INTRODUCTION
School Health Services are mandated in public schools in Maryland. Many state and federal laws dictate many of the services that school health programs provide in our schools. This page will provide links to the laws that affect school health services programs. Please be advised that in addition to the laws and regulations that are on this page, Maryland Department of Education and Maryland Department of Health and Mental Hygiene have developed numerous state guidelines that provide additional direction for local school health programs. These Maryland State School Health Services Guidelines can be found at by clicking here.
This page is most useful if utilized as a starting point in your research process. MSDE makes no representations as to whether the laws and regulations printed in this compilation are current and accurate as each of the items contained herein is subject to updates which may affect the content. Before relying on the information on this page you should confirm whether the law or regulation you are relying on is still current or whether it has since been amended. You may also wish to confer with your school system attorney.
Maryland State School Health Services
Laws That Affect School Health Services Programs
A
Americans with Disabilities Act of 1990 (Public Law 101-336)
US Department of Labor
Annual Certification of School Health Services (13A.05.05.13 F and G)
B
C
COMAR 10.39.01.03 Qualifications of Applicants for Certification
COMAR 10.39.01.09 Listing on CNA Certificate as a GNA or HHA
Child Abuse and Neglect – Reporting (Family Law Article, Section 5-704, Annotated Code of Maryland)
Confidentiality (COMAR 13A.05.05.15)
Confidentiality (Health General Article, § 20-102, Annotated Code of Maryland)
Confidentiality (COMAR 13A.08.02)
Communicable Disease Control (COMAR 13A.05.05.07E )
D
Unlicensed Individuals in a School Setting (BON-Declaratory Ruling – 90-21)
Delegation of Nursing Functions (COMAR 10.27.11.03)
E
Emergency Services (COMAR 13A.05.05.09)
F
FERPA (Family Education Records Privacy Act) (20U.S.C. §1232g)
Section 504, Rehabilitation Act 1973, 29 U.S.C. 791 et seq.
G
H
Health Counseling (COMAR 13A.05.05.07D)
Health Education (COMAR 13A.04.18)
COMAR 13A.04.18.01 Requirements for Comp. Health Education
COMAR 13A.04.18.02 Maryland Comprehensive Health Education
COMAR 13A.04.18.03 Implementation, Goal/Sub Goals
COMAR 13A.04.18.04 HIV/AIDS Prevention Education
COMAR 13A.04.18.05 Curriculum Guides
COMAR 13A.04.18.06 Student Participation
COMAR 13A.04.18.07 Certification Procedures
Hearing and Vision Screening (Education Article, Section 7-404, Annotated Code of Maryland and COMAR 13A.05.05.07-3a)
HIPAA (Health Information Portability Accountability Act 1996) (PL-104)
HIV Education (COMAR 13A 04.18.04)
I
Individuals with Disabilities Education Act (20 U.S.C. § 1400 et seq.)
Immunization Compliance (COMAR 10.06.04)
COMAR 10.06.04.01 Implementation of SHS Programs
COMAR 10.06.04.02 Definitions
COMAR 10.06.04.03 Required Immunizations
COMAR 10.06.04.04 Medical Contraindications
COMAR 10.06.04.05 Religious Conflict
COMAR 10.06.04.06 Temparary Admission or Retention
COMAR 10.06.04.07 Vaccine Provision
COMAR 10.06.04.08 Records Review
COMAR 10.06.04.09 Responsible Agencies
and 13A.05.05.07 E (1) and (Education Article, Section 7-403, Annotated Code of Maryland)
J
K
L
Lead Regulations (Health General Article §18-106, Annotated Code of Maryland)
M
Maryland Occupational Safety and Health (MOSH) Labor and Employment Article, Annotated Code of Maryland Title 5. Occupational Safety and Health
Medicaid Reimbursement/Schools (COMAR 10.09.50)
COMAR 10.09.50.01 Definitions
COMAR 10.09.50.02 Licensure and Certification
COMAR 10.09.50.03 Conditions for Participation
COMAR 10.09.50.04 Covered Services
COMAR 10.09.50.05 Limitations
COMAR 10.09.50.06 Preauthorization
COMAR 10.09.50.07 Payment Procedures
COMAR 10.09.50.08 Recovery and Reimbursement
COMAR 10.09.50.09 Cause for Removal
COMAR 10.09.50.10 Appeal Procedures
Medication Administration (COMAR 13A.05.05.08F)
Medication Technicians (COMAR 10.39.01.01-.09)
COMAR 10.39.01.03 Qualifications of Applicants for Certification
COMAR 10.39.01.09 Listing on CNA Certificate as a GNA or HHA
Minor Consent - Federal (Part F-General Education Provisions Act, Sec. 1061-1062)
Minor Consent – Maryland (Health General Article, §20-102, Annotated Code of Maryland)
N
Non-Public Schools, Legal Requirements That Pertain to Maryland Non-Public schools (Approved under COMAR 13A.09.09)
Nurse Practice Act (Annotated Code of Maryland, Health Occupations Article, Title 8,COMAR 10.27)
Nursing Services (e.g., treatments, assessments, counseling, tracheotomy and gastric tube care, etc). (The Individuals with Disabilities Education Act (IDEA); 20 U. S. C. Subsection 1400 (1997); 29 U. S. C. Subsection 794 (1973); and COMAR 13A.05.05.08E
O
Occupational Safety and Health Administration (OSHA)
P
Physical Examinations (COMAR 13 A.05.05.07A) and (Education Article, Section 7-402, Annotated Code of Maryland)
Pupil Services Regulations (COMAR 13A.05. 05.01-.15)
COMAR 13A.05.05.01 General Requirements
COMAR 13A.05.05.02 School Guidance Program
COMAR 13A.05.05.03 Pupil Personnel Program
COMAR 13A.05.05.04 School Psychology Program
COMAR 13A.05.05.05 School Hlth Services Standards (SHS)- Introduction
COMAR 13A.05.05.06 SHS Standards-Definitions
COMAR 13A.05.05.07 SHS Standards-Physical Examinations
COMAR 13A.05.05.08 SHS Standards-Students/Special Health Needs
COMAR 13A.05.05.09 SHS Standards-Personnel Qualifications
COMAR 13A.05.05.10 SHS Standards-Health Facilities
COMAR 13A.05.05.11 SHS Standards-Staff Development
COMAR 13A.05.05.12 SHS Standards-Dissemination of Information
COMAR 13A.05.05.13 SHS Standards-Implementation/Coordination
COMAR 13A.05.05.14 SHS Standards-Monitoring and Evaluation
COMAR 13A.05.05.15 SHS Standards-Confidentiality and Consent
Q
R
Records (Student) (COMAR 13A.08.02.01 -.31)
COMAR 13A.08.02.01 Incoporation by Refernce
COMAR 13A.08.02.02 Purpose
COMAR 13A.08.02.03 Definitions
COMAR 13A.08.02.04 General Provisons
COMAR 13A.08.02.05 Stud.Record Keeping
COMAR 13A.08.02.06 Retention,Dispos. destruction of SRs
COMAR 13A.08.02.07 Review and Updating
COMAR 13A.08.02.08 Student's Rights
COMAR 13A.08.02.09 Content of Records
COMAR 13A.08.02.10 Annual Notification of Rights
COMAR 13A.08.02.11 Fees for Copies of Records