[HISTORY: Adopted by the Board of County Commissioners of Worcester County 8-25-1981 by Bill No. 81-5 as Title 2 of the Public Health Article of the 1981 Code. Amendments noted where applicable.]
SUBTITLE I Physicians
SUBTITLE II Institutions
[Amended 8-14-1990 by Bill No. 90-12]
Funding to recruit physicians. The County Commissioners may expend funds for the recruitment of physicians to serve the needs of the people of Worcester County and the sojourners therein.
Physician Recruitment Program. The County Commissioners may establish a Physician Recruitment Program to provide for the recruitment of physicians.
Membership. The County Commissioners may appoint an Advisory Board to assist in the administration of the Physician Recruitment Program. The Advisory Board shall have five members.
Compensation. The Advisory Board members shall serve without compensation and shall be paid such expenses as the County Commissioners may determine appropriate.
Duties. The Advisory Board shall perform all duties as prescribed in this section and shall generally oversee the administration of the Physician Recruitment Program. The Advisory Board, with the approval of the County Commissioners, shall have the power to establish procedures and rules and regulations in furtherance of its duties. The Advisory Board shall submit an annual budget request.
Funding. The activities of the Advisory Board shall be funded on an annual basis in the county expense budget as determined by the County Commissioners.
Recruitment of physicians. In the event that the County Commissioners so authorize, it shall be the duty of the Advisory Board, on behalf of the County Commissioners, to recruit physicians to serve the needs of the county. In the course of its duties, the Board may, subject to funding by the County Commissioners, take such actions as it may deem necessary and appropriate in furtherance of its duties, including and without limitation advertising, provision of office space and equipment, provision of scholarship funds, provision of cash incentives, provision of housing and allowances and such other means that may from time to time be approved by the County Commissioners.
Expenditures. Any expenditures for the Physician Recruitment Program shall be made from the general fund of the county in accordance with rules and financial management procedures established by the County Commissioners.
Medical scholarships awarded pursuant to Title 2 of the Public Health Article prior to the effective date hereof shall remain in full force and effect according to their terms. All agreements entered into pursuant to § PH 2-102(e) shall remain in full force and effect and the County Commissioners shall continue to provide funding pursuant thereto. Nothing herein shall relieve the county of any obligations under such agreements entered into under the prior law nor relieve any other party to any such agreement from any obligation entered into pursuant to the prior law.
Establishment; members. The Board of County Commissioners of Worcester County may establish a Citizens Nursing Home Board of Worcester County; and if it shall establish such a Board, the Board shall be constituted and controlled as follows: The Board shall consist of ten members, and the initial members shall be appointed by the County Commissioners, three members to be appointed for three years, three for two years and three for one year. Members shall be chosen from among the residents of the county. The Chairman of the Board of County Commissioners shall be a member of the Board ex officio. As the terms of the initial appointees expire or as vacancies occur, their successors shall be elected by a majority vote of a quorum of the Board for terms of three years or the remainder thereof; and thereafter these positions shall be so filled.
Compensation. The members of the Board shall serve without compensation.
Powers and duties. The Board shall establish, maintain and operate a nursing or convalescent home or homes and any other facilities and services necessary for the proper care and treatment of aged, convalescent and chronically ill residents of the county and shall have the following powers and duties:
To accept gifts, legacies, bequests or endowments for purposes of the Board. Unless otherwise specified by the donor making such gift, legacy, bequest or endowment, the Board, in its discretion, may expend both principal and income of such gift, bequest, legacy or endowment to support the Board's nursing home program.
To acquire and hold real and personal property in the name of the County Commissioners by any means, to sell or otherwise dispose of such property so acquired and to preserve and administer such properties.
To provide adequate facilities and services for the care and treatment of the aged, convalescent and chronically ill citizens of the county. These facilities will or may include physical care, medical, nursing, recreational, rehabilitative, special education and other similar activities and, in addition, dissemination of information relative to causes and prevention of chronic and debilitating illnesses.
To charge such fees for admission to and maintenance in such facilities and for use of such services as may support the facilities and services; subject, however, to the provision that, where aged, convalescent and chronically ill residents of the county are in need of such facilities and services and are sufficiently impecunious as to be unable to pay the full cost of such care, then the charges to such residents shall be in direct proportion to their ability to pay for the services.
To apply all moneys, assets, property or other things of value it may receive to the general purposes of the Board.
To adopt, subject to the terms of this section, such rules and regulations of any facilities or services that it establishes as may be necessary for their proper operation.
To cooperate with and assist, insofar as practicable, any agency of the State of Maryland, the United States of America and subdivision of either or any private agency or person in furtherance of any of the purposes of this section.
To hire a director of any facility or service that it establishes and to provide for such additional employees and their qualifications and wages as are necessary to properly operate such facilities.
To require that all facilities and services that it establishes maintain such standards that they may qualify for licenses as hospitals from the State Board of Health as required in Article 43, § 556 et seq., of the Annotated Code of Maryland (1957 Edition), as amended from time to time.
To integrate its facilities with, accept funds from and cooperate with the State Board of Health and Mental Hygiene in any facet or facets of its operations insofar as deemed advisable by this Board.
To establish close liaison with the Peninsula General Hospital for the purpose of providing comprehensive hospital, nursing and convalescent care for the residents of Worcester County.
Meetings. The Board shall elect one of its members to serve as Chairman for any period it may designate. It shall hold such meetings as may be necessary for the proper conduct of its business, not, however, less frequently than once per month. It shall adopt, subject to the terms of this section, such rules as are necessary for the internal regulation of the Board.
Appropriations. The activities of the Board shall be supported insofar as possible by citizen support, voluntary contributions, fees and charges and payments from the state and federal government. The County Commissioners are authorized to make annual appropriations in support of the operations of the Citizens Nursing Home Board of Worcester County for the objective of maintaining an adequate level of medical and nursing care for the aged, convalescent and chronically ill citizens of Worcester County. In further support of the objectives of this section, the County Commissioners may make appropriations for land acquisition and capital improvements or borrow funds for these purposes and issue individual notes, bonds or other evidences of such indebtedness.
Reports. The Board shall annually report its activities to the County Commissioners during the preceding year, together with any recommendations or requests it deems appropriate to achieve the objectives and purposes of this section.
Purpose. The purpose of the Citizens Nursing Home Board of Worcester County is declared to be for the general benefit of the citizens of Worcester County and charitable in nature. Upon appointment of its members by the County Commissioners of Worcester County, the Board shall become a quasi-public corporation with perpetual existence, subject to modification by the General Assembly of the State of Maryland if such modification is necessary, to effectuate the purposes herein declared, and is subject to termination by the General Assembly when and if its substantial purposes cease.