1866

LAWS OF MARYLAND

Ch. 178

SUBTITLE 3A. FREESTANDING MEDICAL FACILITIES

19-3A-01.

IN THIS SUBTITLE "FREESTANDING MEDICAL FACILITY" MEANS A
FACILITY:

(1)  IN WHICH MEDICAL AND HEALTH SERVICES ARE
PROVIDED;

(2)  THAT IS PHYSICALLY SEPARATE FROM A HOSPITAL OR
HOSPITAL GROUNDS; AND

(3)  THAT IS NOT AN ADMINISTRATIVE PART OF A HOSPITAL
OR RELATED INSTITUTION, AS DEFINED IN § 19-301 OF THIS TITLE.

19-3A-02.

THE DEPARTMENT SHALL ADOPT REGULATIONS FOR CERTIFYING A
FREESTANDING MEDICAL FACILITY THAT USES IN ITS TITLE OR
ADVERTISING THE WORDS "EMERGENCY", "URGENT CARE", OR PARTS OF
THOSE WORDS OR OTHER LANGUAGE INDICATING TO THE PUBLIC THAT
MEDICAL TREATMENT FOR IMMEDIATELY LIFE THREATENING MEDICAL
CONDITIONS IS AVAILABLE AT THAT FREESTANDING MEDICAL FACILITY,
WHICH SHALL MEET INCLUDE THE FOLLOWING STANDARDS:

(l) THE FREESTANDING MEDICAL FACILITY SHALL BE OPEN
24 HOURS A DAY, 7 DAYS A WEEK;

(2)  THERE SHALL BE AT LEAST 1 PHYSICIAN TRAINED IN
EMERGENCY MEDICINE AT THE FACILITY AT ALL TIMES;

(3)  A SUFFICIENT NUMBER OF REGISTERED NURSES AND
OTHER HEALTH PROFESSIONALS SHALL BE AVAILABLE AT THE FREESTANDING
MEDICAL FACILITY TO PROVIDE ADVANCED LIFE SUPPORT;

(4)  BASIC X-RAY AND LABORATORY FACILITIES SHALL BE
AVAILABLE AT THE FREESTANDING MEDICAL FACILITY AND OPERABLE AT
ALL TIMES BY 1 RADIOLOGY TECHNICIAN AND 1 LABORATORY TECHNICIAN;

(5) RESUSCITATION EQUIPMENT, INCLUDING MONITOR,
DEFIBRILLATOR, CARDIAC MEDICATIONS, INTUBATION EQUIPMENT, AND
INTRAVENOUS LINE EQUIPMENT;

(5)(6) ARRANGEMENTS SHALL BE MADE STANDARD

PROCEDURES IN ACCORDANCE WITH THE STATE EMERGENCY MEDICAL
SERVICES PLAN SHALL EXIST FOR THE IMMEDIATE TRANSPORT OF
INDIVIDUALS IN NEED OF HOSPITALIZATION OR OTHER MORE DEFINITIVE
CARE; AND

(6) THE FREESTANDING MEDICAL FACILITY SHALL

PARTICIPATE IN THE STATEWIDE EMERGENCY MEDICAL SYSTEM AND SATISFY
ITS STANDARDS FOR ADVANCED LIFE SUPPORT.