Ch. 154                                        1995 LAWS OF MARYLAND

(ii) The dietary, nursing, pastoral care, pharmaceutical, and social
worker services to be adequate; and

(iii) A physician other than an attending physician to be on call and
available at all times.

(3) The regulations for a home-based hospice care program shall require:

(i) The medical director to be a physician licensed to practice
medicine in this State;

(ii) The provision of bereavement services;

(iii) The provision of services to meet the spiritual or social needs of
dying individuals and their families;

(iv) The provision of palliative and supportive medical, nursing, and
other health services:

1.        Directly or by contract for a general licensee; or

2.        By referral only for a limited licensee;

(v) Submission of an annual report which includes service utilization
statistics in the format prescribed;

(vi) Written transfer agreements to provide acute inpatient care as
needed; and

(vii) Minimum standards concerning the training and role of volunteers
in a hospice care program.

19-911.

(a)     The Secretary shall deny a license to any applicant or revoke a license if the
applicant or licensee has been convicted of a felony that relates to Medicaid or. to a
nursing home.

(b)     The Secretary may deny a license to an applicant or revoke a license if the
applicant or licensee does not meet the requirements of this subtitle or any rule or
regulation that the Secretary adopts under this subtitle.

(C) (1) IN ADDITION TO THE PROVISIONS OF SUBSECTIONS (A) AND (B) OF
THIS SECTION, THE SECRETARY MAY, FOR A VIOLATION OF ANY PROVISION OF THIS
SUBTITLE OR ANY REGULATION ADOPTED UNDER THIS SUBTITLE, IMPOSE AN
ADMINISTRATIVE PENALTY OF UP TO $5,000 $500 FOR A VIOLATION OF ANY
PROVISION OF THIS SUBTITLE OR ANY REGULATION ADOPTED UNDER THIS
SUBTITLE:

(I) $500 FOR A FIRST VIOLATION; AND

(II) $5,000 FOR A SECOND OR SUBSEQUENT $1,000 FOR A SUBSEQUENT
REPEATED VIOLATION

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