1. A. An operator shall ensure that:

   1. (1) Except for medication covered by standing orders as described in §I of this regulation, before administration of a medication, written authorization is provided on a Medication Administration Authorization Form meeting the requirements of §F of this regulation;
   2. (2) Except for a primitive camp as defined in COMAR 10.16.06.02, emergency medication, or while a medication is being administered, medication is kept in a locked storage compartment;

   3. (3) A prescription medication is kept in the original container bearing a pharmacy label that includes the:

      1. (a) Prescription number;
      2. (b) Date filled;
      3. (c) Authorized prescriber’s name;
      4. (d) Patient’s name;
      5. (e) Name of the medication;
      6. (f) Dose of the medication;
      7. (g) Route of administration for the medication;
      8. (h) Time or frequency of administration for the medication; and
      9. (i) Expiration date;
   4. (4) A nonprescription medication is kept in the original container that includes the directions for use;
   5. (5) Medication is given to the camper from the original container;
   6. (6) The directions provided in the prescriptive order for the medication found on the Medication Administration Authorization Form or the standing order is followed;
   7. (7) The staff member or designated volunteer administering the medication or supervising a camper who is self-administering medication knows the side effects and toxic effects of the medication;
   8. (8) Medication is kept in a secure manner;
   9. (9) Emergency medications are handled according to §D of this regulation;
   10. (10) Medication is stored according to the manufacturer’s directions;
   11. (11) A staff member or designated volunteer documents medication administration on a Medication Administration Form meeting the requirements of §G of this regulation;
   12. (12) A staff member or designated volunteer documents the final disposition of the medication on a Medication Final Disposition Form meeting the requirements of §H of this regulation;

   13. (13) Except as allowed in §A(14) of this regulation, within 2 weeks after the end of the camping session or when the medication is discontinued, medication is:

       1. (a) Returned to:

          1. (i) The parent;
          2. (ii) The guardian; or
          3. (iii) An individual designated by the parent or guardian who has authorization to pick-up the camper and the medication; or
       2. (b) Destroyed; and
   14. (14) If authorized by the parent or guardian, a camper may take their medication with them at the end of the camping session.

2. B. Staff Administration — Routine Medication. Except as allowed in §E of this regulation, an operator shall ensure that a routine medication, other than insulin, is administered by:

   1. (1) A licensed or certified professional:

      1. (a) Who is authorized to practice in Maryland; and
      2. (b) Whose scope of practice includes medication administration; or

   2. (2) An adult staff member or a volunteer who:

      1. (a) Is designated by the operator; and
      2. (b) On an annual basis successfully completes a training course approved annually by the Department.

3. C. Staff Administration — Insulin. Except as allowed in §E of this regulation, an operator shall ensure that insulin is administered by a licensed or certified professional:

   1. (1) Who is authorized to practice in Maryland; and
   2. (2) Whose scope of practice includes medication administration.

4. D. Staff Administration — Emergency Medication.

   1. (1) Except as allowed in Regulation .15 of this chapter, an operator shall ensure that:

      1. (a) Emergency medication is:

         1. (i) Carried by the camper needing the medication if authorized according to §E(2) of this regulation;
         2. (ii) Carried by an adult staff member or volunteer directly supervising the camper; or
         3. (iii) Stored at a designated easily accessible location; and

      2. (b) Emergency medication is administered by:

         1. (i) The camper so long as the camper is capable and authorized to self-administer according to §E of this regulation;
         2. (ii) An adult staff member or volunteer meeting the requirements of §B of this regulation; or
         3. (iii) An adult staff member or volunteer trained by a health supervisor.
   2. (2) An operator may allow a camper to self-carry an emergency medication if both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-carry the emergency medication.

5. E. Self-Administration. An operator may allow a camper to self-administer medication, including insulin, if:

   1. (1) Both the parent or guardian and a licensed or authorized prescriber have provided written consent for the camper to self-administer the medication;
   2. (2) The health supervisor has designated an adult staff member or volunteer to supervise the camper while the camper is self-administering medication; and
   3. (3) The designated adult staff member or volunteer supervises the camper while the camper is self-administering medication.

6. F. Medication Administration Authorization Form. A Medication Administration Authorization Form shall include:

   1. (1) The written prescriptive order for the medication that includes:

      1. (a) The child’s name;
      2. (b) The child’s date of birth;
      3. (c) The condition for which the medication is being administered;
      4. (d) Whether or not the medication is an emergency medication;
      5. (e) The name of the medication;
      6. (f) The dose of the medication;
      7. (g) The route of administration for the medication;
      8. (h) The time or frequency of administration for the medication;
      9. (i) If PRN, the frequency and for what symptoms the medication should be administered;
      10. (j) The known side effects of the medication specific to the camper;
      11. (k) The date medication administration shall begin;
      12. (l) The date medication administration shall end, not to exceed 1 year from the beginning date;
      13. (m) The authorized prescriber’s name;
      14. (n) The authorized prescriber’s title;
      15. (o) The authorized prescriber’s telephone number;
      16. (p) The authorized prescriber’s fax number;
      17. (q) The authorized prescriber’s address;
      18. (r) The authorized prescriber’s signature; and
      19. (s) The date the form is signed by the authorized prescriber;
   2. (2) The following statement: “I request the authorized youth camp operator, staff member or volunteer to administer the medication or to supervise the camper in self-administration as prescribed by the above authorized prescriber. I certify that I have legal authority to consent to medical treatment for the child named above, including the administration of medication at the facility. I understand that at the end of the authorized period an authorized individual must pick up the medication; otherwise, it will be discarded. I authorize camp personnel and the authorized prescriber indicated on this form to communicate in compliance with HIPAA”;
   3. (3) The parent’s or guardian’s signature;
   4. (4) The date the parent or guardian signed the form;
   5. (5) The parent’s or guardian’s primary phone number;
   6. (6) The parent’s or guardian’s alternative phone number;

   7. (7) If a camp allows a camper to self-administer medication, authorization to self-administer medication that includes:

      1. (a) The following statement: “I authorize self-administration of the above listed medication for the child named above under the supervision of the youth camp operator, a designated staff member or volunteer”;
      2. (b) The signature of the authorized prescriber and the date the form is signed under the statement in §F(7)(a) of this regulation; and
      3. (c) The signature of the parent or guardian and the date the form is signed under the statement in §F(7)(a) of this regulation; and

   8. (8) If a camp allows a camper to self-carry emergency medication, authorization to self-carry emergency medication that includes whether the:

      1. (a) Authorized prescriber gives permission for the child to self-carry emergency medication; and
      2. (b) Parent or guardian gives permission for the child to self-carry emergency medication.

7. G. Medication Administration Form. A Medication Administration Form shall include the:

   1. (1) Child’s name;
   2. (2) Child’s date of birth;
   3. (3) Name of the medication;
   4. (4) Dose of the medication;
   5. (5) Route of administration for the medication;
   6. (6) Time or frequency of administration for the medication;
   7. (7) Amount of medication administered;
   8. (8) Date and time of administration; and

   9. (9) Name of the individual who:

      1. (a) Administered the medication to the child; or
      2. (b) Supervised self-administration if the child self-administered the medication.

8. H. Medication Final Disposition Form. A Medication Final Disposition Form shall include:

   1. (1) The child’s name;
   2. (2) The child’s date of birth;
   3. (3) The name of the medication;
   4. (4) The final disposition of the medication;

   5. (5) Documentation that the medication is returned to the parent or guardian, or authorized individual, including the:

      1. (a) Name of the individual to whom the medication was returned; and
      2. (b) Signature of the staff member or volunteer who returned the medication; and

   6. (6) A section for documenting that the medication was destroyed that includes the:

      1. (a) Signature of the individual responsible for destroying the medication;
      2. (b) Signature of the individual witnessing the destruction of the medication; and
      3. (c) Dates each individual signed the form.

9. I. Standing Orders. When standing orders from a licensed or certified professional authorized to prescribe medication are used in place of the Medication Administration Authorization Form required in §A(1) of this regulation, an operator shall ensure that:

   1. (1) Written permission is obtained from the child’s parent or guardian to administer the medication; and
   2. (2) The medication is administered by a staff member or volunteer who meets the requirements in §B of this regulation.
10. J. Medications at Primitive Camps. Except for emergency medication that the camper is authorized to self-carry according to §E(2) of this regulation, in a primitive camp as defined in COMAR 10.16.06.02, medication is kept inaccessible to the camper.

11. K. Staff Member or Volunteer Medication.

    1. (1) An operator shall:

       1. (a) Provide a means to secure medication for a staff member or volunteer when a medication is brought to camp; and
       2. (b) Ensure that all staff member or volunteer medications are maintained in a secure manner at all times.

    2. (2) Except when a staff member or volunteer is self-administering a medication, an operator shall:

       1. (a) Ensure that a staff member or volunteer:

          1. (i) Provides written authorization on a Medication Administration Authorization Form meeting the requirements of §F of this regulation for each medication brought to camp; and
          2. (ii) Who is an adult, signs the Medication Administration Authorization Form in lieu of a parent or guardian; and

       2. (b) For a staff member or volunteer taking medication, have on file for each medication:

          1. (i) A Medication Administration Authorization Form;
          2. (ii) A Medication Administration Form; and
          3. (iii) A Medication Final Disposition Form.

12. L. Form Retention. An operator shall retain for 3 years and make available to the Department the completed:

    1. (1) Medication Administration Authorization Form;
    2. (2) Medication Administration Form;
    3. (3) Medication Final Disposition Form; and
    4. (4) Record of successful training for each staff member or volunteer who is trained to administer medication under §B(2) of this regulation.

Authority: Family Law Article, §§5-560 — 5-568, 5-704, and 5-705; Health-General Article, §§2-104, 13-701 — 13-708, 14-402(d), 14-403, 18-318, and 18-403;
Health Occupations Article, §§8-6A-01 — 8-6A-16 and 14-306; Annotated Code of Maryland

Effective date:

Regulations .01—.13, .15, and .16 adopted effective March 28, 2016 (43:6 Md. R. 408)

Regulation .02B amended effective February 16, 2026 (53:3 Md. R. 122)

Regulation .03A amended effective February 27, 2017 (44:4 Md. R. 254)

Regulation .06F amended effective February 16, 2026 (53:3 Md. R. 122)

Regulation .14 adopted as an emergency provision effective June 30, 2016 (43:15 Md. R. 861); emergency expired effective December 26, 2016

Regulation .14 adopted effective February 27, 2017 (44:4 Md. R. 254)

Regulation .15 amended effective February 16, 2026 (53:3 Md. R. 122)