Maryland Code, Labor and Employment § 9-504

Except as otherwise provided, an employer shall provide compensation in accordance with this title to a covered employee for a hernia caused by an accidental personal injury or by a strain arising out of and in the course of employment if:

(1) the covered employee provides definite proof that satisfies the Commission that:

(i) the hernia did not exist before the accidental personal injury or strain occurred;  or

(ii) as a result of the accidental personal injury or strain, a preexisting hernia has become so aggravated, incarcerated, or strangulated that an immediate operation is needed;  and

(2) notwithstanding any other provision of this title about notice, the accidental personal injury or strain was reported to the employer within 30 days after its occurrence.

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