Md. Code Regs. 10.32.22.06

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.32.22.06 - Enforcement

A. The Board shall conduct any necessary investigation regarding failure of a reporting entity to file a report required under this chapter.

B. Over the signature of an officer, the executive director, or the deputy director, the Board may issue subpoenas in connection with any investigation or proceeding to enforce this chapter.

C. Before submission of the final investigative report to the Board, the investigator shall inform the reporting entity of the allegation of failure to report and offer the reporting entity an opportunity to submit a written response. Any written response shall be made part of the investigative report. The investigative report is confidential and may not be released to any person except as provided in §E of this regulation.

D. The final investigative report shall be submitted to the Board. The Board, after consideration of the investigative report, shall:

(1) If it finds probable cause that the reporting entity failed to report as required by this chapter, vote to issue a notice of failure to file a report setting out the facts of the alleged failure and the recommended civil penalty as set out in § 0 of this regulation; or

(2) Dismiss the case.

E. If the Board votes to issue a notice of failure to file a report, the Board shall mail by first class mail the notice of failure to file a report to the reporting entity involved. Upon this mailing, the Board shall make available to the reporting entity the investigative report, less the names of any confidential informants who will not be called as witnesses in the case.

F. If the reporting entity does not request a hearing within 3 0 days of the date the notice of failure to file a report was mailed, the notice of failure to file a report shall become final and shall constitute a final disposition of the Board.

G. A reporting entity which has timely filed a request for a hearing may choose to attend a settlement conference with a committee of the Board to attempt to resolve a case. If a settlement conference is convened:

(1) The reporting entity may be represented by counsel;

(2) Except for consideration of a proposed resolution of the case, the Board may not use any commentary, admissions, facts revealed, or positions taken at the settlement conference, unless the subject matter is available from other sources or is otherwise discovered;

(3) At the conclusion of the settlement conference, the committee shall recommend either:

(a) Dismissing the notice of failure to file a report; or

(b) Upholding the notice of failure to file a report and imposing a civil penalty as set out in §0 of this regulation.

H. If the reporting entity agrees with the recommendation of the settlement committee, the Board shall consider the recommendation and either accept or reject it. The Board's acceptance of the settlement committee's recommendation constitutes the Board's final disposition of the case.

I. If a settlement is not reached or if the settlement committee's recommendation is not approved by the Board, the case shall proceed to a hearing before the Board.

J. The hearing ordinarily shall be limited to oral argument before the Board. The issues at the hearing are limited to whether a reporting entity:

(1) Made a change as defined in this chapter;

(2) Had reason to believe that the change was made, in whole or in part, because of a reason listed in Regulation .03B of this chapter;

(3) Reported the change to the Board; and

(4) Reported the change within the time frames set out in this chapter.

K. The Board chair or alternate presiding officer may reasonably limit the time for oral argument.

L. The Board shall conduct an evidentiary hearing if the chair or alternate presiding officer finds that there is a substantial dispute concerning one or more of the material facts set out in §J of this regulation. If there is an evidentiary hearing, the Board chair or alternate presiding officer may:

(1) Administer oaths or affirmations;

(2) Issue subpoenas for relevant evidence;

(3) Make all rulings on the admission of evidence;

(4) Rule on motions;

(5) Exclude repetitive or irrelevant evidence, require the parties to narrow the factual evidence to the relevant issues, and make any other rulings in order to focus and expedite the proceeding;

(6) Require proffers of evidence in advance of the hearing and make evidentiary rulings before the commencement of the hearing; and

(7) Reasonably limit the time for presentations.

M. It is not a defense to the allegation of a failure to report that:

(1) An employee of the reporting entity was not aware of:

(a) The change made by the reporting entity; or

(b) The obligation to report; or

(2) The reporting entity was conducting its own proceeding to further evaluate the change or the reasons for the change.

N. If the Board finds after the hearing that the reporting entity did not fail to file any report required by this chapter, the Board shall issue a final disposition dismissing the notice of failure to file a report.

O. If the Board finds after a hearing that a reporting entity failed to file any report required by this chapter, the Board shall issue a final disposition with findings of fact, conclusions of law, and civil penalty. In its final disposition, the Board may impose a civil penalty as follows:

(1) With respect to reports concerning physicians:

(a) $2,500 for the first occurrence in a calendar year; or

(b) $5,000 for any subsequent occurrence in a calendar year; and

(2) With respect to reports concerning allied health providers:

(a) $500 for the first occurrence in a calendar year; or

(b) $1,000 for any subsequent occurrence in a calendar year.

P. The Board disposition is the final administrative action on the matter.

Q. A reporting entity that is dissatisfied with a final disposition of the Board may seek judicial review of the Board's final disposition as provided in the Administrative Procedure Act. The disposition of the Board may not be stayed pending judicial review.

R. The Board shall pay all monies collected pursuant to this chapter into the State's General Fund. The Board may refer any uncollected civil penalties under this regulation to the Central Collection Unit of the State.

S. The investigative and quasi-judicial procedures set out in this regulation, and the confidentiality provisions of Regulation .07 of this chapter, apply to licensed naturopathic doctors, other licensed health care providers, health care facilities located in the State, and State agencies with respect to any allegations that they failed to file a report required under Regulation .04 of this chapter.

Md. Code Regs. 10.32.22.06

Regulation .06 adopted effective 43:22 Md. R. 1221, eff. 11/7/2016