Capitol Building Maryland Register

Issue Date:  September 4, 2026

Volume 53  •  Issue 18  • Pages 869 —934

IN THIS ISSUE

Judiciary

Regulations

Special Documents

General Notices

Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before August 17, 2026 5 p.m.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 August 17, 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 ................................................................  873

 

COMAR Research Aids

Table of Pending Proposals .......................................................  874

 

Index of COMAR Titles Affected in This Issue

COMAR Title Number and Name                                               Page

05       Department of Housing and Community
              Development ..............................................................  880

07       Department of Human Services ......................................  881

09       Maryland Department of Labor ......................................  882

10       Maryland Department of Health .............................  878, 883

11       Department of Transportation .........................................  878

13A     State Board of Education .......................................  878, 902

14       Independent Agencies ............................................  878, 905

37       Maryland Department of Disabilities ..............................  922

 

PERSONS WITH DISABILITIES

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

 

 

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS.............................. 877

Final Action on Regulations

10 MARYLAND DEPARTMENT OF HEALTH

SWIMMING POOLS AND SPAS

Public Swimming Pools and Spas . 878

11 DEPARTMENT OF TRANSPORTATION

MOTOR VEHICLE ADMINISTRATION—DRIVER LICENSING AND IDENTIFICATION DOCUMENTS

Identification Cards . 878

13A STATE BOARD OF EDUCATION

EDUCATOR LICENSURE

Disciplinary Actions and Denials . 878

14 INDEPENDENT AGENCIES

MARYLAND CANNABIS ADMINISTRATION

Definitions . 878

Application Process and Issuance of Licenses . 878

Cannabis Grower Operations . 878

Cannabis Dispensary Operations . 878

Cannabis Products . 878

Finished Product Packaging . 878

Hearing Procedures . 878

COMMISSION ON CRIMINAL SENTENCING POLICY

General Regulations . 879

 

Proposed Action on Regulations

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

NEIGHBORHOOD AND COMMUNITY ASSISTANCE PROGRAM

Community Investment Tax Credit Program .. 880

20 REVITALIZATION PROGRAMS

Catalytic Revitalization Project Tax Credit 881

07 DEPARTMENT OF HUMAN SERVICES

FAMILY INVESTMENT ADMINISTRATION

Critical Medical Needs Program .. 881

09  DEPARTMENT OF LABOR

BOARD OF FORESTERS

General Regulations . 882

10 MARYLAND DEPARTMENT OF HEALTH

CANCER CONTROL

Maryland Pediatric Cancer Fund . 883

BOARD OF NURSING

Examination and Licensure . 886

Registered Nurse — Workers’ Compensation
Medical Case Manager
886

BOARD OF NURSING—CERTFICATE HOLDERS

Certification of Nursing Assistants . 886

Medication Technicians . 886

Certified Dialysis Technicians . 886

BOARD OF NURSING—ELECTROLOGY PRACTICE COMMITTEE

Licensure . 886

BOARD OF NURSING — LICENSED DIRECT-ENTRY MIDWIVES

Practice of Licensed Direct-Entry Midwives . 886

BOARD OF NURSING  — LICENSED CERTIFIED MIDWIVES

Licensure and Licensed Certified Midwives 886

BOARD OF MORTICIANS AND FUNERAL DIRECTORS

Natural Organic Reduction — Definitions . 890

Natural Organic Reduction — Permit, Licensing,
and Fees
. 890

Natural Organic Reduction — Procedures . 890

Natural Organic Reduction — Complaints and
Disciplinary Procedures
. 890

Natural Organic Reduction — Code of Ethics . 890

13A STATE BOARD OF EDUCATION

LOCAL SCHOOL ADMINISTRATION

Local Boards of Education . 902

SPECIAL INSTRUCTIONAL PROGRAMS

Programs of Pupil Services . 902

EDUCATOR LICENSURE

Specialists . 902

CHILD CARE CENTERS

Child Supervision . 903

Safety . 903

CHILD CARE—LETTERS OF COMPLIANCE

Child Supervision . 903

Safety . 903

14 INDEPENDENT AGENCIES

PRESCRIPTION DRUG AFFORDABILITY BOARD

General Provisions . 905

Cost Review Study Process . 905

COMMISSION ON CRIMINAL SENTENCING POLICY

Criminal Offenses and Seriousness Categories . 911

ALCOHOL, TOBACCO, AND CANNABIS COMMISSION

Alcoholic Beverages . 920

37 MARYLAND DEPARTMENT OF DISABILITIES

GENERAL PROVISIONS

Regulations and Related Procedures . 922

OFFICE OF PERSONAL CARE SERVICES

Attendant Care Program .. 922

 

 

Special Documents

COMPTROLLER OF THE TREASURY

Notice of Interest Rate on Refunds and Money
Owed to the State
. 926

DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

Grandfathering Registration Notice . 926

General Permit Notice . 926

Projects Approved for Consumptive Uses
of Water
926

Commission Meeting . 928

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 26-WQC-0015 . 928

Water Quality Certification 26-WQC-0023 . 929

DEPARTMENT OF NATURAL RESOURCES

FISHING AND BOATING SERVICES

Closure of Chester River Oyster Harvest Areas — Effective 10/1/2026—Public Notice   929

Closure of Evans Oyster Bar (Somerset County) to Oyster Harvest — Effective 10/1/2026—
Public Notice
. 930

Closure of Flood Point Oyster Bar (Queen Anne’s County) to Oyster Harvest — Effective 10/1/2026—Public Notice . 930

Closure of Howells Point Add 2 Oyster Bar (Talbot County) to Oyster Harvest — Effective 10/1/2026—Public Notice . 930

Closure of Portions of Halls Point and Haines Oyster Bars (Somerset County) to Oyster Harvest — Effective 10/1/2026—Public Notice . 931

Closure of Well Cove Oyster Bar (Queen Anne’s County) to Oyster Harvest — Effective 10/1/2026—Public Notice . 931

 

General Notices

CHESAPEAKE BAY TRUST

Public Meeting . 932

DEPARTMENT OF THE ENVIRONMENT

Public Meeting.................................................................. 932

MARYLAND DEPARTMENT OF HEALTH

Public Meeting . 932

MARYLAND HEALTH CARE COMMISSION

Public Meeting . 932

Receipt of Application . 932

MARYLAND INSURANCE ADMINISTRATION

Public Hearing . 932

MARYLAND STATE LOTTERY AND GAMING CONTROL COMMISSION

Public Meeting . 933

BOARD OF OCCUPATIONAL THERAPY PRACTICE

Public Meeting . 933

 

 

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

 

 

 

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

 

05.14.01.04,.06 • 53:18 Md. R. 880 (9-04-26)

05.20.06.02, .04 • 53:18 Md. R. 881 (9-04-26)

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

 

07 DEPARTMENT OF HUMAN SERVICES

 

07.03.25.04 • 53:18 Md. R. 881 (9-04-26)

 

08 DEPARTMENT OF NATURAL RESOURCES

 

08.02.13.03, .05 • 53:10 Md. R. 461 (5-15-26)

 

09 MARYLAND DEPARTMENT OF LABOR

 

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

09.03.10.01, .06 • 53:7 Md. R. 331 (4-3-26)

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)

09.09.02 .02 • 53:16 Md. R. 690 (8-7-26)

09.09.03 .04 • 53:16 Md. R. 690 (8-7-26)

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

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)

09.14.04 .02,.13 • 53:16 Md. R. 691 (8-7-26)

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

09.19.02.04 • 53:1 Md. R. 31 (1-09-26)

09.19.02.04 • 53:8 Md. R. 359 (4-17-26)

09.22.02.03, .05 • 52:6 Md. R. 273 (3-21-25)

         52:16 Md. R. 850 (8-8-25)

09.29.01.02 • 53:18 Md. R. 882 (9-04-26)

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)

 

10.09.02.07 • 53:8 Md. R. 360 (4-17-26) (ibr)

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)

 

10.14.09.01—.13 • 53:18 Md. R. 883 (9-04-26)

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

 

Subtitles 23—36 (4th volume)

 

10.24.01.03, .04 • 53:15 Md. R. 667 (7-24-26)

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

10.25.17.01—.07 • 53:9 Md. R. 416 (5-01-26)

10.27.01.04, .14 • 53:18 Md. R. 886 (9-04-26)

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)

10.27.16.02, .03, .04 • 53:18 Md. R. 886 (9-04-26)

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)

10.29.23.01.02 • 53:18 Md. R. 890 (9-04-26)

10.29.24 .01—.15 • 53:18 Md. R. 890 (9-04-26)

10.29.25.01—.13 • 53:18 Md. R. 890 (9-04-26)

10.29.26.01—.05 • 53:18 Md. R. 890 (9-04-26)

10.29.27.01,.02 • 53:18 Md. R. 890 (9-04-26)

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)

10.34.02.03 • 53:10 Md. R. 463 (5-15-26)

10.34.15.01 • 53:15 Md. R. 668 (7-24-26)

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)

10.39.01.04 • 53:18 Md. R. 886 (9-04-26)

10.39.04.02, .04, .05 • 53:18 Md. R. 886 (9-04-26)

10.39.06.03 • 53:18 Md. R. 886 (9-04-26)

10.40.01.05 • 53:15 Md. R. 668 (7-24-26)

10.41.02.02, .04 • 53:9 Md. R. 420 (5-01-26)

10.41.03.02, .03, .06 • 53:9 Md. R. 420 (5-01-26)

10.41.05.02, .04, .05—.08 • 53:9 Md. R. 420 (5-01-26)

10.41.07.02—.05 • 53:9 Md. R. 420 (5-01-26)

10.41.08.01-1, .02—.15 • 53:9 Md. R. 420 (5-01-26)

10.41.11.01, .06, .07, .09, .10, .13 • 53:9 Md. R. 420 (5-01-26)

10.41.12.03, .04 • 53:9 Md. R. 420 (5-01-26)

10.42.02.02 • 53:15 Md. R. 669 (7-24-26)

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

10.42.03.03, .06 • 53:15 Md. R. 669 (7-24-26)

10.52.12.05 • 53:5 Md. R. 257 (3-06-26)

 

Subtitles 53—69 (6th volume)

 

10.53.02.01, .03, .05, .06, .07 • 53:18 Md. R. 886 (9-04-26)

10.63.01 .01—.08 • 53:17 Md. R. 713 (8-21-26) (ibr)

10.63.02.01—.06 • 53:17 Md. R. 713 (8-21-26) 

10.63.03.01—.21 • 53:17 Md. R. 713 (8-21-26)

10.63.04.01—.09 • 53:17 Md. R. 713 (8-21-26)

10.63.05.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.06.01—.21 • 53:17 Md. R. 713 (8-21-26)

10.63.08.02, .03, .05 • 53:17 Md. R. 713 (8-21-26)

10.63.08.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.09.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.10.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.11.01—.11 • 53:17 Md. R. 713 (8-21-26)

10.63.12.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.13.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.14.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.15.01—.09 • 53:17 Md. R. 713 (8-21-26)

10.63.16.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.17.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.18.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.19.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.20.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.21.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.22.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.23.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.24.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.25.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.26.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.27.01—.08 • 53:17 Md. R. 713 (8-21-26)

10.63.28.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.29.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.30.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.31.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.32.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.33.01—.07 • 53:17 Md. R. 713 (8-21-26)

10.63.34.01—.16 • 53:17 Md. R. 713 (8-21-26)

10.63.35.01—.09 • 53:17 Md. R. 713 (8-21-26)

10.63.36.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.37.01—.06 • 53:17 Md. R. 713 (8-21-26)

10.63.38. .01—.05 • 53:17 Md. R. 713 (8-21-26)

10.63.39.01—.10 • 53:17 Md. R. 713 (8-21-26)

10.64.01.01, .17 • 53:18 Md. R. 886 (9-04-26)

10.65.02.04—.06 • 53:15 Md. R. 669 (7-24-26)

10.65.07.02 • 52:14 Md. R 721 (7-11-25)

10.65.08.01, .02 • 53:15 Md. R. 669 (7-24-26)

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)

10.69.01.02, .04, .06 • 53:18 Md. R. 886 (9-04-26)

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

 

11.04.15.01—.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)

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

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

 

 

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

 

12.04.13.01—.05 • 53:17 Md. R. 820 (8-21-26)

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

 

13A STATE BOARD OF EDUCATION

 

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

• 53:18 Md. R. 902 (9-04-26)

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

 • 53:3 Md. R. 126 (2-6-26)

13A.05.05.01, .16 • 53:18 Md. R. 902 (9-04-26)

13A.06.03.02—.07, .09 • 53:15 Md. R. 670 (7-24-26)

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

13A.08.01.10, .10-1 • 53:15 Md. R. 674 (7-24-26)

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

13A.12.04.11 • 53:18 Md. R. 902 (9-04-26)

13A.12.05.05, .06, .10 • 53:8 Md. R. 367 (4-17-26)

13A.16.06.09, .09-1, .10, .10-1 • 53:16 Md. R. 691 (8-7-26)

13A.16.08.03 • 53:18 Md. R. 903 (9-04-26)

13A.16.10.02 • 53:18 Md. R. 903 (9-04-26)

13A.17.08.03 • 53:18 Md. R. 903 (9-04-26)

13A.17.10.02 • 53:18 Md. R. 903 (9-04-26)

13A.18.06.06, .06-1 • 53:16 Md. R. 691 (8-7-26)

 

14 INDEPENDENT AGENCIES

 

14.01.04.01—.06 • 53:18 Md. R. 905 (9-04-26)

14.01.01.05 • 53:18 Md. R. 905 (9-04-26)

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)

14.11.01.01—.13 • 53:18 Md. R. 922 (9-04-26)

14.22.02.01, .02 • 53:18 Md. R. 911 (9-04-26)

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

14.23.01.08,.20 • 53:18 Md. R. 920 (9-04-26)

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

 

 

15 MARYLAND DEPARTMENT OF AGRICULTURE

 

15.06.04.01—.07 • 53:2 Md. R. 81 (1-23-26)

 

17 DEPARTMENT OF BUDGET AND MANAGEMENT

 

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

 

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

 

21.06.07.10 • 53:17 Md. R. 821 (8-21-26)

21.07.01.32 • 53:17 Md. R. 821 (8-21-26)

21.11.17.01—.06 • 53:17 Md. R.821 (8-21-26)

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)

26.13.10.01, .04, .06, .08, .09-1,.14, .16-1, .17, .19, .20, .25, .32—.49 • 52:10 Md. R. 478 (5-16-25)

26.13.11.01 • 52:10 Md. R. 478 (5-16-25)

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)

 

30 MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

 

30.08.01.01—.03 • 53:17 Md. R. 825 (8-21-26)

30.08.02.01—.03, .05, .07, .09, .10 • 53:17 Md. R. 825 (8-21-26)

30.08.05.02—.24 • 53:17 Md. R. 825 (8-21-26)

30.08.11.01—.11, .13, .14 • 53:17 Md. R. 825 (8-21-26)

30.08.12.01, .03, .04, .06—.12, .14, 15 • 53:17 Md. R. 825 (8-21-26)

30.08.17.01—.09, .11—.17 • 53:17 Md. R. 825 (8-21-26)

30.08.18.01—.05, .07—.14 • 53:17 Md. R. 825 (8-21-26)

30.08.19.01—.15 • 53:17 Md. R. 825 (8-21-26)

 

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 • 52:26 Md. R. 1353 (12-26-25)

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

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

 

37 MARYLAND DEPARTMENT OF DISABILITIES

 

37.01.01 .01—.03 • 53:18 Md. R. 922 (9-04-26)

37.02.01.01—.13 • 53:18 Md. R. 922 (9-04-26)

 

 

 

 

 

The Judiciary

SUPREME COURT OF MARYLAND

DISCIPLINARY PROCEEDINGS

 

*   *   *   *   *   *   *   *   *   *

 

This is to certify that by an Order of this Court dated August 19, 2026 JASON D. LAMM (CPF#  9612180139) As of August 19, 2026, Jason D. Lamm, has been suspended for 30 Days, 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).

 

*   *   *   *   *   *   *   *   *   *  *

 

[26-18-16]

Final Action on Regulations

 

Symbol Key

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

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

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

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

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

 


 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 17 SWIMMING POOLS AND SPAS

10.17.01 Public Swimming Pools and Spas

Authority: Health-General Article, §§2-102, 2-104, 18-102, and 20-303; Public Safety Article, §§12-1203 and 12-1207(a)(2);
Annotated Code of Maryland; 15 U.S.C. §8003

Notice of Final Action

[26-063-F-I]

On August 11, 2026, the Secretary of Health adopted the repeal of existing Regulations .01—.03 and .05—55, amendments to and the recodification of existing Regulation .04 to be Regulation .03, and new Regulations .01, .02, and .04—.47 under COMAR 10.17.01 Public Swimming Pools and Spas. This action, which was proposed for adoption in 53:12 Md. R. 545—566 (June 12, 2026), has been adopted as proposed.

Effective Date: October 1, 2026.

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 Final Action

[26-061-F]

On August 25, 2026, the Administrator of the Motor Vehicle Administration adopted amendments to and the recodification of existing Regulations .04, .07, and .08 to be Regulations .02, .03, and
.04 respectively, and the recodification of existing Regulations .09 and .10 to be Regulations .05 and .06 respectively, under COMAR 11.17.06 Identification Cards. This action, which was proposed for adoption in 53:14 Md. R. 643—644 (July 10, 2026), has been adopted as proposed.

Effective Date: September 14, 2026.

CHRISTINE NIZER
Administrator

Title 13A
STATE BOARD OF EDUCATION

Subtitle 12 EDUCATOR LICENSURE

13A.12.06 Disciplinary Actions and Denials

Authority: Education Article, §§2-205, 2-303(g), 6-127, 6-701—6-708, 8-303, and 8-3A-03; Family Law Article, §10-119.3;
 and Criminal Law Article, §5-810
; Annotated Code of Maryland

Notice of Final Action

[26-081-F]

On August 25, 2026, the Maryland State Board of Education adopted amendments to Regulations .02 and .03 under COMAR 13A.12.06 Disciplinary Actions and Denials. This action, which was proposed for adoption in 53:13 Md. R. 606—607 (June 26, 2026), has been adopted as proposed.

Effective Date: September 14, 2026.

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

 

 

Title 14
INDEPENDENT AGENCIES

Subtitle 17 MARYLAND CANNABIS ADMINISTRATION

Notice of Final Action

[26-078-F]

On August 13, 2026, the Maryland Cannabis Administration adopted:

 

(1) Amendments to Regulation .01 under COMAR 14.17.01 Definitions;

(2) Amendments to Regulation .05 under COMAR 14.17.05 Application Process and Issuance of Licenses;

(3) Amendments to Regulations .03 and .09 and new Regulation .10 and under COMAR 14.17.10 Cannabis Grower Operations;

(4) Amendments to Regulations .03 and .04 under COMAR 14.17.12 Cannabis Dispensary Operations;

(5) New Regulation .13 under COMAR 14.17.13 Cannabis Products;

(6) Amendments to Regulations .02 and .07 and new Regulation .08 under COMAR 14.17.18 Finished Product Packaging; and

(7) Amendments to Regulations .02 and .09 under COMAR 14.17.22 Hearing Procedures.

This action, which was proposed for adoption in 53:13 Md. R. 610—613 (June 26, 2026), has been adopted with the nonsubstantive changes shown below.

Effective Date: September 14, 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:

COMAR 14.17.01.01B(52-1): MCA is clarifying the definition of sublingual pouch.

COMAR 14.17.05.05C(4)(a)(iii): MCA is clarifying acceptable documentation of good faith effort of active interest in a premises to better articulate its intent.

COMAR 14.17.13.13B(1): MCA is clarifying the proposed language to use terms defined in regulation.

COMAR 14.17.18.08E: MCA is renumbering to correct a typo in the proposed text.

14.17.01 Definitions

Alcoholic Beverages and Cannabis Article, §36-101, Annotated Code of Maryland

.01 Definitions.

A. (proposed text unchanged)

B. Terms Defined

(1)—(32) (proposed text unchanged)

(32-1) (proposed text unchanged)

(33)—(52) (proposed text unchanged)

(52-1) “Sublingual pouch” means a permeable sachet containing concentrated cannabis [[concentrate]] product that is intended to be dissolved in the mouth and absorbed buccally or sublingually.

(53)—(58) (proposed text unchanged)

14.17.05 Application Process and Issuance of Licenses

Alcoholic Beverages and Cannabis Article, §§36-202, 36-401, 36-404, and 36-505, Annotated Code of Maryland

 

.05 Issuance of a License or Rescission of a Conditional License.

A.B. (proposed text unchanged)

C. Conditional License Period.

(1)(3) (proposed text unchanged)

(4) Conditional License Extension Requests.

(a) The conditional licensee shall submit, in a manner determined by the Administration, documentation of active interest in a premise which shall identify the proposed site by address, include explicit use for a cannabis business, and be signed by the conditional licensee and the premises owner:

(i)—(ii) (proposed text unchanged)

(iii) Documentation evidencing permission [[to]] for use of a premises for cannabis [[purposes]] operations.

(b) (proposed text unchanged)

(5)—(8) (proposed text unchanged)

D.—H. (proposed text unchanged)

14.17.13 Cannabis Products

Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, and 36-203.1, Annotated Code of Maryland

.13 Sublingual Pouches.

A. (proposed text unchanged)

B. A sublingual pouch may only include:

(1) A concentrated cannabis [[concentrate]] product; and

(2) (proposed text unchanged)

C. (proposed text unchanged)

14.17.18 Finished Product Packaging

Alcoholic Beverages and Cannabis Article, §§36-202, 36-203, and 36-203.1, Annotated Code of Maryland

.08 Sublingual Pouch Packaging and Labeling.

A—D. (proposed text unchanged)

[[F.]] E. (proposed text unchanged)

TABATHA ROBINSON
Director

 

 

Subtitle 22 COMMISSION ON CRIMINAL SENTENCING POLICY

14.22.01 General Regulations

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

Notice of Final Action

[26-095-F]

On August 25, 2026, the Maryland State Commission on Criminal Sentencing Policy adopted amendments to Regulations .07, .09, and .10 under COMAR 14.22.01 General Regulations. This action, which was proposed for adoption in 53:14 Md. R. 645—646 (July 10, 2026), has been adopted as proposed.

Effective Date: October 1, 2026.

DAVID SOULE

Director

 

Proposed Action on Regulations

 

Title 05
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

Subtitle 14 NEIGHBORHOOD AND COMMUNITY ASSISTANCE PROGRAM

05.14.01 Community Investment Tax Credit Program

Authority: Housing and Community Development Article, Title 6, Subtitle 4, Annotated Code of Maryland

Notice of Proposed Action

[26-139-P]

The Secretary of Housing and Community Development  proposes to amend Regulations .04 and .06 under COMAR 05.14.01 Community Investment Tax Credit Program. 

Statement of Purpose

The purpose of this action is to add educator workforce housing as an eligible activity under the Community Investment Tax Credit program.

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 John Papagni, Program Officer, Division of Neighborhood Revitalization, Department of Housing and Community Development, 7800 Harkins Road, Lanham, MD 20706, or call 443-257-1682, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.04 Eligibility Standards for Approved Projects.

A. (text unchanged)

B. In order to be eligible for approval under the Program, the project shall satisfy the following requirements:

(1) (text unchanged)

(2) The project shall provide services including:

(a)—(d) (text unchanged)

(e) Crime prevention, [or]

(f) Educator workforce housing; or

[(f)](g) (text unchanged)

(3) (text unchanged)

.06 Project Review and Selection Procedures.

A.—F. (text unchanged)

G. Notification.

(1)—(3) (text unchanged)

(4) If the project is an educator workforce development project, the Department may not approve a project without notifying the County Board of Education, or authorized designee of at least one local school system that benefits from the project.

JACOB R. DAY
Secretary of Housing and Community Development

 

 

Subtitle 20 Revitalization Programs

05.20.06 Catalytic Revitalization Project Tax Credit

Authority: Housing and Community Development Article, §6-904, Annotated Code of Maryland

Notice of Proposed Action

[26-140-P]

The Secretary of Housing and Community Development proposes to amend Regulations .02 and .04 under COMAR 05.20.06 Catalytic Revitalization Project Tax Credit. 

Statement of Purpose

The purpose of this action is to add a definition of workforce housing and include workforce housing as an activity under the Catalytic Revitalization Tax Credit applications.

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 John Papagni, Program Officer, Division of Neighborhood Revitalization, Department of Housing and Community Development, 7800 Harkins Road, Lanham, MD 20706, or call 443-257-1682, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(10) (text unchanged)

(11) “Workforce housing” has the meaning stated in Housing and Community Development Article, §4-1801, Annotated Code of Maryland.

.04 Applications.

A. (text unchanged)

B. The Department shall consider the following factors when reviewing an application with an emphasis on applications that promote affordable housing and workforce housing:

(1)—(3) (text unchanged)

C.—G. (text unchanged)

JACOB R. DAY
Secretary of Housing and Community Development


Title 07
DEPARTMENT OF HUMAN SERVICES

Subtitle 03 FAMILY INVESTMENT ADMINISTRATION

07.03.25 Critical Medical Needs Program

Authority: Human Services Article, §§5-5A-07, 5-5A-08, and 5-608, Annotated Code of Maryland
(Agency Note: Federal Regulatory Reference—45 CFR 96, Subpart H)

Notice of Proposed Action

[26-125-P]

The Acting Secretary of Human Services proposes to amend Regulation .04 under COMAR 07.03.25 Critical Medical Needs Program.

Statement of Purpose

The purpose of this action is to reduce administrative obstacles for households with critically medically vulnerable individuals applying for financial assistance for their energy bills through the Department of Human Service’s Critical Medical Needs Program. The program facilitates energy assistance to households with critically medically vulnerable individuals through authorized navigators (e.g., hospitals, elder care facilities, and community health workers), who directly assist households in the application process. Presently, an application must include a certification that someone in the applicant’s household has a serious illness or need for life-support equipment, which must be verified by either a licensed physician or certified nurse practitioner.

The proposed action would:

(1) Add as an option for certification to include self-attestation by applicant; and

(2) Broaden the type of medical professional that can verify a certification to include a physician assistant. These proposed changes will streamline access to energy assistance by reducing barriers for individuals who may have limited mobility, difficulty accessing medical appointments, or challenges obtaining documentation due to disability or illness.

Estimate of Economic Impact

I. Summary of Economic Impact. This proposed action will have an economic impact. The ability of an applicant to self-attest critical medical needs may result in more eligible individuals applying for assistance. While the removal of a medical practitioner endorsement may lead to a an increase in applications due to the ease of self-attestation, the Critical Medical Needs Program still requires all applicants to be referred and processed through authorized navigators, which serves as a safeguard against fraudulent claims. Navigators—such as hospital discharge planners, community health workers, and staff within elder care facilities—validate the applicant’s circumstances and ensure that referrals are legitimate.

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

Department of Human Services

(E+)

Indeterminate

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:

 

 

Public

(+)

Indeterminate

 

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

A. The proposed action may result in increased energy assistance expenditures by the Department of Human Services. By allowing applicants to self-attest to critical medical needs without requiring a medical practitioner’s endorsement, more eligible individuals may apply for assistance. While a potential increase in applications could increase overall benefit disbursement, the magnitude of this impact is expected to remain limited because applicants must still be processed through authorized navigators, which helps ensure that referrals are appropriate and legitimate.

F. This proposed action is expected to have a positive impact on critically medically vulnerable individuals and their households. The proposed action will authorize applicants to self-attest the critical medical needs of an individual in their household without requiring a medical practitioner’s endorsement. These changes streamline the application process, which may increase the number of households applying for energy assistance through the Critical Medical Needs Program. Additionally, self-attestation rather than verification by a medical professional will allow eligible households to receive assistance more quickly, particularly those who rely on life-sustaining utility services.

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:

This proposed action is expected to have a positive impact on individuals with disabilities. By allowing applicants to self-attest critical medical needs without requiring a medical practitioner’s endorsement, the proposed action reduces barriers for individuals who may have limited mobility, difficulty accessing medical appointments, or challenges obtaining documentation due to their disability. The change streamlines the application process and allows individuals to receive assistance more quickly, particularly those who rely on life-sustaining utility services. Because applications must still be processed through authorized navigators, program integrity and verification remain intact while removing an administrative burden that disproportionately affects individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Erica Chapman, Government Affairs Administrator, Maryland Department of Human Services, Maryland Department of Human Services, Office of Government Affairs, 25 South Charles Street, Baltimore, MD 21201, or call 443-257-7699, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.04 Application Process.

A. (text unchanged)

B. A navigator shall submit a complete CMN Program application [shall include] that includes:

(1) (text unchanged)

(2) A completed certification of serious illness or need for life support equipment form that [shall include] includes, at a minimum, the following:

(a) A certification of a serious illness or the need for life-support equipment made by:

(i) [A licensed physician] A medical professional to include a licensed physician, physician assistant, or certified nurse practitioner; or

(ii) [A certified nurse practitioner] The applicant attesting that they or their minor child have a serious illness or need for life support equipment;

(b)—(c) (text unchanged)

(d) [The]  If a medical professional is providing the certification described under §B(2)(a)(i) of this regulation, the name, address, telephone number, [physician or certified nurse practitioner] license number, and signature of the certifying [physician or certified nurse practitioner] medical professional; and

(e) (text unchanged)

(3)—(4) (text unchanged)

STACY L. RODGERS
Acting Secretary of Human Services

 

 

Title 09
DEPARTMENT OF LABOR

Subtitle 29 BOARD OF FORESTERS

09.29.01 General Regulations

Authority: Business Occupations and Professions Article, §§7-206(a)(1), 7-304(b), and 7-305(b)(1)(i), Annotated Code of Maryland

Notice of Proposed Action

[26-134-P]

The Maryland Board of Foresters proposes to amend Regulation .02 under COMAR 09.29.01 General Regulations. This action was considered at a public meeting of the Maryland Board of Foresters held on June 12, 2026, notice of which was given by posting the the Maryland Board of Electricians' website, pursuant to General Provisions Article, §3-305(c)(3)(ii), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to clarify the educational eligibility requirements for forester license applicants, which require amendment to comply with Business Occupations and Professions, General Provisions Article, §7-304(b), Annotated Code of Maryland, which was amended during the 2026 Maryland legislative session.

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 Christopher Dorsey, Executive Director, Maryland Board of Foresters, Maryland Department of Labor, Maryland Department of Labor, 100 S. Charles Street, Tower 1, Suite 3300, Baltimore, MD 21201, or call 410-230-6318, or email to [email protected]. Final action on the proposal will be considered by the Maryland State Board of Foresters during a public meeting to be held on October 5, 2026 at 1:00 p.m. at the Maryland Department of Labor, 100 S. Charles Street, Tower 1, Suite 3300, Baltimore, MD 21201. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.02 Application for Licensing.

A. (text unchanged)

B. An application shall contain:

(1) Statements made under oath showing the applicant's education, including the applicant's official college transcript, which reflects completion of a program accredited by the Society of American Foresters [or] and approved by the Board, including:

(a) (text unchanged)

(b) A [master’s] comparable graduate or international degree in forestry as set forth in Business Occupations and Professions Article, §7-304(b)(2), Annotated Code of Maryland;

(2)—(3) (text unchanged)

MICHAEL HUNEKE
Chair, Maryland Board of Foresters

 

 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 14 CANCER CONTROL

10.14.09 Maryland Pediatric Cancer Fund

Authority: Health-General Article, §§2–104, 4-101—4-103, 20-120, and 20-121; State Finance and Procurement Article, §§7-209 and 7-210, Annotated Code of Maryland.

Notice of Proposed Action

[26-129-P]

The Secretary of Health proposes to adopt new Regulations .01—.13 under a new chapter, COMAR 10.14.09 Maryland Pediatric Cancer Fund.

Statement of Purpose

The purpose of this action is to adopt regulations implementing the Maryland Pediatric Cancer Fund, pursuant to Health-General Article §20-120, Annotated Code of Maryland.

Estimate of Economic Impact

I. Summary of Economic Impact. Eligible organizations may receive grants for pediatric cancer research and funds may also be allocated to childhood cancer organizations for donor promotion and scientific community education. MDH may also use a small percentage of the Fund for staff and administrative costs associated with the Commission.

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

Maryland Department of Health

(R+)

Minor

B. On other State agencies:

NONE

 

C. On local governments:

NONE

 

 

Benefit (+)

Cost (-)

Magnitude

D. On regulated industries or trade groups:

 

 

Nonprofit hospitals, educational institutions,  and other eligible nonprofit organizations

(+)

$2,475,000

E. On other industries or trade groups:

NONE

 

F. Direct and indirect effects on public:

 

 

General Public

(+)

Major

 

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

A. Funds from the Fund may be used to administer the Fund, including staff and administrative costs associated with the Commission. Pursuant to the underlying statute, the Secretary of MDH may not distribute or use more than 5 percent of the Fund for these purposes.

D. An eligible organization may be awarded a grant for pediatric cancer research. In addition, funds may also be allocated to State-based childhood cancer organizations for use in promoting further donations to the Fund and to educate the State scientific community about the opportunities for childhood cancer research through the Fund. The FY27 legislative appropriation for the Maryland Pediatric Cancer Fund was $2,475,000. This assumes that the entirety of the FY27 allocation is spent and awarded this Fiscal Year to eligible applicants. Ultimately, determination of the allocation and total amount allocated is subject to the discretion of the Commission and the approval of the Secretary.

F. The Fund supports research aimed at improving existing treatment, discovering new treatment, and advancing the scientific understanding of childhood cancer which may contribute to better outcomes and improved quality of life for children with cancer.

Economic Impact on Small Businesses

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

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534, Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.01 Purpose and Scope.

This chapter:

A. Defines the Maryland Pediatric Cancer Fund;

B. Sets forth the responsibilities of the Maryland Department of Health with respect to the Maryland Pediatric Cancer Fund;

C. Describes the Pediatric Cancer Research Commission;

D. Identifies eligible applicants for the Maryland Pediatric Cancer Fund; and

E. Outlines the grant process for the Maryland Pediatric Cancer Fund.

.02 Definitions.

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

B. Terms Defined.

(1) “Administrative expenses” means staffing costs, costs associated with establishing and maintaining the Commission, and costs associated with the development, review, evaluation, and award of grants.

(2) Applicant.

(a) “Applicant” means an organization who applies to receive a grant under the Maryland Pediatric Cancer Fund.

(b) “Applicant” includes an authorized representative acting on behalf of, or submitting an application on behalf of, an organization.

(3) “Applied research” means research that is focused on determining how the research enterprise can most effectively translate existing scientific information into solutions to real-world problems, including new diagnostics and therapies for diseases.  

(4) “Basic research” means experimental or theoretical work undertaken to acquire new knowledge or understanding of cancer.

(5) “Capital expenditures” means money spent to add or expand property, equipment, and assets that will benefit a grantee in the long term.

(6) “Clinical research” means research:

(a) Conducted primarily on patients; and

(b) Designed to answer questions about the etiology, prevention, early detection, diagnosis, or treatment of cancer.

(7) “Commission” means the Pediatric Cancer Research Commission as established in Health-General Article, §20-121, Annotated Code of Maryland.

(8) “Community-based participatory research” means a collaborative, partnership approach to research that equitably involves community members, organizational representatives, and researchers in all aspects of the research process.

(9) “Department” means the Maryland Department of Health.

(10) Educational Institution.

(a) “Educational institution” means an organization whose primary mission is to educate individuals.

(b) “Educational institution” includes:

(i) Colleges;

(ii) Universities; and

(iii) Graduate schools.

(11) “Fund” means the Maryland Pediatric Cancer Fund.

(12) Grant.

(a) “Grant” means financial assistance from the State to support an applicant's activities related to pediatric cancer research.

(b) “Grant” does not mean a contract.

(13) “Grantee” means an organization who receives a grant under the Maryland Pediatric Cancer Fund.

(14) “Hospital” means an institution that is licensed in the State under COMAR 10.07.01 or other applicable standards established by the jurisdiction or state in which the service is provided.

(15) “Maryland Pediatric Cancer Fund” means the program which is administered by the Department under Health-General Article, §20-120, Annotated Code of Maryland, to provide grants to nonprofit hospitals, educational institutions, and other nonprofit organizations to conduct pediatric cancer research.

(16) “Nonprofit organization” means an organization that is classified under §501(c)(3) of the Internal Revenue Code as a nonprofit organization.

(17) Research.

(a) “Research” means activities to develop or advance the understanding of cancer or the techniques or modalities effective in the prevention, cure, screening, diagnosis, or treatment of cancer.

(b) “Research” includes applied, basic, clinical, translational, and community-based participatory research.

(18) “Secretary” means the Secretary of the Maryland Department of Health.

(19) “State-based childhood cancer organization” means a social organization as defined by State Finance and Procurement Article, §7-402(a), Annotated Code of Maryland that:

(a) Is headquartered in the State; and

(b) Has a primary mission to address childhood cancer.

(20) “Translational research” means using or applying new discoveries to benefit patient care.

.03 Maryland Pediatric Cancer Fund.

A. The Maryland Pediatric Cancer Fund is a non-lapsing, special fund created by Health-General Article, §20-120, Annotated Code of Maryland, for pediatric cancer research, which is generated from:

(1) Money appropriated in the State Budget to the Fund; and

(2) Any other donations to the Fund.

B. Department Expenditure of Fund. The Department may only expend funds:

(1) In accordance with an appropriation approved by the General Assembly in the annual State budget; or

(2) Through an approved budget amendment under State Finance and Procurement Article, §§7-209 and 7-210, Annotated Code of Maryland.

C. Approved Utilization of the Fund. The Fund shall be used only:

(1) To make grants for pediatric cancer research;

(2) For administrative expenses; and

(3) To distribute to a promotional account to be allocated to a State-based childhood cancer organization to be used to promote further donations to the Fund and to educate the State scientific community about opportunities for childhood cancer research through the Fund.

D. Each fiscal year, the Secretary may distribute and use no more than a total of 5 percent of the Fund for the purposes referenced in §C(2) and (3) of this regulation.

E. Any unspent portions of the Fund shall remain in the Fund and may not revert to the General Fund of the State.

F. Money expended from the Fund is supplemental to, and is not intended to take the place of, funding that would otherwise be appropriated to the Department for pediatric cancer research.

.04 Responsibilities of the Department.

The Department shall:

A. Administer the Fund;

B. Submit a report annually to the General Assembly on administration of the Fund;

C. Each fiscal year, decide on the amount from the Fund to be distributed to:

(1) The promotional account;

(2) Administrative expenses; and

(3) Pediatric cancer research grants; and

D. Use the Fund to implement activities related to:

(1) The promotional account;

(2) Administrative expenses; and

(3) Pediatric cancer research grants.

.05 Responsibilities of the Pediatric Cancer Research Commission.

A. The Commission oversees the award of competitive grants from the Fund.

B. Duties of the Commission. The Commission shall:

(1) Develop the criteria, standards, and requirements for the review of applications for pediatric cancer research grants from the Fund;

(2) Establish procedures and guidelines to be used in the review, evaluation, ranking, and rating of the research grant proposals;

(3) Develop criteria and a process for reviewing grant applications to ensure that each application is complete and satisfies the criteria, standards, and requirements developed by the Commission;

(4) Develop disclosure and recusal guidelines to be followed by members of the Commission when considering grant applications;

(5) Ensure participation recusal is conducted in accordance with the guidelines required by §B(4) of this regulation;

(6) Establish standards for the oversight of awards; and

(7) Conduct progress reviews of grant recipients.

C. The Commission may consult with experts in performing its duties.

.06 Eligible Applicants for Pediatric Cancer Research Grants.

A. Subject to any limitations imposed under §B of this regulation, applicants eligible to receive grants from the Department under Regulation .04D(3) of this chapter include:

(1) Nonprofit hospitals;

(2) Educational institutions; and

(3) Other nonprofit organizations the Department determines to be eligible.

B. The Department may limit the applicants eligible to receive a grant in §A of this regulation based on:

(1) Availability of funds;

(2) The Department's ability to account for and monitor the grant funding;

(3) The qualifications of the applicants; or

(4) The ability of the applicants to comply with requirements of the grant.

.07 Allowable Uses of the Pediatric Cancer Research Grant Funds.

Funds granted for pediatric cancer research under Regulation .04D(3) of this chapter may be used for:

A. Applied research;

B. Basic research;

C. Clinical research;

D. Community-based participatory research; or

E. Translational research.

.08 Unallowable Uses of Pediatric Cancer Research Grant Funds.

A grantee may not use grant funds from the Fund to pay for:

A. Renovations;

B. Capital expenditures;

C. Institutional overhead expenses, organizational expenses, or charges that are not directly related to pediatric cancer research;

D. Expenses arising from community-based support services; or

E. Individual-level prevention, cure, screening, diagnosis, or treatment that is unrelated to a research project eligible for the Fund.

.09 Pediatric Cancer Research Grant Funding and Application.

A. Each fiscal year, the Department:

(1) Shall determine the amount of funding available for pediatric cancer research grants; and

(2) May consider awarding funding for grant applications for pediatric cancer research.

B. The Department shall make available the grant application and its instructions.

C. An applicant may not apply for grant funding for more than 2 years with a single grant application.

D. An applicant shall submit the completed application packet to the Department by the due date provided by the Department to be eligible for award consideration.

E. Each Maryland educational institution shall be considered as a singular entity, including:

(1) The University System of Maryland and University of Maryland Medical System, including all their campuses and health entities;

(2) The Johns Hopkins University and Johns Hopkins Medical Institutions, including all their campuses and health entities, the Kennedy Krieger Institute, and the Lieber Institute for Brain Development; and

(3) All subsidiaries and locations of any other organization.

F. As part of the application for a pediatric cancer research grant under §D of this regulation, an applicant shall attest that the applicant:

(1) Will use grant funds solely in accordance with the grant requirements;

(2) Will conduct the pediatric cancer research for which the grant is requested in the State;

(3) Has the legal capacity and all necessary legal authority to incur the obligations related to the grant award; and

(4) Will comply with all applicable State and federal laws.

.10 Pediatric Cancer Research Grant Application Review and Approval.

A. The Commission, to review the grant applications that are submitted for funding under the Fund, may:

(1) Develop one or more review committees; or

(2) Contract with one or more external peer review consultants.

B. If a review committee or external peer review consultant is used for the purposes described in §A of this regulation:

(1) The review committee or external peer review consultant shall make a recommendation to the Commission about the merits, rank, and rating of each application; and

(2) The Commission shall then evaluate the review committee or external consultant’s report of each application.

C. The Commission shall recommend to the Department which projects should be funded.

D. The Department shall make the final determination on funding grant applications.

.11 Grantee Progress Reviews.

A. Grantees shall be subject to progress reviews on a schedule set by the Department.

B. The Commission, to conduct progress reviews and make recommendations to the Department about each grantee’s progress, may:

(1) Develop one or more review committees; or

(2) Contract with one or more external peer review consultants. 

C. The Commission shall recommend to the Department whether to continue providing grant funds to each grantee.

D. The Department shall make the final determination on whether to continue providing grant funds to each grantee.

.12 No-Cost Grant Extensions.

A. A grantee may apply to the Department for a no-cost extension of the grant period for the award before the expiration of the grant period by submitting a written request for an extension to the Department.

B. In evaluating whether to recommend an extension of the grant period, the Commission:

(1) Shall assess whether progress has been made on the grant project; and

(2) May recommend to the Department that an extension be granted based on reports submitted under Regulation .13 of this chapter.

C. The Department shall consider the Commission’s recommendation regarding the request for an extension and may approve a no-cost grant extension for up to 1 year.

.13 Payments, Terms and Conditions of Pediatric Cancer Research Grant Awards, and Terminations.

A. If a financial or progress report required in §B or C of this regulation is overdue, the Department may withhold payment to the grantee until the report is submitted.

B. Financial Reports and Records.

(1) A grantee shall:

(a) Establish a separate account to track expenditures under the grant;

(b) Maintain accurate records, including documentation of each transaction pertaining to the grant;

(c) Submit to the Department invoices for payment by the deadline specified by the Department;

(d) Submit to the Department a final financial expenditure report containing the signature of the financial officer or designee of the entity affiliated with the grant award by the deadline specified by the Department; and

(e) Submit a refund of any unexpended funds by the deadline specified by the Department.

(2) The Department may audit the accounts referenced in §B(1) of this regulation at any time up to 3 years from the date the final financial expenditure report is submitted under §B(1) of this regulation.

(3) A grantee shall retain all records pertaining to a grant award for 3 years from the date the final financial expenditure report is submitted under §B(1) of this regulation.

(4) In the case of an audit or litigation, the Department may extend the time period under §B(2) or (3) of this regulation until the completion of the audit or litigation.

C. Progress Reports.

(1) A grantee shall submit to the Department:

(a) An interim report describing the progress of the grant by the deadline specified by the Department; and

(b) A comprehensive final report by the deadline specified by the Department.

(2) The Commission shall conduct oversight and progress reviews of grant recipients using reports submitted to the Department, site visits, or any other mechanism to be determined by the Commission.

(3) The Department shall keep research results confidential as required by Health-General Article, §§4-101—4-103, Annotated Code of Maryland.

D. Publication of Research.

(1) A grantee who publishes results from activities shall include in the publication an acknowledgement with the text: “Supported in part with funds from the Maryland Pediatric Cancer Fund.”

(2) A grantee shall provide the Department with a copy of any published article pertaining to the activities conducted under the grant.

E. Ownership of Equipment. A grantee:

(1) Shall ensure that equipment purchased under a grant under this chapter is used for the sole purpose of the grant;

(2) Shall keep an inventory of all equipment purchased; and

(3) May not transfer the equipment to another entity without the written permission of the Department.

F. Termination.

(1) The Secretary may terminate a grant:

(a) If a grantee fails to comply with:

(i) The requirements of this chapter; or

(ii) State, federal, and municipal laws applicable to the performance of research under the grant;

(b) If a grantee fails to carry out the purposes for which the grant was awarded;

(c) In compliance with a court order; or

(d) At the request of the grantee.

(2) The Department and the State may not be responsible for any expenses incurred by a grantee after cancellation of a grant.

(3) The grantee shall return all unexpended funds to the Department within 60 calendar days of termination of a grant.

G. Compliance with Existing Laws. A grantee shall ensure that an activity conducted in the performance of the grant is in compliance with all State, federal, and local laws.

H. Liability.

(1) A grantee is solely responsible for their actions pertaining to research conducted under a grant award; and

(2) The State and the Department may not be liable for any claims, losses, liabilities, expenses, or damages arising from research conducted under a grant awarded under this chapter.

I. A grantee shall enter into a grant agreement with the Department.

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

 

Notice of Proposed Action

[26-127-P]

The Secretary of Health proposes to:  

(1) Amend Regulations .04 and .14 under COMAR 10.27.01 Examination and Licensure;

(2) Amend Regulations .02, .03, and .04 under COMAR 10.27.16 Registered Nurse—Workers’ Compensation Medical Case Manager;

(3) Amend Regulation .04 under COMAR 10.39.01 Certification of Nursing Assistants;

(4) Amend Regulations .02, .04 and .05 and adopt new Regulation .11 under COMAR 10.39.04 Medication Technicians;

(5) Amend Regulation .03 under COMAR 10.39.06 Certified Dialysis Technicians;

(6) Amend Regulations .01, .03, .05, .06, and .07 under COMAR 10.53.02 Licensure;

(7) Amend Regulations .01 and .17 under COMAR 10.64.01 Practice of Licensed Direct-Entry Midwives; and

(8) Amend Regulations .02, .04, and .06 under COMAR 10.69.01 Licensure and Licensed Certified Midwives. 

This action was considered by the public at a public meeting held on June 24, 2026, notice of which was given by publication on the Board’s website at: https://health.maryland.gov/mbon/Pages/meet ings-index.aspx, pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to expand the requirement of criminal history records checks (CHRCs) to all professions under the Maryland Board of Nursing’s jurisdiction and amend outdated language regarding CHRC requirements for initial application, renewal, and reinstatement, pursuant to House Bill 1420, Health Occupations—Criminal History Records Checks, 2026, Ch. 370; and Senate Bill 806, Health Occupations—Criminal History Records Checks, 2026, Ch. 371.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

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

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534, Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

Subtitle 27 BOARD OF NURSING

10.27.01 Examination and Licensure

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.04 General Provisions for Applications.

A. An applicant shall submit:

(1)—(2) (text unchanged)

(3) Written evidence satisfactory to the Board that the applicant has submitted to a CHRC as required by §A(2) of this regulation by submitting:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

(4)—(5) (text unchanged)

B.—D. (text unchanged)

.14 Inactive Status.

A.—B. (text unchanged)

C. A licensee on inactive status may apply for an active status license provided that the licensee:

(1) (text unchanged)

(2) Submits to the Board:

(a) (text unchanged)

(b) Written, verified evidence that the licensee has submitted to a criminal history records check in accordance with Regulation .13 of this chapter by:

(i) Submitting [two sets] one complete set of fingerprints, as required by the Central Repository and the FBI; and

(ii) (text unchanged)

D. (text unchanged)

10.27.16 Registered Nurse — Workers’ Compensation Medical Case Manager

Authority: Health Occupations Article, §8-205, §8-302.2, and §8-303, Annotated Code of Maryland

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(2) (text unchanged)

(3) “Central Repository” has the meaning stated in COMAR 10.27.01.01.

[(3)] (4) (text unchanged) 

(5) “Criminal history records check (CHRC)” has the meaning stated in COMAR 10.27.01.01.

[(4)] (6)[(8)] (10) (text unchanged)

.03 Certification Requirements.

A. For certification as an RN-WCCM, an applicant shall:

(1)—(2) (text unchanged)

(3) Submit to the Board a completed application for certification as an RN-WCCM; [and]

(4) Pay all fees[.]; and

(5) Submit to a criminal history records check (CHRC) in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland.

B.—C. (text unchanged)

.04 Renewal of Certification.

A. (text unchanged)

B. Before certification as an RN-WCCM expires, the RN-WCCM may renew the certification for an additional term, if the RN-WCCM:

(1)—(2) (text unchanged)    

(3) Submits a completed application for renewal on the form the Board requires; [and]

(4) Pays all fees[.]; and

(5) If required to submit to a CHRC in accordance with §E of this regulation, submits written evidence satisfactory to the Board that the applicant has submitted to a CHRC by submitting:

(a) One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) All fees required by the Central Repository and the FBI.

C. (text unchanged)

D. Upon notification by the Board that a CHRC is required before the certification can be renewed, a renewal applicant shall comply with all of the requirements under §B of this regulation.

E. Criminal history records checks for renewal applicants shall be scheduled according to the certification holder’s birth month as follows:

(1) In 2026 — all applicants with a September or October birth month;

(2) In 2027 — all applicants with an October or November birth month;

(3) In 2028 — all applicants with a November or December birth month;

(4) In 2029 — all applicants with a December or January birth month;

(5) In 2030 — all applicants with a January or February birth month;

(6) In 2031 — all applicants with a February or March birth month;

(7) In 2032 — all applicants with a March or April birth month;

(8) In 2033 — all applicants with an April or May birth month;

(9) In 2034 — all applicants with a May or June birth month;

(10) In 2035 — all applicants with a June or July birth month.

(11) In 2036 — all applicants with a July or August birth month; and

(12) In 2037— all applicants with an August or September birth month.

F. For renewal applicants who are required to submit a CHRC, the Board may not renew a certification without written documentation that the applicant has submitted to a CHRC in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland.

Subtitle 39 BOARD OF NURSING—CERTFICATE HOLDERS

10.39.01 Certification of Nursing Assistants

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.04 General Provisions for Applications.

A. An applicant shall submit:

(1)—(2) (text unchanged)

(3) Written evidence satisfactory to the Board that the applicant has submitted to a CHRC as required by §A(2) of this regulation by submitting:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

(4)—(5) (text unchanged)

B.—D. (text unchanged)

 

 

10.39.04 Medication Technicians

Authority: Health Occupations Article, §8-205, §8-303, §8-6A-05, and §8-6A-08, Annotated Code of Maryland

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1) (text unchanged)

(2) “Central Repository” has the meaning stated in COMAR 10.39.01.02.

[(2)] (3)[(4)] (5) (text unchanged)

(6) “Criminal history records check (CHRC)” has the meaning stated in COMAR 10.39.01.02.

[(5)] (7)[(9)] (11) (text unchanged)  

.04 Qualifications for Applicants for Certification.

A. An applicant for MT certification shall:

(1) (text unchanged)

(2) Submit to the Board:

(a) (text unchanged)

(b) The required fee; [and]

(3) Be of good moral character[.]; and

(4) Submit to a criminal history records check (CHRC) in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland.

B.— C. (text unchanged)

D. An applicant [who reports a positive criminal history on any application] for MT certification shall provide:

(1) Any documentation requested from the applicant by the Board including, but not limited to, official certified or true test court documents and a signed, dated explanation written by the applicant, regarding the facts and circumstances, outcome, and current status of any criminal history record information received by the Board:

(a) Under §A(4) of this regulation;

[(a)] (b) In an answer to a question on the Board’s application form; [or]

[(b)] (c) (text unchanged)

(2) (text unchanged)

E.—G. (text unchanged)

.05 Renewal of Certification.

A.—C. (text unchanged)

D. An individual applying for renewal of certification shall provide evidence of:

(1) Satisfactory completion of a Board-approved clinical refresher course; [and]

(2) Completion of 100 hours of practice as a certified medicine technician within the 2-year period preceding the date of renewal[.]; and

(3) If required to submit to a CHRC in accordance with §F of this regulation, submission to a CHRC by submitting:

(a) One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) All fees required by the Central Repository and the FBI.

E. Upon notification by the Board that a CHRC is required before the certificate can be renewed, a renewal application shall comply with all the requirements under D of this regulation.

F. Criminal history records checks for renewal applicants shall be scheduled according to the certificate holder’s birth month as follows:

(1) In 2026 — all applicants with a September or October birth month;

(2) In 2027 — all applicants with an October or November birth month;

(3) In 2028 — all applicants with a November or December birth month;

(4) In 2029 — all applicants with a December or January birth month;

(5) In 2030 — all applicants with a January or February birth month;

(6) In 2031 — all applicants with a February or March birth month;

(7) In 2032 — all applicants with a March or April birth month;

(8) In 2033 — all applicants with an April or May birth month;

(9) In 2034 — all applicants with a May or June birth month;

(10) In 2035 — all applicants with a June or July birth month;

(11) In 2036 — all applicants with a July or August birth month; and

(12) In 2037— all applicants with an August or September birth month.

G. For renewal applicants who are required to submit a CHRC, the Board may not renew a certificate without written documentation that the applicant has submitted to a CHRC in accordance with Health Occupations Article, §8-303, Annotated Code of Maryland.

.11 Administrative Reinstatement.

A. The Board shall reinstate the certificate of a certificate holder who has failed to renew the certificate for any reason, if the certificate holder meets the renewal requirements in Health Occupations Article, §8-6A-08, Annotated Code of Maryland and Regulation .05 of this chapter.

B. An applicant for administrative reinstatement who has failed to renew the certificate for a period of 1 year or more shall submit to a CHRC in accordance with Regulation .05D(3) of this chapter before the certificate is reinstated.

10.39.06 Certified Dialysis Technicians

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.03 General Provisions for Applications.

A. An applicant shall submit:

(1)—(2) (text unchanged)

(3) Written evidence satisfactory to the Board that the applicant has submitted to a CHRC as required by §A(2) of this regulation by submitting:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

(4)—(5) (text unchanged)

B.—D. (text unchanged)

Subtitle 53 BOARD OF NURSING—ELECTROLOGY PRACTICE COMMITTEE

10.53.02 Licensure

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.01 General Provisions for Applications.

A. An applicant shall submit:

(1)—(2) (text unchanged)

(3) Written evidence satisfactory to the Board that the applicant has submitted to a CHRC as required by §A(2) of this regulation by submitting:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

(4)—(5) (text unchanged)

B.—D. (text unchanged)

.03 Licensure by Examination.

A. An applicant for licensure by examination shall submit to the Board:

(1)—(4) (text unchanged)

(5) Written, verified evidence satisfactory to the Board that the applicant has completed the application for a criminal history records check by submitting the following:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

B.—E. (text unchanged)

.05 Term and Renewal of [Licensure] License.

A. Term. A license issued pursuant to Health Occupations Article, §8-6B-12, Annotated Code of Maryland, authorizes the licensee to practice licensed electrology while the license is active.

B. Expiration. Unless renewed, a license expires on the 28th day of a licensee's birth month of every odd-numbered year, except that an initial license shall not expire within 180 days of the date of issuance.

[A.] C.[B.] D. (text unchanged)

E. Criminal history records checks (CHRCs) for renewal applicants shall be scheduled according to the licensee’s birth month as follows:

(1) In 2027 — all applicants with a September and October birth month;

(2) In 2029 — all applicants with a November and December birth month;

(3) In 2031 — all applicants with a January and February birth month;

(4) In 2033 — all applicants with a March and April birth month;

(5) In 2035 — all applicants with a May and June birth month; and

(6) In 2037 — all applicants with a July and August birth month.

[C.] F. (text unchanged)

.06 Inactive Status.

A. (text unchanged)

B. The Board shall reactivate a license if:

(1)—(2) (text unchanged)

(3) The licensee submits to the Board:

(a)—(c) (text unchanged)

(d) Written, verified evidence that the applicant for reactivation of their license has completed an application for a criminal history records check by submitting the following:

(i) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(ii) (text unchanged)

C.—E. (text unchanged)

.07 Reinstatement of Licensure.

A. The Board shall reinstate the license of an individual who has failed to renew licensure for less than 5 years for any reason if the individual:

(1) (text unchanged)

(2) Submits to the Board:

(a)—(b) (text unchanged)

(c) Written, verified evidence satisfactory to the Board that the applicant has completed the application for a criminal history records check by submitting the following:

(i) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(ii) (text unchanged)

B.—E. (text unchanged)

 

Subtitle 64 BOARD OF NURSING — LICENSED DIRECT-ENTRY MIDWIVES

10.64.01 Practice of Licensed Direct-Entry Midwives

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(5) (text unchanged)

(6) “Criminal history records check (CHRC) means the performance of both a State criminal history check by the Central Repository, and a national criminal history check by the Federal Bureau of Investigation (FBI).

[(6)] (7)[(16)] (17) (text unchanged)

.17 Term and Renewal of License and Reinstatement of License.

A. (text unchanged)

B. A license:

(1) Expires [on October 28 of every odd-numbered year;] on the 28th day of a licensee's birth month of every odd-numbered year, except that an initial license shall not expire within 180 days of the date of issuance;

(2)—(4) (text unchanged)

C.—K. (text unchanged)

L. Criminal history records checks for renewal applicants shall be scheduled according to the licensee’s birth month as follows:

(1) In 2027 — all applicants with a September and October birth month;

(2) In 2029 — all applicants with a November and December birth month;

(3) In 2031 — all applicants with a January and February birth month;

(4) In 2033 — all applicants with a March and April birth month;

(5) In 2035 — all applicants with a May and June birth month; and

(6) In 2037 — all applicants with a July and August birth month.

 

Subtitle 69 BOARD OF NURSING  — LICENSED CERTIFIED MIDWIVES

10.69.01 Licensure and Licensed Certified Midwives

Authority: Health Occupations Article, §8-205 and §8-303, Annotated Code of Maryland

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(6) (text unchanged)

 (7) “Criminal history records check (CHRC) means the performance of both a State criminal history check by the Central Repository, and a national criminal history check by the Federal Bureau of Investigation (FBI).

[(7)] (8)[(10)] (11) (text unchanged)

.04 Requirements for Application for Initial Licensure.

A. An applicant for initial licensure as a certified midwife shall submit to the Board:

(1)—(2) (text unchanged)

(3) Written, verified evidence satisfactory to the Board that the applicant has completed the application for a criminal history records check by submitting the following:

(a) [Two sets] One complete set of fingerprints, as required by the Central Repository and the FBI; and

(b) (text unchanged)

(4)—(6) (text unchanged)

B.—D. (text unchanged)

.06 Term and Renewal of License.

A. (text unchanged)

B. Unless renewed, a license expires [on October 28 of every even-numbered year] on the 28th day of a licensee's birth month of every odd-numbered year, except that an initial license shall not expire within 180 days of the date of issuance.

C. (text unchanged)

D. [A licensed certified midwife shall submit to a criminal history records check in order to renew a license in accordance with the following schedule:

(1) In 2025—all applicants with an August or September birth month;

(2) In 2026—all applicants with a September or October birth month;

(3) In 2027—all applicants with an October or November birth month;

(4) In 2028— all applicants with a November or December birth month;

(5) In 2029—all applicants with a December or January birth month;

(6) In 2030—all applicants with a January or February birth month;

(7) In 2031—all applicants with a February or March birth month;

(8) In 2032—all applicants with a March or April birth month;

(9) In 2033—all applicants with an April or May birth month;

(10) In 2034—all applicants with a May or June birth month; and

(11) In 2035—all applicants with a June or July birth month.

(12) In 2036—all applicants with a July or August birth month;]

Criminal history records checks for renewal applicants shall be scheduled according to the licensee’s birth month as follows:

(1) In 2027 — all applicants with a September and October birth month;

(2) In 2029 — all applicants with a November and December birth month;

(3) In 2031 — all applicants with a January and February birth month;

(4) In 2033 — all applicants with a March and April birth month;

(5) In 2035 — all applicants with a May and June birth month; and

(6) In 2037 — all applicants with a July and August birth month.

E. (text unchanged)

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Subtitle 29 BOARD OF MORTICIANS AND FUNERAL DIRECTORS

Notice of Proposed Action

[26-128-P]

The Secretary of Health proposes to adopt:

(1) New Regulations .01 and .02 under a new chapter, COMAR 10.29.23 Natural Organic Reduction — Definitions;

(2) New Regulations .01—.15 under a new chapter, COMAR 10.29.24 Natural Organic Reduction — Permit, Licensing, and Fees;

(3) New Regulations .01—.13 under a new chapter, COMAR 10.29.25 Natural Organic Reduction — Procedures;

(4) New Regulations .01—.05 under a new chapter, COMAR 10.29.26 Natural Organic Reduction — Complaints and Disciplinary Procedures; and

(5) Regulations .01 and .02 under a new chapter, COMAR 10.29.27 Natural Organic Reduction — Code of Ethics.  

This action was considered by the Board of Morticians and Funeral Directors at public meetings held on April 8, 2026, May 13, 2026, and June 10, 2026, notice of which was given by publication on the Board’s website at health.maryland.gov/bom/Pages/home.aspx pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to establish regulations to provide the service of natural organic reduction as an option for the final disposition of human remains in the State, pursuant to Chs. 599 and 600, Acts of 2024.

Estimate of Economic Impact

I. Summary of Economic Impact. The proposed action creates a new registration type for natural organic reduction facilities and operators. Costs may be associated with bringing these new services online. Adding natural organic reduction is a voluntary service and is not required. As such, the economic impact of these regulations is unquantifiable as the Board will not be able to determine how many individuals would seek to provide this service.

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

Board of Morticians and Funeral Directors

(R+)

Unquantifiable

B. On other State agencies:

NONE

 

C. On local governments:

NONE

 

 

Benefit (+)

Cost (-)

Magnitude

D. On regulated industries or trade groups:

 

 

Natural Organic Reduction Facilities

(-)

Unquantifiable

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. The Board may collect fees associated with bringing online a reduction facility in accordance with COMAR 10.29.17.08, but the Board is unable to quantify the number of facilities that may be interested in bringing these services online. In line with the Board’s existing fee schedule, the reduction facility permit initial permit and renewals are $350, the reduction facility operator permit and renewals are $300.

D. See A.

Economic Impact on Small Businesses

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

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Jordan Fisher Blotter, Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 534, Baltimore, Maryland 21201, or call 410-767-0938, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

10.29.23 Natural Organic Reduction — Definitions

Authority: Health Occupations Article, §7-205, Annotated Code of Maryland

.01 Scope.

This chapter defines terms used in COMAR 10.29.24—10.29.27.

.02 Definitions.

A. The following terms have the meanings indicated.

B. Terms Defined.

(1) “Aerobic” means the biochemical decomposition of organic matter primarily into stabilized solids and carbon dioxide by microorganisms in the presence of air.

(2) “Authorizing agent” means an individual who has legal authority to arrange for and make decisions regarding the final disposition of human remains.

(3) “Board” means Board of Morticians and Funeral Directors.

(4) Bulking Agent.

(a) “Bulking agent” means a material added to remains to increase porosity and facilitate aeration during natural organic reduction.

(b) “Bulking agent” only includes organic materials.

(c) “Bulking agent” does not include synthetic microbes, insects, or chemicals.

(5) “Consumer” means:

(a) A funeral establishment contracting with a reduction facility; or

(b) The authorizing agent of a decedent contracting with a reduction facility.

(6) Curing.

(a) “Curing” means the phase of the reduction process after:

(i) Most of the human remains have completed natural organic reduction and stabilized; and

(ii) The completion of any pathogen reduction process needed for the soil remains to meet the standards set in COMAR 10.29.25.11.

(b) “Curing” includes periods in which the soil remains are managed to increase maturity prior to the completion of natural organic reduction.

(7) “Decedent” means a dead human being.

(8) Engage in the Operation of a Reduction Facility.

(a) “Engage in the operation of a reduction facility” means controlling or managing a reduction facility.

(b) “Engage in the operation of a reduction facility” does not include:

(i) The practice of funeral direction or the practice of mortuary science;

(ii) Providing assistance in making decisions and filling out forms that are not directly related to natural organic reduction;

(iii) Obtaining vital statistics, signatures, and other information necessary to complete a death certificate;

(iv) Transportation of a body to the place of disposition; or

(v) Any other services regarding the disposition of a body that are not directly related to natural organic reduction.

(9) “Funeral establishment” means a building, structure, or premises licensed by the Board, with facilities for:

(a) Embalming or holding of human remains for disposition;

(b) Viewing of the human remains; and

(c) Funeral services.

(10) “Holding facility” means an area, within or adjacent to a reduction facility, designed for the retention of human remains before natural organic reduction begins.

(11) Human Remains.

(a) “Human remains” means:

(i) The body of a deceased person; or

(ii) A part of a body or limb that has been removed from a living person.

(b) “Human remains” includes the body or part of a body or limb in any state of decomposition.

(c) “Human remains” does not include soil remains produced after the completion of natural organic reduction.

(12) “Natural organic reduction” means the contained accelerated conversion of human remains into soil.

(13) “Organic” means any natural biological substance of plant origin that is capable of microbial degradation.

(14) Organic Materials.

(a) “Organic materials” means biodegradable materials added to the vessel to facilitate the natural organic reduction process and create nutrient-rich soil.

(b) “Organic materials” includes, but is not limited to wood chips, straw, and alfalfa.

(15) “Permit” means a license issued by the Board to allow:

(a) A sole proprietor, partnership, limited liability company, or corporation to operate a business which engages in the operation of a reduction facility; or

(b) An individual to act as a registered reduction operator.

(16) “Permit holder” means the holder of a permit issued under Health Occupations Article, Title 7, Annotated Code of Maryland, to operate a reduction facility or to act as a registered reduction operator.

(17) “Pulverization” means the process of breaking down skeletal remains into fine particles or powder by crushing, grinding, or milling after natural organic reduction leaving bone fragments reduced to 5 millimeters or less.

(18) Reduction Container.

(a) “Reduction container” means a leak-proof container in which human remains are transported to the reduction facility for natural organic reduction, and from which the human remains are removed prior to the start of the natural organic reduction process.

(b) “Reduction container” includes, but is not limited to, a body bag or casket.

(19) “Reduction facility” means a building, portion of a building, or structure that houses the necessary appliances, containers, and facilities for performing natural organic reduction.

(20) “Reduction facility operations plan (RFOP)” means a description of the process being used by the reduction facility for natural organic reduction.

(21) “Reduction identification number” means the identification number associated with the remains and used to track the remains throughout the natural organic reduction process.

(22) “Registered reduction operator” means an individual registered by the Board to operate a reduction facility as a sole proprietor, or on behalf of a sole proprietor, or a permit holder.

(23) “Responsible party” means a sole proprietor, or the individual designated by a partnership, limited liability company, or corporation which holds a permit to engage in the operation of a reduction facility, to be the registered reduction operator responsible for the operations of the reduction facility.

(24) “Soil remains” means the soil produced at final disposition of a dead human body at a reduction facility by completion of natural organic reduction.

(25) Soil Remains Container.

(a) “Soil remains container” means a closable container in which soil remains are returned to the authorizing agent or the authorizing agent’s designee following the completion of natural organic reduction.

(b) “Soil remains container” includes, but is not limited to, an urn, box, or sack.

(26) “Supervising reduction facility operator” means the registered professional responsible for managing and overseeing the operations of a facility that performs natural organic reduction.

(27) Vector.

(a) “Vector” means a carrier organism that can transmit a pathogen to another organism.

(b) “Vector” includes, but is not limited to, flies and other insects, rodents, birds, and vermin.

(28) “Vessel” means the chamber, container, or pod into which the remains are placed for natural organic reduction.

10.29.24 Natural Organic Reduction — Permit, Licensing, and Fees

Authority: Health Occupations Article, §7-205, Annotated Code of Maryland

.01 Scope.

This chapter governs the natural organic reduction permit process and fees for persons regulated under Health Occupations Article, Title 7, Annotated Code of Maryland.

.02 Permit — Issuing Agency.

A. A person shall obtain a permit to engage in the operation of a reduction facility from the Board if the person:

(1) Is a licensee or holder of a corporation license under Health Occupations Article, Title 7, Annotated Code of Maryland; and

(2) Owns a greater interest in a reduction facility than a person who holds a permit or registration under Business Regulation Article, Title 5, Annotated Code of Maryland.

B. Before obtaining a permit from the Board, a reduction facility may perform reduction of the human remains of one decedent provided in accordance with Regulation .12 of this chapter.

.03 Permit — Requirements for Permit.

A. Subject to approval by the Board, a person shall receive a permit to operate a reduction facility in the State if the person meets the permit requirements of this chapter.

B. A person shall:

(1) Submit an application on the form provided by the Board;

(2) Pay the non-refundable application fee and any other applicable fees set forth in Regulation .14 of this chapter;

(3) Submit to a State and national criminal history records check in accordance with Health Occupations Article, §7-301.1(c), Annotated Code of Maryland;

(4) Be of good moral character if the applicant is an individual;

(5) Designate a registered reduction facility operator who shall be responsible for the day-to-day operation of the business provided that the registered reduction facility operator may not be designated as the responsible party for more than a total of two reduction facilities;

(6) Provide a list of the officers, directors, members, partners, agents, and employees of the entity applying for the permit;

(7) Provide a certificate of status, issued by the Maryland Department of Assessments and Taxation, if the applicant is a business entity:

(a) Indicating that the entity is in good standing, or its equivalent as determined by the Board; and

(b) Dated not earlier than 30 days before the application; and

(8) Comply with all applicable local, State, and federal laws and regulations.

C. An operating reduction facility shall apply to the Board for a permit within 90 days from the effective date of this regulation or be subject to Board action.

D. Before applying to the Board for a permit, any reduction facility not in operation before the effective date of this chapter shall have in its employment an individual who holds a certification from:

(1) The Cremation Association of North America (CANA);

(2) The International Cemetery, Cremation and Funeral Association (ICCFA); or

(3) Another equivalent body recognized by the Board.

.04 Permit Requirements for a Reduction Facility Owned by a Corporation, Limited Liability Company, or Partnership.

A. A corporation, limited liability company, or partnership shall receive a permit to operate a reduction facility in this State if the corporation, limited liability company, or partnership meets the permit requirements of this regulation.

B. A corporation, limited liability company, or partnership shall receive a permit if the entity:

(1) Submits an application on the form provided by the Board;

(2) Pays the non-refundable application fee and any other fees set forth in Regulation .14 of this chapter;

(3) Provides the name, address, and phone number of each affiliated reduction facility;

(4) Designates a registered reduction operator as the responsible party for each affiliated reduction facility provided that the registered reduction operator may not be designated as the responsible party for more than a total of two reduction facilities;

(5) Provides a list of the officers, directors, members, partners, agents, and employees of the entity applying for the permit;

(6) Provides a certificate of status, issued by the Maryland Department of Assessments and Taxation, indicating that the entity is in good standing, or its equivalent as determined by the Board, and dated not earlier than 30 days before the date of the application;

(7) Provides evidence of a bond, letter of credit, or trust account established to meet the requirements of Regulation .08 of this chapter; and

(8) Provides an affidavit stating that no local, federal, or State taxes or fees are delinquent.

.05 Permit Requirements for a Reduction Facility Owned by a Sole Proprietor.

A. A sole proprietor applicant for a reduction facility permit shall receive a permit to operate a reduction facility in this State if the sole proprietor applicant meets the permit requirements of this regulation.

B. A sole proprietor shall receive a permit if the sole proprietor:

(1) Submits an application on the form provided by the Board;

(2) Pays the non-refundable application fee and any other fees set forth in Regulation .14 of this chapter;

(3) Provides the name, address, and phone number of each affiliated reduction facility;

(4) Designates a registered reduction facility operator as the responsible party for each affiliated reduction facility provided that the registered reduction facility operator may not be designated as the responsible party for more than a total of two reduction facilities; and

(5) Provides an affidavit stating that no local, State, or federal taxes or fees are delinquent.

.06 Requirements for Registration of a Registered Reduction Facility Operator.

A. An individual may be registered by the Board as a reduction facility operator if the individual meets the requirements of this regulation.

B. An individual shall:

(1) Submit an application on the form provided by the Board;

(2) Pay the non-refundable fee and any other applicable fee set forth in Regulation .14 of this chapter;

(3) Be of good moral character;

(4) Be 18 years old or older;

(5) Achieve certification as a reduction facility operator by the:

(a) The Cremation Association of North America (CANA);

(b) The International Cemetery, Cremation and Funeral Association (ICCFA); or

(c) Other equivalent certification recognized by the Board;

(6) In the reduction facility with which the applicant is affiliated:

(a) Successfully complete the operator training course of the manufacturer of the vessel located therein; or

(b) Provide a notarized letter by the supervising reduction facility operator for which the individual is employed indicating the completion of training on the vessel; and

(7) State:

(a) The name and mailing address of the reduction facility with which the applicant is affiliated;

(b) Whether the reduction facility with which the applicant is affiliated is owned or controlled by:

(i) A corporation;

(ii) A partnership;

(iii) A limited liability company; or

(iv) A sole proprietorship; and

(c) Whether the applicant is the responsible party for the affiliated reduction facility.

C. To qualify as a trainer, the supervising reduction facility operator shall have a minimum of 3 years of experience as a reduction facility operator.

D. Additional Requirements.

(1) An individual applying for a permit as a registered reduction facility operator shall provide the Board with a detailed description of activities including, but not limited to, whether the applicant has:

(a) Had a license, certification, registration, or permit of the type for which the application is being submitted ever denied, suspended, or revoked by any jurisdiction;

(b) Been convicted of a felony in any state or federal court;

(c) Been convicted in any state or federal court of a misdemeanor directly related to the ownership or operation of a reduction facility;

(d) Had any civil judgments or settlements within the 5 years before applying for a permit which directly related to the ownership or operation of a reduction facility; or

(e) Been convicted by a court in the State of violating:

(i) A usury provision under Commercial Law Article, Title 12, Annotated Code of Maryland; or

(ii) An unfair and deceptive trade practices provision under Commercial Law Article, Title 13, Annotated Code of Maryland.

(2) An applicant shall submit copies to the Board of all:

(a) Charging documents which were issued and docket entries for convictions which occurred before applying for a permit for a misdemeanor or felony referred to in §D(1)(b), (c), or (e) of this regulation;

(b) Disciplinary actions, judgments, and final orders which occurred or were issued before applying for a permit for any regulatory probation, suspension, or revocation referred to in §D(1)(a) of this regulation; and

(c) Civil judgments or settlements against the applicant within the past 5 years which directly relate to the ownership or operation of a reduction facility referred to in §D(1)(d) of this regulation.

E. A registered reduction facility operator may not be designated as the responsible party for more than two reduction facilities.

F. An individual may be issued permits for affiliations with more than one reduction facility if each affiliated reduction facility is owned by the same individual or entity.

G. An individual who will become the registered reduction facility operator for a reduction facility which was in operation prior to the effective date of this chapter or for a reduction facility which has filed an application for a permit pursuant to this chapter shall obtain the certification and training required by §B(5) and (6) of this regulation within 90 days from the effective date of this chapter or be subject to action by the Board.

.07 Permit Requirements for a New Reduction Facility.

A. A sole proprietor, corporation, limited liability company, or partnership shall receive a permit to operate a new reduction facility in the State if the sole proprietor, corporation, limited liability company, or partnership meets the permit requirements of this regulation.

B. A sole proprietor, corporation, limited liability company, or partnership shall receive a permit from the Board if, at least 30 days prior to the opening of the new reduction facility, the entity:

(1) Submits an application on the form provided by the Board;

(2) Pays the non-refundable application fee and any other fees set forth in Regulation .14 of this chapter;

(3) Provides the name, address, and phone number of each affiliated reduction facility;

(4) Designates a registered reduction facility operator as the responsible party for each affiliated reduction facility provided that the registered reduction facility operator may not be designated as the responsible party for more than a total of two reduction facilities;

(5) Provides a list of the officers, members, partners, agents, and employees of the entity applying for the permit;

(6) Provides an affidavit stating that the sole proprietor, corporation, limited liability company, or partnership:

(a) Is financially stable; and

(b) Has the ability to continue to operate the reduction facility business for a 2-year period after issuance of a permit; and

(7) Provides and maintains a written Reduction Facility Operations Plan (RFOP) describing the process being used for natural organic reduction as set forth in §C of this regulation.

C. Reduction Facility Operations Plan (RFOP). The RFOP shall specify and describe a high-level overview of the operational procedures for the reduction facility in order to comply with the requirements of these regulations, to include:

(1) A description of the methods, equipment, and bulking agents to be used;

(2) A description of the movement of materials throughout the reduction process, including a description of the locations to be used at the reduction facility for receipt, active reduction, curing, and storage phases;

(3) The total amount of vessels;

(4) A plan for the prevention of nuisances, including odors;

(5) A plan for the prevention of harborage and infestation of vectors;

(6 A plan and procedure for monitoring the temperature of each vessel, including a procedure for demonstrating that the pathogen reduction requirements of COMAR 10.29.25.11 are met;

(7) A plan and procedure for monitoring moisture during reduction;

(8) A plan for periodic inspection of the site by the reduction operator or personnel;

(9) A description of an ongoing testing program to ensure the safety of soil remains produced, compliant with COMAR 10.29.25.11;

(10) A procedure for recording instances where soil remains failed the testing program and actions taken by the registered reduction operator to bring the soil remains into compliance with COMAR 10.29.25.11; and

(11) The establishment any other reasonable prohibition, rule, or requirement the Board determines is necessary to protect the public health and safety during the process of natural organic reduction.

D. Internal Review of RFOP. The registered reduction operator shall:

(1) Review the RFOP internally every 6 months; and

(2) Update the RFOP when there is a change in registered reduction operators, procedures, or bulking agents.

.08 Surety Bond Requirements.

A. With each application for a new permit and renewal for an existing permit, a permit holder or an applicant shall provide proof of a surety bond with the Board.

B. The bond shall:

(1) Run to the Board, as obligee, for the benefit of:

(a) The State; and

(b) Any consumer who has been damaged by a violation committed by a permit holder of any law or regulation governing the activities of reduction facilities; and

(2) Be:

(a) In an amount determined by the Board under §I of this regulation; and

(b) Issued by a surety company that:

(i) Is authorized to do business in the State;

(ii) Holds a certificate of authority issued by the Maryland Insurance Commissioner; and

(iii) Conditioned that the licensee shall comply with all State laws regulating the activities of natural organic reduction.

C. The liability of the surety:

(1) Shall be continuous;

(2) May not be aggregated or cumulative, regardless of whether the bond is renewed, continued, replaced, or modified;

(3) May not be determined by adding together the penal sum of the bond, or any part of the penal sum of the bond, in existence at any two or more points in time;

(4) Shall be considered one continuous obligation, regardless of increases or decreases in the penal sum of the bond;

(5) May not be affected by:

(a) The insolvency or bankruptcy of the permit holder;

(b) Any misrepresentation, breach of warranty, failure to pay a premium, or any other act or omission of the permit holder or an agent of the permit holder; or

(c) The suspension of the permit;

(6) May not require an administrative enforcement action by the Board as a prerequisite to liability; and

(7) Shall continue for 3 years after the latter of the date on which:

(a) The bond is canceled; or

(b) The permit holder, for any reason, ceases to be permitted.

D. Bond Cancellation.

(1) A bond may be canceled by the surety or the licensee by giving notice of cancellation to the Board.

(2) Notice of cancellation shall:

(a) Be in writing; and

(b) Be sent by certified mail, return receipt requested.

(3) A cancellation of a bond is not effective until 90 days after receipt of a notice of cancellation by the Board.

E. A claim against the bond may be filed with the surety by:

(1) A claimant; or

(2) The Board for the benefit of a claimant or the State.

F. If the amount of claims against a bond exceeds the amount of the bond, the surety:

(1) Shall pay the amount of the bond to the Board for pro rata distribution to claimants; and

(2) Is relieved of liability under the bond.

G. If the penal amount of a bond is reduced by payment of a claim or judgment, the permit holder shall file a new or additional bond with the Board.

H. A penalty imposed against a permit holder under Health Occupations Article, §7-508, Annotated Code of Maryland may be collected and paid for from the proceeds of a bond required under this section.

I. Amount of Surety Bond. The amount of the surety bond shall be in an amount of not less than $10,000 and not more than $20,000, as determined by the Board for each vessel used for natural organic reduction by the permit holder.

J. In setting the amount of the surety bond under §I of this regulation, the Board may consider:

(1) The nature and volume of the business or proposed business of the permit holder or applicant; and

(2) The financial condition of the permit holder or applicant, including:

(a) The amount, nature, quality, and liquidity of the assets of the permit holder or applicant;

(b) The amount and nature of the liabilities, including contingent liabilities, of the permit holder or applicant;

(c) The history of and prospects for the permit holder or applicant to earn and retain income;

(d) The potential harm to consumers if the applicant or permit holder becomes financially impaired; and

(e) Any other factor that the Board considers relevant.

K. Subject to approval by the Board, an applicant for a permit who files an application for a new permit or renewal of a permit may satisfy the bonding requirement under this regulation by establishing with a financial institution insured by the Federal Deposit Insurance Corporation in an amount equal to the bond required under this regulation either:

(1) A trust account; or

(2) An irrevocable letter of credit.

L. If a permit holder is subject to a receivership proceeding, the Board, or a court-appointed receiver without regard to any priorities, preferences, or adverse claims, may:

(1) Reduce the bond or the deposit in lieu of a bond to cash; and

(2) Use the cash to defray the costs associated with the receivership.

.09 Change of Information.

The permit holder or registered reduction facility operator shall notify the Board of any change in the information provided in the application either before or after the issuance of a permit or registration within a reasonable period of time but not to exceed 7 days from the date of the change.

.10 Renewals.

A. Before the expiration date of the permit or registration, a permit holder or registered reduction facility operator shall:

(1) Complete and return the renewal application on the form provided by the Board;

(2) Pay the non-refundable renewal fee set forth in Regulation .14 of this chapter; and

(3) Submit any additional required documentation.

B. A person who has a permit or registration as a permit holder or registered reduction facility operator may renew the permit or registration every 2 years, beginning on a date specified by the Board, in the following manner:

(1) Fulfill the requirements for renewal set forth in §A of this regulation; and

(2) Meet the permit and registration requirements of this chapter and Health Occupations Article, Title 7, Annotated Code of Maryland.

C. After the expiration date of a permit or registration, the individual may not engage in the operation of a reduction facility or act as a registered reduction facility operator if:

(1) An application for renewal of the permit or registration has not been made;

(2) The individual has been identified by the Office of the Comptroller or the Maryland Department of Labor as delinquent in the payment of taxes or unemployment insurance contributions, pursuant to COMAR 10.31.02; or

(3) Pursuant to Family Law Article, §10-119.3, Annotated Code of Maryland, the individual has outstanding child support obligations.

D. An individual who engages in the operation of a reduction facility or acts as a registered reduction facility operator without renewing the required permit or registration is subject to disciplinary action by the Board.

E. If a permit holder or registered reduction facility operator applies for renewal past the expiration date of the permit or registration, the individual shall pay the renewal fee plus the late renewal fee set forth in Regulation .14 of this chapter.

.11 Permit Reinstatement.

A person who has been issued a permit, and who has allowed the permit to lapse for at least 30 days, may reinstate a permit by doing the following:

A. Completing a permit application on the form provided by the Board;

B. Paying the permit fee and the late renewal fee set forth in Regulation .14 of this chapter;

C. Meeting the permit requirements set forth under this chapter;

D. Submitting the documentation required by this chapter;

E. Providing a full written explanation to the Board detailing the reasons why the permit was allowed to expire and why a permit is now sought; and

F. Submitting to the Board an affidavit stating that the person did not engage in the operation of a reduction facility in the State while the permit was lapsed.

.12 Reduction Prior to Obtaining a Permit.

A reduction facility may perform the natural organic reduction of one decedent prior to obtaining a permit from the Board provided:

A. The natural organic reduction is only performed as a part of the manufacturer’s operator training course for the vessels in which the reduction takes place; and

B. The authorizing agent of the decedent is notified and has given permission prior to the natural organic reduction.

.13 Hearings—Permit Denial.

A. Permit Denial. An applicant or permit holder applying for an initial or renewal permit to the Board may be denied the issuance of a permit, subject to the hearing provisions of Health Occupations Article, §§7-319 and 7-604, Annotated Code of Maryland.

B. Hearing Before the Board.

(1) Except as otherwise provided in §B(2)—(5) of this regulation, all contested cases before the Board shall be governed by COMAR 10.29.01.

(2) An applicant who has been notified that a new or renewal permit has been or may be denied and who requests a hearing before the Board shall file the request for a hearing no later than 30 days after the notice of proposed action was mailed.

(3) The Board shall send the hearing notice described in COMAR 10.29.01.02 at least 30 days before the hearing or, if the parties have agreed to a date for which 30 days’ notice cannot be given, at the earliest time possible.

(4) The notice to an applicant that a new or renewal permit has been or may be denied shall state that the proposed action of the Board shall be affirmed if:

(a) A hearing is not requested within 30 days after the date the notice of proposed action was mailed; or

(b) The applicant fails to appear for the hearing after requesting a hearing.

(5) If, after a hearing, the proposed action of the Board is upheld, the appellant shall pay the hearing costs described in Regulation .14C of this chapter.

.14 Fees.

A. Fee Schedule. The fee schedule for reduction facilities is as set forth in COMAR 10.29.17.08.

B. In reading the fee schedule under COMAR 10.29.17.08 as it relates to reduction facilities, the phrase “reduction facility” shall be substituted for “crematory”.

C. Hearing costs described in Health Occupations Article, §7-319(g), Annotated Code of Maryland, shall be determined to include the cost of a court reporter and the transcripts ordered by the Board, or by the Office of the Attorney General, for the purpose of presenting a case alleging violation of Business Regulation Article, Title 5, Annotated Code of Maryland, before the Board or before the Office of Administrative Hearings.

.15 Display of Permit.

A permit and registration, as well as any other permit or license required by local, State, or federal agencies, shall be conspicuously displayed in a public area on the reduction facility premises.

10.29.25 Natural Organic Reduction — Procedures

Authority: Health Occupations Article, §7-205, Annotated Code of Maryland

.01 Scope.

This chapter governs the procedures to be followed by a permit holder in performing natural organic reduction in the State.

.02 Removal, Identification, and Transportation of Human Remains.

A. Upon receipt of human remains, a permit holder in the presence of the authorizing agent or representative of the funeral establishment engaging in reduction facility services shall:

(1) Verify that the information on the wrist tag is consistent with the:

(a) Documentation accompanying the human remains; and

(b) Visual observation of the human remains;

(2) Use a metal detector wand to inspect for the presence of any battery operated, implanted devices including pacemakers, defibrillators, or pain relief devices before the process may begin;

(3) Refuse to accept human remains for natural organic reduction if human remains are confirmed to have or suspected of having one or more of the conditions enumerated in §B of this regulation;

(4) Remove and properly dispose of any hazardous object or any other materials that the individual authorized under this subtitle deems should be removed from the human remains or the vessel in order to prevent harm to the public health or damage to the vessel;

(5) Remove any jewelry on the human remains or in the vessel;

(6) Return any removed jewelry to the authorizing agent or representative of the funeral establishment engaging in natural organic reduction services; and

(7) Obtain a signed, itemized receipt from the authorizing agent or representative of the funeral establishment engaging in natural organic reduction services for the removed jewelry and retain the receipt as a permanent record.

B. A permit holder may not accept human remains for natural organic reduction if the human remains are confirmed to have or suspected of having either:

(1) A radioactive seed implant within 30 days of death;

(2) A nuclear pacemaker;

(3) Perishing due to a radiologic incident or accident, unless a written release is provided by the Maryland Department of Environment Radiological Health Program or other local, State, or federal agency in charge of the response to the radiological incident or accident; or

(4) A presence of Creutzfeldt-Jakob disease or other prion disease, Ebola virus infection, Mycobacterium tuberculosis infection, or any other infection, disease, or biological condition identified by the Board based on the reasonable recommendation of federal, State, or local health authority.

C. Foreign objects removed from the human remains:

(1) Shall be treated as medical waste and disposed of accordingly; and

(2) May not be donated until a sterilization process through a third party recognized by the Board to dispose properly of medical waste has been performed.

D. Materials identifying the human remains that are placed in the custody of a permit holder shall contain the following information about the decedent:

(1) Name;

(2) Date of birth;

(3) Date of death;

(4) Name of funeral establishment or authorizing agent;

(5) Gender; and

(6) Name and relationship of authorizing agent to the decedent.

E. A permit holder may not accept for natural organic reduction unidentified human remains.

.03 Vessels.

A. A vessel shall:

(1) Be leak-proof, durable, non-corrosive, and fully sealed;

(2) Enable accurate testing of temperature designed to measure from the coldest part of the interior of the vessel and the accurate collection of any other data required by the natural organic process used by the natural organic reduction facility;

(3) Prevent vectors from entering the vessel; and

(4) Control odor.

B. Natural organic reduction facilities shall:

(1) Only use a contained vessel that is designed to promote aerobic reduction which minimizes odors and vectors;

(2) Employ a licensed natural organic reduction facility operator;

(3) Comply with all other applicable local, State, and federal laws and regulations; and

(4) Reach a minimum temperature of 131°F for 72 consecutive hours during the reduction process.

.04 Holding Facilities.

A holding facility shall:

A. Comply with applicable public health laws;

B. Preserve the dignity of human remains;

C. Recognize the integrity, health, and safety of reduction facility personnel; and

D. Be secure from access by unauthorized persons.

.05 Holding Remains.

A. Unless prevented by emergency circumstances, human remains that have been designated for natural organic reduction shall be placed in a vessel and begin natural organic reduction services within 48 hours after receipt.

B. A permit holder may not hold human remains for natural organic reduction unless the human remains are contained within a reduction container.

C. A permit holder may not accept a reduction container from which there is any evidence of leakage of the body fluids from the human remains therein.

D. Whenever a permit holder is unable to perform natural organic reduction on a decedent within 48 hours of taking custody due to emergency circumstances, the permit holder shall maintain the human remains in a refrigerated holding facility, either on or off site, at 40°F or less.

E. If any remains exhibit an objectionable odor either at delivery or at any time thereafter, reduction of such remains shall commence as soon as possible after:

(1) The remains have been accepted by the reduction facility; or

(2) The objectionable odor is first detected.

.06 Identification of Human Remains Immediately Before Reduction.

A. A person may not initiate natural organic reduction of a body until it has been identified by:

(1) The next of kin;

(2) A person authorized to arrange for final disposition of a decedent under Health-General Article, §§5-508—5-512, Annotated Code of Maryland; or

(3) A medical examiner.

B. Immediately before being placed within the vessel, the individual authorized under this subtitle shall:

(1) Verify the identification of the human remains; and

(2) Place outside the vessel the hard metal or plastic identification disc of the human remains receiving natural organic reduction services where it shall remain in place until the reduction process is complete.

C. Records.

(1) The permit holder shall maintain the written authorizations required by Regulation .07 of this chapter pursuant to Health-General Article, §4-403, Annotated Code of Maryland and COMAR 10.01.16.04B.

(2) The records generated under §C(1) are subject to inspection and copying by the Board.

.07 Natural Organic Reduction Authorization.

A. Except as otherwise provided in this regulation, a permit holder may not perform natural organic reduction services on human remains until:

(1) The human remains have been identified as required under Health Occupations Article, §7-411, Annotated Code of Maryland;

(2) The reduction facility has received:

(a) A natural organic reduction authorization on a form approved by the Board and signed by an authorizing agent;

(b) If applicable, a written delegation document or facsimile; and

(c) Any other documentation required by local, State, or federal law or regulation; and

(3) The permit holder has documented that at least 12 hours have elapsed from the time of death of the individual whose remains are to be reduced.

B. Natural Organic Reduction Authorization Form. The natural organic reduction authorization form shall:

(1) Be provided by the permit holder to the authorizing agent and signed by the authorizing agent;

(2) Contain the following information:

(a) The identity of the decedent;

(b) The date of death of the decedent;

(c) The name and address of the authorizing agent and the relationship between the authorizing agent and the decedent;

(d) The name and address of the reduction facility to which the authorizing agent has given permission for the natural organic reduction to occur;

(e) A disclosure that the authorizing agent may not use or dispose of soil remains:

(i) On public or private property without the prior written permission of the owner or surviving owner of the property;

(ii) By using the soil remains to grow food for consumption by humans or livestock;

(iii) By selling or reselling the soil remains to a third party; or

(iv) By combining or incorporating the soil remains into compost offered for sale to consumers or for commercial or agricultural purchasers;

(f) An indication of whether the decedent is a veteran, as defined in State Government Article, §9-901, Annotated Code of Maryland, or an eligible dependent, as defined in Business Regulation Article, §5-803, Annotated Code of Maryland;

(g) Authorization for the permit holder to perform natural organic reduction services;

(h) Authorization to verify that the following have been removed before natural organic reduction:

(i) An implanted pacemaker or defibrillator; or

(ii) Any other materials that should be removed to prevent harm to public health or damage to equipment;

(i) A representation by the authorizing agent that none of the following apply to the decedent:

(i) A radioactive seed implant within 30 days of death until such time that 30 days have elapsed from implantation or the organ containing the seed(s) has been removed;

(ii) Containing a nuclear pacemaker until such time that the nuclear pacemaker is removed;

(iii) Perishing due to a radiologic incident or accident, unless a written release is provided by the Department of Health Office of Radiation Protection or other State or federal agency in charge of the response to the radiological incident or accident; or

(iv) The presence of Creutzfeldt-Jakob disease or other prion disease, Ebola virus infection, Mycobacterium tuberculosis infection, or any other infection, disease, or biological condition identified by the Board based on the reasonable recommendation of federal, State, or local health authority; and

(j) The name and address of the person authorized to claim the soil remains from the reduction facility or to accept the soil remains via certified mail;

(3) Inform the authorizing agent:

(a) Of the procedures that will be followed if disposition instructions are not received within 60 days of the permit holder’s first attempt to contact the authorizing agent to notify the authorizing agent that the natural organic reduction service is complete; and

(b) That recovery of the soil remains after the disposition may not be possible; and

(4) Be signed by the authorizing agent.

C. If an authorizing agent is not available to execute the natural organic reduction authorization form, the authorizing agent may delegate that authority to another individual:

(1) In writing; or

(2) If located outside the area, by transmitting to the permit holder:

(a) A signed, notarized statement electronically or by facsimile that contains the name, address, and relationship of the sender to the decedent and the name and address of the individual to whom authority is delegated; and

(b) Once the authorizing agent is located in the area, a notarized statement attesting to the delegation of authority.

D. Upon receipt of the written delegation document or a copy transmitted electronically or by facsimile, the permit holder shall allow the named individual to serve as the authorizing agent. Any required documents shall be signed by the authorizing agent in the presence of a notary.

E. A person signing the natural organic reduction authorization form is deemed to warrant the truthfulness of any facts set forth in the natural organic reduction authorization form, including:

(1) The identity of the decedent whose remains are receiving natural organic reduction; and

(2) The authority of that person to order the natural organic reduction.

F. A permit holder shall notify and obtain written consent of the authorizing agent before the natural organic reduction of human remains at a location other than the location named on the reduction authorization form.

G. A permit holder shall maintain a copy of every natural organic reduction authorization form required under this regulation as permanent records.

H. Natural organic reduction authorization records are subject to inspection and copying by the Board.

.08 Record of Receipt of Remains.

A. A permit holder shall provide to an individual who delivers human remains for natural organic reduction a receipt signed by both the permit holder authority and the authorizing agent or funeral home representative, authorized by Regulation .02A of this chapter, who delivered the human remains, that includes the:

(1) Name of the individual from whom the human remains were received and the name of the individual’s employer, if any;

(2) Name and address of the permit holder;

(3) Name and address of the decedent;

(4) Gender of the decedent;

(5) Date of death of the decedent;

(6) Verification of the authorized burial transit permit; and

(7) Name of the identifying individual set forth under Regulation .06A of this chapter.

B. The permit holder shall maintain a record of each natural organic reduction, which shall include:

(1) The name of the decedent;

(2) The date of birth of the decedent;

(3) The gender of decedent;

(4) The date of death of the decedent;

(5) The name and address of the authorizing agent;

(6) A copy of the paperwork stating the name of the identifying individual set forth under Regulation .06A of this chapter;

(7) The date, time, and location of reduction; and

(8) The name and license number of each individual who performed the natural organic reduction.

C. The permit holder shall provide a certificate of disposition of the soil remains to the authorizing agent or funeral establishment that arranged for natural organic reduction that includes the:

(1) Name of the decedent;

(2) Name of the authorizing agent;

(3) Date, time, and location where the natural organic reduction occurred;

(4) Name and license number of the registered reduction operator who performed the reduction;

(5) Name and address of the person who received the soil remains from the reduction authority; and

(6) If ascertainable:

(a) The location, including the name of the cemetery and plot location if the soil remains are interred; and

(b) The manner and date of the disposition of the soil remains.

D. The permit holder shall maintain a copy of every record and receipt required by this regulation as permanent records.

E. All records and receipts required by this regulation are subject to inspection and copying by the Board.

.09 Reduction Procedures and Prohibited Acts.

A. Basic Operating Requirements.

(1) The permit holder shall keep a permanent record of:

(a) The starting and ending date of each natural organic reduction; and

(b) The daily temperature data for each natural organic reduction, including records showing that the minimum temperature of 131°F was reached for 72 consecutive hours.

(2) The registered reduction operator shall ensure:

(a) Only a vessel that is designed to promote aerobic reduction, minimize odors and vectors, is leak-proof, durable, non-corrosive, and fully sealed is used for natural organic reduction;

(b) A registered reduction operator is on site during business hours;

(c) A registered reduction operator is able to monitor active vessels at all times;

(d) Compliance with all other applicable local, State, and federal laws and regulations; and

(e) Vessels reach an internal minimum temperature of 131°F for 72 consecutive hours during natural organic reduction.

(3) The reduction facility shall be maintained in a clean and sanitary condition.

(4) The reduction facility, including the bulking agent receipt area, bulking agent storage area, active vessel storage area, curing area, and soil remains storage areas, shall be maintained to prevent nuisances, odors, and vectors.

(5) Bulking agents shall be received and managed in a timeframe  which prevents nuisance odors, unauthorized discharge of contact water, fire, and scavenging by vectors.

(6) Veteran and Eligible Dependent Decedents.

(a) Unless the authorizing agent directs otherwise, a permit holder in possession of human remains of a decedent veteran or a decedent eligible dependent shall within 5 business days of the initiation of the natural organic reduction, provide the decedent’s identifying information to a veterans service organization, as set forth in Business Regulation Article, §5-803, Annotated Code of Maryland.

(b) The veterans service organization shall notify the permit holder whether the decedent is a veteran or eligible dependent eligible for burial in a veterans cemetery.

(c) The permit holder shall notify the authorizing agent whether the decedent is eligible for burial in a veterans cemetery. The authorizing agent may authorize the permit holder to:

(i) Transfer a portion of the soil remains to a veterans service organization that grants permission for the purpose of disposition; and

(ii) Transfer the balance of the soil remains to a cemetery or the owner of a woodland protected under the Forest Conservation Act.

(d) If a veterans service organization does not take possession of a portion of unclaimed soil remains under this regulation that qualifies for a plot in a State veterans cemetery under State Government Article, §9-906, Annotated Code of Maryland, within 10 days after the reduction facility receives the notification, the reduction facility shall:

(i) Notify the Department of Veterans and Military Families of the status of the soil remains for the purpose of the appropriate disposition of the soil remains;

(ii) Transfer the soil remains to the Department of Veterans and Military Families for the purpose of the appropriate disposition of the soil remains; and

(iii) If authorized by the cemetery or owner, transfer the balance of the soil remains to a cemetery or the owner of a woodland protected under the Forest Conservation Act.

(7) Soil remains may not be stored on site at a reduction facility for longer than 12 months, unless approved by the Board on a case-specific basis and addressed in the RFOP.

B. General Restrictions.

(1) A permit holder may not engage in operating a reduction facility in a manner which will likely:

(a) Create a nuisance;

(b) Be conducive to insect and rodent infestation or the harborage of animals;

(c) Cause nuisance odors or other air pollution in violation of local, State, or federal laws and regulations unless permitted by local, State, or federal authorities;

(d) Cause a discharge of liquid or solid waste derived from human remains to waters of this State unless otherwise permitted by local, State, or federal authorities; or

(e) Create other hazards to the public health, safety, or comfort as may be determined by local, State, or federal authorities.

(2) A registered reduction operator may not:

(a) Perform natural organic reduction on human remains which are known, or reasonably suspected to meet one of the conditions in Regulation .02B of this chapter;

(b) Use or dispose of soil remains on public or private property without the prior written permission of the owner or surviving owner of the property;

(c) Knowingly use or sell the soil remains to grow food for consumption by humans or livestock; or

(d) Combine or incorporate soil remains into compost offered for sale to consumers or for commercial or agricultural purchasers.

C. The Board in exercising its authority under  COMAR 10.29.24—10.29.27 with respect to granting or renewing permits or inspecting a reduction facility may consider any documentation required under these regulations to evaluate whether any of the conditions described in these regulations is likely to occur or has occurred.

.10 Disposition of Soil Remains.

A. Upon completion of the natural organic reduction process, insofar as is possible:

(1) All of the recoverable soil remains shall be:

(a) Removed from the vessel;

(b) Except for medical devices remaining after reduction, pulverized; and

(c) Placed in a soil remains container; and

(2) The identification disc required by Health Occupations Article, §7-411, Annotated Code of Maryland shall be:

(a) Removed from the vessel; and

(b) Placed in the soil remains container with the soil remains.

B. Medical devices which remain after the completion of the natural organic reduction process shall be treated as medical waste and disposed of accordingly.

C. After pulverization, all soil remains, together with the identification disc, shall be placed in a soil remains container or containers adequate to accommodate the soil remains.

D. A registered reduction operator is responsible for labeling or providing on a written invoice or shipping statement indicating that the containers are soil remains containers, and that a person may not use or dispose of the soil remains produced by natural organic reduction:

(1) On public or private property without the prior written permission of the owner or surviving owner of the property;

(2) By using the soil remains to grow food for consumption by humans or livestock;

(3) By selling or reselling the soil remains to a third party; or

(4) By combining or incorporating the soil remains into compost offered for sale to consumers or for commercial or agricultural purchasers.

E. If a soil remains container is to be shipped, the soil remains container shall have the name of the decedent contained therein legibly written on the outside of the soil remains container.

F. If soil remains have been in the possession of a permit holder without instructions for disposition for a period of 90 days or more from the date of reduction, the permit holder may arrange for disposition in any legal manner, provided the entity:

(1) Attempts to contact the authorizing agent for disposition instructions by certified mail to the last known address;

(2) Informs the authorizing agent at the time of authorization the procedures that will be followed if disposition instructions are not received;

(3) Informs the authorizing agent at the time of authorization that disposition will occur in a manner at the permit holder’s discretion if disposition instructions are not received within 60 days of the first attempt to notify the authorizing agent of the completion of natural organic reduction;

(4) Informs the authorizing agent that recovery of the soil remains after disposition may not be possible; and

(5) Maintains a permanent record of the location of disposition.

G. A permit holder making disposition arrangements of unclaimed soil remains may not be liable for the disposition or non-recoverability of the soil remains.

H. Bodily fluids, blood, tissues, and waste removed from human remains shall be kept with the body in the vessel.

I. All containers and liners used to receive solid or fluid materials removed from human remains shall be cleaned and disinfected immediately after use and disposed of in accordance with local ordinances and other applicable laws and rules for infectious waste.

.11 Testing of Soil Remains.

A. A permit holder shall:

(1) Upon completion of an initial reduction prior to obtaining a permit, pursuant to COMAR 10.29.24.12, the reduction facility shall test the soil remains using a third party laboratory for the parameters identified in  §E of this regulation;

(2) Upon initial receipt of permit from the Board, test, using a third-party laboratory, the reduction facility’s initial 20 instances of soil remains for the parameters identified in §E of this regulation, and any additional instances of soil remains necessary to achieve 20 reductions meeting the parameters identified in §E of this regulation;

(3) After 20 soil remains meet the limits outlined in §E of this regulation, analyze, at minimum, 25 percent of a reduction facility’s monthly instances of soil remains for the parameters identified in §E of this regulation until 80 total instances have met the requirements in §E of this regulation;

(4) After 80 total instances meet the limits outlined in §E of this regulation, one additional test shall be conducted monthly for the parameters identified in §E of this regulation;

(5) Ensure the third-party laboratory described under §A(1) of this regulation:

(a) Uses a sampling method such as described in the U.S. Composting Council 2002 Test Methods for the Examination of Composting and Compost, Method 02.01 A —E, or its successor;

(b) Confirms soil remains have less than 0.01 mg/kg dry weight of physical contaminants which include, but are not limited to, intact bone, dental fillings, and medical implants; and

(c) Tests for arsenic, cadmium, lead, mercury, and selenium; and

(d) Test for either fecal coliform or salmonella in soil remains to meet the testing parameters and limits identified in §E of this regulation.

B. Other local, State, or federal authorities may require tests of soil remains for additional parameters.

C. A permit holder may not release any soil remains that exceed the limits identified in §E of this regulation.

D. Any soil remains that exceed the parameters identified in §E of this regulation shall undergo additional pathogen treatment processes as described in 40 CFR Part 503, Appendix B until the soil tests within the limits identified in §E of this regulation.

E. Testing Parameters.

Metals and Other Testing Parameters

Limit (mg/kg dry weight), unless otherwise specified

Fecal coliform

< 1,000 Most probable number per gram of total solids (dry weight)

Salmonella

< 3 Most probable number per 4 grams of total solids (dry weight)

Arsenic

≤ 20 ppm

Cadmium

≤ 10 ppm

Lead

≤ 150 ppm

Mercury

≤ 8 ppm

Selenium

≤ 18 ppm

.12 Tools.

Permit holders providing natural organic reduction services shall maintain, at their own expense, the following tool inventory:

A. Suitable tools for cleaning a vessel;

B. Suitable tools for cleaning pulverizers;

C. Mortar and pestle;

D. Hand magnet and metal detector wand to detect and remove metal from soil remains;

E. Tweezers to remove nonmetal objects from soil remains;

F. National Institute for Occupational Safety & Health certified N95 filtering facepiece respirators; and

G. An emergency eyewash unit meeting the criteria established under the American National Standards Institute and the International Safety Equipment Association Z358.1-2014 (R2020), or its successor.

.13 Visitors.

A. Privacy. Entrances and exterior windows of the reduction facility shall be maintained at all times to secure privacy, including that:

(1) Doors shall be tight closing and rigid;

(2) Windows shall be covered;

(3) Entrances other than to the office or ceremony room shall be marked “private” or “authorized entry only” to preclude entry by unauthorized persons; and

(4) Entrances shall be locked and secured when not actively attended by one or more authorized persons.

B. Access.

(1) No persons except authorized persons shall be admitted into:

(a) The holding facility while human remains are being stored; and

(b) The area containing vessels for natural organic reduction while the decedents are receiving natural organic reduction.

(2) Authorized persons:

(a) Shall enter and remain in the holding facility or vessel area only as necessary to perform or assist with the performance of reduction facility business and operations;

(b) Shall, upon admittance, comply with all rules of the reduction facility; and

(c) May not infringe upon the privacy and dignity of the remains of decedents.

C. Dignity of Ceremony Room.

(1) A reduction facility may have a ceremony room available for viewings and ceremonies.

(2) The ceremony room shall be separated from the holding facility.

(3) The holding facility interior may not be visible from the ceremony room.

(4) No persons, except authorized persons, shall be admitted into the ceremony room during the commencement of natural organic reduction.

D. Authorized Persons. For purposes of this regulation, the following are authorized persons:

(1) Licensed funeral directors, morticians, and enrolled students of mortuary science;

(2) Officers and directors of the natural organic reduction facility;

(3) Authorized employees or agents of the natural organic reduction facility;

(4) Public officers acting in the discharge of their duties;

(5) Authorized instructors of funeral directing schools;

(6) Members of the immediate family of the decedent, their authorizing agent, and designated representatives; and

(7) Other individuals as authorized by the authorizing agent.

10.29.26 Natural Organic Reduction — Complaints and Disciplinary Procedures

Authority: Health Occupations Article, §§7-205, 7-316, 7-317, and 7-319, Annotated Code of Maryland

.01 Scope.

This chapter governs inspections, standards, the complaint process, investigations, grounds for discipline, and penalties for reduction facilities.

.02 Inspection by the Board.

A. A reduction facility shall be available for inspection by a representative of the Board at any time during operating hours.

B. A reduction facility shall be inspected:

(1) On at least a biennial basis;

(2) In furtherance of an investigation; and

(3) Upon the initial sale, permitting, or change of ownership of the reduction facility.

C. The permit holder or any person responsible for day-to-day operation of the vessels shall be available to accompany the inspector during the inspection and sign the initial inspection report.

D. A copy of the inspection report shall be provided to the permit holder or registered reduction facility operator responsible for the day-to-day operation of the reduction facility.

E. Reduction Facility Minimum Standards. A reduction facility shall maintain the following minimum standards:

(1) The premises shall be maintained in a sanitary manner to comply with the Centers for Disease Control and Prevention’s guidelines on universal precautions and the Maryland Occupational Safety and Health Act;

(2) Except by express written consent of the authorizing agent to perform simultaneous, multiple reductions, prohibit more than one decedent in a single vessel at a time;

(3) Ensure a vessel shall be completely cleaned after each natural organic reduction to prevent unauthorized co-mingling;

(4) Prohibit the co-mingling of human remains and pet remains in the holding facility;

(5) Ensure separate vessels are dedicated for the reduction of human remains and the reduction of pet remains;

(6) Ensuring there is not:

(a) Co-mingling of one decedent’s soil remains with another decedent’s soil remains or reduced pet remains without written consent by the authorizing agent;

(b) Scooping of reduced human remains from a bucket containing co-mingled reduced human remains; or

(c) Any form of misrepresentation in the return of the soil remains;

(7) Excluding a decedent with a known communicable infection, confirm that human remains are properly identified before natural organic reduction by verifying that the documentation accompanying the human remains is consistent with a visual observation of the human remains;

(8) Each burial transit permit shall be an original document pertaining to the decedent;

(9) Each reduction facility shall have:

(a) A sink with hot and cold water in the room in which the vessel is housed; and

(b) The equipment necessary to thoroughly clean the floor within the room housing the vessel with water and an appropriate sanitizing agent;

(10) Ensuring the name of the decedent shall be visible on the outside of the vessel;

(11) Ensuring that human remains are properly stored prior to natural organic reduction;

(12) Ensuring that reduction facilities:

(a) Use only mechanical pulverizing equipment meeting industry standards that are cleaned between each use; and

(b) Pulverize the soil remains with a mortar and pestle if the:

(i) Soil remains are not sufficient in amount for pulverizing in mechanical equipment; or

(ii) Required pulverization has not been achieved using mechanical equipment;

(13) Maintain separate pulverizing drums dedicated for soil remains and reduced pet remains;

(14) Ensuring that a reduction facility may not refuse to release soil remains pending payment of any outstanding fees;

(15) Prohibiting the use of portable fans in the area of the vessel, where curing occurs, or pulverizing equipment;

(16) Ensuring that before pulverizing, the mechanical pulverizer is clamped;

(17) Ensuring that the permit holder or registered reduction facility operator is:

(a) Present at the reduction facility during regular business hours; and

(b) Uses remote electronic monitoring of the status of each vessel’s progress during natural organic reduction after regular business hours; and

(18) Ensuring that all individuals who operate the vessels in a reduction facility are certified by the Cremation Association of North America (CANA), International Cemetery, Cremation and Funeral Association (ICCFA), or other equivalent certification recognized by the Board. Provided that individuals receiving training toward certification to operate a vessel shall be allowed to work under the supervision of a registered reduction facility operator who has the required certification for a period not to exceed 6 months.

F. The following completed forms shall be available at all times for inspection and copying by the Board or an inspector and are subject to be pulled at random by an inspector:

(1) Natural organic reduction authorization form;

(2) Burial transit permit;

(3) Delegation of authority form;

(4) Record of natural organic reduction, including evidence of all human remains reaching a minimum temperature of 131°F for 72 consecutive hours during the natural organic reduction process;

(5) Certificate of natural organic reduction;

(6) Return of the soil remains certificate; and

(7) The Reduction Facility Operations Plan (RFOP) as described under COMAR 10.29.24.07B.

G. Inspection results shall be written on forms approved by the Board.

H. The Board representative performing the inspection shall, on completion of the inspection:

(1) Apprise the permit holder of the findings of the inspection; and

(2) Provide the permit holder or representative of the permit holder with a copy of the inspection report.

I. The permit holder or representative of the permit holder shall sign and verify receipt of the inspection report.

J. At the time of the Board inspection, the permit holder shall provide written documentation to the Board’s inspector that:

(1) The vessel or vessels have been inspected in accordance with manufacturer specifications;

(2) In accordance with manufacturer specifications, it is not time for a manufacturer’s inspection; or

(3) The permit holder has requested that the manufacturer conduct an inspection of the vessel.

.03 Reduction Facility Inspection Report, Deficiencies, and Penalties.

A. The Board shall review the inspection report and make a determination as to whether a deficiency exists.

B. The Board shall notify the permit holder of the results of the inspection by providing a copy of the inspection report to the permit holder.

C. If a permit holder passes an inspection, the permit holder shall prominently display on the premises in public view a statement issued by the Board that the reduction facility has successfully passed an inspection.

D. If the Board finds a deficiency, the Board shall:

(1) Within 7 days, notify the permit holder of the deficiency or failure to pass the inspection; and

(2) Provide a copy of the inspection report and notice of deficiency or failure to pass the inspection to the reduction facility permit holder within 30 days of completion of the inspection.

E. Correction of Deficiency.

(1) Except as provided in this section, a permit holder shall correct a deficiency within 30 days after receipt of notification or sooner as determined by the Board.

(2) The Board may require immediate correction of a deficiency if the Board considers the correction necessary in the interest of public health.

(3) The permit holder may request an extension of time for correction of a deficiency, which shall be approved by the Board.

(4) Upon completion of correction of all deficiencies, the permit holder shall notify the Board.

(5) Upon notification by the permit holder of completion of correction of a deficiency or deficiencies, a representative of the Board shall re-inspect the reduction facility.

(6) The Board shall notify the permit holder in writing of the results of the re-inspection by providing a copy of a new inspection report to the permit holder.

(7) If re-inspection reveals additional deficiencies not cited in the first report, the permit holder shall correct those deficiencies in the time period specified by the Board unless an extension of time is requested by the permit holder and approved by the Board.

F. Penalties. In the event that a permit holder fails to allow an inspection of the reduction facility or fails to comply with a notice to correct deficiencies or violations within the time specified:

(1) The Board shall:

(a) Deem the failure to be a threat to public health, safety, or welfare and require emergency action;

(b) Summarily suspend the reduction facility permit as provided under State Government Article, §10-226(c)(2), Annotated Code of Maryland;

(c) Provide notice of the Board’s action to the permit holder; and

(d) Provide the permit holder an opportunity to be heard pursuant to Business Regulation Article, §5-312, Annotated Code of Maryland; and

(2) The permit holder shall prominently display on the premises in public view a statement issued by the Board that the reduction facility has failed to pass an inspection until such time as an inspection is passed.

.04 Complaints.

A. If the permit holder was issued a permit by the Board, a complaint shall be:

(1) Filed in compliance with the provisions of COMAR 10.29.11.03; and

(2) Processed in accordance with the provisions of COMAR 10.29.11.04.

B. The Board may initiate a complaint or investigation on its own.

.05 Grounds for Discipline, Hearing, and Penalties.

A. Pursuant to the provisions of Health Occupations Article, §§7-316 and 7-319, Annotated Code of Maryland, the Board may:

(1) Deny an applicant:

(a) A reduction facility permit; or

(b) A reduction facility operator registration;

(2) Reprimand any:

(a) Permit holder; or

(b) Registered reduction facility operator; or

(3) Suspend or revoke:

(a) A reduction facility permit; or

(b) A reduction facility operator registration.

B. Pursuant to the provisions of Health Occupations Article, §7-317, Annotated Code of Maryland, if the Board, after bringing an action, finds that there are grounds for probation, suspension, or revocation, the Board may impose a penalty not exceeding $10,000.

10.29.27 Natural Organic Reduction — Code of Ethics

Authority: Health Occupations Article, §7-205, Annotated Code of Maryland

.01 Scope.

This chapter governs any person who holds a permit, pursuant to Business Regulation Article, Title 5, Annotated Code of Maryland to:

A. Engage in the operation of a reduction facility; or

B. Act as a registered reduction facility operator.

.02 General Professional Practices.

A. A permit holder shall:

(1) Act in a manner that respects and protects the dignity of a decedent and the decedent’s family;

(2) Conduct business in a reasonable, usual, and customary manner avoiding unfair trade practices;

(3) Comply with the State public health laws as set forth in Health-General Article, §§4-215 and 5-501 et seq., Annotated Code of Maryland;

(4) Comply with the Maryland Morticians and Funeral Directors Act, Health Occupations Article, Title 7, Annotated Code of Maryland;

(5) Comply with Business Regulation Article, Title 5, Annotated Code of Maryland;

(6) Comply with the Commercial Law Article, Titles 12 and 13, Annotated Code of Maryland;

(7) Implement and follow through on all arrangements agreed on between consumer and the reduction facility;

(8) Provide appropriate services for and respect the rights of individuals without regard to age, race, creed, national origin, gender, sex, sexual orientation, disability, marital status, political belief, religious affiliation, social or economic status, or social preferences;

(9) Comply with all local, State, and federal laws and regulations regarding the final disposition of human remains;

(10) Be sensitive and responsive to the bereavement needs of a decedent’s family; and

(11) Provide accurate information from the general price list to any person who requests such information either in person or by telephone or electronic means, regarding reduction related goods or services.

B. Advertising. In advertising, a permit holder may not include statements:

(1) That are misrepresentations of facts;

(2) That are likely to mislead or deceive because, in context, the statement makes only a partial disclosure of relevant facts;

(3) Relating to fees without reasonable disclosure of all relevant variables so that the statement would not be misunderstood or be deceptive to a consumer; or

(4) Containing representations or implications that in reasonable probability can be expected to cause an ordinarily prudent individual to misunderstand or be deceived.

C. A permit holder or registered reduction facility operator may not:

(1) Use, or participate in the use of, any form of communication to consumers containing a false, fraudulent, misleading, deceptive, or unfair statement or claim; or

(2) Operate a reduction facility or perform a reduction while under the influence of alcohol, an illegal drug, or a controlled dangerous substance, which has not been prescribed by a physician.

 

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Title 13A
STATE BOARD OF EDUCATION

Subtitle 02 LOCAL SCHOOL ADMINISTRATION

13A.02.01 Local Boards of Education

Authority: Education Article, §§2-205, 4-101, 4-105, 4-106, 5-101, 5-109, and 7-103, Annotated Code of Maryland

Notice of Proposed Action

[26-080-R]

The State Board of Education proposes to amend Regulation .01 under COMAR 13A.02.01 Local Boards of Education.  This action was considered by the State Board at its April 28, 2026 meeting. Because substantive changes have been made to the original proposal as published in 53:13 Md. R. 605—606 (June 26, 2026), this action is being reproposed at this time.

Statement of Purpose

The purpose of this action is to establish requirements for local boards of education to hold regular meetings of the local board in person. There are outlined exceptions for special meetings of the local board and for exceptional circumstances. The amendments would also establish minimum requirements for local boards to hold an opportunity for public comment and adopt a written policy for conducting public comment.

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 Zachary Hands, Executive Director, State Board of Education, Maryland State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201, or call 443-915-6094, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

 

Ed. Note: Pursuant to State Government Article, §10-113, Annotated Code of Maryland, if a promulgating agency substantively alters the text of regulations that have been previously proposed in the Maryland Register, the altered text must be published in the Maryland Register as though it were initially proposed. The text of regulations appearing immediately below has been altered substantively from the initially proposed text.

Symbols: Roman type indicates existing text of regulations. Italic type indicates initially proposed new text. Arial Bold Italic type indicates new text that substantively alters the text as initially proposed. [Single brackets] indicate existing text proposed for repeal. [[[Triple brackets]]] indicate text proposed for repeal which substantively alters the originally proposed text.

.01 Rules for Meetings.

A.—D. (originally proposed text unchanged)

E.  Public Comment.

(1) Opportunity for Public Comment. The local board shall permit a period during at least one of its [[monthly]] regularly scheduled business meetings each month to hear comments from members of the public.

(2)—(3) (originally proposed text unchanged)

F. (originally proposed text unchanged)

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

 

 

Notice of Proposed Action

[26-121-P]

The State Board of Education proposes to:

(1) Amend Regulation .01 and adopt new Regulation .16 under COMAR 13A.05.05 Programs of Pupil Services; and

(2) Amend Regulation .11 under COMAR 13A.12.04 Specialists.   

This action was considered by the State Board of Education at their June 23, 2026 meeting.

Statement of Purpose

The purpose of this action is to define, update and clarify the requirements for school social worker licensure programs.

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 John Hummel, Manager, Student Services and School Counseling, Maryland State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201, or call 410-767-0288, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

Open Meeting

Final action on the proposal will be considered by the State Board of Education during a public meeting to be held on October 29, 2026 at 9:00 am, at 200 West Baltimore Street, Baltimore, MD 21201.

 

Subtitle 05 SPECIAL INSTRUCTIONAL PROGRAMS

13A.05.05 Programs of Pupil Services

Education Article, §§2-205(b) and (c), 7-401—7-404, 7-409, and 7-426, Annotated Code of Maryland

.01 General Requirements.

A. Each local school system shall provide a coordinated program of pupil services for all students which shall include but not be limited to:

(1)—(2) (text unchanged)

(3) School psychology; [and]

(4) Health services[.]; and

(5) School Social Work.

B. The Pupil Services Program shall: [focus on the health, personal, interpersonal, academic, and career development of students.]

(1) Focus on supporting student wellness, including physical, mental and behavioral health; and

(2) Support social and emotional development to facilitate the academic achievement and career development of all students.

C.—G. (text unchanged)

.16 School Social Worker Program.

A. The School Social Worker Program is a program that:

(1) Promotes student academic success and well-being;

(2) Enhances awareness of mental health and promotes positive, healthy behaviors;

(3) Provides school-based prevention and universal and targeted interventions for students with mental health and behavioral health concerns;

(4) Is aligned with school system goals and objectives;

(5) Is an integral component of the school’s program and mission;

(6) Addresses the needs of the whole child so that each student has the opportunity to be healthy, safe, engaged, supported, and challenged for long-term success; and

(7) Is monitored and reviewed through accountability systems.

B. School Social Workers are:

(1) Trained mental health professionals, with a license in social work, who provide services related to student wellbeing in academics, school climate, social-emotional development, and mental health.

(2) The link between the home, school, and community in providing direct as well as indirect services to students, families, and school personnel to promote and support students' academic and social success.

(3) State-credentialed as defined in COMAR 13A.12.04.11.

C. School Social Workers shall:

(1) Adhere to the ethics and values of the social work profession to guide ethical practice while understanding the unique aspects of school social work practice and the needs of the students, families, educational settings, and communities they serve;

(2) Meet the provisions for professional practice of the State Department of Education and possess knowledge and understanding basic to the social work profession as well as the local school system;

(3) Conduct assessments with the goal of improving student social, emotional, and academic learning outcomes.

(4) Use assessment as the starting point of intervention within a multitiered system of supports;

(5) Use data to guide service delivery and to evaluate their practice regularly to determine if services and supports need to be faded, continued, added, or increased;

(6) Maintain accurate data and records that are relevant to assessment, planning, implementation, and evaluation of school social work services;

(7) Organize their workloads to fulfill their responsibilities and clarify their critical roles within the educational mission of the school and county in which they work;

(8) Use technology to enhance communication, design and deliver services, obtain, manage, and store information, and demonstrate accountability to students and families in the school setting;

(9) Engage in professional development to provide students, families, schools, and communities with the highest-quality, culturally informed services;

(10) Ensure that students and their families are provided services within the context of multicultural understanding and competence;

(11) Share leadership in developing a positive school climate;

(12) Work collaboratively with school administration, school personnel, family members, and community partners to increase accessibility to and effectiveness of all services;

(13) Engage in advocacy that seeks to ensure that all students have equal access to education and services to enhance their academic progress;

(14) Provide a pivotal role in creating and executing a schoolwide safety plan and provide direct and indirect services that relate to all safety concerns of students, families, and educators;

(15) Be prepared for changes in the needs of the school community they serve and how services will be delivered when a natural disaster, (public) emergency, and/or pandemic occurs; and

(16) Uphold the confidentiality of the students and families they serve in all formats (verbal, written, and electronic communication) according to federal, State, and local regulations and policies.

Subtitle 12 EDUCATOR LICENSURE

13A.12.04 Specialists

Education Article, §§2-205, 2-303(g), 6-7016-708, 8-3A-03 and 8-7018-708, Annotated Code of Maryland

.11 School Social Worker.

A. Definition. “School Social Worker” means an individual who is a mental health professional, with a license in social work, who provides services related to a person’s social, emotional, and life adjustment to school and/or society.

B. To obtain an MSDE educator licensure as a school social worker, the applicant shall:

[A.] (1) Be licensed by the Maryland State Board of Social Work Examiners, Health Occupation Title 19. Social Workers, Subtitle 3 Licensing §19-301, Annotated Code of Maryland as a:

[(1)] (a) Licensed Masters Social Worker (LMSW);

[(2)] (b) Licensed Certified Social Worker (LCSW); or

[(3)] (c) Licensed Certified Social Worker — Clinical (LCSW-C).

[B.] (2) (text unchanged)

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

Notice of Proposed Action

[26-122-P]

The State Board of Education proposes to amend:

(1) Regulation .03 under COMAR 13A.16.08 Child Supervision;

(2) Regulation .02 under COMAR 13A.16.10 Safety;

(3) Regulation .03 under COMAR 13A.17.08 Child Supervisor; and

(4) Regulation .02 under COMAR 13A.17.10 Safety. 

This action was considered by the State Board of Education at its meeting on June 23, 2026.

 

Statement of Purpose

The purpose of this action is to increase flexibility regarding maximum group size, staffing, and first aid and CPR requirements for programs serving school-age children.

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 Keisha Maxwell, Administrator of Policy & Special Projects, Division of Early Childhood, Maryland State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201, or call 410-767-7852, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

Open Meeting

Final action on the proposal will be considered by the State Board of Education during a public meeting to be held on December 8, 2026 at 9:00 am, at 200 West Baltimore Street, Baltimore, MD 21201.

Subtitle 16 CHILD CARE CENTERS

13A.16.08 Child Supervision

Authority: Education Article, §§9.5-401, 9.5-404—9.5-411, and 9.5-413—9.5-418; General Provisions Article, §4-333; Human Services Article, §1-202; Annotated Code of Maryland

Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);

Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);

Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);

Social Security Act §418 (42 U.S.C. 618)

.03 Group Size and Staffing.

A.—B. (text unchanged)

C. Same-Age Groups.

(1) (text unchanged)

(2) [In] Except as provided in §C(3) of this regulation, in a group of children of the same age who are 2 years old or older, the following [staff/child ratio and maximum group size] requirements apply:

Child [Ages] Age Group

Staff/Child Ratio

Maximum Group Size

2 years old

1 to 6

12

3 or 4 years old

1 to 10

20

5 years old and older

1 to 15

[30] 45

(3) A center may utilize a maximum group size of 45 for a group of school-age children aged 5 years old and older that is staffed by at least one teacher, one assistant teacher, and one aide.

D.—E. (text unchanged)

13A.16.10 Safety

Authority: Education Article, §§9.5-401, 9.5-404—9.5-411, and 9.5-413—9.5-418; General Provisions Article, §4-333; Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)

.02 First Aid and CPR.

A. (text unchanged)

B. A center [with an approved capacity of more than 20 children] shall have in attendance[, in a ratio of] at least one staff member [for every 20 children present, staff members who are] who is currently certified in approved first aid and CPR as specified at §A of this regulation[.]:

(1) For every 20 children present in a group that includes infants, toddlers, or preschoolers; or

(2) For every 30 children present in a group of exclusively school age children.

C.—E. (text unchanged)

Subtitle 17 CHILD CARE—LETTERS OF COMPLIANCE

13A.17.08 Child Supervision

Authority: Education Article, §§9.5-401, 9.5-404, 9.5-405, 9.5-409, 9.5-411 and 9.5-413—9.5-418; General Provisions Article, §4-333;

Human Services Article, §1-202; Annotated Code of Maryland

Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);

Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);

Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);

Social Security Act §418 (42 U.S.C. 618)

.03 Group Size and Staffing.

A.—C. (text unchanged)

D. Same-Age Groups in Before-School and After-School Child Care Programs. In groups of children of the same age in a before-school or after-center program, the following requirements apply:

 

Child Age Group

Staff/Child Ratio

Maximum Group Size

2 years old

1 to 6

12

3 or 4 years old

1 to 10

20

5 years old and older

1 to 15

[30] 45

E.—F. (text unchanged)

13A.17.10 Safety

Authority: Education Article, §§9.5-401, 9.5-404, 9.5-405, 9.5-409, 9.5-411, and 9.5-413—9.5-418; General Provisions Article, §4-333;

Human Services Article, §1-202; Annotated Code of Maryland
Agency Note: Federal Statutory Reference — Americans with Disabilities Act of 1990 (42 U.S.C. §12101 et seq.);
Pro-Children Act of 1994 (20 U.S.C. §6081 et seq.);
Child Care Development Block Grant (45 CFR Parts 98 and 99 and 42 U.S.C. 9858 et seq.);
Social Security Act §418 (42 U.S.C. 618)

.02 First Aid and CPR.

A. (text unchanged)

B. A facility [with an approved capacity of more than 20 children] shall have in attendance[, in a ratio of] at least one staff member [for every 20 children present, staff members who are] who is currently certified in approved first aid and CPR as specified in §A of this regulation[.]:

(1) For every 20 children present in a group that includes preschoolers; or

(2) For every 30 children present in a group of exclusively school age children.

C.—E. (text unchanged)

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

 

Title 14
INDEPENDENT AGENCIES

Subtitle 01 Prescription Drug Affordability Board

14.01.01 General Provisions

Authority: Health-General Article, §21-2C-03(f)(1), Annotated Code of Maryland

Notice of Proposed Action

[26-132-P]

The Maryland Prescription Drug Affordability Board proposes to amend Regulation .05 under COMAR 14.01.01 General Provisions.  This action was considered by the Board at an open meeting held on July 27, 2026, notice of which was provided by publication on the PDAB’s website, in accordance with General Provisions Article, §3-302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to amend COMAR 14.01.01.05(B) to provide for a comment period of at least 15 days when the Board requests comment by posting notice on its website.

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 Christina Shaklee, Health Policy Analyst Advanced, Maryland Prescription Drug Affordability Board, 16900 Science Drive, Suite 112-114 Bowie, MD 20715, or call 410-703-7015, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.05 Public Comment Procedures.

A. (text unchanged)

B. Public Written Comment Procedures.

(1)—(3) (text unchanged)

(4) Public Written Comments Requested by the Board.

(a) If the Board requests public comment by posting notice of the request and a due date on its website, a member of the public may submit written comments to the Board within the time period prescribed by the notice in accordance with the procedures in §B(1) and (5) of this regulation.

(b) The notice shall provide a period of at least 15 days for the submission of comments.

(5) (text unchanged)

ANDREW W. YORK
Executive Director

 

 

14.01.04 Cost Review Study Process

Authority: Health-General Article, §§21-2C-03(f)(1), 21-2C-08(b), and 21-2C-09, Annotated Code of Maryland

Notice of Proposed Action

[26-133-P]

The Maryland Prescription Drug Affordability Board proposes to repeal existing Regulation .01 and adopt new Regulation .01, amend Regulations .02—.05, and adopt new Regulation .06 under COMAR 14.01.04 Cost Review Study Process.  This action was considered by the Board at an open meeting held on July 27, 2026, notice of which was provided by publication on the PDAB’s website, in accordance with General Provisions Article, §3-302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to:

(1) Establish circumstances under which use of a prescription drug product has led to an affordability challenge;

(2) Update and clarify certain metrics, factors, and procedures used in the Cost Review Study Process; and

(3) Adopt a new Regulation .06 that creates a mechanism for the public and Eligible Governmental Entities to report drug affordability issues.

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 Christina Shaklee, Health Policy Analyst Advanced, Maryland Prescription Drug Affordability Board, 16900 Science Drive, Suite 112-114 Bowie, MD 20715, or call 410-703-7015, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.01 Circumstances Under Which Use of a Drug May Create an Affordability Challenge.

A. The Board may determine that use of a prescription drug product has led or will lead to an affordability challenge for the State health care system.

B. The circumstances under which use of a prescription drug product has led or will lead to an affordability challenge for the State health care system include, but are not limited to:

(1) High spending by entities that pay for the prescription drug product, as may be indicated by:

(a) Spending on the drug is disproportionate to spending on other drugs in the impacted budget;

(b) Gross spending on the drug increased significantly over the most recent available calendar year or over the most recently available 5-year period; or

(c) Large price increases, such as the wholesale acquisition cost (WAC) increasing significantly faster than inflation over the most recently available calendar year, over the most recently available five-year period, or from launch date to the most recently available year.

 (2) At its current net or gross price, a drug does not provide sufficient value to the State health care system, as may be indicated by:

(a) The average net price of the drug exceeds the average net price for therapeutic alternatives that provide similar clinical outcomes; or

(b) Compared to therapeutic alternatives, the drug was approved with limited evidence of improvement in clinical outcomes and has substantial spending;

(3) Patients encounter barriers to affordable access for the prescription drug product, as may be indicated by:

(a) Insurance plans cover fewer uses or conditions for this drug than what the FDA has approved or what clinical guidelines recommend; or

(b) High occurrence of required prior authorization or high claims rejection rate; or

(4) Any other circumstance identified by the Board through the cost review study under which use of a drug has or will lead to an affordability challenge for the State health care system.

C. The Board may determine that use of a prescription drug product has led or will lead to high out-of-pocket costs for patients.

D. The circumstances under which use of a drug has or will lead to high out-of-pocket costs for patients may be indicated by, but not limited to:

(1) The average total out-of-pocket costs for a drug are disproportionate to the average State household income;

(2) At the 90th percentile, patient out-of-pocket costs in certain markets are disproportionate to the average net cost paid by payors;

(3) A significant proportion of patients do not take the drug as prescribed;

(4) Observed disparities in patient out-of-pocket costs or utilization of the drug in priority populations; or

(5) Any other circumstance identified by the Board through the cost review study under which use of a drug has or will lead to high out-of-pocket costs for patients.

.02 Identifying Drugs Eligible for Cost Review.

A.—C. (text unchanged)

D. To the extent practicable, and in addition to the statutory metrics set forth in Health-General Article, §21-2C-08(c), Annotated Code of Maryland, the Board may consider the following additional metrics and criteria to identify prescription drug products eligible for selection for a cost review study:

(1) Aggregated Spending and Pricing Data:

(a) The 100 prescription drug products, by NDC, with the highest total gross spending in the most recent available calendar year;

(b) The 100 prescription drug products with the highest total gross spending per patient in the most recent available calendar year by prescription drug product, with a breakdown by NDC;

(c) The 100 prescription drug products with the highest percent change increase in WAC over the most recent available calendar year by prescription drug product, with a breakdown by NDC;

[(d) The 100 prescription drug products with the highest percent change increase in WAC over the most recent available 5-year period;]

[(e)] (d) The 100 prescription drug products with the highest dollar increase in WAC per year or course of treatment over the most recent available calendar year; and

[(f) The 100 prescription drug products with the highest dollar increase in WAC over the most recent available 5-year period; and]

[(g)](e) The 100 prescription drug products with the highest percent change increase in total gross spending;

(2) Patient Out-of-Pocket Costs:

(a) The 100 prescription drug products with the highest total patient out-of-pocket costs in the most recent available calendar year by prescription drug product, with a breakdown by NDC; and

(b) The 100 prescription drug products with the highest average patient total out-of-pocket costs in the most recent available calendar year by prescription drug product, with a breakdown by NDC; and

[(c) The 100 prescription drug products ranked at the 50th percentile for patient total out-of-pocket costs in the most recent available calendar year; and

(d) The 100 prescription drug products ranked at the 90th percentile for patient total out-of-pocket costs; and]

(3) (text unchanged)

E.—F. (text unchanged)

.03 Selecting Drugs for Cost Review.

A. [Board staff may provide the Board with a dashboard containing the prescription drug products identified under the statutory metrics and regulatory criteria in Regulation .02 of this chapter.] Priority Setting and Development of Curated Eligible List.

(1) The Board may prioritize the information and comparisons of information in §B of this regulation, and direct Board staff to develop a curated list of drugs eligible for selection consistent with these priorities.

(2) Board staff may provide the Board with a dashboard containing the prescription drug products identified in the curated list of eligible drugs for selection developed in §A(1) of this regulation, including all NDCs for the prescription drug product.

(3) Board staff may provide the Board with a dashboard containing the full list of prescription drug products identified in Regulation .02 of this chapter.

B. To the extent practicable, Board staff may provide the following information for each prescription drug product in the dashboard:

(1) FDA Approval:

(a) (text unchanged)

(b) If applicable, the date the initial primary patent and last patent expired or will expire;

(c) (text unchanged)

(d) Whether the prescription drug product is designated for a rare disease or condition by the Secretary of the [FDA] U.S. Department of Health and Human Services, under 21 U.S.C. §360bb, [as a drug for a rare disease or condition] and if the prescription drug product is approved for an indication treating that rare disease or condition;

(2)—(4) (text unchanged)

(5) Whether the prescription drug product is currently in active shortage status; [and]

(6) [Whether the] For a prescription drug product [is currently subject to or has been] subject to the Medicare Drug Price Negotiation Program, under the Inflation Reduction Act (IRA) (Public Law 117-169) [.] the published Medicare Maximum Fair Price and the estimated net cost; and

(7) Data summaries, rankings, comparisons, and analyses prepared by Board Staff of the information in §B of this regulation.

C. Selecting Drugs for Referral to Stakeholder Council.

(1) (text unchanged)

(2) [Prior to a Board meeting, a Board member may request that a prescription drug product or products be placed on the Board’s meeting agenda for consideration for referral to the Stakeholder Council by submitting the proprietary drug name or nonproprietary name, as applicable, and NDC to the Board Chair in writing.] Prior to a Board meeting, Board staff may provide the Board with staff’s recommendations concerning prescription drug products for referral to the Stakeholder Council.

 [(3) The Board Chair may include the prescription drug product name and dose on the Board’s agenda.

(4) The public may provide oral and written comments concerning the drugs proposed for referral to the Stakeholder Council and identified on the meeting agenda in accordance with the procedures and timelines in COMAR 14.01.01.05A and B(2).]

[(5)](3) Notwithstanding [the pre-meeting identification] staff’s recommendations of drugs for [consideration] referral, the Board may consider any drug identified in Regulation .02 of this chapter and any drug added to the eligible list for referral to the Stakeholder Council.

[(6)](4) At an open meeting, the Board may:

(a) Consider the prescription drug products [identified on the Board’s agenda] recommended by Board staff and any eligible drug proposed for consideration by a Board member at the meeting; and

(b) Select one or more prescription drug products [by NDC] to refer to the Stakeholder Council to receive input from the Stakeholder Council on the selection of prescription drug products for cost review.

D. In selecting one or more prescription drug products to refer to the Stakeholder Council, the Board may consider:

(1) The prescription drug products identified under the statutory metrics and regulatory criteria in Regulation .02 of this chapter and in the curated list of drugs eligible for selection;

(2) The information and comparisons of information provided under §B of this regulation;

(3) The average cost share of the prescription drug product, the average patient total out-of-pocket cost, and the average total payor cost; [and]

(4) Any written or oral public [comment.] comment;

(5) Public reporting of prescription drug product affordability issue by an individual under COMAR 14.01.04.06; and

(6) Reporting of prescription drug product affordability issues by an eligible governmental entity.

E.—F. (text unchanged)

G. Stakeholder Council Input.

(1) To the extent practicable, the Board may provide the Stakeholder Council with a selected dashboard for the referred prescription drug products that contains the public information set forth in §B of this regulation[.];

[(a) The information set forth in §B of this regulation;

(b) Whether the prescription drug product was reported by an individual member of the public; and

(c) Whether the prescription drug product was added by the Board for consideration under Regulation .02 of this chapter.]

(2)—(3) (text unchanged)

H. Identifying Therapeutic Alternatives.

(1)—(4) (text unchanged)

[(5) The Board shall determine the therapeutic alternatives for each prescription drug product selected for a cost review study.]

I. Board Selection of Drugs for Cost Review.

(1)—(2) (text unchanged)

(3) In selecting a prescription drug product for cost review, the Board shall consider:

(a) The prescription drug products referred to the Stakeholder Council [from the prescription drug products identified under the statutory metrics and regulatory criteria in Regulation .02 of this chapter] and the information provided under §B of this regulation;

(b) The average cost share of the prescription drug product, the average patient total out-of-pocket cost, the average total payor cost[, and publicly available data on direct-to-consumer advertising spending for the prescription drug product];

(c)—(d) (text unchanged)

(4) During an open meeting, the Board may select one or more prescription drug products for cost review study under Regulation .05 of this chapter and provide notice of the selection on its website within 3 work days of the meeting.

(5) (text unchanged)

(6) If the Board selects a prescription drug product for cost review, [the Board may identify and approve] Board staff shall include all NDCs marketed under the same ANDA, NDA, or BLA [to be included] in the cost review.

(7)—(8) (text unchanged)

 

.04 Request for Information for Cost Review.

A. Request for Information.

(1) The Board shall post notice of the prescription drug product or products selected for cost review study through the process outlined in Regulation .03I of this chapter on the Board’s website.

(2)—(8) (text unchanged)

B. For each prescription drug product under review, the Board may request the following information from:

(1) Manufacturer:

(a)—(c)  (text unchanged)

(d) The net price received by [manufacturers] the manufacturer for the drug product in the State accounting for all price concessions, discounts, and rebates, reported by payor type and in aggregate;

(e)—(f) (text unchanged)

(g) The total dollar amount of gross and net sales of the prescription drug product into the State;

(h) The total dollar amount of gross and net sales of the prescription drug product nationally;

(i) The invoice and net price per unit for the prescription drug product charged to purchasers in the United Kingdom, Germany, France, and Canada, reported in U.S. dollars;

(j)—(l) (text unchanged)

(m) Information, including utilization, net prices, and gross and net revenue by payor type, concerning all authorized generics as defined by 42 CFR §447.502 for the prescription drug product;

(n) Information, including utilization, net prices, and gross and net revenue by payor type, concerning all other ANDAs, BLAs, and NDAs that pertain to the same active moiety and the same manufacturer;

(o) (text unchanged)

[(p) The portion of direct-to-consumer marketing costs eligible for favorable federal tax treatment in the most recent tax year that are specific to the prescription drug product under review; and

(q) Any additional factors or information the manufacturer proposes that the Board consider.]

(p) Information concerning the manufacturer’s drug-specific patient access programs, including:

(i) The identity of all patient assistance programs or charities providing medications to patients that are operated or supported by the manufacturer;

(ii) The value of all coupons, free samples, and drug donations to charities provided by the manufacturer;

(iii) The number of people served by the manufacturer’s patient assistance programs, coupons, or free samples;

(iv) Information on the policies, limitations, enrollment processes, and patient eligibility requirements for each program; and

(v) The total dollar value of the tax benefits realized as a result of the patient assistance programs for the product under review in the most recent year;

(q) The total amount of direct-to-physician marketing costs for the product under review in the most recent year;

(r) The portion of direct-to-consumer marketing costs eligible for favorable federal tax treatment in the most recent tax year that are specific to the prescription drug product under review; and

(s) Any additional factors or information the manufacturer proposes that the Board consider.

(2) Health Insurance Carrier, HMO, and MCO:

(a) [The] For each market segment, the total amount of the price concessions, discounts, and rebates the manufacturer provides to [each] health [plan] plans operating in the State, expressed in dollars per-unit and as a percent of the WAC;

(b) [The] For each market segment, the average price concession, discount, and [rebate] rebates the manufacturer [provided] provides in the State for therapeutic alternatives, expressed in dollars per unit and as a percent of the WAC;

(c) For each market segment, the total number of units of the prescription drug product paid for by the health plan or insurance carrier;

[(c)] (d)—[(d)] (e) (text unchanged)

[(e)] (f) The net cost per-unit incurred by the insurance carrier or health plan for the prescription drug product in the State, separated by market segment; and

[(f)] (g) Any additional factors or information the health insurance carrier, HMO, or MCO proposes that the Board consider.

(3) Pharmacy Benefits Managers:

[(a) The therapeutic alternatives for the prescription drug product(s) under review identified by each formulary administered by the PBM;]

[(b)] (a) [The] For each market segment, the total amount of the price concessions, discounts, and rebates the manufacturer provides to each PBM operating in the State, expressed in dollars per-unit and as a percent of the WAC;

(b) The total amount of price concessions, discounts, and rebates aggregated across all health plans;

(c) For each market segment, the total number of units of the prescription drug product paid for by the PBM;

[(c)] (d) The average price concession, discount, and [rebate] rebates the manufacturer [provided] provides in the State for therapeutic alternatives, expressed in dollars per-unit and as a percent of the WAC;

[(d)] (e)—[(e)] (f) (text unchanged)

(g) The frequency of mid-year formulary or coverage changes and the policies regarding patient notification, exceptions, and transition procedures for patients taking the medication;

(h) The therapeutic alternatives for the prescription drug product or products under review identified by each formulary administered by the PBM;

[(f)] (i)—[(g)] (j) (text unchanged)

(4) Wholesale Distributors:

(a) (text unchanged)

(b) The total amount of price concessions and discounts provided by the wholesale distributor to purchasers in the State, including but not limited to pharmacies, pharmacy chains, pharmacy wholesalers, and other direct purchasers, expressed in dollars per-unit and as a percent of the WAC;

(c) Units of the prescription drug product sold in the State; [and]

(d) Gross and net wholesale distributor revenues for the prescription drug product under review for the most recent tax year; and

[(d)](e) (text unchanged)

C. (text unchanged)

.05 Cost Review Study.

A. The Board may determine:

(1) Whether use of the prescription drug product, consistent with the labeling approved by the FDA or standard medical practice, has led or will lead to:

(a) (text unchanged)

(b) High out-of-pocket costs for patients; and

[(2) Whether the use that has led to affordability challenges or high out-of-pocket costs is consistent with:

(a) The labeling approved by the FDA; or

(b) Standard medical practice; and]

[(3)] (2) (text unchanged)

B. Analyses and Data Compilation.

(1) (text unchanged)

(2) These data and analyses may be:

(a) [Derived] Reported in or derived from published peer-reviewed literature, including the original source documents;

(b) [Derived] Reported in or derived from published public sources such as the FDA Orange Book, the FDA Purple Book, and other sources;

(c)—(g) (text unchanged)

(h) Derived from quantitative and qualitative data collected by Board staff, which may include structured interviews, focus groups, field observations, surveys, ethnographic studies, and patient feedback that may be gathered or requested.

C. Factors Considered in Cost Review Study.

(1) To the extent practicable, the Board may consider the following historic and current data, information, and analyses in conducting a cost review study:

(a) Drug Pricing for Drug Product Under Review:

(i) The WAC, AWP, NADAC, SAAC, ASP, National VA Contract Price, Big 4 Price, MFP, and FSS; and

(ii) (text unchanged)

(b) (text unchanged)

(c) Therapeutic Alternatives:

(i) (text unchanged)

(ii) The WAC, AWP, NADAC, SAAC, ASP, National VA Contract, Big 4 Price, MFP, and FSS at which each therapeutic alternative has been sold in the State; and

(iii) (text unchanged)

(d) Patient Access:

(i)—(ii) (text unchanged)

(iii) The current or expected dollar value of drug-specific patient access programs [that are supported by the manufacturer] for the drug product under review and the policies surrounding and implementing such programs;

(e) Cost and Comparative Effectiveness Analyses:

(i) Board staff may utilize any comparator including, but not limited to, therapeutic alternatives identified under COMAR 14.01.04.03C(1)(e), in performing analyses under this section.

[(i)] (ii)—[(ii)] (iii) (text unchanged)

(f) (text unchanged)

[(g) Additional Board Factors:

(i) Clinical information, including FDA indications and doses and information concerning standard medical practice;

(ii) The disease burden of the condition that is treated by the prescription drug product;

(iii) In the case of generic prescription drug products, the number of pharmaceutical manufacturers that produce the prescription drug product;

(iv) The total gross spending in the State for the prescription drug product under review, the total number of patients in the State using the prescription drug product, and the percentage of overall total prescription drug product spending that the product’s spending represents;

(v) The change in total gross spending and utilization for a prescription drug product in the State between the two most recent available calendar years and the percent change in total gross spending for a prescription drug product in the State between the two most recent available calendar years;

(vi) The mean, median, and 90th percentile out-of-pocket costs per patient compared to State incomes;

(vii) An assessment of the impact of the prescription drug product’s cost to access by priority populations and the impact on equity;

(viii) Information supplied by the manufacturer, if any, explaining the relationship between the pricing of the prescription drug product and (a) the cost of development and (b) the therapeutic benefit of the prescription drug product, or information that is otherwise pertinent to the manufacturer’s pricing decision;

(ix) Analysis of the prescription drug product’s approval process;

(x) Analysis of the prescription drug product’s shortage status;

(xi) Analysis of the market context of the prescription drug product including the prescription drug product’s lifecycle management, patent management, regulatory exclusivities, and product hopping;

(xii) The utilization and pricing of therapeutically equivalent drug products;

(xiii) Analysis of the impact of state and federal regulatory and compliance issues related to the prescription drug product;

(xiv) Input from state and local governmental entities and the entities’ contractors such as health plans and plan administrators;

(xv) Impact of the utilization and spending for the prescription drug product on public budgets and comparison of the spending on the prescription drug product to relevant benchmarks;

(xvi) Analyses and research including literature review by Board staff in response to information submitted by an entity under Regulation .04 of this chapter, or through any public comment or public input procedure

(xvii) Input from the public; and

(xviii) Information and analyses submitted by an entity under Regulation .04 of this chapter.]

(2) To the extent practicable, the Board may also consider the following data, information, and analyses as Board factors in conducting a cost review study.

(a) Prescription Drug Product Under Study.

(i) Clinical information, including FDA indications and doses, evidence of therapeutic costs and benefits, mechanism of action, therapeutic class, and information concerning standard medical practice; and

(ii) The disease burden of the condition that is treated by the prescription drug product.

(b) Regulatory Approval and Market Context.

(i) Analysis of the prescription drug product’s approval process;

(ii) Analysis of the prescription drug product’s shortage status; and

(iii) Analysis of the market context of the prescription drug product including the prescription drug product’s lifecycle management, patent management, regulatory exclusivities, and product hopping.

(c) Utilization of Drug Product Under Review.

(i) The total gross spending in the State for the prescription drug product under review, the total number of patients in the State using the prescription drug product, and the percentage of overall total prescription drug product spending that the product’s spending represents;

(ii) The change in total gross spending and utilization for a prescription drug product in the State between the two most recent available calendar years and the percent change in total gross spending for a prescription drug product in the State between the two most recent available calendar years;

(iii) Impact of the utilization and spending for the prescription drug product on public budgets and comparison of the spending on the prescription drug product to relevant benchmarks;

(d) Pricing Information and Rebates.

(i) Generally available public prices such as GoodRx or direct-to-consumer prices; and

(ii) Information explaining the relationship between the pricing of the prescription drug product, the cost of development, the therapeutic benefit of the prescription drug product, or information that is otherwise pertinent to the manufacturer’s pricing decision.

(e) Therapeutic Equivalents, Therapeutic Classes, and Therapeutic Alternatives.

(i) The WAC, AWP, NADAC, SAAC, ASP, National VA Contract, Big 4 Price, and FSS at which each therapeutic alternative and drugs in the same therapeutic class has been sold in the State;

(ii) The average price concession, discount, or rebate the manufacturer provides or is expected to provide to health plans in the State for therapeutic alternatives and drugs in the same therapeutic class;

(iii) The incremental costs associated with a prescription drug product, including financial impacts to health, medical, or social services as can be quantified and compared to baseline effects of the standard of care, and drugs in the same therapeutic class;

(iv) Information derived from health economics and outcomes research that may address the effectiveness of the prescription drug product in treating the conditions for which it is prescribed or in improving a patient’s health, quality of life, or overall health outcomes, and the effectiveness of the prescription drug product compared with therapeutic alternatives, the standard of care, drugs in the same therapeutic class, or no treatment;

(v) Clinical information, including FDA indications and doses, evidence of therapeutic costs and benefits, mechanism of action, therapeutic class, and information concerning standard medical practice; and

(vi) The number of pharmaceutical manufacturers that produce therapeutically equivalent, biosimilar, or interchangeable prescription drug products.

(f) Cost-Sharing and Insurance Benefit Design.

(i) The mean, median, and 90th percentile out-of-pocket costs per patient compared to average State household incomes;

(ii) Information about patient access and medication adherence, including the use and impact of utilization management tools;

(iii) An assessment of the impact of the prescription drug product’s cost to access by priority populations and the impact on equity; and

(iv) Information concerning the manufacturer’s drug-specific patient access programs, including the information requested in 14.01.04.04 B(1)(p).

(g) Other Information.

(i) Analysis of the impact of State and federal regulatory and compliance issues related to the prescription drug product;

(ii) Input from State and local governmental entities and the entities’ contractors such as health plans and plan administrators;

(iii) Analyses and research including literature review by Board staff in response to information submitted by an entity under Regulation .04 of this chapter, or through any public comment or public input procedure;

(iv) Input from the public;

(v) Information and analyses submitted by an entity under Regulation .04 of this chapter;

(vi) Information and analyses submitted by an eligible government entity; and

(vii) Information, analyses, and data published by the Centers for Medicare and Medicaid Services underpinning the MFP produced through the Medicare Drug Price Negotiation program.

[(2)](3) The public may provide written comments concerning the prescription drug product:

(a) Within 60 days of the date [the drug’s selection for cost review study is posted] when the Board posts a request for public comment about the drug on the Board’s website; and

(b) (text unchanged)

D. Board Staff Recommendations.

(1) Board staff shall:

(a) Prepare a memorandum that contains staff’s recommendations; and

(b) Redact any confidential, trade secret and proprietary information.

(2) As an addendum to the memorandum, Board staff may provide the Board with recently available information that updates the data and information in either the dossier or dashboard.

[D.] E. At an open meeting, the Board may:

(1)—(3) (text unchanged)

(4) Consider Board staff recommendations and any addendum;

[(4)] (5)[(5)] (6) (text unchanged)

[E.] F. (text unchanged)

[F.] G. Preliminary Determination.

(1)—(2) (text unchanged)

(3) Preliminary Determination of Affordability Challenge.

(a) Board staff shall prepare a draft [of the] preliminary determination [cost review] report that summarizes [the information considered by the Board in conducting the cost review study,] the Board’s deliberations, and preliminary determination [the circumstances or indicia reflecting the affordability challenge, and the Board’s preliminary determination].

(b) The public may comment on the draft [of the] preliminary determination [cost review] report.

[G.] H. Final Determination Concerning Affordability Challenge and Final Cost Review Study Report.

(1) The Board may vote to finalize the preliminary determination and [approve the draft] adopt a cost review study report as final.

(2) The Board’s determination of whether a prescription drug has or will lead to an affordability challenge is not final until the final cost review study report is adopted by the Board.

(3) (text unchanged)

.06 Reporting of Drug Affordability Issues.

A. Public Reporting.

(1) Individual members of the public may report their personal experience with a drug or drugs that have caused or are causing an affordability issue for the individual.

(2) An individual may report a drug:

(a) By completing the form available on the Board’s website electronically; or

(b) By downloading or obtaining the form from the Board, completing the form, and submitting it to the Board.

(3) Blank forms may be requested by contacting the Board by email or phone.

B. Reporting by Eligible Governmental Entities.

(1) An Eligible Governmental Entity may:

(a) Refer a prescription drug product to the Board for possible study, along with drug purchasing data, and other relevant information about the prescription drug product; or

(b) Report to the Board their experiences, drug purchasing data, and other relevant information about a prescription drug product during the cost review study and policy review processes.

(2) An Eligible Governmental Entity may submit the information identified in §B(1) of this regulation by:

(a) Completing the data form developed by the Board; and

(b) Providing supporting documentation.

(3) An Eligible Governmental entity submitting information, including data and records, for the Board’s consideration shall comply with the procedures for designating confidential, trade-secret, and proprietary information set forth in COMAR 14.01.01.04.

(4) Information may be submitted to the Board:

(a) In paper form using a tracked common carrier, courier, or postal service; or

(b) Electronically using secure file transfer.

ANDREW W. YORK
Executive Director


 

 

 

Subtitle 22 COMMISSION ON CRIMINAL SENTENCING POLICY

14.22.02 Criminal Offenses and Seriousness Categories

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

Notice of Proposed Action

[26-141-P]

The Maryland State Commission on Criminal Sentencing Policy proposes to amend Regulations .01 and .02 under COMAR 14.22.02 Criminal Offenses and Seriousness Categories.

Statement of Purpose

The purpose of this action is reflect:

(1) New and revised penalties from the 2026 Legislative Session; and

(2) The addition of five previously unclassified offenses.

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 October 5, 2026. A public hearing has not been scheduled.

.01 List of Offense Headings.

A—B  (text unchanged)

C

Cannabis License or Registration

CDS and Paraphernalia

CDS—Registration

Cemeteries and Funerary Objects, Crimes Involving

Commercial Fraud, Other

Conspiracy

Consumer Protection Laws

Counterfeit Tobacco Tax Stamps

Counterfeiting

Credit Card Crimes

Crimes Against the Person, Generally

Criminal Organizations

D  (text unchanged)

E

Economic Development and Financial Assistance Programs

Election Offenses

Estates, Crimes Against

Extortion and Other Threats

F—O  (text unchanged)

Perjury

Pet Cremation and Burial Services

Prescription Drugs and Other Substances

Pretrial Release, Crimes Involving

Prostitution and Related Crimes

Protected Individuals, Protected Information

Public Fraud

Public Health and Safety, Crimes Against

R—W  (text unchanged)

 

.02 Seriousness Categories.

 

Offense Literal

CJIS
Code

Source

Felony or
Misd.

Max
Term

Min
Term

Offense Type

Ser.

Category

Fine

1—9-5  (text unchanged)

9-6

Animals, Crimes Against
Aggravated animal cruelty

1-0505
[1-0508]

CR, §10-606

Felony

3Y

 

Property

VI

$5,000

9-7

Animals, Crimes Against

Intentionally harass or injure emergency response animal

1-2263

1-2264

CR, §10-606.1(c)(1)

Misd.

1Y

 

Property

VII

$5,000

9-8

Animals, Crimes Against

Intentionally harass or injure emergency response animal during commission of a crime; intentionally kill or seriously injure emergency response animal

1-2265

1-2266

CR, §10-606.1(c)(2)

Misd.

2Y

 

Property

VI

$10,000

10—12-4  (text unchanged)

12-5

Animals, Crimes Against

Slaughter or cause the slaughter of a racehorse in the State for any commercial purpose, 1st offense

 

BR, §11-1002(c)(1)(i)

 

Misd.

1Y

 

Property

VII

$1,000

12-6

Animals, Crimes Against

Slaughter or cause the slaughter of a racehorse in the State for any commercial purpose, subsequent

 

BR, §11-1002(c)(1)(ii)

 

Misd.

1Y

 

Property

VII

$2,000

13—24  (text unchanged)

25

Assault and Other Bodily Woundings
Female genital mutilation—perform, attempt, conspire, or consent to perform, or transport out of state to perform

[1-0965]
[1-0970]

1-2271

1-2272

1-2273

[HG, §20-601]
[HG, §20-603]

HG, §20-602

HG, §20-604(a) (penalty)

Felony

[5Y]

10Y

 

Person

[V]

IV

[$5,000]

$10,000

25-1—32  (text unchanged)

33

Assault Weapons
Unlawfully possess, sell, offer to sell, etc., an assault weapon; manufacture, sell, offer to sell, etc., a detachable magazine with a capacity of more than 10 rounds; manufacture, possess, sell, etc., a rapid fire activator; manufacture, sell, offer to sell, etc., a machine gun convertible pistol

1-1448

1-2281

3-5250
3-5255
[1-1448]

CR, §4-303(a)
CR, §4-305(b)
CR, §4-305.1 (a)

CR, §4-305.2 (a)
CR, §4-306(a)
(penalty)

Misd.

3Y

 

Person

VI

$5,000

34—71-1  (text unchanged)

71-2

CDS and Paraphernalia

[Preparation, distribution, or sale of kratom products to an individual under 21; without proper label disclosures; or that contain certain other substances] Prepare, distribute, sell, or expose for sale kratom product without required disclosures; not recognized by the FDA; adulterated or contaminated with a dangerous substance; or to an individual under the age of 21 years; advertise or promote kratom in certain manners

 

HG, §21-2E-02(f)

HG, §21-2E-03(e)

Misd.

90D

 

Drug

VII

$5,000

71-3

CDS and Paraphernalia

Prepare, distribute, sell, or expose for sale phenibut product without required disclosures; not recognized by the FDA; adulterated or contaminated with a dangerous substance; or to an individual under the age of 21 years; advertise or promote phenibut in certain manners

 

HG, §21-2F-02(f)

HG, §21-2F-03(e)

Misd.

90D

 

Drug

VII

$5,000

72—80  (text unchanged)

80-1

Commercial Fraud, Other

Unauthorized representation as a bank, national banking association, other-state bank, or savings and loan association

 

FI, §5-806(d)

Misd.

5Y

 

Property

VII

$3,000

80-2

Commercial Fraud, Other

Unauthorized representation as a credit union

1-1539

FI, §6-901

Misd.

5Y

 

Property

VII

$3,000

[80-1]80-3—96  (text unchanged)

97

[Vacant]

Commercial Fraud, Other

Altering or tampering with a gift card with the intent to defraud another

1-2268

CR, §8-409

Misd.

18M

 

Property

VII

$500

98—99  (text unchanged)

99-1

Counterfeit Tobacco Tax Stamps

Creation or procurement of an altered or counterfeited tobacco tax stamp

 

TG, §13-1012 (a)

Misd.

5Y

 

Property

VI

$5,000

99-2

Counterfeit Tobacco Tax Stamps

Use, transfer, or possession of an altered or counterfeited tobacco tax stamp

 

TG, §13-1012 (b)(1)

Misd.

5Y

 

Property

VI

$5,000

99-3

Counterfeit Tobacco Tax Stamps

Use of a tobacco tax stamp more than once

 

TG, §13-1012 (b)(2)

Misd.

5Y

 

Property

VI

$5,000

99-4

Counterfeit Tobacco Tax Stamps

Purchase of a tobacco tax stamp from unauthorized individuals *

 

TG, §13-1012 (c)

Misd.

1Y

 

Property

VII

$1,000

100—129-2  (text unchanged)

129-3

Economic Development and Financial Assistance Programs, Crimes Involving

False statement or report in an application or document submitted to, or to influence an action of, the Maryland Economic Development Assistance Authority Small Business Development Contract Financing

 

EC, §5-524

Misd.

5Y

 

Property

VII

$50,000

129-4

Economic Development and Financial Assistance Programs, Crimes Involving

False statement or report in an application or document submitted to, or to influence an action of, the Maryland Economic Development Assistance Authority — Small Business Development Guaranty Program

 

EC, §5-534

Misd.

5Y

 

Property

VII

$50,000

129-5

Economic Development and Financial Assistance Programs, Crimes Involving

False statement or report in an application or document submitted to, or to influence an action of, the Maryland Economic Development Assistance Authority — Small Business Surety Bond Program

 

EC, §5-559

Misd.

5Y

 

Property

VII

$50,000

130—135-1  (text unchanged)

135-2

Election Offenses

Creating, using, or disseminating a deepfake to produce false information to influence an election

1-0835

EL, §16-905

Misd.

5Y

 

Property

VII

$5,000

[135-2]135-3[135-3]135-4  (text unchanged)

136—159-15  (text unchanged)

159-16

Fraud, Miscellaneous

Practicing acupuncture without a license or misrepresentation as practitioner of acupuncture

1-1541

HO, §1A-401

HO, §1A-402

HO, §1A-404(a)(1)

(penalty)

Misd.

3Y

 

Person

VI

$5,000

159-17

Fraud, Miscellaneous

Employing an individual to practice acupuncture without a license or aiding or abetting the unauthorized practice of acupuncture in violation of HO, §1A-401, 1st offense

 

HO, §1A-403

HO, §1A-404 (b)(1)(i) (penalty)

Misd.

1Y

 

Person

VII

$5,000

159-18

Fraud, Miscellaneous

Employing an individual to practice acupuncture without a license or aiding or abetting the unauthorized practice of acupuncture in violation of HO, §1A-401, subsequent

 

HO, §1A-403

HO, §1A-404 (b)(1)(ii) (penalty)

Felony

5Y

 

Person

VI

$5,000 per day

160—193  (text unchanged)

194

Harboring, Escape, and Contraband
Escape, 1st degree

1-0615

2-0835
2-1010

CR, §9-404

Felony

10Y

 

Person

IV

$20,000

195—206  (text unchanged)

206-1

Identity Fraud
Possess, obtain personally identifying information or willfully assume the identity of another, benefit $100,000 or greater

1-1359
1-1366
1-1370

[CR, §8-301(b), (c)]
CR, §8-301(b), (c)(2)(i), (ii), (iii)

CR, §8-301 (g)(1)(iii)
(penalty)

Felony

20Y

 

Property

III

$25,000

206-2

Identity Fraud
Possess, obtain personally identifying information or willfully assume the identity of another, benefit at least $25,000 but less than $100,000

1-1360
1-1367
1-1371

[CR, §8-301(b), (c)]
CR, §8-301(b), (c)(2)(i), (ii), (iii)

CR, §8-301 (g)(1)(ii)
(penalty)

Felony

10Y

 

Property

V

$15,000

206-3

Identity Fraud
Possess, obtain personally identifying information or willfully assume the identity of another, benefit at least $1,500 but less than $25,000

1-1361
1-1368
1-1372

[CR, §8-301(b), (c)]
CR, §8-301(b), (c)(2)(i), (ii), (iii)

CR, §8-301 (g)(1)(i)
(penalty)

Felony

5Y

 

Property

VI

$10,000

206-4

Identity Fraud
Possess, obtain personally identifying information or willfully assume the identity of another, benefit at least $100 but less than $1,500

1-1362
1-1369
1-1373

[CR, §8-301(b), (c)]
CR, §8-301(b), (c)(2)(i), (ii), (iii)

CR, §8-301 (g)(2)(penalty)

Misd.

1Y

 

Property

VII

$500

206-5—207-2  (text unchanged)

207-3

Identity Fraud
Falsely represent self as another person

1-1364
1-1384

[CR, §8-301(c)(1), (f)]
CR, §8-301(c)(1), (f)(1)

CR, §8-301 (g)(4)(penalty)

Misd.

1Y

 

Property

VII

$500

207-4

Identity Fraud
Use an interactive computer service to disclose personal identifying information of an individual in order to annoy, threaten, embarrass, or harass; use personal identifying information of an individual in order to cause harm

1-1363

1-2274

[CR, §8-301(b-1)]
CR, §8-301(b-1), (b-2)

CR, §8-301 (g)(4)(penalty)

Misd.

1Y

 

Person

Property

VII

$500

[207-6]207-5  (text unchanged)

207-6

Identity Fraud

Falsely represent self as another person with intent to harm, harass, intimidate, threaten, or coerce

1-2275

CR, §8-301(c)(2)(iv)

CR, §8-301 (g)(4)

(penalty)

Misd.

1Y

 

Person

VII

$500

207-7

Identity Fraud

Use artificial intelligence or deepfake representation to cause harm to another by impersonating, falsely depicting, or claiming to represent another person, or to create or distribute false records to cause harm to another, etc., one victim

1-2276

1-2277

CR, §8-301(f)(2)

CR, §8-301 (g)(5)(i) (penalty)

Felony

5Y

 

Person

Property

VI

$10,000

207-8

Identity Fraud

Use artificial intelligence or deepfake representation to cause harm to another by impersonating, falsely depicting, or claiming to represent another person, or to create or distribute false records to cause harm to another, etc., two or more victims

1-2237

1-2238

CR, §8-301(f)(2)

CR, §8-301 (g)(5)(ii) (penalty)

Felony

10Y

 

Person

Property

V

$15,000

208—286  (text unchanged)

286-1

Obscene Matter

Child pornography, with 100 images or more

1-2278

CR, §11-208.2(b)

Felony

10Y

 

Person

IV

 

286-2

Obscene Matter

Child pornography, with image depicting child under the age of 13 years

1-2279

CR, §11-208.2 (c)

Felony

10Y

 

Person

IV

 

287—301-2  (text unchanged)

301-3

Perjury
Perjury—knowingly make a false statement to obtain a marriage license

2-0875

FL, §2-407

CR, §9-101 (penalty)

Misd.

10Y

 

Property

IV

 

302—303  (text unchanged)

303-1

Pet Cremation and Burial Services

Violation of any provision of the Maryland Pet Cremation and Burial Services Consumer Protection Act, 1st offense

 

BR, §5-7A-07(a)(1)

HO, §7-4B-06 (a)(1)

Misd.

1Y

 

Property

VII

$5,000

303-2

Pet Cremation and Burial Services

Violation of any provision of the Maryland Pet Cremation and Burial Services Consumer Protection Act, 2nd offense

 

BR, §5-7A-07(a)(2)

HO, §7-4B-06(a)(2)

Misd.

2Y

 

Property

VII

$10,000

303-3

Pet Cremation and Burial Services

Violation of any provision of the Maryland Pet Cremation and Burial Services Consumer Protection Act, 3rd or subsequent offense

 

BR, §5-7A-07(a)(3)

HO, §7-4B-06(a)(3)

Misd.

3Y

 

Property

VI

$15,000

304—328-1  (text unchanged)

328-2

Public Fraud

Government benefits exploitation, less than $1,500

1-2241

1-2245

1-2249

CR, §8-524(c)(1)

Misd.

1Y

 

Property

VII

$500

328-3

Public Fraud

Government benefits exploitation, at least $1,500 but less than $25,000

1-2242

1-2246

1-2250

CR, §8-524(c)(2)

Felony

5Y

 

Property

VI

$10,000

328-4

Public Fraud

Government benefits exploitation, at least $25,000 but less than $100,000

1-2243

1-2247

1-2251

CR, §8-524(c)(3)

Felony

10Y

 

Property

V

$15,000

328-5

Public Fraud

Government benefits exploitation, $100,000 or more

1-2244

1-2248

1-2252

CR, §8-524(c)(4)

Felony

20Y

 

Property

III

$25,000

329—356  (text unchanged)

356-1

Sexual Crimes
Sex Offense, 3rd degree (a)(1) employ or display a dangerous weapon, etc.; (a)(2) with substantially cognitively impaired, mentally incapacitated, or physically helpless individual

1-1824

1-1825

1-1826

1-1827

1-1828

1-2280

CR, §3-307(a)(1)
CR, §3-307(a)(2)

Felony

10Y

 

Person

IV

 

357—359-1  (text unchanged)

359-2

Sexual Crimes
Sexual conduct by law enforcement officer with victim, witness, or suspect in an open investigation; with person requesting assistance from or responding to law enforcement officer; [or] with person in custody of law enforcement officer; or with student enrolled in a school where law enforcement officer is school resource officer

1-0836

1-1462

CR, §3-314(e)

Misd.

3Y

 

Person

V

$3,000

360—362  (text unchanged)

363

Sexual Crimes
Sex Offense, 4th degree

1-1623
1-1624
[1-1625]
[1-1626]
4-3600

[CR, §3-308 (d)(1)]

CR, §3-308 (b)(1)

Misd.

1Y

 

Person

VII

$1,000

363-1  (text unchanged)

363-2

Sexual Crimes
Sex Offense, 4th degree, [subsequent] by a person previously convicted of a certain sexual crime

1-1623
1-1624
[1-1625]
[1-1626]
4-3600

[CR, §3-308 (d)(2)]

CR, §3-308 (b)(2)

Misd.

3Y

 

Person

VI

$1,000

363-3

Sexual Crimes

Sex Offense, by a person in a position of authority

1-2255

1-2256

CR, §3-308.1 (b)

CR, §3-308.1 (e)(1)

(penalty)

Misd.

 

1Y

 

Person

VII

$1,000

363-4

Sexual Crimes

Sex Offense, by a person in a position of authority with victim younger than 13 years old

1-2257

1-2258

CR, §3-308.1 (c)

CR, §3-308.1 (e)(2)

(penalty)

Felony

10Y

 

Person

IV

$25,000

363-5

Sexual Crimes

Sex Offense, by a person in a position of authority previously convicted of a certain sexual crime

1-2259

1-2260

1-2261

1-2262

CR, §3-308.1 (d)

CR, §3-308.1 (e)(3) (penalty)

Felony

20Y

 

Person

III

$50,000

364  (text unchanged)

364-1

Stalking and Harassment
Stalking

1-6525

[CR, §3-802]

CR, §3-802 (d)(1)

Misd.

5Y

 

Person

V

$5,000

364-2

Stalking and Harassment

Stalking someone while a protective or court order involving the victim is in effect against the defendant, or after a prior stalking conviction

1-2282

1-2283

1-2284

1-2285

CR, §3-802 (d)(2)

Felony

10Y

 

Person

IV

$10,000

365—376-2  (text unchanged)

376-3

Telecommunications and Electronics, Crimes Involving

[Taking] Intentionally taking certain actions with the intent to [interrupt or] impair [the functioning of] critical infrastructure or a public safety answering point

1-2231

CR, §7-302 (d)(5)

Felony

5Y

 

Property

V

$25,000

376-4

Telecommunications and Electronics, Crimes Involving

Intentionally taking certain actions that deny access to an authorized user or impair critical infrastructure or a public safety answering point

1-2286

CR, §7-302 (d)(6)

Felony

10Y

 

Property

IV

$50,000

377—421  (text unchanged)

 

Footnotes  (text unchanged)

General Rules:  (text unchanged)

DAVID SOULE
Executive Director

 

Subtitle 23 Alcohol, Tobacco, and Cannabis Commission

14.23.01 Alcoholic Beverages

Authority: Alcoholic Beverages and Cannabis Article, §§ 1–101, 1-311, 2–124, 2–125, 2–217, 2-302, 2-303, and 2–316, Annotated Code of Maryland

Notice of Proposed Action

[26-130-P]

The Executive Director of the Alcohol, Tobacco, and Cannabis Commission proposes to amend Regulation .08 and adopt new Regulation .20 under COMAR 14.23.01 Alcoholic Beverages.

Statement of Purpose

The purpose of this action is to clarify the manner in which certain alcoholic beverages can be distributed throughout the State. Current regulatory language has allowed for overlapping distributorship appointments for certain wine and spirits beverages that are challenging for the agency to track, manage, and regulate. This action will establish guidelines for packaging, notice, and reporting requirements when distributing non-conforming beverages in Maryland.

Estimate of Economic Impact

I. Summary of Economic Impact. The proposed action is not expected to create a significant economic impact. The action may reduce barriers to market participation and increase overall market competition, which may create nominal benefits for alcoholic beverages retailers and consumers.


II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

NONE

 

B. On other State agencies:

NONE

 

C. On local governments:

NONE

 

 

Benefit (+)

Cost (-)

Magnitude

D. On regulated industries or trade groups:

 

 

Alcoholic beverage manufacturers, wholesalers, retailers

(+)

Nominal

E. On other industries or trade groups:

NONE

 

F. Direct and indirect effects on public:

 

 

Alcoholic beverage consumers

(+)

Nominal

 

III. Assumptions. (Identified by Impact Letter and Number from Section II.)

D. Increased competition in some product categories. The regulation is designed to create minimal change for the existing statewide market participants, but would allow new products and small businesses to enter regional markets.

F. Increase in competition may improve product prices or availability

Economic Impact on Small Businesses

The proposed action has a meaningful economic impact on small businesses. An analysis of this economic impact follows:

The proposed action may have a positive impact on small businesses in Maryland by expanding opportunities for smaller alcoholic beverage wholesalers to enter and compete for the right to distribute non-conforming beverages within regional markets in the State. By removing exclusive territorial distribution requirements for these products, the action creates a more equitable competitive environment for large and small wholesalers, many of whom are 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 Jeffrey M. Hann, Assistant Director, Legal and Legislative Division, Alcohol, Tobacco, and Cannabis Commission, 1215 East Fort Avenue, Suite 300, Baltimore, Maryland, 21230, or call 443-300-6990, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.08 Wine and Distilled Spirits Distributorship Appointments.

A. [Definition.] Definitions.

(1) In this regulation, the following terms have the meanings indicated.

(a) Distilled Spirits.

(i) “Distilled spirits” has the meaning stated in Tax–General Article, §5–101, Annotated Code of Maryland.

(ii) “Distilled spirits” does not include non-conforming beverages as defined in Regulation .20 of this chapter.

(b) “Sole American Source of Supply in Maryland” means a licensed wholesaler that imports a brand of wine or distilled spirits from outside of the United States and that is the sole source of that brand within Maryland under this regulation.

(c) Supplier.

(i) “Supplier” means a licensed manufacturer[,] or permitted nonresident dealer[, or wholesaler] who sells a brand of wine or distilled spirits to a licensed wholesaler for resale to licensed retailers in Maryland.

(ii) “Supplier” may include a licensed wholesaler only when they meet the definition of a sole American Source of Supply in Maryland, as designated by the Executive Director.

(d) Wine.

(i) “Wine” has the meaning stated in Alcoholic Beverages and Cannabis Article, §1–101, Annotated Code of Maryland.

(ii) “Wine” does not include non-conforming beverages as defined in Regulation .20 of this chapter.

B. Sole American Source of Supply in Maryland.

(1) A licensed wholesaler may act as a supplier under this regulation only when the licensed wholesaler is the sole American source of supply in Maryland.

(2) A licensed wholesaler who intends to represent a brand of wine or distilled spirits as the sole American source of supply in Maryland under this subsection shall submit a request to the Executive Director, in a manner prescribed by the Executive Director.

(3) The Executive Director may approve, deny, terminate, or suspend a licensed wholesaler's ability to act as a supplier under this section.

(4) A licensed wholesaler shall notify the Executive Director of a termination of their representation as a sole American source of supply in Maryland as soon as practicable, in a manner prescribed by the Executive Director.

[B.] C. A supplier who desires to change the licensed wholesaler it has selected or franchised to distribute a brand of wine or distilled spirits in the State shall provide at least 30 days notice of this intention [by registered mail] to the licensed wholesaler and the Executive Director[.], in a manner prescribed by the Executive Director.

[C.] D. A licensed wholesaler who desires to discontinue the sale of a brand of wine or distilled spirits shall provide at least 30 days notice of this intention [by registered mail] to the supplier from whom the product was purchased and to the Executive Director[.], in a manner prescribed by the Executive Director.

[D.] E. (text unchanged)

[E.] F. Any brand of wine or distilled spirits affected by the procedure set forth in this regulation which is in the outgoing wholesaler's inventory on or before the conclusion of this notice period shall be purchased and paid for by the supplier or incoming wholesaler at the laid-in cost of the outgoing wholesaler before the incoming wholesaler is allowed to distribute the product in the Maryland market. If a supplier, other than the current brand owner or authorized agent, acquires a brand and wants to designate a wholesaler other than the existing wholesaler, the supplier may not [file] distribute the product until the supplier or incoming wholesaler has purchased the inventory of the outgoing wholesaler at the laid-in cost of the outgoing wholesaler.

[F.] G. (text unchanged)

[G.] H. This regulation does not apply to:

(1) [a] A county dispensary acting as a wholesaler[.]; or

(2) Non-conforming beverages as defined under Regulation .20 of this chapter.

.20 Non-Conforming Beverages.

A. Definitions. In this regulation, the following terms have the meanings indicated.

(1) “Geographic territory” means a county in Maryland, as defined in Local Government Article, §1-101, Annotated Code of Maryland.

(2) Non-conforming Beverage.

(a) “Non-conforming beverage” means an alcoholic beverage that:

(i) Is intended to be consumed as a single-serving within an individual commercially sealed container with a non-resealable lid or cap;

(ii) Contains 20 percent or less alcohol by volume;

(iii) Contains in whole or in part wine or distilled spirits; and

(iv) Contains a non-alcoholic beverage component.

(b) “Non-conforming beverage” also means a beverage that has been specifically designated by the Executive Director as a non-conforming beverage.

(c) “Non-conforming beverage” does not include:

(i) Beer, as defined in Alcoholic Beverages and Cannabis Article, §1-101, Annotated Code of Maryland; or

(ii) Any container of alcoholic beverages with multiple servings in a single bottle, can, container, or other package, unless designated by the Executive Director under §C of this regulation.

(3) “Supplier” means a licensed manufacturer, permitted resident dealer, or permitted nonresident dealer who sells a brand of non-conforming beverages to a licensed wholesaler for resale to licensed retailers in Maryland.

B. Except as authorized under §C of this regulation, non-conforming beverages may be packaged with multiple servings only if each single serving is physically separated into individual serving containers.

C. A supplier may submit an exemption request from §B of this regulation, for a brand, product, or packaging as a non-conforming beverage to the Executive Director, in a manner prescribed by the Executive Director.

D. A supplier shall notify the Executive Director of selections or appointments of licensed wholesalers for the distribution of a brand of non-conforming beverages in the State, in a manner prescribed by the Executive Director.

E. A supplier who desires to change the licensed wholesaler it has selected or appointed to distribute a brand of non-conforming beverages in the State shall provide at least 30 days’ notice of this intention to the licensed wholesaler and the Executive Director, in a manner prescribed by the Executive Director.

F. A licensed wholesaler who desires to discontinue the sale of a brand of non-conforming beverages shall provide at least 30 days notice of this intention to the supplier from whom the product was purchased and to the Executive Director, in a manner prescribed by the Executive Director.

G. A supplier may not select, designate, or appoint more than one licensed wholesaler to sell or distribute a brand of non-conforming beverages in the same geographic territory for a period of time any longer than the 30-day notice period mentioned above.

H. It is a violation of §G of this regulation for a supplier to select, designate, appoint, or otherwise permit the distribution of a brand of non-conforming beverage by multiple wholesalers to the same retail location or address.

I. A supplier who violates §E, G, or H of this regulation may be subject to fine, suspension, or revocation of the license or permit issued by the Executive Director.

J. A licensed wholesaler may not distribute a brand of non-conforming beverage in a manner that does not conform with this regulation.

K. A licensed wholesaler who violates §J of this regulation may be subject to fine, suspension, or revocation of the license issued by the Executive Director.

JEFFREY A. KELLY
Executive Director

 

 

 

Title 37
MARYLAND DEPARTMENT OF DISABILITIES

Subtitle 01 GENERAL PROVISIONS

37.01.01 Regulations and Related Procedures

Authority: Human Services Article, §7-110, Annotated Code of Maryland

Notice of Proposed Action

[26-082-P]

The Maryland Department of Disabilities proposes to adopt new Regulations .01—.03 under a new title, Title 37 Maryland Department of Disabilities, under a new subtitle, Subtitle 01 General Provisions, under a new chapter, COMAR 37.01.01 Regulations and Related Procedures.  

Statement of Purpose

The purpose of this action is to: 

(1) Implement Human Services Article, §7-110, Annotated Code of Maryland, which requires the Secretary of Disabilities to promulgate the regulations of the Maryland Department of Disabilities and its units; 

(2) Establish the subtitle and chapter under a new Title 37 in COMAR; and

(3) Lay the foundation for the future proposal and adoption of departmental regulations by the Secretary.

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 Anne Blackfield, Deputy Secretary, Maryland Department of Disabilities, 217 East Redwood Street, Suite 1300, Baltimore, MD 21202, or call 410-767-3660, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.01 Definitions.

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

B. Terms Defined.

(1) “Department” means the Maryland Department of Disabilities.

(2) “Secretary” means the Secretary of the Maryland Department of Disabilities.

(3) “Unit” means all programs, divisions, boards, commissions, offices, and other bodies within the Department's jurisdiction.

.02 Secretary of the Department.

A. The Secretary is responsible for promulgating the regulations of the Department and its units.

B. For all units within the jurisdiction of the Department, the Secretary shall:

(1) Review all proposed new regulations and amendments to regulations; and

(2) Adopt, revise, or disapprove the proposed action.

.03 Adoption of Regulations.

The Secretary shall propose and adopt all new, amended, and repealed regulations for regular promulgation and emergency action as prescribed in the Administrative Procedure Act, Annotated Code of Maryland.

CAROL A. BEATTY
Secretary

 

 

Subtitle 02 OFFICE OF PERSONAL CARE SERVICES

37.02.01 Attendant Care Program

Authority: Human Services Article, §§7-110 and 7-404, Annotated Code of Maryland

Notice of Proposed Action

[26-086-P]

The Maryland Department of Disabilities proposes to repeal existing Regulations .01—.13 under COMAR 14.11.01 Attendant Care Program and adopt new Regulations .01—.13 under a new title, Title 37 Maryland Department of Disabilities, under a new subtitle, Subtitle 02 Office of Personal Care Services, under a new chapter, COMAR 37.02.01 Attendant Care Program.

Statement of Purpose

The purpose of this action is to establish the regulations for the Maryland Department of Disabilities’ Attendant Care Program that were previously under COMAR 14.11.01. This is a technical change. The regulations from COMAR 14.11.01 are being repealed and proposed for adoption, without any changes, as COMAR 37.02.01.

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 Anne Blackfield, Deputy Secretary, Maryland Department of Disabilities, 217 East Redwood Street, Suite 1300, Baltimore, MD 21202, or call 410-767-3660, or email to [email protected]. Comments will be accepted through October 5, 2026. A public hearing has not been scheduled.

.01 Purpose.

The Attendant Care Program provides financial reimbursement to assist individuals with severe chronic or permanent physical disabilities who require attendant care services or ongoing additional supports to direct their own care and select their own service providers. Reimbursement may be available for attendant care services or ongoing additional supports that are provided in the home, school, workplace, or other community locations.

.02 Definitions.

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

B. Terms Defined.

(1) “Annual adjusted gross income” means the total taxable and nontaxable annual income, less 100 percent of total unreimbursed medical expenses as defined by COMAR 07.03.17.33, of:

(a) The eligible applicant; and

(b) The applicant's spouse.

(2) “Applicant” means an individual who has submitted an application to participate in the Program in order to receive reimbursement of the cost of attendant care services or ongoing additional supports.

(3) “Attendant” means an individual or provider agency who provides attendant care services to a participant.

(4) “Attendant care agreement” means a written agreement developed by the Department that:

(a) Provides:

(i) The effective date for reimbursable services; and

(ii) The terms for reimbursement under the Program; and

(b) Is signed by the participant and the Program Director at the time of initial enrollment and at the request of the Program Director if any circumstances change for the individual or the program.

(5) “Attendant care services” means any of the following services for an individual, which are deemed necessary by an attending physician or by a registered nurse or certified nurse practitioner serving the individual including:

(a) Activities of daily living such as:

(i) Dressing;

(ii) Preparing food and assisting with eating;

(iii) Bathing and personal hygiene;

(iv) Assisting with routine bodily functions, including bowel and urinary care; and

(v) Moving into, out of, or turning in bed; or

(b) Instrumental activities of daily living such as:

(i) Laundering and other clothing care;

(ii) Cleaning house; and

(iii) Performing other services of daily care, including shopping and transportation.

(6) “Attending physician” means an individual who is authorized to practice medicine in this State and who has provided medical treatment to an applicant.

(7) “Certification of service form” means a document designated by the Department that verifies the participant's receipt of attendant care services for billing purposes.

(8) “Department” means the Department of Disabilities.

(9) “Duplicative services” means comparable care services or ongoing additional supports provided through any other federal or State assistance programs, such as but not limited to the programs described in COMAR 07.06.12, 10.09.04, or 10.09.20.

(10) “Episodic” means when an impairment or medical condition varies in frequency, intensity and duration and renders the person unable to engage in major life activities when onset.

(11) “Financial assistance” means reimbursement by the Department of the eligible percentage of the cost paid by a participant for attendant care services or ongoing additional supports.

(12) “Fiscal payment schedule” means the list of 12 1-month periods, established annually by the Program Director, in which Attendant Care Program benefits are provided, and participants are required to submit certification of service forms and receipts for reimbursement processing.

(13) “Home visit” means a visit by the Program Director or designee to the home of the Program participant.

(14) “Ongoing additional supports” means a continual support that increases an eligible individual’s independent performance of an essential activity of daily living, self-care, or mobility, and is requested by a Participant and approved by the Department.

(15) “Participant” means an eligible and enrolled individual in the Program.

(16) “Permanent physical disability” means a medical condition that substantially affects an individual's ability to perform physical activities such as walking, standing, transferring, seeing, or hearing.

(17) “Program” means the Attendant Care Program.

(18) “Program Director” means the individual designated by the Secretary to oversee the day-to-day operations of the Program.

(19) “Review of financial or programmatic eligibility” means initiating verification that the participant remains eligible within 1 calendar year since the completion of the most recent review or more frequently if requested by the Department or the individual.

(20) “Severe chronic disability” means a recurring medical condition that substantially limits an individual's mobility or ability to perform activities of daily living, instrumental activities of daily living, or self-care:

(a) Permanently; or

(b) On an ongoing basis or episodically, as defined by Regulation .02B(10) of this chapter.

(21) “Sliding reimbursement scale” means the percentage breakdown of maximum financial assistance afforded to a Program participant based upon adjusted gross income and household size.

(22) “Standard assessment of functional capability” means the document designated by the Department to evaluate an applicant's:

(a) Ability to perform essential activities of daily living and self-care;

(b) Mobility;

(c) Need for assistance with instrumental activities of daily living; and

(d) Need for attendant care services or ongoing additional supports.

(23) “Receipts” means proof of payment made for an approved service designated by the Department.

.03 Eligibility.

A. To be eligible for the Program, an applicant:

(1) Shall be a resident of Maryland;

(2) Shall be at least 18 years old and younger than 65 years old at the time of initial enrollment in the Program;

(3) Shall be determined by the applicant's attending physician, registered nurse, or certified nurse practitioner to have a severe chronic or permanent physical disability that:

(a) Precludes or impairs the independent performance of essential activities of daily living, instrumental activities of daily living, self-care, or mobility as determined by the standard assessment of functional capability form; and

(b) Is subject to eligibility review at a frequency determined by the Department;

(4) May not have an annual adjusted gross income greater than $119,999;

(5) May not be receiving duplicative services as defined in Regulation .02B of this chapter;

(6) Shall meet the requirements of Regulation .04B(1) or (2) of this chapter; and

(7) Shall agree to abide by the Program requirements by signing an attendant care agreement form at the time of initial enrollment and at the request of the Program Director if any circumstances change for the individual or the Program.

B. The Program Director, or designee, shall initiate an annual review of financial or programmatic eligibility for each participant at least once every 12 months from completion of the last review, or more frequently if needed.

C. Participation in the Program may be denied to eligible applicants in accordance with Regulation .04 of this chapter.

.04 Limitations on Service and Participation in the Program.

A. The Program Director shall limit Program participation to the number of participants whom the Program's budget can serve. If sufficient funds are not available, the Department may limit the rate of payment under the sliding reimbursement scale.

B. The Program Director shall limit Program participation to achieve the following demographic:

(1) At least 50 percent of the participants shall be:

(a) Self-employed or competitively employed with compensation;

(b) Actively seeking employment and reasonably be expected to become employed within 6 months of the date of application approval, which the Program Director may extend once for an additional 6 months; or

(c) Attending an institution of postsecondary, higher education, or apprenticeship training program; and

(2) Not more than 50 percent of the participants shall be:

(a) At risk of placement in a nursing home, as certified by the attending physician, if attendant care services are not received in the community; or

(b) Residents of a nursing facility or similar institution who are seeking to transition into the community and will be capable of living in the community if attendant care services are received.

C. The Program Director shall seek to achieve the demographic in §B absent a limited or situational waiver from the Secretary.

D. Notwithstanding the above, an applicant found ineligible or properly disenrolled from the Program shall be required to observe a waiting period prior to reapplication of not less than:

(1) One year for reason of disability or financial eligibility; or

(2) Three years upon a finding of fraud or misuse of program funds.

E. Applicants to the Program shall be encouraged to complete an application for medical assistance and utilize personal care services under the following programs, if applicable:

(1) Examples of such services or programs include:

(a) Community Personal Assistance Services;

(b) Community First Choice Program; or

(c) A Home and Community-Based Waiver.

(2) The Program is entitled to evaluate whether such services are duplicative.

.05 Application Process.

A. An applicant shall apply for financial assistance by submitting a completed and signed Program application, to include the standard assessment of functional capability, to the Department.

B. The Program Director or designee shall determine an applicant's eligibility in accordance with Regulation .03 of this chapter and the regulations governing this Program as a whole.

.06 Priority for Approval of Applications.

A. The Program Director shall approve applications and enroll eligible applicants for financial assistance based upon the availability of Program funds.

B. Waiting List.

(1) The Program Director shall establish a waiting list of eligible applicants if:

(a) Program funds are not available; or

(b) The demographics of the Program do not meet the requirements under Regulation .04B of this chapter.

(2) As funds allow, the Program shall enroll applicants on the waiting list generally in the following order:

(a) Individuals meeting the criteria under Regulation .04B(1) of this chapter in order of the earlier application approval date; and

(b) Individuals meeting the criteria under Regulation .04B(2) of this chapter in order of the earlier application approval date.

(3) With the explicit written consent of the Secretary, and after obtaining a waiver of the proportionality requirement set forth in Regulation .04B(1) of this chapter as necessary, in limited emergency circumstances, the Program Director may prioritize certain individuals meeting the criteria under Regulation .04B(2)(a) of this chapter before other individuals meeting the criteria under .04B(2)(a) of this chapter.

.07 Payment.

A. A participant shall submit a signed certification of service form and receipts for attendant care services or ongoing additional supports in accordance with the Program's fiscal payment schedule.

B. Reimbursement shall be made in compliance with the attendant care agreement and Regulation .04A of this chapter.

C. The Department may return improperly completed forms to the participant without making payment.

D. The Department may return the certification of service form to the participant without making payment if more than 2 months have passed since the date of service.

E. The Department reserves the right to deny reimbursement of expenses that it determines are not representative of ongoing additional supports or attendant care services.

.08 Participant's Responsibilities.

A. A participant shall:

(1) Select, hire, train, supervise, terminate, and pay the attendant, including payment of applicable federal and State employment taxes;

(2) Maintain accurate records of hours and days that attendant care services are provided;

(3) Prepare and submit all billing forms in accordance with the Fiscal Payment Schedule;

(4) Reimburse the Department for any overpayment;

(5) Reimburse the Department for any outstanding advanced payment;

(6) Submit all required documentation to determine continued eligibility for participation in the Program at least once every 12 months, or more often as requested by the Program Director; and

(7) Comply with the attendant care agreement requirements, and provide a signed copy to the Department at the initial eligibility determination and at the request of the Department at any time thereafter.

B. A participant shall employ an attendant who is 18 years old or older, and who is not a spouse or the representative payee of the participant.

C. A participant shall notify the Program Director within 14 days of any changes in circumstances that affect eligibility for the Program for financial assistance.

.09 Participant's Rights.

Pursuant to Human Services Article, §1-201, Annotated Code of Maryland, the Program may not release information about a participant or an applicant.

.10 Quality Assurance Plan.

A. The Department shall establish a quality assurance plan to review Program administration and ensure compliance with this chapter.

B. Home visits may be conducted as a part of the quality assurance plan.

 

.11 Termination.

The Secretary of the Department or a designee of the Secretary may terminate enrollment if:

A. A participant no longer meets the eligibility requirements;

B. A participant refuses to comply with the requirements of this chapter; or

C. Sufficient Program funds are not available.

.12 Financial Assistance.

A. The Program Director shall establish a sliding reimbursement scale to determine a participant's reimbursement rate.

B. The participant's reimbursement rate shall be based on:

(1) The participant's adjusted annual gross income;

(2) The number of persons dependent on household income including the participant's spouse, and minors younger than 18 years old; and

(3) The participant's cost of attendant care services.

C. A participant eligible in the category set forth in Regulation .04B(1) of this chapter shall pay a minimum of 2 percent of the cost of attendant care services, unless the Program Director determines that the minimum copayment causes the participant financial hardship and issues a written waiver of the copayment.

D. A participant eligible in the category set forth in Regulation .04B(2) of this chapter shall pay a minimum of 5 percent of the cost of attendant care services, unless the Program Director determines that the minimum copayment causes the participant financial hardship and issues a written waiver of the copayment.

.13 Appeals.

A. An applicant or participant may appeal eligibility and termination determinations by requesting an appeal hearing which shall be held in accordance with COMAR 28.02.01.

B. If the Program notifies an applicant or participant of an action to deny, delay, suspend, reduce, or terminate assistance, the Program Director or designee shall give written notification of the right to appeal and the procedures for requesting an appeal hearing to the applicant or participant.

CAROL A. BEATTY
Secretary

 

Special Documents

 

COMPTROLLER OF THE TREASURY

Notice of Interest Rate on Refunds and Moneys
Owed to the State

 

Agency/Department Sort Name: Comptroller of Maryland

Subject: Notice of Interest Rate on Refunds and Moneys Owed to the State

Add’l. Info: Pursuant to Section 13-604 of the Tax-General Article, Annotated Code of Maryland, the Comptroller is required to set the annual interest rate on refunds and moneys owed to the State. For the 2027 calendar year, the annual interest rate on refunds and moneys owed to the State will be 9.995%.

Contact: Erica Roach (410) 260-7147

 

[26-18-14]

 

 

DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

 

Grandfathering Registration Notice

 

AGENCY:  Susquehanna River Basin Commission

 

ACTION:  Notice

 

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

 

DATES:  July 1—31, 2026

 

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

 

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

 

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

1. Susquehanna Area Regional Airport Authority – Harrisburg International Airport – Public Water Supply System, GF Certificate No. GF-202607317, Lower Swatara Township and Middletown Borough, Dauphin County, Pa.; Issue Date:  July 22, 2026.

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

JASON E. OYLER

General Counsel and Secretary to the Commission

Dated:  August 7, 2026

[26-18-07]

 

General Permit Notice

 

AGENCY:  Susquehanna River Basin Commission

 

ACTION:  Notice

 

SUMMARY:  This notice lists General Permits approved by the Susquehanna River Basin Commission during the period set forth in DATES.

 

DATES:  July 1—31, 2026

 

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

 

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

 

SUPPLEMENTARY INFORMATION:  This notice lists General Permits for projects, described below, pursuant to 18 CFR § 806.17(c)(4), for the time period specified above. 

1. Pennsylvania Department of Environmental Protection – Bureau of Abandoned Mine Reclamation; Locust Gap Refuse Bank Fire, General Permit Approval of Coverage No. GP-02-202607023, Mount Carmel Township and Butler Township, Northumberland and Schuylkill County, Pa.; Extinguish a Mine Fire; approved withdrawals and consumptive use up to 0.720 mgd (30-day average) from Admiral Breaker Water Well, Girardville Breaker Water Well, and Commissioner’s Lake Mine Pit; Approval Date:  July 21, 2026.

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

JASON E. OYLER

General Counsel and Secretary to the Commission

Dated:  August 7, 2026

[26-18-08]

 

Projects Approved for Consumptive Uses of Water

 

AGENCY:  Susquehanna River Basin Commission

 

ACTION:  Notice

 

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

 

DATES:  July  1—31, 2026

 

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

 

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

 

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

Approvals by Rule - Issued Under 18 CFR 806.22(f):

1. Beech Resources, LLC; Pad ID: Foxtrot East Well Site; ABR-202606004; Anthony Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 16, 2026.

2. RENEWAL - Seneca Resources Company, LLC; Pad ID: D17-PPHC-B; ABR-201103023.R3; Lawrence Township, Clearfield County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 16, 2026.

3. RENEWAL - BKV Operating, LLC; Pad ID: Johnston 1 Pad; ABR-201106009.R3; Meshoppen Township, Wyoming County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: July 21, 2026.

4. RENEWAL - Expand Operating LLC; Pad ID: Belawske; ABR-201107002.R3; Burlington Borough, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 21, 2026.

5. RENEWAL - Expand Operating LLC; Pad ID: Mitchell Well Pad; ABR-201105026.R3; Franklin Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 21, 2026.

6. RENEWAL - Range Resources - Appalachia, LLC; Pad ID: Null, Eugene Unit #2H - #7H Drilling Pad; ABR-201104011.R3; Lewis Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 21, 2026.

7. RENEWAL - Range Resources - Appalachia, LLC; Pad ID: Shipman, James Unit #1H & #2H Drilling Pad; ABR-201104014.R3; Lewis Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 21, 2026.

8. RENEWAL - Seneca Resources Company, LLC; Pad ID: Drake 274; ABR-201106003.R3; Lawrence Township, Tioga County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 22, 2026.

9. RENEWAL - Seneca Resources Company, LLC; Pad ID: Gamble Pad R; ABR-201606001.R2; Eldred Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 22, 2026.

10. RENEWAL - BKV Operating, LLC; Pad ID: Giangrieco Pad; ABR-201107011.R3; Forest Lake Township, Susquehanna County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: July 27, 2026.

11. RENEWAL - Clean Energy Exploration & Production, LLC; Pad ID: Whispering Pines Pad 1; ABR-201606004.R2; Delmar Township, Tioga County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

12. RENEWAL - EQT ARO LLC; Pad ID: Salt Run Pad A Ext; ABR-202107001.R1; Cascade Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

13. RENEWAL - Expand Operating LLC; Pad ID: Lambs Farm; ABR-201106023.R3; Smithfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 27, 2026.

14. RENEWAL - LPR Energy, LLC ; Pad ID: Snow Shoe 2; ABR-201011007.R3; Snow Shoe Township, Centre County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

15. RENEWAL - LPR Energy, LLC ; Pad ID: Snow Shoe 4; ABR-201011042.R3; Snow Shoe Township, Centre County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

16. RENEWAL - Range Resources - Appalachia, LLC; Pad ID: Mohawk South Unit Well Pad; ABR-201606002.R2; Gallagher Township, Clinton County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

17. RENEWAL - Range Resources - Appalachia, LLC; Pad ID: Shipman-Goodwill Unit #1H - #4H Drilling Pad; ABR-201104016.R3; Lewis Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

18. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: ALDERSON (05 011) V; ABR-201104008.R3; Pike Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: July 27, 2026.

19. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: DORN (02 180) A; ABR-201604003.R2; Hamilton Township, Tioga County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: July 27, 2026.

20. RENEWAL - Seneca Resources Company, LLC; Pad ID: Yourgalite 1119; ABR-201012056.R3; Farmington Township, Tioga County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: July 27, 2026.

21. RENEWAL - Expand Operating LLC; Pad ID: ACW; ABR-201107004.R3; Leroy Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

22. RENEWAL - Expand Operating LLC; Pad ID: Burns; ABR-201107038.R3; Ulster Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

23. RENEWAL - Expand Operating LLC; Pad ID: Fisher; ABR-201107047.R3; Wysox Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

24. RENEWAL - Expand Operating LLC; Pad ID: IH; ABR-201106014.R3; Stevens Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

25. RENEWAL - Expand Operating LLC; Pad ID: J & J; ABR-201106015.R3; Smithfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

26. RENEWAL - Expand Operating LLC; Pad ID: Knickerbocker; ABR-201106013.R3; Franklin Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

27. RENEWAL - Expand Operating LLC; Pad ID: Layton; ABR-201107036.R3; Litchfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

28. RENEWAL - Expand Operating LLC; Pad ID: Mel; ABR-201106012.R3; Franklin Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

29. RENEWAL - Expand Operating LLC; Pad ID: Neal; ABR-201106010.R3; Leroy Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

30. RENEWAL - Expand Operating LLC; Pad ID: Nichols; ABR-201106024.R3; Smithfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

31. RENEWAL - Expand Operating LLC; Pad ID: Oilcan; ABR-201107037.R3; Overton Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

32. RENEWAL - Expand Operating LLC; Pad ID: Paul; ABR-201107048.R3; Ulster Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

33. RENEWAL - Expand Operating LLC; Pad ID: Ramblinrose; ABR-201105003.R3; Tuscarora Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

34. RENEWAL - Expand Operating LLC; Pad ID: Sadecki Well Pad; ABR-201105020.R3; Liberty Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

35. RENEWAL - Expand Operating LLC; Pad ID: SJW; ABR-201107003.R3; Wilmot Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: July 31, 2026.

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

JASON E. OYLER

General Counsel and Secretary to the Commission

Dated:  August 7, 2026

[26-18-09]

 

     Commission Meeting

 

AGENCY:  Susquehanna River Basin Commission

 

ACTION:  Notice

 

SUMMARY:  The Susquehanna River Basin Commission will conduct its regular business meeting on September 16, 2026 in Bloomsburg, Pennsylvania.  Details concerning the matters to be addressed at the business meeting are contained in the Supplementary Information section of this notice. Also, the Commission published a document in the Federal Register July 1, 2026 concerning its public hearing on July 30th, in Harrisburg, Pennsylvania.

 

DATES:  The meeting will be held on Tuesday, September 16, 2026 at 9:00 a.m.

 

ADDRESSES:  This public meeting will be conducted in person and digitally from the Holiday Inn Express Bloomsburg at 14 Mitchell Drive, Bloomsburg, Pennsylvania 17815.

 

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

 

SUPPLEMENTARY INFORMATION:  The business meeting will include actions or presentations on the following items:

1) Adoption of the preliminary FY2028 budget; 

2) Adoption of the member jurisdiction allocation requests for FY2028;

3) Adoption of the Sustainable Water Resources Fund Policy;

4) Approval of contract and grants; and

5) 25 actions on 15 regulatory program projects.

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

The meeting will be conducted both in person and digitally at the Holiday Inn Express Bloomsburg, 14 Mitchell Drive, Bloomsburg, Pennsylvania.  The public is invited to attend the Commission’s business meeting. The public may access the Business Meeting remotely via TEAMS:  https://teams.microsoft.com/meet/25895460383427?p=EckuhuiyUjqBvT3JdV; Meeting ID: 258 954 603 834 27; Passcode: Ng9gP76V or via telephone:  #1-929-777-2488, Phone Conf ID: 261 971 438#.

A public hearing and written comment period was provided for the actions on the 15 projects and the comment period on those proposed actions is closed.  Written comments pertaining to all other items on the agenda at the business meeting may be mailed to the Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, Pennsylvania 17110-1788, or submitted electronically at the link Business Meeting Comments. Comments are due to the Commission for all items on the business meeting agenda on or before September 14, 2026. Comments will not be accepted at the business meeting noticed herein. Authority:  Pub. L. 91-575, 84 Stat. 1509 et seq., 18 CFR Parts 801, 806, and 808.

JASON E. OYLER

General Counsel and Secretary to the Commission

Dated:  August 13, 2026

 

[26-18-12]

 

WATER AND SCIENCE ADMINISTRATION

Water Quality Certification 26-WQC-0015

 

Matthew Miller and Elizabeth Wehrle

410 Windy Hill Farm Ln,

Centreville, MD 21617

 

Add’l. Info:  Pursuant to COMAR 26.08.02.10F(1)(d), The Maryland Department of the Environment is providing notice of a scheduled Public Hearing for Water Quality Certification 26-WQC-0015.

 

Location: 410 Windy Hill Farm Lane, Centreville, MD 21617

 

The purpose of the project is beach nourishment and shoreline stabilization:

 

Description of Authorized Work:

 

1.       Remove an existing 302-foot long timber bulkhead;

2.       Construct three vegetated low profile headland breakwaters;

a. Headland A: 74-foot long by 106-foot wide;

b. Headland B: 69-foot long by 110-foot wide;

c. Headland C: 81-foot long by 40-foot wide;

3.       Nourish 2,445 square feet of beach;

4.       Emplace eight anchor trees and;

5.       Create 5,250 square feet of low marsh and 5,819 square feet of high marsh, all within a maximum of 80 feet channelward of the mean high water line.

 

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

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

 

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

 

Contact:  Matt Godbey at [email protected] or 410-901-4033.

[26-18-22]

 

Water Quality Certification 26-WQC-0023

 

 

The U.S. Army Corps of Engineers (USACE)

Baltimore District

2 Hopkins Plaza

Baltimore, MD 21201

 

 

Add’l. Info:  Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment (MDE) is providing notice of its issuance of Water Quality Certification 26-WQC-0023.

 

Location: Upper reaches of the Wicomico River Federal Navigation Channel, between the community of Whitehaven and the City of Salisbury (Wicomico and Somerset Counties, Maryland)

 

The purpose of the project is to maintain the Wicomico River Channel to its authorized dimensions.

 

Description of Authorized Work:  

1. Hydraulic dredging of up to 400,000 cubic yards of mud, silt sand, shell, and gravel from the upper Wicomico River Channel to its authorized dimensions of 14 feet mean lower low water (MLLW), plus up to one foot of allowable overdepth. The area to be dredged is between the community of Whitehaven and the City of Salisbury.

2. The dredged material will be transported via pipeline approximately 0.8 miles south of the channel to the existing Sharps Point upland placement site, operated by the Wicomico County Government. No dredged material will be placed in the aquatic environment.

 

Dredging will occur between October 2026 and February 2027, to ensure dredging activities avoid impacts to migratory fish during the spring spawning period.

 

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

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

 

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

 

Contact:  Alex Vazquez at [email protected] or 410-537-3541.

[26-18-23]

 

DEPARTMENT OF NATURAL RESOURCES

FISHING AND BOATING SERVICES

Closure of Chester River Oyster Harvest Areas — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that the portion of the Chester River described below is closed to all oyster harvest. This notice supersedes all previous notices regarding oyster harvest in the Chester River prior to October 1, 2026.

 

CLOSED AREA

The area that is closed is all of the waters of the Chester River east of a line defined by a point on the shore of Long Point defined by Lat. 38°58.798' N, Long. 76°13.825' W; then running 8° True to Panhandle Point on the west side of Eastern Neck Island defined by Lat. 39°0.936' N, Long. 76°13.444' W; and north of a line defined by a point on shore defined by Lat. 38°58.798' N, and Long. 76°13.826' W; then running 271° True to a point defined by Lat. 38°58.808' N, and Long. 76°14.642' W, including all creeks and coves.

 

PURPOSE OF THIS ACTION

The closure of the majority of the Chester River is necessary due to the results of the oyster stock assessment, which showed continued low oyster abundance. 

 

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

EFFECTIVE DATE

This notice is effective at 12:01 a.m. October 1, 2026. The area is closed until further notice. A new notice will be issued if the area or any previously planted portion of the area is opened to harvest.

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

 

JOSH KURTZ

Secretary of Natural Resources

[26-18-15]

 

 

Closure of Evans Oyster Bar (Somerset County) to Oyster Harvest — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that Evans oyster bar (Somerset County) described below is closed to all oyster harvest during the times described.

 

 

AREA CLOSED

All of the waters of Wicomico River (Somerset County) enclosed by a line beginning at a point defined by Lat. 38°12.347' N, Long. 75°54.217' W; then running 315° True to Red Nun "2" defined by Lat. 38°12.713' N, Long. 75°54.688' W; then running 79° True to Red Nun "4" defined by Lat. 38°12.824' N, Long 75°53.949' W; then running 94° True to Green Can "5" at approx. Lat. 38°12.799' N, Long. 75°53.096' W; then running 227° True to a point defined by Lat. 38°12.401' N, Long. 75°53.608' W; then running 264° True to the point of beginning.

 

DATES CLOSED

This area is closed from October 1, 2026 through and including November 1, 2026 and January 1, 2027 through and including March 31, 2027.

 

HARVEST RULES

When this area is not closed, harvesters must follow the rules established by the public notices effective July 4, 2026 titled “2026-2027 Commercial Oyster Rules — Effective 7/4/2026” and “2026-2027 Recreational Oyster Rules — Effective 7/4/2026.”

 

PURPOSE OF THIS CLOSURE

The purpose of this closure is to manage the oyster resource on Evans bar and reduce harvest pressure across the full oyster season. This management action and the targeted opening was requested by the Somerset County Oyster Committee to reduce harvest pressure and intentionally allow harvest only during the peak demand period of November and December.

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

EFFECTIVE DATE

This notice is effective at 12:01 a.m. October 1, 2026.

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

 

JOSH KURTZ

Secretary of Natural Resources

[26-18-17]

 

 

Closure of Flood Point Oyster Bar (Queen Anne’s County) to Oyster Harvest — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that Flood Point oyster bar (Queen Anne’s County) described below is closed to all oyster harvest during the times described.

 

 

AREA CLOSED — PORTION OF FLOOD POINT OYSTER BAR

The area that is closed is all of the waters contained by a line starting at or near Lat. 38° 58.607' N, Long. 76° 14.745' W; then running 344° True to a point at or near Lat. 38° 58.731' N, Long. 76° 14.792' W; then running 62° True to a point at or near Lat. 38° 58.776' N, Long. 76° 14.684' W; then running 129° True to a point at the green #11 daymark at or near Lat. 38° 58.705' N, Long. 76° 14.572' W; then running 195° True to a point at or near Lat. 38° 58.612' N, Long. 76° 14.604' W; then running 267° True to the point of beginning.

 

PURPOSE OF THIS CLOSURE

The purpose of this closure is to manage the oyster resource on Flood Point oyster bar. This management action was requested by the Queen Anne’s County Oyster Committee.

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

EFFECTIVE DATE

This notice is effective at 12:01 a.m. October 1, 2026.

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

 

JOSH KURTZ

Secretary of Natural Resources

[26-18-18]

 

Closure of Howells Point Add 2 Oyster Bar (Talbot County) to Oyster Harvest — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that the portion of Howells Point Add 2 oyster bar (Talbot County) described below is closed to all oyster harvest.

 

AREA CLOSED — HOWELLS POINT ADD 2 OYSTER BAR

The area that is closed is all the waters of Choptank River enclosed by a line beginning at a point defined by Lat. 38°37.040' N, and Long. 76°7.024' W; then running 8° True to a point defined by Lat. 38°37.201' N, and Long. 76°6.996' W; then running 87° True to a point defined by Lat. 38°37.203' N, and Long. 76°6.943' W; then running 180° True to a point defined by Lat. 38°37.034' N, and Long. 76°6.943' W, then running 275° True to the point of beginning.

 

PURPOSE OF THIS CLOSURE

The purpose of this closure is to protect a spat-on-shell planting on Howells Point Add 2 oyster bar that will be used as part of a nutrient reduction crediting best management practices (BMP) program when the area is opened to managed harvest in two to three years. This management action was requested by the Talbot County Oyster Committee.

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

EFFECTIVE DATE

This notice is effective at 12:01 a.m. October 1, 2026. The area is closed until further notice. A new notice will be issued if the area or portion of the area is opened to harvest.

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

 

JOSH KURTZ

Secretary of Natural Resources

[26-18-19]

 

Closure of Portions of Halls Point and Haines Oyster Bars (Somerset County) to Oyster Harvest — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that the portions of Halls Point and Haines oyster bars in Tangier Sound (Somerset County) described below are closed to all oyster harvest through and including November 30, 2026. 

 

AREA CLOSED

All the waters of Tangier Sound enclosed by a line beginning at a point defined by Lat. 38°10.051' N, and Long. 75°58.534' W; then running 9° True to a point defined by Lat. 38°11.686' N, and Long. 75°58.206' W; then running 49° True to a point defined by Lat. 38°12.412' N, and Long. 75°57.159' W; then running 92° True to a point defined by Lat. 38°12.390' N, and Long. 75°56.495' W; then running 103° True to a point defined by Lat. 38°12.362' N, and Long. 75°56.341' W; then running 143° True to a point defined by Lat. 38°11.941' N, and Long. 75°55.943' W; then running 242° True to a point defined by Lat. 38°11.438' N, and Long. 75°57.149' W; then running 205° True to a point defined by Lat. 38°10.140' N, and Long. 75°57.944' W, then running 259° True to the point of beginning.

 

PURPOSE OF THIS CLOSURE

This closure is necessary due to concerns about small oysters in the specified area. By delaying the opening of this area, smaller oysters will be given additional time to reach market size. This closure was requested by the Somerset County Oyster Committee.

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

 

 

EFFECTIVE DATE

The closure is effective at 12:01 a.m. October 1, 2026. The area will reopen on December 1, 2026, with no further notice. Upon opening, harvesters must follow the rules established by the public notices effective July 4, 2026 titled “2026-2027 Commercial Oyster Rules — Effective 7/4/2026” and “2026-2027 Recreational Oyster Rules — Effective 7/4/2026.”

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

 

JOSH KURTZ

Secretary of Natural Resources

[26-18-20]

 

Closure of Well Cove Oyster Bar (Queen Anne’s County) to Oyster Harvest — Effective 10/1/2026—Public Notice

 

WHAT THIS NOTICE DOES

The Secretary of the Maryland Department of Natural Resources announces that the portion of Well Cove oyster bar (Queen Anne’s County) described below is closed to all oyster harvest.

 

AREA CLOSED — PORTION OF WELL COVE OYSTER BAR

The area that is closed is all of the waters of the Eastern Bay enclosed by a line beginning at a point defined by Lat. 38°57.634' N, Long. 76°14.404' W, then running 269° True to a point defined by Lat. 38°57.633' N, Long. 76° 14.570' W, then running 339° True to a point defined by Lat. 38°57.802' N, Long. 76°14.651' W, then running 89° True to a point defined by Lat. 38°57.804' N, Long. 76°14.501' W, then running 156° True to the point of beginning.

 

PURPOSE OF THIS CLOSURE

The purpose of this closure is to protect a spat-on-shell planting on Well Cove oyster bar. This management action was requested by the Queen Anne’s County Oyster Committee.

 

WHO THIS NOTICE AFFECTS

This closure applies to all individuals who catch oysters recreationally or commercially.

 

EFFECTIVE DATE

This notice is effective at 12:01 a.m. October 1, 2026. The area is closed until further notice. A new notice will be issued if the area or portion of the area is opened to harvest.

 

AUTHORITY

Code of Maryland Regulations 08.02.04.11G

 

FOR FURTHER INFORMATION CONTACT:

Fishing and Boating Services at 410-260-8302

JOSH KURTZ

Secretary of Natural Resources

[26-18-21]

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.


 


CHESAPEAKE BAY TRUST

Subject: Public Meeting

Date and Time: September 18, 2026, 10:00am — 12:00pm

Place: 101 N Harbour Rd, St. Michael's, MD

Add'l. Info:

Contact: Office Manager 4109742941

[26-18-04]

DEPARTMENT OF THE ENVIRONMENT

Subject: Public Meeting

Date and Time: September 30, 2026, 9 a.m.—4 p.m.

Place: 1800 Washington Blvd, Baltimore, MD

Add'l. Info: Board of Well Drillers Monthly Meeting
Wednesday, September 30, 2026 · 9 a.m.—4 p.m.
Time zone: America/New_York
Google Meet joining info:

Video call link: https://meet.google.com/cuu-kvvc-hji
Or dial: (US) +1 219-401-0610 PIN: 935 980 007#
More phone numbers: https://tel.meet/cuu-kvvc-hji?pin=4128937369881

Contact: Amanda Redmiles 410-537-4466

[26-18-02]

 

MARYLAND DEPARTMENT OF HEALTH

Subject: Public Meeting

Date and Time: November 5, 2026, 9 a.m.—1 p.m.

Place: Virtual meeting—Please see details below.,

Add'l. Info: Please be advised that the November 5, 2026, Pharmacy and Therapeutics (P&T) Committee public meeting will be conducted virtually via a Webinar.
As soon as available, the classes of drugs to be reviewed, speaker registration guidelines, and the procedure for registering to attend the virtual meeting will be posted on the Maryland Pharmacy Program website at:
https://health.maryland.gov/mmcp/pap/Pages/Public-Meeting-Announcement-and-Procedures-for-Public-Testimony.aspx.
Submit questions to [email protected]
Contact: Sierra Robertson  410-767-1455

[26-18-06]

 

MARYLAND HEALTH CARE COMMISSION

Subject: Public Meeting

Date and Time: September 17, 2026, 1:00 pm — 4:00 pm

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

[26-18-01]

 

MARYLAND HEALTH CARE COMMISSION

Subject: Receipt of Application

Add'l. Info: Add'l Info: On August 24, 2026, the Maryland Health Care Commission (MHCC) received a Certificate of Need application submitted by:
Maple Creek Residential Treatment Center – Matter No.  26-06-2497

Maple Creek Residential Treatment Center proposes to add forty-eight (48) residential treatment beds within a facility configured to provide therapeutic, educational, and rehabilitative services for youth ages 12–17. The program will provide structured residential treatment for youth who require 24-hour supervision and psychiatric care but do not require acute inpatient hospitalization. The proposed project will be located at 999 Crouse Mill Road, Keymar, Maryland, and is an existing structure suitable for residential occupancy and therapeutic programming and is served by all required public utilities.

The MHCC shall review the applications under Maryland Health-General Code Annotated, Section 19-101 et. seq. and COMAR 10.24.01. 

Any affected person may make a written request to the Commission to receive copies of relevant notices concerning the application.  All further notices of proceedings on the application will be sent only to affected persons who have registered as interested parties. 

Please refer to the Matter No. listed above in any correspondence on the application.  A copy of the application is available, for review, in the office of the MHCC, during regular business hours by appointment, or on the Commission’s website at www.mhcc.maryland.gov.
All correspondence should be addressed to:
Wynee Hawk, Director
Center for Health Facilities Planning
MHCC, 4160 Patterson Avenue, Baltimore, Maryland, 21215

Contact: Deanna Dunn 443-844-7467

[26-18-24]

 

MARYLAND INSURANCE ADMINISTRATION

Subject: Public Hearing

Date and Time: September 17, 2026, 1— 4 p.m.

Place: Virtual Zoom Hearing

Add'l. Info: The Maryland Insurance Administration will conduct a public hearing on specific rate increase requests being made by certain Long-Term Care Insurance carriers operating in Maryland. The hearing will focus on a rate increase requests before the Maryland Insurance Administration. In the individual long-term care market, this includes requests from John Hancock Life Insurance Company (U.S.A.), MedAmerica Insurance Company, Transamerica Life Insurance Company and Union Security Insurance Company. The purpose of the hearing is for insurance company officials to explain the reasons for the rate increases, and for the MIA to consider whether the proposed rate increase is in compliance with Maryland’s laws and regulations relating to long-term care insurance. Interested stakeholders will also have the opportunity to provide comments at the hearing. Prior to the hearing, copies of each company’s actuarial memorandum will be posted to the Maryland Insurance Administration’s website.

The hearing will be held via Zoom.
Thursday September 17, 2026
1—4 P.M.
Topic: Long-Term Care Hearing

The Zoom information is below:
Register in advance for this ZoomGov hearing:
https://maryland-insurance.zoomgov.com/webinar/register/WN_J2p_YnHFT7-fAE5gtdRVKA

After registering, you will receive a confirmation email containing information about joining the webinar. Information for the Maryland Relay Service can be found at doit.maryland.gov/mdrelay

If you wish to provide oral testimony, please RSVP to Nancy Muehlberger. Testimony will only be heard from those who have RSVP’d in advance of the public hearing. Written comments and RSVPs should be sent to Nancy Muehlberger by September 11, 2026, either by email to [email protected] or by mail to 200 St. Paul Place, Suite 2700, Baltimore, Md. 21202 or by fax to 410-468-2038.

Any questions regarding this matter should be directed to Nancy Muehlberger, Analyst, by September 11, 2026 by email to [email protected]. 

For more information on the hearing, please see the following link:
https://insurance.maryland.gov/Consumer/Pages/long-term-care/Long-Term-Care-Hearing-September-17-2026.aspx\

Contact: Nancy Muehlberger 410-468-2050

[26-18-11]

 

MARYLAND STATE LOTTERY AND GAMING CONTROL COMMISSION

Subject: Public Meeting

Date and Time: September 17, 2026, 10 a.m.—12 p.m.

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

Add'l. Info: Meeting will be in person and virtual.

The link to view the livestream will be available on the website the day of the meeting:

https://www.mdgaming.com/commission-meeting-9-17-2026/

Contact: Kathy Lingo 410-230-8790

[26-18-05]

 

BOARD OF OCCUPATIONAL THERAPY PRACTICE

Subject: Public Meeting

Date and Time: September 18, 2026, 9:30 AM — 12:00 PM

Place: via Google Meet, MD

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

[26-18-03]