Capitol Building Maryland Register

Issue Date:  July 10, 2026

Volume 53  •  Issue 14  • Pages 629 — 654

IN THIS ISSUE

Governor

Judiciary

Regulations

Special Documents

General Notices

Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before June 22, 2026 5 p.m.
 
Pursuant to State Government Article, §7-206, Annotated Code of Maryland, I hereby certify that this issue contains all documents required to be codified as of June 22, 2026.
 
Gail S. Klakring
Administrator, Division of State Documents
Office of the Secretary of State

Seal

Information About the Maryland Register and COMAR

MARYLAND REGISTER

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

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

   The following information is also published regularly in the Register:

   • Governor’s Executive Orders

   • Attorney General’s Opinions in full text

   • Open Meetings Compliance Board Opinions in full text

   • State Ethics Commission Opinions in full text

   • Court Rules

   • District Court Administrative Memoranda

   • Courts of Appeal Hearing Calendars

   • Agency Hearing and Meeting Notices

   • Synopses of Bills Introduced and Enacted by the General Assembly

   • Other documents considered to be in the public interest

CITATION TO THE MARYLAND REGISTER

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

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

CODE OF MARYLAND REGULATIONS (COMAR)

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

CITATION TO COMAR REGULATIONS

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

DOCUMENTS INCORPORATED BY REFERENCE

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


HOW TO RESEARCH REGULATIONS

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

SUBSCRIPTION INFORMATION

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

CITIZEN PARTICIPATION IN
THE REGULATION-MAKING PROCESS

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

Annotated Code of Maryland):

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

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

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

   • By petitioning the circuit court for a declaratory judgment

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

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

 

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

     Wes Moore, Governor; Susan C. Lee, Secretary of State; Gail S. Klakring, Administrator; Tracey A. Johnstone, Editor, Maryland Register; Tarshia N. Neal, Subscription Manager; Tami Cathell, Help Desk, COMAR and Maryland Register Online.

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

Illustrations by Carolyn Anderson, Dept. of General Services

 

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

 

Closing Dates for the Maryland Register

Schedule of Closing Dates and Issue Dates for the
Maryland Register .....................................................................  632

 

COMAR Research Aids

Table of Pending Proposals ...........................................................  633

 

Index of COMAR Titles Affected in This Issue

COMAR Title Number and Name                                                  Page

08        Department of Natural Resources .....................................  638

09        Maryland Department of Labor .........................................  638

10        Maryland Department of Health ........................  638, 641, 642

11        Department of Transportation ............................................  643

12        Department of Public Safety and Correctional Services .....  644

13A     State Board of Education ...................................................  640

14        Independent Agencies .......................................................  645

15        Maryland Department of Agriculture ................................  640

31        Maryland Insurance Administration ..................................  646

 

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 01.01.2026.12

Declaration of a State of Preparedness—
Extreme Heat Event
........................................................... 636

 

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS................................ 637

 

 

Final Action on Regulations

08 DEPARTMENT OF NATURAL RESOURCES

FISHERIES SERVICE

Fishing Licenses—Point Assignment, License Revocation and Suspension Schedule and Criteria, and Hearing Procedure   638

09 MARYLAND DEPARTMENT OF LABOR

COMMISSIONER OF FINANCIAL REGULATION

Credit and Other Regulation . 638

COMMISSION OF REAL ESTATE APPRAISERS, APPRAISAL MANAGEMENT COMPANIES, AND HOME INSPECTORS — REAL ESTATE APPRAISERS

Educational Requirements . 638

10 MARYLAND DEPARTMENT OF HEALTH

MEDICAL CARE PROGRAMS

Physicians' Services . 638

MARYLAND HEALTH CARE COMMISSION

Preauthorization of Health Care Services . 639

BOARD OF PHARMACY

Examination for Licensure and Professional
Experience Programs
. 640

13A STATE BOARD OF EDUCATION

EDUCATOR LICENSURE

Administrators and Supervisors . 640

15 MARYLAND DEPARTMENT OF AGRICULTURE

PLANT PEST CONTROL

Regulation of Invasive Plants . 640

 

 

Withdrawal of Regulations

10 MARYLAND DEPARTMENT OF HEALTH

BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS, SPEECH-LANGUAGE PATHOLOGISTS, AND MUSIC THERAPISTS

Code of Ethics . 641

Licensure and Continuing Education . 641

Music Therapy . 641

Cerumen Management 641

Hearing Aid Dispensing . 641

Speech-Language Pathology Assistants and
Audiology Assistants
. 641

Supervision of Students . 641

 

Proposed Action on Regulations

10 MARYLAND DEPARTMENT OF HEALTH

LABORATORIES

Medical Laboratories—Testing for Hereditary and Congenital Disorders in Newborn Infants   642

PREVENTIVE MEDICINE

Newborn Screening . 642

11 DEPARTMENT OF TRANSPORTATION

MOTOR VEHICLE ADMINISTRATION—DRIVER LICENSING AND IDENTIFICATION DOCUMENTS

Identification Cards . 643

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

POLICE TRAINING AND STANDARDS COMMISSION

Special Police Officer and Security Guard Training . 644

14 INDEPENDENT AGENCIES

COMMISSION ON CRIMINAL SENTENCING POLICY

General Regulations . 645

31 MARYLAND INSURANCE ADMINISTRATION

HEALTH INSURANCE—GENERAL

Provider Directory Requirements . 646

 

 

Special Documents

DEPARTMENT OF NATURAL RESOURCES

FISHING AND BOATING SERVICES

Daily Commercial Catch Limits for Mature Female
Hard Crabs – July through December 2026
. 649

Daily Commercial Catch Limits for Male Hard
Crabs – July through December 2026
. 650

Daily Recreational Catch and Possession Limits for
Hard Crabs – July 2026 through June 2027
. 651

 

General Notices

DEPARTMENT OF THE ENVIRONMENT

Public Meeting . 652

DEPARTMENT OF THE ENVIRONMENT/AIR AND RADIATION ADMINISTRATION

Public Hearing (2) 652

MARYLAND HEALTH CARE COMMISSION

Formal Start of Review .. 652

Formal Start of Review .. 653

Public Meeting (2) 653

MARYLAND OCCUPATIONAL SAFETY AND HEALTH (MOSH)

Virtual Public Hearing on Request for Permanent Variance under Labor and Employment Article, §5-323(b) 653

BOARD OF OCCUPATIONAL THERAPY PRACTICE

Public Meeting . 653

 

 

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 2026

Issue
Date

Emergency

and Proposed

Regulations

5 p.m.*

Notices, etc.

10:30 a.m.

Final

Regulations

10:30 a.m.

2026

 

 

 

July 24

July 6

July 13

July 15

August 7

July 20

July 27

July 29

August 21

August 3

August 10

August 12

September 4

August 17

August 24

August 26

September18**

August 31

September 4

September 9

October 2

September14

September21

September23

October 16

September28

October 5

October 7

October 30**

October 9

October 19

October 21

November 13

October 26

November 2

November 4

November30***

November 9

November16

November18

December 11

November23

November30

December 2

December28***

December 7

December14

December16

 

   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.

 

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

 

05.24.01.01—.04 • 52:13 Md. R. 660 (6-27-25)

 

08 DEPARTMENT OF NATURAL RESOURCES

 

08.02.01.13 • 53:11 Md. R. 488 (5-29-26)

08.02.03.01 • 53:13 Md. R. 590 (6-26-26)

08.02.04.01, .02, .03, .08, .10, .12 • 53:13 Md. R. 590 (6-26-26)

08.02.05.14 • 53:12 Md. R. 533 (6-12-26)

08.02.05.16 • 53:11 Md. R. 489 (5-29-26)

08.02.05.19 • 53:13 Md. R. 590 (6-26-26)

08.02.07.02, .03 • 53:13 Md. R. 590 (6-26-26)

08.02.08.09 • 53:13 Md. R. 592 (6-26-26)

08.02.25.02, .03 • 53:13 Md. R. 590 (6-26-26)

08.03.02.02, .27, .28, .30 • 53:12 Md. R. 534 (6-12-26)

08.03.03.03—.05, .07, .08 • 53:12 Md. R. 535 (6-12-26)

08.03.04.05 • 53:12 Md. R. 543 (6-12-26)

08.03.06.08 • 53:12 Md. R. 543 (6-12-26)

08.03.07.06., 12 • 53:12 Md. R. 543 (6-12-26)

08.03.10.02, .17 • 53:12 Md. R. 543 (6-12-26)

08.03.10.09 • 53:11 Md. R. 489 (5-29-26)

 

09 MARYLAND DEPARTMENT OF LABOR

 

09.03.09.06 • 52:7 Md. R. 328 (4-4-25)

09.08.01.01, .03, .04, .28 • 53:2 Md. R. 70 (1-23-26)

09.08.06.02 • 53:2 Md. R. 70 (1-23-26)

09.08.07.02 • 53:2 Md. R. 70 (1-23-26)

09.10.03.01-2, .01-3 • 52:24 Md. R 1206 (12-01-25)

09.11.07.01 • 52:12 Md. R. 600 (6-13-25)

 • 53:6 Md. R. 295 (3-20-26)

09.12.50.02, .02-1, .03 • 53:13 Md. R. 593 (6-26-26) (ibr)

09.12.51.03, .04 • 53:13 Md. R. 593 (6-26-26) (ibr)

09.12.52.02—.04, .07—.12.17, .18 • 53:13 Md. R. 593 (6-26-26)

09.14.06.16 • 53:6 Md. R. 296 (3-20-26)

 

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)

 

10 MARYLAND DEPARTMENT OF HEALTH

 

Subtitles 01—08 (1st volume)

 

10.01.07.01, .02, .04—.10 • 52:24 Md.R 1207 (12-01-25) (ibr)

 

Subtitle 09 (2nd volume)

 

10.09.10,. 01, .07,.08, .12—.15, .31 • 53:8 Md. R. 360 (4-17-26)

10.09.24.02,.05-5 • 53:13 Md. R. 599 (6-26-26)

10.09.67.01—.11 • 53:13 Md. R. 599 (6-26-26)

10.09.90.17 • 53:5 Md. R. 248 (3-06-26)

 

Subtitles 10—22 (3rd volume)

 

10.10.13.12 • 53:14 Md. R. 642 (7-10-26)

 

10.17.01.01—.03, .05—55 • 53:12 Md. R. 545 (6-12-26) (ibr)

10.21.32.01—.16 • 53:11 Md. R. 490 (5-29-26)

 

Subtitles 23—36 (4th volume)

 

10.25.06.02, .05 • 53:13 Md. R. 604 (6-26-26)

10.27.02.01 • 52:12 Md. R. 609 (6-13-25)

10.27.05.07 • 52:12 Md. R. 609 (6-13-25)

10.27.10.02 • 52:16 Md. R. 856 (8-8-25)

10.27.18.01,.02 • 52:12 Md. R. 609 (6-13-25)

10.27.26.02 • 52:12 Md. R. 609 (6-13-25)

10.32.05.02—.06 • 52:11 Md. R. 563 (5-30-25)

10.32.25.01—.06 • 52:13 Md. R. 670 (6-27-25)

10.34.02.02, .03 • 52:24 Md. R 1215 (12-01-25)

10.34.19.01—.03, .05—.19 • 52:23 Md. R. 1164 (11-14-25)

 

Subtitles 37—52 (5th volume)

 

10.38.12.01—.05 • 53:11 Md. R. 495 (5-29-26)

10.42.02.02,06 • 52:14 Md. R 720 (7-11-25)

10.44.01.01—.30 • 52:17 Md. R 882 (8-22-25)

10.44.20.02 • 52:23 Md. R.1171 (11-14-25)

10.52.12.05 • 53:14 Md. R. 642 (7-10-26)

 

Subtitles 53—69 (6th volume)

 

10.63.07.01—.14 • 53:11 Md. R. 497 (5-29-26)

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 • 53:13 Md. R. 599 (6-26-26)

10.67.03.08 • 53:9 Md. R. 425 (5-01-26)

10.67.03.10 • 53:13 Md. R. 599 (6-26-26)

10.67.04.02, .03-2, .20 • 53:9 Md. R. 425 (5-01-26)

10.67.04.04, .13 • 53:13 Md. R. 599 (6-26-26)

10.67.06.07, .28 • 53:9 Md. R. 425 (5-01-26)

10.67.08.02 • 53:5 Md. R. 248 (3-06-26)

10.67.09.02, .04 • 53:9 Md. R. 425 (5-01-26)

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

 

11.03.01.01-1, .12 • 53:6 Md. R. 297 (3-20-26)

11.03.02.01 • 53:6 Md. R. 297 (3-20-26)

11.04.15.01—.04 • 52:11 Md. R. 568 (5-30-25)

 

Subtitles 11—23 (MVA)

 

11.11.05.02—.04, .06 • 52:13 Md. R. 682 (6-27-25)

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)

11.15.20.02, .04, .05 • 53:12 Md. R. 566 (6-12-26)

11.15.27.02, .04—.08 • 53:12 Md. R. 566 (6-12-26)

11.17.06.02—.10 • 53:14 Md. R. 643 (7-10-26)

 

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

 

12.04.12.01—.09 • 53:14 Md. R. 644 (7-10-26)

12.08.03.01—.06 • 53:8 Md. R. 363 (4-17-26)

 

 

13A STATE BOARD OF EDUCATION

 

13A.01.02.07 • 53:8 Md. R. 365 (4-17-26)

13A.02.01.01 • 53:13 Md. R. 605 (6-26-26)

13A.02.01.05 • 53:8 Md. R. 366 (4-17-26)

13A.12.06.02, .03 • 53:13 Md. R. 606 (6-26-26)

13A.02.01.01 • 52:26 Md. R. 1350 (12-26-25)

13A.02.10.01—.16 • 53:4 Md. R. 202 (2-20-26)

13A.05.01.03, .08 • 53:10 Md. R. 464 (5-15-26)

13A.05.04.01—.03 • 52:17 Md. R 889 (8-22-25)

 • 53:3 Md. R. 126 (2-6-26)

13A.07.14.07 • 53:10 Md. R. 464 (5-15-26)

13A.08.01.05 • 53:4 Md. R. 207 (2-20-26)

13A.08.01.10-1 • 53:3 Md. R. 127 (2-6-26)

 

14 INDEPENDENT AGENCIES

 

14.01.06.01—.04 • 53:12 Md. R. 567 (6-12-26)

14.01.07.01 • 53:13 Md. R. 607 (6-26-26)

14.01.07.02 • 53:13 Md. R. 608 (6-26-26)

14.17.01.01 • 53:13 Md. R. 610 (6-26-26)

14.17.05.05 • 53:13 Md. R. 610 (6-26-26)

14.17.10.03, .09, .10 • 53:13 Md. R. 610 (6-26-26)

14.17.12.03, .04 • 53:13 Md. R. 610 (6-26-26)

14.17.13.13 • 53:13 Md. R. 610 (6-26-26)

14.17.18.02, .07, .08 • 53:13 Md. R. 610 (6-26-26)

14.17.22.02,.09 • 53:13 Md. R. 610 (6-26-26)

14.22.01.07, .09, .10 • 53:14 Md. R. 645 (7-10-26)

14.23.01.01, .19 • 53:3 Md. R. 128  (2-6-26)

14.35.15.08 • 53:7 Md. R. 332 (4-3-26)

14.39.02.06 • 52:17 Md. R 900 (8-22-25)

14.39.02.06, .09 • 53:10 Md. R. 465 (5-15-26)

 

15 MARYLAND DEPARTMENT OF AGRICULTURE

 

15.03.08.01, .05 • 53:11 Md. R. 497 (5-29-26)

15.20.07.03, .05 • 53:11 Md. R. 499 (5-29-26)

 

17 DEPARTMENT OF BUDGET AND MANAGEMENT

 

17.04.03.22 • 53:8 Md. R. 367 (4-17-26)

17.04.11.31 • 53:13 Md. R. 613 (6-26-26)

 

18 DEPARTMENT OF ASSESSMENTS AND TAXATION

 

18.02.03.05 • 53:6 Md. R. 301 (3-20-26)

 

19A STATE ETHICS COMMISSION

 

19A.06.01.01,.02 • 53:6 Md. R. 301 (3-20-26)

19A.06.02.01 • 53:6 Md. R. 301 (3-20-26)

19A.06.03.01 • 53:6 Md. R. 301 (3-20-26)

19A.06.04.01—.08 • 53:6 Md. R. 301 (3-20-26)

 

20 PUBLIC SERVICE COMMISSION

 

20.96.01.01—.08 • 53:13 Md. R. 614 (6-26-26)

 

21 STATE PROCUREMENT REGULATIONS

 

21.01.01.01 • 53:8 Md. R. 368 (4-17-26)

21.01.02.01 • 53:8 Md. R. 368 (4-17-26)

21.01.03.01, .01-1 • 53:8 Md. R. 368 (4-17-26)

21.02.01.04, .05 • 53:8 Md. R. 368 (4-17-26)

21.05.01.01 • 53:8 Md. R. 368 (4-17-26)

21.05.02.04, .07, .16 • 53:8 Md. R. 368 (4-17-26)

21.05.03.03 • 53:8 Md. R. 368 (4-17-26)

21.05.06.01—.03 • 53:8 Md. R. 368 (4-17-26)

21.05.07.01, .03, .04, .05 • 53:8 Md. R. 368 (4-17-26)

21.05.08.02 • 53:8 Md. R. 368 (4-17-26)

21.05.09.05 • 53:8 Md. R. 368 (4-17-26)

21.05.10.05 • 53:8 Md. R. 368 (4-17-26)

21.05.12.03, .04 • 53:8 Md. R. 368 (4-17-26)

21.05.13.01, .03, .05, .06, .07, .08 • 53:8 Md. R. 368 (4-17-26)

21.05.15.01—.05 • 53:8 Md. R. 368 (4-17-26)

21.06.07.01, .09, .10 • 53:8 Md. R. 368 (4-17-26)

21.06.09.05 • 53:8 Md. R. 368 (4-17-26)

21.06.10.01—.05 • 53:8 Md. R. 368 (4-17-26)

21.07.01.18, .19, .24, .27, .28 • 53:8 Md. R. 368 (4-17-26)

21.07.02.05-1, .10, .11 • 53:8 Md. R. 368 (4-17-26)

21.07.04.02 • 53:8 Md. R. 368 (4-17-26)

21.10.04.04 • 53:8 Md. R. 368 (4-17-26)

21.11.01.01, .06 • 53:8 Md. R. 368 (4-17-26)

21.11.03.01, .03, .04, .07, .08, .09, .11, .12, .13, .15, .17 • 53:8 Md. R. 368 (4-17-26)

21.11.05.01, .06, .07 • 53:8 Md. R. 368 (4-17-26)

21.11.07.08, .11 • 53:8 Md. R. 368 (4-17-26)

21.11.12.03, .04 • 53:8 Md. R. 368 (4-17-26)

21.12.02.05 • 53:8 Md. R. 368 (4-17-26)

21.13.01.02, .03, .15 • 53:8 Md. R. 368 (4-17-26)

 

24 DEPARTMENT OF COMMERCE

 

24.05.01.06, .08, .10 • 53:1 Md. R. 42 (1-09-26)

 

26 DEPARTMENT OF THE ENVIRONMENT

 

Subtitles 01—07 (Part 1)

 

26.04.14.01—.12 • 53:3 Md. R. 129 (2-6-26)

 

Subtitles 08—12 (Part 2)

 

26.11.09.01, .07 • 52:12 Md. R. 627 (6-13-25)

 

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)

26.16.08.05 • 52:26 Md. R. 1352 (12-26-25)

 

Subtitles 19—30 (Part 4)

 

26.21.01.01—.04, .07, .08, .10—.14, .18—.25, .27,.29 • 53:13 Md. R. 614 (6-26-26)

26.21.02.03—.06 • 53:13 Md. R. 614 (6-26-26)

26.21.03.05 • 53:13 Md. R. 614 (6-26-26)

26.21.04.03, .06,.09 • 53:13 Md. R. 614 (6-26-26)

 

31 MARYLAND INSURANCE ADMINISTRATION

 

31.10.52.01—.07 • 53:14 Md. R. 646 (7-10-26)

 


33 STATE BOARD OF ELECTIONS

 

33.05.01.04 • 52:13 Md. R. 690 (6-27-25)

33.07.07.01—.03 • 52:25 Md. R. 1280 (12-12-25)

33.07.11.01 • 52:13 Md. R. 690 (6-27-25)

33.14.02.14 • 52:5 Md. R. 249 (3-7-25)

 • 52:15 Md. R. 821 (7-25-25)

33.22.01.01 • 53:7 Md. R. 334 (4-3-26)

33.22.02.01 • 53:7 Md. R. 334 (4-3-26)

 

 

34 DEPARTMENT OF PLANNING

 

34.04.07.02, .03, .05 • 52:25 Md. R. 1285 (12-12-25)

 

36 MARYLAND STATE LOTTERY AND GAMING CONTROL AGENCY

 

36.03.06.01, .03 • 52:26 Md. R. 1353 (12-26-25)

36.03.10.38 • 52:26 Md. R.1353 (12-26-25)

36.07.04.14 • 52:26 Md. R. 1353 (12-26-25)

36.07.06.08 • 52:26 Md. R. 1353 (12-26-25)

36.10.10.01 • 52:26 Md. R.1353 (12-26-25)

36.10.13.29, .41 • 52:26 Md. R. 1353 (12-26-25)

36.10.13.39 • 52:17 Md. R 908 (8-22-25)

The Governor

EXECUTIVE ORDER 01.01.2026.12

Declaration of a State of Preparedness—Extreme Heat Event

 

WHEREAS, The State of Maryland is subject to a variety of hazards and disasters, including an impending emergency as defined in Section 14-101(c) of the Public Safety Article of the Maryland Code;

 

WHEREAS, Pursuant to Executive Order 01.01.2023.20, the Governor may declare a State of Preparedness when he determines that there is a significant risk of a public emergency as defined in the Maryland Emergency Management Act, Md. Code, Public Safety Article §14-301;

 

WHEREAS, The declaration of a State of Preparedness ensures a proactive, collaborative and forward-leaning State response to potential or actual emergencies; 

 

WHEREAS, Having been advised and informed by the Maryland Department of Emergency Management that there is significant risk for a widespread extreme heat event with potential impacts on critical infrastructure, the electric grid, public health and medical services in all areas of Maryland beginning Wednesday, July 1, 2026 as a result of an impactful subtropical high-pressure system;

 

WHEREAS, Action is needed to prepare to protect the lives and property of Maryland residents and visitors that may be impacted by the severe weather event;

 

WHEREAS, Power infrastructure, water utility infrastructure, public health and medical infrastructure, transportation infrastructure and other critical infrastructure may be negatively affected by the impact of the extreme heat event;

 

WHEREAS, State and local government agencies may require additional resources and support to implement proactive actions and meet the public safety and welfare needs of Maryland residents who may be negatively impacted by the extreme heat event;

 

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 VESTED IN ME BY THE CONSTITUTION AND LAWS OF MARYLAND, INCLUDING BUT NOT LIMITED TO TITLE 14 OF THE PUBLIC SAFETY ARTICLE OF THE MARYLAND CODE, AND BASED ON THE ABOVE FINDINGS, HEREBY DECLARE THAT A STATE OF PREPAREDNESS EXISTS IN THE STATE AND THAT PREPARATIONS MUST BE MADE FOR THE ANTICIPATED SEVERE WEATHER, AND  HEREBY PROCLAIM THE FOLLOWING EXECUTIVE ORDER, EFFECTIVE IMMEDIATELY:

 

A. The Maryland Department of Emergency Management is hereby directed to coordinate the State preparedness and response, in accordance with the State Consequence Management Operations Plan, to the severe weather anticipated to begin on Wednesday, July 1, 2026.

 

B. All other appropriate State authorities are hereby authorized to activate their emergency preparedness plans and engage, deploy, use, and coordinate available resources in furtherance of those plans.

 

GIVEN UNDER MY HAND AND THE GREAT SEAL OF THE STATE OF MARYLAND, in Annapolis, Anne Arundel County, Maryland, this 29th Day of June 2026.

 

 

WES MOORE

Governor

ATTEST:

 

SUSAN LEE

Secretary of State

 

[26-14-16]

 

 

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS

*    *   *   *   *   *   *   *   *   *

 

This is to certify that by an Order of this Court dated June 17, 2026 CHARLES T. TUCKER, JR.   (CPF# 0808260001) as of June 17, 2026, Charles T. Tucker Jr., has been disbarred by consent, effective immediately, and his name has been stricken from the register of attorneys in this Court. Notice of this action is given in accordance with Maryland Rule 19-761(b).

 

*    *   *   *   *   *   *   *   *   *

 

This is to certify that by an Order of this Court dated June 18, 2026 LOUIS BERNARDO ANTONACCI (CPF# 1706150001) as of June 18, 2026, Louis Bernardo Antonacci, has been suspended for one year and two days, effective nunc pro tunc to May 27, 2026, 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 June 18, 2026 JOHN S. LOPATTO, III (CPF# 8901060015)as of June 18, 2026, John S. Lopatto, III, has been disbarred by consent, effective immediately, and his name has been stricken from the register of attorneys in this Court. Notice of this action is given in accordance with Maryland Rule 19-761(b).

 

*    *   *   *   *   *   *   *   *   *

 

This is to certify that by an Order of this Court dated June 25, 2026 JULIAN ARNOLD HAFFNER (CPF# 0212180038) as of June 25, 2026, Julian Arnold Haffner’s 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).

 

*    *   *   *   *   *   *   *   *   *

[26-14-11]

 

Final Action on Regulations

 

Symbol Key

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

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

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

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

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

 

 

 

Title 08
DEPARTMENT OF NATURAL RESOURCES

Subtitle 02 FISHERIES SERVICE

08.02.13 Fishing Licenses—Point Assignment, License Revocation and Suspension Schedule and Criteria, and Hearing Procedure

Authority: Natural Resources Article, §§4-220 and 4-701, Annotated Code of Maryland

Notice of Final Action

[26-047-F]

On June 30, 2026, the Secretary of Natural Resources adopted amendments to Regulations .03 and .05 under COMAR 08.02.13 Fishing Licenses—Point Assignment, License Revocation and Suspension Schedule and Criteria, and Hearing Procedure.  This action, which was proposed for adoption in 53:10 Md. R. 461—463 (May 15, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

JOSH KURTZ
Secretary of Natural Resources

 

 

Title 09
MARYLAND DEPARTMENT OF LABOR

Subtitle 03 COMMISSIONER OF FINANCIAL REGULATION

09.03.10 Credit and Other Regulation

Authority: Financial Institutions Article, §§2-105.1, and 12-1506, Annotated Code of Maryland

Notice of Final Action

[25-323-F]

On June 22, 2026, the Commissioner of Financial Regulation adopted amendments to Regulation .01 and new Regulation .06 under COMAR 09.03.10 Credit and Other Regulation. This action, which was proposed for adoption in 53:7 Md. R. 331—332 (April 3, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

ANTONIO SALAZAR
Commissioner

 

 


Subtitle
19 COMMISSION OF REAL ESTATE APPRAISERS, APPRAISAL MANAGEMENT COMPANIES, AND HOME INSPECTORS — REAL ESTATE APPRAISERS

09.19.02 Educational Requirements

Authority: Business Occupations and Professions Article, §§16-216, 16-220, 16-302(g), 16-308, 16-309,  and 16-5A-01,
Annotated Code of Maryland

Notice of Final Action

[26-056-F]

On June 9, 2026, the Commission of Real Estate Appraisers, Appraisal Management Companies, and Home Inspectors adopted amendments to Regulation .04 under COMAR 09.19.02 Educational Requirements. This action, which was proposed for adoption in 53:8 Md. R. 359 (April 17, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

JOHN DOVE
Commissioner of Occupational and Professional Licensing

 

 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 09 MEDICAL CARE PROGRAMS

10.09.02 Physicians' Services

Authority: Health-General Article, §§2-104(b), 15-103, and 15-105, Annotated Code of Maryland

Notice of Final Action

[26-013-F-I]

On June 18, 2026, the Secretary of Health adopted amendments to Regulation .07 under COMAR 10.09.02 Physicians’ Services. This action, which was proposed for adoption in 53:8 Md. R. 360 (April 17, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Subtitle 25 MARYLAND HEALTH CARE COMMISSION

10.25.17 Preauthorization of Health Care Services

Authority: Health-General Article, §§19-103, 19-108.2, 19-108.5, and 19-109, Annotated Code of Maryland

Notice of Final Action

[26-050-F]

On June 18, 2026, the Maryland Health Care Commission adopted amendments to Regulations .01—.05, new Regulation .06, and amendments to and the recodification of existing Regulation .06 to be Regulation .07 under COMAR 10.25.17 Preauthorization of Health Care Services. This action, which was proposed for adoption in 53:9 Md. R. 416—418 (May 1, 2026), has been adopted with the nonsubstantive changes shown below.

Effective Date: July 20, 2026.

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:

The changes could have been reasonably anticipated by interested parties, do not substantially change the intended benefits of the regulations, and do not increase the burdens of the regulations as proposed.

In addition to renumbering and reorganization in COMAR 10.25.17.03 for clarity, the specific changes are as follows:

COMAR 10.25.17.02B(8): The addition of “for coverage” has been removed from the definition of “preauthorization.”

COMAR 10.25.17.03B: The title “Online Portal for Health Care Services” was added for clarity.

COMAR 10.25.17.03C: The title “Online Process for Pharmaceutical Services” was added for clarity.

COMAR 10.25.17.03C(2)(a): The reference to the “National Council for Prescription Drug Programs Real-Time Benefit Standard” was changed to the “National Council for Prescription Drug Programs Real-Time Prescription Benefit Standard” to reflect the accurate name of the standard.

COMAR 10.25.17.03E(1): A cross-citation to §C of the regulation was added to reflect the language in the statutory authority.

COMAR 10.25.17.06A: The language has been revised to clarify from which requirements providers can be waived.

.02 Definitions.

A. (proposed text unchanged)

B. Terms Defined.

(1)(7) (proposed text unchanged)

 (8) “Preauthorization” means the process of obtaining approval [[for coverage]] from a payor by meeting certain criteria before a certain health care service is rendered by the health care provider.

 (9)—(11) (proposed text unchanged)

.03 Online Process Requirements.

A. (proposed text unchanged)

B. Online Portal for Health Care Services.

(1) A payor shall establish and maintain an online [[process]] portal that meets the requirements of Health General Article, [[§§19-108.2 and 19-108.5]] §19-108.2, Annotated Code of Maryland.

[[C. A payor’s online process shall:]]

[[(1)]] (2) A payor’s online portal established and maintained under this section shall:

(a) Accept electronic preauthorization requests from a health care provider;

[[(2)]] (b) Assign a unique electronic identification number to each preauthorization request;

[[(3) Link directly to all e-prescribing systems and electronic health record systems that use the National Council for Prescription Drug Programs SCRIPT standard and the National Council for Prescription Drug Programs Real-Time Benefit Standard;

(4) Provide accurate, real-time patient-specific benefit information to insureds, enrollees, and contracted health care providers, including any:

(a) Copayment, deductible, coinsurance, or other out-of-pocket costs;

(b) More affordable medication alternatives; and

(c) Preauthorization requirements;

(5) Provide the information required under §C(4) of this regulation at the point of prescribing in an accessible and understandable format;]]

[[(6)]] (c) Approve in real-time, electronic preauthorization requests [[[for pharmaceutical services]]]:

[[(a)]] (i) For which no additional information is needed by the payor to process the preauthorization request; [[[and]]]

[[(b) For which no clinical review is required; and]]

[[(c)]] (ii) That meet the payor’s criteria for approval;

[[(7)]] (d)  (proposed text unchanged)

[[(a)]] (i) (proposed text unchanged)

[[(b)]] (ii) Do not meet the standards for real-time approval under [[§C(6)]] §B(2)(c) of this regulation; and

[[(8)]] (e) Render a determination within 2 business days after receiving all pertinent information of electronic preauthorization requests for health care services, except pharmaceutical services, that are not urgent.

C. Online Process for Pharmaceutical Services.

(1) A payor shall establish and maintain an online process that meets the requirements of Health General Article, §19-108.5, Annotated Code of Maryland.

(2) A payor’s online process established and maintained under this section shall:

(a) Link directly to all e-prescribing systems and electronic health record systems that use the National Council for Prescription Drug Programs SCRIPT standard and the National Council for Prescription Drug Programs Real-Time Prescription Benefit Standard;

(b) Provide accurate, real-time patient-specific benefit information to insureds, enrollees, and contracted health care providers, including any:

(i) Copayment, deductible, coinsurance, or other out-of-pocket costs;

(ii) More affordable medication alternatives; and

(iii) Preauthorization requirements;

(c) Provide the information required under this section at the point of prescribing in an accessible and understandable format;

(d) Approve in real-time, electronic preauthorization requests:

(i) For which no additional information is needed by the payor to process the preauthorization request;

(ii) For which no clinical review is required; and

(iii) That meet the payor’s criteria for approval.

D. (proposed text unchanged)

E. A payor may not:

(1) Impose a fee or charge a person for accessing its online process established under §C of this regulation; or

(2) (proposed text unchanged)

.06 Provider Requirements and Waiver.

A. On or before July 1, 2026, a health care provider shall ensure that each e-Prescribing system or electronic health record system owned or contracted for by the health care provider to maintain a health record of an insured or enrollee has the ability to [[access, at the point of prescribing:]] access:

(1) The [[electronic preauthorization]] online process established by a payor under Regulation .03C of this chapter; and

(2) (proposed text unchanged)

B. (proposed text unchanged)

JOAN GELRUD
Chair

Subtitle 34 BOARD OF PHARMACY

10.34.02 Examination for Licensure and Professional Experience Programs

Authority: Health Occupations Article, §§12-205 and 12-302, Annotated Code of Maryland

Notice of Final Action

[26-055-F]

On June 30, 2026, the Secretary of Health adopted amendments to Regulation .03 under COMAR 10.34.02 Examination for Licensure and Professional Experience. This action, which was proposed for adoption in 53:10 Md. R. 463—464 (May 15, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

MEENA SESHAMANI, MD, PHD
Secretary of Health

Title 13A
STATE BOARD OF EDUCATION

Subtitle 12 EDUCATOR LICENSURE

13A.12.05 Administrators and Supervisors

Authority: Education Article, §§2-205, 2-303(g), 6-701—6-708, 8-3A-03, and 8-701—8-708, Annotated Code of Maryland

Notice of Final Action

[26-036-F]

On June 23, 2026, the State Board of Education and the Professional Standards and Teacher Education Board adopted amendments to Regulations .05, .06, and .10 under COMAR 13A.12.05 Administrators and Supervisors. This action, which was proposed for adoption in 53:8 Md. R. 367 (April 17, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

CAREY M. WRIGHT, ED.D.
State Superintendent of Schools


Title 15
MARYLAND DEPARTMENT OF AGRICULTURE

Subtitle 06 PLANT PEST CONTROL

15.06.04 Regulation of Invasive Plants

Authority: Agriculture Article, §§2-103(b) and 9.5-301 et seq., Annotated Code of Maryland

Notice of Final Action

[25-186-F]

On June 18, 2026, the Maryland Department of Agriculture adopted amendments to Regulations .01—.06 and the repeal of existing Regulation .07 under COMAR 15.06.04 Regulation of Invasive Plants. This action, which was proposed for adoption in 53:2 Md. R. 81—84 (January 23, 2026), has been adopted as proposed.

Effective Date: July 20, 2026.

STEVEN A. CONNELLY
Deputy Secretary

 

 


Withdrawal of Regulations

 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 41 BOARD OF EXAMINERS FOR AUDIOLOGISTS, HEARING AID DISPENSERS, SPEECH-LANGUAGE PATHOLOGISTS, AND MUSIC THERAPISTS

Notice of Withdrawal

[26-044-W]

The Secretary of Health withdraws the proposal to:

(1) Amend Regulations .02 and .04 under COMAR 10.41.02 Code of Ethics;

(2) Amend Regulations .02, .03, and .06 under COMAR 10.41.03 Licensure and Continuing Education;

(3) Amend Regulations .02, .04, and .05, adopt new Regulation .06, and recodify existing Regulations .06 and .07 to be Regulations .07 and .08, respectively, under COMAR 10.41.05 Music Therapy;

(4) Amend Regulations .02—.04 and repeal existing Regulation .05 under COMAR 10.41.07 Cerumen Management;

(5) Amend and recodify existing Regulations .01-1, .03, .06, .08, .10, and .14 to be Regulations .02, .05, .08, .09, .11, and .15, respectively, adopt new Regulation .03, and recodify existing Regulations .02, .04, .05, .09, .11, .12, and .13 to be Regulations .04, .06, .07, .10, .12, .13, and .14, respectively, under COMAR 10.41.08 Hearing Aid Dispensing;

(6) Amend Regulations .01, .06, .07, .09, .10, and .13 under COMAR 10.41.11 Speech-Language Pathology Assistants and Audiology Assistants; and

(7) Amend Regulations .03 and .04 under COMAR 10.41.12 Supervision of Students, as published in 53:9 Md. R. 420—425 (May 1, 2026).

MEENA SESHAMANI, MD, PHD
Secretary of Health

 



Proposed Action on Regulations


 


Title 10
MARYLAND DEPARTMENT OF HEALTH

Notice of Proposed Action

[26-091-P]

The Secretary of Health proposes to amend:

(1) Regulation .12 under COMAR 10.10.13 Medical Laboratories—Testing for Hereditary and Congenital Disorders in Newborn Infants;  and

(2) Regulation .05 under COMAR 10.52.12 Newborn Screening.

Statement of Purpose

The purpose of this action is to add Metachromatic Leukodystrophy (MLD) and Duchenne Muscular Dystrophy (DMD) to the Maryland Newborn Screening Panel as recommended by the U.S. Department of Health and Human Services, Recommended Uniform Screening Panel (RUSP). Implementation of testing for MLD and DMD is also required by House Bill 96 (Chapter 177 of 2024) and Senate Bill 117 (Chapter 178 of 2024). Testing for MLD and DMD will assist with early diagnosis and allow for treatment to manage symptoms, slow progression,  and improve outcomes for these rare diseases.

Estimate of Economic Impact

I. Summary of Economic Impact. The estimated expenditure for start-up/validation studies for MLD and DMD is $904,639. These expenditures include costs associated with reagents, supplies, reference laboratory testing, annual service fees, and personnel. For implementation of MLD and DMD routine screening for approximately 60,000 newborns in FY 2027, estimated expenditures are $1,163,106. These expenditures include costs associated with  reagents, supplies, contractual services, reference laboratory testing, annual service fees, and personnel.


II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

 (1) Maryland Department of Health (FY26)

(E+)

$904,639

 (2) Maryland Department of Health (FY27)

(E+)

$1,163,106

B. On other State agencies:

NONE

 

 

 

 

C. On local governments:

NONE

 

 

 

 

 

Benefit (+)

Cost (-)

Magnitude

D. On regulated industries or trade groups:

NONE

 

 

 

 

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.)

A(1). The calculation includes costs for start-up/validation studies in FY 2026. These FY 2026 costs include costs associated with reagents, supplies, reference laboratory testing, annual service fees and personnel.

A(2). This calculation assumes estimated costs of $1,163,106 for implementation of MLD and DMD screening for approximately 60,000 babies born in the State in Fiscal Year 2027. These FY 2027 costs include costs associated with reagents, supplies and contractual services, reference laboratory testing, annual service fees, and personnel. The Department also assumes an adjustment of 1% for inflation resulting in the following projected costs for implementation in subsequent years: FY 2028: $1,174,737.06 FY 2029: $1,186,484.43, FY 2030: $1,198,349.27, FY 2031: $1,210,332.76.

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 an impact on individuals with disabilities as follows:

The proposed action will assist infants with disabilities by receiving screening for MLD and DMD. Early diagnosis and treatment can slow progression of these rare diseases and delay the onset of severe complications.

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 410-767-0938. Comments will be accepted through August 10, 2026. A public hearing has not been scheduled.

 

Subtitle 10 LABORATORIES

10.10.13 Medical Laboratories—Testing for Hereditary and Congenital Disorders in Newborn Infants

Authority: Health- General Article, §13-111(d)(2), Annotated Code of Maryland

.12 First-Tier, Supplemental, and Second-Tier Tests.

A.—B. (text unchanged)

C. First-Tier Tests. The Department’s public health laboratory shall perform a first-tier test on a newborn infant to screen for the following hereditary and congenital disorders, which are approved for screening by the Council and the Secretary:

(1)—(60) (text unchanged)

(61) Guanidinoacetate Methyltransferase Deficiency (GAMT); [and]

(62) Infantile Krabbe Disease[.];

(63) Metachromatic Leukodystrophy (MLD); and

(64) Duchenne Muscular Dystrophy (DMD).

 

Subtitle 52 PREVENTIVE MEDICINE

10.52.12 Newborn Screening

Authority: Health-General Article, §13-109 and 13-111, Annotated Code of Maryland

.05 Selection of Disorders for Screening.

A. (text unchanged)

B. The selected disorders are:

(1)—(60) (text unchanged)

(61) Guanidinoacetate Methyltransferase Deficiency (GAMT); [and]


(62) Infantile Krabbe Disease[.];

(63) Metachromatic Leukodystrophy (MLD); and

(64) Duchenne Muscular Dystrophy (DMD).

C. (text unchanged)

 

MEENA SESHAMANI, MD, PhD
Secretary of Health

 

Title 11
DEPARTMENT OF TRANSPORTATION

Subtitle 17 MOTOR VEHICLE ADMINISTRATION—DRIVER LICENSING AND IDENTIFICATION DOCUMENTS

11.17.06 Identification Cards

Authority: Transportation Article, §§12-104(b), 12-301, and 12-302, Annotated Code of Maryland

Notice of Proposed Action

[26-061-P]

The Administrator of the Motor Vehicle Administration proposes to amend and recodify existing Regulations .04, .07, and .08 to be Regulations .02, .03, and .04, respectively, and recodify existing Regulations .09 and .10 to be Regulations .05 and .06, respectively under COMAR 11.17.06 Identification Cards.

Statement of Purpose

The purpose of this action is to allow minors over the age of 15 to apply for an identification card without a co-signer; to eliminate the correction fee charged for a nonapparent disability designation or a blind or visual impairment designation on an identification card to conform to current practice, and to clean up the chapter.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

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

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Tracey C. Sheffield, Regulations Coordinator, MVA, 6601 Ritchie Highway N.E., Room 200
Glen Burnie, MD 21062, or call 410-768-7545, or email to [email protected]. Comments will be accepted through August 10, 2026. A public hearing has not been scheduled.

[.04] .02 Minor Application.

A. The application for an identification card for a minor under [18 years old] 15 years old shall be cosigned by a parent or a legal guardian of the applicant. If the applicant has no parent or legal guardian, [or is married,] an adult employer of the applicant or any other responsible adult over 18 years old can cosign.

B. (text unchanged)

[.07] .03 Duplicate.

A duplicate identification card may be issued to replace one which has been lost, stolen, mutilated, or destroyed if the person applying for a duplicate card furnishes information satisfactory to the Administration of the above circumstances, pays the required fee, and is entitled to a duplicate [license] identification card.

[.08] .04 Correction.

A.—C. (text unchanged)

D. There is no fee for adding or deleting:

(1) An organ donor designation to an identification card; [or]

(2) A veteran designation to an identification card[.];

(3) A nonapparent disability designation to an identification card; or

(4) A blind or visual impairment designation to an identification card.

CHRISTINE NIZER
Administrator

Title 12
DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

Subtitle 04 POLICE TRAINING AND STANDARDS COMMISSION

12.04.12 Special Police Officer and Security Guard Training

Authority: Business Occupations and Professions Article §§19-402, 19-404.1, and 19-412; Public Safety Article, §§3-303 and 3-312; Annotated Code of Maryland

Notice of Proposed Action

[26-093-P]

The Maryland Police Training and Standards Commission proposes to adopt new Regulations .01—.09 under a new chapter, COMAR 12.04.12 Special Police Officer and Security Guard Training. 

Statement of Purpose

The purpose of this action is to establish requirements for the approval, facilitation, and oversight of special police officer and security guard training providers and training courses. This new chapter implements unique agency identifiers, introduces a uniform vetting and verification process for training providers, and mandates course alignment with Commission-developed training objectives.  To ensure instructional integrity and professional competency within the State, these regulations outline physical location requirements for providers operating within Maryland and prohibit the utilization of asynchronous e-learning.

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 Wayne Silver, Executive Director, Maryland Police Training and Standards Commission, 6852 4th Street, Sykesville, MD 21784, or call 410-875-3605, or email to [email protected]. Comments will be accepted through August 10, 2026. A public hearing has not been scheduled.

.01 Purpose.

The purpose of this chapter is to establish requirements for the approval, facilitation, and oversight of special police officer and security guard training providers and training courses.

.02 Definitions.

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

B. Terms Defined.

(1) “Agency identifier” means a unique alphanumeric code assigned by Police and Correctional Training Commissions staff to an organization approved to conduct special police officer and security guard training.

(2) “Deputy Director” means the Deputy Director of the Police and Correctional Training Commissions.

(3) “Commission” means the Police Training and Standards Commission or a representative authorized to act on behalf of the Commission.

(4) “Training provider” means an organization, business, or other entity that provides training to special police officers or security guards.

.03 Training Requirements.

A. A training provider shall obtain Commission approval before conducting a special police officer or security guard training course.

B. A training course shall:

(1) Be approved by the Commission;

(2) Include training objectives developed by the Commission; and

(3) Be conducted by a Commission approved instructor.

C. An approved course is subject to audit by the Commission.

.04 Training Provider Approval.

A. A training provider shall be:

(1) Physically located in the State; and

(2) Registered and in good standing with the Maryland Department of Assessments and Taxation.

B. Using a format provided by the Commission, a training provider shall request an agency identifier.

C. The Commission shall issue an agency identifier to a Commission-approved training provider.

.05 Training Course Approval.

A. Using a format provided by the Commission, a training provider shall request approval for each training course.

B. Self-paced learning, e-learning, and non-instructor-led courses are ineligible for Commission approval.

C. A request for course approval shall include:

(1) The training provider’s contact information;

(2) The location where training will be conducted;

(3) Instructor names;

(4) Student ratio, not to exceed 20 students per instructor; and

(5) A lesson plan.

D. A lesson plan shall include:

(1) A course description;

(2) Required materials;

(3) Instructor notes;

(4) Testing methodology; and

(5) A list indicating where each training objective is taught and tested.

E. The Commission shall issue an approval number to a training provider for each approved course.

F. A course approval number is:

(1) Valid for 1 year from date of issuance; and

(2) Not transferable and shall only be used by the approved training provider.

.06 Training Environment Requirements.

A. A training provider shall ensure a training environment meets local, State, and federal health and safety requirements.

B. A training provider shall provide an atmosphere supportive of learning by ensuring adequate:

(1) Acoustics;

(2) Lighting;

(3) Ventilation;

(4) Desk space;

(5) Work tables; and

(6) Seating.

.07 Instructor Certification.

A. Using a format provided by the Commission, a training provider shall request Commission approval for each individual instructor conducting training.

B. An individual shall have successfully completed a Commission-approved basic instructor course prior to conducting training.

.08 Training Course Records and Audit Requirements.

A. For each completed course, a training provider shall maintain:

(1) A lesson plan;

(2) Course materials;

(3) An instructor roster;

(4) A student roster;

(5) Attendance records;

(6) A class schedule;

(7) Administered tests;

(8) Test answer keys; and

(9) Test scores.

B. For auditing purposes, a training provider shall:

(1) Maintain supporting documentation verifying the requirements of this chapter for a minimum of 3 years; and

(2) Provide supporting documentation to Commission staff when requested.

.09 Training Course Revocation.

A. Commission staff may revoke the approval of a course if a training provider fails to comply with the requirements of this chapter.

B. A training provider may appeal a revocation decision to the Deputy Director.

C. The Commission may reinstate the approval of a training course when a training provider meets the requirements of this chapter.

RICHARD H. GIBSON, JR.
Chair, Maryland Police Training and Standards Commission

Title 14
INDEPENDENT AGENCIES

Subtitle 22 COMMISSION ON CRIMINAL SENTENCING POLICY

14.22.01 General Regulations

Authority: Criminal Procedure Article, §6-211, Annotated Code of Maryland.

Notice of Proposed Action

[26-095-P]

The Maryland State Commission on Criminal Sentencing Policy proposes to amend Regulations .07, .09, and .10 under COMAR 14.22.01 General Regulations.


Statement of Purpose

The purpose of this action is to remove select fields from the sentencing guidelines worksheet that lack direct utility to the sentencing guidelines.

Additionally, the purpose of this action is to expand the definition of physical victim injury (part C of the offense score) and to include examples of minor, non-permanent, and permanent injuries. The proposed revisions to Regulation .09 also reorganize the instructions for scoring victim injury.

Lastly, the purpose of this action is to clarify that an individual is not involved with the criminal justice system for the purposes of calculating the offender score if the individual’s only involvement is to comply with the ongoing reporting requirements associated with sex offender registration in the State or elsewhere. To note, this is not a new guidelines rule. The proposed language is being added to provide clarity to practitioners.

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 David Soule, Executive Director, Maryland State Commission on Criminal Sentencing Policy, 4511 Knox Rd., Suite 309, College Park, MD 20740, or call 301-403-4165, or email to [email protected]. Comments will be accepted through August 10, 2026. A public hearing has not been scheduled.

.07 Case Information.

A. The top section of the sentencing guidelines worksheet contains:

(1)—(8) (text unchanged)

(9) Statutory maximum and mandatory minimum penalties; and

(10) The case or docket number[; and].

[(11) Whether or not victim-related court costs were imposed.]

B.—J. (text unchanged)

K. Victim Information. The individual completing the worksheet shall provide the victim information requested in the designated space on the worksheet. The information requested includes:

(1) (text unchanged)

[(2) Whether the victim participated in the sentencing process;]

[(3) Whether the victim filed a Crime Victim Notification and Demand for Rights form;]

[(4) Whether the victim was notified of a plea agreement;]

[(5)](2) Whether the victim was [notified of and] present at the sentencing;

[(6)](3) Whether there was a written or an oral Victim Impact Statement (VIS); and

[(7) Whether the victim or State requested that the defendant have no contact with the victim; and]

[(8)](4) (text unchanged)

L.—O. (text unchanged)

[P. Record of Announcement. The court shall make a record of the statement in open court required under Criminal Procedure Article, §6-217, Annotated Code of Maryland, of the minimum time the defendant must serve before becoming eligible for parole.]

.09 Offense Score.

A. (text unchanged)

B. Elements of the Offense Score.

(1)—(2) (text unchanged)

(3) Victim Injury.

[(a) Victim injury, whether physical or psychological, shall be based on reasonable proof. Physical injury shall be more than minimal. Physical injuries such as lasting muscle damage or amputation are permanent. Proof of psychological injury shall be based on confirmed medical diagnosis or psychological counseling or treatment, or other forms of reasonable proof. Rape crisis hotlines, clergy conferences, educational counseling, and other similar services are considered psychological counseling or treatment. Permanent psychological injury shall be based on proof of a substantial impairment likely to be of an extended or continuous duration. Offenses involving photographic or video evidence of child pornography shall be scored as permanent victim injury.

(b) The individual completing the worksheet shall assign a score of 0 if there was no victim injury.

(c) The individual completing the worksheet shall assign a score of 1 if victim injury occurred and the injury was not permanent.

(d) The individual completing the worksheet shall assign a score of 2 if victim injury occurred and the injury was permanent or resulted in the death of the victim.

(e) The victim injury component of the offense score shall be completed for each offense to be sentenced.]

(a) In General. Victim injury means physical or psychological injury to the crime victim, the cause of which is directly linked to the conduct of the defendant in the commission of the offense. Injury is scored as none/minor, non-permanent, or permanent/death. The victim injury component of the offense score shall be completed for each offense to be sentenced.

(i) Zero points are scored if there was no or minor victim injury.

(ii) One point is scored if victim injury occurred and the injury was not permanent.

(iii) Two points are scored if victim injury occurred and the injury was permanent or resulted in the death of the victim.

(b) Proof of Injury.

(i) Victim injury, whether physical or psychological, shall be based on reasonable proof, but does not necessarily require proof of medical or psychological treatment.

(ii) The sentencing guidelines recognize that not all victims have access to psychological counseling or treatment. Victims may not have been provided treatment, and the psychological impact on certain victims, for example minors, may not manifest until later in life. Proof of psychological injury shall be based on confirmed medical diagnosis or psychological counseling or treatment, or other forms of reasonable proof. Rape crisis hotlines, clergy conferences, educational counseling, and other similar services are considered psychological counseling or treatment.

(c) Types of Injuries/Examples.

(i) No/Minor Injury. Examples of no/minor injuries include, but are not limited to, small cuts, scrapes, minimal or superficial bruises, and mild sprains that do not require immediate emergency care.

(ii) Non-Permanent Injury. Non-permanent injury shall be more than minor. Examples of non-permanent injuries include, but are not limited to, significant bruises and contusions accompanied by demonstrable pain and discomfort, lacerations and abrasions that have no residual effect, concussions without lasting neurological impact, and fractures, internal injuries, wounds, and sexually transmitted infections, which are serious but not life-threatening.

(iii) Permanent Injury or Death. Permanent injury shall be based on a substantial impairment or loss of function likely to be of an extended or continuous duration, or death. Examples of permanent injuries include, but are not limited to, lasting muscle damage, amputation, paralysis, protracted disfigurement, significant scarring, and death. Offenses involving photographic or video evidence of child pornography shall be scored as permanent victim injury.

(4)—(5) (text unchanged)

C. (text unchanged)

.10 Computation of the Offender Score.

A. (text unchanged)

B. Four Components of the Offender Score.

(1) Relationship to the Criminal Justice System When Instant Offense Occurred.

(a)—(b) (text unchanged)

(c) An offender is not considered to be in the criminal justice system if the offender was on unsupervised probation for an offense not punishable by imprisonment or if the offender’s only involvement with the criminal justice system was to comply with the ongoing reporting requirements associated with sex offender registration in the State or elsewhere.

(d) (text unchanged)

(2) (text unchanged)

(3) Prior Adult Criminal Record.

(a)—(f) (text unchanged)

(g) Criminal Record Decay Factor. If an offender has lived in the community for at least 10 years prior to the instant offense without criminal justice system involvement resulting from an adjudication or a plea of nolo contendere, the criminal record shall be reduced by one level: from Major to Moderate, from Moderate to Minor, or from Minor to None. An offender was in the criminal justice system if the offender was on parole, on probation, incarcerated, on work release, on mandatory supervision, was an escapee, or had a comparable status. An offender is not considered to be in the criminal justice system if the offender was on unsupervised probation for an offense not punishable by imprisonment or if the offender’s only involvement with the criminal justice system was to comply with the ongoing reporting requirements associated with sex offender registration in the State or elsewhere.

(h) (text unchanged)

(4) (text unchanged)

C. (text unchanged)

 

DAVID SOULE
Executive Director

Title 31
MARYLAND INSURANCE ADMINISTRATION

Subtitle 10 HEALTH INSURANCE—GENERAL

31.10.52 Provider Directory Requirements

Authority: Insurance Article, §§15-112(a), (n), (p), and (t), 15-112.3(a)(3), and (c), and 15-830(g)(2(i), Annotated Code of Maryland

Notice of Proposed Action

[26-092-P]

The Insurance Commissioner proposes to adopt new Regulations .01—.07 under a new chapter, COMAR 31.10.52 Provider Directory Requirements. 

Statement of Purpose

The purpose of this action is to provide minimum standards for insurance carriers to conduct a periodic review of at least a reasonable sample size of its network directory for accuracy.

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 Jessica Blackmon, Government Relations and Regulatory Affairs Specialist, Maryland Insurance Administration, 200 St. Paul Place, Suite 2700, Baltimore, MD 21202, or call 410-468-2019, or email to [email protected]. Comments will be accepted through August 10, 2026. A public hearing has not been scheduled.

.01 Definitions.

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

B. Terms Defined.

(1) “Carrier” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(2) “CAQH” means the Council for Affordable Quality Healthcare.

(3) “Commissioner” means the Insurance Commissioner of the State of Maryland.

(4) “Enrollee” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(5) “Other electronic means” means the use of electronic communication that the carrier provides for the purpose of receiving notification of an inaccurate provider network directory, which may include the use of a chat bot, text number, or other means that the carrier designates for the purpose of receiving notifications that the network directory is not accurate.

(6) “Participating provider” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(7) “Provider” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(8) “Provider directory” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(9) “Provider panel” has the meaning stated in Insurance Article, §15–112(a), Annotated Code of Maryland.

(10) “Review” means the review or audit of a provider directory by a carrier for accuracy of the elements listed in Insurance Article, §15-112(n)(3), Annotated Code of Maryland.

.02 Carrier Contact.

A. A carrier shall have means by which an enrollee or prospective enrollee can notify the carrier of inaccurate information in the carrier’s provider directory.

B. A carrier shall establish the following means by which enrollees and prospective enrollees may notify the carrier of inaccurate information in the carrier’s provider directory:

(1) A customer service telephone number;

(2) An e-mail address link; and

(3) Other electronic means.

.03 Reviews.

A. The review that is required by Insurance Article, §15-112(p)(3)(i), Annotated Code of Maryland shall:

(1) Be performed periodically by a carrier of at least a reasonable sample size of its provider directory for accuracy; and

(2) The carrier shall:

(a) Retain documentation of the review and make the review available to the Commissioner on request; or

(b)The carrier shall contact providers listed in the carrier’s provider directory who have not submitted a claim in the last 6 months to determine if the providers intend to remain in the carrier’s provider network.

B. A periodic review shall occur no less frequently than every 6 months.

C. A reasonable sample size is no less than 25 percent of provider listings.

D. A carrier shall update provider directory listings within 15 working days of discovering an inaccuracy during the review.

E. A carrier shall retain documentation of its reviews for a period of no less than 5 years.

F. A carrier shall make the documentation of any review available to the Commissioner upon request.

.04 Notification to Readers.

A. A carrier shall include in a provider directory that is in printed form a statement notifying readers that the information contained in the provider directory is accurate as of the date of the publication.

B. A carrier shall include in a provider directory that is in printed form a statement notifying readers that in order to obtain the most current information, the individual should:

(1) Consult the provider directory on the internet; or

(2) Contact the carrier directly.  

.05 Inaccuracies.

A. If notified of a potential inaccuracy in their provider directory by a person other than the provider, a carrier shall:

(1) Investigate the reported inaccuracy; and

(2) Take any corrective action necessary to update the provider directory within 45 working days after receiving the notification.

B. A carrier shall be marked as an “unverified” entry or listing in their provider directory if:

(1) An enrollee or prospective enrollee submits notification of an inaccuracy; and

(2) The carrier is unable to obtain confirmation of the correct information from the provider within 30 days of requesting confirmation.

C. A carrier shall mark an entry or listing in a provider directory as “not accepting new patients” if:

(1) An enrollee or prospective enrollee submits information that a provider is not accepting new patients; and

(2) The carrier cannot confirm if the provider is accepting new patients.

D. A carrier may remove an entry or listing for a provider from their provider directory if:

(1) An enrollee or prospective enrollee submits notification that a provider is no longer participating in a carrier’s provider panel; and

(2) The provider’s continued participation cannot be verified with the provider within 120 days of the notification by the enrollee or prospective enrollee.

E. Provider directory information newly posted on the internet shall be accurate on the date of its posting.

F. A carrier may rely upon a provider’s attestations made through CAQH within the past 120 days to verify data.

G. A carrier may deem an update made through CAQH to be an update from the provider, and update information in their provider directory based on the CAQH changes and attestation.

.06 Penalties.

A. The Commissioner may impose a penalty, or penalties, against a carrier for providing inaccurate information in a provider directory, or violating any provisions of this chapter.

B. Before imposing a penalty against a carrier for inaccurate provider directory information, the Commissioner shall take into account, in addition to any other factors required by law, the factors listed in Insurance Article, §15–112(p)(6), Annotated Code of Maryland.

.07 Commissioner Surveys.

A. The Commissioner may conduct, or require a carrier to conduct, a centralized survey to assess the accuracy of a carrier’s provider directory.

B. The survey referenced in §A of this regulation shall utilize a statistically reliable and valid methodology that includes making direct contact with a random selection of participating providers for each carrier to assess the accuracy of a provider’s entry within a carrier’s provider directory.

C. To conduct the survey, the Commissioner may, or may require a carrier to:

(1) Contract with a vendor to conduct the survey; and

(2) Charge a carrier a reasonable fee to cover the costs of conducting the survey, if the Commissioner is conducting the survey.

MARIE GRANT
Insurance Commissioner

 

 

  

Special Documents

 


DEPARTMENT OF NATURAL RESOURCES

FISHING AND BOATING SERVICES

PUBLIC NOTICE

Daily Commercial Catch Limits for Mature Female Hard Crabs – July through December 2026 

 

WHAT THIS NOTICE DOES 

The Secretary of the Maryland Department of Natural Resources, in consultation with the Blue Crab Industry Advisory Committee, announces the daily commercial catch limits for mature female hard crabs in the Chesapeake Bay and its tidal tributaries for July through December 2026. Effective 12:01 a.m. July 1, 2026, the catch limits are:

Commercial Catch Limits for Mature Female Hard Crabs by Container and License Type

Dates

Container

LCC

TFL or CB3

TFL or CB3 with CB6

TFL or CB3 with CB9

 

Bushel

2

10

14

18

Jul. 1 - Aug. 31, 2026

Lug

1

6

9

12

 

Barrel

*N/A

4

5

7

 

Bushel

5

19

29

34

Sep. 1 - Oct. 31, 2026

Lug

3

12

19

22

 

Barrel

2

7

11

13

 

Bushel

2

5

10

15

Nov. 1 - 30, 2026

Lug

1

3

6

10

 

Barrel

*N/A

2

4

6

Dec. 1 - 15, 2026

Season

Closed

 

 

 

*Given that a barrel holds approximately 2.5 bushels of crabs, this container is not allowed for use by LCC’s whose limit is less than that amount.

 

 Container Definitions

Bushel, circular – A circular container with inside dimensions not exceeding 12” height, 18” top diameter, 13-½” bottom diameter

Bushel, rectangular – A rectangular container with inside dimensions not exceeding 11” height, 19-½” length, 12-½” width

Lug – A rectangular container with inside dimensions not exceeding 12-⅜” height, 22-⅞” top length, 14-⅞” top width, 21” bottom length, 13” bottom width 

Barrel – A circular container with inside dimensions not exceeding 27-½” height, 20-½” top diameter, 18” bottom diameter

License Acronyms

LCC – Limited Crab Harvester License (up to 50 pots)

TFL – Unlimited Tidal Fish License

CB3 – 300 Pot Crab Harvester License

CB6 – 600 Pot Crab Harvester Supplement Authorization

CB9 – 900 Pot Crab Harvester Supplement Authorization

 

Daily commercial catch limits for mature female hard crabs are based on the Blue Crab Winter Dredge Survey results, conducted by the Maryland Department of Natural Resources and the Virginia Institute of Marine Science, and in consultation with the Blue Crab Industry Advisory Committee.

 

All catch of mature female hard crabs on board a vessel must be kept in the same type of container, although crabs of different sexes may be kept in different types of containers. For example, a harvester may have all females in lugs and all males in bushels, but could not have males or females in both bushels and lugs. Commercial crabbers using lugs or barrels should report harvest in pounds when completing Commercial Harvest Reports.

 

Crew limits are in effect as described in the Annotated Code of Maryland, Natural Resources Article, §4-814. If crew members are not on board, the licensee is restricted to the TFL or CB3 catch limits.

WHERE THIS NOTICE APPLIES

This applies to the Chesapeake Bay and its tidal tributaries, including the Maryland tributaries of the Potomac River.

WHY THIS IS NECESSARY

This action is necessary to ensure that female blue crab harvest does not exceed the Chesapeake Bay exploitation fraction threshold established in Amendment 2 to the Chesapeake Bay Blue Crab Fishery Management Plan.

WHO THIS NOTICE AFFECTS

This applies to commercial crabbers who harvest hard female blue crabs in the Chesapeake Bay and its tidal tributaries.

AUTHORITY

Code of Maryland Regulations 08.02.03.14G

JOSH KURTZ
Secretary of Natural Resources

[26-14-13]


PUBLIC NOTICE

Daily Commercial Catch Limits for Male Hard Crabs – July through December 2026

 

WHAT THIS NOTICE DOES 

The Secretary of the Maryland Department of Natural Resources, in consultation with the Blue Crab Industry Advisory Committee, announces the daily commercial catch limits for male hard crabs in the Chesapeake Bay and its tidal tributaries for July through December 2026. Male hard crab catch limits include catch of all male market categories combined (e.g., number ones, number twos, mixed/culls). Effective 12:01 a.m. July 1, 2026, the catch limits are:

Commercial Catch Limits for Male Hard Crabs by Container and License Type

Dates

Container

LCC

TFL or CB3

TFL or CB3 with CB6

TFL or CB3 with CB9

Jul. 1 - 31, 2026

No Catch

Limits

 

 

 

Aug. 1 - 31, 2026

Bushel

4

8

12

15

 

Lug

2

5

8

10

Sep. 1 - 7, 2026

No Catch

Limits

 

 

 

Sep. 8 - 30, 2026

Bushel

4

8

12

15

 

Lug

2

5

8

10

Oct. 1 - Nov. 30, 2026

No Catch

Limits

 

 

 

Dec. 1 - 15, 2026

Season

Closed

 

 

 

 

Container Definitions

Bushel, circular – A circular container with inside dimensions not exceeding 12” height, 18” top diameter, 13-½” bottom diameter

Bushel, rectangular – A rectangular container with inside dimensions not exceeding 11” height, 19-½” length, 12-½” width

Lug – A rectangular container with inside dimensions not exceeding 12-⅜” height, 22-⅞” top length, 14-⅞” top width, 21” bottom length, 13” bottom width 

License Acronyms

LCC – Limited Crab Harvester License (up to 50 pots)

TFL – Unlimited Tidal Fish License

CB3 – 300 Pot Crab Harvester License

CB6 – 600 Pot Crab Harvester Supplement Authorization

CB9 – 900 Pot Crab Harvester Supplement Authorization

 

Daily commercial catch limits for male hard crabs are based on the Blue Crab Winter Dredge Survey results, conducted by the Maryland Department of Natural Resources and the Virginia Institute of Marine Science, and in consultation with the Blue Crab Industry Advisory Committee.

 

All catch of male hard crabs on board a vessel must be kept in the same type of container, although crabs of different sexes may be kept in different types of containers. For example, a harvester may have all males in bushels and all females in lugs but could not have males or females in both bushels and lugs. Commercial crabbers using lugs should report harvest in pounds when completing Commercial Harvest Reports.

 

Crew limits are in effect as described in the Annotated Code of Maryland, Natural Resources Article, §4-814. If crew members are not on board, the licensee is restricted to the TFL or CB3 catch limits.

WHERE THIS NOTICE APPLIES

This applies to the Chesapeake Bay and its tidal tributaries, including the Maryland tributaries of the Potomac River.

WHY THIS IS NECESSARY

This action is necessary to ensure that male blue crab harvest does not exceed the Chesapeake Bay male conservation trigger referenced in Amendment 2 to the Chesapeake Bay Blue Crab Fishery Management Plan.

WHO THIS NOTICE AFFECTS

This applies to commercial crabbers who harvest hard male blue crabs in the Chesapeake Bay and its tidal tributaries.

AUTHORITY

Code of Maryland Regulations 08.02.03.14G

JOSH KURTZ
Secretary of Natural Resources

[26-14-12]

 


PUBLIC NOTICE

Daily Recreational Catch and Possession Limits for Hard Crabs July 2026 through June 2027

 

WHAT THIS NOTICE DOES 

The Secretary of the Maryland Department of Natural Resources announces the daily recreational catch and possession limits for male hard crabs in the Chesapeake Bay and its tidal tributaries for July 2026 through June 2027. Effective 12:01 a.m. July 1, 2026, the recreational male hard crab catch and possession limits for individuals on a vessel are:

Daily Recreational Male Hard Crab Catch and Possession Limits for Boats

 

With 1 unlicensed individual

2 dozen

Unlicensed Boat

With 2 or more unlicensed individuals

4 dozen

 

With 1 or more licensed individuals and any number of unlicensed individuals

1 bushel OR 6 dozen*

Licensed Boat

With any number of licensed or unlicensed individuals

1 bushel OR 6 dozen*

* The recreational catch limit is 1 bushel of crabs if storing crabs in a bushel basket or 6 dozen crabs if using a container other than a bushel basket.

 

Daily recreational catch and possession limits for male hard crabs are based on the Blue Crab Winter Dredge Survey results, conducted by the Maryland Department of Natural Resources and the Virginia Institute of Marine Science. Catch and possession limits for July through December 2027 will be determined when results from the 2027 Blue Crab Winter Dredge Survey are available.

 

WHERE THIS NOTICE APPLIES

This applies to recreational crabbing on vessels in the Chesapeake Bay and its tidal tributaries, including the Maryland tributaries of the Potomac River. This change does not affect recreational crabbing from shore in the Chesapeake Bay and its tidal tributaries, nor any recreational crabbing in the Atlantic Ocean, its coastal bays, or tributaries.

 

WHY THIS IS NECESSARY

This action is necessary to ensure that male blue crab harvest does not exceed the Chesapeake Bay male conservation trigger referenced in Amendment 2 to the Chesapeake Bay Blue Crab Fishery Management Plan.

 

WHO THIS NOTICE AFFECTS

This applies to recreational crabbers who harvest hard male blue crabs on vessels in the Chesapeake Bay and its tidal tributaries.

 

AUTHORITY

Code of Maryland Regulations 08.02.03.14G

JOSH KURTZ
Secretary of Natural Resources

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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.


 


DEPARTMENT OF THE ENVIRONMENT

Subject: Public Meeting

Date and Time: July 29, 2026, 9 a.m.—4 p.m.

Place: 1800 Washington Blvd, Baltimore, MD

Add'l. Info: Board of Well Drillers Monthly Meeting
Wednesday, July 29, 2026 · 8 a.m.—4 p.m.
Time zone: America/NewYork
Google Meet joining info:
Video call link: https://meet.google.com/rfy-pcwy-jox
Or dial: (US) +1 513-472-1069 PIN: 857 605 656#
More phone numbers: https://tel.meet/rfy-pcwy-jox?pin=5314649613198

Contact: Amanda Redmiles 410-537-4466

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DEPARTMENT OF THE ENVIRONMENT/AIR AND RADIATION ADMINISTRATION

Subject: Public Hearing

Date and Time: July 20, 2026, 1 p.m.

Place: Virtual on Google Meet platform,

Add'l. Info: The Maryland Department of the Environment (MDE) gives notice of a public hearing concerning the redesignation request and maintenance plan for the Cecil County, MD Nonattainment Area for the 2008 Ozone National Ambient Air Quality Standards (NAAQS).
A virtual public hearing will be held on:
July 20, 2026, 1:00 PM (America/New York)
Please join the meeting from your computer, tablet or smartphone.
Video call link: https://meet.google.com/xxu-widj-rvt
You can also dial in using your phone.
PIN: 586 541 784#
Or dial: (US) +1 573-887-5116

The Public Hearing will be held as required by federal law (Clean Air Act at 42 U.S.C. 7410(a) and 40 CFR 51.102). Interested persons are invited to attend and express their views. After the Department considers the comments received, and revises the proposal if necessary, all related items will be submitted to the U.S. Environmental Protection Agency.

An electronic copy of the proposed Redesignation Request and Maintenance Plan for the 2008 Ozone National Ambient Air Quality Standards for the Cecil County, MD Nonattainment Area SIP revision will be available on the Maryland Department of the Environment’s website at
https://mde.maryland.gov/programs/air/airqualityplanning/pages/index.aspx

Note: the public library systems in Maryland can be used for Internet access to view the document. Copies of the document can also be obtained via email by writing to [email protected].

Written comments may be presented at the hearing, faxed to 410-537-3203, emailed to [email protected], or mailed to the Planning Program, MDE ARA, 1800 Washington Boulevard, Suite 730, Baltimore, MD 21230. Comments must be received before 5:00 pm on July 20, 2026. 

Anyone needing special accommodations at a public hearing should contact the Department’s Fair Practices Office at (410) 537-3964. TTY users may contact the Department through the Maryland Relay Service at 1-800-735-2258.

Contact: Emily Bull 410-537-4223

[26-14-04]

 

DEPARTMENT OF THE ENVIRONMENT/AIR AND RADIATION ADMINISTRATION

Subject Public Hearing

Date and Time: July 20, 2026, 3 p.m.

Place: Virtual on Google Meet platform

Add'l. Info: The Maryland Department of the Environment (MDE) gives notice of a public hearing and comment period concerning a State Implementation Plan (SIP) containing a redesignation request and maintenance plan for the 2015 Ozone National Ambient Air Quality Standards (NAAQS) for the Serious Cecil County, MD Nonattainment Area.
A virtual public hearing will be held on:
July 20, 2026, 3:00 PM (America/New York)
Please join the meeting from your computer, tablet or smartphone.
Video call link: https://meet.google.com/dbi-gxgf-ded
You can also dial in using your phone.
PIN: 644 556 506#
Or dial: (US) +1 218-301-8452

The Public Hearing will be held as required by federal law (Clean Air Act at 42 U.S.C. 7410(a) and 40 CFR 51.102). Interested persons are invited to attend and express their views. After the Department considers the comments received, and revises the proposal if necessary, all related items will be submitted to the U.S. Environmental Protection Agency.

An electronic copy of the proposed SIP revision will be available on the Maryland Department of the Environment’s website at
https://mde.maryland.gov/programs/air/airqualityplanning/pages/index.aspx

Note: the public library systems in Maryland can be used for Internet access to view the document. Copies of the document can also be obtained via email by writing to [email protected].

Written comments may be presented at the hearing, emailed to [email protected], or mailed to the Planning Program, MDE ARA, 1800 Washington Boulevard, Suite 730, Baltimore, MD 21230. Comments must be received before 5:00 pm on July 20, 2026.

Anyone needing special accommodations at a public hearing should contact the Department’s Fair Practices Office at (410) 537-3964. TTY users may contact the Department through the Maryland Relay Service at 1-800-735-2258.

Contact: Emily Bull 410-537-4223

[26-14-05]

 

MARYLAND HEALTH CARE COMMISSION

Subject: Formal Start of Review

Add'l. Info: The Maryland Health Care Commission (MHCC) hereby gives notice of docketing of the following application for Certificate of Need:

Quality One Care Home Health, Inc Docket Numbers 26-R6-2491 — Allegany County, Carroll County, Frederick County, Garrett County, and Washington County.

Proposal: Establish a new HHA serving the counties listed above. This filing is consistent with July 11, 2025, CON review schedule and aligns with identified need. Project Budget cost: $153,000.

MHCC shall review the applications under Maryland Health-General Code Annotated, Section 19-101 et seq., COMAR 10.24.01, and the applicable State Health Plan standards. Any affected person may make a written request to the Commission to receive copies of relevant notices concerning the application(s). All further notices of proceedings on the application(s) will be sent only to affected persons who have registered as interested parties.

Persons desiring to become interested parties in the Commission’s review of the above- referenced application(s) must meet the requirements of COMAR 10.24.01.01B(20) and (2) and must also submit written comments to the Commission at [email protected] no later than close of business August 10, 2026. These comments must state with particularity the State Health Plan standards or review criteria that you believe have not been met by the applicant(s) as stated in COMAR 10.24.01.08F.

Please refer to the Docket Number listed above in any correspondence on the application(s). Copies of the application are available for review in the office of MHCC during regular business hours by appointment. All correspondence should be addressed to:
Wynee Hawk, Director
Center for Health Care Facilities and Planning Maryland Health Care Commission
4160 Patterson Avenue
Baltimore, Maryland 21215
Contact: Deanna Dunn 443-844-7467

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MARYLAND HEALTH CARE COMMISSION

Subject Formal Start of Review:

Add'l. Info: The Maryland Health Care Commission (MHCC) hereby gives notice of docketing of the following application for Certificate of Need:

Quality One Care Home Health, Inc Docket Nos. 26-R4-2479; 26-R4-2480, 26-R4-2481, and 26-R4-2482 — Anne Arundel County, Montgomery County, Prince George’s County, Calvert County, Charles County, and St. Mary’s County
Proposal: Establish a new HHA serving the counties listed above. This filing is consistent with July 11, 2025, CON review schedule and aligns with identified need. Project Budget cost: $44,000.

MHCC shall review the applications under Maryland Health-General Code Annotated, Section 19-101 et seq., COMAR 10.24.01, and the applicable State Health Plan standards. Any affected person may make a written request to the Commission to receive copies of relevant notices concerning the application(s). All further notices of proceedings on the application(s) will be sent only to affected persons who have registered as interested parties.

Persons desiring to become interested parties in the Commission’s review of the above- referenced application(s) must meet the requirements of COMAR 10.24.01.01B(20) and (2) and must also submit written comments to the Commission at [email protected] no later than close of business August 10, 2026. These comments must state with particularity the State Health Plan standards or review criteria that you believe have not been met by the applicant(s) as stated in COMAR 10.24.01.08F.

Please refer to the Docket Number listed above in any correspondence on the application(s). Copies of the application are available for review in the office of MHCC during regular business hours by appointment. All correspondence should be addressed to:

Wynee Hawk, Director
Center for Health Care Facilities and Planning Maryland Health Care Commission
4160 Patterson Avenue
Baltimore, Maryland 21215
Contact: Deanna Dunn  443-844-7467

[26-14-09]

 

MARYLAND HEALTH CARE COMMISSION

Subject: Public Meeting

Date and Time: July 16, 2026, 1— 4 p.m.

Place: 4160 Patterson Avenue, Room 100, Baltimore, MD

Add'l. Info: Meeting will be hybrid.  To attend via Zoom, please register on the Commission webpage: www.mhcc.maryland.gov

Contact: Valerie Wooding 410-764-3570

[26-14-01]

 

MARYLAND HEALTH CARE COMMISSION

Subject Public Meeting

Date and Time: July 23, 2026, 1—4 p.m.

Place: 4160 Patterson Avenue, Room 100, Baltimore, MD

Add'l. Info: The Public Meeting originally scheduled for Thursday, July 18 has been rescheduled to July 23.  This meeting will be hybrid.  To attend via Zoom, please register on the Commission webpage: www.mhcc.maryland.gov

Contact: Dee Stephens 410-274-1236

[26-14-10]

 


DIVISION OF LABOR AND INDUSTRY/MARYLAND OCCUPATIONAL SAFETY AND HEALTH (MOSH)

Subject: Virtual Public Hearing on Request for Permanent Variance under Labor and Employment Article, §5-323(b)

Date and Time: August 4, 2026, 1—2 p.m.  

Place: Zoom: https://us06web.zoom.us/meeting/register/bl2Q-QseS42fD4f28L9JPA

Add'l. Info: On July 1, 2025 the Maryland Occupational Safety and Health Unit (“MOSH”) received an application for a variance from four occupational safety and health standards submitted by Kiewit-Shea Tunnel Constructors. The application is for a permanent variance from the standards found at 29 CFR 1926.803(e)(5), 1926.803(f)(1), 1926.803(g)(1)(iii) and 1926.803(g)(1)(xvii) and is sought in connection with tunnel excavation work to be performed during construction of the Frederick Douglass Tunnel Project in Baltimore, Maryland.  
MOSH shall review the application under the Labor and Employment Article, Annotated, Section 5-318 et. seq. and COMAR 09.12.20.17. A copy of the application may be obtained by registering for the Zoom hearing, emailing
[email protected] , or visiting MOSH’s offices at 10946 Golden West Drive, Suite 160, Hunt Valley, MD 21031.
Hearing link and information will also be posted on:
https://labor.maryland.gov/labor/mosh/comp.shtml
Written comments on the application may be sent to:
[email protected] and will be received through August 10, 2026.

Contact: Mischelle F Vanreusel 410-767-2225

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BOARD OF OCCUPATIONAL THERAPY PRACTICE

Subject: Public Meeting

Date and Time: July 17, 2026, 9:30 a.m.— 2 p.m.

Place: via Google Meet

Add'l. Info: Health Occupations Article, Title 10, Annotated Code of Maryland, and COMAR 10.46 amendments, additions, and revisions, including fee changes, may be discussed/voted on. Budget information may also be discussed. It may be necessary to go into executive session. Sign language interpreters and/or appropriate accommodations for qualified individuals with disabilities will be provided upon request. Please call 1-800-735-2255.

Contact: Lauren Murray 410-402-8556

[26-14-03]