1. A. In addition to the requirements set out in COMAR 14.31.05 and 14.31.06, a licensee shall ensure a program caring for pregnant adolescents also meets the requirements of this regulation.

2. B. A program caring for pregnant adolescents shall ensure that:

   1. (1) All pregnant adolescents receive comprehensive prenatal care, including:

      1. (a) A medical care program outlined by a licensed medical professional; and
      2. (b) Participation in a child birth class provided by a qualified and competent childbirth educator.

   2. (2) Arrangements for the delivery of the child are made:

      1. (a) By the end of the second trimester;
      2. (b) In situations when the adolescent is already pregnant beyond the second trimester, upon admission to the facility; or
      3. (c) Within 15 consecutive calendar days of the adolescent's admission to the facility.
   3. (3) Delivery arrangements are clearly recorded in the adolescent's medical record to which appropriate employees have access in an emergency;
   4. (4) Pregnant adolescents receive a dental examination within 3 consecutive calendar months of admission, and that needed dental care is provided;
   5. (5) Identification of pediatric services is provided at least 3 months before anticipated delivery; and
   6. (6) Day care arrangements in an approved day care home or center are made.

Authority: Article 41, §§6-101 and 6-104; Article 83C, §§2-102, 2-104, 2-113, 2-120, and 2-123—2-125; Education Article, §§8-301—8-303; Family Law Article, §§5-506, 5-508, 5-509, 5-509.1, and 5-510; Health-General Article, §§2-104, 7-904, 8-404, 10-922, and 10-924; Annotated Code of Maryland

Effective date: November 22, 2004 (31:23 Md. R. 1651)

COMAR 01.04.08 revised and recodified to COMAR 14.31.07 as an emergency provision effective June 30, 2005 (32:15 Md. R. 1314); revised and recodified permanently effective November 28, 2005 (32:23 Md. R. 1828)