Maryland Code § HG-19-342

Section HG-19-342
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(a) In this section, "patient" includes an inpatient, an outpatient, and an
emergency services patient.
(b) The General Assembly intends to promote the health, safety, and well-
being of patients and to foster better communication between patients and health
care providers in hospitals through the use of a patient's bill of rights that specifies
the ethical and humane treatment the patient has a right to expect.

(c) Each administrator of a hospital shall:
(1) Provide to each patient in the hospital a written copy of the
patient's bill of rights that:
(i) The hospital adopts under Joint Commission guidelines or
guidelines issued by a nationally recognized hospital accreditation organization
approved by the Centers for Medicare and Medicaid Services conditions of
participation; and
(ii) Complies with subsection (d) of this section;
(2) If a patient does not speak English or requires the patient's bill of
rights in an alternative format, provide a translator, an interpreter, or another
accommodation to assist the patient in understanding and exercising the rights
included in the patient's bill of rights;
(3) Conspicuously post copies of the patient's bill of rights on the
hospital's website and in areas that are accessible to patients and visitors, which may
include admitting offices, patient floors, patient rooms, the outpatient department,
and emergency services waiting areas; and
(4) Provide annual training to all patient care staff members to
ensure the staff's knowledge and understanding of the patient's bill of rights.
(d) The patient's bill of rights shall at a minimum include a statement, in
plain language, that a patient has a right to:
(1) Receive considerate, respectful, and compassionate care;
(2) Be provided care in a safe environment free from all forms of
abuse and neglect, including verbal, mental, physical, and sexual abuse;
(3) Have a medical screening exam and be provided stabilizing
treatment for emergency medical conditions and labor;
(4) Be free from restraints and seclusion unless needed for safety;
(5) Be told the names and jobs of the health care team members
involved in the patient's care if staff safety is not a concern;
(6) Have respect shown for the patient's personal values, beliefs, and
wishes;

(7) Be treated without discrimination based on race, color, national
origin, ethnicity, age, gender, sexual orientation, gender identity or expression,
physical or mental disability, religion, language, or ability to pay;
(8) Be provided a list of protective and advocacy services when
needed;
(9) Receive information about the patient's hospital and physician
charges and ask for an estimate of hospital charges before care is provided and as
long as patient care is not impeded;
(10) Receive information in a manner that is understandable by the
patient, which may include:
(i) Sign and foreign language interpreters;
(ii) Alternative formats, including large print, braille, audio
recordings, and computer files; and
(iii) Vision, speech, hearing, and other temporary aids as
needed, without charge;
(11) Receive information from the patient's doctor or other health care
practitioners about the patient's diagnosis, prognosis, test results, possible outcomes
of care, and unanticipated outcomes of care;
(12) Access the patient's medical records in accordance with HIPAA
Notice of Privacy Practices;
(13) Be involved in the patient's plan of care;
(14) Be screened, assessed, and treated for pain;
(15) Refuse care;
(16) In accordance with hospital visitation policies, have an individual
of the patient's choice remain with the patient for emotional support during the
patient's hospital stay, choose the individuals who may visit the patient, and change
the patient's mind about the individuals who may visit;
(17) Appoint an individual of the patient's choice to make health care
decisions for the patient, if the patient is unable to do so;
(18) Make or change an advance directive;

(19) Give informed consent before any nonemergency care is provided,
including the benefits and risks of the care, alternatives to the care, and the benefits
and risks of the alternatives to the care;
(20) Agree or refuse to take part in medical research studies, without
the agreement or refusal affecting the patient's care;
(21) Allow or refuse to allow pictures of the patient for purposes other
than the patient's care;
(22) Expect privacy and confidentiality in care discussions and
treatments;
(23) Be provided a copy of the Health Insurance Portability and
Accountability Act Notice of Privacy Practices; and
(24) File a complaint about care and have the complaint reviewed
without the complaint affecting the patient's care.
(e) The Office of Health Care Quality shall monitor the compliance of each
hospital with the requirements of this section.

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