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<section article="ged" article_name="Education" number="13-517" title_number="13" title_name="University of Maryland -- General Provisions" subtitle_number="5" subtitle_name="Emergency Medical Services">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“AED coordinator” means the individual designated by a registered entity to ensure compliance with the requirements of this section.</text>
    </level>
    <level label="3">
      <text>“Automated external defibrillator (AED)” means a medical heart monitor and defibrillator device that:</text>
      <level label="i">
        <text>Is cleared for market by the U.S. Food and Drug Administration;</text>
      </level>
      <level label="ii">
        <text>Recognizes the presence or absence of ventricular fibrillation or rapid ventricular tachycardia;</text>
      </level>
      <level label="iii">
        <text>Determines, without intervention by an operator, whether defibrillation should be performed;</text>
      </level>
      <level label="iv">
        <text>On determining that defibrillation should be performed, automatically charges; and</text>
      </level>
      <level label="v">
        <level label="1">
          <text>Requires operator intervention to deliver the electrical impulse; or</text>
        </level>
        <level label="2">
          <text>Automatically continues with delivery of electrical impulse.</text>
        </level>
      </level>
    </level>
    <level label="4">
      <text>“Certificate” means a certificate issued by the EMS Board to a registered entity.</text>
    </level>
    <level label="5">
      <text>“Entity” means an organization, a business, an association, an agency, a corporation, a firm, or a partnership in the State.</text>
    </level>
    <level label="6">
      <text>“Jurisdictional emergency medical services operational program” means the institution, agency, corporation, or other entity that has been approved by the EMS Board to provide oversight of emergency medical services for each of the local government and State and federal emergency medical services programs.</text>
    </level>
    <level label="7">
      <text>“Law enforcement agency” has the meaning stated in § 2–101 of the Public Safety Article.</text>
    </level>
    <level label="8">
      <text>“Program” means the Public Access Automated External Defibrillator Program.</text>
    </level>
    <level label="9">
      <text>“Registered entity” means an entity that meets the requirements of the EMS Board for registering with the Program.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>There is a Public Access Automated External Defibrillator Program.</text>
    </level>
    <level label="2">
      <text>The purpose of the Program is to:</text>
      <level label="i">
        <text>Coordinate an effective statewide public access defibrillation program; and</text>
      </level>
      <level label="ii">
        <text>Implement the initiative to co–locate naloxone with automated external defibrillators placed in public buildings, as required under § 13–518 of this subtitle.</text>
      </level>
    </level>
    <level label="3">
      <text>The Program shall be administered by the EMS Board.</text>
    </level>
  </level>
  <level label="c">
    <text>The EMS Board may:</text>
    <level label="1">
      <text>Adopt regulations for the administration of the Program;</text>
    </level>
    <level label="2">
      <text>Issue and renew certificates to entities that meet the requirements of this section;</text>
    </level>
    <level label="3">
      <text>Deny, suspend, revoke, or refuse to renew the certificate of a registered entity for failure to meet the requirements of this section;</text>
    </level>
    <level label="4">
      <text>Approve educational and training programs required under this section that:</text>
      <level label="i">
        <text>Are conducted by any private or public entity; and</text>
      </level>
      <level label="ii">
        <text>May include courses from nationally recognized organizations such as the American Heart Association, the American Red Cross, and the National Safety Council; and</text>
      </level>
    </level>
    <level label="5">
      <text>Delegate to the Institute any portion of its authority under this section.</text>
    </level>
  </level>
  <level label="d">
    <level label="1">
      <text>Except as provided in paragraph (3) of this subsection, each entity that desires to make automated external defibrillation available shall possess a valid certificate from the EMS Board.</text>
    </level>
    <level label="2">
      <text>This subsection does not apply to:</text>
      <level label="i">
        <text>A jurisdictional emergency medical services operational program;</text>
      </level>
      <level label="ii">
        <text>A licensed commercial ambulance service;</text>
      </level>
      <level label="iii">
        <text>A health care facility as defined in�§ 19–114 of the Health – General Article; or</text>
      </level>
      <level label="iv">
        <text>A place of business for health care practitioners who are licensed as dentists under Title 4 of the Health Occupations Article or as physicians under Title 14 of the Health Occupations Article and are authorized to use an AED in accordance with that license.</text>
      </level>
    </level>
    <level label="3">
      <text>A law enforcement agency may not be required to obtain a certificate for an AED deployed in a patrol vehicle of the law enforcement agency.</text>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>Except as provided in paragraph (2) of this subsection, to qualify for and retain a certificate an entity shall:</text>
      <level label="i">
        <text>Have a written plan for the use of an AED that includes a requirement that the entity notify the emergency medical services system through the use of the 911 universal emergency access number as soon as possible on the use of an AED;</text>
      </level>
      <level label="ii">
        <text>Have established AED maintenance, placement, operation, and reporting procedures as required by the EMS Board;</text>
      </level>
      <level label="iii">
        <text>Require the AED coordinator to maintain the functionality of each AED and all related equipment and supplies in accordance with the standards established by the device manufacturer and the U.S. Food and Drug Administration;</text>
      </level>
      <level label="iv">
        <text>Require the AED coordinator to promote awareness of the location and operation of the AED among potential or foreseeable AED operators in case of emergency; and</text>
      </level>
      <level label="v">
        <text>If the entity is a public building, meet any requirements established under § 13–518 of this subtitle relating to the co–location of naloxone with each AED maintained by the entity.</text>
      </level>
    </level>
    <level label="2">
      <text>For an entity that is a grocery store or restaurant, to qualify for and retain a certificate, the entity shall:</text>
      <level label="i">
        <text>Register the name of the entity with the Program; and</text>
      </level>
      <level label="ii">
        <text>Maintain the functionality of each AED and all related equipment and supplies in accordance with the standards established by the device manufacturer and the U.S. Food and Drug Administration.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>In addition to the requirements established in this section, an entity other than a grocery store or restaurant that is subject to § 21–330.3 of the Health – General Article shall ensure that the AED coordinator has successfully completed an educational training course and any refresher training courses as required by the EMS Board.</text>
  </level>
  <level label="g">
    <text>A registered entity shall report the use of an AED to the Institute using the form provided by the Institute.</text>
  </level>
  <level label="h">
    <text>An entity that desires to obtain or renew a certificate shall:</text>
    <level label="1">
      <text>Submit an application on the form that the EMS Board requires; and</text>
    </level>
    <level label="2">
      <text>Meet the requirements under this section.</text>
    </level>
  </level>
  <level label="i">
    <level label="1">
      <text>The EMS Board shall issue a new or a renewed certificate to an entity that meets the requirements of this section.</text>
    </level>
    <level label="2">
      <text>Each certificate shall include:</text>
      <level label="i">
        <text>The type of certificate;</text>
      </level>
      <level label="ii">
        <text>The full name and address of the entity;</text>
      </level>
      <level label="iii">
        <text>A unique identification number; and</text>
      </level>
      <level label="iv">
        <text>The dates of issuance and expiration of the certificate.</text>
      </level>
    </level>
    <level label="3">
      <text>A certificate is valid for 3 years.</text>
    </level>
  </level>
  <level label="j">
    <text>The EMS Board may issue a cease and desist order or obtain injunctive relief if an entity makes automated external defibrillation available in violation of this section.</text>
  </level>
  <level label="k">
    <level label="1">
      <text>In addition to any other immunities available under statutory or common law, a registered entity is not civilly liable for any act or omission in the provision of automated external defibrillation if the registered entity:</text>
      <level label="i">
        <text>Has satisfied the requirements for making an AED available under this section; and</text>
      </level>
      <level label="ii">
        <text>Possesses a valid certificate at the time of the act or omission.</text>
      </level>
    </level>
    <level label="2">
      <text>In addition to any other immunities available under statutory or common law, an individual is not civilly liable for any act or omission if:</text>
      <level label="i">
        <text>The individual is acting in good faith while rendering automated external defibrillation to a person who is a victim or reasonably believed by the individual to be a victim of a sudden cardiac arrest;</text>
      </level>
      <level label="ii">
        <text>The assistance or aid is provided in a reasonably prudent manner; and</text>
      </level>
      <level label="iii">
        <text>The automated external defibrillation is provided without fee or other compensation.</text>
      </level>
    </level>
    <level label="3">
      <text>The immunities in this subsection are not available if the conduct of the registered entity or an individual amounts to gross negligence, willful or wanton misconduct, or intentionally tortious conduct.</text>
    </level>
    <level label="4">
      <text>This subsection does not affect, and may not be construed as affecting, any immunities from civil or criminal liability or defenses established by any other provision of the Code or by common law to which a registered entity or an individual may be entitled.</text>
    </level>
  </level>
  <level label="l">
    <level label="1">
      <text>A registered entity aggrieved by a decision of the Institute acting under the delegated authority of the EMS Board under this section shall be afforded an opportunity for a hearing before the EMS Board.</text>
    </level>
    <level label="2">
      <text>A registered entity aggrieved by a decision of the EMS Board under this section shall be afforded an opportunity for a hearing in accordance with Title 10, Subtitle 2 of the State Government Article.</text>
    </level>
  </level>
</section>
