There is a newer version of the Maryland Code
Maryland Health - General Section 21-241
§ 21-241.
  (a)   Unless a written protest is filed with the Secretary, a State adopted federal rule or regulation takes effect in this State on the date that it becomes effective as a federal rule or regulation.
  (b)   Any person who may be affected adversely by a State adopted federal rule or regulation may:
    (1)   File a protest against the federal rule or regulation not more than 30 days after its effective date; and
    (2)   Request a hearing.
  (c)   A protest under this section stays the effect of the State adopted federal rule or regulation as a rule or regulation of this State.
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