1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Affiliated individual” means an individual who is 18 years old or older who has been designated in writing by a participating facility to serve either as a health supervisor or as a certificate holder.

   2. (2) “Agent” means an individual who:

      1. (a) Is 18 years old or older;
      2. (b) Has successfully completed, at the expense of the participating facility, an emergency epinephrine educational training program approved by the Department; and
      3. (c) Is designated in writing by a certificate holder to administer emergency use epinephrine in an emergency situation.
   3. (3) “Anaphylaxis” means a sudden, severe, and potentially life-threatening allergic reaction that occurs when an individual is exposed to an allergen.
   4. (4) “Applicant” means an individual applying for a Certificate for Emergency Epinephrine.
   5. (5) “Certificate for emergency epinephrine” means a certificate issued by the Maryland Department of Health to an individual employed or designated by a participating facility to obtain, store, and administer emergency use epinephrine.
   6. (6) “Certificate holder” means an individual who is authorized by the Maryland Department of Health to obtain, store, and administer emergency use epinephrine to be used in an emergency situation.
   7. (7) “Department” means the Maryland Department of Health.
   8. (8) “Eligible institution” means an institution of higher education that has a food service facility or a recreation and wellness facility on the premises and that otherwise meets the requirements of this chapter.
   9. (9) “Emergency use epinephrine” means a portable, disposable drug delivery device or product approved by the federal Food and Drug Administration that contains a premeasured single dose of epinephrine that is used to treat anaphylaxis in an emergency situation.
   10. (10) “Food service facility” has the meaning stated in COMAR 10.15.03.

   11. (11) “Health supervisor” means an individual who:

       1. (a) Provides health services for a participating facility; and

       2. (b) Is licensed by the State as a:

          1. (i) Physician;
          2. (ii) Certified nurse practitioner; or
          3. (iii) Registered nurse.
   12. (12) “Participating facility” means a recreation or wellness facility at an eligible institution or a food service facility, including a food service facility at an eligible institution, in the State that voluntarily participates in the Program.
   13. (13) “Successfully completed” means to pass a written examination with a grade of 75 percent or higher.

Authority: Health-General Article, §§2-104 and 13-7A-03, Annotated Code of Maryland

Effective date: May 20, 2019 (46:10 Md. R. 487)

Regulation .01 amended effective July 12, 2021 (48:14 Md. R. 538)

Regulation .02B amended effective July 12, 2021 (48:14 Md. R. 538); February 16, 2026 (53:3 Md. R. 122)

Regulation .03 amended effective July 12, 2021 (48:14 Md. R. 538); February 16, 2026 (53:3 Md. R. 122)