Maryland Code § PS-7-401

Section PS-7-401
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(a) This section does not apply to nonemergency transportation or
ambulance billing services performed by an ambulance service or by any other
provider.
(b) A county or municipal corporation that bargains collectively with fire,
emergency medical services, paramedic, and rescue personnel may not contract with
a for-profit entity to provide the county's or municipal corporation's complete fire
suppression or ambulance and rescue services without the enactment of an ordinance
or other local law that authorizes the action.

(c) The requirement that a county or municipal corporation enact an
ordinance or other local law under subsection (b) of this section may not be satisfied
through the enactment of a local budget bill.

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