1. A. A death in a State-funded or State-operated facility which constitutes a medical examiner's case, as defined in Health-General Article, §5-308, Annotated Code of Maryland, shall be investigated by the Office of the Chief Medical Examiner.

2. B. Notification and Investigation. The sheriff, police, or chief law enforcement officer, in the jurisdiction where a death occurs, shall notify the medical examiner whenever a death that constitutes a medical examiner's case occurs in a State-funded or State-operated facility. If the death may have occurred by violence, by suicide, by casualty, suddenly when the person was in apparently good health, not attended by a physician, or in any suspicious or unusual manner, the medical examiner or investigator shall:

   1. (1) Respond directly to the administrative head of the facility;
   2. (2) Conduct an investigation;
   3. (3) Complete the investigation report; and
   4. (4) Arrange to have the body sent to the Office of the Chief Medical Examiner for an autopsy, if necessary.

3. C. Completion of Investigation Report.

   1. (1) A medical examiner or investigator shall document in an investigation report all of the information regarding the death that was:

      1. (a) Gathered in the course of the investigation; and
      2. (b) Provided by the administrative head of the facility to the sheriff, police, chief law enforcement official, or health officer in the jurisdiction where the death occurred.
   2. (2) A medical examiner or investigator shall append to an investigation report the written report of the death that the administrative head of the facility provided to the sheriff, police, chief law enforcement official, or health officer in the jurisdiction where the death occurred.

   3. (3) Required Contents of Report. The report of the administrative head of a facility where the death occurred shall contain all the information set out in Health-General Article, §10-713, Annotated Code of Maryland. The report:

      1. (a) May be oral, if followed by a written report within 5 working days from the date of the death, or written; and

      2. (b) Shall contain the following relevant information:

         1. (i) The name, age, and sex of the deceased;
         2. (ii) The time of discovery of the death;
         3. (iii) The deceased's place of residence at the time of death;
         4. (iv) If the death occurred in a place other than the residence of the deceased, the location of the body at the time of discovery;
         5. (v) The place where the body was found;
         6. (vi) The name of the person who took custody of the body;
         7. (vii) The name of the person evaluating the death, if known;
         8. (viii) Whether an autopsy is being performed, if known;
         9. (ix) The name, address, and telephone number of the next of kin or legal guardian, if known; and
         10. (x) Other information the administrative head of the facility determines should be provided to the medical examiner.
   4. (4) The report of the investigation by the Office of the Chief Medical Examiner constitutes an individual file of the Chief Medical Examiner not subject to disclosure under General Provisions Article, §4-101 et seq, Annotated Code of Maryland.

Authority: Health-General Article, §§5-301 et seq., Estates and Trusts Article, §4-509; Annotated Code of Maryland

Effective date: July 13, 1939

Amended December 22, 1950; February 27, 1951; May 15, 1951; June 26, 1951; January 15, 1963; October 22, 1963

Chapter revised effective August 2, 1993 (20:15 Md. R. 1220)

Regulation .01B amended effective May 5, 2008 (35:9 Md. R. 898); November 24, 2014 (41:23 Md. R. 1373); May 11, 2026 (53:9 Md. R. 414)

Regulation .02 amended effective November 24, 2014 (41:23 Md. R. 1373); May 11, 2026 (53:9 Md. R. 414)

Regulation .03 amended effective May 5, 2008 (35:9 Md. R. 898); May 11, 2026 (53:9 Md. R. 414)

Regulation .06B, C amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .08B amended effective May 5, 2008 (35:9 Md. R. 898); November 24, 2014 (41:23 Md. R. 1373); May 11, 2026 (53:9 Md. R. 414)

Regulation .11 amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .12A, C amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation 13A, B amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .14 amended effective November 24, 2014 (41:23 Md. R. 1373); May 11, 2026 (53:9 Md. R. 414)

Regulation .14C amended effective May 5, 2008 (35:9 Md. R. 898)

Regulation .14D amended effective August 29, 2016 (43:17 Md. R. 955)

Regulation .16 amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .18A, C amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .19A, B amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .19C, E amended effective November 24, 2014 (41:23 Md. R. 1373)

Regulation .19E amended as an emergency provision effective July 1, 2006 (33:15 Md. R. 1275); amended permanently effective November 6, 2006 (33:22 Md. R. 1733)

Regulation .19E amended effective December 31, 2018 (45:26 Md. R. 1246); May 11, 2026 (53:9 Md. R. 414)

Regulation .20E amended effective May 11, 2026 (53:9 Md. R. 414)

Regulation .20F amended effective May 5, 1997 (24:9 Md. R. 657); November 24, 2014 (41:23 Md. R. 1373)

Regulation .20F amended as an emergency provision effective July 1, 2006 (33:15 Md. R. 1275); amended permanently effective November 6, 2006 (33:22 Md. R. 1733)

Regulation .20F amended effective May 5, 2008 (35:9 Md. R. 898); August 19, 2024 (51:16 Md. R. 742)

Regulation .21 adopted effective November 24, 2014 (41:23 Md. R. 1373)