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    Maryland Register

    Issue Date:  February 1, 2019

    Volume 46 • Issue 3 • Page 111

    Title 10 

    Subtitle 06 DISEASES

    10.06.02 Communicable Diseases — Rabies

    Authority: Health-General Article, §§18-102, 18-313, and 18-317, Annotated Code of Maryland

    Notice of Proposed Action


    The Secretary of Health proposes to amend Regulation .03 under COMAR 10.06.02 Communicable Diseases—Rabies.

    Statement of Purpose

    The purpose of this action is to update COMAR to include language describing how the Department will ensure that no person is denied rabies postexposure treatment due to the inability to pay.

    Comparison to Federal Standards

    There is no corresponding federal standard to this proposed action.

    Estimate of Economic Impact

    The proposed action has no economic impact.

    Economic Impact on Small Businesses

    The proposed action has minimal or no economic impact on small businesses.

    Impact on Individuals with Disabilities

    The proposed action has no impact on individuals with disabilities.

    Opportunity for Public Comment

    Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. Comments will be accepted through March 4, 2019. A public hearing has not been scheduled.

    .03 Human Rabies.

    A.—C. (text unchanged)

    D. Treatment; Postexposure.

    (1)—(2) (text unchanged)

    (3) The Department shall [provide postexposure treatment, under the guidelines issued by the Public Health Veterinarian and the State Epidemiologist, free of charge to any person who is unable to pay for treatmentensure no one is denied rabies postexposure treatment due to the inability to pay when the treatment is provided in accordance with the guidelines issued by the Public Health Veterinarian and the State Epidemiologist and recommended by a licensed health care provider.

    (4) The local health officer [shall make the final determination on an individual’s ability to pay for treatment based on the ability-to-pay schedule of the Departmentof the jurisdiction where the resident resides shall ensure access to rabies postexposure treatment provided in accordance with the guidelines issued by the Public Health Veterinarian and the State Epidemiologist.

    (5) [The local health officer of the county which provides treatment is responsible for making a reasonable effort to obtain monies to pay for treatment through available resourcesWhen rabies postexposure treatment is provided in accordance with the guidelines issued by the Public Health Veterinarian and the State Epidemiologist, the Department shall pay the charge of the rabies biologics for persons unable to pay for them:

    (a) Based on the current ability-to-pay schedule of the Department; and

    (b) Only after all available benefits and discounts are applied.

    Secretary of Health