Maryland Statutes
Article – Health – General§§13-3101-09
(S.B. 610, 2013, as codified)
§13–3101.
(a) Inthissubtitlethefollowingwordshavethemeaningsindicated.
(b) “Certificate”meansacertificateissuedbyaprivateorpublicentityto administernaloxone.
(c) “Private or public entity” means a health care provider, local health department,community–basedorganization,substanceabusetreatmentorganization, orotherpersonthataddressesmedicalorsocialissuesrelatedtodrugaddiction.
(d) “Program”meansanOverdoseResponseProgram.
§13–3102.
AnOverdoseResponseProgramisaprogramoverseenbytheDepartmentforthe purposeofprovidingameansofauthorizingcertainindividualstoadministernaloxone toanindividualexperiencing,orbelievedtobeexperiencing,opioidoverdosetohelp preventafatalitywhenmedicalservicesarenotimmediatelyavailable.
§13–3103.
(a) TheDepartmentshalladoptregulationsnecessaryfortheadministrationof theProgram.
(b) TheDepartmentmay:
(1) CollectfeesnecessaryfortheadministrationoftheProgram;
(2) Authorizeprivateorpublicentitiestoissueandrenewcertificatesto personsmeetingtherequirementsofthissubtitle;
(3) (i) Authorize privateorpublicentitiestoconducteducational trainingprogramsdescribedin§13–3104ofthissubtitle;and
(ii) Developguidanceregardingthecontentofeducationaltraining programsconductedbyprivateorpublicentities;and
(4) Collect and report data on the operation and results of the programs.
§13–3104.
(a) Toqualifyforacertificate,anindividualshallmeettherequirementsofthis section.
(b) Theapplicantshallbeatleast18yearsold.
(c) Theapplicantshallhave,orreasonablyexpecttohave,asaresultofthe individual’soccupationorvolunteer,family,orsocialstatus,theabilitytoassistan individualwhoisexperiencinganopioidoverdose.
(d) (1) Theapplicant shall successfully complete an educational training programofferedbyaprivateorpublicentityauthorizedbytheDepartment.
(2) Aneducationaltrainingprogramrequiredunderthissubsectionshall:
(i) Beconductedby:
1. AphysicianlicensedtopracticemedicineunderTitle14of theHealthOccupationsArticle;
2. Anursepractitionerlicensedtopracticeregisterednursing underTitle8oftheHealthOccupationsArticleandcertifiedasanursepractitionerby theStateBoardofNursing;or
3. Anemployeeoravolunteerofaprivateorpublicentitythat maintainsawrittenagreementwithasupervisoryphysicianornursepractitionerthat includes:
A. Proceduresforprovidingpatientoverdoseinformation;
B. Informationastohowtheemployeeorvolunteerproviding theinformationwillbetrained;and
C. Standards for documenting the provisionof patient overdoseinformationtopatients;and
(ii) Includetrainingin:
1. Therecognitionofthesymptomsofopioidoverdose;
2. Theproperadministrationofnaloxone;
3. The importance of contacting emergency medical services;
4. The care of anindividual after theadministrationofnaloxone; and
5. Any other topics required by the Department.
§13–3105.
Anapplicantforacertificateshallsubmitanapplicationtoaprivateorpublic entityauthorizedbytheDepartmentontheformthattheDepartmentrequires.
§13–3106.
(a)AprivateorpublicentityauthorizedbytheDepartmentshallissuea certificatetoanyapplicantwhomeetstherequirementsofthissubtitle.
(b) Eachcertificateshallinclude:
(1) Astatementthattheholderisauthorizedtoadministernaloxonein accordancewiththissubtitle;
(2) Thefullnameofthecertificateholder;and
(3) Aserialnumber.
(c) Areplacementcertificatemaybeissuedtoreplacealost,destroyed,or mutilatedcertificate.
(d)(1) Thecertificateshallbevalidfor2yearsandmayberenewed.
(2) Inordertorenewacertificate,thecertificateholdershall:
(i) Successfullycompletearefreshertrainingprogramconductedbyanauthorizedprivateorpublicentity;or
(ii) Demonstrateproficiencytotheprivateorpublicentityissuing certificatesunderthissubtitle.
§13–3107.
Anindividualwhoiscertifiedmay:
(1) Onpresentmentofacertificate,receivefromanyphysicianlicensedto practicemedicineintheState,oranynursepractitionerlicensedtopracticenursingin theState,aprescriptionfornaloxoneandthenecessarysuppliesfortheadministration ofnaloxone;
(2) Possess prescribed naloxone and thenecessarysupplies for the administrationofnaloxone;and
(3) Inanemergencysituationwhenmedicalservicesarenotimmediately available, administer naloxone toanindividual experiencingor believed by the certificateholdertobeexperiencinganopioidoverdose.
§13–3108.
Aphysicianornursepractitionermayprescribeanddispensenaloxonetoacertificateholder.
§13–3109.
(a) Acertificateholderwho,inaccordancewiththissubtitle,isadministering naloxonetoanindividualexperiencingorbelievedbythecertificateholdertobe experiencinganopioidoverdosemaynotbeconsideredtobepracticingmedicinefor thepurposesofTitle14oftheHealthOccupationsArticle.
(b) Aphysicianwhoprescribesordispensesnaloxonetoacertificateholder inamannerconsistentwiththeprotocolestablishedbytheauthorizedprivateor publicentitymaynotbesubjecttoanydisciplinaryactionunderTitle14oftheHealth OccupationsArticlesolelyfortheactofprescribingordispensingnaloxonetothe certificateholder.
1