addresses the killing of wounded deer
after legal shooting hours.
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 Brian Eyler , Wildlife and Heritage
Service, Maryland Department of Natural Resources, 14038 Blairs Valley Road,
Clear Spring, MD 21722, or call 301-842-0332, or email to
[email protected]. Comments will be accepted through September 8, 2025.
A public hearing has not been scheduled.
.25 Killing Wounded Deer After Legal Shooting Hours.
A. A hunter who wounds a deer during legal shooting hours may
pursue and kill the deer after legal shooting hours subject to the following
restrictions:
(1) The pursuit and killing of the deer must occur within 24
hours of the end of legal shooting hours on the day the deer was wounded;
(2) No person other than the hunter or a tracking dog handler
may carry a firearm or bow of any description while pursuing a wounded deer
after legal shooting hours;
(3) No person other than the hunter or a tracking dog handler
may kill a wounded deer that is pursued after legal shooting hours;
(4) The hunter or tracking dog handler shall use only the means
authorized for the applicable hunting season or permit to pursue and kill the
deer; and
(5) No additional hunting or pursuit of unwounded game is
permitted after legal shooting hours.
B. Except as provided for in this subtitle, the act of pursuing
and killing a wounded deer constitutes hunting as defined by Natural Resources
Article, §10-101(k)(1), Annotated Code of Maryland, and is subject to all
applicable laws, regulations, and conditions.
C. A hunter who pursues a wounded deer after legal shooting
hours may use an artificial light including a spotlight, flashlight, headlamp,
or other lighting device to cast a ray on the deer while in pursuit or while
killing the animal.
D. Motorized vehicles may not be used to pursue a wounded deer
during or after legal shooting hours.
E. If a hunter believes a deer will need to be killed after
legal shooting hours, the hunter shall notify the Natural Resources Police by
calling the Department of Natural Resources (DNR) Communication Center 24-Hour
Emergency telephone number prior to initiating or continuing the pursuit after
legal shooting hours and once the pursuit has concluded. The hunter shall
provide the following information:
(1) The address and general location of where the deer was
wounded;
(2) The name, address, telephone number, and DNRid number of the
hunter;
(3) The name and, if known, the telephone number of the
landowner where the deer was wounded;
(4) The direction in which the wounded deer was traveling; and
(5) The status of the pursuit when it concluded.
F. This subtitle does not authorize a hunter to trespass onto
the property of another in pursuit of a wounded deer.
G. Recovered deer must be tagged and reported in accordance with
COMAR 08.03.04.03.
JOSH KURTZ
Secretary of Natural
Resources
Title 09
MARYLAND DEPARTMENT OF LABOR
Subtitle
20 BOARD OF PLUMBING
09.20.01 State Plumbing Code
Authority: Business
Occupations and Professions Article, §§12-101(p), 12-205(a), and 12-207(a),
Annotated Code of Maryland
Notice of Proposed
Action
[25-143-P-I]
The Maryland Board of
Plumbing proposes to amend Regulation .01 and repeal Regulations .02.—.04,
.06, .07 under COMAR 09.20.01 State Plumbing Code. This action was considered at a public
meeting of the State Board of Plumbing held on October 17, 2024, notice of
which was provided by posting the State Board of Plumbing's website, in
accordance with General Provisions Article, §3-302(c)(3)(ii), Annotated Code of
Maryland.
Statement of Purpose
The purpose of this action
is to update the editions of the State Plumbing Codes adopted by the Board of
Plumbing and to repeal modification provisions that are no longer necessary.
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 Charles Marquette, Executive Director,
Maryland Department of Labor, 100 S. Charles Street, Tower 1, Suite 3300,
Baltimore, MD 21201, or call 410-230-6160, or email to
[email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
Open Meeting
Final action on the proposal will be considered by Maryland Board
of Plumbing during a public meeting to be held on September 18, 2025 at 10:30
a.m., at 100 S. Charles Street, Tower 1, Suite 3300, Baltimore, MD 21201.
Editor’s Note on Incorporation by Reference
Pursuant to State Government Article, §7-207, Annotated Code of
Maryland, The International Plumbing Code, The International Residential Code, The
International Fuel Gas Code, the National Fuel Gas Code, and The Liquefied
Petroleum Gas Code, have been declared documents generally available to the
public and appropriate for incorporation by reference. For this reason, they
will not be printed in the Maryland Register or the Code of Maryland
Regulations (COMAR). Copies of these documents are filed in special public
depositories located throughout the State. A list of these depositories was
published in 52:2 Md. R. 53 (January 24, 2025), and is available online at
www.dsd.maryland.gov. These documents may also be inspected at the office of
the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401.
.01 Incorporation by Reference.
A. In this chapter, the [following] documents set
forth in §B of this regulation are incorporated by reference[, as modified
by Regulations .02—.06].
B. [Documents Incorporated.] In
compliance with Business Occupations and Professions Article, §§12-101(p) and
12-205(a), Annotated Code of Maryland, the Board adopts the most recent version
of the following Codes as they may be amended, modified, or updated from time
to time.
(1) [2018] The International
Plumbing Code (International Code Council, 500 New Jersey Avenue, N.W., 6th
Floor, Washington, DC 20001), which has been incorporated by reference in COMAR
09.12.50.02-1B(2).
(2) [2018] The International
Residential Code, (International Code Council, 500 New Jersey Avenue, N.W.,
6th Floor, Washington, DC 20001), [Chapters 2, 20—22, 24, 26—33, and 44
and Appendices A—E, I, and P], which has been incorporated by reference
in COMAR 09.12.50.02-1B(4) and 09.12.51.04A(2).
(3) [2018] The International Fuel Gas Code (International
Code Council, 500 New Jersey Avenue, N.W., 6th Floor, Washington, DC 20001.
(4) The most recent version of the
National Fuel Gas Code, NFPA 54.
[(4)] (5) The Liquefied Petroleum Gas
Code, NFPA 58[, 2017 Edition].
JOSEPH RADTKA
Chair, Maryland Board of
Plumbing
Subtitle
22 BOARD OF COSMETOLOGISTS
Notice of Proposed
Action
[25-020-R]
The Board of
Cosmetologists proposes to amend:
(1) Regulations .04
and .15 under COMAR 09.22.01, General Regulations, and
(2) Regulations .03
and .05 under COMAR 09.22.02, Beauty Salons.
This action was considered
at a public meeting of the Board of Cosmetologists on June 2, 2025. Because
substantive changes have been made to the original proposal as published in
52:6 Md. R. 273—274 (March 21, 2025), this action is being reproposed at this
time.
Statement of Purpose
The purpose of this action
is to implement the expanded definition of esthetic services enacted by the
General Assembly in SB1044 in April 2024 by defining specific esthetic services
authorized by the legislation.
Estimate of Economic Impact
The proposed action has no economic impact.
Economic Impact on Small Businesses
The proposed action has a meaningful economic impact on small
businesses. An analysis of this economic impact follows:
The proposed amendments will benefit businesses by allowing beauty
salons to provide additional services, which may result in additional revenue.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Nicole Fletcher, Executive Director, Board
of Cosmetologists, 100 S. Charles St., Tower I, Baltimore, MD 21201, or
call 410-230-6190, or email to
[email protected]. Comments will be accepted through August 25, 2025. A
public hearing has not been scheduled.
|
Ed. Note: Pursuant to State Government Article, §10-113, Annotated
Code of Maryland, if a promulgating agency substantively alters the text of
regulations that have been previously proposed in the Maryland Register, the
altered text must be published in the Maryland Register as though it were
initially proposed. The text of regulations appearing immediately below has
been altered substantively from the initially proposed text.
|
|
Symbols: Roman
type indicates existing text of regulations. Italic type indicates
initially proposed new text. Arial Bold
Italic type
indicates new text that substantively alters the text as initially proposed.
[Single brackets] indicate existing text proposed for repeal. [[[Triple
brackets]]] indicate text proposed for deletion which substantively alters
the originally proposed text.
|
09.22.01 General Regulations
Authority: Business Occupations and Professions Article, §5-205(a),
Annotated Code of Maryland
.04 (originally
proposed text unchanged)
.15 Citations to Licensees.
Unless otherwise indicated, the following civil penalties
are applicable to the following violations of the laws and regulations of the
Board of Cosmetologists discovered by a Board inspector during an inspection of
a beauty salon:
A.—C. (originally proposed text unchanged)
D. Unauthorized services:
(1)—(3) (originally proposed text unchanged)
(4) Chemical peels that penetrate the skin beyond the
epidermis—formal hearing;
(5) Practice causing tissue destruction or penetration to
the blood fluid barrier—formal hearing;
(6) Credo blade—$300;
E.—F. (originally proposed text unchanged)
09.22.02 Beauty Salons
Authority: Business Occupations and Professions Article, §5-205(a),
Annotated Code of Maryland
.03 Prohibitions.
The following activities are prohibited in any full service
or limited practice salon or in regard to any salon-sponsored services:
A.—I. (originally proposed text unchanged)
J. Unless an individual possesses a valid and appropriate health
occupation license issued by the Maryland Department of Health:
(1) —(2) (originally proposed text unchanged)
(3) Chemical peels that
penetrate the skin beyond the epidermis;
(4)—(7) (originally proposed text unchanged)
.05 (originally
proposed text unchanged)
KENNETH SIGMAN
Assistant Attorney
General
Title 10
MARYLAND DEPARTMENT OF HEALTH
Subtitle 25 MARYLAND HEALTH CARE
COMMISSION
10.25.07 Certification of
Electronic Health Networks and Medical Care Electronic Claims Clearinghouses
Authority: Health-General Article, §§4-302.1, 4-302, 4-302.2—.3,
4-302.5, 19-103(c)(2), (9) and (10), 19-109(a)(1) and (8), 19-133(d), 19-134,
and 19-135(a) and (b), Annotated Code of Maryland
Notice of Proposed Action
[24-165-R]
The Maryland Health Care Commission proposes to amend Regulations .01,
.02 and .05, adopt new Regulation .09, amend and recodify
existing Regulations .09 and .10 to be Regulations .10 and
.11, and recodify existing Regulation .11 to be Regulation .12
under COMAR 10.25.07 Certification of Electronic Health Networks and Medical
Care Electronic Claims Clearinghouses.
This action was considered by the Commission at an open meeting held on
June 12, 2025, a notice of which was given through publication in the Maryland
Register, in accordance with General Provisions Article, §3-302(c), Annotated
Code of Maryland. Because
substantive changes have been made to the original proposal as published in
51:24 Md. R. 1086—1088 (December 2, 2024), this action is being reproposed at
this time.
Statement of Purpose
The purpose of this action is to re-propose amendments and a new
regulation to COMAR 10.25.07 Certification of Electronic Health Networks and
Medical Care Electronic Claims Clearinghouses.
Legislation passed by the Maryland General Assembly in 2021
(Chapter 790/House Bill 1022 and Chapter 791/Senate Bill 748, Public
Health—State Designated Exchange—Clinical Information) requires the Maryland
Health Care Commission (MHCC) to adopt regulations to support a State health
improvement program, mitigate a public health emergency, and improve patient
safety by requiring MHCC-certified electronic health networks (EHNs) to provide
electronic health care transaction information to the State-designated health
information exchange (HIE) for clinical and public health purposes.
Legislation passed by the Maryland General Assembly in 2025
(Chapter 615/House Bill 1104, Maryland Department of Health—AHEAD Model
Implementation—Electronic Health Care Transactions and Population Health
Improvement Fund) clarifies that electronic health care transaction information
may be used to support the State’s participation in the Advancing All-Payer
Health Equity Approaches and Development (AHEAD) Model and any successor
models, among other things.
The re-proposed amendments clarify and build upon proposed
regulations published in Volume 51, Issue 24 of the Maryland Register on
December 2, 2025 based on certain public comments received and new legislation
passed during the 2025 Maryland legislative session pertaining to the AHEAD
Model.
Re-proposed amendments:
(1) Adds EHNs and the State-designated HIE to the scope of the
chapter;
(2) Modifies when EHNs must demonstrate compliance with
Health-General Article, §4-302.5, Annotated Code of Maryland;
(3) Allows electronic health care transaction information to be
used for public health and clinical purposes to facilitate the State’s
participation in the AHEAD Model;
(4) Clarifies required components and processes for the
State-designated HIE in developing the Electronic Health Care Transactions
Technical Submission Guidance;
(5) Extends the implementation timeline for the State-designated
HIE and EHNs; and
(6) Adds requirements for the State-designated HIE and EHNs to
report to MHCC on their implementation of the regulations.
Re-proposed amendments build upon previous
amendments that:
(1) Add definitions for improvement of patient safety, mitigation
of a public health emergency, State-designated HIE, and state health
improvement program;
(2) Adds a regulation requiring MHCC-certified EHNs to submit
certain electronic health care transactions to the State-designated HIE for
public health and clinical purposes;
(3) Requires the State-designated HIE to develop and publish
Electronic Health Care Transactions Technical Submission Guidance;
(4) Prohibits EHNs from charging a fee for providing electronic
health care transaction information; and
(5) Allows EHNs to request a one-year exemption from certain
reporting requirements.
Estimate of Economic Impact
I. Summary of Economic Impact. The proposed action has an
indeterminable economic impact on MHCC-certified EHNs. Some costs may be incurred to implement and
maintain technology to report certain electronic health care transactions to
the State-designated health information exchange. This cost is currently unknown though
implementation is anticipated to leverage existing infrastructure and
policies. MHCC-certified EHNs will be
able to request a one-year exemption from certain reporting requirements.
II. Types of Economic Impact.
|
Impacted Entity
|
Revenue
(R+/R-)
Expenditure
(E+/E-)
|
Magnitude
|
|
A. On issuing agency:
|
NONE
|
|
|
B. On other State agencies:
|
NONE
|
|
|
C. On local governments:
|
NONE
|
|
|
|
Benefit
(+)
Cost
(-)
|
Magnitude
|
|
D. On regulated industries or
trade groups:
|
|
|
|
Regulated Industry
|
(-)
|
Indeterminable
|
|
E. On other industries or
trade groups:
|
NONE
|
|
|
F. Direct and indirect
effects on public:
|
NONE
|
|
III. Assumptions. (Identified by Impact Letter and Number
from Section II.)
D. There is an indeterminable fiscal impact on the regulated
industry. The industry is still
determining what modifications to their systems will be needed to comply with
the new requirements. The regulations allow for a phased approach to
implementing the requirements.
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 Anna Gribble, Assistant Division Chief,
Center for Health Information Technology, Maryland Health Care Commission, 4160
Patterson Avenue Baltimore, Maryland 21215, or call 410-764-3379, or email to
[email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
|
Ed. Note: Pursuant to State Government Article, §10-113, Annotated
Code of Maryland, if a promulgating agency substantively alters the text of
regulations that have been previously proposed in the Maryland Register, the
altered text must be published in the Maryland Register as though it were
initially proposed. The text of regulations appearing immediately below has
been altered substantively from the initially proposed text.
|
|
Symbols: Roman
type indicates existing text of regulations. Italic type indicates
initially proposed new text. Arial Bold
Italic type
indicates new text that substantively alters the text as initially proposed.
[Single brackets] indicate existing text proposed for repeal. [[[Triple
brackets]]] indicate text proposed for deletion which substantively alters
the originally proposed text.
|
.01 Scope.
A.
This chapter provides for the certification of electronic health networks and
medical care electronic claims clearinghouses that operate in Maryland. Payors
that accept electronic health care transactions originating in Maryland may
only accept electronic health care transactions from electronic health networks
or medical care electronic claims clearinghouses that obtain certification
pursuant to this chapter.
B. This
chapter applies to:
(1) An
electronic health network, as defined in Regulation .02 of this chapter; and
(2) The
State-designated health information exchange or State-designated HIE as
designated by the Maryland Health Care Commission and the Health Services Cost
Review Commission pursuant to the statutory authority set forth under
Health-General Article, §19-143, Annotated Code of Maryland.
.02 (originally
proposed text unchanged)
.05 Standards for Certification.
A. In order to obtain certification, an applicant shall:
(1) (text unchanged)
(2) Meet the following standards for certification:
(a)—(b) (text unchanged)
(c) Provide an attestation signed by an officer of the applicant
that [[[the applicant restricts disclosure of legally protected health
information as required by Health-General Article, §4-302.5, Annotated Code of
Maryland;]]] to
the extent required by Health-General Article, §4-302.5, Annotated Code of
Maryland, the applicant:
(i)
Possesses the technological capability to filter and restrict from disclosure
legally protected health information;
(ii) Is
parsing restricted codes and conveying all other information in the health
record that is not prohibited by law to exchange; and
(iii)
Possesses the technological capacity to allow a consumer to request and consent
to the exchange of legally protected health information to a specific treating
provider;
(d)—(f) (text unchanged)
B. The Commission shall issue certification to an applicant that
has met all the requirements of [[[§§A and B]]] §A of this
regulation.
.09 Electronic Health Network Transaction Submission.
A. An MHCC-certified
EHN shall submit electronic health care transaction information
in accordance with this regulation to the State-designated HIE for public
health and clinical purposes to facilitate:
(1) (originally
proposed text unchanged)
(2) Mitigation of a
public health emergency; [[[or]]]
(3) Improvement of patient safety;
or
(4)
The participation of the State in the Center for Medicare and
Medicaid Innovation’s States Advancing All-Payer Health Equity Approaches and
Development (AHEAD) model and any successor models.
B.—D. (originally
proposed text unchanged)
E. Electronic Health
Care Transactions Technical Submission Guidance.
(1) [[[The]]]
In
consultation with stakeholders, including Commission staff, the
State-designated HIE shall develop an Electronic Health Care Transactions
Technical Submission Guidance [[[in consultation with
stakeholders that details the technical requirements for submitting electronic
health care transaction information to the State-designated HIE in accordance
with this regulation.]]] that:
(a)
Contains detailed technical requirements for submitting electronic health care
transaction information to the State-designated HIE;
(b)
Provides an option for MHCC-certified EHNs to submit electronic health care
transactions in a flat file; and
(c)
To the extent possible, utilizes industry recognized standards.
(2) The State-designated HIE shall:
(a)
Invite all MHCC-certified EHNs and Commission staff to at least one meeting to
discuss the initial development of the Electronic Health Care Transactions
Technical Submission Guidance;
(b)
Invite all MHCC-certified EHNs and Commission staff to at least one meeting
prior to making any material updates to the Electronic Health Care Transactions
Technical Submission Guidance;
(c)
Solicit public comments on a draft copy of the initial Electronic Health Care
Transactions Technical Submission Guidance, and any material updates to the
guidance, by:
(i)
Publishing the draft guidance on its website; and
(ii)
Sending the draft guidance to MHCC-certified EHNs and the Commission by e-mail;
(d)
Accept comments on the draft Electronic Health Care Transactions Technical
Submission Guidance for at least 30 days;
(e)
Publish a written response to any significant, substantive issues raised in
comments; and
(f)
Consider all stakeholder feedback prior to finalizing the Electronic Health
Care Transactions Technical Submission Guidance.
[[[(2)]]] (3)
The State-designated HIE shall [[[update]]] annually
submit to Commission staff a final draft of the
Electronic Health Care Transactions Technical Submission Guidance [[[on
an annual basis]]] for approval, which shall not be
unreasonably denied.
(4) The State-designated HIE and the Commission shall
publish the final, approved Electronic Health Care Transactions Technical
Submission Guidance on their websites.
[[[(3)]]] (5)
An MHCC-certified EHN shall submit electronic health care transaction
information to the State-designated HIE in a manner detailed in the most recent
version of the Electronic Health Care Transactions Technical Submission
Guidance.
F.—H. (originally
proposed text unchanged)
I. Effective Date.
(1) The
State-designated HIE shall publish the Electronic Health Care Transactions
Technical Submission Guidance within [[[six]]] 12
months of the final effective date of this regulation.
(2) An MHCC-certified
EHN shall begin submitting electronic health care transaction information based
on the most recent version of the Electronic Health Care Transactions Technical
Submission Guidance within [[[12]]] 18 months following
the initial publication of the Electronic Health Care Transactions Technical
Submission Guidance.
J.
Implementation Reporting.
(1)
Upon request, the State-designated HIE shall submit to the Commission updates
on:
(a)
Its status of developing the Electronic Health Care Transactions Technical
Submission Guidance;
(b)
Its progress in supporting MHCC-certified EHN implementation of the Electronic
Health Care Transactions Technical Submission Guidance; and
(c)
Any disruptions or technology failures that delay implementation and associated
impacts, if any.
(2)
An MHCC-certified EHN shall submit to the Commission at least quarterly:
(a)
An implementation plan and timeline detailing progress the MHCC-certified EHN
has made towards submitting electronic health care transaction information to
the State-designated HIE; and
(b)
Any other information requested by the Commission related to the implementation
of this regulation.
.10 Withdrawal of Certification and Other Penalties.
A. (originally proposed text unchanged)
[[[B. An MHCC-certified EHN shall report on compliance
progress to the Commission, as follows:
(1) By January 8, 2024, an MHCC-certified EHN shall submit to the
Commission:
(a) An affirmation that to the extent required by Health-General
Article, §4-302.5, Annotated Code of Maryland, it:
(i) Possesses the technological capability to filter and restrict
from disclosure legally protected health information;
(ii) Is parsing restricted codes and conveying all other
information in the health record that is not prohibited by law to exchange; and
(iii) Possesses the technological capacity to allow a consumer to
request and consent to the exchange of legally protected health information to
a specific treating provider; or
(b) An implementation plan that includes:
(i) An affirmation that, despite its best efforts, the
MHCC-certified EHN lacks the technological capability to fully comply with
Health-General Article, §4-302.5, Annotated Code of Maryland, as of January 8,
2024, including a detailed explanation of the EHN’s limitations;
(ii) A detailed description of the steps the MHCC-certified EHN is
taking to ensure compliance with Health-General Article, §4-302.5, Annotated
Code of Maryland, by June 1, 2024;
(iii) A timeline to implement Health-General Article, §4-302.5,
Annotated Code of Maryland, by June 1, 2024; and
(iv) A description of the extent legally protected health
information and other health information will be restricted by the
MHCC-certified EHN during the implementation of its plan.
(2) If a MHCC-certified EHN submits an implementation plan in
accordance with §B(1) of this regulation, the EHN shall:
(a) Provide a status report to the Commission by April 1, 2024,
detailing the progress the MHCC-certified EHN has made under its implementation
plan; and
(b) Submit validation to the Commission by June 1, 2024, that it
possesses the technological capability to filter and restrict from disclosure
legally protected health information to the extent required by law.]]]
[[[C.]]] B. —[[[D.]]]
C. (originally proposed text unchanged)
.11 (originally proposed text unchanged)
.12 (originally proposed text unchanged)
MARCIA BOYLE
Chair
Subtitle 27 BOARD OF NURSING
10.27.01 Examination and
Licensure
Authority: Health Occupations Article, §8-205 and 8-301, Annotated
Code of Maryland
Notice of Proposed Action
[25-163-P]
The Secretary of Health proposes to amend Regulations .01, .03,
and .17 under COMAR 10.27.01 Examination and Licensure. This action was considered by the Board at a
public meeting held on March 23, 2022, notice of which was given by publication
on the Board’s website at
https://health.maryland.gov/mbon/Pages/meetings-index.aspx, pursuant to General
Provisions Article, §3–302(c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to alter the licensure requirement
exceptions for registered nursing and licensed practical nursing graduates. The
language proposed will comply with the provisions outlined in Chs. 222 and 223
(HB 611 and SB 960), Acts of 2023.
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 Jordan Fisher Blotter, Director, Office of
Regulation and Policy Coordination, Maryland Department of Health, 201 West
Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or
email to [email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
.01 Definitions.
A. (text unchanged)
B. Terms Defined.
(1) (text unchanged)
(2) “Advanced practice registered nurse” has the meaning stated
in Health Occupations Article, §8-101, Annotated Code of Maryland.
[(2)] (3)—[(4)] (5) (text
unchanged)
(6) Certified Nursing Assistant.
(a) “Certified nursing assistant” means an individual,
regardless of title, who routinely performs nursing tasks delegated by a
registered nurse or licensed practice nurse for compensation.
(b) “Certified nursing assistant” does not mean a certified
medication technician.
[(5)] (7)—[(12)] (14) (text
unchanged)
(15) “Geriatric nursing assistant” means a certified nursing
assistant who has successfully completed the requirements for geriatric nursing
assistant mandated under federal law and the regulations of the Board.
(16) “Former licensee” means an individual who once had an
active license with the Board who is no longer active.
[(13)] (17)—[(14)] (18)
(text unchanged)
(19) “Nursing assistant” means either:
(a) A certified nursing assistant; or
(b) A geriatric nursing assistant.
[(15)] (20)—[(20)] (25)
(text unchanged)
C.—D. (text unchanged)
.03 Licensure Exceptions.
A.—B. (text unchanged)
C. Nursing Graduate.
(1) (text unchanged)
(2) A nursing graduate may practice as set forth in [§B(5)—(7)]
§C(5)—(7) of this regulation [until the earlier of] if:
(a) [90 days from graduation; or] The nursing
graduate has an application for a license pending before the Board; and
(b) [Receipt of the results from the initial NCLEX
examination taken.] One of the following circumstances exists:
(i) The nursing graduate has not taken the NCLEX examination;
(ii) The nursing graduate has taken the NCLEX examination, but
the results of the NCLEX examination are not yet known;
(iii) The nursing graduate has taken and passed the NCLEX
examination but is waiting for the completion of the criminal history records
check; or
(iv) The nursing graduate has taken and failed the NCLEX
examination but has not failed the NCLEX examination more than one time within
the 120 day period immediately following the submission of the application to
the Board.
(3) [A nursing graduate shall cease practice as a
nursing graduate immediately if the nursing graduate fails the initial NCLEX
examination.] A nursing graduate shall cease practice as a nursing
graduate:
(a) No later than 120 days after the date the nursing graduate
submitted an application to the Board; or
(b) Immediately if the nursing graduate fails the second NCLEX
examination.
(4)—(7) (text unchanged)
.17 Reinstatement.
A.—B. (text unchanged)
C. Temporary License.
(1) The Board shall issue a temporary license to a former
licensee who:
(a) Applies for reinstatement in accordance with Health
Occupations Article, §8-313, Annotated Code of Maryland;
(b) Meets the renewal requirements of Health Occupations
Article, §8-312, Annotated Code of Maryland; and
(c) Is awaiting the completion of the criminal history records
check.
(2) The temporary license issued pursuant to §C(1) of this
regulation is effective until the earlier of 90 days after the date of issue or
the date the Board issues an active license.
MEENA SESHAMANI, MD, PHD
Secretary of Health
10.27.05 Practice of Nurse
Midwifery
Authority: Health General Article, §4-403; Health Occupations Article,
§§8-101, 8-205, and 8-601—8-603[,]; Annotated Code of
Maryland; Ch. 752, Acts of 2024
Notice of Proposed Action
[25-156-P]
The Secretary of Health proposes to amend Regulations .01
and .06 under COMAR 10.27.05 Practice of Nurse Midwifery. This action was considered by the Board at a
public meeting held on September 25, 2024, notice of which was given by
publication on the Board’s website at
https://health.maryland.gov/mbon/Pages/meetings-index.aspx, pursuant to General
Provisions Article, §3–302(c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to require the specific licensee to
maintain medical records in accordance with Health-General Article, Title 4,
Subtitle 4, Annotated Code of Maryland and comply with applicable State and
federal law, pursuant to statutory requirements.
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 Jordan Fisher Blotter, Director, Office of
Regulation and Policy Coordination, Maryland Department of Health, 201 West
Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or
email to [email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
.01 Definitions.
A. (text unchanged)
B. Terms Defined.
(1)—(7) (text unchanged)
(8) “Clinical practice guidelines” means [written standards using guidelines established by:
(a) The ACNM in Standards for the Practice of Midwifery, as amended
or supplemented, and available from ACNM, 8403 Colesville Road, Suite 1550,
Silver Spring, MD 20910; or
(b) Any other national certifying body recognized by the Board.] standards for practice of midwifery using current guidelines
established by ACNM in Standards for the Practice of Midwifery.
(9)—(10) (text
unchanged)
(11)
"Newborn" means an infant in the first [48 hours of life.] 28 days after birth.
(12)—(14) (text
unchanged)
.06 Scope of
Practice.
A. (text unchanged)
B. A certified nurse
midwife shall keep a record of all cases attended and maintain medical
records in accordance with Health-General Article, Title 4, Subtitle 4,
Annotated Code of Maryland.
C. (text unchanged)
D. A certified nurse midwife shall
comply with applicable State and federal law.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Notice of Proposed Action
[25-159-P]
The Secretary of Health proposes to amend:
(1) Regulation .06 under COMAR 10.27.06 Practice of Nurse
Anesthetist;
(2) Regulations .03 and .07 under COMAR 10.27.07
Practice of the Nurse Practitioner;
(3) Regulation .02 under COMAR 10.27.09 Standards of
Practice for Registered Nurses;
(4) Regulation .02 under COMAR 10.27.10 Standards of
Practice for Licensed Practical Nurses;
(5) Regulation .06 under COMAR 10.27.16 Registered Nurse—Workers'
Compensation Medical Case Manager;
(6) Regulation .04 under COMAR 10.27.20 Management of
Infusion Therapy by the Registered Nurse and the Licensed Practical Nurse;
(7) Regulation .04 under COMAR 10.27.21 Registered
Nurse—Forensic Nurse Examiner;
(8) Regulation .05 under COMAR 10.27.25 Cosmetic
Procedures; and
(9) Regulation .02 under COMAR 10.53.05 Standards of
Practice and Conduct.
This action was considered by the Board at a public meeting held on
September 25, 2024, notice of which was given by publication on the Board’s
website at https://health.maryland.gov/mbon/Pages/meetings-index.aspx, pursuant
to General Provisions Article, §3–302(c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to require the specific licensees to
maintain medical records in accordance with Health-General Article, Title 4,
Subtitle 4, Annotated Code of Maryland, pursuant to HB 149/Ch. 779 (2024).
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 Jordan Fisher Blotter, Director, Office of
Regulation and Policy Coordination, Maryland Department of Health, 201 West
Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or
email to [email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
10.27.06 Practice of Nurse Anesthetist
Authority: Health General Article, §4-403; Health
Occupations Article, §8-205(a)(1), (3), (4), and (5)[,] ;
Annotated Code of Maryland
.06 Standards of Practice.
A.—B. (text unchanged)
C. The nurse anesthetist as part of the standards of practice
shall:
(1)—(7) (text unchanged)
(8) Maintain continual competence in anesthesia practice; [and]
(9) Respect and maintain the basic rights of patients[.];
and
(10) Maintain medical records in accordance with Health-General
Article, Title 4, Subtitle 4, Annotated Code of Maryland.
10.27.07 Practice of the Nurse
Practitioner
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205(a)(2); [Transportation Article, §13-704];
Annotated Code of Maryland
.03 Nurse Practitioner — Scope and Standards of Practice.
A.—F. (text unchanged)
G. A nurse practitioner shall maintain medical records in
accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of
Maryland.
.07 Preparing and Dispensing.
A.—B. (text unchanged)
C. A nurse practitioner shall:
(1) (text unchanged)
(2) Maintain all [prescriptions] prescription
files for [5] 7 years.
D. (text unchanged)
10.27.09 Standards of Practice for
Registered Nurses
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205[,]; Annotated Code of Maryland
.02 Standards of Care.
A.—F. (text unchanged)
G. Documentation. The RN shall maintain medical records in
accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of
Maryland.
10.27.10 Standards of Practice for Licensed Practical Nurses
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205(a)(2), Annotated Code of Maryland
.02 Nursing Process.
A.—B. (text unchanged)
C. Nursing Plan of Care.
(1)—(4) (text unchanged)
(5) Documentation. The LPN shall maintain medical records in
accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of
Maryland.
10.27.16 Registered Nurse—Workers'
Compensation Medical Case Manager
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205[,]; Annotated Code of Maryland
.06 Scope of Practice.
A.—B. (text unchanged)
C. The RN-WCCM shall maintain medical records in accordance with
Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.
10.27.20 Management of Infusion Therapy by the Registered
Nurse and the Licensed Practical Nurse
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205[,]; Annotated Code of Maryland
.04 Infusion Therapy Acts—General.
A. The licensee shall comply with the employer’s written
policies and procedures which are in compliance with this chapter regarding
infusion therapy.
B. The licensee shall maintain medical records in accordance
with Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.
10.27.21 Registered Nurse—Forensic Nurse Examiner
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205[,]; Annotated Code of Maryland
.04 Scope and Standards of Practice.
A.—D. (text unchanged)
E. An RN-FNE shall maintain medical records in accordance
with Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.
10.27.25 Cosmetic Procedures
Authority: Health-General Article, §4-403; Health
Occupations Article, §8-205(a)(1) and (2)[,]; Annotated
Code of Maryland
.05 Cosmetic Procedures in General.
A.—D. (text unchanged)
E. The nurse shall maintain medical records in accordance with
Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.
Subtitle 53 BOARD OF
NURSING—ELECTROLOGY PRACTICE COMMITTEE
10.53.05 Standards of Practice and Conduct
Authority: Health General Article, §4-403; Health
Occupations Article, §§8-205 and 8-6B-03[,]; Annotated
Code of Maryland
.02 Standards of Practice.
A.—C. (text unchanged)
D. Relationships with Patients. An electrologist shall:
(1)—(4) (text unchanged)
(5) Maintain written records of a patient under the electrologist's
care for at least [5] 7 years after termination of
treatment;
(6)—(10) (text unchanged)
E. Records, Confidentiality, and Informed Consent. An electrologist
shall:
(1)—(4) (text unchanged)
(5) Maintain medical records in accordance with Health-General
Article, Title 4, Subtitle 4, Annotated Code of Maryland.F. (text unchanged)
MEENA SESHAMANI, MD, PHD
Secretary of Health
Subtitle 27 BOARD OF NURSING
10.27.28 Delegation of
Acts by an Advanced Practice Registered Nurse
Authority: Health Occupations Article, §§8-205 and 8-6A-02,
Annotated Code of Maryland
Notice of Proposed Action
[25-160-P]
The Secretary of Health proposes to adopt new Regulations .01—.06
under a new chapter, COMAR 10.27.28 Delegation of Acts by an Advanced
Practice Registered Nurse. This
action was considered by the Board at a public meeting held on August 24, 2022,
notice of which was given by publication on the Board’s website at
https://health.maryland.gov/mbon/Pages/meetings-index.aspx, pursuant to General
Provisions Article, §3–302(c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to provide for the manner in which an
advanced practice registered nurse may delegate a nursing or other technical
task to an assistant and sets forth limitations on the authority of an advanced
practice registered nurse to delegate nursing or other technical tasks to an
assistant.
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 Jordan Fisher Blotter, Director, Office of
Regulation and Policy Coordination, Maryland Department of Health, 201 West
Preston Street, Room 534 Baltimore, Maryland 21201, or call 410-767-0938, or
email to [email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
.01 Scope.
A. This chapter governs the delegation of nursing or other
technical tasks by an advanced practice registered nurse to an assistant not
otherwise authorized under Health Occupations Article, Annotated Code of
Maryland.
B. This chapter may not be construed:
(1) As establishing the licensure, certification, or
registration of assistants by the Board;
(2) To apply to an individual who is licensed, certified, or
registered by a health occupations regulatory board, or health occupation
students, acting pursuant to Health
Occupations Article, Annotated Code of Maryland; and
(3) To mean that this chapter overrides, or is to be used in
lieu of, more stringent regulations, policies, and procedures established by
State licensure or certification requirements.
.02 Definitions.
A. In this chapter, the following terms have the meanings
indicated.
B. Terms Defined.
(1) “Advanced practice registered nurse (APRN)” has the meaning
stated in Health Occupations Article, §8-101, Annotated Code of Maryland.
(2) “Assistant” means an individual:
(a) To whom only routine nursing and technical tasks are
delegated by an advanced practice registered nurse;
(b) Who is trained as defined in §B(12) of this regulation; and
(c) Who is not licensed, certified, registered, or otherwise
authorized by law by the Board, or any other State health occupations board, to
practice any health occupation in the State.
(3) “Asynchronous telehealth interaction” has the meaning stated
in Health Occupations Article, §1-1001, Annotated Code of Maryland.
(4) “Board” means the Maryland Board of Nursing.
(5) “Delegating APRN” means an advanced practice registered
nurse who directs an assistant to perform nursing and technical tasks.
(6) “Direct supervision” means oversight exercised by a
delegating APRN who is:
(a) Personally treating the patient; and
(b) In the physical presence of the patient and the assistant.
(7) Mechanical Act.
(a) “Mechanical act” means an act which does not require
professional judgment, medical or pharmaceutical training, or discretion.
(b) “Mechanical act” does not include:
(i) Selecting a drug;
(ii) Labeling;
(iii) Measuring or calculating dosages;
(iv) Substituting one drug for another, including substituting a
generic or brand drug for the prescribed drug;
(v) Substituting one dosage form of a drug for another;
(vi) Altering the route of administration; or
(vii) Counseling patients.
(8) “On-site supervision” means oversight exercised by a
delegating APRN who is present at the same site as the assistant and the
patient and is:
(a) Able to be immediately available in person during the
assistant’s performance of a delegated act;
(b) In the context of a synchronous telehealth interaction, able
to be immediately available via secure telecommunications technology to the
telehealth visit during the assistant’s performance of a delegated act; or
(c) In the context of an asynchronous telehealth interaction,
able to review the assistant’s work and interact with the assistant before
communication with the patient.
(9) “Site” means any facility or location, including those
defined in Health-General Article, §§19-114 and 19-3B-01(b), Annotated Code of
Maryland, used for the delivery of health care services.
(10) “Synchronous telehealth interaction” has meaning stated in
Health Occupations Article, §1-1001, Annotated Code of Maryland.
(11) “Technical task” means a routine clinical act or task that
does not require clinical or nursing judgment and is performed with supervision
as specified within this chapter.
(12) “Trained” means possessing the knowledge, skills, and
abilities, as determined by the delegating APRN, to perform delegated nursing
and technical tasks.
.03 Standards for
Delegation.
A. An APRN who delegates shall:
(1) Assess the risk to the patient and the outcome of the
delegated acts;
(2) Delegate only those nursing and technical tasks that are
customary to the practice of an APRN;
(3) Delegate only those nursing and technical tasks for which
the assistant has been trained;
(4) Be responsible for the acts of the assistant;
(5) Supervise the assistant in accordance with this chapter; and
(6) If authorized to dispense prescription medication under
Health Occupations Article, Title 8, Annotated Code of Maryland, perform a
final check of the prescription medication before it is provided to the
patient.
B. The responsibility for the delegated act cannot be
transferred from the delegating APRN to another APRN, or to another licensed
health care provider that is authorized to delegate clinical and technical
tasks, without:
(1) The expressed consent of the other APRN or licensed health
care provider; and
(2) Informing the assistant.
.04 Scope of Delegation
to an Assistant.
A. An APRN may not delegate nursing and technical tasks to an
assistant which shall, by law or regulation, be performed only by an individual
that is required to be licensed, certified, registered, or otherwise recognized
pursuant to any State laws.
B. An APRN may delegate nursing and technical tasks, consistent
with national guidelines for nursing delegation established by the National
Council of State Boards of Nursing and the approved policies and procedures of
the site, in the following categories:
(1) Surgical technical tasks that the delegating APRN directly
orders while present and personally performing the surgery in the same surgical
field; and
(2) Nonsurgical technical tasks while the assistant is under the
delegating APRN’s direct supervision or on-site supervision.
C. Except as provided in §§B(1) and D of this regulation, an
APRN shall provide at minimum on-site supervision when delegating nursing or
technical tasks to an assistant, including, but not limited to, the following:
(1) Patient preparation for physical examination;
(2) Patient history interview;
(3) Collecting and processing specimens, such as performing
phlebotomy, inoculating culture media, pregnancy tests; dipstick and
microscopic urinalysis, and microbiology including rapid streptococcal testing
and throat cultures;
(4) Preparing and performing laboratory tests that the APRN is
satisfied the assistant is trained and qualified to perform under State and
Clinical Laboratory Improvement Amendments regulations;
(5) Clinical tests including, but not limited to:
(a) Application of tuberculin skin tests;
(b) Electrocardiography;
(c) Administering basic pulmonary function tests; and
(d) Visual field tests;
(6) Transmitting prescriptions to a pharmacy;
(7) Preparing and administering oral drugs;
(8) Preparing and administering injections limited to
intradermal, subcutaneous, and intramuscular within the deltoid, gluteal, or
vastus lateralis muscles including small amounts of local anesthetics;
(9) Establishing a peripheral intravenous line; and
(10) Injecting fluorescein-like dyes for retinal angiography.
D. When delegating injecting intravenous drugs or contrast
materials to an assistant, an APRN shall provide direct supervision.
E. An APRN who is authorized to dispense prescription medication
under Health Occupations Article, Title 8, Annotated Code of Maryland may
delegate only mechanical acts involved in dispensing a drug.
F. An APRN may not delegate to an assistant any act that
requires the exercise of clinical judgment by an APRN, including, but not
limited to:
(1) Conducting physical examinations;
(2) Administering any form of anesthetic agent or agent of
conscious sedation other than topical anesthetics or small amounts of local
anesthetics;
(3) Initiating independently any form of treatment, except for
cardiopulmonary resuscitation or other forms of emergency treatment authorized
to be performed by non-clinicians under State law;
(4) Establishing a diagnosis or giving clinical advice; and
(5) Providing physical therapy.
.05 Prohibited Conduct
and Penalties.
A. An assistant acting beyond the scope of this chapter may be:
(1) Considered to be engaged in the unlicensed practice of
nursing, advanced practice registered nursing, or any other health occupation
recognized by the State; and
(2) Subject to all applicable fines and penalties in accordance
with Health Occupations Article, §§8-701—8-711, Annotated Code of Maryland and
applicable regulations, or any other applicable provision of Health Occupations
Article, Annotated Code of Maryland.
B. A delegating APRN, through either act or omission,
facilitation, or otherwise enabling or forcing an assistant to practice beyond
the scope of this chapter, may be subject to discipline as set forth in Health
Occupations Article, §8-316, Annotated Code of Maryland.
C. A delegating APRN may not:
(1) Require an assistant to perform a delegated nursing or
technical task; or
(2) Permit an assistant to delegate any act to another
individual.
.06 Enforcement.
The Board shall conduct any necessary investigation regarding
the failure to comply with the requirements of Health Occupations Article,
Title 8, Annotated Code of Maryland and this chapter, and it may refer any
complaint or investigation to any other appropriate licensing or regulatory
authority in accordance with applicable laws and regulations.
MEENA SESHAMANI, MD, PHD
Secretary of Health
Title 11
DEPARTMENT OF TRANSPORTATION
Subtitle
03 MARYLAND AVIATION ADMINISTRATION
11.03.01 Baltimore/Washington International
Thurgood Marshall Airport
Authority: Transportation
Article, §§5-204, 5-208, and 5-426, Annotated Code of Maryland
Notice of Proposed
Action
[25-131-P]
The Executive Director of
the Maryland Aviation Administration proposes to amend Regulations .01 and
.04 under COMAR 11.03.01 Baltimore/Washington International
Thurgood Marshall Airport. This action was considered by the Maryland
Aviation Commission in an open meeting on February 19, 2025, notice of which
was given, pursuant to General Provisions, §3-302, Annotated Code of Maryland.
Statement of Purpose
The purpose of this action
is to update the definition of abandoned, derelict, inoperable and surplus
vehicles and equipment and to articulate the circumstances of when and how
vehicles and equipment can be removed from the Air Operations Area of the Airport.
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 Stacey Hicks-Johnson, Regulations
Coordinator, MAA, P.O. Box 8766 BWI Airport, MD 21240, or call 410-859-7351, or
email to [email protected]. Comments will be accepted through
August 8, 2025.
.01
Definitions.
A.
(text unchanged)
B.
Terms Defined.
(1) “Abandoned” means forsake, desert, give up
and surrender one’s claim or right.
[(1)] (2) —[(11)] (12) (text
unchanged)
[(11-1)] (13) (text unchanged)
[(12)] (14)— [(19)] (21) (text
unchanged)
(22) “Derelict
vehicle” means very poor condition as a result of disuse and neglect.
[(20)] (23) "Department" means the Maryland
Department of Transportation.
[(21)] (24)— [(26)] (29) (text
unchanged)
[(26-1)] (30) —[(44)] (48) (text
unchanged)
[(44-1)] (49)—[(47)] (52) (text
unchanged)
[(48)] (53) "Permit holder" means a qualified
business that:
(a)
Owns, operates, or authorizes a person to operate a permitted commercial or
courtesy vehicle as defined in [§B(15) and (17)] §§B(17)
and (19)
of this regulation; and
(b)
(text unchanged)
[(49)] (54)—[(51)] (56) (text
unchanged)
[(51-1)] (57)—[(56)] (62) (text
unchanged)
[(56-1)] (63) (text unchanged)
.04 Control of Vehicular
Traffic on the Air Operations Area.
A.—S. (text unchanged)
T. Abandoned, Derelict,
Inoperable, and Surplus Motor Vehicles and Equipment.
(1) Abandoning or parking
a derelict, inoperable, or surplus motor vehicle or equipment on the Air
Operations Area is prohibited. The Airport Director, or the Airport Director’s
designee, may remove from the Air Operations Area, any motor vehicle or equipment
that is abandoned, derelict, inoperable, or surplus and which presents an
operational or security problem for the Air Operations Area. The owner of a
motor vehicle or equipment that has been removed pursuant to this regulation
shall be held liable for the reasonable costs of the removal and storage of the
motor vehicle and/or equipment.
(2) Airport tenants are
responsible for the prompt removal of abandoned, derelict, inoperable, or
surplus motor vehicles and equipment from their leased premises, at the owner’s
expense.
(3) The Airport Director
or Airport Director’s designee will attempt to identify the owner of any
abandoned, derelict, inoperable, and surplus motor vehicles or equipment on the
Air Operations Area and any which present an operational or security concern on
the Air Operations Area. The Airport Director or Airport Director’s designee
will attempt to contact the owner via certified mail, return receipt requested,
bearing a postmark of the USPS, no less than thirty days to prior to removal,
using the most updated tenant provided contact information. The Airport
Director or Airport Director’s designee will maintain the certified mail
receipts. A removal notice shall also be
posted on the windshield of any motor vehicle and on the most visible surface
of equipment deemed to be abandoned, derelict, inoperable, and surplus and any
which present an operational or security concern on the Air Operations Area.
SHANNETTA R. GRIFFIN
Executive Director/CEO
Maryland Aviation Administration
Title 13A
STATE BOARD OF EDUCATION
Subtitle 01 STATE SCHOOL
ADMINISTRATION
13A.01.02 State Superintendent
of Schools
Authority: Education Article, §§[2-205 (g)] 2-205, 2-303,
5-301, 7-103, and 7-409, Annotated Code of Maryland
Notice of Proposed Action
[25-154-P]
The State Board of Education proposes to amend Regulation .01
under COMAR 13A.01.02 State Superintendent of Schools. This action was considered by the State Board
of Education at its meeting on June 24, 2025.
Statement of Purpose
The purpose of this action is to address a gap in the authority of
the State Superintendent to stay actions of a local board. The current
regulation grants a maximum 60-day stay of a local board decision but does not
include any provision to maintain the stay in instances where cases are being
appealed to the local board or the State Board.
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 Zach Hands, Executive Director, Maryland
State Board of Education, Maryland State Department of Education, 200 West
Baltimore Street, Baltimore, MD 21201, or call 443-915-6094, or email to
[email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
Open Meeting
Final action on the proposal will be considered by the State Board
of Education during a public meeting to be held on September 30, 2025 at 9:00
am, at 200 West Baltimore Street, Baltimore, MD 21201.
.01 General Powers and Duties.
A. (text unchanged)
B. Power to Stay Action of County Boards.
(1) The State Superintendent of Schools shall have the
authority, either at the request of the President of the State Board of
Education[,] or on [his or her] the State
Superintendent’s own motion, to order a stay[, not to exceed 60 days
in duration,] of any action taken by any local board of education,
whether the local board's action is taken by way of rule, regulation,
resolution, bylaw, or other order[; provided, however, that the stay be
issued within 5 days of the date notice of the action is received by the State
Board of Education from the local board, that the stay may be dissolved at any
time by the State Board of Education].
(2) The stay shall be issued within 5 days of the date notice of
the action is received by the State Superintendent or the State Board.
(3) The stay shall not exceed 60 days in duration, unless the
local board’s action has been appealed to the local board or the State Board,
in which case the stay may remain in place until the State Board has issued a
final decision on the appeal.
(4) The stay may be dissolved at any time by the State
Superintendent or the State Board.
CAREY M. WRIGHT, ED.D.
State Superintendent of
Schools
Subtitle 07 SCHOOL PERSONNEL
13A.07.12 Disqualification
Criteria for Substitute Teachers
Authority: Education Article, §2-205, Annotated Code of Maryland
Notice of Proposed Action
[25-161-P]
The State Board of Education proposes to amend Regulation .01
under COMAR 13A.07.12 Disqualification Criteria for Substitute Teachers.
This action was considered by the State Board of Education at its May 29, 2025
meeting.
Statement of Purpose
The purpose of this action is to codify additional reasons that
would disqualify an individual from working as a substitute teacher in Maryland
public schools.
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 Kelly Meadows, Assistant State
Superintendent, Maryland State Department of Education, 200 West Baltimore
Street, Baltimore, MD 21201, or call 410-767-0386, or email to
[email protected]. Comments will be accepted through September 8,
2025. A public hearing has not been scheduled.
Open Meeting
Final action on the proposal will be considered by the State Board
of Education during a public meeting to be held on September 30, 2025 at 9:00
a.m., at 200 West Baltimore Street, Baltimore, MD 21201.
.01 Disqualification Criteria for Substitute Teachers.
A. Disqualification Causes.
(1) A local school system shall disqualify a substitute teacher
from employment in any local school system if the individual:
(a) Pleads guilty or nolo contendere with respect to, receives
probation before judgment with respect to, or is convicted of a crime
involving:
(i)—(ii) (text unchanged)
(iii) Sexual offense in the third or fourth degree;
[(iii)] (iv)—[vii] (viii) (text
unchanged)
(b) (text unchanged)
(c) Is dismissed [or resigns] after notice of
allegation of misconduct involving a student in any school system or any minor is
substantiated; [or]
(d) Resigns after notice of allegation of misconduct involving a
student in any school system or any minor;
[(d)] (e) Is dismissed [or resigns]
after notice of allegations of sexual child abuse[.] is
substantiated; or
(f) Resigns after notice of allegations of sexual child abuse.
(2) (text unchanged)
B.—E. (text unchanged)
CAREY M. WRIGHT, ED.D.
State Superintendent of
Schools
Title 15
MARYLAND DEPARTMENT OF AGRICULTURE
Subtitle
06 PLANT PEST CONTROL
15.06.02 Plant Pest Control Regulations
Authority: Agriculture
Article, §§5-301—5-314, Annotated Code of Maryland
Notice of Proposed
Action
[25-135-P]
The Maryland Department of
Agriculture proposes to amend Regulation .06 under COMAR 15.06.02
Plant Pest Control Regulations.
Statement of Purpose
The purpose of this action
is to implement new legislation increasing certain fees related to nurseries,
brokers and dealers, and plant producers.
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 Kimberly Rice, Program Manager , Maryland
Department of Agriculture, 50 Harry S. Truman Drive Annapolis, MD 21401, or
call 410-841-5920, or email to [email protected]. Comments will be
accepted through September 8, 2025. A public hearing has not been scheduled.
.06 Fee Schedule.
A. (text unchanged)
B. Persons Issued a Nursery Inspection Certificate or a Plant
Dealer License.
(1) For field inspections of:
(a) 1 acre or less — [$10] $20;
(b) More than 1 acre to 5 acres — [$20] $30;
(c) More than 5 acres to 10 acres — [$30] $40;
(d) More than 10 acres — [$3] $5 for each acre or part of
any acre, up to a maximum of [$1,000] $1,500.
(2) Nursery Inspection Certificate — [$100] $150 a year for
each sales location.
(3) Plant Dealer License — [$100] $150 a year for each sales
location.
C. —I. (text unchanged)
STEVEN A. CONNELLY
Deputy Secretary
Special Documents
DEPARTMENT OF THE ENVIRONMENT
WATER AND SCIENCE ADMINISTRATION
Water
Quality Certification 25-WQC-0001
Stanley
Martin Home, LLC (Parkland
Rock Creek)
6404
Ivy Lane, Suite 600
Greenbelt,
Maryland 20770
Attn: Shawn Day
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 25-WQC-0001.
Location: Northwest of the intersection of Ritchie Marlboro Road and Westphalia
Road, Upper Marlboro, Maryland 20774.
The purpose of the
project is to construct mixed-use development with
associated utilities, roads, and stormwater management facilities.
Description of Authorized
Work:
The
project will permanently impact 1,096 square feet of
emergent nontidal wetlands, 78,294 square feet of forested nontidal wetlands,
77,577 square feet of the 25-foot nontidal wetland buffer, 483 linear feet (911
square feet) of intermittent streams, 571 linear feet (4,462 square feet) of
perennial streams, and 157,209 square feet of the 100-year nontidal floodplain. The project will temporarily impact 2,982 square feet of the 25-foot nontidal wetland buffer,
33 linear feet (348 square feet) of perennial streams, and 2,289 square feet of
the 100-year nontidal floodplain.
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: Gailynn Milligan at [email protected] or 410-537-4178.
[25-16-05]
WATER AND SCIENCE ADMINISTRATION
Water
Quality Certification 25-WQC-0010
Hartge LLC
PO Box 165
Galesville, MD 20765
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 25-WQC-0010.
Location: 4883 Church Ln, Galesville, (Anne Arundel), MD 20765
The purpose of the
project is to stabilize an eroding shoreline and improve navigable access.
Description of
Authorized Work:
1) Replace 1,480 linear feet of bulkhead within 18 inches of
an existing bulkhead;
2) Remove two marine railways and construct 39 linear feet
of new bulkhead, backfilling with 90 cubic yards of clean fill within a maximum
of 20 feet channelward of the mean high water line;
3) Replace 381 linear feet of bulkhead within 18 inches
channelward around an existing causeway;
4) Mechanically maintenance dredge a 399,565 square feet
area and mechanically dredge a new 9,790 square foot area of marina basin to a
depth of 7 feet at mean low water; to deposit 20,500 cubic yards of dredged
material on an approved upland disposal site located at 40 Turning Leaf Lane,
Tracys Landing, MD 20779 and/or 370 Deale Rd, Deale, MD 20751, and to provide
for periodic maintenance dredging for six years;
5) Reconfigure a marina by removing existing piers, covered
slip areas, and associated structures and perform the following:
a. Pier A - Construct a 202 foot-long by 13-foot wide boardwalk over a
causeway with a 90-foot long by 13-foot wide fixed pier, a 10-foot by 48.5 foot
“L” shaped platform, five 36-foot long by 4-foot wide finger piers, and twelve
mooring piles all within a maximum of 201 feet channelward of the mean high
water line;
b. Pier B - Construct a 273-foot long by 8-foot wide floating pier with
a 4-foot wide by 25-foot long gangway, a 35-foot long by 6-foot wide platform,
a 48-foot long by 6-foot wide platform, seven 35-foot long by 3-foot wide
finger piers, seven 40-foot long by 4-foot wide finger piers, and thirty
mooring piles, all within a maximum of 275 feet channelward of the mean high
water line;
c. Pier C - Construct a 316-foot long by 8-foot wide floating pier with
a 4-foot wide by 25-foot long gangway, a 103-foot by 8-foot “T” shaped
platform, eight 45-foot long by 5-foot wide finger piers, four 40-foot long by
4-foot wide finger piers, two 50-foot long by 5-foot wide finger piers, and
forty-four mooring piles all within a maximum of 333 feet channelward of the
mean high water line;
d. Pier D –Construct a 495.5-foot long by 8-foot wide floating main pier
with a 4-foot wide by 25- foot long gangway, two 161-foot long by 8-foot wide
piers, a 118-foot long by 8-foot wide “T” shaped platform, a 102-foot long by
8-foot wide “T” shaped platform, a 50-foot by 8-foot “T” shaped platform, five
35-foot long by 5-foot wide finger piers, six 50-foot long by 5-foot wide
finger piers, four 65-foot long by 5-foot wide finger piers, one 60-foot long
by 5-foot wide finger pier, four 45-foot long by 5-foot wide finger piers, and
emplace seventy-two mooring piles, all within a maximum of 433 feet channelward
of the mean high water line;
e. Pier E – Construct a 303-foot long by 8-foot wide floating pier with
a 4-foot wide by 25-foot long gangway, a 103-foot long by 8-foot wide “T”
shaped platform, four 55-foot long by 5-foot wide finger piers, two 50-foot
long by 5-foot long finger piers, three 40-foot long by 4-foot wide finger
piers, two 35-foot long by 4-foot wide finger piers, and emplace thirty-three
mooring piles within a maximum of 322 feet channelward of the mean high water
line;
f. Pier F – Construct a 320-foot long by 8-foot wide floating pier with
a 4-foot wide by 25-foot long gangway, a 138-foot long by 8-foot wide “T”
shaped platform, four 70-foot long by 5-foot wide finger piers, six 60-foot
long by 5-foot wide finger piers, and emplace thirty-eight mooring piles all
within a maximum of 333 channelward of the mean high water line;
g. Pier G – Construct a 202-foot long by 8-foot wide floating pier with
a 4-foot wide by 25-foot long gangway, a 151-foot long by 10-foot wide “T”
shaped platform, one 72-foot long by 5-foot wide finger pier, one 72-foot long
by 4-foot wide finger pier, three 58-foot long by 4-foot wide finger piers,
three 62-foot long by 4-foot wide finger piers, and emplace forty-four mooring
piles within a maximum of 212 feet channelward of the mean high water line;
h. Pier H – Construct a 151-foot long by 8-foot wide
floating pier with a 4-foot wide by 25-foot long
gangway, a 82-foot long by 8-foot wide “T” shaped
platform, six 45-foot long by 5-foot wide finger
piers, and emplace twenty-four mooring piles within a maximum of 164 feet
channelward of the mean high water line;
i. Replace-in-kind two travel lifts measuring 49-foot long by 26-foot
wide and 60.5-foot long by 34-foot wide within a maximum of 60.5 feet
channelward of the mean high water line;
j. Replace-in-kind a covered boathouse that is 250-foot long by 150-foot
wide and ranges in height from 25 to 33 feet above mean low water and replace
in-kind the existing fixed piers to floating piers.
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
[email protected] or 410-375-2803.
[25-16-06]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.
