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<chapter num="17" heading="Maryland Asthma Control Program" title_num="10" subtitle_num="52">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <paragraph num="A.">
      <text>The purpose of this chapter is to facilitate the implementation of the Maryland Asthma Control Program, to the extent allowed by available funding, by providing guidelines for the administration of the Asthma Coalition in its advisory capacity to the Program.</text>
    </paragraph>
    <paragraph num="B.">
      <text>This chapter also authorizes the Maryland Asthma Control Program to obtain asthma-related data through an asthma data surveillance system.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".02" 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>“Asthma data surveillance” means the ongoing and systematic collection, analysis, and interpretation of asthma-related information for the purposes of planning, implementing, and evaluating public health interventions to:</text>
        <paragraph num="(a)">
          <text>Prevent asthma;</text>
        </paragraph>
        <paragraph num="(b)">
          <text>Improve asthma health outcomes, including rates of asthma-related emergency department admissions, hospital admissions, and mortality; and</text>
        </paragraph>
        <paragraph num="(c)">
          <text>Decrease health disparities associated with asthma.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(2)">
        <text>“Coalition” means the Maryland Statewide Asthma Coalition established by the Director of the Asthma Control Program under Health-General Article, §13-1704, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Department” means the Maryland Department of Health.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>“Local asthma coalition” means an alliance of individuals representing personal or organizational interests whose purpose is to reduce asthma prevalence, severity, and health disparities within a particular region or jurisdiction in Maryland.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>“Maryland Asthma Plan” means a comprehensive strategy that provides cohesive direction, objectives, strategies, and action steps for the Coalition to use in addressing asthma in Maryland.</text>
      </paragraph>
      <paragraph num="(6)">
        <text>“Program” means the Maryland Asthma Control Program, which is established under Health-General Article, §13-1702, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Establishment and Membership.">
    <paragraph num="A.">
      <text>The Maryland Statewide Asthma Coalition is established.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Coalition consists of members recruited by the Director of the Maryland Asthma Control Program from each of the following organizations:</text>
      <paragraph num="(1)">
        <text>The Department;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The American Lung Association of Maryland;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>The Asthma and Allergy Foundation of America, Maryland-Greater Washington, D.C. Chapter;</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The Johns Hopkins Medical Institutions;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>The University of Maryland, School of Medicine;</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Representatives from local health departments or local asthma coalitions;</text>
      </paragraph>
      <paragraph num="(7)">
        <text>Professional health care provider organizations;</text>
      </paragraph>
      <paragraph num="(8)">
        <text>Other State agencies with expertise or an interest in asthma; and</text>
      </paragraph>
      <paragraph num="(9)">
        <text>Any other interested professional and community groups with asthma expertise.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Quorum, Meetings, Compensation, and Staff.">
    <paragraph num="A.">
      <text>The members of the Coalition who are present at a meeting are a quorum to do business provided that at least eight members including one co-chair attend the meeting.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The Coalition shall meet at least twice per year, at the times and places that a co-chair determines.</text>
    </paragraph>
    <paragraph num="C.">
      <text>A member of the Coalition:</text>
      <paragraph num="(1)">
        <text>May not receive State-funded compensation; and</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Is not entitled to State-funded reimbursement for travel or other expenses related to serving as a Coalition member.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>Coalition Co-Chairs.</text>
      <paragraph num="(1)">
        <text>The Program Director or the Director's designee shall serve as a co-chair of the Coalition and designate the Program staff necessary to carry out this chapter.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>The other co-chair shall be selected by a majority vote of a quorum of the Coalition.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".05" heading="Duties.">
    <text>The Coalition shall provide assistance to the Department in the development and implementation of the Program by:</text>
    <paragraph num="A.">
      <text>Advising the Department on asthma-related matters, including establishing priorities within the Maryland Asthma Plan, through maintaining and sharing expertise on asthma issues;</text>
    </paragraph>
    <paragraph num="B.">
      <text>Facilitating communication and networking opportunities, especially through local coalitions, groups with shared interest, and other State coalitions;</text>
    </paragraph>
    <paragraph num="C.">
      <text>Increasing asthma awareness throughout the State; and</text>
    </paragraph>
    <paragraph num="D.">
      <text>Monitoring progress in achieving the goals established within the Maryland Asthma Plan.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".06" heading="Asthma Data Surveillance System.">
    <paragraph num="A.">
      <text>The Program shall establish a State asthma data surveillance system that has the authority to access and request the submission of data related to asthma, including the submission of a uniform data set and any confidential, patient-identifying data, or information from the following sources:</text>
      <paragraph num="(1)">
        <text>Vital Statistics Administration;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>Maryland Health Care Commission;</text>
      </paragraph>
      <paragraph num="(3)">
        <text>Maryland Institute for Emergency Medical Services Systems (MIEMSS);</text>
      </paragraph>
      <paragraph num="(4)">
        <text>Maryland Health Services Cost Review Commission;</text>
      </paragraph>
      <paragraph num="(5)">
        <text>Maryland Medical Assistance Program; and</text>
      </paragraph>
      <paragraph num="(6)">
        <text>Other data sources, as necessary.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A health care provider or facility shall release confidential patient-identifying data or information to the Program in accordance with this chapter.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Any identifying data or information that the Program receives under §A or B of this regulation is confidential and may be used only for public health surveillance purposes.</text>
    </paragraph>
    <paragraph num="D.">
      <text>A health care provider or facility may not be held liable for releasing data or other information to the Program in accordance with this regulation.</text>
    </paragraph>
    <paragraph num="E.">
      <text>Except for confidential, patient-identifying medical information, the Program may publish and disseminate data or information that relates to the incidence, severity, or cost of asthma or related conditions if the Program considers the publication beneficial and in the public's interest. However, before the data or information relating to asthma is published or disseminated, the Program shall consult with any person or entity that is the source of the data the Program intends to use. The Program and the person or entity shall agree upon the manner in which the data is published or disseminated.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health-General Article, §§13-1701—13-1706, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: July 31, 2006 (33:15 Md. R. 1281)</annotation>
  </annotations>
</chapter>