<?xml version='1.0' encoding='utf-8'?>
<subtitle article="gag" title_number="2" subtitle_number="3" title_name="Department of Agriculture" subtitle_name="State Board of Veterinary Medical Examiners">
  <section article="gag" article_name="Agriculture" number="2-301" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Board” means the State Board of Veterinary Medical Examiners.</text>
    </level>
    <level label="b–1">
      <text>“Compounded nonsterile preparations” has the meaning stated in § 12–101 of the Health Occupations Article.</text>
    </level>
    <level label="b–2">
      <text>“Compounded sterile preparations” has the meaning stated in § 12–101 of the Health Occupations Article.</text>
    </level>
    <level label="b–3">
      <text>“Convicted” includes:</text>
      <level label="1">
        <text>A finding of guilt by a court or a jury; and</text>
      </level>
      <level label="2">
        <text>The acceptance by a court of a defendant’s plea of guilty, nolo contendere, or Alford plea.</text>
      </level>
    </level>
    <level label="b–4">
      <level label="1">
        <text>“Declawing procedure” means:</text>
        <level label="i">
          <text>An onychectomy, a dactylectomy, a phalangectomy, or any other procedure that removes a portion of the paw or digit of an animal in order to remove a claw;</text>
        </level>
        <level label="ii">
          <text>A tendonectomy or any other procedure that cuts or modifies the tendon of the limb, paw, or digit of an animal in order to prohibit the extension of a claw; or</text>
        </level>
        <level label="iii">
          <text>Any procedure that prevents the normal functioning of one or more claws of an animal.</text>
        </level>
      </level>
      <level label="2">
        <text>“Declawing procedure” does not include nail filing, nail trimming, or the placement of temporary nail caps on one or more claws of an animal.</text>
      </level>
    </level>
    <level label="c">
      <text>“Direct supervision” means that the supervising veterinarian who is licensed and registered in the State:</text>
      <level label="1">
        <text>Is on the premises of the animal treatment facility;</text>
      </level>
      <level label="2">
        <text>Is available on an immediate basis; and</text>
      </level>
      <level label="3">
        <text>Has given written or oral instructions for treatment of the animal patients involved.</text>
      </level>
    </level>
    <level label="c–1">
      <text>“Immediate supervision” means the supervising veterinarian who is licensed and registered in the State is in the immediate area and within audible and visual range of the animal patient and the person treating the patient.</text>
    </level>
    <level label="c–2">
      <text>“Indirect supervision” means the supervising veterinarian who is licensed and registered in the State:</text>
      <level label="1">
        <text>Is not required to be in the same facility or in close proximity to the individual being supervised; and</text>
      </level>
      <level label="2">
        <level label="i">
          <text>Has given written or oral instructions for treatment of the animal patient involved;</text>
        </level>
        <level label="ii">
          <text>Is available to provide supervision by electronic or telephonic means; and</text>
        </level>
        <level label="iii">
          <text>Has arranged for telephonic consultation with a licensed veterinarian, if necessary.</text>
        </level>
      </level>
    </level>
    <level label="d">
      <text>“License” means a license to practice veterinary medicine in the State.</text>
    </level>
    <level label="e">
      <text>“Member” means a member of the State Board of Veterinary Medical Examiners.</text>
    </level>
    <level label="f">
      <text>“Practice of veterinary medicine” includes the practice by any person who:</text>
      <level label="1">
        <text>Diagnoses, advises, prescribes, or administers a drug, medicine, biological product, appliance, application, or treatment of any nature, for the prevention, cure, or relief of a wound, fracture, bodily injury, or disease of an animal;</text>
      </level>
      <level label="2">
        <text>Performs a surgical operation, including cosmetic surgery, upon any animal;</text>
      </level>
      <level label="3">
        <text>Performs dentistry on any animal;</text>
      </level>
      <level label="4">
        <text>Performs any manual procedure upon an animal for the diagnosis or treatment of sterility or infertility of the animal;</text>
      </level>
      <level label="5">
        <text>Represents himself as engaged in the practice of veterinary medicine;</text>
      </level>
      <level label="6">
        <text>Offers, undertakes, or holds himself out as being able to diagnose, treat, operate, vaccinate, or prescribe for any animal disease, pain, injury, deformity, or physical condition; or</text>
      </level>
      <level label="7">
        <text>Uses any words, letters, or titles in connection or under circumstances as to induce the belief that the person using them is engaged in the practice of veterinary medicine. This use is prima facie evidence of the intention to represent himself as engaged in the practice of veterinary medicine.</text>
      </level>
    </level>
    <level label="g">
      <text>“Practice of veterinary medicine” does not include or apply to:</text>
      <level label="1">
        <text>Any person practicing veterinary medicine in the performance of civil or military official duties in the service of the United States or of the State;</text>
      </level>
      <level label="2">
        <text>Experimentation and scientific research of biological chemists or technicians engaged in the study and development of methods and techniques, directly or indirectly related or applicable to the problems of the practice of veterinary medicine;</text>
      </level>
      <level label="3">
        <text>A person who advises with respect to or performs acts which the Board, by rule or regulation, has prescribed as accepted management practices in connection with livestock production;</text>
      </level>
      <level label="4">
        <text>A physician licensed to practice medicine in the State or to his assistant while engaged in educational research;</text>
      </level>
      <level label="5">
        <text>A person administering to the ills and injuries of his own animals if they otherwise comply with all laws, rules and regulations relative to the use of medicines and biologics;</text>
      </level>
      <level label="6">
        <text>A farrier or a person actively engaged in the art or profession of horseshoeing as long as his actions are limited to the art of horseshoeing or trimming and maintaining horse hooves;</text>
      </level>
      <level label="7">
        <text>Any nurse, attendant, technician, intern, or other employee of a licensed and registered veterinarian when administering medication or rendering auxiliary or supporting assistance under the responsible direct supervision of a licensed and registered veterinarian;</text>
      </level>
      <level label="8">
        <text>A person who floats (files) equine teeth or removes caps;</text>
      </level>
      <level label="9">
        <text>A person who scales or cleans animal teeth;</text>
      </level>
      <level label="10">
        <text>A registered veterinary technician when performing a procedure in accordance with § 2–309.1 of this subtitle;</text>
      </level>
      <level label="11">
        <text>A person practicing acupuncture in accordance with the principles of oriental medical theories if the person:</text>
        <level label="i">
          <text>Is licensed under Title 1A of the Health Occupations Article;</text>
        </level>
        <level label="ii">
          <text>Is certified as an animal acupuncturist by the Board of Acupuncture;</text>
        </level>
        <level label="iii">
          <text>Practices only acupuncture, acupressure, and moxibustion;</text>
        </level>
        <level label="iv">
          <text>Cooperates and consults with a veterinary practitioner by:</text>
          <level label="1">
            <text>Beginning acupuncture treatment on an animal only if the animal has been seen by a veterinary practitioner within the previous 14 days;</text>
          </level>
          <level label="2">
            <text>Adhering to the terms and conditions of treatment decided by the veterinary practitioner, including the degree of communication and collaboration between the veterinary practitioner and the person practicing acupuncture;</text>
          </level>
          <level label="3">
            <text>Reporting to the veterinary practitioner at the end of treatment or at monthly intervals, at the discretion of the veterinary practitioner; and</text>
          </level>
          <level label="4">
            <text>Not working on an animal for which the person has not been appropriately trained, in accordance with regulations adopted by the Board of Acupuncture; and</text>
          </level>
        </level>
        <level label="v">
          <text>Has successfully completed a specialty training program in animal acupuncture that:</text>
          <level label="1">
            <text>Is approved by the Board of Acupuncture;</text>
          </level>
          <level label="2">
            <text>Is offered by a school holding nationally recognized accreditation;</text>
          </level>
          <level label="3">
            <text>Consists of at least 135 hours; and</text>
          </level>
          <level label="4">
            <text>Enables the person to:</text>
          </level>
          <level label="A">
            <text>Design effective treatments of animals based on traditional acupuncture theories and principles, including appropriate knowledge of functional animal anatomy and physiology;</text>
          </level>
          <level label="B">
            <text>Handle and restrain animals to the extent appropriate in the practice of acupuncture;</text>
          </level>
          <level label="C">
            <text>Demonstrate sufficient knowledge of animal diseases and zoonoses that would require the immediate attention of a veterinary practitioner; and</text>
          </level>
          <level label="D">
            <text>Communicate effectively with a veterinary practitioner;</text>
          </level>
        </level>
      </level>
      <level label="12">
        <text>A veterinarian licensed in another jurisdiction while consulting with a veterinary practitioner in this State; or</text>
      </level>
      <level label="13">
        <text>A student of veterinary medicine practicing veterinary medicine who has successfully completed 3 years of veterinary education at an institution approved by the Board and who works under the responsible direct supervision, as defined by the Board, of a veterinary practitioner.</text>
      </level>
    </level>
    <level label="g–1">
      <level label="1">
        <text>“Therapeutic purpose” means to address a physical or medical condition that compromises the health or well–being of an animal.</text>
      </level>
      <level label="2">
        <text>“Therapeutic purpose” does not include cosmetic or aesthetic reasons or reasons of convenience in the keeping or handling of the animal.</text>
      </level>
    </level>
    <level label="h">
      <text>“Veterinarian” means any person who is a graduate of a college of veterinary medicine.</text>
    </level>
    <level label="h–1">
      <text>“Veterinary assistant” means a person who:</text>
      <level label="1">
        <text>Aids a veterinarian or veterinary technician in patient care; and</text>
      </level>
      <level label="2">
        <text>Is not registered with the Board as a veterinary technician.</text>
      </level>
    </level>
    <level label="i">
      <text>“Veterinary practitioner” means a licensed and registered veterinarian engaged in the practice of veterinary medicine.</text>
    </level>
    <level label="j">
      <level label="1">
        <text>“Veterinary technician” means a person who is registered with the Board as a veterinary technician.</text>
      </level>
      <level label="2">
        <text>“Veterinary technician” includes a veterinary nurse.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-302" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>There is a State Board of Veterinary Medical Examiners in the Department.</text>
    </level>
    <level label="b">
      <text>The Board has seven members, five of whom:</text>
      <level label="1">
        <text>Are licensed and registered veterinarians of the State;</text>
      </level>
      <level label="2">
        <text>Are residents of the State;</text>
      </level>
      <level label="3">
        <text>Have engaged in active practice for five years at some time;</text>
      </level>
      <level label="4">
        <text>Are in good standing; and</text>
      </level>
      <level label="5">
        <text>Are appointed and qualified.</text>
        <text>Of these five veterinarian members, at least two must have their practices predominantly for large animals. Two members of the Board shall not be veterinarians.</text>
      </level>
    </level>
    <level label="c">
      <text>The Governor shall appoint the members of the Board with the advice and consent of the Senate. Each appointment shall be made from a list of at least three names for each vacancy submitted to the Governor, or to the Governor-elect, by the Secretary.</text>
    </level>
    <level label="d">
      <text>Each member serves a term of five years or until his successor is elected and qualified. A member is not eligible to serve for more than two full successive terms except as otherwise provided in this section. If any member ceases legally and physically to reside in the State, his office is vacant.</text>
    </level>
    <level label="e">
      <text>The Governor shall remove any of the members for misconduct in office, incompetence, immorality, willful neglect of duty, or any cause which is a ground for revocation of a license to practice veterinary medicine in the State. The member may be removed only after reasonable notice and an opportunity for hearing is provided.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-302.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In this section, “veterinary review committee” means a committee or board that:</text>
      <level label="1">
        <text>Is within one of the categories described in subsection (b) of this section; and</text>
      </level>
      <level label="2">
        <text>Performs any of the functions listed in subsection (c) of this section.</text>
      </level>
    </level>
    <level label="b">
      <text>For purposes of this section, a veterinary review committee is:</text>
      <level label="1">
        <text>A regulatory board or agency that is established by State or federal law to license, certify, or discipline any veterinary practitioner;</text>
      </level>
      <level label="2">
        <text>A committee of the Maryland Veterinary Medical Association or any of its component societies; or</text>
      </level>
      <level label="3">
        <text>Any person who contracts with a veterinary practitioner to perform any of those functions listed in subsection (c) of this section that are limited to the review of services provided by the veterinary practitioner.</text>
      </level>
    </level>
    <level label="c">
      <text>For purposes of this section, a veterinary review committee has the following powers and duties:</text>
      <level label="1">
        <text>To evaluate and seek to improve the quality of veterinary care that is provided by veterinary practitioners;</text>
      </level>
      <level label="2">
        <text>To evaluate the need for and the level of performance of veterinary care that is provided by veterinary practitioners; or</text>
      </level>
      <level label="3">
        <text>To evaluate and provide assistance to any veterinary practitioner who is in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text>
      </level>
    </level>
    <level label="d">
      <text>Except as otherwise provided in the section, the proceedings, records, and files of a veterinary review committee are not discoverable and are not admissible in evidence in any civil action arising out of matters that are being reviewed and evaluated by the veterinary review committee.</text>
    </level>
    <level label="e">
      <text>Subsection (d) of this section does not apply to:</text>
      <level label="1">
        <text>A civil action brought by a party who claims to be aggrieved by a decision of the veterinary review committee; or</text>
      </level>
      <level label="2">
        <text>Any record or document that:</text>
        <level label="i">
          <text>Is considered by a veterinary review committee; and</text>
        </level>
        <level label="ii">
          <text>Otherwise would be subject to discovery and introduction into evidence in a civil trial.</text>
        </level>
      </level>
    </level>
    <level label="f">
      <text>A person who acts in good faith and within the scope of jurisdiction of a veterinary review committee is not civilly liable for:</text>
      <level label="1">
        <text>Any action as a member of the veterinary review committee; or</text>
      </level>
      <level label="2">
        <text>Giving information to, participating in, or contributing to the function of the veterinary review committee.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-303" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>There is a State Board of Veterinary Medical Examiners Fund.</text>
    </level>
    <level label="b">
      <level label="1">
        <text>The Board shall set reasonable fees necessary to carry out its responsibilities under this subtitle.</text>
      </level>
      <level label="2">
        <text>The fees charged shall be set so as to produce funds to approximate the cost of maintaining the Board as provided in subsection (e) of this section.</text>
      </level>
    </level>
    <level label="c">
      <text>The Board shall publish in its rules and regulations the fees that it sets.</text>
    </level>
    <level label="d">
      <level label="1">
        <text>The Board shall pay all fees collected under the provisions of this title to the Comptroller of the State.</text>
      </level>
      <level label="2">
        <text>The Comptroller shall distribute the fees received from the Board to the Board of Veterinary Medical Examiners Fund.</text>
      </level>
    </level>
    <level label="e">
      <level label="1">
        <text>The Board of Veterinary Medical Examiners Fund shall be used exclusively to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this title.</text>
      </level>
      <level label="2">
        <level label="i">
          <text>The Board of Veterinary Medical Examiners Fund is a continuing, nonlapsing fund, not subject to § 7–302 of the State Finance and Procurement Article.</text>
        </level>
        <level label="ii">
          <text>Any unspent portions of the Board of Veterinary Medical Examiners Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Board of Veterinary Medical Examiners Fund to be used for the purposes specified in this title.</text>
        </level>
      </level>
    </level>
    <level label="f">
      <level label="1">
        <text>The chairman of the Board or the designee of the chairman shall administer the Board of Veterinary Medical Examiners Fund.</text>
      </level>
      <level label="2">
        <text>Money in the Board of Veterinary Medical Examiners Fund may be expended only for any lawful purpose authorized by the provisions of this title.</text>
      </level>
    </level>
    <level label="g">
      <text>The Legislative Auditor shall audit the accounts and transactions of the Board of Veterinary Medical Examiners Fund as provided in § 2–1220 of the State Government Article.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-304" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>The Board may:</text>
      <level label="1">
        <text>Adopt rules and regulations to effectuate this subtitle;</text>
      </level>
      <level label="2">
        <text>Engage additional employees for professional, clerical, and special work as necessary and as provided in the State budget;</text>
      </level>
      <level label="3">
        <text>Subpoena any witness to take his testimony;</text>
      </level>
      <level label="4">
        <text>Require production of books, papers, records, and other documentary evidence, and examine them in relation to any matter which the Board may investigate or hear; and</text>
      </level>
      <level label="5">
        <text>Establish reasonable standards for the practice of veterinary medicine, including conduct and ethics.</text>
      </level>
    </level>
    <level label="b">
      <text>Members or their designated inspectors may enter veterinary facilities at any reasonable hour to enforce the Board rules and regulations.</text>
    </level>
    <level label="c">
      <text>The Board shall maintain an office within the State and a telephone number listed for use by the general public.</text>
    </level>
    <level label="d">
      <text>The Board shall inspect every veterinary hospital facility in the State at least once every 2 years.</text>
    </level>
    <level label="e">
      <text>On or before December 31 each year, the Board shall report to the Governor and, in accordance with § 2–1257 of the State Government Article, the General Assembly on the Board’s disciplinary activities for the previous fiscal year.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-304.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>As used in this subtitle, “veterinary hospital” means any building or portion of a building which is regularly used for the treatment of animals by a veterinary practitioner.</text>
    </level>
    <level label="b">
      <text>Every veterinary hospital shall be licensed by the Board. The Board shall set the annual license fee in accordance with § 2-303(b) of this subtitle. The license shall be applied for and issued to the owner of the hospital.</text>
    </level>
    <level label="c">
      <text>The Board may reject an application, or suspend or revoke the license for failure to maintain the facility properly. The rejection, suspension, or revocation shall be in accordance with the procedures set out in § 2-311 of this subtitle.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-305" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In this section, “animal control facility” means a humane society, as defined in § 10–601 of the Criminal Law Article, or a county or municipal designated animal shelter.</text>
    </level>
    <level label="b">
      <text>The Board, on terms and conditions satisfactory to the Board, may issue a license to an animal control facility to allow the animal control facility to administer:</text>
      <level label="1">
        <text>Drugs needed to sedate, euthanize, or sedate and euthanize animals; and</text>
      </level>
      <level label="2">
        <text>Rabies vaccines in accordance with § 18–313 of the Health – General Article.</text>
      </level>
    </level>
    <level label="c">
      <level label="1">
        <level label="i">
          <text>The owner of an animal control facility shall apply for the license.</text>
        </level>
        <level label="ii">
          <text>The Board shall issue a license in the name of the owner of an animal control facility.</text>
        </level>
      </level>
      <level label="2">
        <text>The application shall designate one individual at the facility responsible for the drugs and rabies vaccines.</text>
      </level>
      <level label="3">
        <text>The annual license fee is $100.</text>
      </level>
    </level>
    <level label="d">
      <text>In accordance with procedures set out in § 2–311 of this subtitle, the Board may:</text>
      <level label="1">
        <text>Reject an application for a license; or</text>
      </level>
      <level label="2">
        <text>Suspend or revoke a license for failure to comply with the Board’s regulations.</text>
      </level>
    </level>
    <level label="e">
      <text>An animal control facility licensed under this section shall comply with the Board’s requirements relating to employee training.</text>
    </level>
    <level label="f">
      <text>A member of the Board, or the Board’s designated inspector, may enter an animal control facility licensed under this section at any reasonable hour to enforce the Board’s regulations.</text>
    </level>
    <level label="g">
      <text>In consultation with the Maryland Department of Health, the Board shall adopt regulations necessary to carry out this section.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-305.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <level label="1">
        <text>The Board may authorize the practice of a health occupation on an animal by a health care practitioner licensed, certified, or otherwise authorized under the Health Occupations Article.</text>
      </level>
      <level label="2">
        <text>If the Board authorizes the practice of a health occupation on an animal under paragraph (1) of this subsection, the Board may:</text>
        <level label="i">
          <text>Impose requirements for education, training, and supervision by a veterinary practitioner; and</text>
        </level>
        <level label="ii">
          <text>Require the registration of each health care practitioner authorized to practice a health occupation on an animal in accordance with this subsection.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <text>The Board shall establish an expedited process to authorize a veterinary practitioner who holds a current, valid license to practice veterinary medicine in another state or jurisdiction to become licensed to practice veterinary medicine in the State.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-306" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <level label="1">
        <text>The Board has the exclusive power to establish and alter the standards of preliminary and professional education and training requirements of applicants for the examination for a license.</text>
      </level>
      <level label="2">
        <text>The Board may establish an annual continuing education requirement of at least 12 hours as a condition to any license renewal.</text>
      </level>
    </level>
    <level label="b">
      <text>The Board may investigate and determine the acceptability of and approve or disapprove any college or institution for the education and training of students desiring to practice veterinary medicine. It may cancel or revoke approval if the college or institution no longer is deemed satisfactory. However, the approval of the American Veterinary Medical Association of a college or institution is sufficient to qualify the college or institution. Any veterinarian desiring to be licensed to practice veterinary medicine shall have completed the course of study prescribed by an approved college or institution.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-307" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>The Board shall prescribe the subject, character, manner, time, and place for every written examination, and the procedure for filing applications for the examination. It shall conduct the written examination so that the identity of the applicant is not known to the Board until the examination is graded. The Board shall make a written report of every examination and preserve it in the Board office for three years.</text>
    </level>
    <level label="b">
      <text>An applicant for the examination shall pay a fee set by the Board to the Board secretary at the time he files his application.</text>
    </level>
    <level label="c">
      <text>The Board shall issue a license to, and annually register, any person who:</text>
      <level label="1">
        <text>Passes the examination;</text>
      </level>
      <level label="2">
        <text>Is of good moral character; and</text>
      </level>
      <level label="3">
        <text>Has a diploma from an approved college or institution conferring upon him the degree of Doctor of Veterinary Medicine.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-307.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In reviewing an application for licensure of a veterinarian or in investigating any matter brought against a veterinary practitioner, the Board may direct the applicant, veterinarian, or veterinary practitioner to submit to a mental or physical examination when the Board has reasonable evidence indicating the inability of that individual to practice veterinary medicine competently.</text>
    </level>
    <level label="b">
      <text>In return for the privilege given by the State in issuing a license or registration, the applicant, veterinarian, or veterinary practitioner is deemed to have:</text>
      <level label="1">
        <text>Consented to submit to an examination under this section if directed by the Board in writing; and</text>
      </level>
      <level label="2">
        <text>Waived any claim of privilege as to the examination report or testimony regarding the report.</text>
      </level>
    </level>
    <level label="c">
      <text>The report or testimony of an examining physician or other person designated by the Board is confidential except as to contested case proceedings as defined by the Administrative Procedure Act.</text>
    </level>
    <level label="d">
      <text>The unreasonable failure or refusal of an  applicant, a veterinarian, or a veterinary practitioner to submit to an examination is prima facie evidence of the applicant’s, veterinarian’s, or veterinary practitioner’s inability to practice veterinary medicine competently unless the Board finds that the failure or refusal was beyond the control of the applicant, veterinarian, or veterinary practitioner.</text>
    </level>
    <level label="e">
      <text>The Board shall pay the reasonable cost of any examination made under this section.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-308" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In order to enforce this subtitle and aid in the prosecution of any violation, every licensee who practices veterinary medicine in the State shall register annually with the Board.</text>
    </level>
    <level label="b">
      <text>Every licensee annually shall pay the Board a registration fee set by the Board for the privilege of continuing his license.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-309" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>A person may register with the Board as a veterinary technician.</text>
    </level>
    <level label="b">
      <level label="1">
        <text>There is a Veterinary Technician Committee under the Board’s jurisdiction. The Committee consists of 7 members who are appointed by the Board, subject to the approval of the Secretary. The Board shall determine the qualifications and term of each member.</text>
      </level>
      <level label="2">
        <text>Each member of the Committee may not receive compensation but is entitled to reimbursement for expenses under the Standard State Travel Regulations as provided in the State budget.</text>
      </level>
    </level>
    <level label="c">
      <text>The Committee, subject to the Board’s approval shall:</text>
      <level label="1">
        <text>Evaluate, examine, and determine the qualifications for applicants for registration as a veterinary technician;</text>
      </level>
      <level label="2">
        <text>Recommend to the Board the subject, scope, form, date, time, and location for each examination;</text>
      </level>
      <level label="3">
        <text>Establish continuing education requirements for veterinary technicians;</text>
      </level>
      <level label="4">
        <text>Define the duties and responsibilities of registered veterinary technicians;</text>
      </level>
      <level label="5">
        <text>Recommend to the Board reasonable rules and regulations to carry out the provisions of this section; and</text>
      </level>
      <level label="6">
        <text>Generally assist the Board in registering and regulating veterinary technicians.</text>
      </level>
    </level>
    <level label="d">
      <text>To apply for registration, an applicant shall:</text>
      <level label="1">
        <text>Submit an application to the Board on the form the Board requires; and</text>
      </level>
      <level label="2">
        <text>Pay to the Board an application fee set by the Board.</text>
      </level>
    </level>
    <level label="e">
      <text>The Board shall register any applicant who:</text>
      <level label="1">
        <text>Meets the requirements of this section;</text>
      </level>
      <level label="2">
        <text>Meets the Board’s educational requirements;</text>
      </level>
      <level label="3">
        <text>Passes a Board approved examination;</text>
      </level>
      <level label="4">
        <text>Is of good moral character; and</text>
      </level>
      <level label="5">
        <text>Is at least 18 years old.</text>
      </level>
    </level>
    <level label="f">
      <text>A registration is issued for a term of 3 years and expires on June 30 of the third year after the date issued unless the registration is renewed as provided in this section.</text>
    </level>
    <level label="g">
      <text>The Board shall renew the registration of any applicant for an additional 3-year term if the applicant:</text>
      <level label="1">
        <text>Submits a renewal application on the form that the Board requires;</text>
      </level>
      <level label="2">
        <text>Pays to the Board a renewal fee set by the Board;</text>
      </level>
      <level label="3">
        <text>Complies with the Board’s continuing education requirements; and</text>
      </level>
      <level label="4">
        <text>Otherwise is entitled to be registered.</text>
      </level>
    </level>
    <level label="h">
      <text>In accordance with the hearing provisions of § 2-311 of this subtitle, the Board may refuse to register an applicant, suspend or revoke the registration, or reprimand and censure, or place on probation any veterinary technician, if the veterinary technician:</text>
      <level label="1">
        <text>Practices veterinary medicine except as permitted under this subtitle;</text>
      </level>
      <level label="2">
        <text>Fraudulently or deceptively obtains a registration;</text>
      </level>
      <level label="3">
        <text>Is professionally, physically, or mentally incompetent;</text>
      </level>
      <level label="4">
        <text>Is convicted of a felony or a crime involving moral turpitude;</text>
      </level>
      <level label="5">
        <text>Is convicted of a violation of any federal or State law relating to narcotic drugs;</text>
      </level>
      <level label="6">
        <text>Is grossly negligent or deliberately cruel to an animal;</text>
      </level>
      <level label="7">
        <text>Violates any provisions of this subtitle; or</text>
      </level>
      <level label="8">
        <text>Is determined by the Board to be incompetent as a veterinary technician.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-309.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>A veterinary assistant may perform the following tasks under the direct supervision of a veterinary practitioner or veterinary technician under the direct supervision of a veterinary practitioner:</text>
      <level label="1">
        <text>Obtaining and monitoring vitals on a nonanesthetized patient;</text>
      </level>
      <level label="2">
        <text>Radiographs;</text>
      </level>
      <level label="3">
        <text>Dental prophylaxis;</text>
      </level>
      <level label="4">
        <text>Nail trims;</text>
      </level>
      <level label="5">
        <text>Educating on basic topics;</text>
      </level>
      <level label="6">
        <text>Administering medications;</text>
      </level>
      <level label="7">
        <text>Husbandry;</text>
      </level>
      <level label="8">
        <text>Collecting blood, urine, and fecal samples;</text>
      </level>
      <level label="9">
        <text>Aseptic techniques;</text>
      </level>
      <level label="10">
        <text>Setup for surgery and other procedures;</text>
      </level>
      <level label="11">
        <text>Low–stress handling and restraint;</text>
      </level>
      <level label="12">
        <text>Microchip insertion; and</text>
      </level>
      <level label="13">
        <text>Any other skill that is noninvasive, as defined by the Board, and within the veterinary assistant’s skills as determined by the supervising veterinary practitioner.</text>
      </level>
    </level>
    <level label="b">
      <text>A veterinary assistant may perform the following tasks under the immediate supervision of a veterinary practitioner or veterinary technician:</text>
      <level label="1">
        <text>Set up of anesthesia; and</text>
      </level>
      <level label="2">
        <text>Anesthesia monitoring.</text>
      </level>
    </level>
    <level label="c">
      <text>Subject to subsection (e) of this section, a veterinary technician may perform the following procedures under the direct supervision of a veterinary practitioner:</text>
      <level label="1">
        <text>Inducing anesthesia by intramuscular injection, inhalation, or intravenous injection;</text>
      </level>
      <level label="2">
        <text>Simple dental extractions of loose teeth that do not involve flaps or tooth sectioning;</text>
      </level>
      <level label="3">
        <text>Basic suturing skills, including:</text>
        <level label="i">
          <text>Suturing of existing surgical skin or gingival incisions; and</text>
        </level>
        <level label="ii">
          <text>Suture and staple removal;</text>
        </level>
      </level>
      <level label="4">
        <text>Accessing a small working stock of Schedule II drugs under separate lock and filling prescriptions;</text>
      </level>
      <level label="5">
        <text>Cytology;</text>
      </level>
      <level label="6">
        <text>Administering vaccines, excluding rabies vaccines unless otherwise authorized by law;</text>
      </level>
      <level label="7">
        <text>Phlebotomy, blood typing, and monitoring blood product transfusion;</text>
      </level>
      <level label="8">
        <text>Urinary and intravenous catheter care;</text>
      </level>
      <level label="9">
        <text>Cystocentesis;</text>
      </level>
      <level label="10">
        <text>Gastric and tracheal intubation;</text>
      </level>
      <level label="11">
        <text>Medication and fluid therapy calculations;</text>
      </level>
      <level label="12">
        <text>Basic life support in cardiopulmonary resuscitation;</text>
      </level>
      <level label="13">
        <text>Ophthalmological testing;</text>
      </level>
      <level label="14">
        <text>Fine needle aspirates; and</text>
      </level>
      <level label="15">
        <text>Any other procedure authorized by regulations adopted by the Board.</text>
      </level>
    </level>
    <level label="d">
      <text>A veterinary technician may perform a procedure listed under subsection (a)(1) through (13) of this section under the indirect supervision of a veterinary practitioner if the veterinary practitioner determines the veterinary technician is qualified to perform the procedure.</text>
    </level>
    <level label="e">
      <text>A veterinary technician may not:</text>
      <level label="1">
        <text>Make any diagnosis or prognosis;</text>
      </level>
      <level label="2">
        <text>Prescribe any treatments, drugs, medications, or appliances; or</text>
      </level>
      <level label="3">
        <text>Perform surgery.</text>
      </level>
    </level>
    <level label="f">
      <text>Under emergency conditions only, a veterinary technician may perform the following procedures before a veterinary practitioner’s initial examination of an animal:</text>
      <level label="1">
        <text>Life support care, including basic and advanced cardiopulmonary resuscitation; and</text>
      </level>
      <level label="2">
        <text>Any other procedure authorized by regulations adopted by the Board.</text>
      </level>
    </level>
    <level label="g">
      <level label="1">
        <text>At the discretion of the veterinary practitioner, a veterinary technician employed at an animal emergency hospital, as defined in regulations adopted by the Board, may perform euthanasia on an animal if the animal is unable to be saved by supportive care, first aid, or life support measures.</text>
      </level>
      <level label="2">
        <text>A veterinary technician who works in or for an animal shelter, as defined in § 2–1701 of this title, may perform euthanasia on an animal at the animal shelter.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-310" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>Subject to subsection (b) of this section, the Board may refuse, suspend, or revoke any application or license, and censure or place on probation any licensee after a hearing, if the veterinarian or veterinary practitioner:</text>
      <level label="1">
        <text>Is unable to practice veterinary medicine competently due to a physical or mental disability;</text>
      </level>
      <level label="2">
        <text>Is convicted of a violation of any federal or State law relating to prescription drugs, a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article, or a controlled substance as defined by 21 U.S.C. § 812;</text>
      </level>
      <level label="3">
        <text>Is convicted of a felony, or of a crime involving moral turpitude;</text>
      </level>
      <level label="4">
        <text>Is convicted of violating any provision of this subtitle, any unlawful or fraudulent practice, or any fraudulent, misleading, or deceptive representation or advertising concerning his professional qualifications or the quality of materials or drugs used by him in his professional work or in the treatment of animals;</text>
      </level>
      <level label="5">
        <text>Has a final judgment entered against him in a civil malpractice case involving gross personal negligence;</text>
      </level>
      <level label="6">
        <text>Obtains the license by fraud or misrepresentation, either in the application, or in passing the examination;</text>
      </level>
      <level label="7">
        <text>Is guilty of employing or permitting to practice veterinary medicine any person who does not hold a license to practice veterinary medicine in the State;</text>
      </level>
      <level label="8">
        <text>Fails to comply with Board rules or regulations after receiving a license;</text>
      </level>
      <level label="9">
        <text>Is grossly negligent or deliberately cruel to an animal;</text>
      </level>
      <level label="10">
        <text>Is determined by four members to be professionally incompetent as a veterinary practitioner;</text>
      </level>
      <level label="11">
        <text>Is disciplined by a licensing authority of another state, including the suspension or revocation of a license to practice veterinary medicine, for an act that would be grounds for disciplinary action under this section;</text>
      </level>
      <level label="12">
        <text>Fails to comply with animal cruelty or animal fighting reporting requirements under § 2–313.1 of this subtitle; or</text>
      </level>
      <level label="13">
        <text>Willfully violates the cat declawing prohibition under § 2–313.3 of this subtitle.</text>
      </level>
    </level>
    <level label="b">
      <text>The Board may not suspend or revoke a license, reprimand or censure a licensee, or place a licensee on probation solely on the basis of the licensee discussing or recommending the use of cannabis, as defined in § 1–101 of the Alcoholic Beverages and Cannabis Article, or a product that contains cannabidiol on an animal for potential therapeutic effect or health supplementation purposes.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-310.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>In lieu of or in addition to suspension of the license, the Board may impose a penalty of not more than $5,000 for a first offense.</text>
    </level>
    <level label="b">
      <text>In addition to revocation of the license, the Board may impose a penalty of not more than $5,000 for a first offense.</text>
    </level>
    <level label="c">
      <text>In addition to suspension or revocation of the license, the Board may impose a penalty of not more than $10,000 for a second or subsequent offense.</text>
    </level>
    <level label="d">
      <text>Penalties collected by the Board under this section shall be paid into the General Fund of the State.</text>
    </level>
    <level label="e">
      <text>The Board shall establish such rules and regulations as are necessary to carry out the provisions of this section.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-311" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>Before any license is suspended or revoked, the Board shall give the licensee at least ten days written notice of the time and place of the hearing. Notice shall be given by certified mail, return receipt requested, bearing a postmark from the United States Postal Service, addressed to the post–office address shown on the annual registration or in other information the Board possesses.</text>
    </level>
    <level label="b">
      <text>A copy of the charges shall be furnished the licensee and he shall be afforded an opportunity to be heard personally and to be represented by counsel before the Board. The licensee shall have the opportunity to confront witnesses against him.</text>
    </level>
    <level label="c">
      <text>Every witness at the hearing shall testify under oath. The chairman or any member may administer the oath. The Board may compel the attendance of witnesses by subpoena.</text>
    </level>
    <level label="d">
      <text>The Board shall report its action in writing, stating the reasons for the action. A copy shall be delivered or mailed to the person against whom the complaint is made.</text>
    </level>
    <level label="e">
      <text>The licensee may appeal to the circuit court of the county where the licensee has an office. The court shall hear and determine all matters connected with the action of the Board from which appeal is taken in accordance with the Administrative Procedure Act.</text>
    </level>
    <level label="f">
      <text>The licensee and the Board may appeal from the decision of the circuit court to the Appellate Court of Maryland, subject to the time and manner provided for the taking of an appeal to this Court.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-312" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <text>At any time within two years from the date of revocation of any license, the Board, by the affirmative vote of four members, may issue without examination a new license to any person whose license was revoked. After the expiration of two years, the person may obtain a license only by compliance with the same requirements which are imposed by this subtitle on other license applicants.</text>
  </section>
  <section article="gag" article_name="Agriculture" number="2-313" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <level label="1">
        <text>This subsection does not apply to an act or omission in giving emergency veterinary aid, care, or assistance for which a person may not be held civilly liable under § 5–614 of the Courts Article.</text>
      </level>
      <level label="2">
        <text>A person may not:</text>
        <level label="i">
          <text>Practice veterinary medicine unless the person is:</text>
          <level label="1">
            <text>Licensed, registered, and authorized to engage in the practice under the provisions of this subtitle; or</text>
          </level>
          <level label="2">
            <text>Authorized to practice veterinary medicine in the State under §§ 10–14A–03 and 10–14B–03 of the State Government Article;</text>
          </level>
        </level>
        <level label="ii">
          <text>Practice veterinary medicine under a name other than the one on the person’s license and registration, or induce any person to so practice in violation of this subtitle;</text>
        </level>
        <level label="iii">
          <text>Practice veterinary medicine unless the person’s license and registration are displayed in the person’s regularly established office and place of practice;</text>
        </level>
        <level label="iv">
          <text>Own, maintain, conduct, operate, or manage a veterinary office, veterinary dental office, veterinary hospital, or a dog, cat, or animal hospital, unless:</text>
          <level label="1">
            <text>The person is a licensed veterinarian; or</text>
          </level>
          <level label="2">
            <text>The office or hospital is under the direct supervision and control of a licensed and registered veterinarian and a licensed or registered veterinarian is employed in the office or hospital;</text>
          </level>
        </level>
        <level label="v">
          <text>Advertise any veterinary office, veterinary dental office, veterinary hospital, or a dog, cat, or animal hospital except in accordance with the rules and regulations of the Board;</text>
        </level>
        <level label="vi">
          <text>Except as provided in subsections (b) and (c) of this section, practice veterinary medicine and sell or dispense any medication, which is not in the original manufacturer’s container;</text>
        </level>
        <level label="vii">
          <text>Advertise as a Board registered veterinary technician unless registered with the Board as required by this subtitle; or</text>
        </level>
        <level label="viii">
          <text>Practice as a veterinary technician unless employed by a veterinary practitioner.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <text>A person may practice veterinary medicine and sell or dispense medication that is not in the original manufacturer’s container if:</text>
      <level label="1">
        <text>The medication is for use by a nonfarm animal as defined in regulations adopted by the Board; and</text>
      </level>
      <level label="2">
        <text>The person affixes to the container in which the medication is sold or dispensed, a label clearly showing the brand, generic or chemical name and strength, if indicated, of the medication, the type of nonfarm animal for which the medication is designated, and the owner’s last name.</text>
      </level>
    </level>
    <level label="c">
      <text>A licensed veterinarian may dispense compounded nonsterile preparations or compounded sterile preparations if:</text>
      <level label="1">
        <text>The compounded nonsterile preparations or compounded sterile preparations are to be used for a nonfarm animal as defined by regulations adopted by the Board that are consistent with State and federal law;</text>
      </level>
      <level label="2">
        <text>The nonfarm animal is a patient of the licensed veterinarian;</text>
      </level>
      <level label="3">
        <text>The quantity of the compounded nonsterile preparations or compounded sterile preparations dispensed does not exceed a 7–day supply;</text>
      </level>
      <level label="4">
        <text>The licensed veterinarian determines that timely access to a compounding pharmacy is not available and that the compounded nonsterile preparations or compounded sterile preparations are not otherwise commercially available;</text>
      </level>
      <level label="5">
        <text>The compounded nonsterile preparations or compounded sterile preparations are provided to the licensed veterinarian by a pharmacist in accordance with § 12–510 of the Health Occupations Article; and</text>
      </level>
      <level label="6">
        <text>The compounded nonsterile preparations or compounded sterile preparations are dispensed in a container with a label clearly showing:</text>
        <level label="i">
          <text>The brand, generic or chemical name and strength, if indicated, of the compounded nonsterile preparations or compounded sterile preparations, the type of nonfarm animal for which the compounded nonsterile preparations or compounded sterile preparations are designated, and the owner’s last name; and</text>
        </level>
        <level label="ii">
          <text>The dispensing date and the expiration date of the compounded nonsterile preparations or compounded sterile preparations.</text>
        </level>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-313.1" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>A veterinary practitioner who has reason to believe that an animal that has been treated by the veterinary practitioner has been subjected to cruelty or fighting in violation of § 10–604, § 10–606, § 10–607, or § 10–608 of the Criminal Law Article shall report the suspected animal cruelty or animal fighting to the appropriate law enforcement agency or county animal control agency in a timely manner.</text>
    </level>
    <level label="b">
      <text>A veterinary practitioner who makes a report under subsection (a) of this section shall include in the report:</text>
      <level label="1">
        <text>The name, age, and location of the animal;</text>
      </level>
      <level label="2">
        <text>The name and home address of the owner or custodian of the animal;</text>
      </level>
      <level label="3">
        <text>The nature and extent of the suspected animal cruelty or animal fighting, including any evidence or information available to the veterinary practitioner concerning possible previous instances of animal cruelty or animal fighting; and</text>
      </level>
      <level label="4">
        <text>Any other information that would help determine:</text>
        <level label="i">
          <text>The cause of the suspected animal cruelty or animal fighting; and</text>
        </level>
        <level label="ii">
          <text>The identity of any individual responsible for the suspected animal cruelty or animal fighting.</text>
        </level>
      </level>
    </level>
    <level label="c">
      <text>A veterinary practitioner who reports in good faith suspected animal cruelty or animal fighting or participates in an investigation of suspected animal cruelty or animal fighting is immune from:</text>
      <level label="1">
        <text>Civil liability that results from the report or participation in the investigation; or</text>
      </level>
      <level label="2">
        <text>Criminal prosecution for the report or participation in the investigation.</text>
      </level>
    </level>
    <level label="d">
      <text>The Board shall adopt regulations establishing:</text>
      <level label="1">
        <text>Confidentiality procedures for protecting the identity of the veterinary practitioner making a report under this section;</text>
      </level>
      <level label="2">
        <text>Confidentiality procedures for protecting the substance of a report made under this section and any records associated with the report; and</text>
      </level>
      <level label="3">
        <text>Conditions under which the substance of a report may be disclosed.</text>
      </level>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-313.2" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>Subject to subsection (b) of this section and on review and approval of the Secretary or the Secretary’s designee, the Board may issue a cease and desist order against a person who:</text>
      <level label="1">
        <text>Practices, attempts to practice, or offers to practice veterinary medicine in violation of § 2–313(a) of this subtitle; or</text>
      </level>
      <level label="2">
        <text>Takes an action:</text>
        <level label="i">
          <text>For which the Board determines there is a preponderance of evidence of grounds for discipline under § 2–310 or § 2–313 of this subtitle; or</text>
        </level>
        <level label="ii">
          <text>That poses a serious risk to the health, safety, and welfare of an animal patient.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>In lieu of a cease and desist order under subsection (a) of this section, the Board may impose a civil penalty not exceeding:</text>
        <level label="i">
          <text>$5,000 for a first offense; and</text>
        </level>
        <level label="ii">
          <text>$10,000 for a second or subsequent offense.</text>
        </level>
      </level>
      <level label="2">
        <text>In setting the amount of a civil penalty, the Board shall consider:</text>
        <level label="i">
          <text>The seriousness of the violation;</text>
        </level>
        <level label="ii">
          <text>The harm caused by the violation;</text>
        </level>
        <level label="iii">
          <text>The good faith of the violator;</text>
        </level>
        <level label="iv">
          <text>Any history of previous violations by the violator; and</text>
        </level>
        <level label="v">
          <text>Any other relevant factors.</text>
        </level>
      </level>
      <level label="3">
        <text>Before a civil penalty is imposed under this subsection, the Board shall provide to the person on whom the civil penalty will be imposed notice of the alleged violation and an opportunity for a hearing.</text>
      </level>
    </level>
    <level label="c">
      <text>A person against whom a cease and desist order is issued or a civil penalty is imposed under this section may seek review of the order or penalty under the Administrative Procedure Act.</text>
    </level>
    <level label="d">
      <text>An action for a cease and desist order or a civil penalty imposed under this section is in addition to, and not instead of, disciplinary actions authorized under § 2–310 of this subtitle or an action for injunctive relief under § 2–315 of this subtitle.</text>
    </level>
    <level label="e">
      <level label="1">
        <text>The Board shall adopt regulations to carry out the provisions of this section, including hearing procedures and sanctions for violations of a cease and desist order.</text>
      </level>
      <level label="2">
        <text>The sanctions established by regulations adopted under paragraph (1) of this subsection may include a civil penalty consistent with subsection (b) of this section.</text>
      </level>
    </level>
    <level label="f">
      <text>The Board shall pay any penalty collected under this section into the General Fund of the State.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-313.3" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>Except as provided in subsection (b) of this section, a veterinary practitioner may not perform a declawing procedure on a cat.</text>
    </level>
    <level label="b">
      <text>A veterinary practitioner may perform a declawing procedure on a cat if the procedure is necessary for a therapeutic purpose.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-314" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <text>A person licensed by the State of Maryland to provide veterinary care, a student of veterinary medicine who works under the responsible direct supervision of a veterinary practitioner as defined by § 2–301(c) of this subtitle, or a veterinary technician registered by the State under § 2–309 of this subtitle shall have the immunity from liability described under § 5–614 of the Courts and Judicial Proceedings Article.</text>
  </section>
  <section article="gag" article_name="Agriculture" number="2-315" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <level label="a">
      <text>The Board may bring an action for an injunction against a person who violates any provision of this subtitle.</text>
    </level>
    <level label="b">
      <text>An action for an injunction under this section is in addition to, and not instead of, disciplinary actions taken under § 2-310 of this subtitle or the imposition of civil penalties under § 2-310.1 of this subtitle.</text>
    </level>
  </section>
  <section article="gag" article_name="Agriculture" number="2-316" title_number="2" title_name="Department of Agriculture" subtitle_number="3" subtitle_name="State Board of Veterinary Medical Examiners">
    <text>The provisions of this subtitle creating the State Board of Veterinary Medical Examiners and relating to the regulation of veterinarians and any regulations promulgated under this subtitle are of no effect and may not be enforced after July 1, 2031.</text>
  </section>
</subtitle>