Issue Date: February 1, 2019
Volume 46 • Issue 3 • Page 111
MARYLAND DEPARTMENT OF HEALTH
Subtitle 06 DISEASES
10.06.02 Communicable Diseases — Rabies
Authority: Health-General Article,
§§18-102, 18-313, and 18-317, Annotated Code of Maryland
Notice of Proposed Action
The Secretary of
Health proposes to amend Regulation .03 under COMAR
10.06.02 Communicable Diseases—Rabies.
Statement of Purpose
The purpose of
this action is to update COMAR 10.06.02.03 to include language describing how
the Department will ensure that no person is denied rabies postexposure
treatment due to the inability to pay.
Comparison to Federal Standards
There is no
corresponding federal standard to this proposed action.
Estimate of Economic Impact
action has no economic impact.
Economic Impact on Small Businesses
action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be
sent to Jake Whitaker, Acting Director, Office of Regulation and Policy
Coordination, Maryland Department of Health, 201 West Preston Street, Room 512,
Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to
email@example.com, or fax to 410-767-6483. Comments will be accepted
through March 4, 2019. A public hearing has not been scheduled.
.03 Human Rabies.
(1)—(2) (text unchanged)
(3) The Department
shall [provide postexposure treatment, under the guidelines issued
by the Public Health Veterinarian and the State Epidemiologist, free of charge
to any person who is unable to pay for treatment] ensure no one is
denied rabies postexposure treatment due to the inability to pay when the
treatment is provided in accordance with the guidelines issued by the Public
Health Veterinarian and the State Epidemiologist and recommended by a licensed
health care provider.
(4) The local
health officer [shall make the final determination on an
individual’s ability to pay for treatment based on the ability-to-pay schedule
of the Department] of the jurisdiction where the resident
resides shall ensure access to rabies postexposure treatment provided in
accordance with the guidelines issued by the Public Health Veterinarian and the
local health officer of the county which provides treatment is responsible for
making a reasonable effort to obtain monies to pay for treatment through
available resources] When rabies postexposure treatment is
provided in accordance with the guidelines issued by the Public Health
Veterinarian and the State Epidemiologist, the Department shall pay the charge
of the rabies biologics for persons unable to pay for them:
(a) Based on
the current ability-to-pay schedule of the Department; and
(b) Only after
all available benefits and discounts are applied.
Secretary of Health
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464