Any person who violates any provision of this subtitle is subject to a civil fine of not more than $1,000 for each offense. Each day that a violation continues is a separate offense. City Code, 1976/83, art. 11, §100A(d) Ord. 99-548

The Commissioner of Health may establish health clinics and centers in the City. City Code, 1976/83, art. 11, §51(1st sen.) Ord. 99-548

The Commissioner must adopt guidelines and procedures for the administration and operation of these clinics and centers. Among other matters, the guidelines and procedures must govern:the eligibility of individuals for services; and the fees to be charged for those services. City Code, 1976/83, art. 11, §51(1st sen.), (2nd sen.(part)) Ord. 99-548

Fees for services at City clinics and centers: may not exceed the actual cost of the services; and must be approved by the Board of Estimates. City Code, 1976/83, art. 11, §51(2nd sen.(part)) Ord. 99-548

To prevent morbidity or mortality constituting a threat to public health, the Commissioner of Health, with the approval of the Mayor may: rent or erect suitable structures for temporary hospitals or places to receive the sick or infected; and require sick or infected individuals to be moved to these temporary hospitals or places. City Code, 1976/83, art. 11, §196(1st, 2nd cls.) Ord. 99-548

In the rules and regulations adopted under <cite data-path="|health|§2-106">§ 2-106 {“Rules and regulations”} of this article</cite>, the Commissioner may, with the approval of the Mayor, adopt rules and regulations to govern: all temporary hospitals or places established under this section; and all individuals residing in or in any way concerned with them. City Code, 1976/83, art. 11, §196(1st, 3rd cls.) Ord. 99-548 Text Conformed 03/10/21 Text conformed to include express cross-reference to § 2-106. Cf. Editor’s Note to that section.

If an individual cannot be moved without danger to his or her health, the house or place where he or she remains is considered to be a temporary hospital for purposes of this subtitle. City Code, 1976/83, art. 11, §196(2nd cl.) Ord. 99-548

Any person who violates a rule or regulation adopted under this subtitle is guilty of a misdemeanor and, on conviction, is subject to a fine of not more than $500 for each offense. Each day that a violation continues is a separate offense. City Code, 1976/83, art. 11, §204 Ord. 99-548

In this subtitle, “limited-service pregnancy center” means any person: whose primary purpose is to provide pregnancy-related services; and who:for a fee or as a free service, provides information about pregnancy-related services; but does not provide or refer for:abortions; or nondirective and comprehensive birth-control services. Ord. 09-252

A limited-service pregnancy center must provide its clients and potential clients with a disclaimer substantially to the effect that the center does not provide or make referral for abortion or birth-control services. The disclaimer required by this section must be given through 1 or more signs that are:written in English and Spanish; easily readable; and conspicuously posted in the center’s waiting room or other area where individuals await service. Ord. 09-252

If the Health Commissioner learns that a pregnancy center is in violation of this subtitle, the Commissioner shall issue a written notice ordering the center to correct the violation within 10 days of the notice or within any longer period that the Commissioner specifies in the notice. Ord. 09-252

The failure to comply with an order issued under <cite data-path="|health|§3-503">§ 3-503 {“Violation notice”} of this subtitle</cite> may be enforced by issuance of:an environmental citation under City Code <cite data-path="|1">Article 1</cite>, Subtitle 40 {“Environmental Control Board”}; or a civil citation under City Code <cite data-path="|1">Article 1</cite>, Subtitle 41 {“Civil Citations”}. The issuance of a citation to enforce this subtitle does not preclude pursuing any other civil or criminal remedy or enforcement action authorized by law. Ord. 09-252

In this subtitle, the following terms have the meanings indicated. “Abnormal EPSDT screening” means a medical screening done as part of an EPSDT regimen that produces:inconclusive results; ambiguous results; or results that require further testing. “Baltimore City Public School System” or “BCPSS” means the public school district of the City of Baltimore. “Early and Periodic Screening, Diagnosis, and Treatment” or “EPSDT” means the provision of preventive health care under 42 CFR Subpart B {“Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) of Individuals Under Age 21”}, including medical and dental services to assess growth and development and to detect and treat health problems in Medicaid beneficiaries under 21 years old. “Family planing” means providing individuals with the information and means to prevent an unwanted pregnancy and to maintain reproductive health. “Follow-up care” means:any treatment or practice recommended as medically necessary to address abnormal or positive results of an EPSDT screening by a licensed healthcare professional; and the process of attempting to ascertain if the recommended services have been obtained. “Maryland Healthy Kids Preventive Health Schedule” means the schedule set by the State Department of Health’s Healthy Kids Program as a minimum EPSDT practice for all Maryland Medicaid recipients under 21 years of age, consisting of:standard health screenings; physical exams; laboratory tests; immunizations; and health education. “Medically necessary” means that a health service is:directly related to diagnostic, preventive, curative, palliative, rehabilitative, or ameliorative treatment of an illness, injury, disability, or health condition; consistent with currently accepted standards of good medical practice; the most cost efficient service that can be provided without sacrificing effectiveness or access to care; and not primarily for the convenience of the consumer, family, or provider. “Positive EPSDT screening” means a medical screening conducted by a licensed health professional as part of an EPSDT regimen that produces positive results indicating the presence of the tested-for condition. “Preventive Health Services” means proactive care to detect potential health problems and protect and maintain a patient’s current health, including:screenings for health conditions; counseling for chronic conditions; regular health checkups; and immunizations. “Primary health services” means a basic level of health care, including diagnostic, treatment, consultative, referral, and preventive health services, generally rendered by 1 or more:general practitioners; family practitioners; internists; gynecologists; pediatricians; physician assistants; and nurse practitioners. “School-based health center” means a facility providing medical care that:is located on the grounds of a BCPSS facility; provides on site primary and preventive health care, referrals, and follow-up services; may provide on site dental care or behavioral health care, referrals, and follow-up services; and has been approved by the Maryland Department of Health. “School health services professional” or “school health professional” means a physician, certified nurse practitioner, or registered nurse with experience, special training, or both in working with children and families in community or school health programs and practices in accordance with the current State medical and nursing standards of care.

The following health services may be provided at any school-based health center:comprehensive preventive and primary health services, including administration of vaccines according to the Maryland Healthy Kids Preventative Health Schedule; access to family planning, dental, and mental health services; and access to vision care at the written request of a child’s guardian.

For any positive or abnormal EPSDT screening of a student, the school health professional that performed the screening shall communicate the need for follow-up care, as appropriate and in accordance with all laws related to minor consent, to either or both of:the student; or the student’s parent or guardian. If a school health services professional determines that an additional screening or health check-up is necessary for a student, the professional shall make a recommendation for an additional screening or health check-up to the student or the student’s parent or guardian, as appropriate.

Subject to Title 4 {“Administrative Procedure Act B Regulations”} of the City General Provisions Article, the Commissioner of the Baltimore City Health Department may adopt rules and regulations to carry out this subtitle.