Ch. 18                                       1993 LAWS OF MARYLAND

[(3) Provide skilled nursing services, home health aid services, and at least
one other defined service;]

[(4)](3) Adopt procedures for the administration of drugs and biologicals;

[(5)](4) Maintain clinical records on all patients accepted for skilled care;

[(6)] (5) Establish patient care policies and personnel policies;

[(7)] (6) Have services available at least 8 hours a day, 5 days a week, and
available on an emergency basis 24 hours a day, 7 days a week;

[(8)](7) Make service available to an individual in need within 24 hours of
a referral when stipulated by a physician's order;

[(9)](8) Have a designated supervisor of patient care who is a full-time
employee of the agency and is available at all times during operating hours and
additionally as needed; and

[(10)] (9) Have as the administrator of the agency a person who has at least
1 year of supervisory experience in hospital management, home health management, or
public health program management and who is:

(i) A licensed physician;

(ii) A registered nurse; or

(iii) A college graduate with a bachelor's degree in a health-related
field.                                                                                                                                                           

(c) The rules and regulations may include provisions that:

(1)     Deal with the establishment of home health agencies;

(2)     Require each home health agency to have its policies established by a
professional group that includes at least:

(i) 1 physician;

(ii) 1 registered nurse;

(iii) 1 representative of another offered service; and

(iv) 1 public member;

(3)     Govern the services provided by the home health agencies;

(4)     Require keeping clinical records of each patient, including the plan of
treatment to be provided;

(5)     Govern supervision of the services, as appropriate, by:
(i) A physician;

(ii) A registered nurse; or

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