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<chapter num="02" heading="Abandonment or Abuse of Responsible Relatives by Recipients of Care" title_num="10" subtitle_num="02">
  <regulation prefix="Regulation" num=".01" heading="Definitions.">
    <paragraph num="A.">
      <text>In this chapter, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Terms Defined.</text>
      <paragraph num="(1)">
        <text>“Abandonment” means wrongful and continuous absence by a:</text>
        <paragraph num="(a)">
          <text>Spouse from the home for a period of 18 months or longer, immediately before the recipient of services' hospitalization; or</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Parent coupled with failure to support a child, or children, for a period of 18 months or more during the child's or children's minority.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>“Abuse” or “physical abuse” means:</text>
        <paragraph num="(a)">
          <text>The sustaining of physical injury;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Cruel or inhumane treatment;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>A malicious act or treatment; or</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Harm, or threatened harm, to the health or welfare of the individual.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(3)">
        <text>“Crime of violence” means:</text>
        <paragraph num="(a)">
          <text>Abduction;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Arson;</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Burglary;</text>
        </paragraph>
        <paragraph num="(d)">
          <text>Daytime housebreaking;</text>
        </paragraph>
        <paragraph num="(e)">
          <text>Kidnapping;</text>
        </paragraph>
        <paragraph num="(f)">
          <text>Manslaughter, except involuntary manslaughter;</text>
        </paragraph>
        <paragraph num="(g)">
          <text>Assault in the first degree;</text>
        </paragraph>
        <paragraph num="(h)">
          <text>Murder;</text>
        </paragraph>
        <paragraph num="(i)">
          <text>Rape;</text>
        </paragraph>
        <paragraph num="(j)">
          <text>Robbery;</text>
        </paragraph>
        <paragraph num="(k)">
          <text>Robbery with a deadly weapon;</text>
        </paragraph>
        <paragraph num="(l)">
          <text>Sexual offense in the first degree;</text>
        </paragraph>
        <paragraph num="(m)">
          <text>Sexual offense in the second degree;</text>
        </paragraph>
        <paragraph num="(n)">
          <text>Use of a handgun in the commission of a felony or other crime of violence;</text>
        </paragraph>
        <paragraph num="(o)">
          <text>An attempt to commit any one of the following offenses:</text>
          <paragraph num="(i)">
            <text>Assault with intent to murder;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Assault with intent to rape;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Assault with intent to rob;</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>Assault with intent to commit a sexual offense in the first degree; and</text>
          </paragraph>
          <paragraph num="(v)">
            <text>Assault with intent to commit a sexual offense in the second degree.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(4)">
        <text>“Minority” means the period of time when a child is 17 years old or younger.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Recipient of services”:</text>
        <paragraph num="(a)">
          <text>Means an individual who receives care, maintenance, treatment, or support in a facility or program that is operated or funded wholly or partly by the Department;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Includes, but is not limited to, an individual in a:</text>
          <paragraph num="(i)">
            <text>Public facility under the Maryland Mental Law, Health-General Article, Title 10, Annotated Code of Maryland;</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Facility or Veteran's Administration hospital for comprehensive evaluation under Health-General Article, Title 7, Annotated Code of Maryland;</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Residential, public facility, or a facility from which the State obtains residential care under the Maryland Developmental Disabilities Law, Health-General Article, Title 7, Annotated Code of Maryland; and</text>
          </paragraph>
          <paragraph num="(iv)">
            <text>Facility operated by the Office of Chronic and Rehabilitation Facilities.</text>
          </paragraph>
        </paragraph>
      </paragraph>
      <paragraph num="(6)">
        <text>“Responsible relative” means the:</text>
        <paragraph num="(a)">
          <text>Spouse of a recipient of services;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Parents of a recipient of services who is a minor; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Children of a recipient of services.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(7)">
        <text>“Sexual abuse”:</text>
        <paragraph num="(a)">
          <text>Means an act that involves sexual molestation or exploitation of a person by another person;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Includes, but is not limited to:</text>
          <paragraph num="(i)">
            <text>Incest, rape, or sexual offenses in any degree,</text>
          </paragraph>
          <paragraph num="(ii)">
            <text>Sodomy, and</text>
          </paragraph>
          <paragraph num="(iii)">
            <text>Unnatural or perverted sexual practices.</text>
          </paragraph>
        </paragraph>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" heading="Scope.">
    <text>It is the policy of the Maryland Department of Health, in accordance with:</text>
    <paragraph num="A.">
      <text>Health-General Article, §16-203(a)(3), Annotated Code of Maryland, to excuse a legally responsible relative from contributing to the cost of in-patient care of a recipient of services if that legally responsible relative has been abandoned by the recipient of services;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Health-General Article, §16-203(a)(4), Annotated Code of Maryland, to excuse all legally responsible relatives from contributing to the cost of in-patient care of a recipient of services if that recipient of services has committed any of the following actions in relation to any legally responsible relative:</text>
      <paragraph num="(1)">
        <text>Abuse or physical abuse;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Crime of violence; or</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Sexual abuse.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Burden of Proof.">
    <paragraph num="A.">
      <text>A responsible relative claiming to have been abused, sexually abused, abandoned, or subjected to a crime of violence by the recipient of services shall have the burden of establishing to the satisfaction of the Department by a preponderance of the evidence that the legally responsible relative was abandoned, abused, sexually abused, or subjected to a crime of violence by the recipient of services.</text>
    </paragraph>
    <paragraph num="B.">
      <text>Acceptable evidence for abuse and crimes of violence includes, but is not limited to:</text>
      <paragraph num="(1)">
        <text>Police reports; or</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Medical records, or medical statements prepared by a physician, physician's assistant, or nurse.</text>
      </paragraph>
    </paragraph>
    <paragraph num="C.">
      <text>Acceptable evidence for abandonment includes, but is not limited to, affidavits from disinterested parties of the facts surrounding the abandonment.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §16-203, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: July 1, 1971</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01, .02B, and .03A amended effective May 5, 1986 (13:9 Md. R. 1028)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .03C repealed effective May 5, 1986 (13:9 Md. R. 1028)</annotation>
    <annotation type="History" subtype="Administrative History">Chapter repealed effective June 27, 1988 (15:13 Md. R. 1552)</annotation>
    <annotation type="History" subtype="Administrative History">Regulations .01—.03 under a new chapter, Abandonment or Abuse of Responsible Relatives by Recipients of Care, adopted effective June 27, 1988 (15:13 Md. R. 1552)</annotation>
    <annotation type="History" subtype="Administrative History">Regulation .01 amended effective January 17, 2005 (32:1 Md. R. 27)</annotation>
  </annotations>
</chapter>