PARRIS N. GLENDENING, Governor                             Ch. 614

(e)     The Board shall issue a home [ hemodialysis] DIALYSIS distribution permit to
any applicant who meets the requirements of this section.

(f)     A home [hemodialysis] DIALYSIS distribution permit issued under this
section authorizes the home [hemodialysis] DIALYSIS distribution permit holder to
distribute [hemodialysis] DIALYSIS drugs and devices to the home of a [hemodialysis]
DIALYSIS patient while the home [hemodialysis] DIALYSIS distribution permit is
effective.

(g)     (1) The Board may approve local anesthetics AND OTHER DRUGS AND
DEVICES for distribution as [hemodialysis] DIALYSIS drugs AND DEVICES under this
section.

(2) The Board may adopt rules and regulations to assure safe, proper, and
uninterrupted distribution of [hemodialysis] DIALYSIS drugs and devices, including rules
and regulations as to:

(i) Maintaining facilities that are adequate to assure proper security
and control of [hemodialysis] DIALYSIS drugs and devices;

(ii) Keeping records;

(iii) Labeling [hemodialysis] DIALYSIS drugs and devices;

(iv) Receipts AND RETURNS from patients for [hemodialysis]
DIALYSIS drugs and devices;

(v) Reports to the Board; and

(vi) Restrictions on specific [hemodialysis] DIALYSIS drugs or
devices, including limitations on the amounts that may be distributed.

(h) A person authorized to distribute [ hemodialysis] DIALYSIS drugs and devices
under this section may distribute only [hemodialysis] DIALYSIS drugs and devices:

(1)     That the Board, after consultation with the State Commission on Kidney
Disease, has approved as effective and safe for their intended use;

(2)     Under supervision of a person who the Board considers qualified to
safeguard and protect the public health;

(3)     To an individual:

(i) Who has permanently IRREVERSIBLY lost the function of the
individual's kidneys and requires regular treatment [with a kidney machine]; and

(ii) Who has completed a full course of training in providing the
individual's own [hemodialysis] DIALYSIS treatment GIVEN BY:

1.       [Given by a] A home dialysis training facility; [and] OR

2.       [With another individual personally committed to the
treatment of the individual who has permanently lost kidney function; and] AN END
STAGE RENAL DISEASE CLINIC CERTIFIED UNDER MEDICARE; AND

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