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<baltimore-city-law heading="Title 2 – Department of Health">
  <container prefix="Subtitle" num="1" heading="Organization and General Authority">
    <section prefix="§" num="2-101" heading="Department established.">
      <text>There is a Department of Health, as established in &lt;cite data-doc="City of Baltimore, Md., Charter" data-path="VII|§54"&gt;Article VII, § 54 of the City Charter&lt;/cite&gt;.</text>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-102" heading="Commissioner.">
      <text>The head of the Department is the Commissioner of Health, who is appointed as provided in &lt;cite data-doc="City of Baltimore, Md., Charter" data-path="VII|§55"&gt;Article VII, § 55 of the City Charter&lt;/cite&gt;.</text>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-103" heading="Deputies, assistants, etc.">
      <para num="(a)" heading="In general.">The Commissioner may appoint deputies, assistants, professional employees, and other officers and employees as provided in the Ordinance of Estimates.</para>
      <para num="(b)" heading="Identification.">While on duty, all officers and employees of the Department must have and, on request, display official identification denoting their employment.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §3</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-103.1" heading="Suicide Prevention Coordinator.">
      <para num="(a)" heading="In general.">There is a Suicide Prevention Coordinator within the Health Department.</para>
      <para num="(b)" heading="Scope.">The Suicide Prevention Coordinator shall:<para num="(1)">collaborate with system partners to support behavioral health system management; and</para>
        <para num="(2)">work to prevent suicides and mental health crises.</para>
      </para>
      <para num="(c)" heading="Duties.">The Suicide Prevention Coordinator is authorized to:<para num="(1)">reach out to community organizations, groups and agencies to inform them about available resources regarding suicide prevention;</para>
        <para num="(2)">coordinate and provide suicide prevention trainings and trainings regarding the relationship between trauma and suicide as needed;</para>
        <para num="(3)">carry out new public awareness prevention strategies;</para>
        <para num="(4)">distribute resource materials as appropriate;</para>
        <para num="(5)">generally collaborate with:<para num="(i)">the State Behavioral Health Administration’s Office of Suicide Prevention;</para>
          <para num="(ii)">the Baltimore Police Department;</para>
          <para num="(iii)">the Fire Department;</para>
          <para num="(iv)">local emergency departments;</para>
          <para num="(v)">Baltimore Crisis Response;</para>
          <para num="(vi)">the Baltimore City Public School System;</para>
          <para num="(vii)">academic partners;</para>
          <para num="(viii)">people with mental health conditions; and</para>
          <para num="(ix)">other local agencies and services;</para>
        </para>
        <para num="(6)">collaborate with the Health Department’s Child Fatality Review team and the Health Department’s Maternal Mortality Review team to develop and implement prevention plans;</para>
        <para num="(7)">collaborate with emergency departments, pediatricians, primary care physicians, the Baltimore City Public School System, and colleges and universities to encourage screening for suicidality and to establish continuity of care for patients at risk of suicide;</para>
        <para num="(8)">develop and coordinate a data collection and analysis plan to determine trends regarding suicides and suicide attempts;</para>
        <para num="(9)">develop a plan of action to reduce suicides in Baltimore City;</para>
        <para num="(10)">provide consultations to mental health, school, juvenile, and social services professionals;</para>
        <para num="(11)">represent the Health Department in interagency meetings and committees;</para>
        <para num="(12)">support system accountability to ensure that services are responsive to the behavioral health needs of Baltimore City residents;</para>
        <para num="(13)">work with diverse populations in Baltimore City to actively decrease stigma associated with mental health; and</para>
        <para num="(14)">fulfill other related duties as assigned by the Health Commissioner.</para>
      </para>
      <para num="(d)" heading="Potential contractual position.">The Health Commissioner may elect to contract with the local behavioral health authority to fill the Suicide Prevention Coordinator position.</para>
      <annotation type="History">Ord. 21-063</annotation>
      <annotation type="Editor's Notes">This section was enacted by Ord. 21-063, effective July 1, 2022.</annotation>
    </section>
    <section prefix="§" num="2-104" heading="Commissioner’s Charter powers.">
      <text>Under &lt;cite data-doc="City of Baltimore, Md., Charter" data-path="VII|§56"&gt;Article VII, § 56 of the City Charter&lt;/cite&gt;, the Commissioner has the general care of and responsibility for:</text>
      <para num="(1)">enforcing all laws for the preservation of the health of the inhabitants of the City;</para>
      <para num="(2)">the study and prevention of disease, epidemics, and nuisances affecting public health; and</para>
      <para num="(3)">establishing and implementing policies for:<para num="(i)">treating and preventing physical and mental illnesses; and</para>
        <para num="(ii)">educating the public about environmental, physical, and mental health.</para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-105" heading="General duties.">
      <text>In addition to any duties set forth elsewhere, the Commissioner has the following duties:</text>
      <para num="(1)">to observe and inspect areas in and near the City that might be health hazards;</para>
      <para num="(2)">to enforce all laws relating to health and the correction of health hazards;</para>
      <para num="(3)">in the absence of a law needed to correct a health hazard, to report and recommend to the Mayor any extraordinary action needed;</para>
      <para num="(4)">to investigate and report all cases of communicable diseases and take immediate action to stop their spread;</para>
      <para num="(5)">to remove and abate nuisances; and</para>
      <para num="(6)">to report to and advise the Mayor and other City authorities on all matters relating to the preservation of the health of the people.</para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §1(exc. last cl.)</annotation>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-106" heading="Rules and regulations.">
      <text>Subject to Title 4 {“Administrative Procedure Act – Regulations”} of the &lt;cite data-path="|general"&gt;City General Provisions Article&lt;/cite&gt;, the Commissioner may adopt and enforce rules and regulations to carry out &lt;cite data-path="|health"&gt;this article&lt;/cite&gt;.</text>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Text Conformed 03/10/21</annotation>
      <annotation type="Editor's Notes">By authority of Ordinance 20-431, Section 5, the Director of Legislative Reference, in consultation with the Law Department, has conformed this section to refer expressly to and reflect the requirements of the recently-enacted Administrative Procedure Act that, effective January 15, 2021, governs the proposal, adoption, and publication of administrative rules and regulations.</annotation>
    </section>
    <section prefix="§" num="2-107" heading="Right of entry.">
      <para num="(a)" heading="In general.">The Commissioner may, at all reasonable times, enter any structure or premises within the City:<para num="(1)">whenever the Commissioner has reason to believe that a health hazard, nuisance, or violation of &lt;cite data-path="|health"&gt;this article&lt;/cite&gt; exists in or is emanating from that structure or premises;</para>
        <para num="(2)">to inspect any property, facilities, equipment, operations, animals, records, or other things required or authorized by &lt;cite data-path="|health"&gt;this article&lt;/cite&gt; to be inspected; or</para>
        <para num="(3)">otherwise as necessary or appropriate to enforce &lt;cite data-path="|health"&gt;this article&lt;/cite&gt;.</para>
      </para>
      <para num="(b)" heading="Dwellings.">
        <para num="(1)" heading="“Dwelling” defined.">In this subsection, “dwelling” has the meaning stated in &lt;cite data-path="|health|§5-301|(b)"&gt;§ 5-301(b) of this article&lt;/cite&gt;.</para>
        <para num="(2)" heading="Governing procedures.">The entry and inspection of a dwelling must be made in accordance with § 104.6 {“Right of entry”} of the Baltimore City &lt;cite data-path="|building-codes|II"&gt;Building Code&lt;/cite&gt;.</para>
        <para num="(3)" heading="Search warrant.">A search warrant must be obtained in accordance with § 104.6  {“Right of entry”} of the Baltimore City &lt;cite data-path="|building-codes|II"&gt;Building Code&lt;/cite&gt;, except as otherwise specified in that section.</para>
      </para>
      <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §26(e), inter alia, art. 11, §105,  art. 19, §9</annotation>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Ord. 02-475</annotation>
      <annotation type="History">Ord. 13-093</annotation>
    </section>
  </container>
  <container prefix="Subtitle" num="2" heading="Cooperation with Department">
    <container prefix="Part" num="I" heading="Physicians; Police">
      <section prefix="§" num="2-201" heading="Physicians to report and assist.">
        <text>On notice from the Commissioner, any practicing physician in the City must provide information, advice, and assistance to the Commissioner in all matters that relate to the preservation of the health of the people and the prevention of communicable diseases.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §1(last cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§" num="2-202" heading="Police to execute orders.">
        <text>Baltimore City Police Officers are directed to execute all orders of the Commissioner that relate to the preservation of the health in the City.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §4</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§§" num="2-203 to 2-204" reserved="true" />
    </container>
    <container prefix="Part" num="II" heading="Prohibited Conduct">
      <section prefix="§" num="2-205" heading="Obstructing, etc., Departmental personnel.">
        <text>No person may knowingly obstruct, resist, or interfere with the Commissioner or any officer or employee of the Department while carrying out their powers and duties.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §5(1st cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§" num="2-206" heading="Impersonating Departmental personnel.">
        <text>No person may, without authority to do so:</text>
        <para num="(1)">use any identification issued to employees of the Department; or</para>
        <para num="(2)">otherwise represent him- or herself as an employee of the Department.</para>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §3(3rd par., 1st cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§" num="2-207" heading="Failure to comply with Commissioner’s order or notice.">
        <text>No person may refuse, neglect, or otherwise fail to comply with any order or notice issued under &lt;cite data-path="|health"&gt;this article&lt;/cite&gt; by or under the authority of the Commissioner.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §6(1st cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§§" num="2-208 to 2-209" reserved="true" />
    </container>
    <container prefix="Part" num="III" heading="Penalties.">
      <section prefix="§" num="2-211" heading="Violation a misdemeanor.">
        <text>Any person who violates any provision of this subtitle is guilty of a misdemeanor and, on conviction, is subject to the penalties provided in this Part III.</text>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§" num="2-212" heading="Basic penalty: $500.">
        <text>Except as otherwise specified in this Part III, the penalty for a violation of this subtitle is a fine of not more than $500 for each offense.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §3(3rd par.(last cl.)), §5(last cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
      <section prefix="§" num="2-213" heading="Failure to obey notice or order: $200 plus $50/day.">
        <text>Unless a higher penalty is specified in &lt;cite data-path="|health"&gt;this article&lt;/cite&gt; for the same offense, the penalty for a violation of &lt;cite data-path="|health|§2-207"&gt;§ 2-207 {“Failure to comply with order or notice”} of this subtitle&lt;/cite&gt; is a fine of not more than $200 for each offense, plus $50 for each day that the offense continues.</text>
        <annotation type="Prior Codifications">City Code, 1976/83, art. 11, §6(last cl.)</annotation>
        <annotation type="History">Ord. 99-548</annotation>
      </section>
    </container>
  </container>
  <container prefix="Subtitle" num="3" heading="Administrative Hearings">
    <section prefix="§" num="2-301" heading="Scope of subtitle.">
      <para num="(a)" heading="In general.">Except as otherwise specified in &lt;cite data-path="|health"&gt;this article&lt;/cite&gt;, this subtitle applies whenever:<para num="(1)">a person is aggrieved by a notice, order, decision, or other action of the Department; or</para>
        <para num="(2)">the Department proposes to deny, revoke, suspend, or refuse to renew a license or permit.</para>
      </para>
      <para num="(b)" heading="Exclusion for animal control and protection.">This subtitle does not apply to matters that:<para num="(1)">relate to the Health Department’s Office of Animal Control, or</para>
        <para num="(2)">otherwise arise under Title 10 {“Animal Control and Protection”} of &lt;cite data-path="|health"&gt;this article&lt;/cite&gt;.</para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Ord. 15-322</annotation>
    </section>
    <section prefix="§" num="2-302" heading="Opportunity for hearing.">
      <para num="(a)" heading="Licenses and permits.">
        <para num="(1)">Before the Commissioner takes any final action to deny, revoke, suspend, or refuse to renew a license or permit, the Commissioner must notify the person against whom the action is contemplated of the proposed action.</para>
        <para num="(2)">The notice must:<para num="(i)">be in writing; and</para>
          <para num="(ii)">state that a hearing will be provided if, within 10 days of the notice (or any longer period specified in the notice), the person files with the Commissioner a written request for a hearing.</para>
        </para>
      </para>
      <para num="(b)" heading="Other situations.">
        <para num="(1)">In all other situations, any person aggrieved by a notice, order, decision, or other action of the Department may request a hearing on the matter.</para>
        <para num="(2)">The request must:<para num="(i)">be in writing;</para>
          <para num="(ii)">state the grounds on which the person is contesting the notice, decision, order, or other action; and</para>
          <para num="(iii)">unless a different time is specified in &lt;cite data-path="|health"&gt;this article&lt;/cite&gt;, be filed with the Commissioner within 10 days of the notice, decision, order, or other action.</para>
        </para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-303" heading="Delegation of hearing authority.">
      <para num="(a)" heading="In general.">Hearings may be conducted by:<para num="(1)">the Commissioner; or</para>
        <para num="(2)">a hearing officer designated by the Commissioner.</para>
      </para>
      <para num="(b)" heading="Scope of delegation.">The Commissioner may delegate to a hearing officer the authority to issue:<para num="(1)">proposed or final findings of fact;</para>
        <para num="(2)">proposed or final conclusions of law;</para>
        <para num="(3)">proposed or final findings of fact and conclusions of law;</para>
        <para num="(4)">proposed or final orders; or</para>
        <para num="(5)">the final administrative decision of the Department.</para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-304" heading="Conduct of hearing.">
      <para num="(a)" heading="Notice.">
        <para num="(1)">The Commissioner must provide all parties reasonable written notice of the hearing.</para>
        <para num="(2)">The notice must state:<para num="(i)">the date, time, place, and nature of the hearing;</para>
          <para num="(ii)">the right of a party to be represented, at the party’s own expense, by an attorney or, if permitted by law, other representative;</para>
          <para num="(iii)">the right of a party to call witnesses and submit documents or other evidence under &lt;cite data-path="|health|§2-305"&gt;§ 2-305 of this subtitle&lt;/cite&gt;; and</para>
          <para num="(iv)">that failure to appear for the scheduled hearing may result in an adverse action against the party.</para>
        </para>
      </para>
      <para num="(b)" heading="Hearings to be open and informal.">Except as otherwise provided by law or by rule or regulation of the Department, all hearings must be:<para num="(1)">open to the public; and</para>
        <para num="(2)">conducted in an orderly but informal manner.</para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-305" heading="Evidence.">
      <para num="(a)" heading="In general.">Except as otherwise provided by this section or by rule or regulation of the Department, formal rules of evidence and trial procedures do not apply.</para>
      <para num="(b)" heading="Right to submit.">On a genuine issue of fact, a party is entitled to:<para num="(1)">call witnesses;</para>
        <para num="(2)">offer evidence, including rebuttal evidence;</para>
        <para num="(3)">cross-examine any witness that another party or the Department calls; and</para>
        <para num="(4)">present summation and argument.</para>
      </para>
      <para num="(c)" heading="Scope.">The Commissioner or hearing officer:<para num="(1)">may admit probative evidence that reasonable and prudent individuals commonly accept in the conduct of their affairs and give probative effect to that evidence;</para>
        <para num="(2)">may not exclude evidence solely on the basis that it is hearsay;</para>
        <para num="(3)">must give effect to a privilege recognized by law;</para>
        <para num="(4)">may receive documentary evidence in the form of copies or excerpts or through incorporation by reference;</para>
        <para num="(5)">may take official notice of a fact that is judicially noticeable or that is general, technical, or scientific and within the specialized knowledge of the Department; and</para>
        <para num="(6)">may exclude evidence that is:<para num="(i)">incompetent;</para>
          <para num="(ii)">irrelevant;</para>
          <para num="(iii)">immaterial; or</para>
          <para num="(iv)">unduly repetitious.</para>
        </para>
      </para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-306" heading="Final decisions.">
      <para num="(a)" heading="Form and contents.">A final decision must:<para num="(1)">be in writing; and</para>
        <para num="(2)">contain separate statements of:<para num="(i)">the findings of fact;</para>
          <para num="(ii)">the conclusions of law; and</para>
          <para num="(iii)">the decision or order.</para>
        </para>
      </para>
      <para num="(b)" heading="Distribution.">A copy of the final decision must be mailed or delivered to each party or that party’s attorney of record.</para>
      <annotation type="History">Ord. 99-548</annotation>
    </section>
    <section prefix="§" num="2-307" heading="Judicial and appellate review.">
      <para num="(a)" heading="Judicial review.">A party aggrieved by a final decision under this subtitle may seek judicial review of that decision by petition to the Circuit Court for Baltimore City in accordance with the Maryland Rules of Procedure.</para>
      <para num="(b)" heading="Appellate review.">A party to the judicial review may appeal the court’s final judgment to the Court of Special Appeals in accordance with the Maryland Rules of Procedure.</para>
      <annotation type="History">Ord. 99-548</annotation>
      <annotation type="History">Ord. 04-672</annotation>
    </section>
  </container>
</baltimore-city-law>
