# COMAR 10.07.09.05: COMAR 10.07.09.05. Admission Prohibitions > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_05 ## Section - **Citation:** COMAR 10.07.09.05 - **Heading:** COMAR 10.07.09.05. Admission Prohibitions - **Jurisdiction:** Maryland - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 07 HOSPITALS / Chapter 09 Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities / COMAR 10.07.09.05 ## Text A. The acts in §B of this regulation are admission prohibitions. B. A nursing facility may not: (1) Require or solicit, as a condition of admission into the nursing facility, the signature of an individual other than the applicant on the application or contract for admission to the nursing facility, unless the: (a) Applicant is adjudicated disabled in accordance with Estates and Trusts Article, §13-701, Annotated Code of Maryland ; or (b) Applicant's physician determines that the applicant is incapable of understanding or exercising the applicant's rights and responsibilities and records, in the applicant's nursing facility record, the specific reasons for the determination; (2) Require an individual, including an agent, to incur personal financial liability by signing the contract, although the nursing facility may require the individual to pay for nursing facility care for the resident to the extent of the resident's available income and assets; (3) Charge, solicit, accept, or receive, in addition to any amount otherwise required to be paid under Medicaid, a gift, money, donation, or other consideration as a precondition of admission or expedited admission to, or continued stay in, the nursing facility; (4) Require residents or applicants to waive their rights to Medicare or Medicaid; (5) Require oral or written assurances that residents or applicants are not eligible for, or will not apply for, Medicare or Medicaid benefits; (6) Charge individuals who are eligible for Medicaid more than the rates established by the Medical Assistance Program for these services; (7) Increase any charge and make the resident liable for the increase until the 46th day after the facility notifies the resident in writing; (8) Impose an interest penalty on charges for items and services provided to a resident until the later of the following: (a) 45 days after the nursing facility mails an itemized statement of charges to the resident or the resident's agent; or hese services; (7) Increase any charge and make the resident liable for the increase until the 46th day after the facility notifies the resident in writing; (8) Impose an interest penalty on charges for items and services provided to a resident until the later of the following: (a) 45 days after the nursing facility mails an itemized statement of charges to the resident or the resident's agent; or (b) 30 days after the end of the period covered by the itemized statement of charges; (9) Condition providing care or otherwise discriminate against a resident based on whether the resident has or has not executed an advance directive; (10) Except for contributions toward cost of care as determined by the Medical Assistance Program, charge a resident who is eligible for Medicaid for services, unless the resident or the resident's agent knowingly has requested and received noncovered services, and the nursing facility: (a) Has given proper notice of the availability and cost of the services to residents; and (b) Does not condition the resident's admission or continued stay on the request for and receipt of additional services; and (11) Solicit, accept, or receive a charitable, religious, or philanthropic contribution from an organization or an individual related to the resident or applicant unless the nursing facility makes clear that the contribution is not a condition of admission to, expedited admission to, or continued stay in the nursing facility. Cross References 10.07.09.04D(1)(e)(ii) 10.07.09.04D(2)(e)(ii) 10.07.09.07A ## Nearby sections - [COMAR 10.07.09.01 COMAR 10.07.09.01. Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_01.md) - [COMAR 10.07.09.02 COMAR 10.07.09.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_02.md) - [COMAR 10.07.09.03 COMAR 10.07.09.03. Resident's Representative](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_03.md) - [COMAR 10.07.09.04 COMAR 10.07.09.04. Admission Procedures and Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_04.md) - [COMAR 10.07.09.05 COMAR 10.07.09.05. Admission Prohibitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_05.md) - [COMAR 10.07.09.06 COMAR 10.07.09.06. Admission Contract Required](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_06.md) - [COMAR 10.07.09.07 COMAR 10.07.09.07. Third-Party Signature on Admission Contract](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_07.md) - [COMAR 10.07.09.08 COMAR 10.07.09.08. Resident's Rights and Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_08.md) - [COMAR 10.07.09.09 COMAR 10.07.09.09. Implementation of Residents' Bill of Rights](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_09.md) - [COMAR 10.07.09.10 COMAR 10.07.09.10. Resident Transfers and Discharges](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_10.md) - [COMAR 10.07.09.11 COMAR 10.07.09.11. Involuntary Discharge or Transfer of a Resident](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_11.md) - [COMAR 10.07.09.12 COMAR 10.07.09.12. Resident Relocation and Bed Hold](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_12.md) - [COMAR 10.07.09.13 COMAR 10.07.09.13. Hearings for Transfers and Discharges, and Establishment of an Escrow Account](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_13.md) - [COMAR 10.07.09.14 COMAR 10.07.09.14. Physical and Chemical Restraints](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_14.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_07_09_05. Check the current official text before relying on it. Not legal advice.