<?xml version='1.0' encoding='utf-8'?>
<subtitle article="gho" title_number="1" subtitle_number="6" title_name="Definitions; General Provisions" subtitle_name="General Clarification of the Disciplinary Process">
  <section article="gho" article_name="Health Occupations" number="1-601" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <text>In this subtitle, “health occupations board” means a board authorized to issue a license or certificate under this article.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-602" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>After consultation with the Secretary and to the extent permitted by existing administrative and fiscal resources, each health occupations board shall establish a disciplinary subcommittee.</text>
    </level>
    <level label="b">
      <text>To the extent deemed practicable by each board, a disciplinary subcommittee shall:</text>
      <level label="1">
        <text>Be responsible for the investigation of complaints;</text>
      </level>
      <level label="2">
        <text>Determine whether the health occupations board should bring charges against a licensee or certificate holder; and</text>
      </level>
      <level label="3">
        <text>Participate in preadjudication case resolution conferences resulting from the charges.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-603" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>Except as provided in subsection (b) of this section, a health occupations board may not bring charges against a licensee or certificate holder based solely on events contained in a complaint the board receives more than 6 years after:</text>
      <level label="1">
        <text>The day the complainant actually discovered the facts that form the basis of the complaint; or</text>
      </level>
      <level label="2">
        <text>The day when a reasonable person exercising due diligence should have discovered the facts that form the basis of the complaint.</text>
      </level>
    </level>
    <level label="b">
      <text>This section does not apply to a complaint based on:</text>
      <level label="1">
        <text>Criminal convictions or sexual misconduct or other similar boundary violations;</text>
      </level>
      <level label="2">
        <text>Reciprocal discipline matters;</text>
      </level>
      <level label="3">
        <text>Ongoing substance abuse;</text>
      </level>
      <level label="4">
        <text>Fraudulent concealment of material information; or</text>
      </level>
      <level label="5">
        <text>Acts that occur while a patient is a minor.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-604" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>If a statute authorizes a health occupations board to use a system of peer review in standard of care cases and the peer reviewer or peer reviewers determine that there has been a violation of a standard of care, the board shall provide the licensee or certificate holder under investigation:</text>
      <level label="1">
        <text>An opportunity to review the final peer review report; and</text>
      </level>
      <level label="2">
        <text>At least 10 business days after the report was sent to the licensee or certificate holder to provide the board with a written response.</text>
      </level>
    </level>
    <level label="b">
      <text>If a health occupations board receives a written response to a final peer review report, the board shall consider both the report and response before taking any action.</text>
    </level>
    <level label="c">
      <level label="1">
        <text>Except as provided in paragraph (2) of this subsection, health occupations boards and disciplinary panels may not reprimand a licensee or certificate holder, place a licensee or certificate holder on probation, or suspend or revoke the license of a licensee or the certificate of a certificate holder solely on the basis of the licensee’s or certificate holder’s use of a diagnostic evaluation or treatment of a patient that is integrative, complementary, alternative, or nonconventional, including in the treatment of Lyme disease or tick–borne illnesses.</text>
      </level>
      <level label="2">
        <text>This subsection may not be construed to release a licensee or certificate holder from the duty to exercise a professional standard of care when evaluating and treating a patient’s medical condition.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-605" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>As an alternative to a formal hearing, each health occupations board may establish a program for licensees or certificate holders who commit a single standard of care violation.</text>
    </level>
    <level label="b">
      <text>A program established under this section shall provide training, mentoring, or other forms of remediation as determined by the health occupations board.</text>
    </level>
    <level label="c">
      <text>A health occupations board may refer a licensee to the program.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-606" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>Each health occupations board shall adopt specific sanctioning guidelines, including:</text>
      <level label="1">
        <text>A range of sanctions that is based on historical data or a normative process for each type of violation; and</text>
      </level>
      <level label="2">
        <text>A list of mitigating and aggravating circumstances that may be used to decide if a sanction falls within or outside the established range of sanctions.</text>
      </level>
    </level>
    <level label="b">
      <text>Sanctioning guidelines adopted under this section shall:</text>
      <level label="1">
        <text>Conform to a general framework or incorporate a common set of elements; and</text>
      </level>
      <level label="2">
        <text>Be used as a guide for sanctioning licensees and certificate holders in formal and informal proceedings.</text>
      </level>
    </level>
    <level label="c">
      <level label="1">
        <text>To the extent a health occupations board departs from the sanctioning guidelines adopted under this section, the board shall state its reasons.</text>
      </level>
      <level label="2">
        <text>A departure from the guidelines alone is not grounds for any hearing or appeal of any board action.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-607" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <text>Each health occupations board shall post on the board’s Web site each final, public order for a disciplinary sanction issued to a licensee or certificate holder.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-608" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <text>The Secretary shall monitor the timeliness of complaint resolution for each health occupations board.</text>
  </section>
  <section article="gho" article_name="Health Occupations" number="1-609" title_number="1" title_name="Definitions; General Provisions" subtitle_number="6" subtitle_name="General Clarification of the Disciplinary Process">
    <level label="a">
      <text>Each health occupations board shall collaborate with the Office of the Attorney General to make guidelines available to the public concerning the separate roles for assistant attorneys general as counsel and prosecutor for the board.</text>
    </level>
    <level label="b">
      <text>Noncompliance with the guidelines made available under this section may not be used as grounds for any hearing or appeal of any board action.</text>
    </level>
  </section>
</subtitle>