HARRY HUGHES, Governor

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(II) IN THE ABSENCE OF PRIOR CONSENT FROM THE
DECEDENT, ANY PERSON DESCRIBED IN SUBSECTION (B)(2) OF THIS
SECTION HAS GIVEN ACTUAL NOTICE TO THE ADMINISTRATOR OR HIS
DESIGNEE OF ANY OBJECTION.

(4) NOTICE OF AN OBJECTION UNDER THIS SUBSECTION
SHALL BE RECORDED IN THE DECEDENT'S MEDICAL RECORD.

(C)  IN ALL DISCUSSIONS CONCERNING DONATIONS OF ORGANS AND
TISSUES, THE HOSPITAL ADMINISTRATOR OR A DESIGNATED
REPRESENTATIVE DESIGNEE OF THE ADMINISTRATOR SHALL SHOW
REASONABLE DISCRETION AND SENSITIVITY:

(1)  TO THE CIRCUMSTANCES OF THE FAMILY OF THE
DECEDENT;

(2)  TO THE RELIGIOUS BELIEFS OF THE DECEDENTS
DECEDENT; AND

(3)  TO THE NONSUITABILITY FOR ORGAN OR TISSUE
DONATION OF THE DECEDENT.

(D)  IF A HOSPITAL ADMINISTRATOR OR A DESIGNATED
REPRESENTATIVE DESIGNEE OF THE ADMINISTRATOR MAKES A REQUEST
UNDER SUBSECTION (B) (1) OF THIS SECTION, THE ADMINISTRATOR OR
REPRESENTATIVE SHALL:

(1)  DOCUMENT THE REQUEST AND ITS DISPOSITION BY
HAVING THE PERSONS DESCRIBED IN § 4-503(B) OF THE ESTATES AND
TRUST ARTICLE SUBSECTION (B)(1) OF THIS SECTION SIGN A CONSENT
FORM OR GIVE A WITNESSED TELEGRAPHIC, WITNESSED TELEPHONIC, OR
RECORDED CONSENT TO THE DONATION.

(2)  NOTE THE REQUEST AND ITS DISPOSITION IN THE
DECEDENT'S MEDICAL RECORD OR DEATH CERTIFICATE.

(E) THE SECRETARY SHALL ADOPT REGULATIONS NECESSARY TO
CARRY OUT THE PURPOSES OF THIS SECTION, INCLUDING:

(1) GUIDELINES FOR TRAINING HOSPITAL EMPLOYEES WHO
ARE DESIGNATED TO REPRESENT A HOSPITAL ADMINISTRATOR UNDER
SUBSECTION (B) OF THIS SECTION;

(2) THE PROCEDURES TO BE USED IN MAKING A REQUEST
UNDER SUBSECTION (B) OF THIS SECTION; AND

(3) NECESSARY WAYS IN WHICH TO IMPLEMENT APPROPRIATE
PROCEDURES TO FACILITATE THE DELIVERY OF DONATIONS FROM RECEIVING
HOSPITALS TO POTENTIAL RECIPIENTS.

(F) THE SECRETARY SHALL REVIEW THE MANNER IN WHICH A
HOSPITAL COMPLIES WITH THE PROVISIONS OF THIS SECTION

(E) AFTER CONSULTATION WITH THE MARYLAND HOSPITAL
ASSOCIATION, THE MARYLAND ORGAN PROCUREMENT CENTER, THE MEDICAL