The sanitary regulations for riding stables, academies, and show rings shall be as follows: Separate toilet rooms for men and women shall be installed on the premises of all riding stables, academies and show rings. The equipment and maintenance of such shall comply with State and County health regulations. The water supply which is available on the premises shall comply with State and County health regulations. Manure and used bedding shall be kept in a fly-tight compartment and in such other manner to meet with the requirements of the State and County Health Departments. The floors of the stable shall be constructed in such a manner to drain properly. Manure and bedding shall not be allowed to accumulate, but shall be removed daily.

The regulations contained in this Section for immunization shall apply to all children enrolled in the public schools of the County in the elementary grades. No person shall be allowed to remain as a pupil in any public elementary school in the County, unless he submits satisfactory evidence of adequate protection or immunization against diphtheria, acceptable to the Health Department, within a reasonable period of time after registration; provided, that certain children may be exempted from this requirement upon certification by a licensed, registered physician that the physical condition of the child precludes such immunization. Such exemption from this requirement may also be obtained if the person or his natural or legal guardian provides a written statement to the public school which he expects to attend, that he objects to the inoculation required by this Section on the basis of a religious belief. If it found that the parents cannot afford to take their child to a private physician for the necessary immunization, this service will be rendered free of charge by the Health Department with the written consent of a parent or guardian. The principal of every public elementary school shall be responsible for advising the parent or guardian of the requirements of this Section. He shall be responsible for notifying the Health Department within a reasonable time, not to exceed thirty (30) days after registration of the child, of any failure to comply with this Section. Any parent or guardian who fails to comply with this Section, either willfully or through neglect, within a reasonable time after registration of the child, but in no case more than one (1) month, shall be guilty of a violation of this Code. A continued failure to comply after conviction shall constitute a separate offense.

The regulations contained in this section shall apply to all "Free Standing Clinics" in Prince George's County. A "Free Standing Clinic" is a medical facility offering medical treatment of a convenience nature which is physically separate from a hospital or hospital grounds and which is not a hospital, or administratively part of a hospital, or related institution as defined in the Health Article of the Maryland Annotated Code. No Free Standing Clinic shall use in its title or in advertisement of its service words which may lead the public to believe the clinic can provide emergency medical treatment unless the requirements set forth in Subsection (c) of this Section are met. This shall include use of the words "emergency," "urgent," or other words clearly indicating the availability of medical treatment for immediately life threatening medical conditions. The following are basic requirement for all free standing clinics in Prince George's County offering or advertising emergency services as described in Subsection (b): Well marked facility and entrance; Stretcher and wheelchair entrance; Separate approach specifically identified and maintained for emergency vehicles; 24 hour staffing, including: physician(s), nurse(s), radiology technician(s), laboratory technician(s), and all clinic signs, streets signs, or advertisement of any kind shall state the exact hours such clinic services are available; Physician and nursing staff trained in emergency care (ACLS certified or preferably Board Eligible for certification in Emergency Medicine); Resuscitation equipment including: monitor, defibrillator, cardiac medications, intubation equipment, and intravenous line equipment; Specific defined role in local emergency medical services system with appropriate radio/tel. communication; Operations according to approved local protocols for stabilization and transportation of patients requiring hospitalization or other more definitive care; On-premises radiologic services; Availability of services to all persons regardless of ability to pay. Those Free Standing Clinics which offer or advertise emergency services and are administratively a part of a hospital and open less than twenty-four (24) hours a day must indicate on all clinic signs, street signs and advertisement of any kind the exact hours such clinic services are available.

Definitions. The following definitions shall apply: Citizen means an individual who resides or is employed in this County for at least ninety (90) consecutive days. Insurer means an insurance company that is authorized to provide insurance in this State that includes medical insurance, catastrophic health insurance, and nursing home care insurance. Responsibility of County Executive. The County Executive is authorized to: Identify an insurer to provide to any citizen medical insurance at an affordable rate; and Provide sufficient notice to citizens of the availability of the medical insurance plan. Pre-existing conditions. A contract provided under this section will be subject to the insurer's regulations in covering pre-existing medical conditions of the citizen.