<?xml version='1.0' encoding='utf-8'?>
<subtitle article="ghg" title_number="10" subtitle_number="4" title_name="Mental Health Law" subtitle_name="State Facilities">
  <section article="ghg" article_name="Health - General" number="10-401" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The Director shall supervise generally the operation of all State facilities.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-404" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>In Part II of this subtitle, “Board” means a citizens’ advisory board for a State facility.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-405" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>Part II of this subtitle does not apply to the Maryland Psychiatric Research Center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-406" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>The following State facilities shall be maintained under the direction of the Administration:</text>
      <level label="1">
        <text>Clifton T. Perkins Hospital Center;</text>
      </level>
      <level label="2">
        <text>Eastern Shore Hospital Center;</text>
      </level>
      <level label="3">
        <text>Regional Institutes for Children and Adolescents — Baltimore and Rockville;</text>
      </level>
      <level label="4">
        <text>Springfield Hospital Center;</text>
      </level>
      <level label="5">
        <text>Spring Grove Hospital Center; and</text>
      </level>
      <level label="6">
        <text>Thomas B. Finan Hospital Center.</text>
      </level>
    </level>
    <level label="b">
      <text>As a facility is built or transferred to the Administration, the facility may be made a State facility.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>By January 1, 1985, the Department shall adopt rules and regulations for admission to all Regional Institutes for Children and Adolescents in cooperation with representatives from the advisory committees of the Regional Institutes for Children and Adolescents, the mental health advisory committees in each region, the local education agencies, and the Mental Health Association of Maryland.</text>
      </level>
      <level label="2">
        <text>In determining these rules and regulations, the Department shall provide that no bona fide candidate for admission may be rejected solely because of residence outside the regular catchment area served by the institution.</text>
      </level>
      <level label="3">
        <text>In determining these rules and regulations, the Department shall provide that candidates for admission who reside in the regular catchment area served by the institution shall be granted priority in admissions to the institution.</text>
      </level>
    </level>
    <level label="d">
      <level label="1">
        <text>Beginning in fiscal year 2007, the Department may not bill a local board of education for any services provided by the State at a regional institute for children and adolescents.</text>
      </level>
      <level label="2">
        <text>Notwithstanding paragraph (1) of this subsection:</text>
        <level label="i">
          <text>Beginning in fiscal year 2007, the Department shall continue to provide the same scope of services at regional institutes for children and adolescents that were provided as of January 1, 2005; and</text>
        </level>
        <level label="ii">
          <text>A local board of education may make a contribution toward the cost of services provided by the State at a regional institute for children and adolescents.</text>
        </level>
      </level>
    </level>
    <level label="e">
      <level label="1">
        <text>Before a regional institute for children and adolescents may be closed, the Department shall submit a report to the Governor and, in accordance with § 2–1257 of the State Government Article, the Senate Finance Committee, the Senate Budget and Taxation Committee, the House Health and Government Operations Committee, and the House Appropriations Committee, justifying the closure.</text>
      </level>
      <level label="2">
        <text>The report shall address:</text>
        <level label="i">
          <text>The reasons for the closure;</text>
        </level>
        <level label="ii">
          <text>The plan for serving the regional institute for children and adolescents target population after the closure;</text>
        </level>
        <level label="iii">
          <text>The budgetary savings anticipated from the closure compared to the costs associated with serving the regional institute for children and adolescents target population in other settings;</text>
        </level>
        <level label="iv">
          <text>The plan for assisting State employees displaced by the closure in finding other employment; and</text>
        </level>
        <level label="v">
          <text>The plan for the regional institute for children and adolescents facility.</text>
        </level>
      </level>
      <level label="3">
        <text>The committees shall have 60 days to review and comment on the report.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-406.1" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>The Regional Institutes for Children and Adolescents in Baltimore and  Montgomery counties shall be comparable:</text>
      <level label="1">
        <text>In programs by January 1, 1992; and</text>
      </level>
      <level label="2">
        <text>In facilities by July 1, 1994.</text>
      </level>
    </level>
    <level label="b">
      <text>The facilities and programs of an institute may not be reduced to achieve comparability.</text>
    </level>
    <level label="c">
      <text>In no event shall the level of State funding provided or number of positions authorized to any Regional Institute for Children and Adolescents be reduced in order to attain comparability.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-407" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The Director shall set standards for admission to a State facility.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-408" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>With the advice of the Director, the Secretary shall appoint an administrative head for each State facility.</text>
    </level>
    <level label="b">
      <text>Each administrative head shall have the qualifications that the Secretary sets for administrative heads.</text>
    </level>
    <level label="c">
      <text>The Director may remove an administrative head for incompetence or misconduct.</text>
    </level>
    <level label="d">
      <text>In addition to any other power or duty that the Director or Secretary delegates, the administrative head of a State facility shall:</text>
      <level label="1">
        <text>Supervise generally the State facility;</text>
      </level>
      <level label="2">
        <text>In accordance with the provisions of the State Personnel and Pensions Article, appoint a staff for the State facility as needed and as provided in the State budget; and</text>
      </level>
      <level label="3">
        <text>Report to the Director as the Director requires.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-409" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The administrative head of the Eastern Shore Hospital Center shall:</text>
    <level label="1">
      <text>Advertise for and receive bids for a contract to provide laundry services; and</text>
    </level>
    <level label="2">
      <text>Contract for the services with the low bidder unless the administrative head finds that the bidder would not fulfill the contract satisfactorily.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-410" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>There is a citizens’ advisory board for each State facility.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-411" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <level label="1">
        <level label="i">
          <text>Except for the Eastern Shore Hospital Center, the Spring Grove Hospital Center, and the Clifton T. Perkins Hospital Center, each Board consists of 7 members appointed by the Governor.</text>
        </level>
        <level label="ii">
          <text>The Board for the Eastern Shore Hospital Center consists of 11 members appointed by the Governor.</text>
        </level>
        <level label="iii">
          <text>The Board for the Spring Grove Hospital Center consists of 9 members appointed by the Governor.</text>
        </level>
        <level label="iv">
          <text>The Board for the Clifton T. Perkins Hospital Center consists of 9 members appointed by the Governor.</text>
        </level>
      </level>
      <level label="2">
        <text>The Board for each State facility shall reflect adequately the composition of the community that the State facility serves.</text>
      </level>
      <level label="3">
        <text>Of the members of the Board for a State facility:</text>
        <level label="i">
          <text>At least 2 shall be parents or other relatives of residents or former residents of a State facility; and</text>
        </level>
        <level label="ii">
          <text>Each of the others shall be individuals who:</text>
          <level label="1">
            <text>Are known for their interest in civic and public affairs; and</text>
          </level>
          <level label="2">
            <text>Have expressed an interest in the care of individuals who have a mental disorder or generally in mental health endeavors.</text>
          </level>
        </level>
      </level>
      <level label="4">
        <text>The Governor shall appoint the members from a list of qualified individuals submitted to the Governor by the Secretary.</text>
      </level>
    </level>
    <level label="b">
      <text>Each member of a Board shall be a citizen of this State.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>The term of a member is 4 years.</text>
      </level>
      <level label="2">
        <level label="i">
          <text>Except for the Board for the Clifton T. Perkins Hospital Center, the terms of members are staggered as required for members of each Board on July 1, 1982. For the Board for the Clifton T. Perkins Hospital Center, the terms of the members are staggered as required for the members on the Board on October 1, 1994.</text>
        </level>
        <level label="ii">
          <text>Except for the Boards for the Eastern Shore Hospital Center, the Spring Grove Hospital Center, and the Clifton T. Perkins Hospital Center, the terms of those members end as follows:</text>
          <level label="1">
            <text>1 in 1983;</text>
          </level>
          <level label="2">
            <text>4 in 1984;</text>
          </level>
          <level label="3">
            <text>1 in 1985; and</text>
          </level>
          <level label="4">
            <text>1 in 1986.</text>
          </level>
        </level>
        <level label="iii">
          <text>The terms of the members of the Board for the Eastern Shore Hospital Center end as follows:</text>
          <level label="1">
            <text>2 in 1983;</text>
          </level>
          <level label="2">
            <text>5 in 1984;</text>
          </level>
          <level label="3">
            <text>2 in 1985; and</text>
          </level>
          <level label="4">
            <text>2 in 1986.</text>
          </level>
        </level>
        <level label="iv">
          <text>The terms of the members of the Board for the Spring Grove Hospital Center end as follows:</text>
          <level label="1">
            <text>1 in 1986;</text>
          </level>
          <level label="2">
            <text>1 in 1987;</text>
          </level>
          <level label="3">
            <text>4 in 1988; and</text>
          </level>
          <level label="4">
            <text>3 in 1989.</text>
          </level>
        </level>
        <level label="v">
          <text>The terms of the members of the Board for the Clifton T. Perkins Hospital Center end as follows:</text>
          <level label="1">
            <text>1 in 1996;</text>
          </level>
          <level label="2">
            <text>5 in 1997; and</text>
          </level>
          <level label="3">
            <text>3 in 1998.</text>
          </level>
        </level>
      </level>
      <level label="3">
        <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text>
      </level>
      <level label="4">
        <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text>
      </level>
      <level label="5">
        <level label="i">
          <text>Except as provided in subparagraph (ii) of this paragraph, a member who serves 2 consecutive full 4–year terms may not be reappointed for 4 years after completion of those terms.</text>
        </level>
        <level label="ii">
          <text>An initial member of a Board who serves 3 consecutive full 4–year terms may not be reappointed for 4 years after completion of those terms.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-412" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>From among its members, each Board shall elect a chairman and other officers that the Board considers necessary.</text>
    </level>
    <level label="b">
      <text>The manner of election of officers and their terms of office shall be as the Board determines.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-413" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>Each Board shall meet at least 4 times a year, at the times and places that it determines.</text>
    </level>
    <level label="b">
      <text>A member of a Board may not receive compensation.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-414" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>Each Board may adopt rules and regulations for the conduct of its meetings.</text>
    </level>
    <level label="b">
      <level label="1">
        <text>Each Board serves in an advisory capacity.</text>
      </level>
      <level label="2">
        <text>Each Board shall:</text>
        <level label="i">
          <text>Submit to the Secretary an annual report on:</text>
          <level label="1">
            <text>The needs of individuals who have a mental disorder; and</text>
          </level>
          <level label="2">
            <text>The extent to which its State facility meets these needs;</text>
          </level>
        </level>
        <level label="ii">
          <text>Advise the administrative head of the State facility on its goals, programs, physical plant, and policies;</text>
        </level>
        <level label="iii">
          <text>Help in evaluating the degree to which these goals are achieved;</text>
        </level>
        <level label="iv">
          <text>Review and make recommendations about the annual budget of the State facility;</text>
        </level>
        <level label="v">
          <text>Assume leadership in developing community understanding of the needs of those who have a mental disorder; and</text>
        </level>
        <level label="vi">
          <text>Carry out any other responsibility that the administrative head of the State facility requests.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-415" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <level label="1">
        <text>In this subsection, “facility” means:</text>
        <level label="i">
          <text>The Clifton T. Perkins Hospital Center;</text>
        </level>
        <level label="ii">
          <text>The Eastern Shore Hospital Center;</text>
        </level>
        <level label="iii">
          <text>The Regional Institutes for Children and Adolescents – Baltimore and Rockville;</text>
        </level>
        <level label="iv">
          <text>The Springfield Hospital Center;</text>
        </level>
        <level label="v">
          <text>The Spring Grove Hospital Center;</text>
        </level>
        <level label="vi">
          <text>The Thomas B. Finan Hospital Center; or</text>
        </level>
        <level label="vii">
          <text>The Office of Health Care Quality.</text>
        </level>
      </level>
      <level label="2">
        <level label="i">
          <text>The pay scale for a “Physician Clinical Specialist” position in a facility shall be the same as a “Psychiatrist Clinical” position in a facility.</text>
        </level>
        <level label="ii">
          <text>The pay scale for a “Physician Clinical Staff” position in a facility shall be the same as a “Psychiatrist Clinical Graduate” position in a facility.</text>
        </level>
      </level>
      <level label="3">
        <text>In a fiscal year in which an upward adjustment to the pay scale is made for initial appointments to a “Registered Nurse” position in a facility, the “Registered Nurse Charge”, “Registered Nurse Supervisor”, and “Registered Nurse Manager” positions in the same facility shall receive an upward adjustment to their pay scales in an amount at least equal to the adjustment for the employees in a “Registered Nurse” position who report to employees in the “Registered Nurse Charge”, “Registered Nurse Supervisor”, and “Registered Nurse Manager” positions at the facility.</text>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>In a fiscal year in which an upward adjustment to the pay scale is made for initial appointments to a “Registered Nurse Perkins” position at the Clifton T. Perkins Hospital Center, the “Registered Nurse Charge Perkins”, “Registered Nurse Supervisor Perkins”, “Registered Nurse Manager Perkins”, “Assistant Director of Nursing Perkins”, and “Director of Nursing Perkins” positions at the Clifton T. Perkins Hospital Center shall receive an upward adjustment to their pay scales in an amount at least equal to the adjustment for the employees in a “Registered Nurse Perkins” position who report to employees in the “Registered Nurse Charge Perkins”, “Registered Nurse Supervisor Perkins”, “Registered Nurse Manager Perkins”, “Assistant Director of Nursing Perkins”, and “Director of Nursing Perkins” positions.</text>
      </level>
      <level label="2">
        <level label="i">
          <text>This paragraph applies only to employees of the Clifton T. Perkins Hospital Center who are:</text>
          <level label="1">
            <text>Employed in a “Security Attendant” position; and</text>
          </level>
          <level label="2">
            <text>Required as a condition of employment to complete a correctional training course approved by the Correctional Training Commission under Title 8, Subtitle 2 of the Correctional Services Article.</text>
          </level>
        </level>
        <level label="ii">
          <text>The pay scale for a “Security Attendant” position shall be at least equal to the pay scale for a correctional officer employed by the Department of Public Safety and Correctional Services.</text>
        </level>
      </level>
    </level>
    <level label="c">
      <text>In a fiscal year in which an upward adjustment to the pay scale is made for initial appointments to a “Health Facility Surveyor Nurse I” position in the Office of Health Care Quality, the “Health Facility Surveyor Nurse I” and “Health Facility Surveyor Nurse II” positions in the Office of Health Care Quality shall receive an upward adjustment to their pay scales in an amount equal to the adjustment for the “Health Facility Surveyor Nurse I” position.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-417" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>In Part III of this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Center” means the Maryland Psychiatric Research Center.</text>
    </level>
    <level label="c">
      <text>“Department of Psychiatry” means the Department of Psychiatry of the University of Maryland School of Medicine.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-418" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>There is a Maryland Psychiatric Research Center in the Department.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-419" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>There is an Executive Board for the Center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-420" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The Executive Board consists of the following 5 ex officio members:</text>
    <level label="1">
      <text>The Superintendent of the Center.</text>
    </level>
    <level label="2">
      <text>The Director of Research and Evaluation of the Department.</text>
    </level>
    <level label="3">
      <text>The Director of the Behavioral Health Administration.</text>
    </level>
    <level label="4">
      <text>The Chairman of the Department of Psychiatry.</text>
    </level>
    <level label="5">
      <text>The Dean of the University of Maryland School of Medicine.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-421" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>From among its members, the Executive Board shall elect a chairman.</text>
    </level>
    <level label="b">
      <text>The manner of election of officers and their terms of office shall be as the Executive Board determines.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-422" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The Executive Board of the Center shall develop policy for the operations of the Center, including policies on the assignments and responsibilities of the scientific employees and technical employees of the Center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-423" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>By joint action, the Director and the Chairman of the Department of Psychiatry shall appoint a superintendent of the Center and may remove the Superintendent.</text>
    </level>
    <level label="b">
      <text>The Executive Board of the Center shall appoint individuals to scientific positions and technical positions at the Center and may remove these individuals.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>The Superintendent of the Center and each individual in a scientific position or technical position shall be in the management service or special appointments in the State Personnel Management System.</text>
      </level>
      <level label="2">
        <text>The remaining administrative employees and all clerical employees shall be in the skilled service in the State Personnel Management System.</text>
      </level>
      <level label="3">
        <text>The Executive Board shall determine the status of each position at the Center.</text>
      </level>
    </level>
    <level label="d">
      <text>All positions at the Center shall be assigned to the University of Maryland School of Medicine.</text>
    </level>
    <level label="e">
      <text>Each employee of the Center whom the Executive Board designates as performing scientific duties or technical duties shall be appointed to a faculty position in the Department of Psychiatry.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-424" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The Center shall:</text>
    <level label="1">
      <text>Be maintained as a State facility for psychiatric research;</text>
    </level>
    <level label="2">
      <text>Direct its programs toward prevention, discovery of causes, and treatment of mental disorders and allied conditions; and</text>
    </level>
    <level label="3">
      <text>Perform the research programs under the written agreements that the Department and the Department of Psychiatry make.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-425" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>Research programs shall be carried out under the general supervision and direction of the Department of Psychiatry, but subject to the policies of the Executive Board of the Center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-426" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>There is a technical review committee in the Center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="10-427" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>The technical review committee consists of the following 11 members:</text>
      <level label="1">
        <text>As ex officio members:</text>
        <level label="i">
          <text>The Superintendent of the Center; and</text>
        </level>
        <level label="ii">
          <text>The Chairman of the Department of Psychiatry;</text>
        </level>
      </level>
      <level label="2">
        <text>3 psychologists;</text>
      </level>
      <level label="3">
        <text>3 physicians who are licensed to practice medicine in this State and devote a substantial amount of professional time to the practice of psychiatry; and</text>
      </level>
      <level label="4">
        <text>3 citizens of this State chosen by the Executive Board of the Center from individuals who are interested in and concerned about the care of individuals who have a mental disorder and about research directed toward the prevention, discovery of causes, and treatment of mental disorders and allied conditions.</text>
      </level>
    </level>
    <level label="b">
      <text>Of the 3 psychologists and 3 physicians:</text>
      <level label="1">
        <text>1 shall be chosen by the Executive Board of the Center from the University of Maryland School of Medicine;</text>
      </level>
      <level label="2">
        <text>2 shall be chosen by the Executive Board of the Center from the Johns Hopkins University School of Medicine; and</text>
      </level>
      <level label="3">
        <text>3 shall be chosen by the Executive Board of the Center from other affiliations, including private practitioners.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-428" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <level label="a">
      <text>From among its members, the technical review committee shall elect a chairman.</text>
    </level>
    <level label="b">
      <text>The manner of election of officers and their terms of office shall be as the technical review committee determines.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="10-429" title_number="10" title_name="Mental Health Law" subtitle_number="4" subtitle_name="State Facilities">
    <text>The technical review committee shall:</text>
    <level label="1">
      <text>Provide peer review over research activities at the Center;</text>
    </level>
    <level label="2">
      <text>Serve in an advisory capacity to the Executive Board and the Superintendent of the Center; and</text>
    </level>
    <level label="3">
      <text>Submit an annual report to the Executive Board.</text>
    </level>
  </section>
</subtitle>