Maryland Code § LG-1-1012

Section LG-1-1012
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(a) As much as possible, the activities of the board shall be supported by the
public, voluntary contributions, fees and charges, and payments from the State and
federal government.
(b) To maintain an adequate level of medical and nursing care for aged,
convalescent, and chronically ill individuals, the county commissioners or county
council of a county may:
(1) make annual appropriations to support the operations of the
board; and
(2) make appropriations or borrow funds for land acquisition and
capital improvements and issue bonds, notes, or other evidence of indebtedness.

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