Capitol Building Maryland Register

Issue Date:  October 30, 2026

Volume 53  •  Issue 22  • Pages 1099 — 1150

IN THIS ISSUE

Regulatory Review and Evaluation

Regulations

Errata

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Pursuant to State Government Article, §7-206, Annotated Code of Maryland, this issue contains all previously unpublished documents required to be published, and filed on or before October 9, 2026 5 p.m.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 October 9, 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 ...................................................................  1103

 

COMAR Research Aids

Table of Pending Proposals .........................................................  1104

 

Index of COMAR Titles Affected in This Issue

COMAR Title Number and Name                                                  Page

05        Department of Housing and Community
               Development ................................................................. 1108

08        Department of Natural Resources .................................... 1111

09        Maryland Department of Labor ............................... 1108,1113

10        Maryland Department of Health ..................... 1107,1109,1114

11        Department of Transportation ........................................... 1125

12        Department of Public Safety and Correctional Services .... 1109

13A     State Board of Education .................................................. 1126

14        Independent Agencies ...................................................... 1109

26        Department of the Environment ....................................... 1129

27        Critical Area Commission for the Chesapeake and Atlantic Coastal Bays 1139

30        Maryland Institute for Emergency Medical Services
                Systems (MIEMSS) ...................................................... 1110

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.

 

Regulatory Review and Evaluation

10 MARYLAND DEPARTMENT OF HEALTH

Subtitle 37 Health Services Cost Review Commission

Notice of Availability of Evaluation Report 1107

 

Final Action on Regulations

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

NEIGHBORHOOD AND COMMUNITY ASSISTANCE PROGRAM

Community Investment Tax Credit Program .. 1108

REVITALIZATION PROGRAMS

Catalytic Revitalization Project Tax Credit 1108

09 MARYLAND DEPARTMENT OF LABOR

MARYLAND BOARD OF ELECTRICIANS

Continuing Education . 1108

General Regulations . 1108

STATE ATHLETIC COMMISSION

Safety and Health Standards for Contestants . 1108

10 MARYLAND DEPARTMENT OF HEALTH

CANCER CONTROL

Maryland Pediatric Cancer Fund . 1109

BOARD OF NURSING

Examination and Licensure . 1109

Registered Nurse — Workers’ Compensation Medical
Case Manager
1109

BOARD OF NURSING—CERTFICATE HOLDERS

Certification of Nursing Assistants . 1109

Medication Technicians . 1109

Certified Dialysis Technicians . 1109

BOARD OF NURSING—ELECTROLOGY PRACTICE COMMITTEE

Licensure . 1109

BOARD OF NURSING — LICENSED DIRECT-ENTRY MIDWIVES

Practice of Licensed Direct-Entry Midwives . 1109

BOARD OF NURSING  — LICENSED CERTIFIED MIDWIVES

Licensure and Licensed Certified Midwives . 1109

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

POLICE TRAINING AND STANDARDS COMMISSION

Maryland Police Training and Standards
Commission Fund
. 1109

14 INDEPENDENT AGENCIES

ALCOHOL, TOBACCO, AND CANABIS COMMISSION

Alcoholic Beverages . 1109

30 MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

DESIGNATION OF TRAUMA AND SPECIALITY REFERRAL CENTERS

General Provisions . 1110

Designation of Trauma and Specialty Referral Centers . 1110

Trauma Center Designation and Verification Standards . 1110

Designated Primary Stroke Center Standards . 1110

Perinatal and Neonatal Referral Center Standards . 1110

Comprehensive Stroke Centers . 1110

Designated Acute Stroke Ready Center 1110

Designated Thrombectomy-Capable Primary Stroke
Center Standards
. 1110

 

 

Proposed Action on Regulations

08 DEPARTMENT OF NATURAL RESOURCES

FISHERIES SERVICE

Nuisance and Prohibited Species . 1111,1112

09 MARYLAND DEPARTMENT OF LABOR

COMMISSIONER OF FINANCIAL REGULATION

Money Transmitters . 1113

10 MARYLAND DEPARTMENT OF HEALTH

DISEASES

Communicable Diseases and Related Conditions of Public Health Importance   1114

HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)

HIV and CD4+ Investigations and Case Reporting . 1114

HIV Testing Procedures . 1114

MARYLAND HEALTH CARE COMMISSION

Grants . 1118

HEALTH OCCUPATIONS BOARDS

General Continuing Education Requirements . 1119

BOARD OF PHARMACY

Drug Therapy Management 1121

BOARD OF NURSING — CERTIFICATE HOLDERS

Certified Nursing Assistants . 1122

Nursing Assistant Training Programs . 1122

BOARD OF DENTAL EXAMINERS

Dental Assistants . 1123

HEALTH ENTERPRISE ZONE INITIATIVE

Health Enterprise Zone Tax Credits . 1125

11 DEPARTMENT OF TRANSPORTATION

MOTOR VEHICLE ADMINISTRATION — ADMINISTRATIVE PROCEDURES

Motor Vehicle Fees . 1125

13A STATE BOARD OF EDUCATION

SPECIAL INSTRUCTIONAL PROGRAMS

Expenditure of Community Schools Program Funds . 1126

26 DEPARTMENT OF THE ENVIRONMENT

REGULATION OF WATER SUPPLY, SEWAGE DISPOSAL, SOLID WASTE, AND RECYCLABLE MATERIALS

Quality of Drinking Water in Maryland . 1129

WATER POLLUTION

Certification of State Water Quality Laboratories . 1129

27 CRITICAL AREA COMMISSION FOR THE CHESAPEAKE AND ATLANTIC COASTAL BAYS

CRITERIA FOR LOCAL CRITICAL AREA PROGRAM DEVELOPMENT

Variances . 1139

 

Errata

COMAR 05.22 . 1141

 

Special Documents

MARYLAND DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

Projects Approved for Consumptive Uses of Water 1142

Grandfathering Registration Notice . 1143

Minor Modification Approval 1143

Public Hearing . 1144

WATER AND SCIENCE ADMINISTRATION

NOTICE OF FINAL DETERMINATION

General Permit for Discharges from Tanks, Pipes, Other Liquid Containment Structures, Dewatering Activities, and Groundwater Remediation: 25HT,
NPDES Permit: MDG67
. 1145

NOTICE OF TENTATIVE DETERMINATION AND PUBLIC HEARING

General Permit for Discharges from Marinas (including boat yards and yacht basins) Permit No. 25-MA (NPDES No. MDG99) 1145

NOTICE OF FINAL DETERMINATION

General Permit for Discharges from the Application of Pesticides State Discharge Permit: 25PE, NPDES Permit: MDG87   1146

NOTICE OF TENTATIVE DETERMINATION AND PUBLIC HEARING

General Permit for Discharges from Mineral Mines, Quarries, Borrow Pits, and Concrete and Asphalt Plants, Maryland General Permit No. 26-MM (NPDES No. MDG49) 1146

Water Quality Certification 26-WQC-0026 . 1147

Water Quality Certification 26-WQC-0028 . 1148

 

General Notices

COMMISSION ON CRIMINAL SENTENCING POLICY

Public Hearing . 1149

Public Meeting . 1149

DEPARTMENT OF THE ENVIRONMENT

Public Meeting . 1149

MARYLAND HEALTH CARE COMMISSION

Receipt of Application . 1149

Public Meeting . 1149

BOARD OF WATERWORKS AND WASTE SYSTEMS OPERATORS

Public Meeting . 1149

 

 

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 2027†

Issue
Date

Emergency

and Proposed

Regulations

5 p.m.*

Notices, etc.

10:30 a.m.

Final

Regulations

10:30 a.m.

2026

 

 

 

November 13

October 26

November 2

November 4

November30***

November 9

November 16

November 18

December 11

November 23

November 30

December 2

December28***

December 7

December 14

December 16

2027

 

 

 

January 8

December 21

December 28

December 30

January 22

January 4

January 11

January 13

February 5**

January 15

January 25

January 27

February 19

February 1

February 8

February 10

March 5**

February 12

February 22

February 24

March 19

March 1

March 8

March 10

April 2

March 15

March 22

March 24

April 16

March 29

April 5

April 7

April 30

April 12

April 19

April 21

May 14

April 26

May 3

May 5

May 28

May 10

May 17

May 19

June 11**

May 21

May 31

June 2

June 25

June 7

June 14

June 16

July 9

June 21

June 28

June 30

July 23**

July 2

July 12

July 14

August 6

July 19

July 26

July 28

August 20

August 2

August 9

August 11

September 3

August 16

August 23

August 25

September 17**

August 30

September 3

September 8

October 1

September 13

September 20

September 22

October 15

September 27

October 4

October 6

October 29**

October 8

October 18

October 20

November 12

October 25

November 1

November 3

November29***

November 8

November 15

November 17

December 10

November 22

November 29

December 1

December27***

December 6

December 13

December 15

†   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.

 


03 COMPTROLLER OF THE TREASURY

 

03.04.02 .19 • 53:19 Md. R. 946 (9-18-26)

 

05 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT

 

05.22.01 • 53:21 Md. R. 1043 (10-16-26)

05.22.02. .01—.07 • 53:21 Md. R. 1043 (10-16-26)

 

07 DEPARTMENT OF HUMAN SERVICES

 

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

 

08 DEPARTMENT OF NATURAL RESOURCES

 

08.02.01 .11 • 53:20 Md. R. 1001 (10-02-26)

08.02.05.07, .13, .20 • 53:19 Md. R. 947 (9-18-26)

08.02.11 .01,.03 • 53:20 Md. R. 1002 (10-02-26)

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

08.02.15 .07 • 53:19 Md. R. 948 (9-18-26)

08.19.01 .01—.05 • 53:20 Md. R. 1004 (10-02-26)

08.19.02 .01–.06 • 53:20 Md. R. 1004 (10-02-26)

08.19.03 .01 • 53:20 Md. R. 1004 (10-02-26) (ibr)

08.02.19 .04 • 53:22 Md. R. 1111 (10-30-26)

08.19.04 .02, .04—.13, .15,.16 • 53:20 Md. R. 1004 (10-02-26)

08.19.05 .02 • 53:20 Md. R. 1004 (10-02-26)

08.19.06 .03 • 53:20 Md. R. 1004 (10-02-26)

08.02.19 .08 • 53:22 Md. R. 1112 (10-30-26)

 

09 MARYLAND DEPARTMENT OF LABOR

 

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

09.03.14 .01, .16, .17 • 53:22 Md. R. 1113 (10-30-26)

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)

 

09.09.03 .03, .04 • 53:21 Md. R. 1045 (10-16-26)

09.10.01.45 • 53:20 Md. R. 1015 (10-02-26)

09.10.02.24 • 53:20 Md. R. 1016 (10-02-26)

09.10.03.02 • 53:20 Md. R. 1017 (10-02-26)

09.10.04.04 • 53:20 Md. R. 1018 (10-02-26)

09.10.04.06 • 53:20 Md. R. 1018 (10-02-26)

09.10.04.07 • 53:20 Md. R. 1019 (10-02-26)

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

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)

 

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)

10.06.01 .01, .02, .17 • 53:22 Md. R. 1114 (10-30-26)

 

Subtitle 09 (2nd volume)

 

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

10.09.63.03—.06 • 53:19 Md. R. 949 (9-18-26)

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

 

Subtitles 10—22 (3rd volume)

 

10.10.13 .15 • 53:21 Md. R. 1045 (10-16-26)

10.15.03 .02, .25, .26, .28, .30 • 53:19 Md. R. 950 (9-18-26)

10.15.04 .15 • 53:19 Md. R. 950 (9-18-26)

10.18.02 .01—.06, .08, .09 • 53:22 Md. R. 1114 (10-30-26)

10.18.08 .02,.07—.10 • 53:22 Md. R. 1114 (10-30-26)

10.18.11.01—.05 • 53:19 Md. R. 952 (9-18-26) (ibr)

Subtitles 23—36 (4th volume)

 

10.25.13,.01—.05 • 53:22 Md. R. 1118 (10-30-26)

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)

10.31.03 .01—.06 • 53:22 Md. R. 1119 (10-30-26)

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

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)

10.34.29 .01—04 • 53:22 Md. R. 1121 (10-30-26)

 

Subtitles 37—52 (5th volume)

 

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

10.39.01,.02, .05, .06, .07, .10 • 53:22 Md. R. 1122 (10-30-26)

10.39.02,.09 • 53:22 Md. R. 1122 (10-30-26)

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

10.41.02.02, .04 • 53:21 Md. R. 1046 (10-16-26)

10.41.03.02, .03, .06 • 53:21 Md. R. 1046 (10-16-26)

10.41.05.02, .04—.08 • 53:21 Md. R. 1046 (10-16-26)

10.41.07.02—.05 • 53:21 Md. R. 1046 (10-16-26)

10.41.08.01-1, .02—.15 • 53:21 Md. R. 1046 (10-16-26)

10.41.11.01, .06, .07, .09, .10 • 53:21 Md. R. 1046 (10-16-26)

10.41.12.03, .04 • 53:21 Md. R. 1046 (10-16-26)

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

10.44.01 .05—.08, .12, .16, .18, .20, .22, .24 • 53:22 Md. R. 1123 (10-30-26)

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

 

Subtitles 53—69 (6th volume)

 

10.61.01 .01—.06 • 53:22 Md. R. 1125 (10-30-26)

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) (ibr)

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)

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

 

11 DEPARTMENT OF TRANSPORTATION

 

Subtitles 11—23 (MVA)

 

11.02.03 .11, .19 • 53:21 Md. R. 1051 (10-16-26)

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

11.11.05 .04 • 53:22 Md. R. 1125 (10-30-26)

11.17.13 .02 • 53:21 Md. R. 1052 (10-16-26)

 

12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

 

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.02.11.01—.04 • 53:20 Md. R. 1019 (10-02-26)

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.05.15, .01—.09 • 53:22 Md. R. 1126 (10-30-26)

13A.07.06.08 • 53:20 Md. R. 1020 (10-02-26)

13A.07.15.01, .02 • 53:20 Md. R. 1021 (10-02-26)

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

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

13A.11.01.01, .03—.10, .12—.17 • 53:21 Md. R. 1052 (10-16-26) (ibr)

13A.12.01.05 • 53:21 Md. R. 1055 (10-16-26)

13A.12.02.03 • 53:20 Md. R. 1022 (10-02-26)

13A.12.04.09 • 53:20 Md. R. 1022 (10-02-26)

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)

14.26.01.01—.18 • 53:20 Md. R. 1023 (10-02-26)

14.31.10.01—.11 • 53:21 Md. R. 1056 (10-16-26)

14.31.11.01—.11 • 53:21 Md. R. 1056 (10-16-26)

14.39.02.04, .07, .08, .09, .12, .14, .15, .18, .20, .23, .24, .27 • 53:21 Md. R. 1063 (10-16-26)

14.39.04.01, .06, .07 • 53:21 Md. R. 1063 (10-16-26)

 

15 MARYLAND DEPARTMENT OF AGRICULTURE

 

15.05.01 .02, .04, .07—.09, .12—.14 • 53:21 Md. R. 1066 (10-16-26)

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

 

17 DEPARTMENT OF BUDGET AND MANAGEMENT

 

17.04.03.22 • 53:20 Md. R. 1023 (10-02-26)

 

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

 

20.50.09 .01, .02, .05, .06, .09—.14 • 53:19 Md. R. 953 (9-18-26)

 

21 STATE PROCUREMENT REGULATIONS

 

21.05.03 .03 • 53:19 Md. R. 960 (9-18-26)

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

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

21.07.01 .33 • 53:19 Md. R. 960 (9-18-26)

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

21.11.18 .01—.06 • 53:19 Md. R. 960 (9-18-26)

 

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)

 

26.04.01 01,  01-1,06-2, 07, 07-1, 19, 20, 20-1, 20-2, 21, 37 • 53:22 Md. R. 1129 (10-30-26)

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

 

Subtitles 08—12 (Part 2)

 

26.08.02 .03-2, .03-3, .04, .04-2, .08 • 53:21 Md. R. 1072 (10-16-26) (ibr)

26.08.05 .02 • 53:22 Md. R. 1129 (10-30-26)

 

Subtitles 13—18 (Part 3)

 

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)

 

 

27 CRITICAL AREA COMMISSION FOR THE CHESAPEAKE AND ATLANTIC COASTAL BAYS

 

27.01.12,.02, .04, .07 • 53:22 Md. R. 1139 (10-30-26)

 

 

30 MARYLAND INSTITUTE FOR EMERGENCY MEDICAL SERVICES SYSTEMS (MIEMSS)

 

30.01.02 .01 • 53:21 Md. R. 1082 (10-16-26) (ibr)

 

31 MARYLAND INSURANCE ADMINISTRATION

 

31.04.16 .02, .04—.07 • 53:19 Md. R. 963 (9-18-26)

31.08.13 .04 • 53:19 Md. R. 963 (9-18-26)

31.10.41.02, .05—.07 • 53:21 Md. R. 1082 (10-16-26)

31.10.53.01—.11 • 53:21 Md. R. 1083 (10-16-26)

 

33 STATE BOARD OF ELECTIONS

 

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

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)

36.07.01.01,.03 • 53:21 Md. R. 1091 (10-16-26)

36.07.06.08 • 53:21 Md. R. 1091 (10-16-26)

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

 

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)

37.03.01 .01—.07 • 53:19 Md. R. 965 (9-18-26)

37.03.02 .01—.04 • 53:19 Md. R. 966 (9-18-26)

 

 

 

 

Regulatory Review and Evaluation

Regulations promulgated under the Administrative Procedure Act will undergo a review by the promulgating agency in accordance with the Regulatory Review and Evaluation Act (State Government Article, §§10-130 — 10-139; COMAR 01.01.2003.20). This review will be documented in an evaluation report which will be submitted to the General Assembly’s Joint Committee on Administrative, Executive, and Legislative Review.  The evaluation reports have been spread over an 8-year period (see COMAR 01.01.2003.20 for the schedule).  Notice that an evaluation report is available for public inspection and comment will be published in this section of the Maryland Register.


 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Subtitle 37 Health Services Cost Review Commission

 

Notice of Availability of Evaluation Report

 

Pursuant to Executive Order 01.01.2003.20, Implementation of the Regulatory Review and Evaluation Act, notice is hereby given that the Evaluation Report concerning COMAR Title 10, Subtitle 37 Health Services Cost Review Commission is available for public inspection and comment.

This report may be reviewed by appointment at 4160 Patterson Avenue Baltimore, Maryland 21215. Information and

appointments may be obtained by contacting Lynne Diven, Assistant Chief, by email at [email protected].

 

[26-22-04]

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 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 Final Action

[26-139-F]

On October 6, 2026, the Secretary of Housing and Community Development adopted amendments to Regulations .04 and .06 under COMAR 05.14.01 Community Investment Tax Credit Program. This action, which was proposed for adoption in 53:18 Md. R. 880 (September 4, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

JACOB R. DAY
Secretary

 

 

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 Final Action

[26-140-F]

On October 6, 2026, the Secretary of Housing and Community Development adopted amendments to Regulations .02 and .04 under COMAR 05.20.06 Catalytic Revitalization Project Tax Credit. This action, which was proposed for adoption in 53:18 Md. R. 881 (September 4, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

JACOB R. DAY
Secretary

 

 

Title 09
MARYLAND DEPARTMENT OF LABOR

Subtitle 09 MARYLAND BOARD OF ELECTRICIANS

Notice of Final Action

[26-114-F]

On October 2, 2026, the Maryland State Board of Electricians adopted:

(1) Amendments to Regulation .02 under COMAR 09.09.02 Continuing Education; and

(2) New Regulation .04 under COMAR 09.09.03 General Regulations.

This action, which was proposed for adoption in 53:16 Md. R. 690 (August 7, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

CHET BROWN
Chair, Maryland State Board of Electricians

 

 

Subtitle 14 STATE ATHLETIC COMMISSION

09.14.04 Safety and Health Standards for Contestants

Authority: Business Regulation Article, §§4-205, 4-304, 4-304-1, 4-310, 4-314, and 4-315, Annotated Code of Maryland

Notice of Final Action

[26-096-F]

On September 25, 2026, the State Athletic Commission adopted amendments to Regulations .02 and .13 under COMAR 09.14.04 Safety and Health Standards for Contestants. This action, which was proposed for adoption in 53:16 Md. R. 691 (August 7, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

JOHN DOVE
Commissioner of Occupational and Professional Licensing

 

 


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 Final Action

[26-129-F]

On October 20, 2026, the Secretary of Health adopted new Regulations .01—.13 under a new chapter, COMAR 10.14.09 Maryland Pediatric Cancer Fund. This action, which was proposed for adoption in 53:18 Md. R. 883—886 (September 4, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Notice of Final Action

[26-127-F]

On October 20, 2026, the Secretary of Health adopted:

 

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

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

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

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

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

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

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

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

This action, which was proposed for adoption in 53:18 Md. R. 886—890 (September 4, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 


Title 12
DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES

Subtitle 04 POLICE TRAINING AND STANDARDS COMMISSION

12.04.13 Maryland Police Training and Standards Commission Fund

Authority: Public Safety Article, §§3-206.1, 3-207, and 3-208, Annotated Code of Maryland

Notice of Final Action

[26-123-F]

On October 7, 2026, the Maryland Police Training and Standards Commission adopted new Regulations .01―.05 under a new chapter, COMAR 12.04.13 Maryland Police Training and Standards Commission Fund. This action, which was proposed for adoption in 53:17 Md. R. 820—821 (August 21, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

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

 

 

Title 14
INDEPENDENT AGENCIES

Subtitle 23 ALCOHOL, TOBACCO, AND CANABIS 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 Final Action

[26-130-F]

On October 20, 2026, the Executive Director of the Alcohol, Tobacco, and Cannabis Commission adopted amendments to Regulation .08 and new Regulation .20 under COMAR 14.23.01 Alcoholic Beverages. This action, which was proposed for adoption in 53:18 Md. R. 920—922 (September 4, 2026), has been adopted as proposed.

Effective Date: November 9, 2026.

JEFFREY A. KELLY
Executive Director

 

 

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

Subtitle 08 DESIGNATION OF TRAUMA AND SPECIALITY REFERRAL CENTERS

Notice of Final Action

[26-083-F]

 

On October 13, 2026, the Maryland State Emergency Medical Services Board adopted:       

(1) Amendments to Regulations .01—.03 under COMAR 30.08.01 General Provisions;

(2) Amendments to Regulations .01—.03, .05, .07, .09, and .10 under COMAR 30.08.02 Designation of Trauma and Specialty Referral Centers;

(3) Amendments to Regulations .02—.24 under COMAR 30.08.05 Trauma Center Designation and Verification Standards;

(4) Amendments to Regulations .01—.11, .13, and .14 under COMAR 30.08.11 Designated Primary Stroke Center Standards;

(5) Amendments to Regulations .01, .03, .04, .06—.12, .14, and .15 under COMAR 30.08.12 Perinatal and Neonatal Referral Center Standards;

(6) Amendments to Regulations .01—.09 and .11—.17 under COMAR 30.08.17 Comprehensive Stroke Centers;

(7) Amendments to Regulations .01—.05 and .07—.14 under COMAR 30.08.18 Designated Acute Stroke Ready Centers; and

(8) Amendments to Regulations .01—.15 under COMAR 30.08.19 Designated Thrombectomy-Capable Primary Stroke Center Standards.

This action, which was proposed for adoption in 53:17 Md. R. 825—863 (August 21, 2026), has been adopted with the nonsubstantive changes shown below.

Effective Date: November 9, 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 30.08.05.14B(2): The EMS Board is correcting a typographical error in the proposed amendments that the EMS Board approved during an open session and, after review of current procedures throughout the State, does not substantially change the requirements already in practice by stakeholders.

 

30.08.05 Trauma Center Designation and Verification Standards

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

.14 Quality Management.

PARC

I

II

III

A. (proposed text unchanged)

B. Trauma Centers shall have:

(1) (proposed text unchanged)

(2) A dedicated QM Process Improvement (PI) position in Trauma Centers with a trauma registry volume greater than 1000 patients per year which is separate from the TPM position. This position should initiate the concurrent review process and, in conjunction with the TPM, facilitate the PI process to loop closure. This position should report directly to the TPM.

E

E

E

[[D]]E

 

C—J. (proposed text unchanged)

 

 

 

 

 

 

THEODORE R. DELBRIDGE, MD, MPH
Executive Director

 

 

Proposed Action on Regulations

Title 08
DEPARTMENT OF NATURAL RESOURCES

Subtitle 02 FISHERIES SERVICE

08.02.19 Nuisance and Prohibited Species

Authority: ​Natural Resources Article, §4-205.1​, Annotated Code of Maryland

Notice of Proposed Action

[26-172-P]

The Secretary of Natural Resources proposes to amend Regulation .04 under COMAR 08.02.19 Nuisance and Prohibited Species.

Statement of Purpose

The purpose of this action is to  update the nuisance species list to reflect changing understandings of which species may present a danger to Maryland’s native species and ecosystems. These changes are based on risk assessments conducted by the Department to determine the potential for certain species to have significant negative impacts.

The proposed action:

(1) Removes candiru from the list of species that a person may not import, transport, purchase, possess, propagate, sell, or release into State waters;

(2) Expands the listing of swamp eels to apply to an entire family of fish rather than a specific species;

(3) Adds both Chinese pond mussel and waterwheel as species which a person may not import, transport, purchase, possess, propagate, sell, or release into State waters; and

(4) Makes a number of technical updates based on information that has developed since the last update to these lists.

 

Candiru

The Department performed a risk assessment for candiru and determined that it is a lower risk invasive species than originally feared. Candiru is native to the Amazon and Orinoco River Basins in South America and is not currently found in the United States. Because it is a tropical species, it is not likely to be able to survive winters in Maryland, or establish a population, in the event that it were to be accidentally released into State waters. It is also not a common fish in the aquarium trade as it is a blood parasite.

 

Chinese Pond Mussel

It is necessary to list the Chinese pond mussel as a species which a person may not import, transport, purchase, possess, propagate, sell, or release into State waters based on the results of the Department’s risk assessment. The Chinese pond mussel is a large freshwater unionid mussel native to eastern Asia. It is currently found throughout Europe, as well as in Indonesia, Central America, and North America. It is a filter-feeder with a larval stage (glochidia) that parasitizes fishes. As a result, it competes with native unionid mussels for space, nutrients, and host fish. It has been observed to be a successful competitor that may compose up to 90 percent of the total unionid biomass in systems where it has been established, completely replacing some native species. The Department’s risk assessment indicated that the species had a high climate match score with Maryland. That score combined with the species’ high fecundity and generally high tolerance of disturbance and pollution indicate that Chinese pond mussel could establish in Maryland if it were introduced. Its success as a competitor would be detrimental to stocks of native Maryland unionid mussels, many of which are already imperiled. Listing this species in the most restrictive category of nuisance species will hopefully deter this outcome.

 

Swamp Eels

It is necessary to expand the list of swamp eels to apply to the entire family of Synbranchidae, rather than the specific Asian swamp eel currently listed, because there are several species that are sold for human consumption in live food markets and circulated in the aquarium trade all of the same family. Swamp eels are primarily freshwater fishes distributed in tropical and subtropical regions of Asia, Australia, Africa, and Central and South America. There are no swamp eel species native to North America. Swamp eels are considered tropical to sub-tropical species that inhabit mostly freshwater slow-moving systems including ponds, swamps, and ephemeral wetlands. These eels are environmentally tolerant as a group. The two most commonly-traded species are known to tolerate low dissolved oxygen concentrations (as they are air breathers), a wide range of salinity (up to 16 ppt) and can survive freezing temperatures and ice cover, meaning that it is likely they would be able to survive a Maryland winter and expand throughout the Chesapeake Bay watershed if given the opportunity. On the human health side, swamp eels are a common source of human gnathostomiasis (a parasitic infection) and have been observed to contain a high parasite load including nematodes, acanthocephalans, and digenean parasites. Although impacts to invaded areas outside of Maryland have been relatively minimal, swamp eels can attain large size (up to 1 meter in length) and prey on a variety of organisms, and it is possible that impacts have been underreported. The risk analysis that was run on the entire family determined that there is a high risk of invasiveness due to environmental and climate matching, indicating most of Maryland is suitable for establishment by these species.

 

Waterwheel

It is necessary to list waterwheel as a species which a person may not import, transport, purchase, possess, propagate, sell, or release into State waters based on the results of the Department’s risk assessment. Waterwheel is a carnivorous, perennial, free-floating, rootless aquatic herbaceous plant, with a simple or sparsely branched stem possessing successive whorls of bristled, prey-catching leaves. It is native to Eurasia, Africa, and Australia, has been grown by carnivorous plant enthusiasts in outdoor ponds since the 1980s and was introduced/reported from the wild in the U.S. as early as 1999. Waterwheel has been found in Virginia and has shown highly invasive tendencies there. This species’ primary method of reproduction is vegetative, with individual plants growing continuously in the right conditions and doubling in mass in as little as 12 days. It forms dormant buds called “turions'' that sink to the bottom of the waterbody to overwinter, with new plants growing from these structures in the spring. Whole plants, plant fragments, or turions may be transported by birds, flowing water, or boats and other contaminated recreation equipment. If it becomes established, it may have a significant impact on invertebrate and zooplankton communities, with individual plants containing as many as 200 traps that have a capture efficiency of up to 40 percent. As such, waterwheel may compete with native aquatic carnivorous plants, and could reduce populations of rare aquatic invertebrates through predation, especially in sensitive aquatic habitats. Additionally, thick growth of waterwheel could shade out native aquatic macrophytes and may even clog waterways used for fishing, boating, and irrigation. If this species expands beyond its currently limited U.S. populations and continues to find the same levels of success, then it could prove itself to be a damaging aquatic invader. Listing it in the most restrictive category of nuisance species will hopefully deter this outcome.

 

Other Housekeeping Changes

It is necessary to make technical changes based on updated science on currently-listed species. Specifically, this action updates the scientific name of Alabama bass from “Micropterus hensalli” to “Micropterus henshalli”; removes the scientific name “Notropis lutrensis” from the listing for red shiner; updates the scientific name of rusty crayfish from “Orconectes rusticus” to “Faxonius rusticus”; updates the scientific name of virile crayfish from “Orconectes virilis” to “Faxonius virilis”; and includes “Trapa bispinosa” as a species of water chestnut. These changes reflect corrected spelling and update how these species are categorized.

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 Regulations for Nuisance Species List , Regulatory Staff, Department of Natural Resources Fishing and Boating Services, 580 Taylor Avenue, E-4, Annapolis, MD 21401, or call 410-260-8300, or email to [email protected] or complete the comment form at https://dnr.maryland.gov/fisheries/Pages/regulations/changes.aspx. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.    

.04 Classification of Nonnative Aquatic Organisms.

A. A person may not import, transport, purchase, possess, propagate, sell, or release into State waters the following nonnative aquatic organisms:

(1) Fish species:

(a) Alabama bass (Micropterus [hensalli] henshalli);

(b) (text unchanged)

[(c) Asian swamp eel (Monoterus albus);]

[(d)] (c)—[(e)] (d) (text unchanged)

[(f) Candiru (Vandellia cirrhosa);]

[(g)] (e) (text unchanged)

(f) Chinese pond mussel (Sinanodonta woodiana);

[(h)] (g)—[(l)] (k) (text unchanged)

[(m)] (l) Red shiner ([Notropis lutrensis,] Cyprinella lutrensis);

[(n)] (m)—[(o)] (n) (text unchanged)

[(p)] (o) Rusty crayfish ([Orconectes] Faxonius rusticus);

[(q)] (p)—[(r)] (q) (text unchanged)

(r) Swamp eel (Synbranchidae sp.);

(s)—(u) (text unchanged)

(2) Aquatic plant species:

(a) Giant salvinia (Salvinia molesta); [and]

(b) Green Caulerpa seaweed (Caulerpa taxifolia)[.] ; and

(c) Waterwheel (Aldrovanda vesiculosa).

B. A person may not transport the following nonnative aquatic organisms:

(1) Fish species:

(a)—(g) (text unchanged)

(h) Virile crayfish ([Orconectes] Faxonius virilis); and

(2) Aquatic plant species:

(a)—(c) (text unchanged)

(d) Water chestnut (Trapa natans; Trapa bispinosa).

C.—D. (text unchanged)

JOSH KURTZ
Secretary of Natural Resources

 

 

08.02.19 Nuisance and Prohibited Species

Authority: ​Natural Resources Article. §4-205.1, Annotated Code of Maryland

Notice of Proposed Action

[26-144-P]

The Secretary of Natural Resources proposes to adopt new Regulation .08 under COMAR 08.02.19 Nuisance and Prohibited Species.

Statement of Purpose

The purpose of this action is to establish regulations that allow the Department to conduct pilot projects for nuisance organisms. Natural Resources Article, §4-201.5, Annotated Code of Maryland, states that the Secretary may adopt regulations to conduct pilot projects to demonstrate and evaluate new approaches for the management and control of nuisance organisms. The proposed action establishes the rules for both the Department and participants.

The first pilot project that the Department intends to conduct is to allow a commercial licensee to sell invasive fish species (e.g., blue catfish, flathead catfish, and Northern snakehead (Channa argus, commonly known as Chesapeake Channa in Maryland)) that are collected in a fish lift. Fish lift operations at the Conowingo Dam in the lower Susquehanna River have successfully removed thousands of Northern snakehead and flathead catfish from the Susquehanna River and upper Chesapeake Bay. With significant Department involvement, these fish are euthanized and given to fish processors to prepare for human consumption. However, this process depends upon tenuous federal funding and state resources. After the promulgation of these regulations, a pilot project will be conducted to determine the best path forward that ensures the long-term beneficial use of invasive fishes caught in fish lifts.

The proposed action allows the Department to carry out its mission to protect natural resources within the guidelines of the State’s Aquatic Nuisance Species Plan and allows the Department to explore ways to minimize the burden of reducing the influence and biomass of aquatic invasive species to Department resources.

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 Pilot Program for Nuisance Species Regulations, Regulatory Staff, Department of Natural Resources Fishing and Boating Services, 580 Taylor Avenue, E-4, Annapolis, MD 21401, or call 410-260-8300, or email to [email protected] or complete the comment form at https://dnr.maryland.gov/fisheries/Pages/regulations/changes.aspx. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

.08 Pilot Program.

A. The Department may conduct pilot projects to demonstrate and evaluate new approaches for the management and control of nuisance organisms.

B. The Department may select and designate certain persons to participate in a pilot project.

C. An individual shall apply for a pilot program permit on a form provided by the Department.

D. A participant shall:

(1) Have a pilot program permit in order to participate in a pilot project;

(2) Comply with any conditions of the permit; and

(3) Be eliminated from the pilot project at the discretion of the Department.

E. The Department shall:

(1) Develop pilot projects in cooperation with the appropriate advisory bodies created under Natural Resources Article, Title 4, Annotated Code of Maryland;

(2) Prepare a written evaluation of the pilot project to be included in the annual Fisheries Management Plan report to the General Assembly; and

(3) Provide adequate notice of a pilot project through various media so that an interested individual has a reasonable opportunity to be informed.

JOSH KURTZ
Secretary of Natural Resources

 

 

Title 09
MARYLAND DEPARTMENT OF LABOR

Subtitle 03 COMMISSIONER OF FINANCIAL REGULATION

09.03.14 Money Transmitters

Authority: Financial Institutions Article, §§2-105.1 and 12-403, Annotated Code of Maryland

Notice of Proposed Action

[26-186-P]

The Commissioner of Financial Regulation proposes to amend Regulations .01, .16, and .17 under COMAR 09.03.14 Money Transmitters. 

Statement of Purpose

The purpose of this action is to exclude payroll processors from the definition of money transmitter under certain circumstances pursuant to Ch. 20 (H.B. 0118), Acts of 2026. This action establishes the reporting procedure by adding:

(1) Definitions for certain undefined terms for what a “Qualified Payroll Services Provider” is; and

(2) An exclusion for a “Qualified Payroll Services Provider” from money transmission.

Estimate of Economic Impact

I. Summary of Economic Impact. The economic impact of the proposed action is expected to be low.

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:

 

 

 Payroll Processors

(+)

Minimal

E. On other industries or trade groups:

NONE

 

F. Direct and indirect effects on public:

 

 

 Employees and Workers

(-)

Minimal

 

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

D. The proposed action provides no additional benefit beyond what was established in the statute.

F. It is expected that the public will receive no additional cost beyond what was established by the statute.

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 Nora O'Reilly, Director of Legislative Response, Office of Financial Regulation, 100 S Charles St Tower 1, Ste 5300, Baltimore, MD 21201, or call 443-970-0545, or email to [email protected]. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

.01 Definitions.

A. (text unchanged)

B. Terms Defined

(1)—(18) (text unchanged)

(19) Money Transmission.

(a) (text unchanged)

(b) “Money transmission” [includes] does not include a payroll processing service.

(20)—(28) (text unchanged)

(29) “Qualified payroll services provider” means a person designated as an agent of an employer for the purposes of providing payroll processing services if:

(a) There is a written agreement between the employer and the agent that directs the agent to provide payroll services on the employer’s behalf;

(b) The employer holds the agent out to employees and any other party entitled to receive funds through payroll processing services as providing payroll processing services on the employer’s behalf;

(c) The employer’s obligation to any payee entitled to receive payment through the payroll processing services is not extinguished if the agent fails to remit payment to such payee; and

(d) The agent does not offer money transmission services unrelated to payroll processing services.

[(29)](30)—[(31)](32) (text unchanged)

.16 Receipts.

A. This regulation does not apply to:

(1)—(2) (text unchanged)

(3) [Payroll] A licensee when providing payroll processing services.

B.—C. (text unchanged)

.17 Disclosures for Payroll Processing Services.

A. (text unchanged)

B. [If the] §A of this regulation does not apply to a licensee providing payroll processing services where the licensee’s client designates the intended recipients to the licensee and is responsible for providing the disclosures required by §A(2) of this regulation [, §A of this regulation does not apply to a licensee providing payroll processing services].

 

ANTONIO SALAZAR
Commissioner

 

 

Title 10
MARYLAND DEPARTMENT OF HEALTH

Notice of Proposed Action

[26-187-P]

The Secretary of Health proposes to amend:     

(1) Regulations .01, .02, and .17 under COMAR 10.06.01 Communicable Diseases and Related Conditions of Public Health Importance;

(2) Regulations .01—.06 and .08, and .09 under COMAR 10.18.02 HIV and CD4+ Investigations and Case Reporting; and

(3) Regulations .02 and .07—.10 under COMAR 10.18.08 HIV Testing Procedures.

Statement of Purpose

The purpose of this action is to update regulations pursuant to Health-General Article, §18–307, Annotated Code of Maryland.

Estimate of Economic Impact

I. Summary of Economic Impact. Medicaid expenditures are expected to increase due to expanded coverage for syphilis and HIV testing of pregnant individuals. LHDs may also experience increased workloads and minor expenditure increases as they are required to conduct partner services for all new cases of syphilis and HIV. Insurance providers may also incur costs related to modifying practice management tools. These estimated costs are expected to be offset by the significant health benefits associated with the early identification and treatment of congenital syphilis and HIV.

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

 (1) Maryland Department of Health (Medicaid)

(E+)

$1,076,093

 (2) Maryland Department of Health (Local Health)

(E+)

Minimal

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:

 

 

 Insurance Providers

(-)

Minimal

F. Direct and indirect effects on public:

 

 

 General Public

(+)

Major

 

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

A(1). Medicaid expenditures are expected to increase by $1,076,093 (85 percent federal funds, 15  percent general funds) in Fiscal Year 2026 for additional syphilis and HIV testing of pregnant individuals. Based on a 3 percent increase projection, the estimated expenditure for FY 2027 is $1,108,376. Expenditures are offset by significant but indeterminate savings.

A(2). LHDs may experience increased expenditures related to the investigation and follow-up of cases of individuals diagnosed with syphilis or HIV. The enhanced screening may result in the identification of additional cases of individuals with syphilis or HIV at the time of labor and delivery, who otherwise may not be diagnosed, and additional cases of congenital syphilis.

E. Healthcare insurance providers or other payers may incur additional costs associated with screening and electronic medical records enhancements.

F. Individuals diagnosed with syphilis or HIV will experience significant cost-saving health benefits associated with the early identification and treatment of congenital syphilis and HIV.

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 November 30, 2026. A public hearing has not been scheduled.

 

Subtitle 06 DISEASES

10.06.01 Communicable Diseases and Related Conditions of Public Health Importance

Authority: Health-General Article, §§2-104(b), 18-201.1, and 18-307, Annotated Code of Maryland

.01 Scope.

A.—B. (text unchanged)

C. This chapter provides regulations for coordinated control efforts for communicable diseases and related conditions by the Department, local health officers, medical laboratory directors, [physicians] health care providers, veterinarians, and other Maryland governmental agencies, as guided by policy statements such as:

(1)—(2) (text unchanged)

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(28) (text unchanged)

(29) “Stillbirth” means the death of a fetus:

(a) At 20 weeks of gestation or later; or

(b) Weighting at least 500 grams.

[(29)] (30) (text unchanged)

.17 Syphilis and HIV.

A. Control of a Case.

(1) For an individual who appears to have or who has syphilis in a stage which is or may become communicable, or HIV, a [physician] health care provider shall instruct the individual in the use of any measure and render any treatment which may be necessary to prevent the spread of the disease.

(2) (text unchanged)

(3) A [physician] health care provider shall report to a health officer within 1 working day and in writing the name and address of an individual who is:

(a) (text unchanged)

(b) Under medical observation for diagnosis or treatment of syphilis in an infectious or potentially infectious stage, who fails to return for observation or treatment within 1 week of the date of a missed appointment, and is not known to the [attending physician] health care provider to be under medical observation or treatment elsewhere for this infection.

(4) (text unchanged)

B. Control of Contacts.

(1) A [physician] health care provider in attendance upon a patient having syphilis or HIV:

(a)—(c) (text unchanged)

(2)—(3) (text unchanged)

C. (text unchanged)

D. Congenital Syphilis.

(1) A [physician] health care provider in attendance upon a pregnant woman shall:

(a) Serologically test her for syphilis in accordance with Health-General Article, §18-307, Annotated Code of Maryland, by taking a blood sample and assuring the test is completed:

(i) At the time the [physician] health care provider first examines the woman, either at the first prenatal visit or at the time of delivery if the woman has had no prenatal care;

(ii) In the third trimester at the prenatal visit at 28 weeks of gestation or the first prenatal visit after 28 weeks of gestation; [and]

(iii) At [delivery, for high prevalence communities or high risk individuals] delivery; and

(iv) Following a stillbirth;

(b)—(c) (text unchanged)

(2) A [physician] health care provider in attendance upon an infant born to an untreated woman who has a positive serological test for syphilis shall:

(a)—(b) (text unchanged)

(3) (text unchanged)

 

Subtitle 18 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)

10.18.02 HIV and CD4+ Investigations and Case Reporting

Authority: Health-General Article, §§2-104(b), 18-201.1, 18-202.1, 18-205, and 18-215, Annotated Code of Maryland

.01 Scope.

A. This chapter establishes the requirements for:

(1) [Physician] Health care provider reporting of [a]:

(a) [Case of] An individual diagnosed with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS); [and]

(b) [Birth] The birth of an infant whose mother has tested positive for HIV; and

(c) A pregnancy in a woman with HIV;

(2) Institution reporting of [a case of] an individual diagnosed with HIV or AIDS;

(3) (text unchanged)

(4) [Follow-up] The follow-up by the health officer of:

(a) A [physician's] health care provider’s report of HIV or AIDS;

(b) [A physician's] An institution’s report of an infant whose mother has tested positive for HIV;

[(c) An institution's report of HIV or AIDS; and]

[(d)] (c) (text unchanged)

(e) An infant whose mother has tested positive for HIV; and

(f) Pregnancy in a woman with HIV.

B.—C. (text unchanged)

.02 Exemptions.

A.—B. (text unchanged)

C. Approval.

(1)—(2) (text unchanged)

(3) The Director shall [mail] send written notification to the applicant of an exemption under this regulation within 30 days of receipt of the application, stating whether the exemption:

(a)—(c) (text unchanged)

D.—E. (text unchanged)

.03 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(10) (text unchanged)

(11) “Health care provider” means a physician, registered nurse, certified registered nurse practitioner, certified nurse midwife, licensed certified midwife, licensed direct-entry midwife, or designees of a health care facility.

[(11)] (12)—[(18)] (19) (text unchanged)

.04 [Physician] Health Care Provider Responsibility.

A. [A physician] Within 48 hours, by phone, in writing on a form provided by the Secretary, or by an electronic method as directed by the Secretary, a health care provider shall:

(1) Report [a case of] an individual diagnosed with HIV or AIDS [or newborn HIV exposure for a patient] under the [physician's] health care provider’s care to the health officer [within 48 hours, by phone or in writing on a form provided by the Secretary; and] for the jurisdiction where the health care provider offers care for that individual;

(2) Report HIV exposure of a newborn under the health care provider’s care to the Secretary;

(3) Report a pregnancy in a woman with HIV under the health care provider’s care to the Secretary; and

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

B. A [physician] health care provider may not transmit information to the health officer or the Secretary about [a case of] an individual diagnosed with HIV or [AIDS or] AIDS, a newborn HIV exposure, or a pregnant woman with HIV by facsimile or another electronic method unless directed by the Secretary to submit the information by electronic method.

C. A [physician] health care provider authorized to order laboratory examinations shall include all of the following information on the written laboratory examination order for a test covered by this chapter:

(1) Name, date of birth, race, ethnicity, assigned sex at birth, and gender of the [patient] individual;

(2) Street address, city, state, and zip code of the [patient's] individual’s residence; [and]

(3) If applicable, the pregnancy status of the individual; and

[(3)] (4) Name, address, and telephone number of the [physician] health care provider ordering the test.

D. A [physician] health care provider who reports [a case of] an individual diagnosed with HIV or [AIDS or] AIDS, a newborn HIV [exposure] exposure, or a pregnancy in a woman with HIV, or orders a laboratory examination for a test covered by this chapter shall make available to the health officer or the Secretary the information necessary to compile an HIV/AIDS case report as set forth in Health-General Article, §18-207, Annotated Code of Maryland.

E. A [physician] health care provider working in an institution required to report as set forth in Health-General Article, §18-202.1, Annotated Code of Maryland, is not required to report an individual diagnosed with HIV or AIDS [case] if the administrative head of the institution has designated an individual clinical or infection control practitioner or a specific set of clinical or infection control practitioners other than the [physician] health care provider to be responsible for reporting on behalf of all clinical and infection control practitioners in the facility, as set forth in Regulation .05 of this chapter.

.05 Responsibilities of Clinical and Infection Control Practitioners in Institutions.

A. A clinical or infection control practitioner working in an institution required to report as set forth in Health-General Article, §18-202.1, Annotated Code of Maryland, shall:

(1) Report [a case of] an individual diagnosed with HIV or AIDS under the care of the institution to the health officer for the jurisdiction where the institution offers care for that individual within 48 hours, by phone or in writing on a form provided by the Secretary; and

(2) (text unchanged)

B. A clinical or infection control practitioner may not transmit to the health officer or the Secretary information about [a case of] an individual diagnosed with HIV or AIDS by facsimile or another electronic method unless directed by the Secretary to submit the information by electronic method.

C. A clinical or infection control practitioner who reports [a case of] an individual diagnosed with HIV or AIDS shall make available to the jurisdiction’s health officer or the Secretary the information necessary to compile an HIV/AIDS case report as defined in Health-General Article, §18-207, Annotated Code of Maryland.

D. (text unchanged)

E. A clinical or infection control practitioner working in an institution required to report as defined in Health-General Article, §18-202.1, Annotated Code of Maryland, is not required to report an individual diagnosed with HIV or AIDS [cases] if the administrative head of the institution has designated a different individual clinical or infection control practitioner or specific set of clinical or infection control practitioners who shall be responsible for reporting on behalf of all clinical practitioners in the facility.

.06 Responsibilities of Laboratory Directors.

A. Except as provided in Regulations .01C and .02 of this chapter, the director of a medical laboratory shall:

(1) (text unchanged)

(2) Use the form provided by the [Department] Secretary or by an electronic method as directed by the Secretary in making the report required under §A(1) of this regulation;

(3) Include all of the following information in the report required under §A(1) of this regulation:

(a)—(c) (text unchanged)

(d) Name, date of birth, race, ethnicity, assigned sex at birth, and gender of the [patient] individual;

(e) Street address, city, state, and zip code of the [patient's] individual's residence;

(f) If applicable, the pregnancy status of the individual;

[(f)] (g) Name of the [physician] health care provider authorizing the laboratory examination; and

[(g)] (h) Address and telephone number of the [physician] health care provider authorizing the laboratory examination; and

(4) Contact the [physician] health care provider authorizing the laboratory examination to obtain any of the information, as required by §A(3) of this regulation, that is not provided on the laboratory examination order.

B. A laboratory director may not transmit to the health officer or the Secretary information about [a case of] an individual diagnosed with HIV or AIDS by facsimile or another electronic method unless directed by the Secretary to submit the information by electronic method.

C. (text unchanged)

D. This regulation does not relieve a [physician] health care provider of the duty to report as set forth in Health-General Article, §§18-201.1 and 18-202.1, Annotated Code of Maryland.

.08 Responsibility of Health Officer.

A. This regulation establishes requirements for follow-up by the jurisdiction’s health officer of a report of an individual diagnosed with HIV or AIDS or newborn HIV exposure or laboratory report of HIV detection, HIV viral load, CD4+ cell count or percentage, or HIV genotype sequence.

B. This regulation does not supplant or otherwise modify the:

(1) [Physician's] Health care provider’s obligation to report [a case of] an individual diagnosed with HIV or [AIDS or] AIDS, a newborn HIV [exposure] exposure, or a pregnant woman with HIV under Health-General Article, §18-201.1, Annotated Code of Maryland, and Regulation .04 of this chapter;

(2) Clinical or infection control practitioner's obligation to report [a case of] an individual diagnosed with HIV or AIDS under Health-General Article, §18-202.1, Annotated Code of Maryland, and Regulation .05 of this chapter; and

(3) (text unchanged)

C. Upon receipt of a report from a [physician] health care provider pursuant to Regulation .04 of this chapter, or a clinical or infection control practitioner pursuant to Regulation .05 of this chapter, the health officer shall:

(1) Determine whether the [case of HIV] individual diagnosed with HIV or [the case of AIDS,] AIDS, the newborn HIV exposure, or the pregnancy in a woman with HIV has been reported previously;

(2) Complete the case investigation if [the patient has HIV or AIDS or is a newborn HIV exposure and the case of HIV or the case of AIDS or the newborn HIV exposure has not been reported previously; and] the:

(a) Individual diagnosed with HIV or AIDS has not been reported previously as diagnosed with HIV;

(b) Individual diagnosed with AIDS has not been reported previously as diagnosed with AIDS;

(c) Newborn HIV exposure has not been reported previously; or

(d) The pregnancy in a woman with HIV has not been previously reported; and

(3) Submit the HIV/AIDS case report as set forth in Health-General Article, 18-207, Annotated Code of Maryland, to the [Department if the case of HIV or the case of AIDS or the newborn HIV exposure has not been reported previously.] Secretary if:

(a) The individual diagnosed with HIV or AIDS has not been reported previously as diagnosed with HIV;

(b) The individual diagnosed with AIDS has not been previously reported as diagnosed with AIDS;

(c) Newborn HIV exposure has not been reported previously; or

(d) The pregnancy in a woman with HIV has not been previously reported.

D. Upon receipt of a test result report from a laboratory director pursuant to Regulation .06 of this chapter, the health officer shall:

(1) Determine whether the report matches [to a case of HIV, a case of AIDS, or a newborn HIV exposure] an individual diagnosed with HIV or AIDS that has been reported previously, and submit the report to the [Department] Secretary if the report matches;

(2) Complete a case investigation if the report indicates [the patient has HIV or AIDS or is a newborn HIV exposure and the case of HIV or the case of AIDS or the newborn HIV exposure has not been reported previously;]

(a) The individual diagnosed with HIV or AIDS has not been reported previously as diagnosed with HIV; or

(b) The individual diagnosed with AIDS has not been previously reported as diagnosed with AIDS;

(3) Submit the HIV/AIDS case report, as set forth in Health-General Article, §18-207, Annotated Code of Maryland, to the [Department if] Secretary if: [the case of HIV or the case of AIDS or the newborn HIV exposure has not been reported previously; and]

(a) The individual diagnosed with HIV or AIDS has not been reported previously as diagnosed with HIV; or

(b) The individual diagnosed with AIDS has not been previously reported as diagnosed with AIDS; and

(4) Retain a nonmatching report for up to 4 years, rematching the report, not less than annually, to test result reports and to [cases of HIV or cases of AIDS or newborn HIV exposures] reports of individuals diagnosed with HIV or AIDS that had not been reported previously, to identify new matches, and submit the report to the [Department] Secretary if the report matches.

E. A health officer may not transmit to the Secretary information about [a case of] an individual diagnosed with HIV or AIDS by facsimile or another electronic method unless directed by the Secretary to submit the information by electronic method.

.09 Record Maintenance and Confidentiality.

A. A person that submitted a report of an individual diagnosed with HIV or [AIDS or] AIDS, a newborn HIV [exposure] exposure, or a pregnant woman with HIV, shall make available to the health officer or the Secretary the information necessary to compile an HIV/AIDS case report, according to Regulations .04—.06 of this chapter.

B. (text unchanged)

C. Confidentiality.

(1) (text unchanged)

(2) The reports and any proceedings, records, or files relating to the reports required under this chapter are not discoverable and are not admissible in evidence in any [civil action.] criminal, civil, or administrative action.

(3) (text unchanged)

(4) An individual who violates Regulation .09C of this chapter is subject to penalties, fines, and imprisonment as set forth in Health-General Article, §18-215(e)—(g), Annotated Code of Maryland.

 

10.18.08 HIV Testing Procedures

Authority: Health-General Article, §§2-104(b) and (i), 2-105(a) and (b), 18-201.1, 18-202.1, and 18-336, Annotated Code of Maryland

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(17) (text unchanged)

(18) Partner.

(a) (text unchanged)

(b) “Partner” includes any individual who:

(i) Is the marriage partner of an [HIV-infected patient] individual diagnosed with HIV or AIDS; or

(ii) Has been the marriage partner of the [HIV-infected patient] individual diagnosed with HIV or AIDS at any time within the 10-year period before the diagnosis of HIV infection.

(19)—(28) (text unchanged)

.07 Testing Requirements for Pregnant Women Receiving Prenatal Care.

A.—B. (text unchanged)

C. Unless a patient declines, a health care provider shall test a pregnant woman under the health care provider’s care:

(1) During the first trimester of pregnancy or the first prenatal visit; [and]

(2) In the third trimester of pregnancy[.]; and

(3) At time of delivery.

D. A health care provider who provides labor and delivery services to a pregnant woman shall [offer]:

(1)[ A rapid HIV test to a pregnant woman with unknown or undocumented HIV status during labor and delivery; and]

[(2) Antiretroviral] Offer antiretroviral prophylaxis before receiving the results of the confirmatory test if [a rapid] an HIV test performed [during labor and] at the time of delivery is positive[.]; and

(2) Test the newborn if the pregnant woman’s HIV status is unknown.

E. Confidentiality.

(1)—(2) (text unchanged)

[(3) Provided that the identity or any other information that could readily be associated with the identity of the pregnant woman is not disclosed, the results of an HIV test performed under this section may be introduced into evidence in a criminal, civil, or administrative action, including the adjudication of a workers’ compensation claim.]

.08 Consent and Pretest Requirements for HIV Testing in Nonclinical Settings.

A. For HIV tests administered in nonclinical settings, as permitted in Regulations .03 and .04 of this chapter, the [individual] health care provider administering the HIV test shall:

(1)—(3) (text unchanged)

B.—C. (text unchanged)

D. [An individual] A health care provider providing pretest information shall:

(1)—(5) (text unchanged)

.09 Post-Test Requirements for HIV Testing by Health Care Providers.

A. If a patient’s HIV test result is negative, the [individual] health care provider [providing] administering testing shall provide post-test information to the patient tested that includes:

(1)—(2) (text unchanged)

B. If a patient’s HIV test result is indeterminate, the [individual] health care provider [providing] administering testing shall provide post-test information to the patient [in person] that includes:

(1)—(3) (text unchanged)

C. If a patient’s HIV test result is positive:

(1) The [individual] health care provider [providing] administering testing shall provide post-test information to the patient [in person] that includes:

(a)—(d) (text unchanged)

(2) The health care provider shall:

(a) (text unchanged)

(b) If necessary, provide the patient with information about mental health services for [HIV-infected] individuals diagnosed with HIV;

(3) For contact control, the health care provider shall:

(a) Endeavor to bring an individual with whom the patient has had potentially infectious contact to examination and, as appropriate, prophylaxis by:

(i) Requesting the jurisdiction’s health officer to conduct a contact investigation of any [case of HIV] individual diagnosed with HIV; or

(ii) (text unchanged)

(b) (text unchanged)

(4)—(5) (text unchanged)

.10 Post-Test Requirements for HIV Testing in Nonclinical Settings.

A. If a patient’s HIV test result is negative, the [individual] health care provider [providing] administering testing shall provide post-test information to the patient tested that includes:

(1)—(3) (text unchanged)

B. If a patient’s HIV test result is indeterminate, the [individual] health care provider [providing] administering testing shall provide post-test information to the patient tested [in person] that includes:

(1)—(4) (text unchanged)

C. If a patient’s HIV test result is positive:

(1) The [individual] health care provider [providing] administering testing shall provide post-test information to the patient tested [in person] that includes:

(a)—(d) (text unchanged)

(e) That the patient should have a medical evaluation by a [physician or physician’s designee] health care provider who knows that the patient is HIV positive;

(f)—(g) (text unchanged)

(2) The [individual] health care provider performing the HIV test shall:

(a) (text unchanged)

(b) If necessary, provide the patient with information about mental health services for [HIV-infected] individuals diagnosed with HIV;

(3) For contact control, the [individual] health care provider providing the testing shall:

(a) Request the health officer from the patient’s home jurisdiction conduct a contact investigation of any [case of HIV] individual diagnosed with HIV; and

(b) (text unchanged)

(4)—(5) (text unchanged)

MEENA SESHAMANI, MD, phd
Secretary of Health

 

 

Subtitle 25 MARYLAND HEALTH CARE COMMISSION

10.25.13 [Health Information Technology Funding] Grants

Authority: Health-General Article, §§19-103(c)(2), 19-109(a)(1), (4)−(6) and (8), 19-109(d) and 19-130(e)(2), et seq., Annotated Code of Maryland

Notice of Proposed Action

[26-184-P]

The Maryland Health Care Commission proposes to repeal existing Regulations .01—.05 under COMAR 10.25.13 Health Information Technology Funding Applications and adopt new Regulations .01—.05 under COMAR 10.25.13 Grants.   This action was considered by the Commission at an open meeting held on September 17, 2026, notice of which was given through publication in the Maryland Register, under General Provisions Article, §3-302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to repeal COMAR 10.25.13 Health Information Technology Funding Applications that is now obsolete, as it applied to a funding opportunity for health information technology in 2006, and replace with new regulations under COMAR 10.25.13 Grants, that clarify the process and procedures for awarding grants under the Commission’s grant authority established in Health-General Article, §19-109(a)(5), Annotated Code of Maryland. The Commission has the authority to award funds received from any person or government agency provided it uses a competitive process, publishes information about applying for funding on its website, and evaluates proposals using a panel consisting of internal and external evaluators. The proposed regulations outline the process that the Commission’s Executive Director will follow to award grant funds.The process and parameters outlined in this chapter are consistent with the Commission’s existing grant processes. The regulatory text ensures that grant-making expectations, standards, and processes as established in the statute are clearly defined and described in regulation and will improve transparency and public accountability in MHCC grant-making.

 

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 Alexandra Bryden, Chief of Staff, Maryland Health Care Commission, 4160 Patterson Avenue Baltimore, MD 21215, or call 410-952-1045, or email to [email protected]. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

Open Meeting

Final action on the proposal will be considered by the Maryland Health Care Commission during a public meeting to be held on December 17, 2026 at 1:00 p.m., at 4160 Patterson Avenue, Baltimore, MD 21215.

.01 Scope.

This chapter applies to grants awarded by the Maryland Health Care Commission from any funding source.

.02 Definitions.

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

B. Terms Defined.

(1) “Commission” means the Maryland Health Care Commission.

(2) “Executive Director” means the person appointed chief administrative officer of the Commission in accordance with Health-General Article, §19-106, Annotated Code of Maryland.

(3) Grant.

(a)“Grant” means an award of funds in accordance with Health-General Article, §19-109(a)(5), Annotated Code of Maryland, including an award of funds in accordance with Health-General Article, §19-130(e)(2), Annotated Code of Maryland.

(b) “Grant” does not include a procurement contract awarded in accordance with State Finance and Procurement Article, Division II, Annotated Code of Maryland.

(4) “Notice of Funding Availability” means information about funds to be awarded and how to submit a proposal in accordance with Health-General Article, §19-109(d)(2)(i), Annotated Code of Maryland.

(5) “Person” includes an individual, receiver, trustee, guardian, executor, administrator, fiduciary, or representative of any kind and any partnership, firm, association, limited liability company, limited liability partnership, public or private corporation, or other entity.

.02 Notice of Funding Availability.

A. Prior to awarding a grant, the Commission shall post a Notice of Funding Availability on the Commission’s website.

B. The Notice of Funding Availability shall specify:

(1) Who is eligible to apply;

(2) How to apply for funding;

(3) The deadline to submit an application;

(4) The amount of available funding;

(5) The duration of the grant period;

(6) The application review criteria; and

(7) A contact person for additional information.

.03 Review of Applications, Award, and Reporting.

A. The Executive Director shall establish a panel of internal and external evaluators to review and evaluate applications.

B. The review panel shall use the review criteria published in the Notice of Funding Availability to evaluate applications.

C. The Executive Director shall award grant funds in consideration of the review panel’s recommendations.

D. Before receiving funds, a grantee shall enter into an agreement establishing the terms and conditions of funding and provide any other information that the Commission deems necessary.

E. Awardees or grantees shall be required to report on the use and impact of grant funds in the manner required by the Commission.

F. The Executive Director shall report to the Commission on any funds awarded under this chapter.

.04 Grant Renewal.

At the Executive Director’s discretion, the Commission may renew a grant award without publishing a new Notice of Funding Availability.

.05 Audits.

A. The Commission, or its designee, may audit an applicant’s or grantee’s documents or other information deemed necessary by the Commission to verify the information submitted by a person applying for or receiving grant funds from the Commission is true and correct.

B. The Commission, or its designee, may perform on-site audits.

C. A person who has submitted an application for a grant under this chapter shall provide the Commission, or its designee, with access to all information, documents, and facilities requested by the Commission, or its designee, for purposes of auditing the person's application.

D. A person who has received grant funds under this chapter shall provide the Commission, or its designee, with access to all information, documents, and facilities requested by the Commission, or its designee, for purposes of auditing the person's compliance with all grant requirements.

E. Information discovered by the audit process indicating that a grant was improperly awarded or grant funds were improperly paid may result in remedial action being taken, including recoupment of grant funds, offset from any State grant to the grantee in the current or succeeding fiscal year, referral to the Central Collections Unit, or other appropriate action.

JOAN GELRUD, RN
Chair

 

 

Subtitle 31 HEALTH OCCUPATIONS BOARDS

10.31.03 General Continuing Education Requirements

Authority: Health Occupations Article, §§1–225, 1–225.1, and 1-231, Annotated Code of Maryland

Notice of Proposed Action

[26-189-P]

The Secretary of Health proposes to adopt new Regulations .01—.06 under a new chapter, COMAR 10.31.03 General Continuing Education Requirements.

 

This proposal was considered at public meetings by the Board of Acupuncture on July 14, 2026, the Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists on June 18, 2026, the Board of Chiropractic Examiners on July 9, 2026, the Board of Dental Examiners on August 5, 2026, the Board of Dietetic Practice on July 16, 2026, the Board of Environmental Health Specialists on August 5, 2026, the Board of Long-Term Care Administrators on August 28, 2026, the Board of Massage Therapy Examiners on July 22, 2026, the Board of Morticians and Funeral Directors on July 8, 2026, the Board of Nursing on July 29, 2026,  the Board of Occupational Therapy Practice on July 17, 2026, the Board of Examiners in Optometry on July 29, 2026, the Board of Pharmacy on August 19, 2026, the Board of Physical Therapy Examiners on July 21, 2026, the Board of Physicians on July 22, 2026, the Board of Podiatric Medical Examiners on July 9, 2026, the Board of Professional Counselors and Therapists on July 17, 2026, the Board of Examiners of Psychologists on June 26, 2026, the Board for the Certification of Residential Child Care Professionals on July 10, 2026, and the Board of Social Work Examiners on July 10, 2026, notice of each of which was given by publication on the respective Board’s website pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to update and clarify continuing education requirements for individuals regulated by health occupations boards in the State, including requirements surrounding implicit bias and structural racism training programs pursuant to HB 783 Health Occupations - Implicit Bias and Structural Racism Training (2025), human trafficking awareness training pursuant to HB 771 Health Occupations - Human Trafficking Awareness Training (2026), and training on women’s health conditions pursuant to HB 1365 Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care and HB 1118 Health, Health Insurance, and Health Occupations - Perinatal Behavioral Health Conditions.

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 November 30, 2026. A public hearing has not been scheduled.

.01 Scope.

This chapter applies to all health occupations boards within the Maryland Department of Health and governs licensees, certificate holders, permit holders, or registrants applying for renewal of a license, certificate, permit, or registration.

.02 Definitions.

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

B. Terms Defined.

(1) “Continuing education” means any eligible course or program approved by a health occupations board which may be utilized by the licensee to meet renewal requirements of the applicable health occupations board.

(2) Continuing Education Credit.

(a) “Continuing education credit” means the time in which the licensee is engaged in a continuing education activity set forth under each health occupations board’s regulations in this title.

(b) “Continuing education credit” includes the terminology specified by a health occupations board including but not limited to continuing education hours, continuing education units, or other terms used by the applicable board.

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

(4) “Health care practitioner” means a person who is licensed, certified, registered, or otherwise authorized under the Health Occupations Article, Annotated Code of Maryland, to provide health care services in the course of business and practice of a profession.

(5) “Health occupations board” means a board authorized to issue a license, certificate, permit, or registration to an applicant who meets the requirements under the Health Occupations Article, Annotated Code of Maryland.

(6) “Human trafficking” means the illegal exploitation of an individual through force, fraud, or coercion for labor, services, or commercial sex.

(7) “Implicit bias” means a bias in judgment that results from unconscious attitudes, stereotypes, or associations that influence perception, judgment, and behavior without a person’s conscious awareness or intentional control.

(8) “Licensee” means, unless the context requires otherwise, an individual holding a license, certificate, permit, or registration by a health occupations board in the State to provide health care services as authorized by the Health Occupations Article, Annotated Code of Maryland.

(9) “Menopause” means the permanent end of a woman’s menstrual period, resulting in the end of natural fertility.

(10) Perinatal Behavioral Health Condition.

(a) “Perinatal behavioral health condition” means a health condition occurring during pregnancy or within 1 year after the conclusion of pregnancy, including a pregnancy that does not result in a live birth.

(b) “Perinatal behavioral health condition” includes postpartum depression.

(11) “Structural racism” means the totality of ways in which societies foster racial discrimination by mutually reinforcing systems of housing, education, employment, earnings, benefits, credit, media, healthcare, and criminal justice.

.03 Continuing Education Guidelines.

A. The guidelines set forth in this chapter are in addition to the requirements established under each health occupations board’s regulations in this title.

B. The approval of continuing education credits shall be at the discretion of the applicable health occupations board.

C. All continuing education hours or credits shall be completed in accordance with the renewal schedule of the applicable health occupations board. 

.04 Implicit Bias and Structural Racism Training Programs.

A. Licensees shall complete implicit bias and structural racism training programs in accordance with Health Occupations Article, §1–225, Annotated Code of Maryland.

B. Each implicit bias and structural racism training program recognized by a health occupations board shall be approved by the Cultural and Linguistic Health Care Professional Competency Program in accordance with Health-General Article, §20-1306, Annotated Code of Maryland, for a licensee’s first renewal after April 1, 2026.

C. A health occupations board may provide continuing education credit for the implicit bias and structural racism training programs in accordance with the applicable board’s continuing education regulations.

.05 Human Trafficking Awareness Training.

A. Each health occupations board shall allow an applicant seeking license or certificate renewal to receive at least 1 hour of continuing education credit for completing a human trafficking awareness training program approved by the Department as described in Health Occupations Article, §1-225.1, Annotated Code of Maryland.

B. Section A of this regulation is effective upon the:

(1) Effective date of this regulation; and

(2) Approval by the Department of a human trafficking awareness training program in accordance with Health Occupations Article, §1-225.1(c)(1), Annotated Code of Maryland.

.06 Continuing Education for Women’s Health Conditions.

A. Managing Menopause and Menopause-associated Symptoms Continuing Education.

(1) This section applies to health occupations boards which:

(a) Include within the scope of practice for the licensed health care practitioners the evaluation and management of menopause and menopause-associated symptoms; and

(b) Require, as a condition of license renewal, continuing education credits.

(2) Continuing Education Credits.

(a) A health occupations board shall grant at least 2 hours of continuing education credits for every 1 hour of continuing education approved by the Department on menopause and menopause-associated symptoms.

(b) A health occupations board may establish a maximum number of continuing education credits that may be granted under §A(2)(a) of this regulation in the applicable board’s continuing education regulations.

(3) Section A(2) of this regulation is effective upon the:

(a) Effective date of this regulation; and

(b) Approval by the Department of a menopause and menopause associated symptoms training program in accordance with Health Occupations Article, §1-231, Annotated Code of Maryland.

B. Perinatal Behavioral Health Conditions Continuing Education.

(1) This section applies to health occupations boards which:

(a) For health occupation boards that include within the scope of practice for the licensed health care practitioners the evaluation and management of perinatal care; and

(b) Require, as a condition of license renewal, continuing education credits.

(2) Continuing Education Credits.

(a) A health occupations board shall grant at least 2 hours of continuing education credits for every 1 hour of continuing education as approved by the Department on perinatal behavioral health conditions.

(b) A health occupations board may establish a maximum number of continuing education credits that may be granted under §A(2)(a) of this regulation in the applicable board’s continuing education regulations.

(3) Section B(2) of this regulation is effective upon the:

(a) Effective date of this regulation; and

(b) Approval by the Department of a perinatal behavioral health training program in accordance with Health Occupations Article, §1-231, Annotated Code of Maryland.

 

meena seshamani, md, phd
Secretary of Health

 

 

Subtitle 34 BOARD OF PHARMACY

10.34.29 Drug Therapy Management

Authority: Health Occupations Article, §§12-6A-01—12-6A-10, Annotated Code of Maryland

Notice of Proposed Action

[26-190-P]

The Secretary of Health proposes to amend Regulations .01—04 under COMAR 10.34.29 Drug Therapy Management.

This action was considered by the Board of Pharmacy at a public meeting held on June 17, 2026, notice of which was given by publication on the Board’s website at https://health.maryland.gov/pharmacy/Pages/index.aspx pursuant to General Provisions Article, §3–302(c), Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to  clarify and update regulations directly related to drug therapy management and the treatment of opioid use disorder using controlled dangerous substances in accordance with SB 562 State Board of Pharmacy – Prescriber-Pharmacist Agreements – Treatment of Opioid Use Disorders (2026).

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 November 30, 2026. A public hearing has not been scheduled.

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1) (text unchanged)

(2) “Applicants” means physicians, pharmacists, podiatrists, certified midwives licensed under Health Occupations Article, Title 8, Subtitle 6D, Annotated Code of Maryland, or certified advanced practice nurses with prescriptive authority submitting a prescriber-pharmacist agreement and protocol to their respective Boards.

[(2-1)] (3) “Authorized prescriber” means:

(a) [a] A licensed physician;

(b) [a] A licensed podiatrist;

(c) [a] A certified advanced practice nurse with prescriptive authority under Health Occupations Article, §8-508, Annotated Code of Maryland; or

(d) A licensed certified midwife with prescriptive authority under Health Occupations Article, §8-6D-01, Annotated Code of Maryland.

[(3)] (4)—[(5)] (6) (text unchanged)

(7) “Prescription Drug Monitoring Program (PDMP)” means the Prescription Drug Monitoring Program established under Health General Article, Title 12, Subtitle 2A, Annotated Code of Maryland.

.02 Content of Protocol.

A.—D. (text unchanged)

E. A protocol that authorizes controlled dangerous substances drug therapy shall require the pharmacist to request relevant data from the PDMP before:

(1) Initiating controlled dangerous substances drug therapy; or

(2) Modifying controlled dangerous substance drug therapy.

.03 Content of Prescriber-Pharmacist Agreement.

A. The prescriber-pharmacist agreement shall contain the following:

(1) The names and signatures of the physicians, podiatrists, licensed certified midwives, or certified advanced practice nurses with prescriptive authority and pharmacists authorized to act under a therapy management contract;

(2)—(5) (text unchanged)

(6) A statement that the physicians, podiatrists, licensed certified midwives, or certified advanced practice nurses with prescriptive authority and pharmacists shall comply with all State and federal laws relating to patient confidentiality; and

(7) (text unchanged) 

B.—D. (text unchanged)

.04 Requirements for Participation in Drug Therapy Management.

A. (text unchanged)

B. A pharmacist who does not possess a Doctor of Pharmacy degree shall document that the pharmacist’s training has included the following components:

(1) Designing, implementing, monitoring, evaluating, and modifying or recommending modifications in drug therapy to [insure] ensure effective, safe, and economical patient care;

(2)—(7) (text unchanged)

C. (text unchanged)

[D. An authorized prescriber who has entered into a prescriber-pharmacist agreement shall submit to the Boards that regulate the authorized prescriber a copy of:

(1) The prescriber-pharmacist agreement;

(2) Subsequent amendments made to the:

(a) Prescriber-pharmacist agreement; or

(b) Protocols specified in the prescriber-pharmacist agreement; and

(3) Changes to participants of the:

(a) Prescriber-pharmacist agreement; or

(b) Protocols specified in the prescriber-pharmacist agreement.]

[E.] D. The Boards that regulate the authorized prescriber shall notify the authorized prescriber of any additional information needed within 30 days of [the] receipt of the submitted information.

E. A pharmacist who has entered into a prescriber-pharmacist agreement that authorizes the pharmacist to treat an opioid use disorder using controlled dangerous substances drug therapy shall:

(1) Meet the requirements of §A of this regulation;

(2) Individually register with the federal Drug Enforcement Administration for controlled substances used in the treatment of opioid use disorder;

(3) Individually register with the Office of Controlled Substances Administration within the Maryland Department of Health for controlled dangerous substances used in the treatment of opioid use disorder;

(4) Complete any applicable training required by federal or State law governing the prescribing and dispensing of opioid use disorder medications; and

(5) Follow a protocol that meets the requirements of Regulation .02 of this chapter.

F.—H. (text unchanged)

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Subtitle 39 BOARD OF NURSING — CERTIFICATE HOLDERS

Notice of Proposed Action

[26-191-P]

The Secretary of Health proposes to:

(1) Amend Regulations .02, .05, .06, .07, and .10 under COMAR 10.39.01 Certified Nursing Assistants; and

(2) Amend Regulation .09 under COMAR 10.39.02 Nursing Assistant Training Programs.

This action was considered by the public at a public meeting held on August 26, 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  clarify language and expand certification and renewal standards to Certified Nursing Assistants under the Maryland Board of Nursing’s jurisdiction based on recommendations from the Board.

Estimate of Economic Impact

The proposed action has no economic impact.

Economic Impact on Small Businesses

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

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to 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 November 30, 2026. A public hearing has not been scheduled.

10.39.01 Certified Nursing Assistants

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

.02 Definitions.

A. (text unchanged)

B. Terms Defined.

(1)—(9) (text unchanged)

(10) “Good standing” means active and without an encumbrance that limits or restricts practice, such as revocation, suspension, or probation.

(12)—(16) (text unchanged)

.05 Qualifications for Certification.

A. (text unchanged)

B. Certification by Endorsement. An applicant for nursing assistant certification by endorsement shall:

(1) Hold a certificate to practice as a nursing assistant that:

(a) (text unchanged)    

(b) Is in good standing; [and]

(2) Have successfully completed a nursing assistant training program that meets the standards for an approved nursing assistant training program set by the Board[.]; and

(3) Have practiced as a nursing assistant for at least 16 hours within the 2 years preceding the time of application.

C.—F. (text unchanged)

.06 Application for Certification.

A. Initial Certification.

(1)—(2) (text unchanged)

(3) A program coordinator or faculty of a nursing assistant or acute care nursing assistant training program:

(a) (text unchanged)    

(b) Shall submit written verification, as required by the Board, of program completion to the Board [after] no later than 5 business days [of] after the applicant’s program completion.

(4) An applicant shall submit an application for initial certification [after] no later than 24 months [of] after the date of completion of an approved nursing assistant training program, an approved acute nursing assistant training program, or portion of an approved nursing education program.

(5) (text unchanged)

B.—E. (text unchanged)

.07 Nursing Assistant Competency Evaluation.

A. (text unchanged)

B. Except for service members, an individual shall sit for a nursing assistant competency evaluation [after] no later than 24 months [of] after meeting the educational requirements set forth in Regulation .05A(1) of this chapter.

C. An individual who fails to [sit for] take and pass a nursing assistant competency evaluation [after] within 24 months of meeting the educational qualifications must re-take an approved nursing assistant training program or approved acute care nursing assistant training program in order to be eligible to sit for a nursing assistant competency evaluation.

D. (text unchanged)

.10 Expiration and Renewal.

A.—B. (text unchanged)

C. Renewal Requirements.

(1) (text unchanged)

(2) If the individual applying for renewal does not have 16 hours of active employment as a nursing assistant within the 2-year period immediately preceding the date of expiration the individual shall:

(a) (text unchanged)    

(b) If a CNA-II, complete a CNA-I nursing assistant training program.[.]

D.—E. (text unchanged)

10.39.02 Nursing Assistant Training Programs

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

.09 Withdrawal of Approval.

A. Notice of Deficiencies.

(1)—(2) (text unchanged)

(3) Site Visit. The Board may conduct an announced or unannounced site visit to an approved program to determine whether deficiencies were corrected in accordance with a plan of correction.

B. Written Plan of Correction.

(1) A training program shall submit a written plan of correction [after] no later than 30 calendar days [of] after the date of the notice of deficiencies unless granted an extension by the Board for good cause.

(2)—(3) (text unchanged)

C.—F. (text unchanged)

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Subtitle 44 BOARD OF DENTAL EXAMINERS

10.44.01 Dental Assistants

Authority: Health Occupations Article, §§4-205(a)(1)(iii), 4-301.1, 4-302.1, 4-304.1, 4-305.1, and 4-311.1, Annotated Code of Maryland

Notice of Proposed Action

[26-192-P]

The Secretary of Health proposes to amend Regulations .05—.08, .12, .16, .18, .20, .22, and .24 under COMAR 10.44.01 Dental Assistants. This action was considered by the Board of Dental Examiners at a public meeting held on September 2, 2026, notice of which was given under the Notice of Public Meetings link on the Board’s website pursuant to General Provisions Article, §3-302(c). Annotated Code of Maryland.

Statement of Purpose

The purpose of this action is to add language to the existing regulations to align with Chapters 23 and 24, Acts of 2025, and to make language clarifications.

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 November 30, 2026. A public hearing has not been scheduled.

.05 Qualifications for General Duties Expanded Function Dental Assistants.

A. To qualify for a Board certification to be a general duties EFDA, an applicant shall:

(1)—(4) (text unchanged)

(5) Have successfully completed a Board-approved course of at least 60 hours related to Maryland general duties EFDA which shall include at least:

(a) [15] Fifteen hours of in-person hands-on clinical training [apart from] in addition to the in-person hands-on clinical training required by Regulation [.18A(2)] .18A(1) of this chapter[.];

(b) Five hours of in-person instruction in addition to the in-person hands-on clinical training required by §A(5)(a) of this regulation; and

(c) Thirty-four hours of didactic instruction which may be in-person or online;

(6)—(8) (text unchanged)

B. (text unchanged)  

.06 Application for Board Certification—General Duties Expanded Function Dental Assistants.

A.—B. (text unchanged

C. The letter referenced in §B of this regulation shall:

(1) (text unchanged)  

(2) Identify the course and the Board’s course identification code and number;

[(2)] (3) Contain a [raised embossed] school seal or institution seal; and

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

D. (text unchanged)

.07 Qualifications for Orthodontic Expanded Function Dental Assistants.

A. To qualify for a Board certification to be an orthodontic EFDA, an applicant shall:

(1)—(4) (text unchanged)   

(5) Have successfully completed a Board-approved course of at least 35 hours related to Maryland orthodontic EFDA, [of which at least 10 hours shall include in-person hands-on clinical training] which shall include at least:

(a) Ten hours of in-person hands-on clinical training;

(b) Five hours of in-person instruction in addition to the in-person hands-on clinical training required by §A(5)(a) of this regulation; and

(c) Twenty hours of didactic instruction which may be in-person or online.

(6)—(8) (text unchanged)

B. (text unchanged) 

.08 Application for Board Certification for Orthodontic Expanded Function Dental Assistants.

A.—B. (text unchanged)   

C. The letter referenced in §B of this regulation shall:

(1) (text unchanged)  

(2) Identify the course and the Board’s course identification code and number;

[(2)] (3) Contain a [raised embossed] school seal or institution seal; and

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

D. (text unchanged)

.12 Renewal and Reinstatement of Expired Certificates.

A. (text unchanged)  

B. Reinstatement of Expired Certificates.

(1) An individual holding an expired orthodontic EFDA certificate or an individual holding an expired general duties EFDA certificate may apply for reinstatement if the individual:

(a)—(c) (text unchanged) 

(d) Provides proof of completion of 15 hours of dental assisting continuing education from Board-approved courses of which 3 hours shall be in infection control [as provided in] in accordance with Regulation .16 of this chapter; and

(e) (text unchanged)

(2) (text unchanged)  

C. (text unchanged)

.16 Continuing Education.

A. (text unchanged) 

B. The 15 hours of Board-approved continuing education described in §A(1) of this regulation shall include at least 5 hours of in-person hands-on clinical training.

C. An orthodontic EFDA or a general duties EFDA may complete more than one Board-approved continuing education course to satisfy the continuing education requirements.

D. Only continuing education courses offered by the following organizations satisfy the continuing education requirements of this chapter: 

(1) A U.S. Department of Labor Job Corps dental assisting program;

(2) A dental assisting program located within an institution of postsecondary education that is accredited by an accrediting institution recognized by the U.S. Department of Education;

(3) A dental assisting program that is located within a high school and is recognized by an accrediting body recognized by the U.S. Department of Education or the high school accrediting body of a state;

(4) A dental assisting program that is accredited by the Council on Dental Accreditation, or a successor organization;

(5) A dental assisting course or program offered by the Dale Foundation, an affiliate of the Dental Assisting National Board, or any successor entity;

(6) An orthodontic dental assisting course or program offered by the Trapezio Orthodontic Assistant Training Solutions, or any successor entity; or

(7) State-based dental professional societies affiliated with national dental organizations. 

[B.] E. (text unchanged)

[C.] F. [Certificate holders shall have a 2-year period to complete the required continuing education in the 2-year period preceding the expiration date of the immediately preceding certificate.] The period for completing continuing education requirements extends for a 2-year period from October 1 through September 30 of the second year following the effective date of the certificate.

.18 Requirements for Board-Approved Courses.

A. General Duties EFDA. The course identified in Regulation .05A(5) of this chapter shall include at a minimum, [the following:

(1)] 6 hours of instruction on nitrous oxide monitoring which shall include[:]:

[(2)] (1) [2] Two hours of in-person hands-on clinical training, including the direct observation of the performance of procedures; and  

[(3)] (2) [4] Four hours of didactic in-person classroom training, including at least the following subjects:

(a)—(m) (text unchanged) 

B. (text unchanged)   

C. The course identified in Regulation .05A(5) of this chapter shall be part of:

(1)—(2) (text unchanged)  

(3) A dental assisting program that is located within a high school and is recognized by an accrediting body recognized by the U.S. Department of Education or the high school accrediting body of a state[, or]; 

(4) A dental assisting program that is accredited by the Council on Dental Accreditation, or a successor organization[.];

(5) A dental assisting course or program offered by the Dale Foundation, an affiliate of the Dental Assisting National Board, or any successor entity; or

(6) An orthodontic dental assisting course or program offered by the Trapezio Orthodontic Assistant Training Solutions, or any successor entity.

D. (text unchanged)   

E. The course identified in Regulation .07A(5) of this chapter shall be part of:

(1)—(2) (text unchanged)   

(3) A dental assisting program that is located within a high school and is recognized by an accrediting body recognized by the U.S. Department of Education or the high school accrediting body of a state; [or];

(4) A dental assisting program that is accredited by the Council on Dental Accreditation, or a successor organization[.];

(5) A dental assisting course or program offered by the Dale Foundation, an affiliate of the Dental Assisting National Board, or any successor organization; or

(6) An orthodontic dental assisting course or program offered by the Trapezio Orthodontic Assistant Training Solutions, or any successor entity.  

.20 Assessment of Board-Approved Courses.

A. [At least once every calendar year,] Every August, each Board-approved orthodontic EFDA course and each Board-approved general duties EFDA course shall be assessed by a dentist licensed in the State other than the dentist who is the instructor or sponsor.

B.—D. (text unchanged)

.22 Procedures Permitted to be Performed by General Duties EFDAs.

A. (text unchanged)     

B. The intraoral procedures that a general duties EFDA may perform set forth in §A of this regulation shall be performed under the direct supervision of a dentist licensed in the State.

[B.] C. (text unchanged)

.24 Procedures Permitted to be Performed by Orthodontic EFDAs.

A. (text unchanged)      

B. The intraoral procedures that an orthodontic EFDA may perform set forth in §A of this regulation shall be performed under the direct supervision of a dentist licensed in the State.

[B.] C. (text unchanged)

meena seshamani, md, phd
Secretary of Health

 

 

Subtitle 61 HEALTH ENTERPRISE ZONE INITIATIVE

10.61.01 Health Enterprise Zone Tax Credits

Authority: Health-General Article, §2–104, Annotated Code of Maryland

Notice of Proposed Action

[26-188-P]

The Secretary of Health proposes to repeal existing Regulations .01—.06 under COMAR 10.61.01 Health Enterprise Zone Tax Credits.

Statement of Purpose

The purpose of this action is to  repeal existing regulations for the Health Enterprise Zone Program which sunset on June 30, 2017. The tax credit is no longer available to employers who provide health care services in health enterprise zones.

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 November 30, 2026. A public hearing has not been scheduled.

MEENA SESHAMANI, MD, PHD
Secretary of Health

 

 

Title 11
DEPARTMENT OF TRANSPORTATION

Subtitle 11 MOTOR VEHICLE ADMINISTRATION — ADMINISTRATIVE PROCEDURES

11.11.05 Motor Vehicle Fees

Authority: Transportation Article, §12-104(b), Annotated Code of Maryland, and as cited in Regulations .02—.06 of this chapter

Notice of Proposed Action

[26-185-P]

The Administrator of the Motor Vehicle Administration proposes to amend Regulation .04 under COMAR 11.11.05 Motor Vehicle Fees.

Statement of Purpose

The purpose of this action is to reduce the fee for the issuance of a nonresident permit for a member of the uniformed services and is serving on active duty in this State or an adjoining state or the District of Columbia.

 

Estimate of Economic Impact

I. Summary of Economic Impact. The MVA does not have a reliable way to know how many non-resident permits are issued to members of the military. For illustrative purposes, if 50 percent of non-resident permits are issued to active duty military, the economic impact to the MVA is based on the proposed regulation is estimated to be an annual revenue decrease of $19,359. There is currently a nonresident permit that the MVA can issue, pursuant to Transportation Article, §13-402.1, Annotated Code of Maryland, which includes Military, that allows a nonresident owner of a vehicle to operate the vehicle on a highway in the State for the duration of 1 year. The number of nonresident permits for any statutory reason (military, students, employment, visitation) that were sold by fiscal year 24 to 26 is as follows:

FY24: 532

FY25: 451

FY26: 451

The MVA does not have the data on how many non-resident permits that have been issued to active duty members of the military. For illustrative purposes, if 50 percent of the non-resident permits have been issued to a member of the uniformed services and is serving on active duty in this State or an adjoining state or the District of Columbia, the fiscal effect would be below.

 

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

 Motor Vehicle Administration

(R-)

$19,359

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:

 

 

 Military applicants 

(+)

$19,359

 

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

A. For illustrative purposes, under the proposed regulation, the projected decrease in revenue to the MVA is based on the $19,359 decrease in the fee for a nonresident permit fee for Military ($0 fee as opposed to a $27 fee). The estimated number of Military applicants purchasing the nonresident permit fee in FY24 through FY26: (1,434 / 2= 717 x $27) = $19,359 for FY28

F. The MVA does not have the data on how many non-resident permits that have been issued to active duty members of the military.

Economic Impact on Small Businesses

The proposed action has a meaningful economic impact on small businesses. An analysis of this economic impact follows:

This action has no economic impact on small businesses because they merely reduce the fee for the issuance of a nonresident permit for a member of the uniformed services and is serving on active duty in this State or an adjoining state or the District of Columbia

 

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Tracey C. Sheffield, Regulations Coordinator , MVA, 6601 Ritchie Highway, NE, Room 200, Glen Burnie, MD 21062, or call 4107687545, or email to [email protected]. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

.04 Vehicle Registration Fees.

Service

Section

Fee

A.—H. (text unchanged)

 

 

I. Temporary Registrations.

 

 

(1)—(3) (text unchanged)

 

 

(4) Nonresident permit for vehicles not subject to registration when the nonresident is a member of the uniformed services and is serving on active duty in this State or an adjoining state, or the District of Columbia

13-402.1

0

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

 

J.—M. (text unchanged)

 

 

 

CHRISTINE NIZER
Administrator

 

 

Title 13A
STATE BOARD OF EDUCATION

Subtitle 05 SPECIAL INSTRUCTIONAL PROGRAMS

13A.05.15 Expenditure of Community Schools Program Funds

Authority: Education Article, §§2-205 and 5-223, Annotated Code of Maryland, Annotated Code of Maryland

Notice of Proposed Action

[26-179-P]

The State Board of Education proposes to adopt new Regulations .01—.09 under a new chapter, COMAR 13A.05.15 Expenditure of Community Schools Program Funds.  This action was considered by the State Board of Education at its August 25, 2026 meeting.

Statement of Purpose

The purpose of this action is to govern the conditions under which a county board of education with Community Schools and an eligible Community School may expend Program Funds under the Concentration of Poverty School Grant Program established by Education Article, §5-223(g), Annotated Code of Maryland.

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 an impact on individuals with disabilities as follows:

Students with disabilities will benefit from instruction and services provided to students and families by the Community Schools.

Opportunity for Public Comment

Comments may be sent to Mary L. Gable, Assistant State Superintendent, Division of Student Support and Federal Programs, Maryland State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201, or call 410-767-0472, or email to [email protected]. Comments will be accepted through November 30, 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 January 26, 2027 at 9:00 am, at 200 West Baltimore Street, Baltimore, MD 21201.

.01 Scope.

This chapter governs the conditions under which a county board of education with Community Schools and an eligible school may expend Program Funds under the Concentration of Poverty School Grant Program established by Education Article, §5-223(g), Annotated Code of Maryland.

.02 Definitions.

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

B. Terms Defined.

(1) “Academic Improvement Strategy” means a program, service, staffing investment, or intervention funded with Program Funds that is designed to improve student outcomes in academic content areas, including literacy and mathematics.

(2) “Administrative cost” means an expenditure incurred by a county board in managing or coordinating Community Schools Program funds on behalf of eligible schools, as further defined in Regulation .04 of this chapter.

(3) “Centralized expenditure authority” means the authority of a county board to expend Program Funds at the county level on behalf of eligible schools pursuant to Education Article, §5-223(g), Annotated Code of Maryland.

(4) “Community partner” means an individual, organization, or public entity that is not employed by or under contract with the county board and that collaborates with the local school system to support the delivery of academic improvement strategies, wraparound services, or other community school activities, such as a local parks and recreation department, a food bank, or a community-based health organization.

(5) “Community schools program” means the personnel and per-pupil grant program established under Education Article, §5-223, Annotated Code of Maryland, for eligible schools.

(6) “Comprehensive Literacy Plan” means the comprehensive literacy plan developed by or for a local school system under the Blueprint for Maryland’s Future.

(7) “Comprehensive math plan” means the comprehensive mathematics plan developed by or for a local school system under the Blueprint for Maryland’s Future.

(8) “Countywide Implementation Plan” means the plan developed and submitted by a county board prior to exercising centralized expenditure authority under this chapter which:

(a) Describes how the county board will coordinate and support high-quality implementation of the community school strategy across all eligible schools within the local school system, including how that strategy advances student academic achievement and removes barriers to learning; and

(b) Details the infrastructure, staffing, service coordination, and strategic investments the county board will make on behalf of eligible schools.

(9) “Eligible school” means:

(a) Beginning in fiscal year 2027, a public school, including a public charter school, with a concentration of poverty level of at least 55 percent; or

(b) An alternative option program in the local school system, if the students in the program are not included in the count of eligible students for another program or school to determine eligibility for the concentration of poverty grant.

(10) “Growth” means measurable progress on an academic indicator relative to the baseline established for that indicator.

(11) “Needs assessment” means the school-level assessment completed:

(a) To identify the academic needs, including but not limited to literacy and mathematics, the physical, behavioral, mental, social, and emotional health needs, and the wraparound service needs of students, their families, and their communities, as well as existing resources, strengths, and assets;

(b) By a community school coordinator in collaboration with the principal, a school health care practitioner, a parent-teacher organization or school council, and members of the community school’s leadership teams; and

(c) Using the common needs assessment tool developed and published online by the Director of Community Schools pursuant to Education Article, §9.9-104, Annotated Code of Maryland.

(12) “Outside service provider” means a third-party individual, organization, or entity not employed directly by the county board that is contracted to deliver services to students or families of eligible schools.

(13) “Program Funds” means Community Schools Program personnel and per-pupil grant funds distributed to eligible schools under Education Article, §5-223(e), Annotated Code of Maryland.

(14) “School-level implementation plan” means the plan developed by an eligible school under Regulation .05 of this chapter governing the per-pupil grant funds the school expends directly, including funds retained at the school when the county board exercises centralized expenditure authority.

(15) “Stakeholders” means:

(a) Administrators;

(b) School-based staff;

(c) Families; and

(d) Community partners.

.03 Eligibility to Exercise Centralized Expenditure Authority.

A. A county board may exercise centralized expenditure authority under this chapter if the local school system meets one of the following thresholds:

(1) The local school system has at least 10 eligible schools; or

(2) At least 35 percent of the schools within the local school system are eligible schools.

B. A county board shall determine its eligibility under §A of this regulation at the beginning of each fiscal year, based on the most recent eligible school designations published by the Department.

C. A county board that meets either threshold in §A of this regulation is not required to exercise centralized expenditure authority.

D. A county board that does not meet either threshold in §A of this regulation may not exercise centralized expenditure authority and shall distribute 100 percent of the Program Funds designated for its eligible schools directly to each eligible school in accordance with Education Article, §5-223(e), Annotated Code of Maryland. The county board may not retain or expend centrally any portion of the Program Funds designated for its eligible schools. Each eligible school shall expend those funds in accordance with its School-Level Implementation Plan under Regulation .05 of this chapter.

.04 Countywide Implementation Plan.

A. Before exercising centralized expenditure authority in a fiscal year, the county board shall develop and submit to the Department a Countywide Implementation Plan.

B. Required Plan Elements. A Countywide Implementation Plan shall include all of the following.

(1) Community Schools Infrastructure Support. A description of all personnel supporting implementation of the community school strategy who are funded or coordinated through centralized expenditure under this chapter, which may include school-based or central office-based staff from academic content offices whose work advances the community school strategy, and including:

(a) The job title, salary and wages, and a description of responsibilities for each position funded through Program Funds; and

(b) A description of how the county board engages stakeholders in the development of the Countywide Implementation Plan to ensure inclusive and informed decision-making, and how non-Program-funded roles contribute to coordination, oversight, and sustainability of the community school strategy.

(2) Shared Services and Partnership Plan. A description of services coordinated by the county board through contracts or partnerships with outside service providers, including:

(a) For each contracted or partnership arrangement: the provider or partner name, the services offered, the number of eligible schools served, and the amount of Program Funds allocated to the arrangement for the fiscal year;

(b) The total amount of Program Funds proposed to be allocated to shared services and partnerships, and a demonstration that total centralized expenditures under the plan comply with the expenditure limit in §E of this regulation and the academic allocation requirement in §F of this regulation; and

(c) A narrative explaining how Program Funds expended at the central level support the overall goals of the community school strategy across all eligible schools, including examples of centrally funded services and how they are aligned with school-level implementation needs.

(3) Synthesis of School-Level Plans. An explanation of how the county board reviewed and synthesized the individual School-Level Implementation Plans and Needs Assessments of its eligible schools, including the identified academic needs of eligible schools, and a description of how those findings influenced countywide strategies and investments, including how countywide goals align with the school-level goals established under Regulation .05 of this chapter.

(4) Countywide Goals.

(a) The three measurable goals that align with eligible school priorities, address identified academic needs, and drive system-wide improvement. At least one goal shall address student academic achievement in literacy and at least one goal shall address student academic achievement in mathematics. Each goal shall be designed to demonstrate a measurable impact on academic outcomes, including increased growth on academic indicators. For each goal, the plan shall include:

(i) A rationale for the goal’s selection, drawn from data collected from eligible schools or other school system sources, including data on academic outcomes;

(ii) The strategies the county board will implement to make measurable progress toward achieving the goal; and

(iii) The academic indicators the county board will use to measure the goal’s impact on academic outcomes, and an annual baseline measurement established for each academic indicator at the time the goal is set in accordance with Regulation .08B of this chapter.

(b) The county board shall review progress toward countywide goals and targets at least annually and shall report the results of the annual review to the Department in a form and manner prescribed by the Department.

(5) Investments and Intended Outcomes.

(a) For each investment of Program Funds made under the plan, including personnel, shared services, partnerships, and Academic Improvement Strategies:

(i) A description of the investment;

(ii) The explicit intended outcome or outcomes of the investment, stated in measurable terms; and

(iii) How the county board will determine whether each intended outcome has been achieved.

(b) The county board shall review annually whether each intended outcome has been achieved and shall include the results of that review in the annual review reported to the Department under §B(4)(c) of this regulation.

C. Submission. The Countywide Implementation Plan shall be incorporated in the county board’s consolidated Every Student Succeeds Act (ESSA) plan as prescribed by the Department.

D. Disclosure. A county board that expends Program Funds centrally under this chapter shall provide each eligible school with a copy of the completed Countywide Implementation Plan, which shall include:

(1) An itemized list of services provided for students and their families that meet the needs identified in the Needs Assessments of the eligible schools;

(2) The amount of funding spent on each service; and

(3) The amount of funding spent on central administrative support for the services provided to the schools.

E. Permissible Centralized Expenditures. The total amount of Program Funds expended centrally by a county board under this chapter in a fiscal year, including expenditures for shared services, partnerships, and administrative costs, may not exceed 50 percent of the Program Funds distributed to the county board for that fiscal year.

F. Academic Allocation.

(1) Of the total amount of Program Funds expended centrally by a county board under this chapter in a fiscal year under §A of this regulation, the county board shall allocate at least 40 percent to Academic Improvement Strategies directly connected to the literacy and mathematics goals, that are in alignment with the local school system's Comprehensive Literacy Plan and Comprehensive Mathematics Plan, and addressing the academic needs identified in the Needs Assessments of eligible schools.

(2) The allocation required under §F(1) of this regulation shall fund one or more of the following wraparound services that support measurable academic outcomes:

(a) Evidence-based in-school and in-person tutoring and other evidence-based academic interventions to improve student outcomes focused on individual and small-group instruction provided during the school day;

(b) Extended learning time, including before and after school, weekends, summer school, and an extended school year;

(c) Student enrichment experiences, including educational field trips, partnerships, and programs with museums, arts organizations, and cultural institutions;

(d) Services and supports to improve student attendance; and

(e) Professional development for teachers and school staff to quickly identify students in need of academic interventions and supports, aligned with the goals in the local school system’s Comprehensive Literacy Plan and Comprehensive Mathematics Plan.

G. A county board may expend Program Funds centrally only for expenditures that directly benefit an eligible school, including the following:

(1) Providing central support to effectively manage Program Funds, including staffing, systems, or infrastructure necessary to administer the Program on behalf of eligible schools;

(2) Entering into contracts with outside service providers that support at least two eligible schools, provided the contracted services address needs identified in the participating schools’ Needs Assessments;

(3) Coordinating spending on behalf of eligible schools; and

(4) Other administrative costs expressly approved by the Department through written guidance issued pursuant to this chapter.

H. Costs that do not directly benefit an eligible school are not permissible centralized expenditures, including general county board overhead, costs unrelated to the Program, and expenditures that supplant existing local funding obligations.

I. Department Review. The Department shall review the submitted plan for compliance with this chapter and Education Article, §5-223(g), Annotated Code of Maryland.

(1) The Department’s review of the Countywide Implementation Plan will evaluate whether the plan is data-driven and structurally sound based on established regulations in this chapter.

(2) The review must verify financial limits, specifically the 50 percent central spending cap and 40 percent academic allocation.

(3) The review will consist of ensuring all personnel, partnership, and strategic goals are justified, measurable, and directly aligned with the needs of the Community schools.

(4) The Department will provide feedback within 45 days of receipt of the plan, and the school system will have 30 days to respond to recommendations.

.05 School-Level Implementation Plan.

A. Applicability. Each eligible school shall develop a School-Level Implementation Plan governing the per-pupil grant funds the school expends directly, including those retained at the school when the county board exercises centralized expenditure authority under this chapter.

B. Required Plan Elements. A School-Level Implementation Plan shall include all of the following:

(1) School-Level Goals.

(a) Of the three community school goals, at least one goal shall address student academic achievement in literacy, and at least one goal shall address student academic achievement in mathematics. Each goal shall be designed to demonstrate a measurable impact on academic outcomes, including increased growth on academic indicators. These measurable goals shall address academic needs identified in the school’s Needs Assessment and drive improvement in student outcomes. For each goal, the plan shall include:

(i) A rationale for the goal’s selection, drawn from the Literacy Plan, the Mathematics Plan, and the school’s Needs Assessment or other school data, including data on academic outcomes;

(ii) The strategies the school will implement to make measurable progress toward achieving the goal; and

(iii) The academic indicators the school will use to measure the goal’s impact on academic outcomes.

(b) The school shall review progress toward its goals at least annually and shall report the results of the annual review to the county board in a form and manner prescribed by the Department.

(2) Investments and Intended Outcomes. For each investment of per-pupil grant funds the school expends directly, including Academic Improvement Strategies:

(a) A description of the investment;

(b) The explicit intended outcome or outcomes of the investment, stated in measurable terms; and

(c) How the school will determine whether each intended outcome has been achieved. The school shall review annually whether each intended outcome has been achieved and shall include the results of that review in the annual review reported under §B(1)(c) of this regulation.

C. School-Level Academic Allocation. Of the per-pupil grant funds an eligible school expends directly in a fiscal year, at least 40 percent shall be allocated to Academic Improvement Strategies directly connected to the literacy and mathematics goals, that are in alignment with the local school system's Comprehensive Literacy Plan and Comprehensive Mathematics Plan, and addressing the academic needs identified in the Needs Assessments of eligible schools. Where an eligible school uses Academic Improvement Strategy funds for professional development for teachers and school staff, that professional development shall be aligned with the goals in the local school system’s Comprehensive Literacy Plan and Comprehensive Mathematics Plan.

D. Compliance Demonstration. The School-Level Implementation Plan shall demonstrate that the school’s direct expenditure of per-pupil grant funds complies with the academic allocation requirement in §C of this regulation.

E. Submission. Each eligible school shall submit its School-Level Implementation Plan to the county board in a form and manner prescribed by the Department. A county board that exercises centralized expenditure authority shall incorporate the School-Level Implementation Plans of its eligible schools into, or reference them within, the Countywide Implementation Plan under Regulation .04 of this chapter.

.06 Public Charter School Participation.

A. The centralized expenditure provisions of this chapter do not apply to a public charter school that is an eligible school unless the public charter school affirmatively chooses to participate in the county board’s Countywide Implementation Plan.

B. A public charter school’s decision to participate or not participate shall be made in writing and submitted to the county board no later than 30 days before the plan submission deadline under Regulation .04C of this chapter.

C. A public charter school that does not participate in the plan shall receive 100 percent of the Program Funds designated for it and shall expend those funds directly in accordance with Education Article, §5-223(e), Annotated Code of Maryland and its School-Level Implementation Plan under Regulation .05 of this chapter.

.07 Department Authority and Oversight.

If the Department determines that a county board or an eligible school has expended Program Funds in violation of this chapter, the Department may require revisions to the Countywide Implementation Plan or the School-Level Implementation Plan, repayment of improperly expended funds, or both.

.08 Corrective Action for Insufficient Academic Growth.

A. Applicability. This regulation applies to a local school system that has established Countywide Goals under Regulation .04B(4) of this chapter and has reported at least two consecutive annual reviews under Regulation .04B(4)(c) of this chapter.

B. Baseline. For each academic indicator identified under Regulation .04B(4)(c) of this chapter, the local school system shall establish a baseline measurement at the time the applicable Countywide Goal is established.

C. Determination. If the Department determines, based on two consecutive annual reviews reported under Regulation .04B(4)(c) of this chapter, that a local school system has not demonstrated growth relative to the baseline on the academic indicators identified for its Countywide Goals, the Department shall notify the county board in writing of the determination.

D. Corrective Action Plan. Within 60 days of receiving notice under §C of this regulation, the county board shall submit a corrective action plan to the Department that:

(1) Identifies the reasons the Countywide Goals were not achieved;

(2) Revises the strategies, investments, or Academic Improvement Strategies used to pursue the Countywide Goals;

(3) Establishes a revised timeline for demonstrating growth relative to the baseline on the applicable academic indicators; and

(4) Describes how the county board will monitor and report progress under the corrective action plan.

E. Department Review and Approval. The Department shall review the corrective action plan and shall notify the county board of approval or of any required revisions within 45 days of receipt.

F. Continued Monitoring. A county board operating under an approved corrective action plan shall report progress to the Department at least annually until the Department determines that the local school system has demonstrated growth relative to the baseline on the applicable academic indicators.

.09 Implementation of the Regulation.

A. Procedures within this regulation for the County-wide Implementation Plan are to begin with the 2027—2028 school year.

B. The 2-year annual review will be conducted based on the Maryland System of Testing Academic Readiness (MSTAR) results from the 2027—2028 and 2028—2029 school years and other measures identified in the County-wide Implementation Plan.

C. Results will be measured annually with regular updates to the County-wide Implementation Plan as determined by the local school system and the Department.

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

 

 

 

Title 26
DEPARTMENT OF THE ENVIRONMENT

Notice of Proposed Action

[26-124-P]

The Department of the Environment proposes to:

(1) Amend Regulations .01, .01-1, .06-2, .07, .07-1, .19, .20, .20-2, .21, and .37 and repeal existing Regulation .20-1 under COMAR 26.04.01 Quality of Drinking Water in Maryland;  and

(2) Amend Regulation .02 under COMAR 26.08.05 Certification of State Water Quality Laboratories. 

Statement of Purpose

The purpose of this action is to include four new federal rules or amendments that Maryland, and every state, must adopt for primacy.

(1) Receive federal primacy for the Lead and Copper Rule Revisions (LCRR), the Lead and Copper Rule Improvements (LCRI) and Consumer Confidence Report (CCR) Rule Revisions;

(2) Receive federal primacy for the control of per- and polyfluoroalkyl substances (PFAS) in drinking water; and

(3) Improve consistency with Code of Federal Regulations and State statute.

Under the Safe Drinking Water Act’s existing Lead and Copper Rule (LCR), community water systems and non-transient non-community water systems are required to collect water samples for lead, copper and corrosivity, provide lead public education and notification, treat source water, replace water system-owned lead service lines, and control corrosivity. In January 2021 and October 2024, the EPA revised federal regulations, known as the Lead and Copper Rule Revisions (LCRR) and Lead and Copper Rule Improvements (LCRI), respectively, to further minimize lead Action levels at the tap, require water systems to conduct an inventory of their service lines, identify and replace service lines containing lead, and to monitor for lead in drinking water at schools and child care facilities. These proposed revisions to COMAR will ensure that Maryland’s LCR regulations are the same as EPA’s.

Under the Safe Drinking Water Act, community water systems are currently required to publish an annual report on water quality, known as the Consumer Confidence Report, or CCR. In May 2024, EPA revised federal regulations for CCRs to improve the readability, clarity, understandability, accuracy, and risk communication. These proposed revisions to COMAR will ensure that Maryland’s CCR regulations are the same as EPA’s.

This regulation also establishes state drinking water standards for PFAS for community and non-transient non-community water systems, which are identical to federal regulations. Consistent with State law, MDE proposes to adopt regulations based on the 2024 federal rule to ensure the State has primary enforcement responsibility (primacy). If the federal PFAS drinking water rule is amended,  it is MDE’s intent to adopt the updated rule consistent with State law. 

This regulation also improves consistency with Code of Federal Regulations, specifically for definitions, incorporation by reference, and record maintenance.   

Estimate of Economic Impact

I. Summary of Economic Impact. LEAD: All 462 Community Water Systems and 545 Non-Transient Non-Community Water Systems in Maryland were required to comply with the federal Lead and Copper Rule Revisions (LCRR) beginning in October 2024, and will be required to comply with the federal Lead and Copper Rule Improvements (LCRI) beginning in November 2027. The revised rule contains several additional requirements, including more stringent water sampling, public education, inventory of water distribution service lines, which could require excavation, and potential replacement if lead materials are discovered.  Per-line replacement cost estimates range from $3,500 to $6,500 and that the revisions to the LCR will cost an average of $34,000 to $44,000 per year for each water system.

CCR: All 462 Community Water Systems in Maryland will be required to comply with the revised Consumer Confidence Report Rule beginning in 2027. There are several additional requirements in the revised rule; notably, water systems must provide the following: translations for communities with a high percentage of low-proficiency English speakers, summaries of key drinking water quality facts at the top of the report, and semi-annual CCRs for the 30 water systems with over 10,000 customers. EPA estimates that the revisions to the CCR rule will cost an average of $300 per year for each Community Water System.

PFAS: Approximately 950 water systems in Maryland will need to comply with this regulation, and of these, approximately 15 percent have PFAS concentrations that exceed the standard. The capital cost of upgrading water treatment plants to comply with this standard is approximately $150,000,000. Funding for this work will mainly come from federal grants, administered by the State. Water systems will also have ongoing treatment and monitoring costs that will be transferred to ratepayers. The annual costs are estimated to be $5,000,000, with $1,000,000 for sampling and analysis and $4,000,000 for treatment. The proposed regulation will improve water quality for about 182,000 residents of Maryland.

 

II. Types of Economic Impact.

Impacted Entity

Revenue (R+/R-)

Expenditure (E+/E-)

Magnitude

A. On issuing agency:

 

 

 Maryland Department of the Environment

(E+)

Lead: significant, CCR: moderate, PFAS: moderate

B. On other State agencies:

 

 

 State Agencies

(E+)

Lead: minimal

C. On local governments:

 

 

 Local governments that own public water systems

(E+)

Lead: significant, CCR: small, PFAS: moderate

 

Benefit (+)

Cost (-)

Magnitude

D. On regulated industries or trade groups:

 

 

 Privately owned water systems

(-)

Lead: moderate, CCR: small, PFAS: moderate

E. On other industries or trade groups:

NONE

 

F. Direct and indirect effects on public:

 

 

 Maryland residents

(+)

Lead: moderate, CCR: moderate, PFAS: moderate

 

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

A. LEAD: Water Supply Program staff workload will substantially increase to implement LCRR/LCRI, which includes additional data review and tracking of inventories and replacement, annual educational materials, critical public notices, and increased water quality sample results.

CCR: There will be initial moderate work needed to be done by the Water Supply Program staff to implement the revised rule, which applies to approximately 450 water systems. Additional tracking and review will be required for systems that are required to deliver reports twice per year. Additional review will be required for translation support, and new content requirements (introductory summaries, enhanced health effects information for lead and copper and other contaminants.

PFAS: There will be initial moderate work needed to be done by the Water Supply Program staff to implement the rule, which applies to approximately 950 water systems. Staff will review initial monitoring results that must be completed by April 2027 to determine compliance with reporting requirements. In April 2027, staff will establish routine monitoring schedules for all 950 water systems based on initial monitoring results. In April 2029, staff will begin enforcing compliance with the PFAS maximum contaminant levels (MCLs).

B. Other state agencies, including MDH, may receive certain information related to lead sample results from schools and child care facilities.

C. LEAD: Local governments that own public water systems will incur substantial recurring expenses related to the revised rule, including costs associated with inventories, replacement, sampling, and distribution of educational materials.

CCR: Local governments that own public water systems will incur moderate recurring expenses related to the revised rule.  PFAS: Local governments that own public water systems will incur moderate recurring expenses related to operations and monitoring. Approximately 375 water systems will be required to perform regular PFAS monitoring starting in 2027, and approximately 50 water systems will need to operate new PFAS treatment systems in 2029. 

D. LEAD: Approximately 240 community water systems and 360 non-transient non-community water systems are privately owned; most are considered to be “very small”, serving fewer than 500 persons. Their  biggest costs will be replacing service lines. The smallest water systems, such as schools and daycares, usually have a single service line.

CCR: Approximately 230 community water systems are privately owned, and most are “very small” (i.e., they serve fewer than 500 persons). Likely the biggest challenge will be the requirement to provide translation support for water systems that have a large number of low-proficiency English speakers.

PFAS: Privately owned water systems will incur moderate recurring expenses related to operations and monitoring. Approximately 575 water systems will be required to perform regular PFAS sampling starting in 2027, and 100 water systems will need to operate new PFAS treatment systems in 2029.

F. LEAD: The proposed regulation revisions will reduce exposure to lead in drinking water to 5.5 million Marylanders.

CCR: The proposed regulation revisions will provide reports to 5.5 million Marylanders that are easier to understand and more accessible. The reports will provide a greater level of transparency regarding drinking water quality.

PFAS: The proposed regulations will improve water quality for about 182,000 residents of Maryland.

Economic Impact on Small Businesses

The proposed action has a meaningful economic impact on small businesses. An analysis of this economic impact follows:

LEAD:  Most of the 600 privately owned community and non-transient non-community water systems would be considered small businesses. The most challenging aspect of the rule revisions would be the requirement to inventory and replace lead service lines.  However, funding is available to approximately 230 community water systems that are considered small businesses through the federal Drinking Water State Revolving Loan Fund to assist with the costs associated with these activities.

CCR:  Most of the 230 privately owned community water systems would be considered small businesses. The most challenging aspect of the rule revisions would be the requirement to provide translation support if a water system has a large number of non-English speakers. However, the revised rule also requires the primacy agency (MDE) to provide assistance to water systems, which will reduce the burden on these small water systems. MDE currently provides pre-filled templates each year that water systems can use. MDE anticipates that the templates will be revised in order to include most of the additional content.

PFAS:  The capital cost of upgrading water treatment plants to comply with this regulation is approximately $150M. Funding for this work will mainly come from federal grants. Statewide operational costs for PFAS treatment, estimated at $4M annually, will be paid by the approximately 150 water systems above the MCL. Approximately 950 water systems will also need to perform regular sampling for PFAS starting in 2027. We estimate that this will cost $1,000 annually per system, or $1M annually, statewide.

Impact on Individuals with Disabilities

The proposed action has no impact on individuals with disabilities.

Opportunity for Public Comment

Comments may be sent to Chris Watling, Chief, Safe Drinking Water Act Implementation Division, MDE, 1800 Washington Blvd, Baltimore, MD 21230, or call 410-537-3577, or email to [email protected]. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

 

Subtitle 04 REGULATION OF WATER SUPPLY, SEWAGE DISPOSAL, SOLID WASTE, AND RECYCLABLE MATERIALS

26.04.01 Quality of Drinking Water in Maryland

Authority: Environment Article, Title 9, Subtitles 2 and 4, Annotated Code of Maryland

.01 Definitions.

A. (text unchanged)

B. Terms Defined.

(1) “Action level” [means the concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow] has the meaning stated in 40 CFR §141.2.

(2) “Aerator” has the meaning stated in 40 CFR §141.2.

[(2)] (3) “Approving Authority” means the Secretary of the Environment or [his] the Secretary’s designee.

[(3)] (4) “Best available technology” or “[(]BAT[)]” means the best technology, treatment techniques, or other means which the [approving authority] Approving Authority finds available, after examination for efficacy under field conditions and not solely under laboratory conditions, taking cost into consideration.

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

(6) “Child care facility” has the meaning stated in 40 CFR §141.2.

[(5)] (7) “Clean compliance history” [is, for the purposes of subpart Y of 40 CFR §141, a record of no MCL violations under §141.63; no monitoring violations under §141.21 or subpart Y; and no coliform treatment technique trigger exceedances or treatment technique violations under subpart Y] has the meaning stated in 40 CFR §141.2.

[(6)] (8) “Combined distribution system” [means the interconnected distribution system consisting of the distribution systems of wholesale systems and of the consecutive systems that receive finished water] has the meaning stated in 40 CFR §141.2.

[(7)] (9) “Community water system” [means a public water system which serves at least 15 service connections used by year-round residents, or regularly serves at least 25 year-round residents] has the meaning stated in Environment Article §9-401, Annotated Code of Maryland.

[(8)] (10) “Compliance cycle” [means the 9-year calendar year cycle during which public water systems will monitor. Each compliance cycle consists of three 3-year compliance periods. The first calendar year cycle begins January 1, 1993 and ends December 31, 2001, the second begins January 1, 2002 and ends December 31, 2010, the third begins January 1, 2011 and ends December 31, 2019] has the meaning stated in 40 CFR §141.2.

[(9)] (11) “Compliance period” [means a 3-year calendar period within a compliance cycle. Each compliance cycle has three 3-year compliance periods. Within the first compliance cycle, the first compliance period runs from January 1, 1993 to December 31, 1995, the second from January 1, 1996 to December 31, 1998, the third compliance period from January 1, 1999 to December 31, 2001. Within the second compliance cycle, the first compliance period runs from January 1, 2002 to December 31, 2004, the second from January 1, 2005 to December 31, 2007, the third compliance period from January 1, 2008 to December 31, 2010] has the meaning stated in 40 CFR §141.2.

[(10)] (12) “Comprehensive performance evaluation” or “[(]CPE[)]” [means a thorough review and analysis of a treatment plant's performance-based capabilities and associated administrative, operation, and maintenance practices] has the meaning stated in 40 CFR §141.2.

(13) “Connector” has the meaning stated in 40 CFR §141.2.

[(11)] (14) “Consecutive system” [means a public water system that receives some or all of its finished water from one or more wholesale systems. Delivery may be through a direct connection or through the distribution system of one or more consecutive systems] has the meaning stated in 40 CFR §141.2.

[(12)] (15) (text unchanged)

[(13)] (16) “Contaminant” [means any physical, chemical, biological, or radioactive substance in drinking water] has the meaning stated in 40 CFR §141.2.

[(14)] (17)  (text unchanged)

[(15)] (18) “Conventional filtration treatment” [means a series of processes including coagulation, flocculation, sedimentation, and filtration resulting in substantial particulate removal] has the meaning stated in 40 CFR §141.2.

[(16)] (19) (text unchanged)

[(17)] (20) [Direct Filtration.] “Direct filtration” has the meaning stated in 40 CFR §141.2.

[(a) “Direct filtration” means a series of processes resulting in substantial particulate removal.

(b) “Direct filtration” includes coagulation and filtration.

(c) “Direct filtration” does not include sedimentation.]

[(18)] (21) “Disinfectant” [means any oxidant, including but not limited to chlorine, chlorine dioxide, chloramines, and ozone, added to the water in any part of the treatment or distribution process, that is intended to inactivate pathogenic microorganisms] has the meaning stated in 40 CFR §141.2.

[(19)] (22) “Disinfection profile” [means a graphical representation of a water system's level of Giardia lamblia or virus inactivation measured during the course of a year] has the meaning stated in 40 CFR §141.2.

(23) “Distribution System and Site Assessment” has the meaning stated in 40 CFR §141.2.

[(20)] (24) “Dose-equivalent” [means the product of the absorbed dose from ionizing radiation and such factors as account for differences in biological effectiveness due to the type of radiation and its distribution in the body as specified by the International Commission on Radiological Units and Measurements (ICRU)] has the meaning stated in 40 CFR §141.2.

(25) “Elementary school” has the meaning stated in 40 CFR §141.2.

[(21)] (26) “Enhanced coagulation” [means the addition of sufficient coagulant for improved removal of disinfection byproduct precursors by conventional filtration treatment] has the meaning stated in 40 CFR §141.2.

[(22)] (27) “Enhanced softening” [means the improved removal of disinfection byproduct precursors by precipitative softening] has the meaning stated in 40 CFR §141.2.

(30) “First-liter sample” has the meaning stated in 40 CFR §141.2.

[(23)] (29) “Filter profile” [means a graphical representation of individual filter performance, based on continuous turbidity measurements or total particle counts versus time for an entire filter run, from startup to backwash inclusive, that includes an assessment of filter performance while another filter is being backwashed] has the meaning stated in 40 CFR §141.2.

(30) “First-liter sample” has the meaning stated in 40 CFR §141.2.

[(24)] (31)—[(25)] (32) (text unchanged)

[(26)] (33) “GAC10” [means granular activated carbon filter beds with an empty-bed contact time of 10 minutes based on average daily flow and a carbon reactivation frequency of every 180 days, except that the reactivation frequency for GAC10 used as a best available technology for compliance with Regulation .15-2 of this chapter shall be 120 days] has the meaning stated in 40 CFR §141.2.

[(27)](34) “GAC20” [means granular activated carbon filter beds with an empty-bed contact time of 20 minutes based on average daily flow and a carbon reactivation frequency of every 240 days] has the meaning stated in 40 CFR §141.2.

(35) “Galvanized requiring replacement service line” has the meaning stated in 40 CFR §141.2.

(36) “Galvanized service line” has the meaning stated in 40 CFR §141.2.

[(28)](37)—[(29)](38) (text unchanged)

[(30)] (39) “Ground water under the direct influence of surface water” or “[(]GWUDI[)]” has the meaning stated in 40 CFR §141.2.

[(a) Significant occurrence of insects or other macroorganisms, algae, or large diameter pathogens such as Giardia lamblia or Cryptosporidium; or

(b) Significant and relatively rapid shifts in water characteristics such as turbidity, temperature, conductivity, or pH which closely correlate to climatological or surface water conditions.]

[(31)] (40) “Haloacetic acids (five)” or “[(]HAA5[)]” [mean the sum of the concentrations in milligrams per liter of the haloacetic acid compounds (monochloroacetic acid, dichloroacetic acid, trichloroacetic acid, monobromoacetic acid, and dibromoacetic acid, rounded to 2 significant figures after addition] have the meaning stated in 40 CFR §141.2.

[(32)] (41) “Halogen” [means one of the chemical elements chlorine, bromine, or iodine] has the meaning stated in 40 CFR §141.2.’

(42) “Hazard index” or “HI” means the sum of hazard quotients, which are calculated to determine compliance with the maximum contaminant level for regulated combinations of PFAS.

(43) “Hazard quotient” or “HQ” means the ratio of the measured concentration of a contaminant in water to the health-based water concentration for that contaminant expressed in the same unit of measurement.

(44) “Health-based water concentration” or “HBWC” means the level below which there are no known or anticipated adverse health effects over a lifetime of exposure for sensitive populations or life stages with an adequate margin of safety.

(45) “HFPO-DA” or “GenX chemicals” means Chemical Abstract Service registration number 122499-17-6, chemical formula C6F11O3-, International Union of Pure and Applied Chemistry preferred name 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)propanoate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

[(33)] (46) (text unchanged)

[(34) “Lead-free” means:

(a) Containing not more than a weighted average of 0.25 percent lead when used with respect to the wetted surface of pipes, pipe fitting, plumbing fittings, and fixtures; and

(b) Not containing more than 0.2 percent lead when used with respect to solder and flux.]

(47) “Lead service line” has the meaning stated in 40 CFR §141.2.

(48) “Lead status unknown service line” has the meaning stated in 40 CFR §141.2.

[(35)] (49) “Level 1 assessment” [is an evaluation to identify the possible presence of sanitary defects, defects in distribution system coliform monitoring practices, and (when possible) the likely reason that the system triggered the assessment. It is conducted by the system operator or owner. Minimum elements include review and identification of a typical events that could affect distributed water quality or indicate that distributed water quality was impaired; changes in distribution system maintenance and operation that could affect distributed water quality (including water storage);source and treatment considerations that bear on distributed water quality, where appropriate (e.g., whether aground water system is disinfected);existing water quality monitoring data; and inadequacies in sample sites, sampling protocol, and sample processing. The system must conduct the assessment consistent with any State directives that tailor specific assessment elements with respect to the size and type of the system and the size, type, and characteristics of the distribution system] has the meaning stated in 40 CFR §141.2.

[(36)] (50) “Level 2 assessment” [is an evaluation to identify the possible presence of sanitary defects, defects in distribution system coliform monitoring practices, and (when possible) the likely reason that the system triggered the assessment. A Level 2 assessment provides a more detailed examination of the system (including the system’s monitoring and operational practices) than does a Level1 assessment through the use of more comprehensive investigation and review of available information, additional internal and external resources, and other relevant practices. It is conducted by an individual approved by the State, which may include the system operator. Minimum elements include review and identification of atypical events that could affect distributed water quality or indicate that distributed water quality was impaired; changes in distribution system maintenance and operation that could affect distributed water quality (including water storage); source and treatment considerations that bear on distributed water quality, where appropriate (e.g., whether a ground water system is disinfected); existing water quality monitoring data; and inadequacies in sample sites, sampling protocol, and sample processing. The system must conduct the assessment consistent with any State directives that tailor specific assessment elements with respect to the size and type of the system and the size, type, and characteristics of the distribution system. The system must comply with any expedited actions or additional actions required by the State in the case of an E. coli MCL violation] has the meaning stated in 40 CFR §141.2.

[(37)] (51) “Man-made beta particle and photon emitters” [means all radionuclides emitting beta particles and/or photons listed in Maximum Permissible Body Burdens and Maximum Permissible Concentration of Radionuclides in Air or Water for Occupational Exposure, NBS Handbook 69, except the daughter products of thorium-232, uranium-235, and uranium-238] has the meaning stated in 40 CFR §141.2.

[(38)] (52) (text unchanged)

[(39)] (53) “Maximum contaminant level goal” or “[(]MCLG[)]” [means the maximum level of a contaminant in drinking water at which no known or anticipated adverse effects on the health of persons would occur, and which allows an adequate margin of safety. Maximum contaminant level goals are nonenforceable health goals] has the meaning stated in 40 CFR §141.2.

[(40)] (54) “Maximum residual disinfectant level” or “[(]MRDL[)]” [means a level of a disinfectant added for water treatment that may not be exceeded at the consumer's tap without an unacceptable risk of adverse health effects. The disinfectants include chlorine, chloramines, and chlorine dioxide] has the meaning stated in 40 CFR §141.2.

[(41)] (55) “Maximum residual disinfectant level goal” or “[(]MRDLG[)]” [means the maximum level of a disinfectant added for water treatment at which no known or anticipated adverse effect on the health of individuals occurs, and which allows an adequate margin of safety. MRDLGs are nonenforceable health goals and do not reflect the benefit of the addition of the chemical for control of water-borne microbial contaminants] has the meaning stated in 40 CFR §141.2.

[(42)] (56) “Maximum total trihalomethane potential” or “[(]MTP[)]” [means the maximum concentration of total trihalomethanes produced in a given water sample containing a halogen disinfectant residual after 7 days at a temperature of 25°C or above] has the meaning stated in 40 CFR §141.2.

(57) “Medium water system” has the meaning stated in 40 CFR §141.2.

(58) “Method detection limit” or “MDL” has the meaning stated in 40 CFR §141.2.

[(43)] (59) “Near the first service connection” [means within the first 20 percent of connections that receive finished water from the treatment plant, as measured by water transport time within the distribution system] has the meaning stated in 40 CFR §141.2.

[(44)] (60)—[(45)] (61) (text unchanged)

(62) “Newly regulated public water system” has the meaning stated in 40 CFR §141.2.

[(46)] (63) “Noncommunity water system” [means a public water system that does not meet the requirements of §B(5) of this regulation. These systems serve motels, hotels, medical facilities, restaurants, schools, industrial plants, and similar facilities not connected to a community water system] has the meaning stated in Environment Article §9-401, Annotated Code of Maryland.

[(47)] (64) “Nontransient noncommunity water system” or “[(]NTNCWS[)]” [means a public water system that is not a community water system and that regularly serves at least 25 of the same individuals over 6 months per year] has the meaning stated in Environment Article §9-401, Annotated Code of Maryland.

[(48)] (65)—[(49)] (66) (text unchanged)

(67) “Optimal corrosion control treatment” or “OCCT” has the meaning stated in 40 CFR §141.2.

(68) “Partial service line replacement” has the meaning stated in 40 CFR §141.2.

[(50)] (69) —[(51)] (70) (text unchanged)

(71) “PFAS” means perfluoroalkyl or polyfluoroalkyl substances, a group of synthetic organofluorine chemical compounds with multiple fluorine atoms attached to an alkyl chain, which includes HFPO-DA, PFBS, PFHxS, PFNA, PFOA, and PFOS.

(72) “PFBS” means Chemical Abstract Service registration number 45187-15-3, chemical formula C4F9SO3-, perfluorobutane sulfonate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

(73) “PFHxS” means Chemical Abstract Service registration number 108427-53-8, chemical formula C6F13SO3-, perfluorohexane sulfonate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

(74) “PFNA” means Chemical Abstract Service registration number 72007-68-2, chemical formula C9F17O2-, perfluorononanoate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

(75) “PFOA” means Chemical Abstract Service registration number 45285-51-6, chemical formula C8F15O2–, perfluorooctanoate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

(76) “PFOS” means Chemical Abstract Service registration number 45298-90-6, chemical formula C8F17SO3–, perfluorooctanesulfonate, along with its conjugate acid and any salts, derivatives, isomers, or combinations thereof.

[(52)] (77)  “Picocurie” or [(]“pCi[)]” [means that quantity of radioactive material producing 2.22 nuclear transformations per minute] has the meaning stated in 40 CFR §141.2.

(78) “Pitcher filter” has the meaning stated in 40 CFR §141.2.

[(53)] (79) (text unchanged)

[(54)] (80) “Point-of-entry treatment device” or “[(]POE[)]” [is a treatment device applied to the drinking water entering a house or building for the purpose of reducing contaminants in the water distributed throughout the house or building] has the meaning stated in 40 CFR §141.2.

[(55)] (81) “Point-of-use treatment device”, “point of use device”, or “[(]POU[)]” [is a treatment device applied to a single tap used for the purpose of reducing contaminants in drinking water at that one tap] has the meaning stated in 40 CFR §141.2.

(82) “Practical quantitation limit” or “PQL” has the meaning stated in 40 CFR §141.2.

(83) “Pre-stagnation flushing” has the meaning stated in 40 CFR §141.2.

[(56)] (84) (text unchanged)

[(57)] (85) “Rem” [means the unit of dose-equivalent from ionizing radiation to the total body or any internal organ or organ system. A millirem (mrem) is 1/1000 of a rem (0.001 rem)] has the meaning stated in 40 CFR §141.2.

[(58)] (86) “Repeat compliance period” [means any subsequent compliance period after the initial compliance period)] has the meaning stated in 40 CFR §141.2.

[(59)] (87)—[(60)] (88) (text unchanged)

[(61)] (89) “Sanitary defect” [is a defect that could provide a pathway of entry for microbial contamination into the distribution system or that is indicative of a failure or imminent failure in a barrier that is already in place.] has the meaning stated in 40 CFR §141.2.

[(62)] (90) “Sanitary survey” [means an on-site review of the water source, facilities, equipment, operation and maintenance of a public water system for the purpose of evaluating the adequacy of the system for producing and distributing safe drinking water.] has the meaning stated in 40 CFR §141.2.

(91) “School” has the meaning stated in 40 CFR §141.2.

[(63)] (92) “Seasonal system” [is a noncommunity water system that is not operated as a public water system on a year-round basis and starts up and shuts down at the beginning and end of each operating season)] has the meaning stated in 40 CFR §141.2.

(93) “Secondary school” has the meaning stated in 40 CFR §141.2.

[(64)] (94)) (text unchanged)

(95) “Service line” has the meaning stated in 40 CFR §141.2.

(96) “Small water system” has the meaning stated in 40 CFR §141.2.

[(65)] (97) (text unchanged)

[(66)] (98) “Subpart H systems” [means public water systems using surface water or ground water under the direct influence of surface water as a source that are subject to the requirements of Subpart H of 40 CFR §141)] has the meaning stated in 40 CFR §141.2.

[(67)] (99) (text unchanged)

[(68)] (100) “Supplier of water” [means any person who owns or operates a public water system)] has the meaning stated in Environment Article §9-401, Annotated Code of Maryland.

[(69)] (101) “SUVA” [means specific ultraviolet absorption at 254 nanometers (nm), an indicator of the humic content of water. It is a calculated parameter obtained by dividing a sample's ultraviolet absorption at a wavelength of 254 nm (UV254) (in m-1) by its concentration of dissolved organic carbon (DOC) in milligrams per liter (mg/l)] has the meaning stated in 40 CFR §141.2.

(102) “System without corrosion control treatment” has the meaning stated in 40 CFR §141.2.

(103) “Tap monitoring period” has the meaning stated in 40 CFR §141.2.

(104) “Tap sampling period” has the meaning stated in 40 CFR §141.2.

(105) “Tap sampling protocol” has the meaning stated in 40 CFR §141.2.

[(70)] (106) “Too numerous to count” [means that the total number of bacterial colonies exceeds 200 on a 47-millimeter diameter membrane filter used for coliform detection] has the meaning stated in 40 CFR §141.2.

[(71)] (107) “Total organic carbon” or “[(]TOC[)]” [means total organic carbon in milligrams per liter (mg/l) measured using heat, oxygen, ultraviolet irradiation, chemical oxidants, or combinations of these oxidants that convert organic carbon to carbon dioxide, rounded to 2 significant figures] has the meaning stated in 40 CFR §141.2.

[(72)] (108) “Total trihalomethanes” or “[(]TTHM[)]” [means the sum of the concentrations in milligrams per liter of the trihalomethane compounds trichloromethane (chloroform), dibromochloromethane, bromodichloromethane, and tribromomethane (bromoform), rounded to two significant figures] has the meaning stated in 40 CFR §141.2.

[(73)] (109) “Transient noncommunity water system” or “[(]TWS[)]” [means a noncommunity water system that does not regularly serve at least 25 of the same individuals over 6 months per year] has the meaning stated in 40 CFR §141.2.

[(74)] (110) “Treatment technique” means a required process intended to reduce the level of a contaminant which, if exceeded, triggers treatment or other requirements [which] that a public water system must follow.

[(75)] (111) “Trihalomethane” or “[(]THM[)]” [means a family of organic compounds, derived from methane, wherein three of the four hydrogen atoms in methane are each substituted by a halogen atom in the molecular structure] has the meaning stated in 40 CFR §141.2.

[(76)] (112) (text unchanged)

[(77)] (113) “Uncovered finished water storage facility” [means a tank, reservoir, or other facility used to store water that will undergo no further treatment to reduce microbial pathogens, except residual disinfection, and is directly open to the atmosphere] has the meaning stated in 40 CFR §141.2.

[(78)] (114) (text unchanged)

[(79)] (115) “Virus” [means a virus of fecal origin which is infectious to humans by waterborne transmission] has the meaning stated in 40 CFR §141.2.

[(80)] (116) (text unchanged)

[(81)] (117) “Wholesale system” [means a public water system that treats source water as necessary to produce finished water and then delivers some or all of that finished water to another public water system. Delivery may be through a direct connection or through the distribution system of one or more consecutive systems] has the meaning stated in 40 CFR §141.2.

(118) “Wide-mouth bottles” has the meaning stated in 40 CFR §141.2.

.01-1 Incorporation by Reference.

A. (text unchanged)

B. Documents Incorporated. [Code of Federal Regulations (CFR) — 40 CFR §§141 and 142 (July 1, 2014):]

(1) [Surface Water Treatment Rule (40 CFR §§141.70—141.76, Subpart H) June 8, 2001, January 14, 2002, October 23, 2002, October 29, 2002, and February 13, 2013 revisions. ] 40 CFR §141.4, as amended;

(2) [Interim Enhanced Surface Water Treatment Rule (40 CFR §141, Subpart P, §§141.170—141.175), January 14, 2002, revision] 40 CFR §141.6 (July 1, 2026);

(3) [Long Term 1 Enhanced Surface Water Treatment Rule (40 CFR §§141.500—141.570, Subpart T), January 14, 2002] 40 CFR, Part 141, Subpart C (July 1, 2026);

[(4) Long Term 2 Enhanced Surface Water Treatment Rule (40 CFR §§141.700—141.723, Subpart W), January 5, 2006, January 30, 2006, and February 6, 2006.]

(4) 40 CFR §141.31 as amended with the following changes:

(a) Substitute “Approving Authority” for “primary agency”; and

(b) Substitute “Approving Authority” for “primacy agency”;

(5) [Bottled Water (21 CFR §165.110)] 40 CFR §141.40, as amended;

(6) [Best Available Technology (40 CFR §§141.61—141.66, Subpart G) February 13, 2013 revisions] 40 CFR §141.50 (July 1, 2026);

(7) [Lead and Copper Rule (40 CFR §§141.80—141.91, Subpart I) revised January 12, 2000 and October 10, 2007] 40 CFR §§141.51-141.52, as amended;

[(8) Monitoring and Analytical Methods (40 CFR §§141.21—141.29, Subpart C) February 13, 2013 revisions;

(a) Coliform Bacteria (40 CFR §141.21) November 21, 2006 and February 13, 2013 revisions;

(b) Inorganics (40 CFR §141.23) October 23, 2002, October 29, 2002, and March 25, 2003 revisions;

(c) Organics (40 CFR §141.24) October 23, 2002, and October 29, 2002, revisions; and

(d) Radionuclides (40 CFR §§141.25—141.26) December 7, 2000, and October 23, 2002, revision.]

(8) 40 CFR, Part 141, Subpart G (July 1, 2026);

(9) [Method Detection Limit (40 CFR §136), October 23, 2002, revision] 40 CFR, Part 141, Subpart H, as amended;

(10) [Public Notification of Drinking Water Violations (40 CFR §141, Subpart Q; 40 CFR §§141.201—141.211, November 8, 2006, February 13, 2013, and February 26, 2014 revisions] 40 CFR, Part 141, Subpart I, as amended;

(11) [Consumer Confidence Report (40 CFR §§141.151—141.155, Subpart O), January 14, 2002, November 27, 2002, March 25, 2003, January 4, 2006, November 8, 2006, February 13, 2013, and February 26, 2014 revisions] 40 CFR, Part 141, Subpart L, as amended;

[(12) Disinfectant Residuals, Disinfection Byproducts, and Disinfection Byproduct Precursors:

(a) Stage 1 Disinfection Byproduct Rule (40 CFR §141, Subpart L; 40 CFR §§141.130—141.144, Subpart L, §141.65), December 16, 1998, January 16, 2001, January 4, 2006, and February 13, 2013 revisions; and

(b) Stage 2 Disinfection Byproduct Rule (40 CFR §141, Subpart U §§141.600—141.605, Subpart V §§141.606—141.629), January 4, 2006, January 27, 2006, and June 29, 2009, revisions;]

(12) 40 CFR, Part 141, Subpart O (July 1, 2026) with the following change. 40 CFR §141.153(c)(3) shall read:

“A report that contains data on contaminants that EPA or the Approving Authority regulates using any of the following terms must include the applicable definitions:

(i) Treatment Technique: A required process intended to reduce the level of a contaminant in drinking water.

(ii) Action Level: The concentration of a contaminant which, if exceeded, triggers treatment or other requirements which a water system must follow.

(iii) Maximum residual disinfectant level goal or MRDLG: The level of a drinking water disinfectant below which there is no known or expected risk to health. MRDLGs do not reflect the benefits of the use of disinfectants to control microbial contaminants.

(iv) Maximum residual disinfectant level or MRDL: The highest level of a disinfectant allowed in drinking water. There is convincing evidence that addition of a disinfectant is necessary for control of microbial contaminants.

(v) Hazard Index or HI. The Hazard Index is an approach that determines the health concerns associated with mixtures of certain PFAS in finished drinking water. Low levels of multiple PFAS that individually would not likely result in adverse health effects may pose health concerns when combined in a mixture. The Hazard Index MCL represents the maximum level for mixtures of PFHxS, PFNA, HFPO–DA, and/or PFBS allowed in water delivered by a public water system. A Hazard Index greater than 1 requires a system to take action.”

(13) [Arsenic Rule (40 CFR §§141.6, 141.51, 141.60, 141.62, 141.65, 142.61, 142.62) March 25, 2003 revision] 40 CFR, Part 141, Subpart P, as amended;

(14) [Definitions (40 CFR §141.2) January 14, 2002, January 4, 2006, January 5, 2006, and February 13, 2013 revisions] 40 CFR, Part 141, Subpart Q (July 1, 2026);

(15) [Unregulated Contaminant Monitoring Regulation (40 CFR §141.40), March 12, 2002, October 29, 2002, January 4, 2007, and May 2, 2012 revisions] 40 CFR, Part 141, Subpart S as amended;

(16) [Ground Water Rule (40 CFR §§141.21, 141.28, 141.153, 141.202, 141.203, 141.400—141.405, 142.14—142.16) — November 8, 2006, November 21, 2006, and February 13, 2013 revisions] 40 CFR, Part 141, Subpart T as amended;

(17) [Revised Total Coliform Rule (40 CFR §§141.4, 141.52, 141.63, 141.71, 141.74, 141.132, §§141.851—141.861, Subpart Y, and 142.15—142.16, 142.63) — February 13, 2013, and February 26, 2014 revisions] 40 CFR, Part 141, Subpart U as amended;

[(18) American Water Works Association, AWWA Standard, Disinfecting Water Mains (ANSI/AWWA C651-14) Sections 2, 3, and 4 only, effective February 1, 2015; and

(19) American Water Works Association, AWWA Standard, Disinfection of Wells (ANSI/AWWA C654-13), effective July 1, 2013.]

(18) 40 CFR, Part 141, Subpart V, as amended;

(19) 40 CFR, Part 141, Subpart W, as amended;

(20) 40 CFR, Part 141, Subpart Y, as amended;

(21) 40 CFR, Part 141, Subpart Z (July 1, 2026);

(22) 40 CFR §§142.61-142.63 (July 1, 2026);

(23) 21 CFR §165.110, as amended;

(24) 40 CFR §136, as amended;

(25) American Water Works Association, AWWA Standard, Disinfecting Water Mains (ANSI/AWWA C651-14) Sections 2, 3, and 4 only, effective February 1, 2015; and

(26) American Water Works Association, AWWA Standard, Disinfection of Wells (ANSI/AWWA C654-13), effective July 1, 2013.

.06-2 Control of Lead and Copper.

A. [Suppliers of water to a public water system shall comply with the requirements of 40 CFR §§141.80—141.91. These requirements, based on treatment technique requirements, require regular testing by suppliers of water for lead and copper, establish procedures to reduce lead and copper at consumers' taps, and specify public education actions.] Applicability.

(1) A supplier of water to a community water system shall comply with 40 CFR Part 141, Subpart I and 40 CFR § 141.152(a).

(2) A supplier of water to a non-transient non-community water system shall comply with 40 CFR Part 141, Subpart I.

[B. Additional Monitoring Requirements for Lead and Copper in Tap Water.

(1) Reduced Monitoring.

(a) A small water system (serving 3,300 or fewer individuals) or a medium water system (serving 3,301 to 50,000 individuals) that demonstrates for two consecutive 6-month monitoring periods that the tap water lead 90th percentile value computed under 40 CFR §141.80(c)(3) is less than or equal to 0.005 milligram per liter, and that the tap water copper 90th percentile value computed under 40 CFR §141.80(c)(3) is less than or equal to 0.65 milligram per liter, may reduce the number of tap water samples in accordance with 40 CFR §141.86(c), and reduce the frequency of sampling to once every 3 calendar years.

(b) A large water system (serving more than 50,000 individuals) that demonstrates for two consecutive 6-month monitoring periods that the tap water lead 90th percentile value computed under 40 CFR §141.80(c)(3) is less than or equal to 0.005 milligram per liter, and the tap water copper 90th percentile value computed under 40 CFR §141.80(c)(3) is less than or equal to 0.65 milligram per liter, may request in writing to the Approving Authority to reduce the number of tap water samples in accordance with 40 CFR §141.86(c), and reduce the frequency of sampling to once every 3 calendar years.

(2) Monitoring Waivers for Small Water Systems.

(a) Monitoring waivers as described under 40 CFR §141.86(g) apply only to small (serving 3,300 or fewer individuals) nontransient, noncommunity water systems that do not have residential connections.

(b) Continued eligibility. Under 40 CFR §141.86(g)(5), waivers may not be renewed automatically. A system shall:

(i) Certify on an annual basis that it meets the materials criteria set forth in 40 CFR §141.86(g)(1); and

(ii) Comply with the requirements of 40 CFR §141.86(g)(2).

(c) The Approving Authority shall review annual waiver certifications and may renew or revoke waivers.

(d) Requirements Following Waiver Revocation. Under 40 CFR §141.86(g)(6), a system whose full or partial waiver has been revoked by the Approving Authority:

(i) Shall commence lead and copper tap water monitoring at the initial frequency of two consecutive 6-month monitoring periods and initial number of samples not later than 90 days after receiving notification from the Approving Authority;

(ii) If the system exceeds lead or copper action levels, or both, shall implement corrosion control treatment in accordance with the deadlines and requirements in 40 CFR §141.81(e);

(iii) If the system meets both the lead and copper action levels, it shall monitor for lead and copper at the tap not less frequently than once every 3 years using the reduced number of sample sites set forth in 40 CFR §141.86(c); and

(iv) If the supplier of water has fewer than five drinking water taps that can be used for human consumption, it must collect at least one sample from each tap that is available, and collect additional samples from those same taps on different days during the monitoring period in order to have the minimum number of lead and copper samples specified in §B(2)(e).

(e) A minimum of five lead and copper samples is required for small water systems when performing routine or follow up monitoring.]

B. A supplier of water to a small community water system that serves 3,300 or fewer persons or a non-transient non-community water system may comply with 40 CFR §141.93 in lieu of the corrosion control treatment requirements otherwise applicable to small systems and non-transient non-community water systems in 40 CFR §141.81(a)(3) if the supplier of water:

(1) Exceeds the lead action level;

(2) Does not exceed the copper action level;

(3) Is approved by the Approving Authority; and

(4) Meets all requirements in 40 CFR §141.93.

[C. Reporting Requirements. Suppliers of water shall comply with reporting requirements specified in 40 CFR §§141.80—141.90 and 141.154 including the following:

(1) Calculate the 90th percentile lead and copper concentrations as specified under 40 CFR §141.80(c)(3) during each monitoring period and report the values to the Approving Authority as described under 40 CFR §141.90(a) in the format determined by the Approving Authority;

(2) Notify and obtain approval from the Approving Authority as required by 40 CFR §141.90(a)(3) before adding a new source and before implementing long term changes in water treatment; and

(3) Certify compliance with public notice and education requirements under 40 CFR §141.85.

D. Water suppliers shall provide public education and supplemental sampling as set forth in Regulation .20-1 of this chapter.]

.07 Maximum Contaminant Levels for Organic Chemicals in Drinking Water.

A. [Suppliers] A supplier of water to a community water [systems and] system or a nontransient noncommunity water [systems] system shall comply with the MCLs and HBWCs for organic chemicals in [§§D, E, and F of] this regulation.

B.—F. (text unchanged)

G. PFAS Requirements.

(1) A supplier of water to a community water system or a nontransient noncommunity water system that begins operating on or before April 26, 2027, shall comply with the MCLs and HBWCs for PFAS in 40 CFR §141.61(c)(2) by April 26, 2029.

(2) A supplier of water to a community water system or a nontransient noncommunity water system that begins operating after April 26, 2027, shall comply with the MCLs and HBWCs for PFAS in 40 CFR §141.61(c)(2) within a timeframe specified by the Approving Authority.

(3) A supplier of water to a community water system or a nontransient noncommunity water system that begins using a new source of water after April 26, 2027, shall comply with the MCLs and HBWCs for PFAS in 40 CFR §141.61(c)(2) at each entry point to the distribution system where water from the new source is used within a timeframe specified by the Approving Authority.

.07-1 Best Available Technology for Organic Chemicals.

A.—C. (text unchanged)

D. PFAS. The best available technology, treatment technique, or other means available to achieve compliance with the maximum contaminant levels and health-based water concentrations for each contaminant listed in 40 CFR §141.61(c)(2) are identified in 40 CFR §141.61(d).

.19 Reporting Requirements.

A.—F. (text unchanged)

[G. Reporting Requirements for Lead and Copper.

(1) Suppliers of water that monitor for lead shall comply with the reporting requirements set forth in 40 CFR §141.90, including the following:

(a) Source water monitoring reporting requirements pursuant to 40 CFR §141.88;

(b) Corrosion control treatment reporting requirements pursuant to 40 CFR §§141.81—141.82,

(c) Source water treatment reporting requirements pursuant to 40 CFR §141.83;

(d) Public education program reporting requirements pursuant to 40 CFR §141.85; and

(e) Reporting of additional monitoring data associated with 40 CFR §§141.86, 141.87 and 141.88; and

(f) Reporting requirements for tap water monitoring for lead and copper and for water quality parameter monitoring required by 40 CFR §§141.81, 141.86 and 141.87.

(i) Water suppliers shall report the 90th percentile lead and copper concentrations measured from among all lead and copper tap water samples collected during each monitoring period (calculated in accordance with 40 CFR §141.80(c)(3)), except if the Approving Authority provides those calculations in accordance with 40 CFR §141.90(h), and the system has provided the information required by 40 CFR §141.90(h)(2) by the date set forth in 40 CFR §141.90(h)(1).

(ii) Prior to the addition of a new source or any long-term change in water treatment, water suppliers deemed to have optimized corrosion control under 40 CFR §141.81(b)(3), water suppliers subject to reduced monitoring pursuant to 40 CFR §141.86(d)(4), or water suppliers subject to a monitoring waiver pursuant to 40 CFR §141.86(g), shall submit documentation describing the change(s) proposed in accordance with 40 CFR §141.90(a) for review and approval by the Approving Authority.

(2) If a system exceeds the lead action level, the water supplier shall submit written documentation of material evaluation that identifies the initial number of lead service lines in the distribution system at the time the action level is exceeded. This documentation shall be provided to the Approving Authority within 12 months after the end of the monitoring period in which the exceedance occurred.]

.20 Public Notification of Variances, Exemptions, and Noncompliance with Standards.

A. (text unchanged)

B. Tier 1 Public Notices.

(1) The violation categories requiring Tier 1 notices are specified in 40 CFR §141.202 and this regulation, including:

(a)—(n) (text unchanged)

(o) Exceedance of the Action Level for lead as specified in 40 CFR §141.80(c).

(2)—(3) (text unchanged) 

C. (text unchanged)

D. Tier 3 Public Notice.

(1) (text unchanged)

(2) Manner of Tier 3 Notice.

(a) (text unchanged)

(b) Unless otherwise directed by the Approving Authority, a community water system shall provide notice by:

(i) (text unchanged)

(ii) [Include] Including the notice, which shall satisfy the form, manner, and content requirements of this regulation, in the Consumer Confidence Report as [described] required in Regulation .20-2 of this chapter if the report will be distributed not later than 12 months after [the] learning of the violation or situation.

(c) (text unchanged)

E. (text unchanged)

.20-2 Consumer Confidence Reports.

A. A supplier of water to a community water system shall [deliver an annual consumer confidence report to their customers as required by 40 CFR §§141.151—141.155: Subpart O—Consumer Confidence Report. This report shall contain information on the quality of the water delivered by the supplier and characterize the risks from exposure to contaminants detected in the drinking water in an accurate and understandable manner] comply with 40 CFR Part 141, Subpart O.

[B. Each supplier of water to a community water system shall deliver its first report by July 1, 2001, and subsequent reports by July 1 annually thereafter. The first report shall contain data collected during, or before, calendar year 2000 and shall be in accordance with 40 CFR §141.153(d)(3). Each subsequent report shall contain data collected during, or before, the previous calendar year.]

B. Waiver of Mailing Requirement.

(1) The requirements of 40 CFR §141.155(a) are waived for a supplier of water to a community water system that serves fewer than 10,000 persons in accordance with 40 CFR §141.155(g).

(2) A supplier of water to a community water system that serves fewer than 10,000 persons and more than 500 persons shall comply with 40 CFR §141.155(g)(1).

(3) A supplier of water to a community water system that serves 500 or fewer persons shall comply with 40 CFR §141.155(g)(2).

C. [A supplier of water to a community water system that began operation after July 1, 2000, shall deliver its first report by July 1 of the year after its first full calendar year in operation and annually thereafter] The reports issued under 40 CFR Part 141, Subpart O are supplemental to, and do not supersede, the public notice requirements of this chapter.

[D. A supplier of water to a community water system that sells water to another community water system shall deliver the applicable information required in the consumer confidence report to the buyer system:

(1) By April 1, 2001, for the 2000 report, and by April 1 annually thereafter; or

(2) On a date mutually agreed upon by the seller and the purchaser, and specifically included in a contract between the parties.

E. Content of the Report.

(1) An annual report issued under this regulation shall provide a report that contains the information specified in 40 CFR §§141.153, 141.154, and 141.211. The report does not replace the function of the Public Notice requirements under Regulation .20 of this chapter. This information includes, but is not limited to, the requirements in §E(2)—(9) of this regulation.

(2) Required Language and Information.

(a) All reports shall contain the following language: “Some people may be more vulnerable to contaminants in drinking water than the general population. Immunocompromised persons such as persons with cancer undergoing chemotherapy, persons who have undergone organ transplants, people with HIV/AIDS or other immune system disorders, some elderly persons, and infants can be particularly at risk from infections. These people should seek advice about drinking water from their health care providers. EPA/ CDC guidelines on appropriate means to lessen the risk of infection by Cryptosporidium and other microbial contaminants are available from the Safe Drinking Water Hotline (800-426-4791).”

(b) Beginning in the report due by July 1, 2002, a supplier of water at a community water system that detects arsenic above 0.005 milligrams per liter (mg/l) and up to and including 0.010 milligrams per liter (mg/l):

(i) Shall include in its report a short informational statement about arsenic, using language such as that provided in 40 CFR §141.154(b)(1); or

(ii) May write its own educational statement in consultation with the Approving Authority.

(c) Systems with nitrate at levels above 5 milligrams per liter shall include the required language in 40 CFR §141.154.

(d) Suppliers of water that monitor for lead shall include language as specified in 40 CFR §141.154.

(e) Systems which detect total trihalomethane levels above 0.080 milligrams per liter, but below 0.100 milligrams per liter, as an annual average shall include the required language in 40 CFR §141.154.

(f) Beginning in the report due by July 1, 2002 and ending January 22, 2006, a supplier of water at a community water system that detects arsenic above 0.010 milligrams per liter (mg/l) and up to and including 0.05 milligrams per liter (mg/l) shall include the arsenic health effects language prescribed by 40 CFR §141.154 Subpart O.

(3) Information on Source Water.

(a) The report shall identify the source or sources of the water delivered by the community water system by providing information on the:

(i) Type of water, for example, surface water or ground water;

(ii) Commonly used name, if any; and

(iii) Location of the body, or bodies, of water.

(b) If a source water assessment has been completed, the report shall notify consumers of the availability of this information and the means to obtain it. In addition, in the report, a supplier of water is encouraged to highlight significant sources of contamination in the source water area if they have readily available information. If a system has received a source water assessment from the Approving Authority, the report shall include a brief summary of the system's susceptibility to potential sources of contamination, using language provided by, or approved by Approving Authority.

(4) Definitions for the following shall be included in the report:

(a) Maximum contaminant level goal (MCLG) and maximum contaminant level (MCL);

(b) Variances or exemptions if a community water system is operating under a variance or an exemption;

(c) Treatment technique when data is included on a contaminant for which EPA has set a treatment technique;

(d) Action level when data is included on a contaminant for which EPA has set an action level;

(e) Maximum residual disinfectant level goal (MRDLG); or

(f) Maximum residual disinfectant level (MRDL).

(g) For a report that contains information regarding a Level 1 or Level 2 assessment required by Regulation .11-4 of this chapter, Level 1 assessment and Level 2 assessment, as applicable.

(5) Information on Detected Contaminants.

(a) Information shall be included as specified in 40 CFR §141.153(d) for regulated contaminants, unregulated contaminants, treatment techniques, and 40 CFR §141.153 (e) for other contaminants identified by the Approving Authority as a public health risk in drinking water. The data should be provided in one or more tables as appropriate.

(b) For detected regulated contaminants, the table or tables shall contain:

(i) The highest contaminant level used to determine compliance and the range of detected levels from monitoring for contaminants subject to an MCL, except turbidity, total coliform, fecal coliform and E. coli;

(ii) The MCL for that contaminant;

(iii) The MCLG for that contaminant expressed in the same units as the MCL;

(iv) A treatment technique, or specify the action level, applicable to that contaminant.

(c) When compliance with the MCL is determined on a system-wide basis by calculating a running annual average of all samples at all monitoring locations, the average and range of detection shall be provided, in the same units as the MCL. The system is required to include individual sample results for the Initial Distribution System Evaluation (IDSE) conducted under 40 CFR §141, Subpart U, when determining the range of TTHM and HAA5 results to be reported in the annual consumer confidence report for the calendar year that the IDSE samples were taken.

(6) In addition to the public notification requirements established under Regulation .14 of this chapter, the report shall note any violation that occurred during the year covered by the report, and include a clear and readily understandable explanation of the violation, any potential adverse health effects, and the steps the system has taken to correct the violation and other related information as follows:

(a) Monitoring and reporting of compliance data;

(b) Filtration and disinfection requirements established under Regulation .05-2 of this chapter;

(c) Lead and copper control requirements established under Regulation .06-2 of this chapter;

(d) Treatment technique requirements for Acrylamide and Epichlorohydrin established under Regulation .07-2 of this chapter;

(e) Record keeping of compliance data;

(f) Special monitoring requirements established under Regulation .15-3 of this chapter;

(g) Violations of the terms of variances, exemptions, or administrative or judicial orders;

(h) If applicable, an explanation for a variance or exemption, the date issued, a brief status report, and a notice of opportunity for public input.

(7) Explanation of Contaminants.

(a) The report shall contain a brief explanation regarding contaminants that may reasonably be expected to be found in drinking water, including bottled water, as specified in 40 CFR §141.153(h)(1)(i)—(iii), or comparable language.

(b) The following paragraph or equivalent shall be included: “Drinking water, including bottled water, may reasonably be expected to contain at least small amounts of some contaminants. The presence of contaminants does not necessarily indicate that the water poses a health risk. More information about contaminants and potential health effects can be obtained by calling the Environmental Protection Agency's Safe Drinking Water Hotline (800-426-4791).”

(8) The report shall contain:

(a) The telephone number of the owner, operator, or designee of the community water system as a source of additional information concerning the report;

(b) The required health information as specified in 40 CFR §141.154; and

(c) Information, including time and place of regularly scheduled meetings, about opportunities for public participation in decisions that may affect the quality of the water.

(9) Special Public Notice for Ground Water Suppliers. Community ground water suppliers shall inform the public served by the water supplier about a fecal indicator-positive source sample that is not invalidated under Regulation .11-2G of this chapter, or any significant deficiency that has not been corrected, in accordance with the requirements of 40 CFR §§141.153(h)(6) and 141.403(a). The supplier shall continue to inform the public annually until the Approving Authority determines that the particular significant deficiency is corrected or the fecal contamination in the ground water source is addressed in accordance with Regulation .05-5C of this chapter.

(10) Any system required to comply with a Level 1 or Level 2 assessment requirement under Regulation .11-4 of this chapter that is not due to an E. coli MCL violation shall include the information specified in 40 CFR §141.153(h)(7).

F. For communities with a large proportion non-English speaking residents, information in the appropriate language or languages shall be provided regarding the importance of the notice or contain a telephone number or address where persons served may contact the water system to obtain a translated copy or to request assistance in the appropriate language.

G. Report Delivery and Record Keeping.

(1) Except as provided in §H of this regulation, each supplier of water to a community water system shall mail or otherwise directly deliver one copy of the report to each customer.

(2) The supplier of water to a community water system shall make a good faith effort to reach consumers who do not get water bills, using means recommended by the Approving Authority. Good faith effort will be tailored to the consumers who are served by the system but are not bill-paying customers, such as renters or workers. A good faith effort to reach consumers would include a mix of methods appropriate to the particular system, such as:

(a) Posting the reports on the Internet;

(b) Mailing to postal patrons in metropolitan areas;

(c) Advertising the availability of the report in the news media;

(d) Publication in a local newspaper;

(e) Posting in public places such as cafeterias or lunch rooms of public buildings;

(f) Delivery of multiple copies for distribution by single-biller customers such as apartment buildings or large private employers; or

(g) Delivery to community organizations.

(3) Not later than the date the system is required to distribute the report to its customers, each supplier of water for a community water system shall mail a copy of the report to the Approving Authority, followed within 3 months by a certification that the report has been distributed to customers, and that the information is correct and consistent with the compliance monitoring data previously submitted to the Approving Authority.

(4) Not later than the date the system is required to distribute the report to its customers, each community water system shall deliver the report to any other agency or clearinghouse identified by the Approving Authority.

(5) Each community water system shall make its reports available to the public upon request.

(6) Each community water system serving 100,000 or more persons shall post its current year's report to a publicly accessible site on the Internet.

(7) Any supplier of water subject to this regulation shall retain copies of its consumer confidence report for not less than 3 years.

H. The requirement of §G(1), (5) and (6) of this regulation for a supplier of water to a community water system serving less than 10,000 persons has been waived. These systems shall:

(1) Publish the reports in one or more local newspapers serving the area in which the system is located;

(2) Publish a notice in the newspaper, or by other means approved by the State, that informs the customers that the reports will not be mailed; and

(3) Make the reports available to the public upon request.

I. Supplier of water to systems serving 500 or fewer persons may forego the requirements of §H(1) and (2) of this regulation if they provide notice at least once per year to their customers by mail, by door-to-door delivery, or by posting in an appropriate location, that the report is available upon request.]

.21 Record Maintenance.

A.  Microbiological, Turbidity, and Chemical Analyses.

(1) A supplier of water shall keep records of microbiological analyses and turbidity analyses for at least 5 years and records of chemical analyses for at least 10 years.

(2) Actual laboratory reports may be kept, or data may be transferred into tabular summaries, provided the following information is included:

[(1)](a)—[(6)](f) (text unchanged)

B. A supplier of water shall keep records of [the] each action to correct violations of this [regulation] chapter for at least 3 years from the date of the last action taken with respect to the particular violation involved.

C. Copies of any written reports, summaries or communications relating to sanitary surveys of the system conducted by the supplier of water, by a private consultant, or by any local, State or federal agency shall be kept by [that organization] the supplier of water for a period of at least 10 years after completion of a sanitary survey.

D. (text unchanged)

E. Copies of public notices issued pursuant to [Regulation .20 of] this chapter and certifications made to the Approving Authority shall be kept for 3 years after issuance.

F.—H. (text unchanged)

I. In addition to §A of this regulation, a [public water] supplier of water subject to 40 CFR §141, Subpart Y shall maintain information in its records, including the following:

(1)—(2) (text unchanged)

.37 PFAS Sampling and Analytical Requirements.

A. A supplier of water to a community water system or a nontransient noncommunity water system shall comply with 40 CFR Part 141, Subpart Z.

B. A supplier of water to a community water system that begins operating or using a new source of water after April 26, 2027 shall demonstrate compliance with the MCLs and HBWCs for PFAS in 40 CFR §141.61(c)(2) using:

(1) The initial monitoring frequencies in 40 CFR §141.902(b)(1)(i)-(v); or

(2) The procedures determined by the Approving Authority.

C. A supplier of water to a nontransient noncommunity water system that begins operating or using a new source of water after April 26, 2027, shall demonstrate compliance with the MCLs and HBWCs for PFAS in 40 CFR §141.61(c)(2) using:

(1) The initial monitoring frequencies in 40 CFR §141.902(b)(1)(i)—(v); or

(2) The procedures determined by the Approving Authority.

Subtitle 08 WATER POLLUTION

26.08.05 Certification of State Water Quality Laboratories

Authority: Environment Article, Title 9, [Subtitle] Subtitles 4 and 10, Annotated Code of Maryland ​‎

.02 Incorporation by Reference.

A. (text unchanged)

B. Documents Incorporated.

(1) [Code of Federal Regulations (CFR) - 40 CFR 141 (July 1, 2013):] 40 CFR §141.2 (July 1, 2026);

[(a) Record Maintenance (40 CFR § 141.33) revised July 1, 2010;

(b) Lead and Copper Rule (40 CFR §§ 141.80 - 141.91) revised July 1, 2010; and

(c) Reporting Requirements (40 CFR § 141.31).]

(2) 40 CFR §121.28 (July 1, 2026);

(3) 40 CFR §141.31, as amended;

(4) 40 CFR §141.33, as amended;

(5) 40 CFR Part 141, Subpart I, as amended; and

[(2)] (6) (text unchanged)

SERENA MCILWAIN
Secretary

 

 

Title 27
CRITICAL AREA COMMISSION FOR THE CHESAPEAKE AND ATLANTIC COASTAL BAYS

Subtitle 01 CRITERIA FOR LOCAL CRITICAL AREA PROGRAM DEVELOPMENT

27.01.12 Variances

Authority: Natural Resources Article, §8-1806 and 8-1808, Annotated Code of Maryland.

Notice of Proposed Action

[26-160-P]

The Critical Area Commission for the Chesapeake and Atlantic Coastal Bays proposes to amend Regulations .02, .04, and .07 under COMAR 27.01.12 Variances.  This action was considered by the Critical Area Commission for the Chesapeake and Atlantic Coastal Bays at their meeting on August 19, 2026.

Statement of Purpose

The purpose of this action is to incorporate updates to Natural Resources Article, §8-1808, Annotated Code of Maryland as a result of House Bill 247 during the 2026 Maryland General Assembly Legislative session.  The updates to the regulations are verbatim from the statute.

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 Lisa Hoerger, Regulations Coordinator, Critical Area Commission for the Chesapeake and Atlantic Coastal Bays, 1804 West Street, Suite 100, or call 410-260-3478, or email to [email protected]. Comments will be accepted through November 30, 2026. A public hearing has not been scheduled.

.02 Local Program Requirements.

A.—B. (text unchanged)

C. A local jurisdiction may not accept an application for a variance to:

(1) Authorize a use that is not allowed by the Critical Area land classification of the lot or parcel;

(2) Adjust the amount or type of mitigation required by Critical Area regulations or a local Critical Area program;

(3) Provide relief that could be obtained through an available administrative process that is approved as part of a local jurisdiction’s Critical Area program; or

(4) Increase density beyond the maximum density of one dwelling unit per 20 acres, in accordance with COMAR 27.01.02.05.

.04 Variance Standards.

A. A local jurisdiction may not grant a variance unless the local jurisdiction makes written findings based on competent and substantial evidence that:

[A.] (1) (text unchanged) 

[B.] (2) The applicant has satisfied each of the following variance provisions:

[(1)] (a) [Due] In accordance with §B of this regulation, due to special features of the site or special conditions or circumstances peculiar to the applicant’s land or structure, a literal enforcement of the local Critical Area program would result in an unwarranted hardship to the applicant;

[(2)] (b) [A] In accordance with §C of this regulation, a literal interpretation of the local Critical Area program would deprive the applicant of a use of land or a structure permitted to others in accordance with the provisions of the local Critical Area program;

[(3)] (c)—[(5)] (e) (text unchanged)

[(6)] (f) The granting of the variance would not adversely affect water quality or adversely impact fish, wildlife, or plant habitat within the jurisdiction’s local Critical Area; [and]

[(7)] (g) The granting of the variance would be in harmony with the general spirit and intent of the Critical Area law, the regulations in this subtitle, and the local Critical Area program[.];

(h) The granting of the variance fulfills a substantial need that is not based on convenience, personal preference, or financial advantage; and

(i) The variance request demonstrates that the development cannot be located outside a habitat protection area.

B. Excluding a new additional or accessory dwelling unit as defined under an approved local Critical Area program, when an applicant requests a variance for a new accessory structure or use and applies the requirements of §A(2)(a) of this regulation, a rebuttable presumption exists that an existing accessory structure or use on the parcel or lot demonstrates reasonable and significant use.

C. Excluding a new additional or accessory dwelling unit as defined under an approved local Critical Area program, when an applicant applies the requirements of §A(2)(b) of this regulation, the applicant shall make a comparison to other accessory structures that:

(1) Are located in the Critical Area;

(2) Were developed after the adoption of the local jurisdiction’s Critical Area program;

(3) Were conforming and legally authorized at the time of development;

(4) Are similarly situated; and

(5) If located in a Modified Buffer Area, were developed in accordance with requirements for Modified Buffer Areas under the local jurisdiction’s Critical Area program.

.07 Variance Appeals.

A.—C. (text unchanged)

D. A local board of appeals shall:

(1) Hear on the record an appeal of an administrative officer’s decision on a Critical Area variance application; and

(2) Grant deference to the administrative officer’s findings of fact.

ERIK FISHER
Chair

 

Errata

 

COMAR 05.22

 

At 53:21 Md. R. 1043 (October 16, 2026), column 1, lines 14 and 15 from the top:

 

For: COMAR 05.22.01 Tenant’s Exclusive Negotiation Period and Right of First Refusal; and

 

Read: COMAR 05.22.01 Landlord and Tenant Regulations; and

 

[26-22-13]

 

 

Special Documents

 

MARYLAND DEPARTMENT OF THE ENVIRONMENT

SUSQUEHANNA RIVER BASIN COMMISSION

Projects Approved for Consumptive Uses of Water

 

AGENCY:  Susquehanna River Basin Commission.

 

ACTION:  Notice.

 

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

 

DATES:  September 1—30, 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. RENEWAL  - Expand Operating LLC; Pad ID: Van Order Pad; ABR-201107042.R3; Herrick Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 8, 2026.

2. RENEWAL - BKV Operating, LLC; Pad ID: Kile; ABR-201103026.R3; Washington Township, Wyoming County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: September 14, 2026.

3. RENEWAL - Coterra Energy Inc.; Pad ID: Mogridge P1; ABR-201108005.R3; Springville Township, Susquehanna County, Pa.; Consumptive Use of Up to 5.0000 mgd; Approval Date: September 14, 2026.

4. RENEWAL - Expand Operating LLC; Pad ID: Joe; ABR-201108014.R3; Wilmot Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 14, 2026.

5. RENEWAL - Expand Operating LLC; Pad ID: Lyncott Corp Pad; ABR-201107044.R3; New Milford Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 14, 2026.

6. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: EVERTS (03 086) P; ABR-201606006.R2; Columbia Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 14, 2026.

7. RENEWAL - Seneca Resources Company, LLC; Pad ID: D08-M; ABR-201507007.R2; Norwich Township, McKean County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: September 14, 2026.

8. RENEWAL - EQT ARO LLC; Pad ID: Lycoming H&FC Pad E; ABR-201105013.R3; Cogan House Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: September 16, 2026.

9. RENEWAL - Expand Operating LLC; Pad ID: Bark'em Squirrel Pad; ABR-201107045.R3; New Milford Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 16, 2026.

10. RENEWAL - Expand Operating LLC; Pad ID: Hillis; ABR-201108035.R3; Herrick Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 16, 2026.

11. RENEWAL - Expand Operating LLC; Pad ID: Susan; ABR-201108036.R3; Auburn Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 16, 2026.

12. RENEWAL - Expand Operating LLC; Pad ID: Tyler; ABR-201108034.R3; Auburn Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 16, 2026.

13. RENEWAL - EQT ARO LLC; Pad ID: COP Tr 289 Pad D; ABR-201008030.R3; McHenry Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: September 25, 2026.

14. RENEWAL - EQT ARO LLC; Pad ID: H Lyle Landon Pad A; ABR-201106020.R3; Cogan House Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: September 25, 2026.

15. RENEWAL - EQT ARO LLC; Pad ID: Larrys Creek F&G Pad H; ABR-201106019.R3; Cummings Township, Lycoming County, Pa.; Consumptive Use of Up to 4.0000 mgd; Approval Date: September 25, 2026.

16. RENEWAL - EXCO Resources (PA), LLC; Pad ID: Arthur Pad; ABR-201103018.R3; Franklin Township, Lycoming County, Pa.; Consumptive Use of Up to 8.0000 mgd; Approval Date: September 25, 2026.

17. RENEWAL - Expand Operating LLC; Pad ID: Jag; ABR-201109002.R3; Franklin Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 25, 2026.

18. RENEWAL - Expand Operating LLC; Pad ID: Mad Dog; ABR-201108021.R3; Wilmot Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 25, 2026.

19. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: CAMP COMFORT (07 185); ABR-201106025.R3; Middletown Township, Susquehanna County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 25, 2026.

20. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: COOLEY (05 004) P; ABR-201007099.R3; Orwell Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 25, 2026.

21. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: Sawyer 376; ABR-201007061.R3; Union Township, Tioga County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 25, 2026.

22. RENEWAL - Blackhill Energy LLC; Pad ID: REITER 1H Pad; ABR-201008048.R3; Ridgebury Township, Bradford County, Pa.; Consumptive Use of Up to 4.9990 mgd; Approval Date: September 29, 2026.

23. RENEWAL - EXCO Resources (PA), LLC; Pad ID: Cadwalader Pad; ABR-201103039.R3; Cogan House Township, Lycoming County, Pa.; Consumptive Use of Up to 8.0000 mgd; Approval Date: September 29, 2026.

24. RENEWAL - Expand Operating LLC; Pad ID: Bernstein Pad; ABR-201107052.R3; Clifford  and Lenox Townships, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

25. RENEWAL - Expand Operating LLC; Pad ID: Clark Pad; ABR-201107043.R3; Orwell Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

26. RENEWAL - Expand Operating LLC; Pad ID: Kerr B Drilling Pad #1; ABR-201109031.R3; Lathrop Township, Susquehanna County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

27. RENEWAL - Expand Operating LLC; Pad ID: LKM; ABR-201109014.R3; Litchfield Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

28. RENEWAL - Expand Operating LLC; Pad ID: McGroarty; ABR-201109012.R3; Albany Township, Bradford County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

29. RENEWAL - Expand Operating LLC; Pad ID: Savage Drilling Pad #1; ABR-201108018.R3; Elkland Township, Sullivan County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

30. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: BENNETT (05 164) R; ABR-201107049.R3; Stevens Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 29, 2026.

31. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: Foti 721; ABR-201007118.R3; McNett Township, Lycoming County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 29, 2026.

32. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: Taylor 718; ABR-201007016.R3; Liberty Township, Tioga County, Pa.; Consumptive Use of Up to 7.5000 mgd; Approval Date: September 29, 2026.

33. RENEWAL - Repsol Oil & Gas USA, LLC; Pad ID: WALTERS (05 001) J; ABR-201007096.R3; Herrick Township, Bradford County, Pa.; Consumptive Use of Up to 6.0000 mgd; Approval Date: September 29, 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:  October 7, 2026

 

[26-22-05]

 

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:  September 1-30, 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. Mars Wrigley Confectionery US, LLC – Elizabethtown Plant, GF Certificate No. GF-201903027, Elizabethtown Borough, Lancaster County, Pa.; Well 6; Reissue Date:  September 29, 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:  October 7, 2026

 

[26-22-07]

Minor Modification Approval

 

AGENCY:  Susquehanna River Basin Commission.

 

ACTION:  Notice.

 

SUMMARY:  This notice lists the minor modifications approved for previously approved projects by the Susquehanna River Basin Commission during the period set forth in DATES.

 

DATES:  September 1-30, 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 previously approved projects, receiving approval of minor modification or a corrective modification, described below, pursuant to 18 CFR § 806.18 or to Commission Resolution Nos. 2013-11 and 2015-06, for the time period specified above. 

1. Expand Operating LLC – Susquehanna River – Standing Stone Twp (Franklin) Docket No. 20260615, Standing Stone Township, Bradford County, Pa.; modification approval to change the intake design; Approval Date:  September 2, 2026.

2. New York State – Office of Parks, Recreation, and Historic Preservation – Indian Hills State Golf Course Docket No. 20260616, Towns of Erwin and Lindley, Steuben County, NY.; modification approval to change the intake design; Approval Date:  September 3, 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:  October 7, 2026

 

[26-22-06]

 

Public Hearing 

 

AGENCY:  Susquehanna River Basin Commission.

 

ACTION:  Notice.

 

SUMMARY:  The Susquehanna River Basin Commission will hold a public hearing on October 28, 2026. The Commission will hold this hearing in person and telephonically. At this public hearing, the Commission will hear testimony on the projects and actions listed in the Supplementary Information section of this notice.  In addition to the projects listed below, the Commission will also hear testimony on its proposed Access to Records Policy and its Draft Regulatory Program Fee Schedule.  Such projects and actions are intended to be scheduled for Commission action at its next business meeting, scheduled for December 10, 2026, which will be noticed separately. The public should note that this public hearing will be the only opportunity to offer oral comments to the Commission for the listed projects and actions. The deadline for the submission of written comments is November 9, 2026.

 

DATES:  The public hearing will convene on October 28, 2026, at 5:00 p.m. The public hearing will end at 8:00 p.m. or at the conclusion of public testimony, whichever is earlier. The deadline for submitting written comments is Monday, November 9, 2026.

 

ADDRESSES:  This public hearing will be conducted in person and telephonically. You may attend in person at Susquehanna River Basin Commission, 4423 N. Front St., Harrisburg, Pennsylvania, or join by telephone at Toll-Free Number 1-877-304-9269 and then enter the guest passcode 2619070 followed by #.

 

FOR FURTHER INFORMATION CONTACT:  Andrew Zerby, Assistant Counsel, telephone:  (717) 238-0423 or [email protected].

Information concerning the project applications is available at the Commission’s Water Application and Approval Viewer at https://www.srbc.gov/waav.  Information regarding the proposed Access to Records Policy and the draft Regulatory Program Fee Schedule can be found at https://www.srbc.gov/regulatory/public-participation/.

SUPPLEMENTARY INFORMATION:  The public hearing will also cover the following projects:

Projects Scheduled for Action:

1. Project Sponsor:  Allegheny Mountain Spring Water, Incorporated.  Project Facility:  Roaring Spring, Roaring Spring Borough, Blair County, Pa.  Application for consumptive use of up to 0.099 mgd (30-day average). 

2. Project Sponsor and Facility:  Ephrata Area Joint Authority, Ephrata Borough, Lancaster County, Pa.  Application for groundwater withdrawal of up to 1.210 mgd (30-day average) from Well 1. 

3. Project Sponsor and Facility:  Expand Operating LLC (Susquehanna River), Terry Township, Bradford County, Pa.  Application for surface water withdrawal of up to 3.000 mgd (peak day).   

4. Project Sponsor:  Hickory Heights, Inc.  Project Facility:  Hickory Heights Golf Club, North Codorus Township, York County, Pa.  Application for consumptive use of up to 0.099 mgd (30-day average).  

5. Project Sponsor:  Knoebels Three Ponds, Inc.  Project Facility:  Knoebels Three Ponds Golf Course, Ralpho Township, Northumberland County, Pa.  Application for consumptive use of up to 0.249 mgd (30-day average). 

6. Project Sponsor and Facility:  Milton Hershey School, Derry Township, Dauphin County, Pa.  Applications for consumptive use of up to 1.125 mgd (peak day) and groundwater withdrawals (30-day averages) of up to 0.250 mgd from Well 1, 0.720 mgd from Well 3, 0.144 mgd from Well 4, 0.343 mgd from Well 6, 0.150 mgd from Well 7, and 0.103 mgd from Well 8. 

7. Project Sponsor:  Pennsylvania – American Water Company.  Project Facility:  Frackville District, West Mahanoy Township, Schuylkill County, Pa.  Application for groundwater withdrawal of up to 0.192 mgd (30-day average) from Well 5. 

8. Project Sponsor and Facility:  Range End Golf Club, Inc., Carroll Township, York County, Pa.  Applications for consumptive use of up to 0.240 mgd (peak day) and groundwater withdrawal 0.113 mgd (30-day average) from Well 1. 

9. Project Sponsor:  Saddleview Properties LLC.  Project Facility:  Stone Hedge Country Club, Tunkhannock Township, Wyoming County, Pa.  Applications for surface water withdrawal of up to 0.249 mgd (peak day) from Osterhout Creek and consumptive use of up to 0.249 mgd (30-day average).   

 

 

10. Project Sponsor and Facility:  Sterman Masser, Inc. (Deep Creek), Hegins Township, Schuylkill County, Pa.  Application for surface water withdrawal of up to 0.274 mgd (peak day). 

11. Project Sponsor:  Willow Valley Associates, Inc.  Project Facility:  Willow Valley Golf Course, West Lampeter Township, Lancaster County, Pa.  Application for consumptive use of up to 0.099 mgd (30-day average). 

The proposed Access to Records Policy is an update to the Commission’s existing 2009 policy.  The Commission is clarifying its procedures concerning confidential information requests by project sponsors and recognizing the Access to Records regulation at 18 C.F.R. §801.14 adopted in 2018.

The draft Regulatory Program Fee Schedule adds the Consumer Price Index adjustment for the Mid-Atlantic Region to most fees, which is 3.9% for the preceding 12 months.  The proposed fee schedule also adds pre-application and technical assistance to project sponsors as an activity to be funded under the current annual fee.  The fee is proposed to be renamed the Annual Monitoring, Compliance and Assistance to Projects (AMCAP) Fee.  This fee will begin to support the Commission’s Public Water Supply Assistance Program as well as its efforts to provide technical assistance to small projects and pre-application assistance to all project sponsors.  The proposed fee schedule also adjusts some terminology involving well grouping/well field determinations by the Commission, as well as adds the fee for the recently enacted General Permit GP-04.  The proposal also includes language clarifying the Commission’s ability to assess a late fee for materially late payments due to the Commission consistent with 18 C.F.R. §806.33.

 

Opportunity to Appear and Comment:

Interested parties may appear or call into the hearing to offer comments to the Commission on any business listed above required to be the subject of a public hearing. Given the nature of the meeting, the Commission strongly encourages those members of the public wishing to provide oral comments to pre-register with the Commission by e-mailing Andrew Zerby at [email protected] before the hearing date. The presiding officer reserves the right to limit oral statements in the interest of time and to control the course of the hearing otherwise. Access to the hearing via telephone will begin at 4:45 p.m. Guidelines for the public hearing are posted on the Commission’s website, www.srbc.gov, before the hearing for review. The presiding officer reserves the right to modify or supplement such guidelines at the hearing. Written comments on any business listed above required to be the subject of a public hearing may also be mailed to Mr. Andrew Zerby, Assistant Counsel to the Commission, Susquehanna River Basin Commission, 4423 North Front Street, Harrisburg, Pa. 17110-1788, or submitted electronically through https://www.srbc.gov/meeting-comment/default.aspx?type=2&cat=7. Comments mailed or electronically submitted must be received by the Commission on or before Monday, November 9, 2026.

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

Dated:  October 1, 2026

JASON E. OYLER,
General Counsel and Secretary to the Commission

 

[26-22-03]

WATER AND SCIENCE ADMINISTRATION

NOTICE OF FINAL DETERMINATION 

General Permit for Discharges from Tanks, Pipes, Other Liquid Containment Structures, Dewatering Activities, and Groundwater Remediation: 25HT, NPDES Permit: MDG67 

 

The Maryland Department of the Environment (MDE) has made a final determination to reissue the State/National Pollution Discharge Elimination System (NPDES) General Permit for Discharges from Tanks, Pipes, Other Liquid Containment Structures, Dewatering Activities, and Groundwater Remediation. The Maryland General Permit No. 25HT replaces the Maryland General Permit No. 17HT, which expired on July 31, 2025.

A public notice on the tentative determination to reissue the permit was published on June 26, 2026, in the Maryland Register and in twenty-two newspapers throughout the state of Maryland during the weeks of June 15 through June 26, 2026. The Department held a hybrid public hearing concerning the tentative determination on Monday, August 24, 2026 starting at 4pm. In addition to the on-line hearing, the in-person hearing was held at the Owings Mills Branch of the Baltimore County Public Library. The Department received comments on the draft permit through August 13, 2026.

After considering all comments received during the comment period, the Department has made a final determination to issue the permit. Listed below are the major revisions to the tentative determination included in the Department’s final determination:

 

*The reference to Note (16) in the tables under Category D is removed (typographical error, as there is no Note (16)).

*Category B includes additional language to clarify it covers hydrants associated with potable water systems.

*Category C, Narrative Requirement 5 has been updated to remove the reference to reporting because this category is not subject to numerical reporting.

*Category E has been updated, including a title change and clarifying language, a tiered monitoring schedule based on flow for certain parameters, and additional narrative requirements for chlorine.

*Language in Part II.C.2.b has been updated to address concerns with LLC signatory requirements.

*Part IV.E has been updated to provide clarity regarding notification requirements.

*Part V.M.6 has been removed to address security/restriction concerns.

 

Any person adversely affected by this final determination may file a petition for judicial review. Petitions for judicial review of a final determination or permit decision subject to judicial review must be filed in accordance with §1-605 of the Environment Article no later than December 7, 2026 and must be filed in a circuit court in Maryland. Petitions for judicial review must conform to the applicable Maryland Rules of Civil Procedure. Failure to file a petition for judicial review by December 7, 2026, will constitute a waiver of any right to a judicial review of this final determination.

To view and print the final permit and response documents, you may use this link https://mdewwp.page.link/HTGP.

Any questions should be directed to the Maryland Department of the Environment, Water Management Administration, 1800 Washington Blvd., Ste. 455, Baltimore, MD 21230-1708, Attn: Jonathan Rice, Industrial and General Permits Division, at [email protected], or by telephone at 410-537-3323 between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday.  Copies of the document may be obtained for $0.36 per page.

 

Project Manager (x extension)

John Graff (x 3709)

 

[26-22-10]

 

NOTICE OF TENTATIVE DETERMINATION AND
PUBLIC HEARING

General Permit for Discharges from Marinas
(including boat yards and yacht basins)

Permit No. 25-MA (NPDES No. MDG99)

 

The Department proposes to reissue the State/NPDES (National Pollution Discharge Elimination System) general discharge permit for Discharges from Marinas including Boat Yards and Yacht Basins 16MA0000 / MDG99000 with the renewal designation of 25MA0000 (25MA).  The permit applies to discharges of stormwater and certain wastewater from marinas, boat yards, and yacht basins in the State of Maryland. This permit replaces the 16MA, which expired on July 31, 2022.

Listed below are the revisions included in the Department’s tentative determination:

* Updated renewal language

* Water monitoring and additional controls requirements in impaired watershed

* Updated signage Requirement

* Considerations to address climate adaptation

* Clarification for owners responsibility in relation to slip holders doing their own work

* PFAS considerations in the Stormwater Pollution Prevention Plan (SWPPP)

* Updated Standard Permit conditions

The draft permit, fact sheet , appendices, and a detailed summary of changes are available on MDE’s website at https://mdewwp.page.link/MAGP. Hard copies of these documents may also be obtained directly from the Department at a cost of $0.36 per page.

A hybrid hearing has been scheduled for December 2nd, beginning at 6 PM. The in-person hearing will be held in the Queen Anne's County Library Kent Island Branch 200 Library Cir, Stevensville, MD 21666.

The virtual event may be joined via Google Meet. To participate online, you MUST register using the following link: https://mdewwp.page.link/PublicMeetings. There is also a phone listen-only option. Those who want to monitor the virtual hearing in listen-only mode can call +1 904-323-0437 and enter this PIN:  ‪992 954 613#.

The in-person meeting location is accessible to individuals with disabilities as defined under the Americans with Disabilities Act (ADA). Individuals who require reasonable accommodation or a language interpreter to participate in the meeting should contact MDE by email at [email protected] or call 410-537-3152 (MD Relay TTY: 7-1-1) at least 5 business days in advance of the meeting.

Any hearing-impaired person may request an interpreter for the event by contacting the Office of Fair Practices at (410) 537-3964 at least ten working days before the scheduled hearing date.  TTY users should contact the Maryland Relay Service at 1-800-201-7165.

Master general permits provide coverage throughout the state of Maryland. An Environmental Justice score cannot be calculated since they are not associated with any specific location. Thus, they are not subject to MD Environmental Article §1–602(a)(2).

Persons who wish to make a comment regarding the draft permit may speak at the public hearing or submit written comments to the Department no later than 5:00 PM on December 9, 2026.  Written comments may be submitted by mail, email or fax. Mail comments to the Maryland Department of the Environment, Water and Science Administration, 1800 Washington Boulevard, Ste. 455, Baltimore, MD 21230-1708, Attn: Paul Hlavinka, Industrial Stormwater Permits Division. Email comments to [email protected]. Fax comments to (410) 537-3163, attention Paul Hlavinka. Any questions regarding the proposed permit should be directed to Casey Leach at [email protected] or by telephone at 410-537-3323, between the hours of 8:00 AM and 5:00 PM, Monday through Friday.

 

[26-22-15]

 

NOTICE OF FINAL DETERMINATION 

General Permit for Discharges from the Application of Pesticides State Discharge Permit: 25PE, NPDES Permit: MDG87 

 

The Maryland Department of the Environment (MDE) has made a final determination to reissue the State/National Pollution Discharge Elimination System (NPDES) General Permit for Discharges from the Application of Pesticides (Maryland General Permit No. 25-PE) which authorizes the point source discharges of biological pesticides, and chemical pesticides that leave a residue, to waters of this State. The Maryland General Permit No. 25-PE replaces the Maryland General Permit No. 17-PE, which expired on March 31, 2025.

A public notice on the tentative determination to reissue the permit was published on June 26, 2026, in the Maryland Register and in twenty-two newspapers throughout the state of Maryland during the weeks of June 15 through June 26, 2026. The Department held a hybrid public hearing concerning the tentative determination on Monday, August 24, 2026 starting at 4pm. In addition to the on-line hearing, the in-person hearing was held at the Owings Mills Branch of the Baltimore County Public Library. The Department received comments on the draft permit through August 13, 2026.

After considering all comments received either in writing during the comment period, the Department has made a final determination to issue the permit. Listed below are the major revisions to the tentative determination included in the Department’s final determination:

 

* Appendix E is updated to refer applicants to MDNRs Aquatic Resources Pre-Screening Tool to determine presence of desirable species.

* The Signatory Language for a Limited Liability Company (LLC) was corrected.

 

[26-22-11]

 

NOTICE OF TENTATIVE DETERMINATION AND PUBLIC HEARING

General Permit for Discharges from Mineral Mines, Quarries, Borrow Pits, and Concrete and Asphalt Plants, Maryland General Permit No. 26-MM (NPDES No. MDG49)

 

The Department proposes to reissue the State/NPDES (National Pollution Discharge Elimination System) general discharge permit for Discharges from Mineral Mines, Quarries, Borrow Pits, and Concrete and Asphalt Plants, Maryland General Permit No. 26MM0000 / MDG49000 with the renewal designation of 26MM0000 (26MM).  The permit applies to discharges of stormwater and certain wastewater discharges from Mineral Mines, Quarries, Borrow Pits, and Concrete and Asphalt Plants in the State of Maryland. This permit replaces the 15MM, which expired on April 30, 2022.

The permit requires specific control measures and limitations for operations that include mineral mines, asphalt and concrete plants.  When the permit is formally adopted, operators currently covered by the 15MM permit will have 6 months to file a notice of intent (NOI) with the Department to obtain coverage.

 The proposed permit continues the 15MMs narrative standards, water quality-based limits and technology-based limits, which had been established for each specific type of industrial and resulting discharge regulated. The permit also requires a stormwater pollution prevention plan (SWPPP), on-line reporting requirements and Corrective Actions.

 Significant Revisions:

* Inclusion of climate change adaptation requirements

* Inclusion of environmental justice considerations including signage and reporting

* Improvements to Use Polymers to Reduce Turbidity

* Addressing No Exposure Concerns for Asphalt or Concrete Plants

* Updated Corrective Actions and Additional Implementation Measures (AIM) consistent with Departments recently issued permits

* PFAS considerations in the Stormwater Pollution Prevention Plan (SWPPP)

* Updated Standard Permit conditions

 

The draft permit, fact sheet, appendices, and a detailed summary of changes are available on MDE’s website at https://mdewwp.page.link/MMGP. Hard copies of these documents may also be obtained directly from the Department at a cost of $0.36 per page.

A hybrid hearing has been scheduled for November 30, 2026 beginning at 6 PM. The in-person hearing will be held in the Severn - Community Meeting Room, at the Severn Library - Anne Arundel County Public Library, 2624 Annapolis Rd, Severn, MD 21144.

The virtual event may be joined via Google Meet. To participate online, you MUST register using the following link: https://mdewwp.page.link/PublicMeetings. There is also a phone listen-only option. Those who want to monitor the virtual hearing in listen-only mode can call +1 650-597-2414 and enter this PIN: 841 872 796#.

The in-person meeting location is accessible to individuals with disabilities as defined under the Americans with Disabilities Act (ADA). Individuals who require reasonable accommodation or a language interpreter to participate in the meeting should contact MDE by email at [email protected] or call 410-537-3152 (MD Relay TTY: 7-1-1) at least 5 business days in advance of the meeting.

Any hearing-impaired person may request an interpreter for the event by contacting the Office of Fair Practices at (410) 537-3964 at least ten working days before the scheduled hearing date.  TTY users should contact the Maryland Relay Service at 1-800-201-7165.

Master general permits provide coverage throughout the state of Maryland. An Environmental Justice score cannot be calculated since they are not associated with any specific location. Thus, they are not subject to MD Environmental Article § 1–602(a)(2).

Persons who wish to make a comment regarding the draft permit may speak at the public hearing or submit a written comments to the Department no later than 5:00 PM on December 7, 2026.  Written comments may be submitted by mail, email or fax. Mail comments to the Maryland Department of the Environment, Water and Science Administration, 1800 Washington Boulevard, Ste. 455, Baltimore, MD 21230-1708, Attn: Paul Hlavinka, Industrial Stormwater Permits Division. Email comments to [email protected]. Fax comments to (410) 537-3163, attention Paul Hlavinka.

 

[26-22-16]

 

TENTATIVE DETERMINATION TO ISSUE TWO NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) SMALL MUNICIPAL SEPARATE STORM SEWER SYSTEM (MS4)

 

General Permits

 

The Maryland Department of the Environment’s (MDE) has reached a Tentative Determination to issue two National Pollutant Discharge Elimination System (NPDES) General Permits for the following:

 

1. Municipal Small Municipal Separate Storm Sewer Systems (MS4), General Discharge Permit No. 26-IM-5500, NPDES NO. MDR055500; and

2. State and Federal Small MS4, General Discharge Permit No. 26-SF-5501, NPDES NO. MDR055501.

 

MDE has drafted these general permits designed to comply with the United States Environmental Protection Agency’s (EPA) regulations and to control stormwater pollutant discharges from small municipal separate storm sewer systems. The permits are issued for five years.

These general permits require municipalities and State and federal properties regulated under the permits to implement the following six minimum control measures: public or personnel education and outreach; public or personnel involvement and participation; illicit discharge detection and elimination; construction site stormwater runoff control; post-construction stormwater management; and pollution prevention/good housekeeping. The permits also outline requirements for impervious area restoration in small MS4s. This includes completing restoration projects begun under the prior general permit to restore twenty percent of untreated impervious area. In addition, implementation of new restoration projects to treat an additional ten percent of untreated impervious areas is required. These permit conditions will improve stormwater controls to reduce the discharge of pollutants, protect water quality, and satisfy the water quality requirements of federal regulations under the Clean Water Act. Penalties for failure to comply with the terms of these permits are provided.

The Tentative Determination permits and fact sheets will be available on MDE’s website at:  https://mde.maryland.gov/programs/water/StormwaterManagementProgram/Pages/NPDES_MS4_New.aspx. Hard copies of the draft permits are available upon request at a cost of $0.36 per page.

MDE will hold three public hearings in accordance with COMAR 26.08.04 regarding this Tentative Determination. Each hearing will cover the same information. TO JOIN VIRTUALLY, YOU MUST REGISTER ONLINE 12 HOURS PRIOR TO THE HEARING AT THIS LINK: https://docs.google.com/forms/d/e/1FAIpQLSf5ZhcEDK0fEI2iPiJU7mVZG_x5ym2nj_vmsjCwYDjg8es4BQ/viewform. No registration is required for in-person attendance. The hearings will be:

 

City of Frederick, C. Burr Artz Public Library, Community Room on Thursday, December 3, 2026, at 6:00 PM at 110 E Patrick St, Frederick, MD 21701. Pre-register to join virtually. (In case of inclement weather, this hearing will be held on December 15, 2026, at the same time and location.)

 

Town of North East, Cecil County Public Library, North East Meeting Room on Tuesday, December 8, 2026, at 6:00 PM, at 485 Mauldin Ave, North East, MD 21901. Pre-register to join virtually. (In case of inclement weather, this hearing will be held on December 16, 2026, at the same time and location.)

 

Town of Easton, Talbot County Free Library, Main Branch, Main Meeting Room on Monday, December 17, 2026, at 6:00 PM at 100 W Dover St, Easton, MD 21601. Pre-register to join virtually. (In case of inclement weather, this hearing will be held on January 7, 2027, at the same time and location.)

 

Individuals who require reasonable accommodation or a language interpreter to participate in one of the meetings should contact MDE by email at [email protected] or call 410-537-3152 (MD Relay TTY: 7-1-1) at least 5 business days in advance of the meeting. A video recording and transcript of the public hearings will be made available online.

 

Comments on this Tentative Determination must be submitted to MDE within 90 days of this notice. The standard 30-day period is extended by 60 days per Section 1-606(d)(1)(ii) of the Environment Article. MDE will respond to all pertinent comments when issuing a Final Determination. Once issued, qualifying interested persons under Section 1-601(c) of the Environment Article will have 30 days to request a judicial review.

 

To submit comments or request a hard copy of the permits, email [email protected] or send via U.S. Mail to the Maryland Department of the Environment, Water and Science Administration, Stormwater, Dam Safety, and Flood Management Program, 1800 Washington Boulevard, Baltimore, Maryland 21230-1708. For more information regarding these permits and MDE's stormwater program, you may contact Deborah Cappuccitti, Stormwater Program Review, at [email protected].

 

[26-22-17]

 

Water Quality Certification 26-WQC-0026

 

 

Chalk Point Power Generating Station

25100 Chalk Point Road

Aquasco, MD 20608

Attn: Glen Hicks

 

Add’l. Info:  Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 25-WQC-0026.

 

Location: 25100 Chalk Point Road, Aquasco, MD 20608 (Prince George)

 

The purpose of the project is to keep the intake clear of substrate and maintain safe waterflow.

 

Description of Authorized Work:

1.        Mechanically dredge a new irregularly shaped 24,614 square foot area to a depth of 15 feet at mean low water.

2.        Transport 4,208 cubic yards of dredged material to an approved upland disposal site located at Edwin A. and John O. O’Crandell, Inc. Disposal Placement Site located at 5360 Brown’s Way Rd., Churchton, MD, 20733.

3.        Provide for periodic maintenance dredging for six years.

 

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:  Kathryn Burcham at [email protected] or 410-537-3647.

 

[26-22-18]

 

Water Quality Certification 26-WQC-0028

 

 

Maryland Department of Natural Resources

580 Taylor Ave, D-3

Annapolis, MD  21404

 

Add’l. Info:  Pursuant to COMAR 26.08.02.10F(3)(c), The Maryland Department of the Environment is providing notice of its issuance of a Water Quality Certification 26-WQC-0028.

 

Location: 5735 Beach Rd, Rock Hall, (Kent), MD 21661

 

The purpose of the project is to protect and stabilize and existing shoreline.

 

Description of Authorized Work:

Construct three stone breakwater within a maximum of 35 feet channelward of the mean high water line.

Breakwater 1 - approximately 160 feet long by 23.5 feet wide, not to exceed 35 feet channelward of the mean

high water line; Breakwater 2 - approximately 158 feet long by 23.5 feet wide, not to exceed 35 feet

channelward of the mean high water line; Breakwater 3 - 225 feet long by 23.5 feet wide, with all three

breakwaters not to exceed 35 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:  Bronwyn Bare at [email protected] or 410-901-4042.

[26-22-19]

 

 

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.


 


COMMISSION ON CRIMINAL SENTENCING POLICY

Subject: Public Hearing

Date and Time: November 30, 2026, 5—6:30 p.m.

Place: Maryland Judicial Center,187 Harry S. Truman Parkway, Annapolis , MD

Add'l. Info: The Maryland State Commission on Criminal Sentencing Policy (MSCCSP) invites public comment on criminal sentencing policy-related issues. Those who wish to speak at the hearing should register in advance by emailing David Soulé, Executive Director of the MSCCSP, at [email protected]. To accommodate all who wish to participate in the meeting, the MSCCSP requests that each speaker limits their comments to five minutes. The Commission asks those who wish to speak at the public hearing to register and submit written comments by no later than November 23, 2026. Those who wish to simply observe may view the livestream via the MSCCSP YouTube channel at: youtube.com/live/6wAJz6Rzt44. Registration is necessary only for those who wish to speak at the public hearing. If participants cannot present testimony in-person, a videoconference option can be made available upon request.

Contact: David Soule 301-403-4165

[26-22-08]

 

COMMISSION ON CRIMINAL SENTENCING POLICY

Subject: Public Meeting

Date and Time: November 30, 2026, 6:30—7:30 p.m.

Place: Maryland Judicial Center, 187 Harry S. Truman Pkwy, Annapolis, MD

Add'l. Info: * Please note that the business meeting will start immediately after the conclusion of the MSCCSP public comments hearing and may start prior to 6:30 pm if the public hearing does not require the entire allotted time.
Those who wish to simply observe may view the livestream via the MSCCSP YouTube channel at: https://www.youtube.com/live/DFUoMAmvMQ0.

Contact: David Soule 301-403-4165

[26-22-09]

 

DEPARTMENT OF THE ENVIRONMENT

Subject: Public Meeting

Date and Time: November 18, 2026, 9 a.m. — 4 p.m.

Place: 1800 Washington Blvd, Baltimore, MD

Add'l. Info: Board of Well Drillers Monthly MeetingWednesday, November 18, 2026 · 8:00am – 4:00pm

Time zone: America/New_York

Google Meet joining info
Video call link: https://meet.google.com/son-shxo-zvf
Or dial: ‪(US) +1 320-336-0079 PIN: ‪855 535 421#

More phone numbers:

https://tel.meet/son-shxo-zvf?pin=3017047373931

Contact: Amanda Redmiles 410-537-4466

[26-22-02]

 

MARYLAND HEALTH CARE COMMISSION

Subject: Receipt of Application

Add'l. Info: On October 9, 2026, the Maryland Health Care Commission (MHCC) received a Certificate of Need application submitted by:
Atlee Hill Health and Rehab Center (“Atlee Hill”) - Carroll County Matter No. 26-06-2500

Proposal: Atlee Hill Health and Rehab Center (“Atlee Hill”) hereby gives notice of its intent to file a Certificate of Need (CON) application to increase its bed capacity by 11 beds to be acquired from Carroll Lutheran Village, Inc. (“CLV”) and relocated to Atlee Hill.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

[26-22-12]

MARYLAND DEPARTMENT OF HEALTH/ STATE COMMUNITY HEALTH WORKER ADVISORY COMMITTEE

 

Subject: Public Meeting

Date and Time: November 16, 2026, 1—3 p.m.

Place: This is a virtual meeting held via Google Hangout.  The meeting hangout link and call in line are available on the Maryland CHW State Advisory Committee webpage at https://health.maryland.gov/pophealth/Community-Health-Workers/Pages/Advisory-Committee.aspx

Add'l. Info: The Maryland CHW State Advisory Committee meets quarterly. Members of the public are welcome to attend, but are requested to pre-register with this link. Link: https://docs.google.com/forms/d/e/1FAIpQLSenbz-qRQYU_TQoF6LQJiP4-q0a1EvWPKz4R4RS2GG5KvxT4g/viewform?gxids=7757

Contact: Latiqua Holley (443) 835-9292

[26-22-20]

 

BOARD OF WATERWORKS AND WASTE SYSTEMS OPERATORS

Subject: Public Meeting

Date and Time: November 19, 2026, 10 a.m.—12 p.m.

Place: Meeting to be held via Google Meet,

Add'l. Info: Agenda and login info can be found here:

https://mde.maryland.gov/programs/permits/EnvironmentalBoards/Pages/BWW_Meetings.aspx

Contact: J. Martin Fuhr 410-537-3588

[26-22-01]