Maryland Code § HG-3-202

Section HG-3-202
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(a) (1) Except as provided in paragraph (2) of this subsection, each
county board of health shall exercise the duties imposed by law on a board of health.
(2) The county board of health shall exercise those duties in each
municipality or special taxing district in the county unless the municipality or district
has a charter provision or ordinance that:
(i) Covers the same subject matter;
(ii) Is at least as restrictive as the provision that the county
board is required to enforce; and
(iii) Includes provisions for enforcement.
(b) In addition to the other duties provided by law, each county board of
health shall:
(1) Meet in May and October of each year and at any other time the
board considers necessary;
(2) Coordinate its activities with the Department; and
(3) Report to the Department on the sanitary conditions of the county
whenever the board considers it important and necessary to do so.

(c) (1) Except as provided in paragraph (2) of this subsection, each
county board of health may set any fee or charge in connection with its rules and
regulations.
(2) A fee or charge for a service that is provided wholly or partly with
State or federal funds that the Department administers is subject to approval and
modification by the Secretary.
(d) In addition to the other powers provided by law and subject to the
provisions of this article, each county board of health may adopt and enforce rules
and regulations on any nuisance or cause of disease in the county.

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