Targeted Regulation Change COMAR 10.07.14
Working Draft:
OHCQ response to Informal Comments: The Maryland Department of Health (MDH), Office of Health Care Quality (OHCQ) is seeking informal comments from the public on the proposed draft language to amend regulations under COMAR 10.07.14 Assisted Living Programs. The rationale(s) for the proposed draft is included in the September 3, 2026 document.
Please submit any informal comments on the proposed regulations by clicking this link
by September 25, 2026.
To order copies of current COMAR regulations, contact Tarshia Neal at the Maryland Division of State Documents at (410) 260-3874 or [email protected]. Regulations are also available at public libraries - Find your nearest public library
Stakeholders Communications:
NOTE: Public Meetings provide the opportunity for stakeholders to propose changes to the regulations. The OHCQ strongly encourages stakeholders to engage with each other prior to any meetings for further discussion. All public meetings are hybrid, meaning that stakeholders may attend in person or on-line.
Training Materials:
Virtual Training Session(s):
The Maryland Register:
- Notice of Proposed Action (pending)
- Notice of Final Action (pending)
- Final Publication File (pending)
- Effective Date (pending)
*PLEASE NOTE*: Formal Comment Period - Stakeholders should know that formal comments on proposed regulations must be submitted to: Jordan Fisher Blotter, JD | Director | Office of Regulation & Policy Coordination | 201 West Preston Street, Room 534 | Baltimore, MD 21201 | (410) 767-0938 | [email protected]. Formal comments should not be submitted to OHCQ.
Targeted April 2025 Regulations - COMAR 10.07.14 Assisted Living Programs
Working Draft:
OHCQ response to Informal Comments: The Maryland Department of Health (MDH), Office of Health Care Quality (OHCQ) is seeking informal comments from the public on the proposed draft language to amend regulations under COMAR 10.07.14 Assisted Living Programs. The rationale(s) for the proposed draft is included in the September 3, 2026 document.
Please submit any informal comments on the proposed regulations by clicking this link
by September 25, 2026.
To order copies of current COMAR regulations, contact Tarshia Neal at the Maryland Division of State Documents at (410) 260-3874 or [email protected]. Regulations are also available at public libraries - Find your nearest public library
Stakeholders Communications:
- On October 17, 2025, the Board of Long-Term Care Administrators (BLTCA) proposed new regulations governing the licensure of Assisted Living Managers (ALMs).
- A copy of the proposal is available via the Division of State Documents (DSD) or via the MDH ORPC (see 10.33.01—10.33.08) Long-Term Care Administrators (BOARD OF LONG-TERM CARE ADMINISTRATORS).
- All ALM licensing questions should be directed to the BLTCA.
- March 25, 2026 - COMAR 10.07.14.20 and Evidence of Immunity - MMRV (extension)
- December 16, 2025 - Clarification - Requirement to take the 80-hour Assisted Living Manager (ALM) Course
- October 31, 2025 - One week extension for ALM Vendors
- October 23, 2025 - COMAR 10.07.14.20 and Evidence of Immunity - Measles, Mumps, Rubella, Varicella
- October 16, 2025 - Emergencies, Disaster Planning and Reporting
- June 30, 2025 - New AL Reg Notice - Vendors for ALM Training (80) Hour Course
- May 13, 2025 - Notice of Final Action - COMAR 10.07.14 Assisted Living Programs - Nursing Memo
- April 28, 2025 - Notice of Final Action - COMAR 10.07.14 Assisted Living Programs - Provider Memo
- April 28, 2025 - Notice of Final Action - COMAR 10.07.14 Assisted Living Programs - Stakeholders Memo
NOTE: Public Meetings provide the opportunity for stakeholders to propose changes to the regulations. The OHCQ strongly encourages stakeholders to engage with each other prior to any meetings for further discussion. All public meetings are hybrid, meaning that stakeholders may attend in person or on-line.
Training Materials:
Virtual Training Session(s):
- 2026 Targeted Reg Change - PENDING
- 2025 historical dates - training on COMAR 10.07.14 chapter overhaul:
- May 21, 2025: 1:00pm - 3:00pm
- June 17, 2025: 10:00am - 12:00pm
- July 9, 2025: 1:00pm - 3:00pm
- August 12, 2025: 10:00am - 12:00pm
- August 13, 2025: 1:00pm - 3:00pm
- July 8, 2025: 10:00am - 12:00pm
- June 18, 2025: 1:00pm - 3:00pm
If you were unable to attend, please review the training session PowerPoint: Assisted Living Regulations Update - August 6, 2025.
The Maryland Register:
The Office of Health Care Quality (OHCQ) understands that there are some major key changes included in the new regulations and that the provider community will need some time to conduct staff training and develop necessary policies and procedures. Over the next 6 months, OHCQ must continue its survey mandates, but will be using discretion with enforcement activities related to the new regulations.
*PLEASE NOTE*: Formal Comment Period - Stakeholders should know that formal comments on proposed regulations must be submitted to: Jordan Fisher Blotter, JD | Director | Office of Regulation & Policy Coordination | 201 West Preston Street, Room 534 | Baltimore, MD 21201 | (410) 767-0938 | [email protected]. Formal comments should not be submitted to OHCQ.
