# COMAR Title 10 — Maryland Department of Health

## Subtitle 49 — State Anatomy Board

### Chapter 01 — Fees

**Authority:** Health General Article, §5-404.1, Annotated Code of Maryland

**Administrative History:** Effective date: September 16, 2002 (29:18 Md. R. 1444)

**Administrative History:** Regulation .01B amended effective April 5, 2010 (37:7 Md. R. 572)

**Administrative History:** Regulation .02A amended effective April 5, 2010 (37:7 Md. R. 572)

**Administrative History:** Regulation .03C amended effective April 5, 2010 (37:7 Md. R. 572)

#### Regulation .01 Definitions.

*COMAR 10.49.01.01*

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

  (1) “Board” means the State Anatomy Board.

  (2) “Cadaveric specimens” means requested body parts, organs, or tissues taken from a cadaver.

  (3) “In-State commercial programs” means uses of cadaveric specimens at in-State institutions for teaching, training or research using a company's medical products such as an instrument, implant, or other device.

  (4) “In-State programs” means institutional or government funded, or continuing medical education accredited courses.

  (5) “In-State study programs” means Maryland medical-dental study programs that use cadavers and cadaveric specimens to conduct:

    (a) Anatomical disciplinary instruction;

    (b) Resident surgical, clinical, or allied health training;

    (c) Physician continuing education training courses and advanced study;

    (d) Allied health, paramedic, and emergency medical training courses;

    (e) Research study requiring cadavers or human cadaveric specimens; or

    (f) Other educational, training, or research programs approved by the Board.

  (6) “Member school programs” means departments of anatomy of medical-dental schools located in Maryland that use cadavers and cadaveric specimens to support teaching and research studies.

  (7) “Member schools” means from the Departments of Anatomy of the medical schools in Maryland and the University of Maryland Dental College.

  (8) “Out-of-State commercial” means uses of cadaveric specimens at out-of-State institutions for teaching, training, or research using a company's medical products such as an instrument, implant, or other device.

  (9) “Out-of-State study programs” means out-of-State medical-dental study institutions that:

    (a) Use cadavers and cadaveric specimens to conduct anatomy courses as specified in §B(5) of this regulation; and

    (b) Are institutional or government funded, or continuing medical education accredited courses.

#### Regulation .02 Reimbursement Claim Fees.

*COMAR 10.49.01.02*

A. The Board shall:

  (1) Release an unclaimed body under its control to a relative or friend; and

  (2) Be reimbursed for expenses incurred for transportation, storage, preparation, cremation, and supplies and materials used.

B. The Board may, at its discretion, waive the fee under §A(2) of this regulation, based on economic hardship.

#### Regulation .03 Cadaver and Cadaveric Specimen Fees.

*COMAR 10.49.01.03*

A. The Board shall review costs of services provided to the State's medical-dental member school programs every 2 years.

B. Cost Analysis. The Board shall:

  (1) Perform a cost analysis of expenditures and experienced program services based on activities related to transportation, preparation, and disposition of bodies under its control; and

  (2) Determine the total average cost per cadaver and cadaveric specimen, based on the cost analysis.

C. Fees.

  (1) The fee for member school programs shall be set at a rate not less than 25 percent of the total average cost per cadaver.

  (2) The fee for in-State study programs shall be set at a rate of not less than one and one-quarter or 125 percent of the average cost per cadaver.

  (3) The fee for in-State commercial study programs shall be set at a rate of not less than two and one-half or 250 percent of the average cost per cadaver.

  (4) The fee for out-of-State study programs shall be set at a rate not less than 4 times or 400 percent of the average cost per cadaver.

  (5) The fee for out-of-State commercial programs shall be set at a rate of not less than 5 times or 500 percent of the average cost per cadaver.

  (6) The fees for cadaveric specimens shall be set at a rate proportional to the average cost per cadaver in each category listed in §C(1) — (5) of this regulation.