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<subtitle article="ghg" title_number="19" subtitle_number="5" title_name="Health Care Facilities" subtitle_name="Chronic Disease Centers">
  <section article="ghg" article_name="Health - General" number="19-501" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>In this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Board” means a citizens’ advisory board for a center.</text>
    </level>
    <level label="c">
      <text>“Center” means a chronic disease center.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-502" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>There are chronic disease centers in the State for individuals who:</text>
      <level label="1">
        <text>Need constant medical and nursing care by reason of chronic illness or infirmity; or</text>
      </level>
      <level label="2">
        <text>Have a chronic disability amenable to rehabilitation.</text>
      </level>
    </level>
    <level label="b">
      <text>One center shall be located in each of the following places:</text>
      <level label="1">
        <text>The Eastern Shore; and</text>
      </level>
      <level label="2">
        <text>The western part of this State.</text>
      </level>
    </level>
    <level label="c">
      <text>The Secretary also shall operate any other centers established by law and placed under the jurisdiction of the Secretary for the care of individuals who have chronic diseases.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-503" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <text>The Secretary shall adopt rules and regulations that set:</text>
    <level label="1">
      <text>The services to be provided by centers; and</text>
    </level>
    <level label="2">
      <text>The qualifications and standards for admission to and discharge from the centers.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-504" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <text>Each center may:</text>
    <level label="1">
      <text>Establish any outpatient clinic for preadmission evaluation, aftercare, or other home health care service;</text>
    </level>
    <level label="2">
      <text>Further medical knowledge by having a facility to explore new ways of treating problems peculiar to chronically ill and disabled individuals;</text>
    </level>
    <level label="3">
      <text>Conduct any educational and training program to improve the knowledge and skills of physicians and ancillary professional, scientific, and other staff of the center and other treatment facilities and, thus, to improve a high standard of patient care; and</text>
    </level>
    <level label="4">
      <text>Add a unit to treat chronic diseases of children.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-505" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>Admission of an individual to a center shall be based on:</text>
      <level label="1">
        <text>The statement of a physician who, after an examination of the individual, finds that the individual needs care at a center; and</text>
      </level>
      <level label="2">
        <text>The review and approval of an application for admission of the individual by the center.</text>
      </level>
    </level>
    <level label="b">
      <text>If an individual cannot be placed in a special facility in this State that can treat the condition of the individual, the individual may be admitted to a center.</text>
    </level>
    <level label="c">
      <text>A center may not admit an individual who has:</text>
      <level label="1">
        <text>A mental disorder of the type that requires care in a mental health facility; or</text>
      </level>
      <level label="2">
        <text>An orthopedic disease for which medical treatment is available in a special orthopedic hospital.</text>
      </level>
    </level>
    <level label="d">
      <level label="1">
        <text>The centers shall be operated primarily for residents of this State.</text>
      </level>
      <level label="2">
        <text>A center may admit an individual who is not a resident of this State if:</text>
        <level label="i">
          <text>The individual is admitted and discharged in accordance with a specific regional health program or specific demonstration or study project approved by the Department; and</text>
        </level>
        <level label="ii">
          <text>This State is reimbursed for the full cost of services to the individual.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-506" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>If the medical staff of a center determines that an individual cannot receive any further benefit at the center, the individual shall be discharged on the written order of a medical staff member.</text>
    </level>
    <level label="b">
      <text>If, after a competent authority directs a discharged individual to leave the center, the individual fails to do so, the administrative head of the center may take any legal step needed to remove the individual from the center, under an adequate plan for treatment and care.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-507" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>If this State is paying any of the costs of an individual at a center, the individual may be transferred to another facility that is approved under a federal program.</text>
    </level>
    <level label="b">
      <text>If the individual refuses to apply for assistance from any applicable State, federal, or local program, the administrative head of the center or the designee of the administrative head may apply for the assistance and transfer the individual to another facility.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-508" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <text>There is a citizens’ advisory board for each center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="19-509" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <level label="1">
        <text>Each board consists of 7 members appointed by the Governor.</text>
      </level>
      <level label="2">
        <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 the board for a center:</text>
      <level label="1">
        <text>Shall be a citizen of this State;</text>
      </level>
      <level label="2">
        <text>Shall be a resident of a county that the center serves;</text>
      </level>
      <level label="3">
        <text>Shall be representative of the community; and</text>
      </level>
      <level label="4">
        <text>Shall be known for an interest in civic and public affairs and for concern about the care of chronically ill individuals.</text>
      </level>
    </level>
    <level label="c">
      <level label="1">
        <text>The term of a member is 4 years.</text>
      </level>
      <level label="2">
        <text>The terms of members are staggered as required by the terms provided for members of each board on July 1, 1982. The terms of those members end as follows:</text>
        <level label="i">
          <text>1 in 1983.</text>
        </level>
        <level label="ii">
          <text>4 in 1984.</text>
        </level>
        <level label="iii">
          <text>1 in 1985.</text>
        </level>
        <level label="iv">
          <text>1 in 1986.</text>
        </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">
        <text>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>
  </section>
  <section article="ghg" article_name="Health - General" number="19-510" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <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="19-511" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>Each board shall meet at least 4 times a year, at the times and places that the board 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="19-512" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <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 chronically ill individuals; and</text>
          </level>
          <level label="2">
            <text>The extent to which its center meets these needs;</text>
          </level>
        </level>
        <level label="ii">
          <text>Advise the administrative head of the center on its facilities, goals, programs, 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 center;</text>
        </level>
        <level label="v">
          <text>Assume leadership in developing community understanding of the needs of chronically ill individuals; and</text>
        </level>
        <level label="vi">
          <text>Carry out any other responsibility that the administrative head of the center requests.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="19-513" title_number="19" title_name="Health Care Facilities" subtitle_number="5" subtitle_name="Chronic Disease Centers">
    <level label="a">
      <text>Except with the approval of the administrative head of a center, a person other than an employee of the center may not bring any alcoholic beverage into any area of the center that is used by individuals under treatment in the center.</text>
    </level>
    <level label="b">
      <text>An employee of the center may not:</text>
      <level label="1">
        <text>Drink any alcoholic beverage while on duty; or</text>
      </level>
      <level label="2">
        <text>Give any alcoholic beverage to an individual who is under treatment in the center.</text>
      </level>
    </level>
    <level label="c">
      <text>A person who violates any provision of this section is guilty of a misdemeanor and on conviction is subject to a penalty not exceeding $100 or imprisonment not exceeding 60 days or both.</text>
    </level>
  </section>
</subtitle>