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Maryland (US: / ˈ m ɛr ɪ l ə n d / ⓘ MERR-il-ənd) [b] is a state in the Northern,Mid-Atlantic or South region of the United States. [9] [10] It borders the states of Virginia to its south, West Virginia to its west, Pennsylvania to its north, Delaware and the Atlantic Ocean to its east, and the national capital and federal district of Washington, D.C. to the southwest.
The Department was formed in 1969 as the Maryland Department of Health and Mental Hygiene and was known by this name until June 30, 2017. [3] Although the department itself was formed in 1969, some of its origins go back to the seventeenth and eighteenth centuries. [3]
The government of Maryland is conducted according to the Maryland Constitution.The United States is a federation; consequently, the government of Maryland, like the other 49 state governments, has exclusive authority over matters that lie entirely within the state's borders, except as limited by the Constitution of the United States.
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By 2001, child care had become an important aspect of American society, with more than "thirteen million American children under 5 years of age experiencing some form of child care before entering formal school." [US 8] By 2003, almost 26% of families used organized childcare facilities as their primary arrangement. [US 9]
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