This study is one of a series being prepared by the staff of the Subcommittee on Medical Care of the American Public Health Association. It describes critically the procedures and arrangements by which medical services are provided to the indigent and medically indigent in the state of Maryland.
Maryland has a unique system for caring for the medical needs of indigent and medically indigent persons. Instead of the usual three way division (state-city-county), the administration of a statewide program has been placed in the hands of the state department of health, with actual operation under a "bureau of medical services." This bureau is empowered to contract with physicians, dentists and hospitals for their services. To carry out this program, the Medical Care Act of 1945 provided for an advisory state council on medical care to include fourteen members representing the several professions and the official organizations directly affected by the