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<regulation prefix="Regulation" num=".05" citation="COMAR 10.52.01.05" title_num="10" subtitle_num="52" chapter_num="01" heading="Program Design and Operation.">
  <paragraph num="A.">
    <text>The CBO or local health department approved to operate an OADPO program:</text>
    <paragraph num="(1)">
      <text>Shall provide protocols for the safety and security of OADPO program locations, equipment, and staff in accordance with Regulation .06 of this chapter that:</text>
      <paragraph num="(a)">
        <text>Control the dissemination of hypodermic needles and syringes; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Allow for a full accounting of the number of hypodermic needles and syringes managed by the program;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall offer participants:</text>
      <paragraph num="(a)">
        <text>Overdose prevention education;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Access to or a referral to obtain naloxone; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Harm reduction education;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Shall ensure that all OADPO program staff have:</text>
      <paragraph num="(a)">
        <text>Appropriate levels of expertise in working with individuals who inject drugs;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Knowledge of harm reduction strategies; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Skills in implementing harm reduction strategies;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Shall ensure that all OADPO program staff receive training approved by the Department to work with injection drug users and to provide referrals to:</text>
      <paragraph num="(a)">
        <text>Community services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Counseling; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Preventative education;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Shall ensure that all OADPO program staff demonstrate sensitivity to participant differences including:</text>
      <paragraph num="(a)">
        <text>Cultural;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Behavioral; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Values;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Shall ensure that information collected to identify OADPO program participants is kept confidential according to:</text>
      <paragraph num="(a)">
        <text>Health-General Article, §24-906(b), Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>42 CFR Part 2;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Shall ensure that there is a method of identification and authorization for OADPO program staff members who have access to:</text>
      <paragraph num="(a)">
        <text>Hypodermic needles;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Syringes; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>OADPO program records;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Shall develop and provide a protocol for linking participants to:</text>
      <paragraph num="(a)">
        <text>Substance abuse treatment services;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Testing for:</text>
        <paragraph num="(i)">
          <text>HIV;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Viral hepatitis; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>STIs;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Reproductive health services;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Wound care; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Naloxone;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Shall disseminate hypodermic needles or syringes and other preventive means for curtailing the spread of HIV and viral hepatitis at no cost to participants, including but not limited to:</text>
      <paragraph num="(a)">
        <text>Injection supplies; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Safer sex supplies; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>May not discriminate against participants based on factors including but not limited to:</text>
      <paragraph num="(a)">
        <text>Culture;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Language;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ability;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Socioeconomic status;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Sexual orientation;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Gender identity;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Age;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Religion;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Race; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Ethnicity.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Identification Card. OADPO program staff shall:</text>
    <paragraph num="(1)">
      <text>Give each participant an identification card that includes the participant’s OADPO program identification number;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Advise participants to carry the identification card with them at all times; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If the identification card is lost by a participant, re-issue an identification card to the participant.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The CBO or local health department approved to operate an OADPO program may offer other services to OADPO program participants, including:</text>
    <paragraph num="(1)">
      <text>Testing for:</text>
      <paragraph num="(a)">
        <text>HIV;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Viral hepatitis; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>STIs;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Wound care;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Reproductive health services; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Substance abuse counseling, treatment, and recovery services.</text>
    </paragraph>
  </paragraph>
</regulation>