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<article heading="Article I. In General.">
  <section heading="Sec. 24-1. Council to act as board of health; powers generally.">
    <paragraph indent="1">The council, sitting as the local board of health for the county, is hereby authorized and empowered to adopt and enforce all needful rules and regulations concerning sanitation for eating and drinking establishments, habitable buildings and private water supplies, within their jurisdiction, and to provide therein reasonable regulating fees and charges in connection therewith and penalties for the violation thereof; provided such rules and regulations are in addition to and not in conflict with any regulations of the state board of health or of any provisions of the Annotated Code of Maryland, 1957, as amended.</paragraph>
  </section>
  <section heading="Sec. 24-2. Communicable diseases generally—Warning signs.">
    <paragraph indent="1">The county health officer is hereby authorized to post placards or warning signs on the premises on which a person is infected with a communicable disease dangerous to public health.</paragraph>
  </section>
  <section heading="Sec. 24-3. Communicable diseases—Unauthorized removal of warning signs.">
    <paragraph indent="1">Any person, other than the county health officer or his authorized representative, who removes or defaces any placard or warning sign as provided in section 24-4 shall be subject to punishment for a class B violation as set forth in section 1-19 of chapter 1 of the County Code.</paragraph>
  </section>
  <section heading="Sec. 24-4. Communicable diseases—Control in food establishments.">
    <paragraph indent="1">(a)   Affected persons not to handle food, etc.  No person who is affected with any disease in a communicable form, or is a carrier of such disease, shall work, and no employer shall knowingly require or permit such person to work, in any capacity which brings him in contact with the preparation, production, manufacture, packing, storage, sale, collection, distribution or transportation of any unpackaged food, meat, drink or food product, or in contact with any utensil, container or equipment used for the processing, preparing, handling or storage of unpackaged food, meat or drink.</paragraph>
    <paragraph indent="1">(b)   Notice to health officer.  Any employer who discovers or suspects that any person described in subsection (a) of this section employed by him has contacted any communicable disease or is a carrier of such disease shall notify the county health officer immediately.</paragraph>
    <paragraph indent="1">(c)   Examination, etc., of employees.  Every person connected with any establishment whose work brings him in contact with the handling, preparation, production, manufacture, packing, storage, sale, collection, distribution or transportation of any unpackaged food, meat, drink or food product or utensils, containers or equipment used for the processing, preparing, handling or storage of unpackaged food, meat or drink shall furnish such information, permit such physical examination or X-rays or both and submit such laboratory specimens as the county health officer may require for the purpose of determining freedom from communicable disease or infection.</paragraph>
    <paragraph indent="1">(d)   Penalty.  Any violation of the provisions of this section shall be punished by a fine of not less than five dollars ($5.00) nor more than one hundred dollars ($100.00) in the discretion of the court.  Each violation of any of the provisions of this section shall constitute a separate offense.</paragraph>
  </section>
  <section heading="Sec. 24-5. Use of certain shoe-fitting devices or machines prohibited.">
    <paragraph indent="1">It shall be unlawful for any person, association or corporation to operate or maintain within the limits of the county shoe-fitting devices or machines which use fluoroscopic X-ray or radiation principles as a basis of operation.</paragraph>
    <paragraph indent="1">Any violation of the provisions of this section shall be punished as a class A violation as set forth in section 1-19 of chapter 1 of the County Code.  Each and every day or any part of a day that such violation continues shall constitute a separate offense.</paragraph>
  </section>
  <section heading="Sec. 24-6. Commitment of chronic alcoholics.">
    <paragraph indent="1">The county health officer and his delegated agents are authorized on behalf of the county to petition any judge of the circuit court in equity, trial magistrate, substitute trial magistrate or judge of the people’s court of the county for an order of civil commitment of chronic alcoholics as provided in article Health-General, section 8-500 of the Annotated Code of Maryland.</paragraph>
  </section>
  <section heading="Sec. 24-7. Catastrophic health insurance plan.">
    <paragraph indent="1">(a)   Statement of purpose.</paragraph>
    <paragraph indent="2">(1)   The purpose of this section is to start a program to inform county citizens of the need for catastrophic health insurance and to make this insurance available to citizens through an independent insurer at no cost or liability to the county.</paragraph>
    <paragraph indent="2">(2)   A catastrophic illness or injury may financially devastate an individual or the family of the individual because of extraordinary medical expenses.  It is vitally necessary to the public health and welfare in Montgomery County that:</paragraph>
    <paragraph indent="3">(A)   Its citizens not be burdened with this financial cost.  Most health insurance policies contain a monetary limitation on the amount of money that can be expended on a particular illness or individual.  The county has enacted this section because additional insurance is not always available to citizens; and</paragraph>
    <paragraph indent="3">(B)   The Montgomery County government not be financially burdened by citizens who become indigent due to catastrophic health costs.</paragraph>
    <paragraph indent="1">(b)   Definitions.</paragraph>
    <paragraph indent="2">(1)   Catastrophic health insurance means a supplementary insurance contract that indemnifies a citizen for medical expenses that:</paragraph>
    <paragraph indent="3">a.   Result form an illness, injury, or disease; and</paragraph>
    <paragraph indent="3">b.   Are greater than fifty thousand dollars ($50,000.00).</paragraph>
    <paragraph indent="2">(2)   Citizen means any individual who lives in or works in this country for at least ninety (90) consecutive days.</paragraph>
    <paragraph indent="2">(3)   Insurer means an insurance company that is authorized to provide catastrophic illness insurance in this state.</paragraph>
    <paragraph indent="1">(c)   Responsibility of county executive.  The county executive should use his best efforts to:</paragraph>
    <paragraph indent="2">(1)   Contract with an insurer to provide to any citizen catastrophic health insurance;</paragraph>
    <paragraph indent="2">(2)   Inform citizens of the availability to purchase the catastrophic health insurance plan; and</paragraph>
    <paragraph indent="2">(3)   Provide oversight for all contract obligations with the county.</paragraph>
    <paragraph indent="1">(d)   Preexisting conditions.  A contract provided under this section will not be required to cover a preexisting medical condition of the citizen.</paragraph>
    <paragraph indent="1">(e)   The county is not liable in any way for any claims arising out of an arrangement for insurance established under this section, and the insurer must bear the cost of all claims and indemnity the county against all claims and the cost of defending against all claims in connection with an arrangement for insurance established under this section.</paragraph>
    <paragraph indent="1">(f)   Regulations.  The county executive may adopt regulations under method (2) of section 2A-15 of this Code to implement this section.</paragraph>
  </section>
  <section heading="Sec. 24-8. Massage.">
    <paragraph indent="1">(a)   Definitions.  In this Section, terms that are defined in the state Health Occupations Article have the same meaning, and the following words and phrases have the following meanings:</paragraph>
    <paragraph indent="2">(1)   Massage has the same meaning as “massage therapy” under § 3-5A-01 of the Health Occupations Article.</paragraph>
    <paragraph indent="2">(2)   Massage establishment: any business where any employee, agent or contractor who is not a certified massage therapist or registered massage practitioner under state law performs a massage.</paragraph>
    <paragraph indent="2">(3)   Director: The Director of the Department of Health and Human Services, or the Director’s designee.</paragraph>
    <paragraph indent="2">(4)   Board: the Maryland State Board of Chiropractic Examiners.</paragraph>
    <paragraph indent="2">(5)   Department: the Department of Health and Human Services.</paragraph>
    <paragraph indent="1">(b)   Scope.  This Section does not apply to:</paragraph>
    <paragraph indent="2">(1)   an individual with a license, registration, or other approval issued by the Board to provide massage under § 3-5A-05 of the Health Occupations Article;</paragraph>
    <paragraph indent="2">(2)   an athletic trainer who:</paragraph>
    <paragraph indent="3">(A)   is certified by a nationally recognized athletic trainer certification agency identified by the Director and works under the supervision of a physician, while functioning in the athletic trainer’s professional capacity;</paragraph>
    <paragraph indent="3">(B)   is employed by an accredited educational institution, while performing professional duties at that institution; or</paragraph>
    <paragraph indent="3">(C)   is employed by a professional sports team, while treating members of that team; and</paragraph>
    <paragraph indent="2">(3)   a business in which every person who performs massage is a certified massage therapist or registered massage practitioner under State law.</paragraph>
    <paragraph indent="1">(c)   Massage establishment.</paragraph>
    <paragraph indent="2">(1)</paragraph>
    <paragraph indent="3">(A)</paragraph>
    <paragraph indent="4">(d)   Any massage establishment must have a license issued by the Director under this Section. The licensee is the owner of the establishment.  If the owner is not an individual, the owner must designate on the application an individual as the owner’s representative.  The owner’s representative must consent on the application to be so designated. The representative must accept any notice sent to the owner under this Section.  If the owner does not pay any fine, penalty, or fee due under this Section, the Director may collect the fine, penalty, or fee from the owner’s representative.  The owner must not designate an individual as its representative under this subsection if the individual is not qualified to receive a manager’s license under subsection (d).</paragraph>
    <paragraph indent="3">(B)   The licensee or a licensed manager must be on the premises at all times while the establishment is occupied.</paragraph>
    <paragraph indent="3">(C)   A person must not own or operate a massage establishment without obtaining a massage establishment license.  This requirement may be enforced by the Director or the Police Department.</paragraph>
    <paragraph indent="3">(D)   The Director or the Police Department may close an unlicensed massage establishment until the business and each person owning or operating the business obtains a license under this Section.</paragraph>
    <paragraph indent="2">(2)   Except as otherwise provided in this Section, the Director must, with the assistance of the Police Department, review each application and issue a massage establishment license if:</paragraph>
    <paragraph indent="3">(A)   the applicant meets the requirements of this Section, is qualified under standards set by Executive Regulation, and completes a license application form provided by the Director;</paragraph>
    <paragraph indent="3">(B)   the massage establishment facility meets minimum standards set by Executive Regulation;</paragraph>
    <paragraph indent="3">(C)   the applicant pays an application fee and license fee; and</paragraph>
    <paragraph indent="3">(D)   the establishment complies with all applicable zoning, health, fire prevention, and building laws and regulations.</paragraph>
    <paragraph indent="2">(3)   The Director must conduct a prelicensing inspection of any massage establishment, and may conduct other inspections necessary to enforce this Section.</paragraph>
    <paragraph indent="2">(4)   A massage establishment must meet minimum standards set by regulation at all times.</paragraph>
    <paragraph indent="2">(5)   Any person who operates a massage establishment must not perform or allow another person to perform a massage unless the person who performs the massage:</paragraph>
    <paragraph indent="3">(A)   is a certified massage therapist or registered massage practitioner under state law; or</paragraph>
    <paragraph indent="3">(B)   has a valid County massage worker’s license.</paragraph>
    <paragraph indent="2">(6)   Any person who operates a massage establishment must permit a County police officer or the Director to enter the massage establishment at any time during operating hours, and at any other time in an emergency or when the establishment is occupied.</paragraph>
    <paragraph indent="2">(7)   Any person who operates a massage establishment must not allow a person of one gender to massage a person of another gender.  This restriction does not apply of the person who performs the massage is a State-certified massage therapist or registered massage practitioner.</paragraph>
    <paragraph indent="2">(8)   A massage establishment license has a term of one year and must be renewed annually.</paragraph>
    <paragraph indent="2">(9)</paragraph>
    <paragraph indent="3">(A)   A massage establishment license must not be transferred from one person to another.</paragraph>
    <paragraph indent="3">(B)   A massage establishment license must not be transferred from a location to another location until a license is issued for the new location.</paragraph>
    <paragraph indent="3">(C)   A massage establishment license applies to a single location specified in the license.</paragraph>
    <paragraph indent="2">(10)   If an applicant for a massage establishment license does not own the building where the establishment would be located, the building owner must approve the use of the building as a massage establishment on a form provided by the Director.</paragraph>
    <paragraph indent="1">(d)   Massage establishment manager.</paragraph>
    <paragraph indent="2">(1)   The licensee, if an individual, and any person who manages a massage establishment in the absence of the licensee, including an owner’s representative designated under subsection (c)(1)(A), must obtain a massage establishment manager’s license from the Director and renew the license each year.</paragraph>
    <paragraph indent="2">(2)   Except as otherwise provided in this Section, the Director must, with the assistance of the Police Department, review each application and issue a license if the applicant is qualified under this Section and the standards established by regulation.  Each applicant must:</paragraph>
    <paragraph indent="3">(A)   complete an application form provided by the Director;</paragraph>
    <paragraph indent="3">(B)   submit proof of good health required by the Director;</paragraph>
    <paragraph indent="3">(C)   pay the application and license fee;</paragraph>
    <paragraph indent="3">(D)   be at least 18 years old;</paragraph>
    <paragraph indent="3">(E)   have not been convicted of, pled guilty or nolo contendere to, or served any term of probation as a result of being charged with:</paragraph>
    <paragraph indent="4">(i)   a felony;</paragraph>
    <paragraph indent="4">(ii)   a crime involving moral turpitude;</paragraph>
    <paragraph indent="4">(iii)   violation of a controlled dangerous substances law; or</paragraph>
    <paragraph indent="4">(iv)   violation of any law regulating the practice of a health occupation;</paragraph>
    <paragraph indent="3">(F)   not habitually use any drug or alcoholic beverage to an extent that impairs professional performance;</paragraph>
    <paragraph indent="3">(G)   provide a passport-size photograph, fingerprints, and a list of the applicant’s occupation or employment for the 3 years before filing the application; and</paragraph>
    <paragraph indent="3">(H)   if the applicant is not a United States citizen, provide evidence of legal presence and employability in the United States.</paragraph>
    <paragraph indent="1">(e)   Massage worker.</paragraph>
    <paragraph indent="2">(1)   Any person who performs massage for compensation and who is not a certified massage therapist or registered massage practitioner under state law must obtain a massage worker’s license from the Director and renew the license each year.  An individual may apply for a license under this subsection only if the individual is expressly exempt under § 3-5A-05(a)(2) of the Health Occupations Article from the certification and registration requirements of that section.</paragraph>
    <paragraph indent="2">(2)   Except as otherwise provided in this Section, the Director must, with the assistance of the Police Department, review each application and issue a license if the applicant is qualified under this Section and the standards established by regulation.  Each applicant must:</paragraph>
    <paragraph indent="3">(A)   complete an application form provided by the Director;</paragraph>
    <paragraph indent="3">(B)   submit proof of good health;</paragraph>
    <paragraph indent="3">(C)   pay the application and license fee;</paragraph>
    <paragraph indent="3">(D)   be at least 18 years old;</paragraph>
    <paragraph indent="3">(E)   have satisfactorily completed at least 60 credit hours of education at an institution of higher education as defined by State law;</paragraph>
    <paragraph indent="3">(F)   have successfully completed at least 500 hours of massage training provided by an organization approved by the Board; and</paragraph>
    <paragraph indent="3">(G)   have not been convicted of, pled guilty or nolo contendere to, or served any term of probation as a result of being charged with:</paragraph>
    <paragraph indent="4">(i)   a felony;</paragraph>
    <paragraph indent="4">(ii)   a crime involving moral turpitude;</paragraph>
    <paragraph indent="4">(iii)   violation of a controlled dangerous substances law; or</paragraph>
    <paragraph indent="4">(iv)   violation of any law regulating the practice of a health occupation;</paragraph>
    <paragraph indent="3">(H)   not habitually use any drug or alcoholic beverage to an extent that impairs professional performance;</paragraph>
    <paragraph indent="3">(I)   provide a passport size photograph, fingerprints, and a list of the applicant’s occupation or employment for the 3 years before filing the application; and</paragraph>
    <paragraph indent="3">(J)   if the applicant is not a United States citizen, provide evidence of legal presence and legal employability in the United States.</paragraph>
    <paragraph indent="2">(3)   A person who holds a license issued under this Section and who is not a certified massage therapist or registered massage practitioner under state law must not perform massage except as the agent or employee of a massage establishment that has a valid County license.</paragraph>
    <paragraph indent="2">(4)   A massage worker licensed under this subsection must only massage persons of the worker’s same gender.</paragraph>
    <paragraph indent="2">(5)   A massage worker’s license must not be transferred from one individual to another.</paragraph>
    <paragraph indent="1">(f)   Fees. The County Executive must set application and license fees by Executive Regulation under method (3) that substantially cover the cost of administering this Section.</paragraph>
    <paragraph indent="1">(g)   Denial or Revocation of license.  The Director may refuse to issue a license under this Section, and may suspend or revoke a license issued under this Section, after a hearing for which reasonable notice has been given, if the licensee or applicant:</paragraph>
    <paragraph indent="2">(1)   violates any provision of this Section;</paragraph>
    <paragraph indent="2">(2)   submits fraudulent information in support of a license application under this Section;</paragraph>
    <paragraph indent="2">(3)   is convicted of, or pleads guilty or nolo contendere to, or is ordered to serve a period of probation after being charged with:</paragraph>
    <paragraph indent="3">(A)   a felony;</paragraph>
    <paragraph indent="3">(B)   a crime involving moral turpitude;</paragraph>
    <paragraph indent="3">(C)   violation of a controlled dangerous substance law; or</paragraph>
    <paragraph indent="3">(D)   violation of any law regulating the practice of a health occupation;</paragraph>
    <paragraph indent="2">(4)   habitually uses any drug or alcoholic beverage to an extent that impairs professional performance; or</paragraph>
    <paragraph indent="2">(5)   is grossly negligent in the performance of massage.</paragraph>
    <paragraph indent="1">(h)   Notice and opportunity for hearing.</paragraph>
    <paragraph indent="2">(1)   Notice. After finding that one or more grounds for denial, suspension, or revocation of a license could exist, the Director may serve a written notice on the licensee or applicant in person or by regular mail, postage prepaid, addressed to the person’s last known address as maintained in the Director’s file.  Service on that person by mail is effective 3 days after mailing.  The Director must also post a written notice at a conspicuous place on the establishment for which the license was or would be issued. The written notice must, at a minimum:</paragraph>
    <paragraph indent="3">(A)   state that the Director has found that the licensee or applicant may be subject to denial, suspension, or revocation;</paragraph>
    <paragraph indent="3">(B)   identify the specific grounds for the Director’s findings; and</paragraph>
    <paragraph indent="3">(C)   set a date for a hearing on denial of the application or suspension or revocation of the license.  The hearing must be held at least 5 days after service of the Director’s notice, unless the parties agree to an earlier date.</paragraph>
    <paragraph indent="2">(2)   Hearing. The Director or a designee may conduct the hearing.  At the hearing, the licensee or applicant may present evidence and witnesses to refute the grounds cited by the Director for denying the application or suspending or revoking the license, and the County and any other person may submit relevant evidence.  The relevant records of the Department are part of the hearing record.  Within 3 days after the hearing closes, the person conducting the hearing must render a decision in writing, giving the reasons for the decision.  That decision is final and is subject to judicial review under the Maryland rules for review of administrative decisions.</paragraph>
    <paragraph indent="2">(3)   Failure to appear.  A licensee or applicant who after notice does not appear at a hearing waives the right to a hearing and consents to the action that the Director proposed in the notice. The Director may deny the application or suspend or revoke the license as proposed in the notice.</paragraph>
    <paragraph indent="2">(4)   Notice and Effective Date of Suspension or Revocation.  The Director’s written decision must be posted at the office of the Director and must be served on the licensee or applicant in person or by regular mail, postage prepaid, addressed to the applicant or licensee’s last known address as maintained in the Department’s files.  The Director must also post a written notice of the decision at a conspicuous place on the establishment for which the license was or would be issued.  A suspension or revocation takes effect on the day the Director’s decision is delivered in person or posted, whichever occurs first.  To facilitate enforcement of this provision, the Director may require the applicant or licensee to appear at the Director’s office at a specific time to receive a copy of the decision and be prepared to surrender the license.  If a licensee or applicant does not appear to receive the Director’s decision, the Director’s decision is effective on the date and time the licensee or applicant was directed to appear.</paragraph>
    <paragraph indent="2">(5)   Surrender of license and security.  When a license is suspended or revoked, the Director must take custody of the suspended or revoked license.</paragraph>
    <paragraph indent="1">(i)   Upon receipt of notice of a license revocation or suspension, unless otherwise directed the licensee must, within 24 hours:</paragraph>
    <paragraph indent="2">(1)   place the license in the mail, postage prepaid, addressed to the Department; or</paragraph>
    <paragraph indent="2">(2)   physically deliver the license to the Department.</paragraph>
    <paragraph indent="1">(j)   If the Department does not receive a suspended or revoked license within 48 hours after notification, excluding weekends or a legal holiday, or as otherwise directed, the holder of the license violates this Section.  In addition to any other penalties that may be imposed, the director or Police may:</paragraph>
    <paragraph indent="2">(1)   remove the revoked or suspended license from the business location; and</paragraph>
    <paragraph indent="2">(2)   close the place of business until the person operating the business obtains a license.</paragraph>
    <paragraph indent="1">(k)   Appeals.</paragraph>
    <paragraph indent="2">(1)   Any person aggrieved by the denial, suspension, or revocation of any license under this Section may seek judicial review under the Maryland rules for review of administrative decisions.</paragraph>
    <paragraph indent="2">(2)   The Director’s decision to deny a license must not be stayed pending appeal.  Final administrative action that revokes or suspends a license may be stayed pending appeal only if:</paragraph>
    <paragraph indent="3">(A)   the court finds that the public health, safety, or welfare will not be endangered during the appeal; and</paragraph>
    <paragraph indent="3">(B)   a bond of $100,000 is posted.</paragraph>
    <paragraph indent="1">(l)   Penalty.  A person has committed a class A violation if the person:</paragraph>
    <paragraph indent="2">(A)   violates any provision of this Section; or</paragraph>
    <paragraph indent="2">(B)   submits fraudulent information in support of a license application under this Section</paragraph>
  </section>
  <section heading="Sec. 24-8A. Fitness Centers—Defibrillators.">
    <paragraph indent="1">(a)   In this Section the following terms have the following meanings:</paragraph>
    <paragraph indent="2">(1)   Automated External Defibrillator means a portable electronic device that provides an electric shock to the heart in order to reestablish normal contraction rhythms in a heart having dangerous arrhythmia or that is in cardiac arrest.</paragraph>
    <paragraph indent="2">(2)   Business includes a for-profit or non-profit organization.</paragraph>
    <paragraph indent="2">(3)   Commercial fitness center means a business where members, clients, or customers engage in exercise indoors.</paragraph>
    <paragraph indent="2">(4)   Exercise means an activity that requires strenuous physical exertion, either to develop and maintain fitness or to compete in a sport.  Exercise includes weight lifting, cardio-fitness training, aerobic fitness training, yoga, pilates, jazzercise, circuit training, spinning, and stepping.  Exercise also includes playing basketball, volleyball, soccer, ice hockey, tennis, racquetball, squash, and any similar indoor sport.</paragraph>
    <paragraph indent="1">(b)   Every commercial fitness center must have available at all times when the center is open at least one Automated External Defibrillator in good working order and at least one staff member who is trained in its use. This requirement does not apply to any fitness center where not more than 3 persons are employed.  As used in this subsection only, “employed” means that a person regularly works more than 20 hours per week.</paragraph>
    <paragraph indent="1">(c)</paragraph>
    <paragraph indent="2">(1)</paragraph>
    <paragraph indent="3">(2)   This Section is not intended to impose any civil liability, or relieve any person from civil liability, regarding the presence or use of, or failure to use, any Automated External Defibrillator, except as expressly provided in paragraph (2).</paragraph>
    <paragraph indent="2">(2)   A commercial fitness center, or any employee of a center, is not liable in connection with the use or nonuse of an Automated External Defibrillator, unless:</paragraph>
    <paragraph indent="3">(A)   the center has not made an Automated External Defibrillator available as this Section requires; or</paragraph>
    <paragraph indent="3">(B)   an employee of a center has acted with gross negligence or engaged in willful or wanton misconduct.</paragraph>
    <paragraph indent="1">(d)   Any violation of this Section is a class C civil violation.  The County Attorney or any affected person may file an action in a court with jurisdiction to enjoin repeated violations of this Section.</paragraph>
    <paragraph indent="1">(e)   The County Fire and Rescue Service must investigate each complaint alleging a violation of this Section and take appropriate action, including issuing a citation when compliance cannot be obtained otherwise.  The Department of Health and Human Services may, if requested, assist the Service in enforcing this Section.</paragraph>
  </section>
  <section heading="Sec. 24-8B. Bodywork Establishments.">
    <paragraph indent="1">(a)   Definitions.  As used in this Section, the following words and phrases have the following meanings:</paragraph>
    <paragraph indent="2">Bodywork means the practice of using one’s hands or another part of the body to apply pressure on an individual’s fully clothed body or bare feet to affect the electromagnetic energy, energetic field, or energy meridians of the human body. Bodywork includes the practice of reflexology or acupressure.</paragraph>
    <paragraph indent="2">Bodywork establishment means any business that advertises bodywork services or where any employee, agent, or contractor performs bodywork on an individual.</paragraph>
    <paragraph indent="2">Chief means the Chief of Police or the Chief’s designee.</paragraph>
    <paragraph indent="2">Director means the Director of the Department of Health and Human Services or the Director’s designee.</paragraph>
    <paragraph indent="2">Licensee means an individual owner of a bodywork establishment or an individual designated by the owner if the owner is not an individual.</paragraph>
    <paragraph indent="2">Sexual activity means any direct or indirect physical contact between persons intended to erotically stimulate either person or both persons or is likely to cause such stimulation.  Sexual activity includes sexual intercourse, fellatio, cunnilingus, anal intercourse, masturbation, or manual stimulation.</paragraph>
    <paragraph indent="1">(b)   Scope.  This Section does not apply to:</paragraph>
    <paragraph indent="2">(1)   an individual with a license, registration, or other approval issued by the Maryland State Board of Chiropractic and Massage Therapy Examiners to provide massage under §3-5A-05 of the Health Occupations Article;</paragraph>
    <paragraph indent="2">(2)   an athletic trainer who:</paragraph>
    <paragraph indent="3">(A)   is certified by a nationally recognized athletic trainer certification agency identified by the Director and works under the supervision of a physician, while functioning in the athletic trainer’s professional capacity;</paragraph>
    <paragraph indent="3">(B)   is employed by an accredited educational institution, while performing professional duties at that institution; or</paragraph>
    <paragraph indent="3">(C)   is employed by a professional sports team, while treating members of that team; or</paragraph>
    <paragraph indent="2">(3)   a business in which every person who provides services is a certified massage therapist or registered massage practitioner under State law.</paragraph>
    <paragraph indent="1">(c)   Bodywork establishment.</paragraph>
    <paragraph indent="2">(1)   License required.  A bodywork establishment must have a license issued by the Director under this Section. The licensee must be the owner of the establishment. If the owner is not an individual, the owner must designate on the application an individual as the owner’s representative. The owner’s representative must consent on the application to be so designated. The representative must accept any notice sent to the owner under this Section. If the owner does not pay any fine, penalty, or fee due under this Section, the Director may collect the fine, penalty, or fee from the owner’s representative.</paragraph>
    <paragraph indent="2">(2)   Except as otherwise provided in this Section, the Director must, with the assistance of the Police Department, review each application and issue a bodywork establishment license if:</paragraph>
    <paragraph indent="3">(A)   the applicant meets the requirements of this Section and completes a license application on a form provided by the Director;</paragraph>
    <paragraph indent="3">(B)   the bodywork establishment facility meets the minimum standards set by Executive Regulation;</paragraph>
    <paragraph indent="3">(C)   the applicant pays an application fee and license fee; and</paragraph>
    <paragraph indent="3">(D)   the establishment complies with all applicable zoning, health, fire prevention, and building laws and regulations.</paragraph>
    <paragraph indent="2">(3)   The Director must conduct a pre-licensing inspection of any bodywork establishment, and may conduct other inspections necessary to enforce this Section.</paragraph>
    <paragraph indent="2">(4)   A bodywork establishment must continue to meet the minimum standards set by regulation at all times.</paragraph>
    <paragraph indent="2">(5)   Any person who operates a bodywork establishment must permit a County police officer or the Director to enter the bodywork establishment at any time during operating hours, and at any other time in an emergency or when the establishment is occupied.</paragraph>
    <paragraph indent="2">(6)   Any person who operates a bodywork establishment must not allow a person to perform any sexual activity with another person in the establishment.</paragraph>
    <paragraph indent="2">(7)   A bodywork establishment license has a term of one year and must be renewed annually.</paragraph>
    <paragraph indent="2">(8)   A bodywork establishment license;</paragraph>
    <paragraph indent="3">(A)   must not be transferred from one person to another;</paragraph>
    <paragraph indent="3">(B)   must not be transferred from one location to another location until a license is issued for the new location; and</paragraph>
    <paragraph indent="3">(C)   applies to a single location specified in the license.</paragraph>
    <paragraph indent="2">(9)   If an applicant for a bodywork establishment license does not own the building where the establishment would be located, the building owner must approve the use of the building as a bodywork establishment on a form provided by the Director.</paragraph>
    <paragraph indent="1">(d)   Bodywork establishment licensee.</paragraph>
    <paragraph indent="2">(1)   The licensee, if an individual, or an owner’s representative designated under subsection (c)(1), must</paragraph>
    <paragraph indent="3">(A)   submit proof of good health required by the Director;</paragraph>
    <paragraph indent="3">(B)   be at least 18 years old;</paragraph>
    <paragraph indent="3">(C)   have not been convicted of, pled guilty or nolo contendere to, or served any term of probation as a result of being charged with a:</paragraph>
    <paragraph indent="4">(i)   felony;</paragraph>
    <paragraph indent="4">(ii)   crime involving moral turpitude, including solicitation, prostitution, and related crimes;</paragraph>
    <paragraph indent="4">(iii)   violation of a controlled dangerous substances law; or</paragraph>
    <paragraph indent="4">(iv)   violation of any law regulating the practice of a health occupation;</paragraph>
    <paragraph indent="3">(D)   not permit an individual to perform bodywork services in the establishment while under the influence of a non-prescribed drug or alcoholic beverage;</paragraph>
    <paragraph indent="3">(E)   provide a passport-size photograph, fingerprints, and a list of the individual’s occupation or employment for the 3 years before filing the application; and</paragraph>
    <paragraph indent="3">(F)   if the applicant is not a United States citizen, provide evidence of legal presence and employability in the United States.</paragraph>
    <paragraph indent="1">(e)   Executive Regulations.  The Executive must adopt an Executive Regulation under Method (2) establishing the minimum standards for a bodywork establishment and the application process.  The Executive must set application and license fees by Executive Regulation under Method (3) that substantially cover the cost of administering this Section.</paragraph>
    <paragraph indent="1">(f)   Denial or Revocation of license.  The Director may refuse to issue a license under this Section, and may suspend or revoke a license issued under this Section, after a hearing for which reasonable notice has been given, if the licensee or applicant:</paragraph>
    <paragraph indent="2">(1)   violates any provision of this Section;</paragraph>
    <paragraph indent="2">(2)   submits fraudulent information in support of a license application under this Section;</paragraph>
    <paragraph indent="2">(3)   is convicted of, or pleads guilty or nolo contendere to, or is ordered to serve a period of probation after being charged with:</paragraph>
    <paragraph indent="3">(A)   a felony;</paragraph>
    <paragraph indent="3">(B)   a crime involving moral turpitude, including solicitation, prostitution, and related crimes;</paragraph>
    <paragraph indent="3">(C)   violation of a controlled dangerous substance law; or</paragraph>
    <paragraph indent="3">(D)   violation of any law regulating the practice of a health occupation;</paragraph>
    <paragraph indent="2">(4)   permits an individual to perform bodywork services in the establishment while under the influence of a non-prescribed drug or alcoholic beverage; or</paragraph>
    <paragraph indent="2">(5)   is grossly negligent in the performance of bodywork.</paragraph>
    <paragraph indent="1">(g)   Notice and opportunity for hearing.</paragraph>
    <paragraph indent="2">(1)   Notice.  After finding that one or more grounds for denial, suspension, or revocation of a license could exist, the Director may serve a written notice on the licensee or applicant in person or by regular mail, postage prepaid, addressed to the person’s last known address as maintained in the Director’s file. Service on that person by mail is effective 3 days after mailing. The Director must also post a written notice at a conspicuous place on the establishment for which the license was or would be issued. The written notice must, at a minimum:</paragraph>
    <paragraph indent="3">(A)   state that the Director has found that the licensee or applicant may be subject to denial, suspension, or revocation;</paragraph>
    <paragraph indent="3">(B)   identify the specific grounds for the Director’s findings; and</paragraph>
    <paragraph indent="3">(C)   set a date for a hearing on denial of the application or suspension or revocation of the license. The hearing must be held at least 5 days after service of the Director’s notice, unless the parties agree to an earlier date.</paragraph>
    <paragraph indent="2">(2)   Hearing.  The Director or a designee may conduct the hearing. At the hearing, the licensee or applicant may present evidence and witnesses to refute the grounds cited by the Director for denying the application or suspending or revoking the license, and the County and any other person may submit relevant evidence. The relevant records of the Department are part of the hearing record. Within 3 days after the hearing closes, the person conducting the hearing must render a decision in writing, giving the reasons for the decision. That decision is final, subject to judicial review under the Maryland Rules for review of administrative decisions in the Circuit Court and the Court of Special Appeals.</paragraph>
    <paragraph indent="2">(3)   Failure to appear.  A licensee or applicant who after notice does not appear at a hearing waives the right to a hearing and consents to the action that the Director proposed in the notice. The Director may deny the application or suspend or revoke the license as proposed in the notice.</paragraph>
    <paragraph indent="2">(4)   Notice and Effective Date of Suspension or Revocation.  The Director’s written decision must be posted at the office of the Director and must be served on the licensee or applicant in person or by regular mail, postage prepaid, addressed to the applicant or licensee’s last known address as maintained in the Department’s files. The Director must also post a written notice of the decision at a conspicuous place on the establishment for which the license was or would be issued. A suspension or revocation takes effect on the day the Director’s decision is delivered in person or posted, whichever occurs first. To facilitate enforcement of this provision, the Director may require the applicant or licensee to appear at the Director’s office at a specific time to receive a copy of the decision and be prepared to surrender the license. If a licensee or applicant does not appear to receive the Director’s decision, the Director’s decision is effective on the date and time the licensee or applicant was directed to appear.</paragraph>
    <paragraph indent="2">(5)   Surrender of license and security.  When a license is suspended or revoked, the Director must take custody of the suspended or revoked license.</paragraph>
    <paragraph indent="1">(h)   Upon receipt of notice of a license revocation or suspension, unless otherwise directed, the licensee must, within 24 hours:</paragraph>
    <paragraph indent="2">(1)   place the license in the mail, postage prepaid, addressed to the Department; or</paragraph>
    <paragraph indent="2">(2)   physically deliver the license to the Department.</paragraph>
    <paragraph indent="1">(i)   If the Department does not receive a suspended or revoked license within 48 hours after notification, excluding weekends or a legal holiday, or as otherwise directed, the holder of the license violates this Section. In addition to any other penalties that may be imposed, the Director or the Chief may:</paragraph>
    <paragraph indent="2">(1)   remove the revoked or suspended license from the business location; and</paragraph>
    <paragraph indent="2">(2)   close the place of business until the person operating the business obtains a license.</paragraph>
    <paragraph indent="1">(j)   Appeals.</paragraph>
    <paragraph indent="2">(1)   Any person aggrieved by the denial, suspension, or revocation of any license under this Section may seek judicial review under the Maryland Rules for review of administrative decisions in the Circuit Court and the Court of Special Appeals.</paragraph>
    <paragraph indent="2">(2)   Except as provided in subsection (3), the Director’s decision to deny a license must not be stayed pending appeal.</paragraph>
    <paragraph indent="2">(3)   Final administrative action that revokes or suspends a license may be stayed pending appeal only if:</paragraph>
    <paragraph indent="3">(A)   the Court finds that the public health, safety, or welfare will not be endangered during the appeal; and</paragraph>
    <paragraph indent="3">(B)   an appropriate bond is posted.</paragraph>
    <paragraph indent="1">(k)   Penalty.  A person has committed a class A violation if the person:</paragraph>
    <paragraph indent="2">(1)   violates any provision of this Section; or</paragraph>
    <paragraph indent="2">(2)   submits fraudulent information in support of a license application under this Section.</paragraph>
  </section>
  <section heading="Sec. 24-8C. Strategic Plan to Achieve Food Security in Montgomery County.">
    <paragraph indent="1">(a)   The County Executive must develop a Strategic Plan to Achieve Food Security in Montgomery County by December 1, 2016. In developing the Strategic Plan, the Executive should consider regional, national, and global efforts to address food insecurity. The Strategic Plan must at least include:</paragraph>
    <paragraph indent="2">(1)   demographic and geographic information on poverty in Montgomery County;</paragraph>
    <paragraph indent="2">(2)   demographic and geographic information on participation in Supplemental Nutrition Assistance Program (SNAP);</paragraph>
    <paragraph indent="2">(3)   demographic and geographic information on participation in Women, Infants, and Children (WIC) food supplement program;</paragraph>
    <paragraph indent="2">(4)   participation in free and reduced meals by school;</paragraph>
    <paragraph indent="2">(5)   participation in other school based food programs;</paragraph>
    <paragraph indent="2">(6)   demographic estimates regarding food insecurity;</paragraph>
    <paragraph indent="2">(7)   information on the relationship between access to transportation and access to food;</paragraph>
    <paragraph indent="2">(8)   information on how food literacy impacts food insecurity; and</paragraph>
    <paragraph indent="2">(9)   a 5-year Plan, with recommended actions, that strives to reduce food insecurity. The Plan must include:</paragraph>
    <paragraph indent="3">(A)   recommendations to reduce food insecurity for seniors and children in the first year of the Plan; and</paragraph>
    <paragraph indent="3">(B)   cost estimates to implement the Plan.</paragraph>
    <paragraph indent="1">(b)   In developing the Strategic Plan, the Executive must consult with:</paragraph>
    <paragraph indent="2">(1)   the County Department of Health and Human Services;</paragraph>
    <paragraph indent="2">(2)   the County Department of Transportation;</paragraph>
    <paragraph indent="2">(3)   the County Office of Agriculture;</paragraph>
    <paragraph indent="2">(4)   the Regional Service Center Directors;</paragraph>
    <paragraph indent="2">(5)   Montgomery County Public Schools;</paragraph>
    <paragraph indent="2">(6)   the County Planning Department;</paragraph>
    <paragraph indent="2">(7)   the Office of Community Partnerships;</paragraph>
    <paragraph indent="2">(8)   the Montgomery County Food Council</paragraph>
    <paragraph indent="2">(9)   Manna Food Center;</paragraph>
    <paragraph indent="2">(10)   the Capital Area Food Bank;</paragraph>
    <paragraph indent="2">(11)   individuals who have experience with food insecurity;</paragraph>
    <paragraph indent="2">(12)   organizations that are geographically located throughout that County that provide emergency or sustained food assistance; and</paragraph>
    <paragraph indent="2">(13)   organizations that are geographically located throughout the County whose mission is to reduce and eliminate poverty in the County.</paragraph>
    <paragraph indent="1">(c)   By December 1 each year, the Executive must submit a report to the County Council. The annual report must:</paragraph>
    <paragraph indent="2">(1)   update the information required in Section 24-8C(a);</paragraph>
    <paragraph indent="2">(2)   include activities, accomplishments, plans, and objectives to implement the Strategic Plan;</paragraph>
    <paragraph indent="2">(3)   include cost estimates for the following fiscal year necessary to implement the Strategic Plan.</paragraph>
    <paragraph indent="1">(d)   This Section is known as the Food Security Bill.</paragraph>
  </section>
  <section heading="Sec. 24-8D. Lead in drinking water.">
    <paragraph indent="1">(a)   Findings.</paragraph>
    <paragraph indent="2">(1)   The United States Environmental Protection Agency has determined that:</paragraph>
    <paragraph indent="3">(A)   lead is a toxic metal that is harmful to human health;</paragraph>
    <paragraph indent="3">(B)   children are at a greater risk from lead exposure than adults; and</paragraph>
    <paragraph indent="3">(C)   there is no safe level of lead for children.</paragraph>
    <paragraph indent="2">(2)   MD Code, Environment, §§ 6-1501 and 6-1502 require public and nonpublic schools to:</paragraph>
    <paragraph indent="3">(A)   regularly test for lead in drinking water outlets located in each occupied school building;</paragraph>
    <paragraph indent="3">(B)   within 24 hours, prevent all physical access to water from a drinking water outlet with an elevated level of lead until the problem is mitigated; and</paragraph>
    <paragraph indent="3">(C)   report the results of all lead testing to the Maryland Department of the Environment.</paragraph>
    <paragraph indent="2">(3)   A lead level in a drinking water outlet greater than 5 parts per billion is a danger to children in public schools.</paragraph>
    <paragraph indent="1">(b)   Definitions.  In this Section, the following words have the following meanings:</paragraph>
    <paragraph indent="2">Action level means a level of lead in water, which if exceeded, requires a school to take remedial action, notification, and follow-up-sampling.</paragraph>
    <paragraph indent="2">Director means the Director of the Department of Environmental Protection or the Director’s designee.</paragraph>
    <paragraph indent="2">Drinking water outlet means a potable water fixture that is used for drinking or food preparation. A drinking water outlet includes:</paragraph>
    <paragraph indent="2">(1)   a water fountain, faucet, or tap that is used or potentially used for drinking or food preparation;</paragraph>
    <paragraph indent="2">(2)   an ice-making machine;</paragraph>
    <paragraph indent="2">(3)   a hot drink machine; and</paragraph>
    <paragraph indent="2">(4)   any sink that is known to be used for human consumption.</paragraph>
    <paragraph indent="2">County lead limit means a lead concentration in drinking water of 5 parts per billion in a 250 milliliter first-draw.</paragraph>
    <paragraph indent="2">Public school means a school operated by the Montgomery County Board of Education or a public charter school established by the Montgomery County Board of Education.</paragraph>
    <paragraph indent="2">State regulations means the Code of Maryland Regulations, Title 26, Department of the Environment, Subtitle 16, Lead, Chapter 07, Lead in Drinking Water – Public and Nonpublic Schools, as amended.</paragraph>
    <paragraph indent="1">(c)   Action level.  A public school must:</paragraph>
    <paragraph indent="2">(1)   complete all testing and reporting required by the State regulations;</paragraph>
    <paragraph indent="2">(2)   submit a copy of all test results and reports required by the State regulations to the Director; and</paragraph>
    <paragraph indent="2">(3)   take the remedial action, notification, and follow-up sampling required for an elevated level of lead under the State regulations for any drinking water outlet with a lead concentration that is greater than the County lead limit.</paragraph>
  </section>
</article>