<?xml version='1.0' encoding='utf-8'?>
<subtitle article="ghg" title_number="7" subtitle_number="5" title_name="Developmental Disabilities Law" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
  <section article="ghg" article_name="Health - General" number="7-501" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>There are State residential centers for individuals with an intellectual disability in the Developmental Disabilities Administration.</text>
    </level>
    <level label="b">
      <text>The Deputy Secretary shall appoint an administrative head for each State residential center.</text>
    </level>
    <level label="c">
      <text>Each State residential center shall:</text>
      <level label="1">
        <text>Establish and implement a safety plan for the safety of the individuals served by the State residential center; and</text>
      </level>
      <level label="2">
        <text>Revise the safety plan not less than every 5 years.</text>
      </level>
    </level>
    <level label="d">
      <text>A State residential center may satisfy the requirement under subsection (c) of this section by implementing a safety or emergency plan established for the center for another purpose.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-502" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>The Secretary shall approve the admission of an individual to a State residential center only if:</text>
      <level label="1">
        <text>The findings of the evaluation are that the individual:</text>
        <level label="i">
          <text>Has an intellectual disability; and</text>
        </level>
        <level label="ii">
          <text>For adequate habilitation, needs residential services; and</text>
        </level>
      </level>
      <level label="2">
        <text>There is no less restrictive setting in which the needed services can be provided and that is available to the individual or will be available to the individual within a reasonable time.</text>
      </level>
    </level>
    <level label="b">
      <text>The Secretary may not approve the admission of an individual to a State residential center if:</text>
      <level label="1">
        <text>The findings of the evaluation are that the individual:</text>
        <level label="i">
          <text>Does not have an intellectual disability; or</text>
        </level>
        <level label="ii">
          <text>Has an intellectual disability but does not need residential services for adequate habilitation; or</text>
        </level>
      </level>
      <level label="2">
        <text>There is a less restrictive setting in which the needed services can be provided that is available to the individual or will be available to the individual within a reasonable time.</text>
      </level>
    </level>
    <level label="c">
      <text>The Secretary shall provide an individual with the appropriate least restrictive service consistent with the individual’s welfare, safety, and plan of habilitation, if the individual:</text>
      <level label="1">
        <text>Has an application for services that has been approved under § 7–404(c) of this title; or</text>
      </level>
      <level label="2">
        <text>Is considered eligible for transfer under Subtitle 8 of this title by the Deputy Secretary or the Deputy Secretary’s designee.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-503" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>Within 21 days after the admission of an individual to a State residential center, a hearing officer of the Department shall hold a hearing on the admission in accordance with the rules and regulations that the Secretary adopts.</text>
    </level>
    <level label="b">
      <text>Written notice of the admission of an individual and of the date, time, and place of the individual’s hearing on admission shall be given:</text>
      <level label="1">
        <text>On admission, to the individual; and</text>
      </level>
      <level label="2">
        <text>As soon as possible, but not later than 5 days after the admission, to legal counsel for the individual and to the proponent of admission.</text>
      </level>
    </level>
    <level label="c">
      <text>The notice also shall state:</text>
      <level label="1">
        <text>The name of each proponent of the admission;</text>
      </level>
      <level label="2">
        <text>The right of the individual who has been admitted:</text>
        <level label="i">
          <text>To consult with and be represented by a lawyer; and</text>
        </level>
        <level label="ii">
          <text>To call witnesses and offer evidence at the hearing on admission;</text>
        </level>
      </level>
      <level label="3">
        <text>The availability of the services of the legal aid bureaus, lawyer referral services, and other agencies that exist for the referral of individuals who need legal counsel;</text>
      </level>
      <level label="4">
        <text>The rights of individuals with developmental disability under Subtitle 10 and § 7–1102 of this title; and</text>
      </level>
      <level label="5">
        <text>The rights of individuals to release under §§ 7–506, 7–507, and 7–508 of this subtitle.</text>
      </level>
    </level>
    <level label="d">
      <text>The Department shall prepare and provide each State residential center with standard forms that set forth, in clear and simple words, the notice provisions of this section.</text>
    </level>
    <level label="e">
      <level label="1">
        <text>At the hearing, in order to certify the admission of the individual, it must be affirmatively shown by clear and convincing evidence that the conclusions leading to the decision to admit the individual are supported by the following findings:</text>
        <level label="i">
          <text>The individual has an intellectual disability;</text>
        </level>
        <level label="ii">
          <text>The individual needs residential services for the individual’s adequate habilitation; and</text>
        </level>
        <level label="iii">
          <text>There is no less restrictive setting in which the needed services can be provided that is available to the individual or will be available to the individual within a reasonable time after the hearing.</text>
        </level>
      </level>
      <level label="2">
        <text>If the hearing officer shall find from the admissible evidence that the conclusions leading to the admission are not proved, the hearing officer shall so certify and the individual shall be released from the State residential center.</text>
      </level>
      <level label="3">
        <text>If the hearing officer shall find from clear and convincing evidence that all of the admission requirements have been proved, the hearing officer shall so certify and the individual’s admission shall be considered approved.</text>
      </level>
      <level label="4">
        <text>If the hearing officer certifies the admission of an individual to a State residential center, the hearing officer shall, at the conclusion of the hearing, write on the certification form any additional services of habilitation that are not included in the evaluation report, but that the hearing officer finds from the evidence are needed by the individual.</text>
      </level>
      <level label="5">
        <text>If the hearing officer certifies the admission of an individual to a State residential center, the hearing officer shall, at the conclusion of the hearing, advise that individual and the legal counsel of the individual’s right to seek judicial release from the State residential center under § 7–507 of this subtitle. The hearing officer shall also advise that individual and the legal counsel of:</text>
        <level label="i">
          <text>The individual’s rights under the appeal provisions of §§ 10–222 and 10–223 of the State Government Article; and</text>
        </level>
        <level label="ii">
          <text>The individual’s right to file a petition for habeas corpus under § 7–506 of this subtitle.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-504" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <text>The determination of a hearing officer on an admission under this subtitle is a final decision of the Department for the purpose of judicial review of final decisions under Title 10, Subtitle 2 of the State Government Article.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="7-505" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>At least once a year, each individual with an intellectual disability who is admitted to a State residential center shall be reevaluated to determine:</text>
      <level label="1">
        <text>Whether the individual continues to meet the requirements of this subtitle for admission to a State residential center;</text>
      </level>
      <level label="2">
        <text>Whether the services which the individual requires can be provided in a less restrictive setting;</text>
      </level>
      <level label="3">
        <text>Whether the individual’s plan of habilitation as required by § 7–1006 of this title is adequate and suitable; and</text>
      </level>
      <level label="4">
        <text>Whether the State residential center has complied with and executed the individual’s plan of habilitation in accordance with the rules, regulations, and standards that the Secretary adopts.</text>
      </level>
    </level>
    <level label="b">
      <text>If the Secretary finds that any individual no longer meets the admission requirements of this subtitle, the Secretary shall begin appropriate proceedings for release or transfer of that individual.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-506" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <text>Any individual who has been admitted to a State residential center or any person on behalf of the individual may apply at any time to a court of competent jurisdiction for a writ of habeas corpus to determine the cause and the legality of the detention.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="7-507" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>Subject to the limitations in this section, a petition for the release of an individual who is held under this subtitle from a State residential center may be filed, at any time, by:</text>
      <level label="1">
        <text>The individual; or</text>
      </level>
      <level label="2">
        <text>Any person who has a legitimate interest in the welfare of the individual.</text>
      </level>
    </level>
    <level label="b">
      <text>The petition shall be filed in a circuit court for the county:</text>
      <level label="1">
        <text>Where the individual resides or resided at the time of the admission; or</text>
      </level>
      <level label="2">
        <text>Where the State residential center is located.</text>
      </level>
    </level>
    <level label="c">
      <text>The Administration shall be the respondent in a petition under this section.</text>
    </level>
    <level label="d">
      <text>The petition shall be in the form and contain the information that the Maryland Rules require.</text>
    </level>
    <level label="e">
      <text>If the petitioner requests trial by jury, the trial shall be held with a jury as in a civil action at law.</text>
    </level>
    <level label="f">
      <text>The trier of fact shall determine:</text>
      <level label="1">
        <text>Whether the individual has an intellectual disability;</text>
      </level>
      <level label="2">
        <text>Whether for adequate habilitation, the individual needs residential services; and</text>
      </level>
      <level label="3">
        <text>Whether there is a less restrictive setting in which the needed services can be provided that is available to the individual or will be available to the individual within a reasonable time.</text>
      </level>
    </level>
    <level label="g">
      <level label="1">
        <text>The court shall remand the individual to the custody of the State residential center, if the trier of fact determines that:</text>
        <level label="i">
          <text>The individual has an intellectual disability;</text>
        </level>
        <level label="ii">
          <text>For adequate habilitation the individual needs residential services; and</text>
        </level>
        <level label="iii">
          <text>There is no less restrictive setting in which those services needed can be provided and which is available to the individual or will be available to the individual within a reasonable time.</text>
        </level>
      </level>
      <level label="2">
        <text>The court shall order that appropriate less restrictive services be offered to an individual, if the trier of fact determines that:</text>
        <level label="i">
          <text>The individual has an intellectual disability;</text>
        </level>
        <level label="ii">
          <text>For adequate habilitation the individual needs residential services; and</text>
        </level>
        <level label="iii">
          <text>There is a less restrictive setting in which the service can be provided, and which from evidence submitted by the Director is available or will be available to the individual within a reasonable time.</text>
        </level>
      </level>
      <level label="3">
        <text>The individual shall be released from the State residential center, if the trier of fact determines that:</text>
        <level label="i">
          <text>The individual does not have an intellectual disability;</text>
        </level>
        <level label="ii">
          <text>For adequate habilitation the individual does not need residential services; or</text>
        </level>
        <level label="iii">
          <text>There is a less restrictive setting in which the needed services can be provided that is available to the individual or will be available to the individual within a reasonable time.</text>
        </level>
      </level>
    </level>
    <level label="h">
      <text>Any party may appeal from a decision on the petition as in any other civil case.</text>
    </level>
    <level label="i">
      <text>Appropriate records of the proceeding under this section shall be made a permanent part of the individual’s record.</text>
    </level>
    <level label="j">
      <level label="1">
        <text>After a determination on the merits of a petition under this section, a court may not hear a later petition for the individual within 1 year after that determination, unless:</text>
        <level label="i">
          <text>The petition is verified, and alleges an improvement in the condition of the individual with an intellectual disability after the determination; and</text>
        </level>
        <level label="ii">
          <text>The court, after review of the verified petition, determines that the matter should be reopened.</text>
        </level>
      </level>
      <level label="2">
        <text>If the matter is reopened, the petition shall be heard as provided in this section.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-508" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>At the direction of the Secretary, an individual who has been admitted under this subtitle shall be released from a State residential center if:</text>
      <level label="1">
        <text>The individual is not an individual with an intellectual disability;</text>
      </level>
      <level label="2">
        <text>The individual is an individual with an intellectual disability but does not need residential services; or</text>
      </level>
      <level label="3">
        <text>There is an available, less restrictive kind of service that is consistent with the welfare and safety of the individual.</text>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>At the direction of the Secretary, any individual who has been admitted under this subtitle may be released conditionally from a State residential center for individuals with an intellectual disability, if, in the judgment of the Secretary, the individual:</text>
        <level label="i">
          <text>Would be cared for properly by the individual or another person; and</text>
        </level>
        <level label="ii">
          <text>Would not endanger the individual or the person or property of another.</text>
        </level>
      </level>
      <level label="2">
        <text>The Secretary may set the conditions for release that the Secretary considers reasonable. The conditions may relate to:</text>
        <level label="i">
          <text>The duration of the release;</text>
        </level>
        <level label="ii">
          <text>Treatment during release; or</text>
        </level>
        <level label="iii">
          <text>Placement under supervised care in an approved setting.</text>
        </level>
      </level>
      <level label="3">
        <text>An individual with an intellectual disability released conditionally is considered to be held by the State residential center from which the individual was released.</text>
      </level>
    </level>
    <level label="c">
      <text>Each determination of any release of an individual, whether full or conditional, including a summary of the reasons for the determination, shall be made a permanent part of the individual’s record.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-509" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>In this section, “respite care” means care that is made available for an individual with an intellectual disability in a State residential center to provide relief for the person with whom the individual ordinarily lives.</text>
    </level>
    <level label="b">
      <text>Under regulations that the Department adopts, each State residential center shall reserve at least 2 percent, but not more than 4 percent, of its total beds for respite care.</text>
    </level>
    <level label="c">
      <text>Respite care for an individual may not exceed 45 days within any 1–year period or 28 consecutive days.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-510" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <text>In Part II of this subtitle, “board” means a citizens’ advisory board for a State residential center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="7-511" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <text>There is a citizens’ advisory board for each State residential center.</text>
  </section>
  <section article="ghg" article_name="Health - General" number="7-512" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <level label="1">
        <text>Each board consists of 7 members appointed by the Governor.</text>
      </level>
      <level label="2">
        <text>The board for each State residential center shall reflect adequately the composition of the community that the State residential center serves.</text>
      </level>
      <level label="3">
        <text>Of the 7 members of the board for a State residential center:</text>
        <level label="i">
          <text>At least 2 shall be parents or other relatives or guardians of residents of that State residential center; 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 active interest in the care of individuals with an intellectual disability, or generally in intellectual disability 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. The number of names on the list shall be at least twice the number of vacancies.</text>
      </level>
    </level>
    <level label="b">
      <text>Each member of the board for a State residential center shall be a resident of the region that the State residential center serves.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>The term of a member is 4 years.</text>
      </level>
      <level label="2">
        <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text>
      </level>
      <level label="3">
        <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="4">
        <text>A member who serves 2 consecutive full 4-year terms may not be reappointed for 4 years after the completion of those terms.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-513" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>From among its members, each board shall elect a chairperson 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="7-514" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <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:</text>
      <level label="1">
        <text>May not receive compensation; but</text>
      </level>
      <level label="2">
        <text>Is entitled to reimbursement for expenses under the Standard State Travel Regulations, as provided in the State budget.</text>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-515" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <text>Each board may adopt 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 with an intellectual disability; and</text>
          </level>
          <level label="2">
            <text>The extent to which its State residential center meets these needs;</text>
          </level>
        </level>
        <level label="ii">
          <text>Advise the administrative head of the State residential center on its 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 State residential center;</text>
        </level>
        <level label="v">
          <text>Assume leadership in developing community understanding of the needs of individuals with an intellectual disability; and</text>
        </level>
        <level label="vi">
          <text>Carry out any other responsibility that the administrative head of the State residential center requests.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-516" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <text>The administrative head for each State residential center may appoint any employee as a law–enforcement officer and, while the employee holds a special police commission issued by the Governor, the employee may:</text>
    <level label="1">
      <text>Return an individual with an intellectual disability to the State residential center from which the individual has left without approved leave; and</text>
    </level>
    <level label="2">
      <text>Be used to protect individuals or property at the State residential center.</text>
    </level>
  </section>
  <section article="ghg" article_name="Health - General" number="7-517" title_number="7" title_name="Developmental Disabilities Law" subtitle_number="5" subtitle_name="State Residential Centers for Individuals with an Intellectual Disability">
    <level label="a">
      <level label="1">
        <text>In this section the following words have the meanings indicated.</text>
      </level>
      <level label="2">
        <text>“ICF–ID income” means all revenues received by an ICF–ID from any source providing ICF–ID  services to residents of the facility.</text>
      </level>
      <level label="3">
        <text>“Intermediate care facility for individuals with an intellectual disability (ICF–ID)” means a State residential center for individuals with an intellectual disability.</text>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>Each ICF–ID operating in Maryland is subject to an assessment of 6% of all ICF–ID  income.</text>
      </level>
      <level label="2">
        <text>The assessment required by this section shall:</text>
        <level label="i">
          <text>Be paid by each ICF–ID in accordance with this section; or</text>
        </level>
        <level label="ii">
          <text>Terminate if the assessment is not permissible under Section 1903(w) of the Social Security Act.</text>
        </level>
      </level>
    </level>
    <level label="c">
      <text>On or before the 15th day of each quarter of the State fiscal year, each ICF–ID shall pay to the Department 6% of the ICF–ID income received during the previous fiscal quarter.</text>
    </level>
    <level label="d">
      <text>For fiscal year 2004, the assessment required by this section shall be paid on or before June 20, 2004, based on the ICF–ID income received during the period from April 1, 2003, through March 31, 2004.</text>
    </level>
    <level label="e">
      <text>The Department may adopt regulations to implement this section.</text>
    </level>
  </section>
</subtitle>