There is a newer version of the Maryland Code
Maryland Health - General Section 22-306
§ 22-306.
  (a)   Unless a written protest is filed with the Secretary, a State adopted federal 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 regulation may:
    (1)   File a protest against the State adopted federal 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 regulation as a rule or regulation of this State.
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