Maryland Code § HG-19-381

Section HG-19-381
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(a) A hospital shall provide a patient or the legal guardian of a patient with
an opportunity to designate one lay caregiver before discharge of the patient.
(b) If a patient or the legal guardian of a patient declines to designate a lay
caregiver:
(1) The hospital shall document the decision in the patient's medical
record; and
(2) The hospital shall be deemed to be in compliance with the
provisions of this part.
(c) If a patient or the legal guardian of a patient designates a lay caregiver,
the hospital shall:
(1) Record in the patient's medical record:
(i) The designation of the lay caregiver;
(ii) The relationship of the lay caregiver to the patient; and
(iii) The name, telephone number, and address of the lay
caregiver; and
(2) Request the written consent of the patient or the legal guardian
of the patient to release medical information to the lay caregiver in accordance with:
(i) The procedures of the hospital for releasing personal
health information; and
(ii) All applicable federal and State laws.
(d) If a patient or the legal guardian of a patient declines to consent to the
release of medical information to the lay caregiver, the hospital is not required to:
(1) Provide to the lay caregiver the notice required under § 19-382 of
this part; or
(2) Consult with the lay caregiver or provide to the lay caregiver
information contained in the discharge plan issued under § 19-383 of this part.
(e) A patient or the legal guardian of a patient may change the designation
of a lay caregiver in the event the lay caregiver becomes incapacitated.

(f) A designation of a lay caregiver by a patient or the legal guardian of a
patient under this section does not obligate an individual to perform any aftercare for
the patient.
(g) This section may not be construed to require a patient or the legal
guardian of a patient to designate a lay caregiver.

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