(a)   The Secretary shall receive, investigate, and seek to resolve
complaints concerning the operations of related institutions, as
defined in § 19-301 of the Health - General Article, and the
Secretary may, on the Secretary's own motion, make on-site visits to
determine if these institutions are in compliance with applicable laws,
rules, and regulations.
  (b)   If the Secretary finds that any such related institution is in
violation of any statute, rule, or regulation of any State agency which
is directly and specifically charged with the regulation of any aspect
of the institution, the Secretary shall immediately notify that agency
in writing of the findings of fact. If the violation or condition is
not corrected within a reasonable time, the Secretary shall request the
State agency to take the steps necessary to bring the institution into
compliance, and the agency shall take appropriate action.
  (c)   There is established in the Department a Maryland Long-Term Care
Ombudsman Program. The Secretary shall designate a Maryland Long-Term
Care Ombudsman.
  (d)   (1)   The Secretary may delegate the Secretary's authority under subsection
(a) of this section to the Maryland Long-Term Care Ombudsman and to
the director of a local office on aging in accordance with a local
long-term care ombudsman program established pursuant to regulations
promulgated by the Secretary.
    (2)   The regulations shall provide for:
      (i)   Minimum training requirements for all program staff and volunteers;
      (ii)   Cooperation with the Departments of Health and Mental Hygiene and Human
Resources;
      (iii)   Annual review of all ombudsman activities by the Department;
      (iv)   Complaint review, investigation, and resolution procedures including
provisions which assure the confidentiality of complaints and the right
of privacy of any complainant or resident of a related institution;
      (v)   Maintenance by the local ombudsman of a recordkeeping or information
system which assures the confidentiality of records or files and the
right of privacy of any complainant or resident of a related
institution;
      (vi)   Access, review, and copying of medical records to the extent authorized
by § 4-305(b)(3) of the Health - General Article when the local
ombudsman is the person in interest or as otherwise provided by law;
and
      (vii)   A process for assisting individuals with organizing and operating a
family council in a nursing home.
    (3)   The Secretary shall establish and submit a budget for minimum staffing
ratios for the Ombudsman Program at the higher of:
      (i)   One full-time ombudsman per 1,000 long-term care beds;
      (ii)   20 hours of ombudsman time per week per area agency; or
      (iii)   10 hours of ombudsman time per week per nursing home.
  (e)   (1)   Representatives of the Long-Term Care Ombudsman Program may not be
held liable for the good faith performance of their official duties.
    (2)   The Secretary shall adopt regulations to establish conflict of interest
provisions within the Long-Term Care Ombudsman Program.
  (f)   (1)   A person may not willfully interfere with representatives of the
Long-Term Care Ombudsman Program in the performance of their official
duties.
    (2)   A person may not retaliate or make reprisals with respect to any person
who filed a complaint with, or provided information to, a
representative of the Long-Term Care Ombudsman Program.
    (3)   A person who violates any provision of this subsection is guilty of a
misdemeanor and is subject to a penalty of not more than $1,500.
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