Md. Code, Local Government § 1–1012

(a) As much as possible, the activities of the board shall be supported by the

public, voluntary contributions, fees and charges, and payments from the State and

federal government.

(b) To maintain an adequate level of medical and nursing care for aged,

convalescent, and chronically ill individuals, the county commissioners or county

council of a county may:

(1) make annual appropriations to support the operations of the

board; and

(2) make appropriations or borrow funds for land acquisition and

capital improvements and issue bonds, notes, or other evidence of indebtedness.