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<section article="ghg" article_name="Health - General" number="19-1410.3" title_number="19" title_name="Health Care Facilities" subtitle_number="14" subtitle_name="Nursing Homes">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Catastrophic health emergency” means a health emergency with regard to which the Governor issues a proclamation under § 14–3A–02 of the Public Safety Article.</text>
    </level>
    <level label="3">
      <text>“Compassionate care visitor” means a family member or legal guardian of a resident or any individual who is important to the mental, physical, or social well–being of the resident during critical situations including the end of the resident’s life, the significant mental or physical decline of the resident, or when exigent circumstances exist regarding the resident.</text>
    </level>
    <level label="4">
      <text>“COVID–19” means, interchangeably and collectively, the coronavirus known as COVID–19 or 2019–nCoV and the SARS–CoV–2 virus.</text>
    </level>
    <level label="5">
      <text>“Personal care visitor” means a family member or legal guardian of a resident who is important to the mental, physical, or social well–being of the resident.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>Consistent with federal requirements, the Department shall develop guidelines relating to the restrictions on visitation that a nursing home may impose to reduce the spread of COVID–19 or another disease that constitutes a catastrophic health emergency.</text>
    </level>
    <level label="2">
      <text>The guidelines shall:</text>
      <level label="i">
        <text>Describe the circumstances under which visitation may be restricted to only compassionate care visitors and personal care visitors;</text>
      </level>
      <level label="ii">
        <text>Limit the movement of visitors within the nursing home, which may include restricting visitors to the resident’s room or another designated room;</text>
      </level>
      <level label="iii">
        <text>Require each visitor to follow safety protocols to limit the spread of COVID–19 or another disease that constitutes a catastrophic health emergency, which may include:</text>
        <level label="1">
          <text>Testing for COVID–19 or another disease that constitutes a catastrophic health emergency;</text>
        </level>
        <level label="2">
          <text>Checking body temperature;</text>
        </level>
        <level label="3">
          <text>Health screenings;</text>
        </level>
        <level label="4">
          <text>The use of personal protective equipment;</text>
        </level>
        <level label="5">
          <text>Social distancing; and</text>
        </level>
        <level label="6">
          <text>Any other safety protocol that the Department considers appropriate to limit the spread of COVID–19 or another disease that constitutes a catastrophic health emergency in a nursing home;</text>
        </level>
      </level>
      <level label="iv">
        <text>Require, as practicable and when available, alternative means of communication with visitors if a nursing home determines that an in–person visit would endanger the health and safety of a patient, resident, or member of the staff; and</text>
      </level>
      <level label="v">
        <text>Provide additional guidance necessary to promote access to residents by compassionate care visitors.</text>
      </level>
    </level>
    <level label="3">
      <text>In addition to the requirements in paragraph (2) of this subsection, the guidelines regarding personal care visitation shall:</text>
      <level label="i">
        <text>Establish procedures for the designation of a personal care visitor by a resident or a legal representative of the resident that:</text>
        <level label="1">
          <text>May include requiring a health care professional to determine whether a personal care visitor is necessary for the mental, physical, or social well–being of the resident; and</text>
        </level>
        <level label="2">
          <text>If a determination is required, authorize the determination to be made by a health care professional who is not affiliated with the nursing home;</text>
        </level>
      </level>
      <level label="ii">
        <text>Provide that a resident may designate not more than one personal care visitor;</text>
      </level>
      <level label="iii">
        <text>Establish procedures for changing the designation of a resident’s personal care visitor;</text>
      </level>
      <level label="iv">
        <text>Require a personal care visitor to waive a nursing home from liability for exposure to COVID–19 or another disease that constitutes a catastrophic health emergency;</text>
      </level>
      <level label="v">
        <text>Establish the circumstances under which visitation by a personal care visitor may be limited, suspended, or terminated, including increased local infection rates and health care capacity;</text>
      </level>
      <level label="vi">
        <text>Establish standards for the frequency and duration of personal care visits; and</text>
      </level>
      <level label="vii">
        <text>Establish the total number of personal care visitors authorized to visit a nursing home facility at any one time.</text>
      </level>
    </level>
  </level>
</section>
