<section article="gho" article_name="Health Occupations" number="11-101" title_number="11" title_name="Optometrists" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>In this title the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Examiners in Optometry.</text> </level> <level label="c"> <text>“Diagnostically certified optometrist” means a licensed optometrist who is certified by the Board to administer topical ocular diagnostic pharmaceutical agents to the extent permitted under § 11–404 of this title.</text> </level> <level label="d"> <text>“License” means, unless the context requires otherwise, a license issued by the Board to practice optometry.</text> </level> <level label="e"> <text>“Licensed optometrist” means, unless the context requires otherwise, an optometrist who is licensed by the Board to practice optometry.</text> </level> <level label="f"> <text>“Optometrist” means an individual who practices optometry.</text> </level> <level label="g"> <level label="1"> <text>“Practice optometry” means:</text> <level label="i"> <text>Subject to §§ 11–404 and 11–404.2 of this title, to use any means known in the science of optics or eye care, except surgery:</text> <level label="1"> <text>To detect, diagnose, manage, and treat, subject to §§ 11–404 and 11–404.2 of this title, any optical or diseased condition in the human eye and the adnexa of the eye; or</text> </level> <level label="2"> <text>To prescribe eyeglasses, lenses, or contact lenses to correct any optical or visual condition in the human eye;</text> </level> </level> <level label="ii"> <text>To give advice or direction on the fitness or adaptation of eyeglasses or lenses to any individual for the correction or relief of a condition for which eyeglasses or lenses are worn; or</text> </level> <level label="iii"> <text>To use or permit the use of any instrument, test card, test type, test eyeglasses, test lenses, or other device to aid in choosing eyeglasses or lenses for an individual to wear.</text> </level> </level> <level label="2"> <text>Subject to §§ 11–404 and 11–404.2 of this title, “practice optometry” includes:</text> <level label="i"> <text>The administration of pharmaceutical agents;</text> </level> <level label="ii"> <text>The removal of superficial foreign bodies from the cornea and conjunctiva;</text> </level> <level label="iii"> <text>The diagnosis, treatment, and management of open–angle glaucoma;</text> </level> <level label="iv"> <text>The ordering of cultures and bloodwork testing; and</text> </level> <level label="v"> <text>The ordering and performing of in–office, noninvasive, nonradiographic imaging.</text> </level> </level> </level> <level label="h"> <level label="1"> <text>“Surgery” means a procedure using any instruments, including lasers, scalpels, needles, cautery, a cryoprobe, or sutures in which human tissue is cut, burned, vaporized, removed, or otherwise permanently altered by any mechanical means, laser, ionizing radiation, ultrasound, or other means.</text> </level> <level label="2"> <text>“Surgery” does not include:</text> <level label="i"> <text>Preoperative and postoperative care provided in accordance with §§ 11–404 and 11–404.2 of this title;</text> </level> <level label="ii"> <text>Nonsurgical light therapies used only for the treatment of meibomian gland disease and vision therapy but not for corneal collagen cross linking;</text> </level> <level label="iii"> <text>Orthokeratology;</text> </level> <level label="iv"> <text>A noninvasive procedure to remove a superficial foreign body in accordance with § 11–404.2(d) of this title;</text> </level> <level label="v"> <text>Corneal scraping or conjunctival swabs for cultures in accordance with § 11–404.2(e) of this title;</text> </level> <level label="vi"> <text>Epilating with forceps an eyelash from the eyelid, adnexa, or lacrimal system of a patient; or</text> </level> <level label="vii"> <text>Noninvasive meibomian gland expression.</text> </level> </level> </level> <level label="i"> <text>“Therapeutically certified optometrist” means a licensed optometrist who is certified by the Board to practice optometry to the extent permitted under § 11–404.2 of this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-102" title_number="11" title_name="Optometrists" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>This title does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </level> <level label="b"> <text>This title does not affect the right of:</text> <level label="1"> <text>An optician to provide glasses on the prescription of a licensed optometrist or a physician who is authorized to practice medicine under Title 14 of this article; or</text> </level> <level label="2"> <text>A dealer to sell eyeglasses or lenses if the dealer does not practice or claim to practice optometry.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-201" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <text>There is a State Board of Examiners in Optometry in the Department.</text> </section> <section article="gho" article_name="Health Occupations" number="11-202" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <level label="1"> <text>The Board consists of 7 members.</text> </level> <level label="2"> <text>Of the 7 members:</text> <level label="i"> <text>Five shall be licensed optometrists; and</text> </level> <level label="ii"> <text>Two shall be consumer members.</text> </level> </level> <level label="3"> <text>The Governor shall appoint the optometrist members, with the advice of the Secretary, from a list submitted to the Secretary by the Maryland Optometric Association.</text> </level> <level label="4"> <text>The number of names on the list shall be three times the number of vacancies.</text> </level> <level label="5"> <text>For each optometrist vacancy, the Maryland Optometric Association shall:</text> <level label="i"> <text>Notify all licensed optometrists in the State of the vacancy to solicit nominations to fill the vacancy; and</text> </level> <level label="ii"> <text>Conduct a balloting process where every licensed optometrist is eligible to vote to select the names of the licensed optometrists that will be submitted to the Governor.</text> </level> </level> <level label="6"> <text>The Governor shall appoint the consumer members with the advice of the Secretary and the advice and consent of the Senate.</text> </level> </level> <level label="b"> <text>For at least 5 years before appointment, each optometrist member of the Board shall have:</text> <level label="1"> <text>Resided in this State; and</text> </level> <level label="2"> <text>Practiced optometry actively and continuously in this State.</text> </level> </level> <level label="c"> <text>The consumer members of the Board:</text> <level label="1"> <text>Shall be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been an optometrist or in training to become an optometrist;</text> </level> <level label="3"> <text>May not have a household member who is an optometrist or in training to become an optometrist;</text> </level> <level label="4"> <text>May not participate or ever have participated in a commercial or professional field related to optometry;</text> </level> <level label="5"> <text>May not have a household member who participates in a commercial or professional field related to optometry; and</text> </level> <level label="6"> <text>May not have had within 2 years before appointment a substantial financial interest in a person regulated by the Board.</text> </level> </level> <level label="d"> <text>While a member of the Board, a consumer member may not have a substantial financial interest in a person regulated by the Board.</text> </level> <level label="e"> <text>Before taking office, each appointee to the Board shall take the oath required by Article I, § 9 of the Maryland Constitution.</text> </level> <level label="f"> <level label="1"> <text>The term of a member is 4 years.</text> </level> <level label="2"> <text>The terms of members are staggered as required by the terms provided for members of the Board on July 1, 1982.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>To the extent practicable, the Governor shall fill any vacancy on the Board within 60 days of the date of the vacancy.</text> </level> <level label="6"> <text>A member may not serve more than 2 consecutive full terms.</text> </level> </level> <level label="g"> <level label="1"> <text>The Governor may remove a member for incompetence or misconduct.</text> </level> <level label="2"> <text>Upon the recommendation of the Secretary, the Governor may remove a member whom the Secretary finds to have been absent from 2 successive Board meetings without adequate reason.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-203" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>From among its members, the Board every 2 years shall elect a president, a secretary, and a treasurer.</text> </level> <level label="b"> <text>The Board shall determine:</text> <level label="1"> <text>The manner of election of officers; and</text> </level> <level label="2"> <text>The duties of each officer.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-204" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>A majority of the members then serving on the Board is a quorum.</text> </level> <level label="b"> <text>The Board shall meet:</text> <level label="1"> <text>At least twice a year, at the times and places that it determines; and</text> </level> <level label="2"> <text>When requested by the Secretary.</text> </level> </level> <level label="c"> <text>In accordance with the budget of the Board, each member of the Board is entitled to:</text> <level label="1"> <text>Compensation, at a rate determined by the Board, for each day on which the member is engaged in the duties of the member’s office; and</text> </level> <level label="2"> <text>Reimbursement for expenses at a rate determined by the Board.</text> </level> </level> <level label="d"> <text>The Board may employ a staff in accordance with the budget of the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-205" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>In addition to the powers set forth elsewhere in this title, the Board has the following powers:</text> <level label="1"> <text>Each member of the Board may administer oaths and take affidavits for any matter under the jurisdiction of the Board; and</text> </level> <level label="2"> <text>The Board may adopt rules and regulations to carry out the provisions of this title.</text> </level> </level> <level label="b"> <text>In addition to the duties set forth elsewhere in this title, the Board shall:</text> <level label="1"> <text>Keep a current list showing all:</text> <level label="i"> <text>Licensed optometrists;</text> </level> <level label="ii"> <text>Optometrists who are on inactive status;</text> </level> <level label="iii"> <text>Diagnostically certified optometrists;</text> </level> <level label="iv"> <text>Therapeutically certified optometrists; and</text> </level> <level label="v"> <text>Optometrists against whom action has been taken under § 11–313 of this title;</text> </level> </level> <level label="2"> <text>Keep a full record of its proceedings;</text> </level> <level label="3"> <text>Adopt an official seal; and</text> </level> <level label="4"> <text>Investigate an alleged violation of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-206" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>In connection with any investigation of charges under § 11-313 of this title, the Board may request the licensee to submit to an appropriate physical or mental examination by a licensed physician designated by the Board.</text> </level> <level label="b"> <text>In return for the privilege given to a licensee to practice optometry in this State, the licensee is deemed to have:</text> <level label="1"> <text>Consented to submit to an examination under this section, if requested by the Board in writing; and</text> </level> <level label="2"> <text>Waived any claim or privilege as to the testimony or examination reports of the examining physician.</text> </level> </level> <level label="c"> <text>At any disciplinary hearing before the Board, the failure or refusal of the licensee to submit to an examination under this section is prima facie evidence of the licensee’s inability to practice optometry competently, unless the Board finds that the failure or refusal is beyond the control of the licensee.</text> </level> <level label="d"> <text>The Board shall pay the costs of any examination made under this section.</text> </level> <level label="e"> <text>Notwithstanding any provisions of this section, a licensee may present evidence to the Board of mental or physical health that conflicts or is different from that presented as a result of an examination under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-207" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>There is a State Board of Examiners in Optometry Fund.</text> </level> <level label="b"> <level label="1"> <text>The Board may set reasonable fees for the issuance and renewal of licenses and certificates and its other services.</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.</text> </level> <level label="3"> <text>Funds to cover the compensation and expenses of the Board members shall be generated by fees set under this section.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board shall pay all funds collected under this title to the Comptroller of the State.</text> </level> <level label="2"> <text>The Comptroller shall distribute the fees to the State Board of Examiners in Optometry Fund.</text> </level> </level> <level label="d"> <level label="1"> <text>The Fund shall be used 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 article.</text> </level> <level label="2"> <text>The Fund is a continuing, nonlapsing fund, not subject to § 7-302 of the State Finance and Procurement Article.</text> </level> <level label="3"> <text>Any unspent portions of the Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Fund to be used for the purposes specified in this article.</text> </level> <level label="4"> <text>No other State money may be used to support the Fund.</text> </level> </level> <level label="e"> <level label="1"> <text>A designee of the Board shall administer the Fund.</text> </level> <level label="2"> <text>Moneys in the Fund may be expended only for any lawful purpose authorized under the provisions of this article.</text> </level> </level> <level label="f"> <text>The Legislative Auditor shall audit the accounts and transactions of the Fund as provided in § 2-1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-208" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <level label="a"> <text>A licensed optometrist shall perform a minimum optometric examination which shall include:</text> <level label="1"> <text>Reviewing a patient’s history, past prescriptions and specifications when available;</text> </level> <level label="2"> <text>Visual analysis;</text> </level> <level label="3"> <text>Ophthalmoscopy of internal eye;</text> </level> <level label="4"> <text>Tonometry without anesthetic when indicated or for a patient over 40 years of age;</text> </level> <level label="5"> <text>Muscle balance examination;</text> </level> <level label="6"> <text>Writing of lens formula and other prescription data when needed as well as specific instructions for future care; and</text> </level> <level label="7"> <text>Subsequent progress evaluation when indicated.</text> </level> </level> <level label="b"> <text>A licensed optometrist shall maintain thorough records of all testing procedures, results, and case dispositions in accordance with § 4-403 of the Health - General Article.</text> </level> <level label="c"> <text>A licensed optometrist shall have on hand all instrumentation and equipment, in good working condition, required to carry out the procedures for the minimum examination under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-209" title_number="11" title_name="Optometrists" subtitle_number="2" subtitle_name="State Board of Examiners in Optometry"> <text>A person shall have the immunity from liability described under § 5-712 of the Courts and Judicial Proceedings Article for giving information to the Board or otherwise participating in its activities.</text> </section> <section article="gho" article_name="Health Occupations" number="11-301" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Except as otherwise provided in this title or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board before the individual may practice optometry in this State.</text> </level> <level label="b"> <text>This section does not apply to a student while participating in a residency training program under the direct supervision of a licensed optometrist.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-302" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>To qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>The applicant shall be at least 18 years old.</text> </level> <level label="d"> <level label="1"> <text>The applicant shall submit to the Board satisfactory evidence of scholastic and professional education that is at least equal to the current standards set by the Board. However, an applicant who is licensed to practice optometry in any other state shall submit satisfactory evidence of scholastic and professional education that is at least equal to the standards set by the Board at the time of the applicant’s completion of scholastic and professional education.</text> </level> <level label="2"> <text>On written request, the Board shall provide information as to the current scholastic and professional education standards that the Board sets. In the case of an out–of–state applicant the Board shall provide information on the educational and professional standards in effect at the time of an applicant’s completion of scholastic and professional education.</text> </level> </level> <level label="e"> <text>Except as otherwise provided in this subtitle, the applicant shall pass all sections of each part of an examination as required by the Board under this subtitle.</text> </level> <level label="f"> <text>The applicant shall submit to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-302.1" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>In this section, “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text> </level> <level label="b"> <text>An applicant shall apply to the Central Repository for a State and national criminal history records check.</text> </level> <level label="c"> <text>As part of an application to the Central Repository for a State and national criminal history records check, an applicant shall complete and submit to the Central Repository:</text> <level label="1"> <text>A complete set of legible fingerprints taken in a format approved by the Director of the Central Repository and the Director of the Federal Bureau of Investigation;</text> </level> <level label="2"> <text>The fee authorized under § 10–221(b)(7) of the Criminal Procedure Article for access to Maryland criminal history records; and</text> </level> <level label="3"> <text>The mandatory processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="d"> <text>In accordance with §§ 10–201 through 10–229 of the Criminal Procedure Article, the Central Repository shall forward to the Board and the individual the individual’s criminal history record information.</text> </level> <level label="e"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential;</text> </level> <level label="2"> <text>May not be redisseminated; and</text> </level> <level label="3"> <text>Shall be used only for the licensing purpose authorized by this title.</text> </level> </level> <level label="f"> <text>The subject of a criminal history records check under this section may contest the contents of the criminal history record information issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> <level label="g"> <text>If criminal history record information is reported to the Central Repository after the date of the initial criminal history records check, the Central Repository shall provide to the Board and the individual revised criminal history record information for the individual.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-303" title_number="11" title_name="Optometrists" subtitle_number="3"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Submit an application to the Board on the form that the Board requires;</text> </level> <level label="2"> <text>Pay to the Board the application fee set by the Board; and</text> </level> <level label="3"> <text>Submit to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-304" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>An applicant who otherwise qualifies for a license is entitled to be examined as provided in this section.</text> </level> <level label="b"> <level label="1"> <text>Except as otherwise provided in this subsection, the Board shall determine the subjects, scope, form, and passing scores for all sections of each part of an examination under this subtitle.</text> </level> <level label="2"> <text>The subjects examined shall include:</text> <level label="i"> <text>The anatomy, physiology, and pathology of the human eye; and</text> </level> <level label="ii"> <text>The use of all instruments used for examination of the human eye.</text> </level> </level> <level label="3"> <text>The examination may include any subject that relates to optics and optometry:</text> <level label="i"> <text>Contained in any textbook; or</text> </level> <level label="ii"> <text>Taught at any accredited educational institution that teaches optics, optometry, and other related subjects.</text> </level> </level> </level> <level label="c"> <text>An applicant who fails the examination may take the next regularly scheduled examination.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-305" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Subject to the provisions of this section, the Board may waive the examination requirements of this title for an individual who is licensed to practice optometry in any other state.</text> </level> <level label="b"> <text>The Board may grant a waiver under this section only if the applicant:</text> <level label="1"> <text>Pays the application fee required by the Board under § 11–303 of this subtitle;</text> </level> <level label="2"> <text>Provides adequate evidence that the applicant:</text> <level label="i"> <text>Meets the qualifications otherwise required by this title, including, for 3 years before applying, the continuing education requirements of the other state in which the applicant has been practicing optometry, or, if the other state does not have any continuing education requirement, the applicant shall meet the equivalent of 3 years of the continuing education requirements of this subtitle in courses approved by the Board;</text> </level> <level label="ii"> <text>Meets the terms and conditions that the Board establishes in subsections (c) and (d) of this section;</text> </level> <level label="iii"> <text>At the time the applicant was licensed in the other state, was qualified to take the examination that then was required by the laws of this State; and</text> </level> <level label="iv"> <text>Qualified for a license in the other state by passing an examination given by the board of optometry in that state;</text> </level> </level> <level label="3"> <text>Presents a copy of the license, certified by the issuing board; and</text> </level> <level label="4"> <text>Has not failed an examination required by the Board within the previous 5 years.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board may waive the examination requirements of this subtitle for an applicant who:</text> <level label="i"> <text>If so required by the Board under subsection (d) of this section, passes an examination required by the Board; and</text> </level> <level label="ii"> <text>For 3 years immediately before applying, has practiced optometry actively.</text> </level> </level> <level label="2"> <text>The Board may waive the requirement of practicing optometry actively for an applicant who for 3 years:</text> <level label="i"> <text>Was teaching optometry;</text> </level> <level label="ii"> <text>Was a uniformed services optometrist;</text> </level> <level label="iii"> <text>Was a supervisor or administrative optometrist; or</text> </level> <level label="iv"> <text>Was a researcher in optometry.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>Within 1 year of receipt of an application, the Board may require that the applicant pass an examination.</text> </level> <level label="2"> <text>The Board shall determine the scope, form, and passing score for examinations under this section.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-306" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>The Board shall issue a license to any applicant who:</text> <level label="1"> <text>Meets the requirements of this title;</text> </level> <level label="2"> <text>Pays to the Board the license fee set by the Board; and</text> </level> <level label="3"> <text>Submits to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </level> <level label="b"> <text>On receipt of the criminal history record information of an applicant for licensure, in determining whether to grant a license, the Board shall consider:</text> <level label="1"> <text>The age at which the crime was committed;</text> </level> <level label="2"> <text>The nature of the crime;</text> </level> <level label="3"> <text>The circumstances surrounding the crime;</text> </level> <level label="4"> <text>The length of time that has passed since the crime;</text> </level> <level label="5"> <text>Subsequent work history;</text> </level> <level label="6"> <text>Employment and character references; and</text> </level> <level label="7"> <text>Other evidence that demonstrates whether the applicant poses a threat to public health or safety.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-307" title_number="11" title_name="Optometrists" subtitle_number="3"> <text>A license authorizes the licensee to practice optometry while the license is effective.</text> </section> <section article="gho" article_name="Health Occupations" number="11-307.1" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>An applicant for a limited license shall:</text> <level label="1"> <text>Submit to the Board:</text> <level label="i"> <text>An application on the form the Board requires; and</text> </level> <level label="ii"> <text>A written confirmation of participation from the institution in which the applicant intends to participate in a postgraduate teaching, research, or training program; and</text> </level> </level> <level label="2"> <text>Submit to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </level> <level label="b"> <text>The Board may waive the examination requirements of this subtitle and issue a limited license to practice optometry to an individual who:</text> <level label="1"> <text>Is qualified for a postgraduate teaching, research, or training position;</text> </level> <level label="2"> <text>Is applying to participate in a postgraduate teaching, research, or training program approved by the Board under this subsection;</text> </level> <level label="3"> <text>Is eligible to sit for the Maryland licensure examination;</text> </level> <level label="4"> <text>Is licensed, at the time of application, to practice optometry in another state; and</text> </level> <level label="5"> <text>Pays the fee set by the Board.</text> </level> </level> <level label="c"> <text>A limited license authorizes the licensee for 1 year to practice optometry only:</text> <level label="1"> <text>At the institution that has been approved by the Board and is designated on the individual’s license;</text> </level> <level label="2"> <text>At other institutions that are affiliated with the designated institution; and</text> </level> <level label="3"> <text>On the patients of the designated institution or its affiliates.</text> </level> </level> <level label="d"> <text>The Board may renew a limited license once for an additional 1–year term if the holder:</text> <level label="1"> <text>Otherwise meets the requirements of this section;</text> </level> <level label="2"> <text>Submits a renewal application to the Board on the form that the Board requires;</text> </level> <level label="3"> <text>Pays to the Board the limited license renewal fee set by the Board; and</text> </level> <level label="4"> <text>Submits to the Board satisfactory evidence of having completed a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-308" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>A license expires on the date set by the Board, unless the license is renewed for an additional term as provided in this section. A license may not be renewed for a term longer than 2 years.</text> </level> <level label="b"> <text>At least 1 month before a license expires, the Board shall send to the licensee, by electronic means or first–class mail to the last known electronic or physical address of the licensee, a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="c"> <text>Before the license expires, a licensee periodically may renew it for an additional 2-year term, if the licensee:</text> <level label="1"> <text>Otherwise is entitled to be licensed;</text> </level> <level label="2"> <text>Pays to the Board a renewal fee set by the Board; and</text> </level> <level label="3"> <text>Submits to the Board:</text> <level label="i"> <text>A renewal application on the form that the Board requires; and</text> </level> <level label="ii"> <text>Satisfactory evidence of compliance with the continuing education requirements set under this subtitle for license renewal.</text> </level> </level> </level> <level label="d"> <level label="1"> <text>Beginning August 1, 2026, the Board shall require a criminal history records check in accordance with § 11–302.1 of this subtitle for:</text> <level label="i"> <text>License renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement after failing to renew a license.</text> </level> </level> <level label="2"> <text>The Board may not renew or reinstate a license if the criminal history record information required under § 11–302.1 of this subtitle has not been received.</text> </level> </level> <level label="e"> <text>The Board shall renew the license of and issue a renewal certificate to each licensee who meets the requirements of this section.</text> </level> <level label="f"> <text>If an optometrist does not renew a license before its expiration date, the Board shall send to the optometrist a notice stating that the license will expire 30 days after the notice is sent unless the optometrist applies for renewal within the grace period.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-309" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>In addition to any other qualifications and requirements established by the Board, the Board shall establish continuing education requirements as a condition to the renewal of licenses and certificates under this title.</text> </level> <level label="b"> <level label="1"> <text>The continuing education required by the Board shall be in courses approved by the Board.</text> </level> <level label="2"> <text>The Board may not require a nontherapeutically certified optometrist to attend more than 50 hours in any licensing period.</text> </level> <level label="3"> <text>The Board shall require a therapeutically certified optometrist to attend at least 50 hours of continuing education in a licensing period.</text> </level> <level label="4"> <level label="i"> <text>In each licensing period, a therapeutically certified optometrist shall attend 30 hours of continuing education on the use and management of therapeutic pharmaceutical agents.</text> </level> <level label="ii"> <text>The 30 hours of continuing education required under subparagraph (i) of this paragraph shall be counted toward the total number of required hours of continuing education in a licensing period.</text> </level> </level> </level> <level label="c"> <text>At the time a licensee applies for license renewal, the licensee shall submit to the Board, on a form provided by the Board, a certification that the licensee has attended the required courses.</text> </level> <level label="d"> <text>The Board may refuse to renew the license of a licensee who has failed:</text> <level label="1"> <text>To attend the required courses; or</text> </level> <level label="2"> <text>To submit certification of attendance at the required courses.</text> </level> </level> <level label="e"> <text>The Board may waive the continuing education requirements in cases of illness or other undue hardship on the licensee.</text> </level> <level label="f"> <text>The Board may use any funds allocated to it for continuing education as State funds to match federal funds for providing continuing education.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-310" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <level label="1"> <text>The Board shall place a licensee on inactive status, if the licensee submits to the Board:</text> <level label="i"> <text>An application for inactive status on the form required by the Board; and</text> </level> <level label="ii"> <text>The inactive status fee set by the Board.</text> </level> </level> <level label="2"> <text>The Board may not place a licensee on inactive status for more than 6 consecutive years.</text> </level> <level label="3"> <text>The Board shall issue a license to an individual who is on inactive status if the individual:</text> <level label="i"> <text>Meets any continuing education requirements set by the Board;</text> </level> <level label="ii"> <text>Pays to the Board the reinstatement fee set by the Board; and</text> </level> <level label="iii"> <text>Submits to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </level> </level> <level label="b"> <text>The Board may reinstate the license of an optometrist whose license has been expired for less than 5 years and who has not been put on inactive status, if the optometrist:</text> <level label="1"> <text>Has met the continuing education requirements set by the Board;</text> </level> <level label="2"> <text>Meets the renewal requirements of § 11–308 of this subtitle;</text> </level> <level label="3"> <text>Pays to the Board the reinstatement fee set by the Board; and</text> </level> <level label="4"> <text>Submits to a criminal history records check in accordance with § 11–302.1 of this subtitle.</text> </level> </level> <level label="c"> <text>The Board may not reinstate the license of an optometrist whose license has been expired for 5 years or more and who has not been put on inactive status, unless the optometrist:</text> <level label="1"> <text>Passes all parts of any examination required by the Board;</text> </level> <level label="2"> <text>Submits to a criminal history records check in accordance with § 11–302.1 of this subtitle; and</text> </level> <level label="3"> <text>Otherwise meets the requirements of subsection (b) of this section.</text> </level> </level> <level label="d"> <text>The Board may reactivate a licensee on inactive status only if the licensee attests that the licensee has submitted to a criminal history records check under § 11–302.1 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-311" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Each licensee shall display the license conspicuously in the office of the licensee.</text> </level> <level label="b"> <text>A licensee practicing optometry away from the licensee’s office shall give to the patient a statement that contains the licensee’s home address, license number, and signature.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-312" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Unless the Board agrees to accept the surrender of a license, a licensed optometrist may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the optometrist.</text> </level> <level label="b"> <text>The Board may set conditions on its agreement with the optometrist under investigation or against whom charges are pending to accept surrender of the optometrist’s license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-313" title_number="11" title_name="Optometrists" subtitle_number="3"> <text>Subject to the hearing provisions of § 11–315 of this subtitle, the Board, on the affirmative vote of a majority of its members then serving, may deny a license to any applicant, reprimand any licensee, place any licensee on probation, or suspend or revoke a license if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Is convicted of or pleads guilty or nolo contendere to a felony or to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside;</text> </level> <level label="4"> <text>Abandons a patient;</text> </level> <level label="5"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="6"> <text>Promotes the sale of devices, appliances, or goods to a patient so as to exploit the patient for financial gain;</text> </level> <level label="7"> <text>Willfully makes or files a false report or record in the practice of optometry;</text> </level> <level label="8"> <text>Willfully fails to file or record any optometric report as required by law;</text> </level> <level label="9"> <text>Willfully impedes or obstructs the filing or recording of any optometric report as required by law;</text> </level> <level label="10"> <text>Willfully induces another to fail to file or record any optometric report as required by law;</text> </level> <level label="11"> <text>Fails to provide details of the optometric record of a patient to a physician or another optometrist on proper request by the patient;</text> </level> <level label="12"> <text>Employs another person as a solicitor of business;</text> </level> <level label="13"> <text>Splits or agrees to split a fee for optometric services with any person for bringing or referring a patient;</text> </level> <level label="14"> <text>Makes a willful misrepresentation in treatment;</text> </level> <level label="15"> <text>Aids an unauthorized person in the practice of optometry;</text> </level> <level label="16"> <text>Grossly and willfully:</text> <level label="i"> <text>Overcharges for optometric services; or</text> </level> <level label="ii"> <text>Submits false statements to collect fees for which services are not provided;</text> </level> </level> <level label="17"> <text>Behaves immorally in the practice of optometry;</text> </level> <level label="18"> <text>Is professionally, physically or mentally incompetent;</text> </level> <level label="19"> <text>Advertises in a false or misleading manner;</text> </level> <level label="20"> <text>Has had a license to practice optometry denied, suspended or revoked in another state, or has been disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act which would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="21"> <text>Has violated any provision of this title;</text> </level> <level label="22"> <text>Violates any rule or regulation adopted by the Board;</text> </level> <level label="23"> <text>Commits an act of unprofessional conduct in the practice of optometry;</text> </level> <level label="24"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="25"> <text>Willfully engages in conduct that is likely to deceive, defraud, or harm the public;</text> </level> <level label="26"> <text>Knowingly fails to report suspected child abuse in violation of § 5–704 of the Family Law Article; or</text> </level> <level label="27"> <text>Engages in conduct which exhibits an inappropriate standard of care.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-314" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>If after a hearing under § 11-315 of this subtitle the Board finds that there are grounds under § 11-313 of this subtitle to suspend or revoke a license, the Board may impose a penalty not exceeding $5,000:</text> <level label="1"> <text>Instead of suspending the license; or</text> </level> <level label="2"> <text>In addition to suspending or revoking the license.</text> </level> </level> <level label="b"> <text>The Board shall adopt rules and regulations to set standards for the imposition of penalties under this section.</text> </level> <level label="c"> <text>The Board shall pay any penalty collected under this section into the General Fund of this State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-315" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board takes any action under § 11-313 of this subtitle, it shall give the licensee against whom the action is contemplated an opportunity for a hearing before the Board.</text> </level> <level label="b"> <text>The Board shall give notice and hold the hearing in accordance with the Administrative Procedure Act.</text> </level> <level label="c"> <text>The individual may be represented at the hearing by counsel.</text> </level> <level label="d"> <text>The Board may issue subpoenas in connection with any investigation of charges under § 11-313 of this subtitle or proceeding under this section.</text> </level> <level label="e"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, nevertheless the Board may hear and determine the matter.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-316" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>If the Board finds that there are grounds under § 11-313 of this subtitle for action, the Board shall pass an order in accordance with the Administrative Procedure Act.</text> </level> <level label="b"> <text>If the Board finds that there are no grounds under § 11-313 of this subtitle for action, the Board:</text> <level label="1"> <text>Immediately shall dismiss the charges and exonerate the licensee;</text> </level> <level label="2"> <text>Shall expunge all records that relate to the charges; and</text> </level> <level label="3"> <text>May not take any further action on the charges.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-317" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>The Board shall include in any order of suspension or revocation the specific terms and conditions of the suspension or revocation.</text> </level> <level label="b"> <text>Except as provided in § 11-318(c) of this subtitle for a stay pending review, when the Board files an order of suspension or revocation, it is effective, in accordance with its terms and conditions, immediately.</text> </level> <level label="c"> <text>The Board shall keep a copy of each order of suspension or revocation as a permanent record.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-318" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>Except as provided in this section for an action under § 11–313 of this subtitle, any person aggrieved by a final decision of the Board in a contested case, as defined in the Administrative Procedure Act, may petition for judicial review as allowed by the Administrative Procedure Act.</text> </level> <level label="b"> <text>Any person aggrieved by a final decision of the Board under § 11–313 of this subtitle may not appeal to the Secretary but may take a direct judicial appeal as provided in the Administrative Procedure Act.</text> </level> <level label="c"> <text>If an optometrist seeks judicial review of an order of suspension or revocation by the Board, the order shall be stayed until the optometrist’s judicial remedies are exhausted.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-319" title_number="11" title_name="Optometrists" subtitle_number="3"> <text>The Board may reinstate the license of any individual whose license has been suspended or revoked under this title only in accordance with:</text> <level label="1"> <text>The terms and conditions of the order of suspension or revocation;</text> </level> <level label="2"> <text>An order of reinstatement issued by the Board; or</text> </level> <level label="3"> <text>A final judgment in any proceeding for review.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-320" title_number="11" title_name="Optometrists" subtitle_number="3"> <level label="a"> <text>This section does not apply to:</text> <level label="1"> <text>An individual licensed under Title 14, Subtitle 3 of this article; or</text> </level> <level label="2"> <text>An individual supervised by an individual licensed under Title 14, Subtitle 3 of this article.</text> </level> </level> <level label="b"> <text>The Board may issue a cease and desist order or obtain injunctive relief for a violation of any provision of § 11–313 of this subtitle or § 11–501, § 11–502, or § 11–504 of this title.</text> </level> <level label="c"> <level label="1"> <text>An action may be maintained in the name of the State or the Board to enjoin:</text> <level label="i"> <text>The unauthorized practice of optometry;</text> </level> <level label="ii"> <text>The misrepresentation of the practice of optometry;</text> </level> <level label="iii"> <text>The act of knowingly dispensing contact lenses or replacement contact lenses without a valid and unexpired prescription or a replacement contact lens prescription; or</text> </level> <level label="iv"> <text>Conduct that is grounds for disciplinary action under § 11–313 of this subtitle.</text> </level> </level> <level label="2"> <text>An action under this subsection may be brought by:</text> <level label="i"> <text>The Board, in its own name;</text> </level> <level label="ii"> <text>The Attorney General, in the name of the State; or</text> </level> <level label="iii"> <text>A State’s Attorney, in the name of the State.</text> </level> </level> <level label="3"> <text>An action under this subsection shall be brought in the county where the defendant:</text> <level label="i"> <text>Resides; or</text> </level> <level label="ii"> <text>Engages in the act sought to be enjoined.</text> </level> </level> <level label="4"> <text>Proof of actual damage or that any person will sustain any damage if an injunction is not granted is not required for an action under this subsection.</text> </level> <level label="5"> <text>An action under this subsection is in addition to and not instead of criminal prosecution for disciplinary action under § 11–313 of this subtitle or the unauthorized practice of optometry under §§ 11–501, 11–502, and 11–504 of this title.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-401" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Governmental unit” means any board, commission, authority, department, or other administrative agency of this State, a county, or a municipality.</text> </level> <level label="3"> <text>“Ocular practitioner” means any practitioner who is authorized to provide services within the scope of optometry.</text> </level> </level> <level label="b"> <level label="1"> <text>Except as provided in this subsection, a governmental unit may not interfere with the complete freedom of the public to choose any ocular practitioner.</text> </level> <level label="2"> <text>A governmental unit may make an agreement under which an ocular practitioner is to provide optometric services to the employees of a governmental unit.</text> </level> </level> <level label="c"> <text>A governmental unit shall honor and accept any report, statement, or service made or provided by a licensed optometrist within the scope of optometry to the same extent as if the report, statement, or service was made or provided by a physician.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-402" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>If, while providing optometric services to a patient, an optometrist or diagnostically certified optometrist detects or diagnoses an active eye pathology which the optometrist is not licensed or certified to treat under § 11-404 or § 11-404.2 of this subtitle, the optometrist shall refer the patient to:</text> <level label="1"> <text>An ophthalmologist or a therapeutically certified optometrist, as appropriate;</text> </level> <level label="2"> <text>The patient’s physician;</text> </level> <level label="3"> <text>A physician if required under a managed care contract; or</text> </level> <level label="4"> <text>A hospital emergency room or ambulatory surgical center if necessary.</text> </level> </level> <level label="b"> <text>If, while providing optometric services to a patient, a therapeutically certified optometrist diagnoses an active eye pathology that the optometrist is not certified to treat under § 11-404.2 of this subtitle, the optometrist shall refer the patient to:</text> <level label="1"> <text>An ophthalmologist;</text> </level> <level label="2"> <text>The patient’s physician;</text> </level> <level label="3"> <text>A physician if required under a managed care contract; or</text> </level> <level label="4"> <text>A hospital emergency room if necessary.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-403" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>A licensed optometrist may:</text> <level label="1"> <text>Use the title “optometrist”;</text> </level> <level label="2"> <text>If the optometrist holds the degree of doctor of optics or doctor of optometry from a college or university authorized to give the degree, use the title “Doctor” or the abbreviations “Dr.” or “O.D.” with the optometrist’s name;</text> </level> <level label="3"> <text>If the optometrist is certified under § 11-404 of this subtitle, use the title “diagnostically certified optometrist”; and</text> </level> <level label="4"> <text>If the optometrist is certified under § 11-404.1 of this subtitle, use the title “therapeutically certified optometrist”.</text> </level> </level> <level label="b"> <text>Except as otherwise provided in this section, a licensed optometrist may not attach to the optometrist’s name or use as a title:</text> <level label="1"> <text>The words or abbreviations “Doctor”, “Dr.”, “M.D.”, “physician”, or “surgeon”, or any other word or abbreviation that suggests that the optometrist practices medicine; or</text> </level> <level label="2"> <text>Any word or abbreviation that suggests that the optometrist treats diseases or injuries of the human eye, including the words “eye specialist”, “eyesight specialist”, “oculist”, or “ophthalmologist”.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-404" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>Unless certified under this section, a licensed optometrist may not administer a topical ocular diagnostic pharmaceutical agent to a patient.</text> </level> <level label="b"> <text>The Board shall certify a licensed optometrist as qualified to administer topical ocular diagnostic pharmaceutical agents if the licensed optometrist submits to the Board evidence satisfactory to the Board that the licensed optometrist:</text> <level label="1"> <text>Meets the educational requirements that the Board establishes for certification of qualification to administer topical ocular diagnostic pharmaceutical agents; and</text> </level> <level label="2"> <text>Has within 7 years before certification completed a course in pharmacology that meets the requirements of subsection (c) of this section.</text> </level> </level> <level label="c"> <text>The course in pharmacology required by subsection (b) of this section shall:</text> <level label="1"> <text>Be of at least the length that the Board establishes but not less than 70 course hours;</text> </level> <level label="2"> <text>Place emphasis on:</text> <level label="i"> <text>Topical application of ocular diagnostic pharmaceutical agents for the purpose of examining and analyzing ocular functions; and</text> </level> <level label="ii"> <text>Allergic reactions to ocular diagnostic pharmaceutical agents; and</text> </level> </level> <level label="3"> <text>Be given by an institution that is:</text> <level label="i"> <text>Accredited by a regional or professional accrediting organization that is recognized or approved by the United States Commissioner of Education; and</text> </level> <level label="ii"> <text>Approved by the Board.</text> </level> </level> </level> <level label="d"> <text>The Board shall revoke the certification of qualification to administer topical ocular diagnostic pharmaceutical agents of any licensed optometrist who does not annually take a course of study, approved by the Board, that relates to the use of those agents.</text> </level> <level label="e"> <text>Certification of qualification under this section authorizes the licensed optometrist who is certified under this section to administer a topical ocular diagnostic pharmaceutical agent to a patient for diagnostic purposes but not for purposes of treatment.</text> </level> <level label="f"> <text>Except as expressly authorized under this section for diagnostic purposes or under § 11-404.1 of this subtitle for therapeutic purposes, an optometrist may not administer drugs or medicine to any patient.</text> </level> <level label="g"> <text>The Department shall collect and report statistical information on the incidences of negative reactions to the administration by optometrists of topical ocular diagnostic pharmaceutical agents.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-404.1" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>This section does not apply to an individual authorized to practice optometry in the State under §§ 10–14A–03 and 10–14B–03 of the State Government Article.</text> </level> <level label="b"> <text>Unless certified under this section, a licensed optometrist may not administer or prescribe any therapeutic pharmaceutical agents or remove superficial foreign bodies from a human eye, adnexa, or lacrimal system.</text> </level> <level label="c"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, the Board shall certify a licensed optometrist as a therapeutically certified optometrist if the licensed optometrist submits to the Board evidence satisfactory to the Board that the licensed optometrist:</text> <level label="i"> <text>Has successfully completed at least 110 hours of a therapeutic pharmaceutical agents course approved by the Board;</text> </level> <level label="ii"> <text>Has successfully passed a pharmacology examination relating to the treatment and management of ocular disease, which is prepared, administered, and graded by the National Board of Examiners in Optometry or any other nationally recognized optometric organization as approved by the Secretary;</text> </level> <level label="iii"> <text>Is currently certified by the Board to administer topical ocular diagnostic pharmaceutical agents under § 11–404 of this subtitle; and</text> </level> <level label="iv"> <text>Has successfully completed an 8–hour course in the management of topical steroids approved by the Board.</text> </level> </level> <level label="2"> <level label="i"> <text>Except as provided in subparagraph (ii) of this paragraph, an optometrist who has graduated on or after July 1, 2005 from an accredited school of optometry recognized by the Board is not subject to the requirements of paragraph (1) of this subsection.</text> </level> <level label="ii"> <text>If an optometrist who has graduated on or after July 1, 2005 from an accredited school of optometry recognized by the Board is not certified under this section within 3 years of graduation, the optometrist shall successfully complete a therapeutic pharmaceutical agents course and successfully pass a pharmacology exam under paragraph (1) of this subsection before the Board may certify the optometrist.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-404.2" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <level label="1"> <text>Except as provided in this subsection and in subsection (d) of this section for the treatment of open–angle glaucoma, a therapeutically certified optometrist may administer and prescribe therapeutic pharmaceutical agents for the prevention, management, or treatment of conditions and diseases of the eye and ocular adnexa.</text> </level> <level label="2"> <level label="i"> <text>A therapeutically certified optometrist may not administer or prescribe:</text> <level label="1"> <text>Controlled dangerous substances;</text> </level> <level label="2"> <text>Except as provided in subparagraph (ii) of this paragraph, nontopical systemic immunosuppressive and immunomodulatory agents;</text> </level> <level label="3"> <text>Oral antifungal agents; or</text> </level> <level label="4"> <text>Oral and topical antimetabolite agents.</text> </level> </level> <level label="ii"> <text>A therapeutically certified optometrist may administer or prescribe oral corticosteroids for not more than 1 month unless the therapeutically certified optometrist consults with a physician.</text> </level> </level> <level label="3"> <text>A therapeutically certified optometrist may not administer or prescribe pharmaceutical agents that are:</text> <level label="i"> <text>Delivered intravenously;</text> </level> <level label="ii"> <text>Given by injection, except a therapeutically certified optometrist may give an injection of epinephrine in the appropriate dose for the treatment of acute anaphylaxis or emergency resuscitation;</text> </level> <level label="iii"> <text>Given or delivered by a sustained delivery device, except for punctal plugs, contact lenses, or other extraocular devices that release medication into the tear film; or</text> </level> <level label="iv"> <text>For the treatment of a systemic disease unless specific to the treatment of an ocular condition or disease.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, a therapeutically certified optometrist may not administer or prescribe any oral pharmaceutical agent to a patient under the age of 18 years.</text> </level> <level label="2"> <level label="i"> <text>After a therapeutically certified optometrist consults with a physician, the therapeutically certified optometrist may prescribe and administer oral antibiotics to a minor who is at least 16 years old and under the age of 18 years.</text> </level> <level label="ii"> <text>A therapeutically certified optometrist shall provide the physician consulted in accordance with subparagraph (i) of this paragraph with a written report.</text> </level> </level> </level> <level label="c"> <level label="1"> <text>A therapeutically certified optometrist may administer and prescribe topical therapeutic pharmaceutical agents for glaucoma only for a patient who:</text> <level label="i"> <text>Is at least 18 years old; and</text> </level> <level label="ii"> <text>Has open–angle glaucoma.</text> </level> </level> <level label="2"> <level label="i"> <text>A therapeutically certified optometrist who treats a patient with open–angle glaucoma in accordance with this section shall refer the patient to an ophthalmologist for an examination within 3 months after the initial diagnosis or presentation to the therapeutically certified optometrist unless the intraocular pressure has been reduced 20% or more from the initial pressure.</text> </level> <level label="ii"> <text>A therapeutically certified optometrist who treats a patient with open–angle glaucoma in accordance with this section shall refer the patient to an ophthalmologist for an examination within 12 months after the initial diagnosis or presentation to the therapeutically certified optometrist unless clinical stability has been documented by visual field or imaging of the optic nerve structure.</text> </level> </level> <level label="3"> <text>For a patient on glaucoma medications at the time of presentation to a therapeutically certified optometrist, if the therapeutically certified optometrist is unable to confirm either the date of initial open–angle glaucoma diagnosis or the intraocular pressure at the time the patient was initially diagnosed, the therapeutically certified optometrist may render treatment to a patient with open–angle glaucoma without referring the patient to an ophthalmologist if:</text> <level label="i"> <text>The intraocular pressure of the patient remains stable; and</text> </level> <level label="ii"> <text>Clinical stability is documented by visual field or imaging of the optic nerve structure within 12 months after the patient is first examined by the optometrist.</text> </level> </level> <level label="4"> <level label="i"> <text>For a patient who is at least 18 years old, a therapeutically certified optometrist may only administer or prescribe oral glaucoma medications for up to 24 hours after the patient presents in the office with uncontrolled intraocular pressure.</text> </level> <level label="ii"> <text>A therapeutically certified optometrist who administers or prescribes oral glaucoma medications under subparagraph (i) of this paragraph shall immediately consult with an ophthalmologist and refer the patient to an ophthalmologist.</text> </level> </level> </level> <level label="d"> <text>A therapeutically certified optometrist may remove superficial conjunctival or corneal foreign bodies from the human eye only if:</text> <level label="1"> <text>The foreign body:</text> <level label="i"> <text>Has not penetrated beyond the bowman’s membrane of the cornea and is within 2.5 millimeters of the visual axis of the cornea; or</text> </level> <level label="ii"> <text>Is peripheral and anterior to the mid–stroma; and</text> </level> </level> <level label="2"> <text>Removal will not require permanent alteration of tissue.</text> </level> </level> <level label="e"> <level label="1"> <text>Except as provided in paragraphs (2) and (3) of this subsection, a therapeutically certified optometrist may not order any laboratory tests, genetic tests, extraocular imaging, or other testing for a patient.</text> </level> <level label="2"> <level label="i"> <text>A therapeutically certified optometrist may order:</text> <level label="1"> <text>A conjunctival or corneal culture; or</text> </level> <level label="2"> <text>After consulting with a physician, a nongenetic blood test.</text> </level> </level> <level label="ii"> <text>A therapeutically certified optometrist who orders nongenetic blood tests shall send the written results to the physician consulted in accordance with subparagraph (i)2 of this paragraph.</text> </level> </level> <level label="3"> <text>A therapeutically certified optometrist may order and perform in–office, noninvasive, nonradiographic imaging.</text> </level> </level> <level label="f"> <text>A therapeutically certified optometrist may not provide any therapeutic treatment listed in this section for a child under the age of 1 year.</text> </level> <level label="g"> <text>Unless the standard of care requires an earlier referral, if a therapeutically certified optometrist diagnoses a corneal ulcer or infiltrate, and the patient does not have the expected response within 48 hours, the optometrist immediately shall refer the patient to an ophthalmologist.</text> </level> <level label="h"> <text>A therapeutically certified optometrist shall be:</text> <level label="1"> <text>Held to the same standard of care as an ophthalmologist who is licensed under Title 14 of this article and who is providing similar services; and</text> </level> <level label="2"> <text>Required to comply with the notice requirement under § 14–508 of this article.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-404.3" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>The Board shall recommend to the Secretary quality assurance guidelines for therapeutically certified optometrists and optometric care.</text> </level> <level label="b"> <text>After considering the recommendations of the Board, the Secretary shall adopt regulations that establish standards of quality for therapeutically certified optometrists and optometric care.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-404.4" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Replacement contact lens prescription” means a prescription prepared by a licensed optometrist containing the information specified in this section and written expressly for the purpose of providing lenses which have already been properly fitted.</text> </level> <level label="3"> <text>“Immediate follow-up care” is that period of contact lens fitting time required to reach a contact lens prescription that is appropriate to the documented clinical needs of the patient.</text> </level> </level> <level label="b"> <text>A licensed optometrist shall ensure that each replacement contact lens prescription that the licensed optometrist prescribes for contact lenses:</text> <level label="1"> <text>Contains all the information necessary for the replacement contact lens prescription to be properly dispensed, including but not limited to the:</text> <level label="i"> <text>Lens manufacturer;</text> </level> <level label="ii"> <text>Type of lens;</text> </level> <level label="iii"> <text>Power of the lens, including plano or zero-powered contact lenses;</text> </level> <level label="iv"> <text>Base curve;</text> </level> <level label="v"> <text>Lens size;</text> </level> <level label="vi"> <text>Name of the patient;</text> </level> <level label="vii"> <text>Date the prescription was given to the patient;</text> </level> <level label="viii"> <text>Name and office location of the licensed optometrist who writes the replacement contact lens prescription; and</text> </level> <level label="ix"> <text>Expiration date of the replacement contact lens prescription; and</text> </level> </level> <level label="2"> <text>Is reduced to writing and placed in the patient’s permanent file.</text> </level> </level> <level label="c"> <level label="1"> <level label="i"> <text>After a licensed optometrist releases the patient from immediate follow-up care, the patient may request the replacement contact lens prescription from the licensed optometrist.</text> </level> <level label="ii"> <text>If, after examination, the patient’s prescription has not changed since the last examination, a licensed optometrist shall comply with the provisions of paragraph (2) of this subsection without requiring the patient to purchase contact lenses or to undergo immediate follow-up care.</text> </level> </level> <level label="2"> <level label="i"> <text>Upon the request of a patient of a licensed optometrist, and without cost to the patient, the licensed optometrist shall provide the patient’s replacement contact lens prescription to the patient or the patient’s designee.</text> </level> <level label="ii"> <text>In responding to a request under paragraph (1)(i) of this subsection, a licensed optometrist shall transmit the contact lens prescription by mail, telephone, facsimile, e-mail, or any other means of communication that will, under normal circumstances, result in the designee receiving the information within 7 business days after the patient’s request.</text> </level> <level label="iii"> <text>The replacement contact lens prescription that the licensed optometrist provides the patient under subparagraph (i) of this paragraph:</text> <level label="1"> <text>Shall contain the information necessary for the proper duplication of the current prescription of the patient;</text> </level> <level label="2"> <text>Shall contain, subject to the provisions of subsection (d) of this section, an expiration date for the replacement contact lens prescription of not more than 24 months from the time the patient was first examined; and</text> </level> <level label="3"> <text>May contain wearing guidelines or specific instructions for use of the contact lenses by the patient, or both.</text> </level> </level> </level> </level> <level label="d"> <text>The licensed optometrist shall enter into the patient’s medical record the valid clinical reasons for a shorter expiration date and shall provide the patient with a written and oral explanation of the clinical reasons for a shorter expiration date.</text> </level> <level label="e"> <text>When a patient’s prescription is dispensed by a person other than the licensed optometrist or a person associated directly or indirectly with the licensed optometrist, the licensed optometrist is not liable for any injury to or condition of a patient caused solely by the negligence of the dispenser.</text> </level> <level label="f"> <text>A licensed optometrist who releases a replacement contact lens prescription to a patient may provide the patient with a written statement that wearing improperly fitted contact lenses may cause harm to the patient’s eyes and that the patient should have an eye examination if there are any changes in the patient’s vision, including pain or vision loss.</text> </level> <level label="g"> <level label="1"> <text>A licensed optometrist who fills or provides a contact lens prescription shall maintain a record of that prescription in accordance with § 4-403 of the Health - General Article.</text> </level> <level label="2"> <text>A person other than a licensed optometrist who fills a contact lens prescription shall maintain a record of that prescription for 5 years.</text> </level> </level> <level label="h"> <text>The Board may impose a civil fine of no more than $1,000 on a licensed optometrist who fails to provide a replacement contact lens prescription or who knowingly dispenses contact lenses without a valid and unexpired replacement contact lens prescription, or who otherwise fails to comply with this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-405" title_number="11" title_name="Optometrists" subtitle_number="4" subtitle_name="Miscellaneous Provisions"> <level label="a"> <text>In this section, “optometrist rehabilitation committee” means a committee that:</text> <level label="1"> <text>Is defined in subsection (b) of this section; and</text> </level> <level label="2"> <text>Performs any of the functions listed in subsection (d) of this section.</text> </level> </level> <level label="b"> <text>For purposes of this section, an optometrist rehabilitation committee is a committee of the Board or a committee of the Maryland Optometric Association that:</text> <level label="1"> <text>Is recognized by the Board; and</text> </level> <level label="2"> <text>Includes but is not limited to optometrists.</text> </level> </level> <level label="c"> <text>A rehabilitation committee of the Board or recognized by the Board may function:</text> <level label="1"> <text>Solely for the Board; or</text> </level> <level label="2"> <text>Jointly with a rehabilitation committee representing another board or boards.</text> </level> </level> <level label="d"> <text>For purposes of this section, an optometrist rehabilitation committee evaluates and provides assistance to any optometrist, and any other individual regulated by the Board, in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text> </level> <level label="e"> <level label="1"> <text>Except as otherwise provided in this subsection, the proceedings, records, and files of the optometrist rehabilitation committee are not discoverable and are not admissible in evidence in any civil action arising out of matters that are being or have been reviewed and evaluated by the optometrist rehabilitation committee.</text> </level> <level label="2"> <text>Paragraph (1) of this subsection does not apply to any record or document that is considered by the optometrist rehabilitation committee and that otherwise would be subject to discovery or introduction into evidence in any arbitration or civil proceeding.</text> </level> <level label="3"> <text>For purposes of this subsection, civil action does not include a proceeding before the Board or judicial review of a proceeding before the Board.</text> </level> </level> <level label="f"> <text>A person who acts in good faith and within the scope of jurisdiction of an optometrist rehabilitation committee is not civilly liable for any action as a member of the optometrist rehabilitation committee or for giving information to, participating in, or contributing to the function of the optometrist rehabilitation committee.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-501" title_number="11" title_name="Optometrists" subtitle_number="5" subtitle_name="Prohibited Acts; Penalties"> <text>Except as otherwise provided in this title, a person may not practice, attempt to practice, or offer to practice optometry in this State unless licensed by the Board.</text> </section> <section article="gho" article_name="Health Occupations" number="11-502" title_number="11" title_name="Optometrists" subtitle_number="5" subtitle_name="Prohibited Acts; Penalties"> <text>Unless licensed to practice optometry under this title, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person practices optometry.</text> </section> <section article="gho" article_name="Health Occupations" number="11-504" title_number="11" title_name="Optometrists" subtitle_number="5" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>Knowingly selling or dispensing contact lenses or replacement contact lenses without a valid and unexpired prescription or replacement contact lens prescription shall be considered a violation of this title.</text> </level> <level label="b"> <text>The Board shall investigate any alleged violation of this section or § 11-404.4 of this title and may, notwithstanding § 11-205 of this title:</text> <level label="1"> <text>Issue subpoenas, administer oaths, and examine witnesses; and</text> </level> <level label="2"> <text>Enforce any provision of this title by injunction or other appropriate proceedings.</text> </level> </level> <level label="c"> <text>An action under this section is in addition to and not instead of criminal prosecution under § 11-505 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="11-505" title_number="11" title_name="Optometrists" subtitle_number="5" subtitle_name="Prohibited Acts; Penalties"> <level label="a"> <text>A person who violates any provision of this title is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $500 or imprisonment not exceeding 6 months or both.</text> </level> <level label="b"> <level label="1"> <text>This subsection does not apply to:</text> <level label="i"> <text>An individual licensed under Title 14, Subtitle 3 of this article; or</text> </level> <level label="ii"> <text>An individual supervised by an individual licensed under Title 14, Subtitle 3 of this article.</text> </level> </level> <level label="2"> <text>A person who violates § 11–501, § 11–502, or § 11–504 of this subtitle is subject to a civil fine not exceeding $50,000 to be assessed by the Board in accordance with regulations adopted by the Board.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="11-601" title_number="11" title_name="Optometrists" subtitle_number="6" subtitle_name="Short Title; Termination of Title"> <text>This title may be cited as the “Maryland Optometry Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="11-602" title_number="11" title_name="Optometrists" subtitle_number="6" subtitle_name="Short Title; Termination of Title"> <text>Subject to the evaluation and reestablishment provisions of the Maryland Program Evaluation Act, this title and all rules and regulations adopted under this title shall terminate and be of no effect after July 1, 2030.</text> </section>